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Hassan L, Shinar E, Groisman L, Rorman E, Kloog I, Jaffe E, Stoyanov E, Moser A, Novack V, Gat R, Grant-Sasson K, Novack L. National blood bank services as a platform for national human biomonitoring - A proof-of-concept study. Chemosphere 2023; 328:138569. [PMID: 37023902 DOI: 10.1016/j.chemosphere.2023.138569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 03/29/2023] [Accepted: 03/31/2023] [Indexed: 06/19/2023]
Abstract
BACKGROUND Human biomonitoring (HBM) is crucial for identifying potential risks to human health from exposure to environmental hazards. However, it is an expensive and labor-intensive endeavor. To save on samples' collection process we suggested using a national blood banking system as a platform for a national HBM program. For the case study, we used a comparison of blood donors from heavily industrialized Haifa Bay region, northern Israel, with donors from the rest of the country. METHODS The study population comprised a random sample of blood donors donating blood all over Israel. Samples of whole blood were tested for arsenic (As), cadmium (Cd), chromium (Cr) and lead (Pb). Donors' donations sites and residential locations were geocoded. Smoking status was verified based on Cd levels, after calibrating their concentrations vs Cotinine in a sub-sample of 45 subjects. Metal concentrations were compared between regions using a lognormal regression, while controlling for age, gender, and predicted probability of smoking. RESULTS During Mar 2020-Feb 2022, we collected 6230 and tested 911 samples. Concentrations of most of the metals were modified by age, gender, and smoking. Cr and Pb appeared to be 1.08-1.10 times higher among Haifa Bay residents than in the rest of the country (although with borderline significance of 0.069 for Cr). Cr and Pb were 1.13-1.15 times higher for those who donated blood in the Haifa Bay region, but not necessarily resided in the area. Donors from Haifa Bay had lower levels of As and Cd as compared to other donors in Israel. CONCLUSIONS Using a national blood banking system for HBM proved to be feasible and efficient. Blood donors from Haifa Bay area were characterized by elevated levels of Cr and Pb and lower levels of As and Cd. An extensive investigation of industries in the area is warranted.
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Affiliation(s)
- Lior Hassan
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel
| | - Eilat Shinar
- National Blood Services Center, Magen David Adom, Israel
| | | | | | - Itai Kloog
- Department of Environmental, Geoinformatics and Urban Planning Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Eli Jaffe
- National Blood Services Center, Magen David Adom, Israel
| | | | - Asher Moser
- National Blood Services Center, Magen David Adom, Israel
| | - Victor Novack
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel; Soroka Clinical Research Institute, Soroka University Medical Center, Beer-Sheva, Israel
| | - Roni Gat
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel
| | - Kineret Grant-Sasson
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel
| | - Lena Novack
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel.
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Hassan L, Shinar E, Groisman L, Rorman E, Kloog I, Jaffe E, Stoyanov E, Novack V, Moser A, Gat R, Grant-Sasson K, Novack L. Linking between ambient pollution and metals concentration in blood. Nationwide study based on the national blood banking system. Sci Total Environ 2023:164434. [PMID: 37245805 DOI: 10.1016/j.scitotenv.2023.164434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 05/21/2023] [Accepted: 05/22/2023] [Indexed: 05/30/2023]
Abstract
This study was aimed to describe the chemical traces of air pollution in blood of residents and evaluate the association between ambient pollution and its dose absorbed internally by a human body. The national Magen David Adom Blood Services blood donation collection platform and the National Public Health Laboratory's testing services were utilized to conduct a human biomonitoring study among blood donors in Israel. The donors' residential addresses and donations sites' locations were geocoded and merged with the levels of pollutants recorded by the nearby monitoring stations. Pollutants included nitrogen dioxide (NO2), sulfate dioxide (SO2), ozone (O3), carbon monoxide (CO) and particulate matter of size <10 and 2.5 μm in diameter (PM10 & PM2.5). Metal concentrations were statistically analyzed by ratio t-test and a lognormal regression, and adjusted to age, gender and smoking (defined based on Cadmium values). The findings indicate an independent positive association between pollutants and metals' concentrations in blood. Specifically, an increase in interquartile range (IQR) of NO2 was associated with 9.5 % increase in As in blood. The increase in one IQR of PM10 and SO2 was associated with an increase in Pb, of 16.6 % and 12.4 %, respectively. SO2 was also adversely associated with Cd concentrations, by increasing its levels by 5.7 %. The donors' proximity to quarries was related to the Pb blood levels higher 1.47 times compared to donors without quarries close to their residence (p-value = 0.013). To conclude, ambient pollution levels are associated with internal metals' concentrations, reaffirming the link between the two in the pathological pathway from air pollution to morbidity.
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Affiliation(s)
- Lior Hassan
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel
| | | | | | | | - Itai Kloog
- Department of Geography, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Eli Jaffe
- Blood Services Center, Magen David Adom, Israel
| | | | - Victor Novack
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel; Clinical Research Institute, Soroka University Medical Center, Beer-Sheva, Israel
| | - Asher Moser
- Blood Services Center, Magen David Adom, Israel
| | - Roni Gat
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel
| | - Kineret Grant-Sasson
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel
| | - Lena Novack
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva, Israel.
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