Chronic Mercury Exposure and GSTP1 Polymorphism in Munduruku Indigenous from Brazilian Amazon

Genetic polymorphisms may be involved with mercury levels and signs and symptoms of intoxication from this exposure. Therefore, the aims were to describe the frequency of the GSTP1 polymorphism and to evaluate its effects on mercury levels and neurological signs in three Munduruku indigenous villages in the Brazilian Amazon. One-hundred-and-seven indigenous (over 12 years old) were included and genotyped (rs1695) using a TaqMan validated assay. Then, associations were evaluated by binary logistic regression, using odds ratios (OR) and 95% confidence intervals (CI). Mean age was 27.4 ± 13.9 years old, 52.3% were male, mean hair mercury concentration was 8.5 ± 4.3, exceeding the reference limit (≥6.0 µg/g), and were different among the three villages: 13.5 ± 4.6 µg/g in Sawré Aboy, 7.4 ± 2.3 µg/g in Poxo Muybu and 6.9 ± 3.5 µg/g in Sawré Muybu. The minor allele frequency of GSTP1 G was significantly different among the villages: 57% Sawré Muybu, 21% Poxo Muybu and 15% Sawré Aboy. Finally, after adjustment, GSTP1 GG and GA genotypes were associated with lower levels of Hg (OR = 0.13; CI95% = 0.03-0.49) and abnormal somatosensory signs (OR = 3.7; 95%IC = 1.5-9.3), respectively. In conclusion, monitoring this population is imperative to identify individuals at higher risk of developing signs of chronic mercury exposure based on the genetic profile.

Human Health Risk Assessment Is Associated with the Consumption of Metal-Contaminated Groundwater around the Marituba Landfill, Amazonia, Brazil

Groundwater is present in its purest form beneath the earth's surface. However, metal contamination is potentially a problem faced by many countries. For this reason, the present study aims to make an assessment of the risks associated with groundwater consumption around the Marituba landfill in an Amazon region. The present study was characterized as transversal with the use of primary data. The sampling occurred in a stratified random way, performed in two radii of action being the 1st radius of 2.5 km away from the landfill and the 2nd radius of 3.5 km away from the landfill to the neighborhoods. A total of 184 points were collected. In all communities the average daily dose (ADD) was higher than the reference oral dose (Rfd), for the metals As, Pb and Mn the risk quotient (HQ) was greater than 1 (one) in all neighborhoods, the concentration of Mn in the least exposed neighborhood was greater than 10 µg.L^-1, even at a distance of 3.5 km from the landfill. The average concentrations for As and Pb did not exceed the recommended, however, they were more significant for the Beira Rio neighborhood, respectively 1.47 µg.L^-1 and 1.9 µg.L^-1. And the average concentration for Cu was more significant for the Uriboca neighborhood 18.20 µg.L^-1, but within the recommended. The average of the general concentration of Heavy Metals Pollution Index (HPI) of the water consumed was 80.03, indicating that the water consumed by the population is contaminated by metals.

Evaluation of Paralytic Shellfish Toxins in Marine Oyster Farming and Microalgae in the Atlantic Amazon Evidences Safety but Highlights Potential Risks of Shellfish Poisoning

Marine phycotoxins are organic compounds synthesized by some species of microalgae, which accumulate in the tissues of filter-feeder organisms such as bivalve mollusks. These toxins can cause acute intoxication episodes in humans, a severe threat to aquaculture and fisheries. In the State of Pará, Brazil, oyster farming has community, artisanal and sustainable bases, using mangroves as cultivation environment and seed banks. In small-scale production, there are often no established methods of safeguarding the health of consumers elevating the potential risks of shellfish poisoning outbreaks. Our study evaluated the presence of phycotoxins in oysters cultivated in five municipalities in the region of the Atlantic Amazon (Pará, Brazil) assessing the quality of the final product. We further evaluated the microalgae, water quality, and the spatio-temporal variation of physicochemical factors in the same area. Diatoms dominated the microalgae composition, followed by dinoflagellates, some of which are reported to be potentially toxic and producers of paralytic shellfish toxins. For the first time, we describe the occurrence of the potentially toxic dinoflagellate Ostreopsis sp. in the Amazon region. Furthermore, for the first time, toxins were detected in oyster farming in the northeast of the State of Pará, namely GTX2,3, STX, and dc-STX nevertheless, with nontoxic values. The identified toxins represent a potential threat to shellfish consumers.

Health Risk Assessment Attributed to Consumption of Fish Contaminated with Mercury in the Rio Branco Basin, Roraima, Amazon, Brazil

The aim of this study was to assess the health risk attributable to the consumption of mercury-contaminated fish for the urban and non-urban populations living in the Roraima state, Amazon, Brazil. Seventy-five fish specimens distributed across twenty different species, comprising four trophic levels (i.e., herbivore, omnivore, detritivore, and carnivore), were collected at four locations in the Branco River Basin. The fish samples were sent to the Toxicology Laboratory at Evandro Chagas Institute to determine the total-Hg levels by using the cold vapor atomic system (CVAAS). The total-Hg levels ranged from 0 to 3.159 µg/g. The average concentration in non-carnivorous species (n = 32) was 0.116 µg/g, and among carnivorous fish (n = 43), it was 0.869 µg/g. The weighted average of contamination levels for all samples was 0.545 µg/g. The health risk assessment was conducted according to the methodology proposed by the World Health Organization and different scenarios of human exposure were considered, based on three levels of fish consumption (low: 50 g/day; moderate: 100 g/day and high: 200 g/day). Women of childbearing age ingest 5 to 21 times more mercury than the dose considered safe by the U.S. EPA and intake a dose from 2 to 9 times higher than the safe dose proposed by FAO/WHO. Children under 5 years of age ingest from 18 to 75 times the dose proposed by the U.S. EPA and from 8 to 32 more mercury than the limit proposed by FAO/WHO. In summary, regardless of the level of fish consumption, type of residency (urban or non-urban), and the subset of the population analyzed, anyone who consumes fish from the locations sampled is at high risk attributable to mercury ingestion, with the only exception of adult men, who consume an average of 50 g of fish per day.

Human risk assessment of toxic elements (As, Cd, Hg, Pb) in marine fish from the Amazon

The present study evaluated As, Hg, Pb and Cd burdens in both ecologically and commercially important 314 marine fishes belonging to 47 species sampled along the Amazon Coast. We specifically investigated variations in these four elements among different habitats and their relationships with trophic position and estimated potential human health risk by calculating the hazard quotient (HQ), hazard index (HI), and target cancer risk (TR). Our analyses revealed that Hg concentrations in reef-associated fish were over 2-fold those recorded in demersal fish (p < 0.001). A stable isotope analysis indicated that most of the fish species analyzed herein are secondary consumers (i.e., TP > 2.9) and their trophic positions exhibited a significant negative correlation to As, Pb and Cd. Positive significant relationships were noted between As-Cd, As-Pb, As-Hg, Hg-Cd and Cd-Pb, suggesting that these elements exhibit similar dispersion properties and bioaccumulation homology, probably arising from natural fluvial inputs from the Amazon basin system. Detected As concentrations were higher than established guidelines and legal limits in 63.8% of the examined species (n = 30), whereas Cd, Hg and Pb levels were generally very low. Estimated daily intake (EDI) of iAs, Hg and Pb were above reference dose (RfD) in more almost half of species analyzed and HQ values were each found to pose potential non-carcinogenic health risks if high amounts are consumed over time. HI indicates that the determined elements attained levels considered as potential human health hazards trough consumption of eight cartilaginous fish. The TR values of iAs and Pb were higher than the guideline value and given this, individuals who continuously consume cartilaginous fish contaminated with the toxic elements determined here will likely be under increased cancer risks in the long term.

An Assessment of Health Outcomes and Methylmercury Exposure in Munduruku Indigenous Women of Childbearing Age and Their Children under 2 Years Old

In line with the 1000-day initiative and the Sustainable Development Goals (SDG) 2 and 3, we present a cross-sectional analysis of maternal health, infant nutrition, and methylmercury exposure within hard-to-reach indigenous communities in the state of Pará, Brazilian Amazon. We collected data from all women of childbearing age (i.e., 12-49) and their infants under two years old in three Munduruku communities (Sawré Muybu, Sawré Aboy, and Poxo Muybu) along the Tapajos River. We explored health outcomes through interviews, vaccine coverage and clinical assessment, and determined baseline hair methylmercury (H-Hg) levels. Hemoglobin, infant growth (Anthropometric Z scores) and neurodevelopment tests results were collected. We found that 62% of women of childbearing age exceeded the reference limit of 6.0 μg/g H-Hg (median = 7.115, IQR = 4.678), with the worst affected community (Sawré Aboy) registering an average H-Hg concentration of 12.67 μg/g. Half of infants aged under 24 months presented with anemia. Three of 16 (18.8%) infants presented H-Hg levels above 6.0 µg/g (median: 3.88; IQR = 3.05). Four of the 16 infants were found to be stunted and 38% of women overweight, evidencing possible nutritional transition. No infant presented with appropriate vaccination coverage for their age. These communities presented with an estimated Infant Mortality Rate (IMR) of 86.7/1000 live births. The highest H-Hg level (19.6 µg/g) was recorded in an 11-month-old girl who was found to have gross motor delay and anemia. This already vulnerable indigenous Munduruku community presents with undernutrition and a high prevalence of chronic methylmercury exposure in women of childbearing age. This dual public health crisis in the context of wider health inequalities has the potential to compromise the development, health and survival of the developing fetus and infant in the first two critical years of life. We encourage culturally sensitive intervention and further research to focus efforts.

Mercury Exposure in Munduruku Indigenous Communities from Brazilian Amazon: Methodological Background and an Overview of the Principal Results

The Amazonian indigenous peoples depend on natural resources to live, but human activities' growing impacts threaten their health and livelihoods. Our objectives were to present the principal results of an integrated and multidisciplinary analysis of the health parameters and assess the mercury (Hg) exposure levels in indigenous populations in the Brazilian Amazon. We carried out a cross-sectional study based on a census of three Munduruku indigenous villages (Sawré Muybu, Poxo Muybu, and Sawré Aboy), located in the Sawré Muybu Indigenous Land, between 29 October and 9 November 2019. The investigation included: (i) sociodemographic characterization of the participants; (ii) health assessment; (iii) genetic polymorphism analysis; (iv) hair mercury determination; and (v) fish mercury determination. We used the logistic regression model with conditional Prevalence Ratio (PR), with the respective 95% confidence intervals (CI95%) to explore factors associated with mercury exposure levels ≥6.0 µg/g. A total of 200 participants were interviewed. Mercury levels (197 hair samples) ranged from 1.4 to 23.9 μg/g, with significant differences between the villages (Kruskal-Wallis test: 19.9; p-value < 0.001). On average, the general prevalence of Hg exposure ≥ 6.0 µg/g was 57.9%. For participants ≥12 years old, the Hg exposure ≥6.0 µg/g showed associated with no regular income (PR: 1.3; CI95%: 1.0-1.8), high blood pressure (PR: 1.6; CI95%: 1.3-2.1) and was more prominent in Sawré Aboy village (PR: 1.8; CI95%: 1.3-2.3). For women of childbearing age, the Hg exposure ≥6.0 µg/g was associated with high blood pressure (PR: 1.9; CI95%: 1.2-2.3), with pregnancy (PR: 1.5; CI95%: 1.0-2.1) and was more prominent among residents in Poxo Muybu (PR: 1.9; CI95%: 1.0-3.4) and Sawré Aboy (PR: 2.5; CI95%: 1.4-4.4) villages. Our findings suggest that chronic mercury exposure causes harmful effects to the studied indigenous communities, especially considering vulnerable groups of the population, such as women of childbearing age. Lastly, we propose to stop the illegal mining in these areas and develop a risk management plan that aims to ensure the health, livelihoods, and human rights of the indigenous people from Amazon Basin.

Health Risk Assessment of Mercury Exposure from Fish Consumption in Munduruku Indigenous Communities in the Brazilian Amazon

Fish serves as the principal source of animal protein for the indigenous people of the Amazon, ensuring their food and nutritional security. However, gold mining causes mercury (Hg) contamination in fish, and consequently increases health risks associated with fish consumption. The aim of this study was to assess the health risk attributed to the consumption of mercury-contaminated fish by Munduruku indigenous communities in the Middle-Tapajós Region. Different fish species were collected in the Sawré Muybu Indigenous Land to determine mercury levels. The health risk assessment was carried out according to the World Health Organization (WHO 2008) methodology and different scenarios were built for counterfactual analysis. Eighty-eight fish specimens from 17 species and four trophic levels were analyzed. Estimates of Hg ingestion indicated that the methylmercury daily intake exceeds the U.S. EPA (United States Environmental Protection Agency) (2000) reference dose from 3 to 25-fold, and up to 11 times the FAO (Food and Agriculture Organization)/WHO (2003) dose recommendation. In all situations analyzed, the risk ratio estimates were above 1.0, meaning that the investigated Munduruku communities are at serious risk of harm as a result of ingestion of mercury-contaminated fish. These results indicate that, at present, fish consumption is not safe for this Munduruku population. This hazardous situation threatens the survival of this indigenous population, their food security, and their culture.

Maternal and embryonic trace element concentrations and stable isotope fractionation in the smalleye smooth-hound (Mustelus higmani)

Here, we evaluate maternal offloading of 16 trace elements (Essential: Co, Cr, Cu, Fe, Mn, Ni, Se and Zn; Nonessential: Al, As, Ba, Cd, Hg, Pb, Tl and U) and determine mother-offspring isotopic fractionation of δ¹³C and δ¹⁵N in muscle and liver tissue of four pregnant Mustelus higmani and 18 associated embryos sampled from the Amazon Coast of Brazil. Embryo muscle tissue had significantly higher concentrations of most trace elements when compared to mothers, with the exception of Hg. Embryo liver accumulated more nonessential elements than muscle (n = 7 vs. 0, respectively), while the Se:Hg molar ratio was >1 in liver and muscle of both mothers and embryos. Livers of embryos were moderately enriched in δ¹³C and δ¹⁵N when compared to that of their mother. Negative correlations were observed between embryo body length and δ¹³C and trace elements concentrations. We conclude that mothers offload a large portion of all essential elements and Al, As and Pb to their young and that the isotopic fractionation of embryos reflects maternal diet and habitat occupied, with δ¹³C diluted with embryonic growth. We also show that muscle and liver accumulate trace elements at different rates relative to the body length of embryos. The Se:Hg molar ratio suggests that Se could play a protective role against Hg toxicity during early stages of M. higmani embryonic development.

Representations of adolescents on HIV/AIDS with a focus on sexuality and vulnerability to infections

Background

The highest increase in AIDS cases in Brazil is among 15-24 years old. In the last eight years, there have been almost 30,000 new cases in this population group, which represents an average of 10 new cases per day. This chart highlights the importance of promoting health and prevention of sexually transmitted infections (STIs) and AIDS for this population group. The purpose of the present study is to understand representations of adolescents of both sexes on HIV/AIDS, focusing on sexuality and vulnerability to sexually transmitted infections.

Methods

This is a research with a qualitative approach based on the theory of Representations and included in the study 28 adolescents high school students of two state public schools. Data collection took place through open interviews, held individually at agreed times and locations between the researchers and the direction of the schools. The interviews were of the in-depth type, with a semi-structured script, containing questions that allowed the participant to narrate facts, express their points of view, value judgments, and evaluate actions and ways of thinking about sexuality, sexual health and risk of infection HIV and other STIs, yours and others.

Results

The data were interpreted based on the Structural Analysis of Narration, being grouped into two categories: Sexuality; Risks involved in sexual intercourse. This study highlighted the complexity that involves issues related to sexuality and adolescence, just as adolescents deal with the risks of becoming infected with an STI. There are differences between representations of sexual relations for adolescent females and males.

Conclusions

The representations of adolescents about sexuality and about HIV/AIDS prevention are structured more in their exchanges and experiences in the social space, with colleagues and friends, than in family institutions and in school. It is necessary that there be continuous actions and not only in specific periods.

Key messages

Understanding how adolescents experience sexuality can be the starting point for more effective health promotion actions for this population group. Since the beginning of the AIDS epidemic, there have been different ways of coping with this infection. Thus, it is important to know the representation of adolescents today about this theme.

Digital media and risks involved for the LGBT community

Background

With the increase in the use of the internet and digital media, the number of people looking to network digitally, or just to find someone to have romantic or sexual encounters, has also increased. For this, there are networks and applications that are used for the purpose of romantic and sexual encounters, such as Tinder, Happn, Badoo, Scruff, Grindr, among others. These types of networks currently allow and facilitate sexual contact, making it possible to arrange meetings only for the so-called casual sex, which can be defined as a kind of sexual experience that occurs without the need for a fixed relationship. With the possibility of the ease and practicality of being able to have a sexual relationship, attention should be paid to the vulnerability and risks that the social networks used for this purpose can place its users.

Objective

To understand how LGBT students deal with the use and risks involved in digital media.

Methods

This is a research with a qualitative approach, based on the Theory of Social Representations. University students who declared themselves as LGBT in the city of Belo Horizonte participated in the study. Data collection took place through open and in-depth interviews, with a semi-structured script. The data were interpreted based on the Structural Analysis of the Narration, proposed by Demazière; Dubar.

Results

Two theoretical categories were listed: Ease of contact with the use of social media - this category shows the ease that research participants have to show themselves, give opinions and demonstrate their interest in a person through digital media. Risks of using social media - Risks range from personal exposure, making an appointment with an unknown person, in addition to the risks related to sexually transmitted infections.

Conclusions

Users of digital media need to interpret the risks that are involved when accessing a social network and outline ways of taking care of themselves and others.

Key messages

Knowing ways that the LGBT community exposes itself in digital media can contribute to preventive actions and to promote the health of these people in a more effective way. With the ease of exchanging images and dating for casual sex, it is necessary to discuss new approaches to health, including by digital means.

Ways of exposing the sexuality of university students in digital media

Background

Due to social and technological developments, experiences related to relationships between people express changes, which can be observed in social media, especially in social networks and dating and sexual apps. The use of social networks is growing among people of all age groups, which facilitates the maintenance of interpersonal contact and allows some people to get to know each other digitally, in addition to assisting in the search for information about sexuality and making it possible to meet with women. loving or sexual purpose.

Objective

to understand the means that university students express their sexuality in digital media.

Methods

This is a research with a qualitative approach, based on the Theory of Social Representations. University students from Belo Horizonte participated in the study. Data collection took place through a structured questionnaire with open and closed questions made available via the internet. The data were interpreted based on the Structural Analysis of the Narration, proposed by Demazière; Dubar.

Results

Two theoretical categories were listed. Use of digital media for sexual and amorous encounters - university students reveal the use of apps for casual encounters, where they use photos considered sensual to get a date outside the digital medium. Use of digital media as a source of information - the research subjects say they use the internet as a source of information about sexuality, as they still consider this issue difficult to approach with parents. These students also share the acquired information and personal experiences with friends.

Conclusions

In the digital environment, social relations are based on a hypervisibility of personal life on social networks, where intimate, private and especially sexual and body issues are exposed.

Key messages

Understanding how university students express their sexuality in digital media is an important step towards promoting the health of this population group. Social media can be of great value, but it can also present risks. Thus, university students are susceptible to these two factors, especially when it comes to topics such as sexuality.

Influence of social media for sexuality of adolescents

Background

Adolescence is a phase of life of great emotional, cognitive, social and body changes. Also noteworthy are the changes related to the emotional relationship between young people and sexuality. Recent research indicates that the use of Social Media (MS) has increased dramatically among adolescents in the last 10 years, and they have a tendency to seek information on health, sexual health and STIs including AIDS in these media.

Objective

To understand the influences of social media for sexual health and sexuality in adolescents.

Methods

This is a research with a qualitative approach, based on the Theory of Social Representations. The study included 28 adolescents aged between 15 and 18 years old, high school students from two public schools in Belo Horizonte. Data collection took place through open and in-depth interviews, with a semi-structured script. The data were interpreted based on the Structural Analysis of the Narration, proposed by Demazière; Dubar.

Results

The results found point to positive and negative representations in relation to the interviewees' point of view on the influence of social media on the sexuality of these adolescents. The positive representations found revolve around the ease of access to information and the privacy of being able to search and answer your questions through the internet and other means of communication. The aforementioned negative representations point to the little media approach on the subject, in addition, they indicate sporadic approaches centered on festive periods and dates such as carnival, a unique focus on AIDS and aimed specifically at adult audiences.

Conclusions

It is necessary to rethink how adolescents and young people today experience their sexuality and how to reach them comprehensively, understanding the need to guarantee appropriate and quality information to adolescents.

Key messages

The present work leads to reflections on the ways that adolescents experience sexuality today. Currently, teenagers are involved in digital media, including social media, where they can express issues related to sexuality and the way they experience it.

Methylmercury in Predatory and Non-predatory Fish Species Marketed in the Amazon Triple Frontier

This study assessed if the concentrations of methylmercury (MeHg) in predatory and non-predatory fish caught in the Upper Solimões River are safe for human consumption, according to the reference values established by the Joint FAO/WHO Expert Committee on Food Additives (JECFA). MeHg concentrations were evaluated in muscle of 5 predatory and 4 non-predatory fish species by gas chromatography with electron capture detector (GC-ECD). MeHg concentrations in predatory (0.09 mg kg^-1) and non-predatory (0.04 mg kg^-1) fish were under the safe upper limit for human consumption. The general average concentration of MeHg in these fish were 0.05 mg kg^-1. The Estimated Weekly Intake of MeHg was higher than the provisional tolerable weekly intake in both predatory and non-predatory fish, especially for women. Due to the high rates of fish consumption in the Amazon, the risk assessment based only on the concentration of MeHg in fish may not be accurate.

Mercury in fish marketed in the Amazon Triple Frontier and Health Risk Assessment

Fish has great socioeconomic, cultural, and nutritional importance for Amazonian populations. Despite all health benefits, fish can accumulate great amounts of mercury (Hg). The entry of Hg in aquatic trophic chains is an issue of concern to animal and human health. Higher risks of human exposure are strongly related to fish consumption. Upper Solimões population has one of the highest fish consumption rates of the Amazon. This study aimed to access the concentration of total Hg (THg) in muscle, liver, and gills of 17 species of fishes marketed in the Upper Solimões Region and Health Risk Assessment. Higher concentrations were observed in Carnivores/Piscivores. The highest THg concentration was found in liver of Cichla ocellaris (4.549 μg/g) and the lowest in gills of Hoplosternum littorale (0.002 μg/g). Most species had higher THg concentrations in muscle>liver>gills, in the Ebb period, and liver>muscle>gills, in the Flood period. Hoplias malabaricus, Pseudoplatystoma fasciatum, Plagioscion squamosissimus, Ageneiosus inermis, and C. ocellaris presented average THg concentrations above the safe limit stablished by WHO. THg levels in C. ocellaris, H. malabaricus, P. squamosissimus, P. fasciatum, and Semaprochilodus insignis were higher than those found in fish of heavily impacted areas. Signs of bioaccumulation and biomagnifications of Hg can already be observed in this region. The Western Amazon Region urgently needs government actions to inhibit Hg release in aquatic ecosystems and to advise this population on the safe amount of fish to be eaten according to species and period of the year.

Macrobrachium amazonicum (Crustacea, Decapoda) Used to Biomonitor Mercury Contamination in Rivers

Open-air landfill's may be are considered as a potential source of human environmental exposure to chemical substances such as, polycyclic aromatic hydrocarbons and toxic metals. Due to possible availability of mercury in the environment caused by open landfill emissions, this study evaluates the spatiality and seasonality of macroinvertebrates, in particular shrimps (Macrobrachium amazonicum), exposure to mercury (Hg). Information regarding Hg accumulation in this crustacean may be important for the development of public policies aiming conservation and preservation of ecosystems surrounding landfills in Amazon, and around the world. Sampling occurred quarterly in the following months: November/2015; February/2016; May/2016 and; August/2016. In each of these months, three points were selected: P1, P2 and P3. The samples were processed via acid digestion and the quantification of metal was performed by inductively coupled plasma mass spectrometry. The average concentration of total mercury (T-Hg) was 24.565 ± 6.610 µg kg^-1 wet weight, with minimum and maximum limits of 12.742 ± 11.367 (P3) and 35.509 ± 14.761 µg kg^-1 wet weight (P1) in November/2015 and August/2016, respectively. The concentration of total mercury (T-Hg) in shrimps was different between points (p = 0.004) and months (p = 0.000). The T-Hg concentrations were significantly higher in May and August 2016, which corresponds to the dry season. The presence of landfills promotes large accumulation of T-Hg in the aquatic biota and represents a risk to human health. However, seasonal changes in T-Hg levels were observed. In the wettest period, bioconcentration factor levels decrease in aquatic organisms.

A comparative study of cadmium levels in blood from exposed populations in an industrial area of the Amazon, Brazil

Chemical pollution from industrial sources is one of the main problems affecting the environment. In urban areas, the emission of toxic gases and particulates to the atmosphere can damage human health. Cadmium (Cd) is one of the most ecotoxic metals among these pollutants, even at low concentrations. In this study, environmental exposure to Cd was evaluated from the Cd blood levels (CdB) of the human populations living in two Amazonian districts. The first was Bairro Industrial (BIN), which is located next to the industrial complex in Barcarena City, while the second was Vila do Beja (VBJ), a control group located in the farthest area from industrial activities in Abaetetuba City. Sectional and comparative studies were applied for both districts. Sampling (N = 469) occurred in 2012 and 2013. Gender, age, residence time, drinking water source, alcohol consumption, and smoking were used as independent variables. CdB levels were analyzed by induced coupled plasma mass spectrometry (ICP-MS). In BIN, geometric mean and median CdB levels were 0.27 and 0.43 μg∙L^-1, respectively (range: ≤0.03-17.49 μg∙L^-1), while in VBJ these were 0.19 and 0.23 μg∙L^-1 (range: ≤0.03-2.38 μg∙L^-1). The higher CdB concentration in the blood of people from BIN was similar to levels previously found in people living near other industrial areas, and showed that the BIN residents were more exposed to Cd pollution. The studies showed the need for surveillance actions to evaluate possible routes of exposure, avoiding the future worsening of the health of the population living next to industrial areas in the Amazon.

Towards Therapeutic Alternatives for Mercury Neurotoxicity in the Amazon: Unraveling the Pre-Clinical Effects of the Superfruit Açaí (Euterpe oleracea, Mart.) as Juice for Human Consumption

Methylmercury (MeHg) exposure is a serious problem of public health, especially in the Amazon. Exposure in riverine populations is responsible for neurobehavioral abnormalities. It was hypothesized that consumption of Amazonian fruits could protect by reducing mercury accumulation. This work analyzed the effects of commercial samples of Euterpe oleracea (EO) for human consumption (10 μL/g) against MeHg i.p. exposure (2.5 mg/Kg), using neurobehavioral (open field, rotarod and pole tests), biochemical (lipid peroxidation and nitrite levels), aging-related (telomerase reverse transcriptase (TERT) mRNA expression) and toxicokinetic (MeHg content) parameters in mice. Both the pole and rotarod tests were the most sensitive tests accompanied by increased lipid peroxidation and nitrite levels in brains. MeHg reduced TERT mRNA about 50% demonstrating a strong pro-aging effect. The EO intake, similar to that of human populations, prevented all alterations, without changing the mercury content, but avoiding neurotoxicity and premature aging of the Central Nervous System (CNS). Contrary to the hypothesis found in the literature on the possible chelating properties of Amazonian fruits consumption, the effect of EO would be essentially pharmacodynamics, and possible mechanisms are discussed. Our data already support the regular consumption of EO as an excellent option for exposed Amazonian populations to have additional protection against MeHg intoxication.

Levels of organochlorine pesticides in Amazon turtle (Podocnemis unifilis) in the Xingu River, Brazil

Due to the toxicity and high environmental persistence of organochlorine pesticides in aquatic organisms, turtles have been studied as environment biomonitors. These animals are important sources of protein for the riverside and indigenous peoples of the Brazilian amazon. In the present study, organochlorine pesticide contamination was investigated in Podocnemis unifilis. Liver, muscle and fatty tissue samples were removed from 50 specimens collected from five sampling points located in the Xingu River basin. Fourteen organochlorine pesticides were analysed via gas chromatography with an electron capture detector (CG-ECD). Eight organochlorine pesticides were detected with average concentrations of ∑DDT, ∑Endossulfan and ∑HCH which were 26.17 ± 26.35, 14.38 ± 23.77 and 1.39 ± 8.46 ng g^-1 in moisture content, respectively. DDT compounds were the most predominant, with a greater concentration of pp'-DDT in the liver and pp'-DDD in the muscle. Significant differences were noted between the types of tissues studied, and the concentration of OCPs varied between sampling sites.

Assessment of Mercury Concentration in Turtles (Podocnemis unifilis) in the Xingu River Basin, Brazil

Many studies on mercury contamination in aquatic biota deal with the effect of consuming metal-contaminated organisms on human health. In this study, we examined the factors that cause mercury contamination in Podocnemis unifilis in the Xingu River Basin of Mato Grosso and Pará States, Brazil. We quantified by atomic absorption spectroscopy with cold vapor the total mercury (THg) content in the liver and muscle samples of 50 Podocnemis unifilis specimens collected from the basin. The liver and muscle samples contained 134.20 ± 119.30 ng g−1 THg and 24.86 ± 26.36 ng g−1 THg, respectively. Each chelonian or meal has, on average, 5.34× more Hg than the highest level established as acceptable. From the results it can be inferred that, given the weekly consumption of chelonians, the riverine and indigenous communities in the Xingu River Basin are at risk of chronic consumption of Hg in amounts beyond the acceptable limit. The potential high risk to the health of this population is evident; however, the risk classification needs to be further studied.

Quality index of the surface water of Amazonian rivers in industrial areas in Pará, Brazil

In this study was to evaluate the waters quality of the Murucupi River, located in urban agglomerate area and intense industrial activity in Barcarena City, Pará State. The Arapiranga River in Abaetetuba City was used as control area (Background), next to Barcarena. Was used the Water Quality Index (WQI) based on nine variables analized. Waters quality of the Arapiranga and Murucupi rivers were regular to good and bad to good, respectively. Anthropogenic influence on the Murucupi River was higher, mainly by the disposal of domestic effluents from the urban agglomerate and of the industrial waste tailing basins upstream of this river. Due to its less inhabited environment and further away from the area urban and industrial, the Arapiranga River was more preserved. Waters pollution of around these area is increasingly intense, and restricted its uses for various purposes.

Comparison between Brain Computed Tomography Scan and Transcranial Sonography to Evaluate Third Ventricle Width, Peri-Mesencephalic Cistern, and Sylvian Fissure in Traumatic Brain-Injured Patients

Introduction

Transcranial color-coded duplex sonography (TCCS) may help guide multimodal monitoring in the neurocritical setting. It may provide indirect information about intracranial hypertension, such as midline shift, third ventricle width, and peri-mesencephalic cistern obliteration. We aim to assess the agreement between brain computed tomography scan (CT scan) and TCCS in traumatic brain injury (TBI) patients.

Methods

In this retrospective cross-sectional observational study, TCCS was performed within 6 h before a brain CT scan. Only the first CT and TCCS after ICU admission were included. The agreement between the CT scan and TCCS was assessed by Bland–Altman plots and evaluating the intraclass correlation coefficient.

Results

Overall, 15 consecutive patients were included (80% male, 42 ± 23 years of age, Glasgow Coma Score 5 [4,6]). The mean difference between the brain CT scan and TCCS in measuring the midline shift was 0.30 ± 2.1 mm (intraclass correlation coefficient: 0.93; p < 0.01). An excellent correlation was also observed between the methods in assessing the third ventricle width (intraclass correlation coefficient: 0.88; p < 0.01). Bland–Altman plots did not show any systematic bias in either agreement analysis. TCCS showed good accuracy in predicting non-compressed peri-mesencephalic cisterns (AUC: 0.83, 95% CI 0.46–1.0) and the presence of the Sylvian fissure (AUC: 0.91, 95% CI 0.73–1.0) on CT scan.

Conclusion

TCCS is a promising tool and may be an alternative to CT scans for evaluating TBI patients.

DDT concentration in fish from the Tapajós River in the Amazon region, Brazil

DDT and metabolites were measured in six species of fish collected from the Tapajós River in the village of Barreiras, near the town of Itaituba in the Brazilian Amazon region. The selected fish were the most consumed and economically important to the local people. DDT was used frequently in this region for malaria control. Fish samples were analyzed after extraction by microwave-assisted extraction in hexane/acetone (8:2, v/v) by gas chromatography with electron capture detector. Residues of op'-DDT and pp'-DDT and metabolites were detected, including pp'-DDE, pp'-DDD, op'-DDT, and op'-DDE, in 98% of the samples, with a greater abundance of pp'-DDT. Total DDT levels were 7.1-249.5 ng g(-1) wet weight (w.w). The DDE/DDT ratio was low, indicating recent exposure to DDT. The study area that may be related to generated waste used in public health campaigns to combat mosquitos (Anopheles spp.), still present in the Amazon environment, that transmit malaria. DDT levels and metabolites found in fish species do not present risks to human health because they are below acceptable limits for consumption.

Avaliação da qualidade da água de consumo por comunidades ribeirinhas em áreas de exposição a poluentes urbanos e industriais nos municípios de Abaetetuba e Barcarena no estado do Pará, Brasil

Resumo Apesar dos grandes avanços tecnológicos introduzidos nos processos de tratamento das águas de consumo humano, as utilizadas para abastecimento tornaram-se um grande problema de saúde pública. O objetivo deste estudo foi avaliar a qualidade das águas consumidas em duas comunidades ribeirinhas no Estado do Pará expostas a poluentes domésticos e industriais. Foram realizadas quatro campanhas de amostragem nas duas comunidades e as variáveis utilizadas para o cálculo do Índice de Qualidade da Água (IQA) foram pH, Sólidos Totais, Cloreto, Fluoreto, Dureza e N-Nitrato. As águas utilizadas para consumo humano na Comunidade Maranhão, onde não há contaminação por poluentes industriais, apresentaram amostras adequadas, com melhora no período seco; já as águas de Vila do Conde, local próximo à atividade industrial, estiveram em ambos os períodos sazonais com qualidade inaceitável para consumo humano. Os principais parâmetros afetados foram o pH e o N-Nitrato, com valores até 25 vezes a referência da legislação brasileira para água de consumo humano. Esses resultados indicaram maior interferência antrópica no entorno da Vila do Conde em Barcarena, necessitando-se de avaliações clínicas por profissionais especializados sobre o estado de saúde desta população.

Longitudinal assessment of mercury exposure in schoolchildren in an urban area of the Brazilian Amazon

This study was a longitudinal assessment of mercury exposure in schoolchildren in an urban area of the Brazilian Amazon. The study population consisted of 90 children whose exposure levels were assessed by testing mercury levels in the umbilical cord blood and mothers' blood samples in 2000-2001, and in the children's hair and blood samples. The study also used a questionnaire on demographic and socioeconomic data, fish consumption, and self-reported disease history. Mean mercury level in hair in 2010 was approximately 1µg/g, ranging up to 8.22µg/g, similar to 2004 and 2006. These figures can be explained by low fish consumption. Mean blood mercury levels at birth exceeded 10µg/L, ranging up to nearly 60µg/L, which indicates mercury transfer across the placenta. There was a significant increase in blood mercury from 2004 to 2006 (p < 0.001), suggesting exposure through air pollution. The main exposure to mercury was during pregnancy.

Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery

The association of diabetes insipidus and adipsia after craniopharyngioma surgery has high morbidity. Hypernatremia can be caused by adipsia and be aggravated by diabetes insipidus. Rhabdomyolysis rarely occurs. DASE REPORT: This is the first report of a diabetic patient with craniopharyngioma who developed diabetes insipidus and adipsia after surgery, evolving with severe hypernatremia that caused considerable rhabdomyolysis. CONCLUSION: The importance of the evaluation of muscle integrity when under hypernatremic states is pointed out. Although adipsia may have a simple solution through volunteer water ingestion, serious consequences such as repeated severe hypernatremia episodes and intense rhabdomyolysis with high morbidity could occur, if adipsia is not diagnosed.

Exposição ao mercúrio e ao arsênio em Estados da Amazônia: síntese dos estudos do Instituto Evandro Chagas/FUNASA

Este artigo é uma revisão das pesquisas da Seção de Meio Ambiente do Instituto Evandro Chagas/FUNASA sobre exposição ao mercúrio (Hg) no vale do rio Tapajós e Estado do Acre, e exposição ao arsênio (As) através de resíduos da exploração de manganês (Mn) realizada pela ICOMI deixados no Porto de Santana-AP. Em relação ao mercúrio, têm sido pesquisadas populações sob risco através da via respiratória ou alimentar. No primeiro caso, os trabalhadores de casas de compra e venda de ouro têm apresentado teores mais elevados de Hg em urina do que os garimpeiros estudados. No segundo caso, as populações ribeirinhas têm mostrado níveis diferenciados de exposição (Hg em cabelo). Comunidades ribeirinhas situadas em áreas não afetadas pelo mercúrio da garimpagem e com hábitos alimentares semelhantes às de área de risco têm sido avaliadas, visando a construção de parâmetros de normalidade regional. São também pesquisados os teores de Hg em materiais ambientais e na biota aquática. Os estudos de saúde humana e ambiente na cidade de Santana-AP objetivaram avaliar as fontes e possíveis vias de exposição da população da comunidade do Elesbão ao arsênio. Verificou-se a existência de fonte de risco através dos rejeitos de Mn, porém os níveis de As na água consumida pela população mostraram-se dentro dos parâmetros de normalidade. As médias encontradas em sangue e cabelo coincidem com médias de normalidade referidas na literatura, em populações não expostas, e as associações entre variáveis epidemiológicas, avaliação clínico-laboratorial e os teores de arsênio não mostraram significância estatística.