Environmental Health Insights最新文献

Aflatoxins (AFs) are secondary metabolites mainly produced by Aspergillus flavus and A. parasiticus and their contamination of red peppers can cause hepatocellular carcinoma, growth retardation in children, immune suppression, and death. In addition, their presence in the red peppers can affect international trade and cause significant economic burdens. Thus, the objective of this study was to assess the level of AFs contamination in packed powder (from supermarkets) and raw red pepper samples commercially available in the towns of Fiche and Mukaturi. Furthermore, this study aimed to determine the potential health and cancer risks associated with the consumption of red pepper contaminated with AFs. Red pepper samples (raw and packed powder) were collected randomly from the Fiche and Mukaturi open markets. Then AFs in the samples were extracted using methanol: water (80:20, v/v). These extract samples were then cleaned up using an immunoaffinity column (IAC) and determined with a high-performance liquid chromatography-fluorescence detector (HPLC-FLD). The finding showed that the amount of AFB₁, AFB₂, and AFG₁ in raw red pepper was found to be 3.19 ± 0.01, 0.19 ± 0.001, and 4.07 ± 0.01 μg kg^-1, respectively. The raw red pepper samples had a total of 7.66 ± 0.01 μg kg^-1 of AFs. On the other hand, the amount of AFB₁, AFB₂, and AFG₁ in Afiya-packed red pepper was found to be 7.04 ± 0.03, 2.15 ± 0.06, and 0.50 ± 0.01 μg kg^-1, while Mudayi packed red pepper contained 31.60 ± 0.22, 24.40 ± 0.17, 3.37 ± 0.02 and 2.48 ± 0.004 μg kg^-1 of aflatoxins, respectively. Afiya and Mudayi packed powder peppers had a total AFs content of 10.4 ± 0.07 and 61.90 ± 0.28 μg kg^-1, respectively. The total AFs concentrations in packed pepper powder samples were higher than maximum toleratable limits (MTLs) set by the European Commission Regulation (EU) 2023/915 (5.00 μg kg^-1 for AFB₁ and 10 μg kg^-1 for total AFs). AFB₁ (31.60 ± 0.22 μg kg^-1) had the highest level of contamination, followed by AFB₂ (24.40 ± 0.17 μg kg^-1) in packed pepper powder. In the adult population, the estimated daily intake (EDI) of AFB₁, AFB₂, AFG₁, and AFG₂ ranged from 0.80 to 7.90, 0.04 to 6.10, 0.02 to 1.02, and 0.05 to 0.62  $\mu$ g kg^-1 body weight (bw) per day, respectively. However, the Margins of Exposure (MOE) values and combined Margin of Exposure (MoET) for these chemicals were significantly lower than the safe margin (<10 000). Therefore, this study highlights the potential health risks associated with consuming AFs-contaminated red peppers and the need for stricter regulations and monitoring to ensure food safety.

Indoor exposure to outdoor pollutants adversely affects health, varying with building dimensions and particularly ventilation that have critical role on their indoor dispersion. This study assesses the impact of outdoor air on indoor air quality in a child care center. Computational fluid dynamics was utilized to analyze the dispersion of particulate matter, with a specific focus on window screens featuring 6 distinct pore sizes ranging from 0.8 mm to 2 mm and 2 different thicknesses of 0.5 mm and 0.1 mm. Results indicate that the presence of a window screen offers significant advantages in controlling particle infiltration compared to scenarios without a screen, as larger particles tend to pass directly through the window within the breathing zone. The scenario without window screens minimizes pressure drop but lacks enhanced particle capture capabilities. However, for effective particle reduction, the window screen with a pore size of 0.8 mm (R0.8T2) and a thickness of 0.5 mm proves to be the most beneficial, achieving the particle filtering efficiency of approximately 54.16%, while the larger window screen with a pore size of 2 mm and a thickness of 1 mm exhibits the lowest efficiency at about 23.85%. Nonetheless, screens with very small sizes are associated with a high-pressure drop, impacting energy efficiency, and overall window performance. Larger pores with smaller thicknesses (0.5 mm) reduced particle count by approximately 45.97%. Therefore, the significance of window screen thickness beyond pore size for particle reduction efficiency is highlighted, emphasizing screens' role in indoor air quality and health protection.

Water quality issues in Ethiopia necessitate the implementation of the Water Safety Plan (WSP) to safeguard drinking water. Despite its benefits, WSP implementation is underutilized, a situation exacerbated by urbanization, agriculture, pollution, and climate change. This study evaluated water supply system vulnerability and delineated protection zones in the Upper Awash River subbasin. By employing the DRASTIC model, the National WASH Inventory-2 (NWI-2), and qualitative methods, this research aims to integrate the NWI-2 with vulnerability assessments. The study revealed that, among 2864 schemes, only 14.4% had a water safety plan, while 20.7% practiced water safety, and 6% reported the occurrence of waterborne diseases. Over 39.23% of the schemes were in high vulnerability areas, 12.32% were in very high vulnerability areas, and only 8% were in low vulnerability areas. The validation revealed a 61.7% association between the vulnerability indices and nitrate concentration. The strengths of the strategy included coordination and guideline development, but challenges such as institutionalization, catchment protection, the legal framework, and climate information remain for the Water Safety Plan. To promote public health, these findings help to demonstrate and integrate the NWI-2 with vulnerability assessments to protect drinking water sources. The conclusion also calls for all concerned authorities to implement water source protection, emphasizing the use of GIS technology and the adoption of integrated watershed management practices, which encompass regulatory control and conservation strategies. Furthermore, more research on the pollutant time of travel, assimilation capacity, and land use priorities is needed to delineate specific protection zones.

Particulate matter (PM) exposure is associated with adverse health outcomes, including respiratory illness. A large fraction of exposure to airborne contaminants occurs in the home. This study, conducted over 5 months in a community with high asthma rates (Chelsea, MA, USA), investigated the use of portable air cleaners (PACs) to reduce indoor PM. Seven asthma-affected households participated, receiving a PAC (Austin Air Health Mate HEPA filter), a QuantAQ sensor to measure PM₁, PM_2.5, PM₁₀ (µg/m³), and a HOBO plug-load data logger to track PAC usage. Results describe hourly and daily PM concentrations and PAC usage for each household. Hourly average PM concentrations decreased when PACs were turned on (vs. when they were turned off) across households during the study period: PM₁ decreased by 0.46 µg/m³, PM_2.5 decreased by 0.69 µg/m³, and PM₁₀ decreased by 3.22 µg/m³. PAC usage varied for each household, including constant usage in one household and only usage at certain times of day in others. Higher filtration settings led to lower PM, with significant reductions in some, but not all, homes. Our findings highlight some difficulties in implementing household PAC interventions, yet also provide evidence to support household-level interventions to reduce PM and other indoor sources of air pollution. We also highlight academic-community partnerships as contributing to evidence-based solutions.

The emergence and spread of antibiotic resistance (ABR) have been a public health challenge globally. The burden is even higher in low-income countries where there is a lack of appropriate healthcare systems, and inappropriate antibiotic disposal practices and utilization. Due to poor solid waste disposal practices in developing nations, municipal solid waste dumpsite (MSWDS) can be a reservoir for ABR bacteria. However, only a few studies demonstrated the prevalence of ABR in non-clinical environments such as MSWDS. This study assessed the prevalence of ABR bacteria at Bahir Dar City MSWDS, to understand the public health risks related to poor solid waste disposal systems. Nine soil samples were collected from the dumpsite. Bacteria were isolated, identified and tested for ABR. Seventy-one distinct colonies were isolated from all samples and identified into 10 bacterial genera based on morphological features and biochemical tests. For ABR tests, gentamicin (GN, 10 μg), streptomycin (ST, 30 μg), tetracycline (TE, 30 μg), ciprofloxacin (CIP, 5 μg), nalidixic acid (NAA, 30 μg), sulfonamide (SA, 250 μg), chloramphenicol (C, 30 μg), erythromycin (E, 15 μg), vancomycin (V, 30 μg), and amoxicillin (AMX, 25 μg) were used. The most frequently isolated bacteria were Staphylococcus (23%) followed by Escherichia species (17%). Ten isolates related to Bacillus spp. were excluded from the antibiotic sensitivity test as there is no standard regarding this genus in the Clinical and Laboratory Standards Institute. The overall antibiotic résistance rate was 95.08%, and most isolates were found to be resistant to amoxicillin (100%), nalidixic acid (75.5%), and vancomycin (75%). Substantial proportions of the isolates were also resistant to tetracycline (55.35%), streptomycin (54.5%), and sulfonamide (50%). The overall multidrug resistance (MDR) rate was 36.06%. This high level of ABR calls for urgent intervention in waste management systems and regular surveillance programs.

Solid waste management system in Mzuzu City is a growing concern due to its inefficiency and the resulting effect of accumulation of solid waste. In light of this environmental challenge, a study was conducted to assess the system's effectiveness. Through a mixed methods approach and random sampling, 400 respondents from 5 different areas of the city of Mzuzu were selected to provide comprehensive and unbiased responses. It was found that both the public and private sectors lack a complete commitment to sustainable waste management, citing reasons such as limited knowledge on recycling benefits, inadequate infrastructure and budgetary constraints. As a solution, the study proposes a government-led campaign to change attitudes towards waste production and promote recycling. Additionally, a Public-Private Partnership (PPP) should be utilised to develop policies and strategies that encourage private sector involvement in eco-friendly waste management. To further enhance recycling practices, support is needed in transitioning to circular economy waste management practices through regular education and training.

The persistence of per- and polyfluoroalkyl substances (PFAS) in the environment and their possible negative health impacts have attracted global attention. In Nigeria, there have been instances of PFAS contamination in many environmental areas, such as water sources. This paper raised concerns regarding limited research of PFAS in Nigeria, potential human exposure, and environmental consequences in Nigeria. This paper examines the present status of PFAS research in Nigeria, the sources from which contamination occurs, the environmental effects, and the implications for human health. This underscores the holes in understanding and areas of focus for study, underscoring the necessity for thorough evaluations of potential risks and regulatory actions to reduce exposure to PFAS and protect public health and the environment in Nigeria.

Background: Arsenic, a widely recognized and highly toxic carcinogen, is regarded as one of the most hazardous metalloids globally. However, the precise assessment of acute and chronic human exposure to arsenic and its contributing factors remains unclear in Ethiopia.

Objective: The primary goal of this study was to assess the levels of acute and chronic arsenic exposure, as well as the contributing factors, using urine and nail biomarkers.

Methods: A community-based analytical cross-sectional study design was employed for this study. Agilent 7900 series inductively coupled plasma mass spectrometry was used to measure the concentrations of arsenic in urine and nail samples. We performed a multiple linear regression analysis to assess the relationships between multiple predictors and outcome variables.

Results: The concentration of arsenic in the urine samples ranged from undetectable (<0.01) to 126.13, with a mean and median concentration of 16.02 and 13.5 μg/L, respectively. However, the mean and median concentration of arsenic in the nails was 1.01, ranging from undetectable (<0.01 μg/g) to 2.54 μg/g. Furthermore, Pearson's correlation coefficient analysis showed a significant positive correlation between arsenic concentrations in urine and nail samples (r = 0.432, P < .001). Also, a positive correlation was observed between urinary (r = 0.21, P = .007) and nail (r = 0.14, P = .044) arsenic concentrations and the arsenic concentration in groundwater. Groundwater sources and smoking cigarettes were significantly associated with acute arsenic exposure. In contrast, groundwater sources, cigarette smoking, and the frequency of showers were significantly associated with chronic arsenic exposure.

Conclusions: The study's findings unveiled the widespread occurrence of both acute and chronic arsenic exposure in the study area. Consequently, it is crucial to prioritize the residents in the study area and take further measures to prevent both acute and chronic arsenic exposure.

Background: Nosocomial pathogens are known to exacerbate morbidity and mortality in contemporary critical healthcare. Hospital fomites, which include inanimate surfaces, have been identified as "breeding grounds" for pathogens that cause nosocomial infections. This systematic review aimed to deliver incisive insights on nosocomial pathogens in intensive care units (ICUs) and the role of fomites as potential reservoirs for their transmission.

Method: An extensive exploration of electronic databases, including PubMed and Scopus, from 1990 to 2023, was carried out between 25^th and 29^th May 2023, per standard PRISMA guidelines. Information were extracted from articles that reported on fomites in the ICU. Studies that did not quantitatively report the fomite contamination, and those that exclusively took samples from patients in the ICU were excluded from the analysis.

Results: About 40% of the total samples collected on fomites from all the studies yielded microbial growth, with species of Staphylococcus being the most predominant. Other prevalent microbes were Acinetobacter baumannii, Escherichia coli, Klebsiella pneumoniae, Candida spp., Enterococcus sp., and Enterobacter sp. The neonatal intensive care unit (NICU) had the highest proportion of contaminated fomites. Among known fomites, the sphygmomanometer exhibited a 100% detection rate of nosocomial pathogens. This included E. aerogenes, Staphylococcus aureus, coagulase-negative Staphylococci (CoNS), E. coli, and K. pneumoniae. Multidrug-resistant (MDR) bacteria, such as methicillin-resistant S. aureus (MRSA), vancomycin-resistant Enterococci (VRE), extended-spectrum beta-lactamase (ESBL)-producing E. coli, and MDR Pseudomonas aeruginosa were commonly isolated on fomites in the ICUs.

Conclusion: Many fomites that are readily used in patient care in the ICU harbour nosocomial pathogens. The most common fomite appeared to be mobile phones, sphygmomanometers, and stethoscopes, with Staphylococcus being the most common contaminant. Consequently, the need for rigorous disinfection and sterilization protocols on fomites in the ICU cannot be overemphasized. Additionally, heightened awareness on the subject among health professionals is crucial to mitigating the risk and burden of nosocomial infections caused by drug-resistant bacteria.

Background: Pesticides play a crucial role in enhancing agricultural productivity by controlling pests. However, inadequate pesticide handling practices have a considerable adverse impact on human health. Nevertheless, there is limited knowledge regarding the extent of safe pesticide handling practices, particularly in low-income settings like Ethiopia. Hence, this study seeks to evaluate the implementation of safe pesticide handling practices and identify the factors associated with the status of the handling practices in low-income settings in Ethiopia.

Methods: A cross-sectional study was undertaken, involving 468 farmers randomly selected for participation. Data collection was carried out through structured questionnaires and face-to-face interviews. The analysis aimed to assess the proportion of safe pesticide handling practices (SPHP) and investigate the factors associated with SPHP was done using binary logistic regression. Explanatory variables with a P-value <0.25 were included in the final analysis. The factors were determined based on adjusted odds ratios and 95% confidence intervals, P-value <.05. Model fit was evaluated using the Hosmer and Lemeshow tests.

Results: From the findings of our study, only 45.7% of farmers practiced SPHP, with factors such as education, experience, pesticide usage, and attitude toward safe practices influencing their practices. Farmers with education status primary and above were two times more likely to practice good handling of pesticides than those who didn't attend formal education. Farmers with a maximum of 5 years of experience in vegetable farming were 2.4 times more likely to exhibit good handling practices compared to their counterparts. Furthermore, farmers with favorable attitudes toward pesticide handling were 4.2 times more likely to engage in good pesticide handling practices than those with unfavorable attitudes. Therefore, the agricultural sectors, health sectors, and farmer associations should focus on these factors in order to mitigate the health risks associated with poor pesticide handling.