1
|
Nachman KE, Punshon T, Rardin L, Signes-Pastor AJ, Murray CJ, Jackson BP, Guerinot ML, Burke TA, Chen CY, Ahsan H, Argos M, Cottingham KL, Cubadda F, Ginsberg GL, Goodale BC, Kurzius-Spencer M, Meharg AA, Miller MD, Nigra AE, Pendergrast CB, Raab A, Reimer K, Scheckel KG, Schwerdtle T, Taylor VF, Tokar EJ, Warczak TM, Karagas MR. Opportunities and Challenges for Dietary Arsenic Intervention. Environ Health Perspect 2018; 126:84503. [PMID: 30235424 PMCID: PMC6375412 DOI: 10.1289/ehp3997] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2018] [Revised: 07/16/2018] [Accepted: 07/20/2018] [Indexed: 05/18/2023]
Abstract
The diet is emerging as the dominant source of arsenic exposure for most of the U.S. population. Despite this, limited regulatory efforts have been aimed at mitigating exposure, and the role of diet in arsenic exposure and disease processes remains understudied. In this brief, we discuss the evidence linking dietary arsenic intake to human disease and discuss challenges associated with exposure characterization and efforts to quantify risks. In light of these challenges, and in recognition of the potential longer-term process of establishing regulation, we introduce a framework for shorter-term interventions that employs a field-to-plate food supply chain model to identify monitoring, intervention, and communication opportunities as part of a multisector, multiagency, science-informed, public health systems approach to mitigation of dietary arsenic exposure. Such an approach is dependent on coordination across commodity producers, the food industry, nongovernmental organizations, health professionals, researchers, and the regulatory community. https://doi.org/10.1289/EHP3997.
Collapse
Affiliation(s)
- Keeve E Nachman
- Risk Sciences and Public Policy Institute, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
- Department of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
- Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
- Johns Hopkins Center for a Livable Future, Johns Hopkins University, Baltimore, Maryland, USA
| | - Tracy Punshon
- Department of Biological Sciences, Dartmouth College, Hanover, New Hampshire, USA
- Dartmouth Superfund Research Program, Hanover, New Hampshire, USA
- Dartmouth Children's Environmental Health and Disease Prevention Research Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA
| | - Laurie Rardin
- Dartmouth Superfund Research Program, Hanover, New Hampshire, USA
| | - Antonio J Signes-Pastor
- Dartmouth Superfund Research Program, Hanover, New Hampshire, USA
- Dartmouth Children's Environmental Health and Disease Prevention Research Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA
- Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA
| | - Carolyn J Murray
- Dartmouth Children's Environmental Health and Disease Prevention Research Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA
| | - Brian P Jackson
- Dartmouth Superfund Research Program, Hanover, New Hampshire, USA
- Department of Earth Sciences, Dartmouth College, Hanover, New Hampshire, USA
| | - Mary Lou Guerinot
- Department of Biological Sciences, Dartmouth College, Hanover, New Hampshire, USA
| | - Thomas A Burke
- Risk Sciences and Public Policy Institute, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
- Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Celia Y Chen
- Department of Biological Sciences, Dartmouth College, Hanover, New Hampshire, USA
- Dartmouth Superfund Research Program, Hanover, New Hampshire, USA
| | - Habibul Ahsan
- Department of Public Health Sciences, University of Chicago, Chicago, Illinois, USA
| | - Maria Argos
- Department of Public Health Sciences, University of Chicago, Chicago, Illinois, USA
| | - Kathryn L Cottingham
- Department of Biological Sciences, Dartmouth College, Hanover, New Hampshire, USA
- Dartmouth Children's Environmental Health and Disease Prevention Research Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA
| | - Francesco Cubadda
- Department of Food Safety, Nutrition and Veterinary Public Health, Istituto Superiore di Sanità - Italian National Institute of Health, Rome, Italy
| | - Gary L Ginsberg
- Yale School of Public Health, 60 College St, New Haven, Connecticut, USA
| | - Britton C Goodale
- Dartmouth Superfund Research Program, Hanover, New Hampshire, USA
- Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA
| | - Margaret Kurzius-Spencer
- Department of Pediatrics, College of Medicine, University of Arizona, Tucson, Arizona, USA
- Department of Community, Environment and Policy, Mel & Enid College of Public Health, University of Arizona, Tucson, Arizona, USA
| | - Andrew A Meharg
- Institute for Global Food Security, Queen's University Belfast, David Keir Building, Malone Road, Belfast, BT9 5BN, Northern Ireland, UK
| | - Mark D Miller
- Western States Pediatric Environmental Health Specialty Unit, University of California, San Francisco, San Francisco, California, USA
| | - Anne E Nigra
- Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, New York, USA
| | | | - Andrea Raab
- Department of Chemistry, University of Aberdeen, Aberdeen, UK
| | - Ken Reimer
- Royal Military College, Kingston, Ontario, Canada
| | - Kirk G Scheckel
- Land and Materials Management Division, National Risk Management Research Laboratory, United States Environmental Protection Agency, Cincinnati, Ohio, USA
| | - Tanja Schwerdtle
- Institute of Nutritional Sciences, University of Potsdam, Germany
| | - Vivien F Taylor
- Dartmouth Superfund Research Program, Hanover, New Hampshire, USA
- Department of Earth Sciences, Dartmouth College, Hanover, New Hampshire, USA
| | - Erik J Tokar
- National Toxicology Program Laboratory, National Toxicology Program, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA
| | - Todd M Warczak
- Department of Biological Sciences, Dartmouth College, Hanover, New Hampshire, USA
| | - Margaret R Karagas
- Dartmouth Superfund Research Program, Hanover, New Hampshire, USA
- Dartmouth Children's Environmental Health and Disease Prevention Research Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA
- Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA
| |
Collapse
|