Emerging organic contaminants in drinking water systems: Human intake, emerging health risks, and future research directions

Few earlier reviews on emerging organic contaminants (EOCs) in drinking water systems (DWS) focused on their detection, behaviour, removal and fate. Reviews on multiple exposure pathways, human intake estimates, and health risks including toxicokinetics, and toxicodynamics of EOCs in DWS are scarce. This review presents recent advances in human intake and health risks of EOCs in DWS. First, an overview of the evidence showing that DWS harbours a wide range of EOCs is presented. Multiple human exposure to EOCs occurs via ingestion of drinking water and beverages, inhalation and dermal pathways are discussed. A potential novel exposure may occur via the intravenous route in dialysis fluids. Analysis of global data on pharmaceutical pollution in rivers showed that the cumulative concentrations (μg L-1) of pharmaceuticals (mean ± standard error of the mean) were statistically more than two times significantly higher (p = 0.011) in South America (11.68 ± 5.29), Asia (9.97 ± 3.33), Africa (9.48 ± 2.81) and East Europe (8.09 ± 4.35) than in high-income regions (2.58 ± 0.48). Maximum cumulative concentrations of pharmaceuticals (μg L-1) decreased in the order; Asia (70.7) had the highest value followed by South America (68.8), Africa (51.3), East Europe (32.0) and high-income regions (17.1) had the least concentration. The corresponding human intake via ingestion of untreated river water was also significantly higher in low- and middle-income regions than in their high-income counterparts. For each region, the daily intake of pharmaceuticals was highest in infants, followed by children and then adults. A critique of the human health hazards, including toxicokinetics and toxicodynamics of EOCs is presented. Emerging health hazards of EOCs in DWS include; (1) long-term latent and intergenerational effects, (2) the interactive health effects of EOC mixtures, (3) the challenges of multifinality and equifinality, and (4) the Developmental Origins of Health and Disease hypothesis. Finally, research needs on human health hazards of EOCs in DWS are presented.

Microplastics in polystyrene-made food containers from China: abundance, shape, size, and human intake

Polystyrene-made food containers (PMFCs) have been widely used as takeout containers in China. However, the pollution of microplastics (MPs) in PMFCs used in Chinese restaurants remains not well known. For the first time, this study analyzed MPs in PMFC samples (n = 354) collected from different restaurants in 28 Chinese cities. MPs were detected in all PMFC samples, with an abundance of 5-173 items/container. PMFC samples from Taiyuan (mean of 86 items/container) contained the highest mean abundance of MPs. A relatively lower abundance of MPs was found in PMFCs from Urumqi (mean of 19 items/container) and Fuzhou (18 items/container). Fiber was the predominant shape of MPs in most of the PMFC samples. The abundance of MPs in PMFCs was positively correlated with the proportion of fiber. The major polymer composition of MPs was polystyrene, accounting for a mean of 45-90% of total polymers for MPs in PMFCs from different cities. The abundance of MPs in PMFC samples was negatively correlated with the proportion of polystyrene. The mean estimated oral exposure of MPs for the general population in different Chinese cities was 0.24-1.4 items/kg bw/day. Such data is important for human MP exposure risk assessment and also for elucidating the sources of human exposure to MPs.

Microplastic contamination in canned fish sold in Türkiye

The presence of microplastics (MPs) in processed seafood is a growing concern. In this study, 33 different canned fish brands belonging to seven producers were purchased from the Turkish market and investigated. MPs composition, possible sources, and potential intake were assessed. Light microscopy was used to quantify potential MPs, and micro-Raman microscopy was used to identify the polymer types. The results showed that all the samples had at least one MPs particle, and fragments were the most abundant (57.3%) shape of MPs. Polyolefin (21.88%) was the most common polymer type. The results showed that packaging and the production processes are the main possible sources of MPs. Human intake estimation risk is relatively lower since canned fish consumption is relatively low. The findings suggest that the risk related to MPs in canned fish should be considered one of the components of food safety management systems.

Microfiber fallout during dining and potential human intake

The pervasiveness of microfibers, including fibrous microplastics indoors and outdoors, has drawn attention. However, some places such as the dining environment that are closely related to human diet and health have been neglected. Here, we characterized short-term microfiber fallout in different dining spots and conducted long-term monitoring in a college cafeteria. The results showed that the microfiber abundance of restaurants during the peak hour of dinnertime (75 ± 19 MFs/plate/meal) was approximately two times that of households (36 ± 23 MFs/plate/meal). The high microfiber abundance was positively correlated with strong human activities (i.e., sitting rate of people) in restaurants, which was verified by the kinetics data of the cafeteria (R² =0.871, p = 0.000). Cotton (63%), polyester (17%), and rayon (14%) were the top three detected microfibers via μ-FTIR, and cloth friction can aggravate fiber shedding significantly. Moreover, high hairiness and short staple yarn style were likely to increase the formation of microfibers. Additionally, room structure can obviously influence microfiber abundance that households without separate dining rooms showed three times higher microfiber abundance (66 MFs/plate/meal) than those (21 MFs/plate/meal) with separate dining rooms, because partition walls were verified to effectively reduce fiber transport. Collectively, microfiber fallout during dining deserves our great attention, which may induce human intake of 63-232 MFs/person/d.

Variation and Uncertainty of Microplastics in Commercial Table Salts: Critical Review and Validation

Increasing concern of human exposure to microplastics (MPs) necessitates an assessment of the quality of MP data relevant to human exposure. In this literature review for table salt, we addressed the variability and uncertainty of MP data caused by different analytical methods among studies. Additionally, validation experiment was conducted to identify and correct uncertainties related to MP size. When combined without validation, salt data in literature (n = 150) showed a wide range of 0-39800 (1386 ± 5477) MPs kg^-1. All procedures, including sample treatment, MP identification, and quality assurance were related to this variability. Most serious variability originated from the MP identification methods associated with minimum cut-off size of targeted/measured MPs and the selection of particles identified. When not corrected by size, MP content differed by 10-600 times among MP identification methods, with greatest value from visual observation, followed by FTIR and Raman methods. Meanwhile, there was a significant correlation-regardless of identification method-between logarithmic mean abundances and minimum cut-off sizes. The size-corrected values showed that adults intake up to 19000 MPs ≥10 μm annually via table salt, compared with 5100 MPs that was estimated from uncorrected mean abundance. Our validation experiment also showed the possibility of serious errors being caused by arbitrary selection of "MP-like particles" in spectroscopic analysis, specifically for smaller-sized particles. A combination of unverified data originated from different methods might have failed to adequately produce reliable human health-relevant results, thereby undermining the ability to quantify human risk.

Abundance, composition, and potential intake of microplastics in canned fish

The existence of microplastics (MPs) in canned fish (tuna and mackerel) samples was investigated and their composition, possible sources and potential intake were assessed. Light and fluorescence microscopy were used for the quantification of potential MPs. Furthermore, micro-Raman microscopy, and scanning electron microscopy coupled with an energy dispersive X-ray were used to identify the polymer types and composition of MPs. The results showed that 80% of samples had at least one plastic particle and fibers were the most abundant shapes of MPs. Moreover, polyethylene terephthalate (32.8%) was the most common polymer type in canned fish samples. The fish, food additives, and contact materials during the cleaning and canning process are possible sources of MPs. Human intake estimation of MPs showed the possibility of plastics absorption by humans who consume canned fish several times/week. Hence, the results of this study showed the importance of MPs' guidelines for food safety and hygiene.

Wastewater-based epidemiology for tracking human exposure to mycotoxins

Mycotoxins are among the compounds of most concern for human health because of their common presence in food and their proven toxicity for human health. Human biomonitoring (HBM) studies, foodstuff analysis and dietary surveys are usually used to assess human exposure, but they are costly and time-consuming. Wastewater-based epidemiology (WBE) can complement the established exposure monitoring tools. The aim of this study was to develop a new WBE application for assessing human exposure to mycotoxins by measuring specific biomarkers in raw wastewater. Eleven substances were analysed by liquid chromatography-tandem mass spectrometry in wastewater from four cities in Italy and Spain. Only deoxynivalenol (DON) and fumonisines were found, DON being the most abundant, in accordance with HBM studies. DON intake, back-calculated by WBE, was lower than the established Health-Based Guidance values, indicating moderate exposure in the population, with no risks for human health. WBE intake estimates were very close to those reported in HBM studies, validating WBE for estimating DON intake in the population. This study describes a promising WBE approach to complement HBM studies and assess the human intake of specific classes of mycotoxins, thus helping to identify risks for human health.

Assessment of Dechlorane Plus and related compounds in foodstuffs and estimates of daily intake from Lebanese population

Dechlorane Related Compounds (DRCs), including Dechlorane Plus (syn/anti-DP or syn/anti-DDC-CO) and related compounds (Dec-601 or DDC-ID, Dec-602 or DDC-DBF, Dec-603 or DDC-Ant and Chlordene Plus or DDC-PDD), are a group of polychlorinated flame retardants of concern since they were first reported in various environmental and biota matrices about one decade ago. In this work, we investigated the dietary intake of the Lebanese population to these lipophilic environmental contaminants upon the evaluation of selected foodstuff contamination. Collected food samples (n = 58) were selected to be representative of the lipid fraction of the whole diet of the Beiruti population. The samples were analysed using pressurized liquid extraction, silica multilayer column followed by gel permeation chromatography for purification and GC-EI-HRMS for separation and detection. Detection frequency of at least one compound among Dechlorane Plus (syn-DP and anti-DP), Dechlorane 602, 603 and Chlordene Plus) was 91%. The mean concentrations of ∑₆DRCs, by food group, ranged from 4.7 to 29.5 pg g^-1 wet weight in lowerbound (LB) and from 6.7 to 76.9 pg g^-1 wet weight in upperbound (UB). Based on food habits, the dietary intake of Beiruti adults was estimated to be between 3.71 (LB) and 5.61 (UB) ng day^-1. Dechlorane Plus and Dechlorane 602 were the dominant compounds, contributing to 70 and 24% of the total intake (LB value), respectively. This study reports for the first time the occurrence of Dechloranes in Lebanese foods and proposes corresponding deterministic dietary exposure scenario.

Linking past uses of legacy SVOCs with today's indoor levels and human exposure

Semivolatile organic compounds (SVOCs) emitted from consumer products, building materials, and indoor and outdoor activities can be highly persistent in indoor environments. Human exposure to and environmental contamination with polychlorinated biphenyls (PCBs) was previously reported in a region near a former PCB production facility in Slovakia. However, we found that the indoor residential PCB levels did not correlate with the distance from the facility. Rather, indoor levels in this region and those reported in the literature were related to the historic PCB use on a national scale and the inferred presence of primary sources of PCBs in the homes. Other SVOCs had levels linked with either the activities in the home, e.g., polycyclic aromatic hydrocarbons (PAHs) with wood heating; or outdoor activities, e.g., organochlorine pesticides (OCPs) with agricultural land use and building age. We propose a classification framework to prioritize SVOCs for monitoring in indoor environments and to evaluate risks from indoor SVOC exposures. Application of this framework to 88 measured SVOCs identified several PCB congeners (CB-11, -28, -52), hexachlorobenzene (HCB), benzo(a)pyrene, and γ-HCH as priority compounds based on high exposure and toxicity assessed by means of toxicity reference values (TRVs). Application of the framework to many emerging compounds such as novel flame retardants was not possible because of either no or outdated TRVs. Concurrent identification of seven SVOC groups in indoor environments provided information on their comparative levels and distributions, their sources, and informed our assessment of associated risks.

Wastewater-based epidemiology to assess pan-European pesticide exposure

Human biomonitoring, i.e. the determination of chemicals and/or their metabolites in human specimens, is the most common and potent tool for assessing human exposure to pesticides, but it suffers from limitations such as high costs and biases in sampling. Wastewater-based epidemiology (WBE) is an innovative approach based on the chemical analysis of specific human metabolic excretion products (biomarkers) in wastewater, and provides objective and real-time information on xenobiotics directly or indirectly ingested by a population. This study applied the WBE approach for the first time to evaluate human exposure to pesticides in eight cities across Europe. 24 h-composite wastewater samples were collected from the main wastewater treatment plants and analyzed for urinary metabolites of three classes of pesticides, namely triazines, organophosphates and pyrethroids, by liquid chromatography-tandem mass spectrometry. The mass loads (mg/day/1000 inhabitants) were highest for organophosphates and lowest for triazines. Different patterns were observed among the cities and for the various classes of pesticides. Population weighted loads of specific biomarkers indicated higher exposure in Castellon, Milan, Copenhagen and Bristol for pyrethroids, and in Castellon, Bristol and Zurich for organophosphates. The lowest mass loads (mg/day/1000 inhabitants) were found in Utrecht and Oslo. These results were in agreement with several national statistics related to pesticides exposure such as pesticides sales. The daily intake of pyrethroids was estimated in each city and it was found to exceed the acceptable daily intake (ADI) only in one city (Castellon, Spain). This was the first large-scale application of WBE to monitor population exposure to pesticides. The results indicated that WBE can give new information about the "average exposure" of the population to pesticides, and is a useful complementary biomonitoring tool to study population-wide exposure to pesticides.

Wastewater-based epidemiology to assess human exposure to pyrethroid pesticides

Pesticides are active substances with potentially adverse effects on human health, and therefore great effort is addressed to study the relation between their widespread use and the effects on humans. To track human exposure to pesticides, novel approaches are needed to give additional information on exposure at population level. In this study, a novel application of Wastewater-Based Epidemiology (WBE) was developed to measure the intake of pyrethroid pesticides in a population. Three human urinary metabolites of pyrethroids were selected and validated as biomarkers of exposure by evaluating their sources and stability in wastewater. They were measured by liquid chromatography-tandem mass spectrometry in raw urban wastewater collected from the wastewater treatment plants of six Italian cities. Their concentrations were used as biomarkers to back-calculate the intake of pyrethroid pesticides in the population. WBE results were in line with the urinary biomarker levels of biomonitoring studies considering dilution in wastewater. Significant differences in the metabolites levels were observed among different cities. Seasonal variations in human intake of pyrethroids were also seen, as expected, with higher intakes during spring/summer. Intakes in the six cities were compared with the acceptable daily intake (ADI) and it was concluded that some of the populations examined might face significant health risks. Results confirm that this method can provide supplementary information to biomonitoring studies and can be a valuable tool for obtaining objective, direct information on the real levels of exposure to pyrethroids of different populations.

Iodine environmental availability and human intake in oceanic islands: Azores as a case-study

Iodine deficiency is the most common cause of preventable mental impairment. Although several studies have established an association between ocean proximity and iodine environmental availability, recent studies revealed an inadequate iodine intake in the Azorean islands. In this study, we aim to understand the underlying causes of iodine environmental availability in oceanic islands and its association with iodine intake in schoolchildren, using the Azores as case-study. Iodine concentration in soil and grass pasture was measured by INAA and in drinking water by spectrophotometry. Urinary iodine concentration (UIC) in schoolchildren was assessed by ICP-MS in a randomized cross-sectional survey with 315 participants from S. Miguel (study group) and Sta. Maria islands (reference group). A validated diet questionnaire assessing sources of iodine was recorded. The iodine concentration in soils of the reference group was significantly higher than in the study group (58.1ppm vs. 14.5ppm, respectively; p=0.001). The prevalence of schoolchildren with inadequate UIC was significantly higher in the study group than in the reference one (63.0% vs. 37.8%, respectively; p<0.001). Chronic exposure to low iodine environmental availability was significantly associated with the exacerbation in iodine deficiency, with a risk 4.94 times higher in the study group. The differences observed in the studied islands are related with each island geomorphology (soil properties and orography) and climate, which can promote or inhibit iodine environmental availability, contributing distinctively to iodine bioavailability and human intake. These findings draw attention to an urgent need for a full investigation of Azores iodine status to apply evidence-based recommendations for iodine supplementation.

Ultra-trace measurement of Dechloranes to investigate food as a route of human exposure

Dechloranes, including Dechlorane Plus (syn- and anti-isomers), Dechlorane 602, Dechlorane 603, Dechlorane 604, Chlordene Plus, and Mirex are used as flame-retardants and were recently found in human serum of the European population. In order to investigate if food consumption would possibly be a significant route of exposure, we developed a method for the measurement of Dechloranes in food and feed. We showed that it was possible to extend the scope of the regular polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), dioxin like (DL-), and non-dioxin like (NDL-) regulated PCBs clean-up and fractionation procedure to Dechloranes and that no compound degradation occurred during the strong acidic treatments used for lipid digestion. Dechloranes were measured by gas chromatography coupled to triple quadrupole mass spectrometry (GC-QQQMS/MS). We optimized injection parameters by face centered experimental design (FCD). The electron ionization fragmentation was investigated to set appropriate multiple reaction monitoring (MRM) transitions. Instrumental and method limits of quantitation (iLOQs and mLOQs) were determined following EU guidelines for dioxin analyses in food. A total of 88 samples were analyzed to assess the prevalence of this route of exposure to humans. Average levels of the sum of Dechloranes ranged from 10 to 31pg/g fat, with the exception of fish, feed additives, and corn that were reported in pg/g wet weight at average levels of 9, 12, and 2pg/g ww. Based on Belgian food habits, a dietary intake was estimated to be 136pg/day. The relatively low reported levels indicate that other routes of human exposure should be considered.