首页 > 最新文献

International journal of hygiene and environmental health最新文献

英文 中文
Integrating PBPK modeling and tobacco biomarkers to interpret N-(2-hydroxyethyl)valine (HEV) hemoglobin adducts in the U.S. population 整合PBPK模型和烟草生物标志物来解释美国人群中的N-(2-羟乙基)缬氨酸(HEV)血红蛋白加合物。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-17 DOI: 10.1016/j.ijheh.2025.114721
Yu-Sheng Lin , Viktor Morozov , Kuen-Yuh Wu

Background

Ethylene oxide (EtO) is a human carcinogen, and cigarette smoke is the leading source of exposure in the general population. In blood, EtO alkylates the N-terminal valine of hemoglobin to form N-(2-hydroxyethyl)valine (HEV), a stable biomarker. Yet HEV levels vary widely, even among smokers. This variability reflects differences in nicotine intake, smoking behavior, endogenous ethylene oxidation, and demographic factors.

Objective

We estimated the contribution of cigarette smoking to HEV levels and evaluated whether combining HEV with nicotine-derived and other tobacco biomarkers improves exposure assessment.

Methods

We analyzed adults from the National Health and Nutrition Examination Survey (NHANES) 2013–2014, the only cycle with both HEV and supplemental smoking biomarkers. Cigarette consumption was estimated from serum cotinine and entered into a physiologically based pharmacokinetic (PBPK) model to predict HEV formation from cigarette-derived EtO. Predicted values were compared with measured HEV levels. Survey-weighted regression examined how demographic factors and other biomarkers contributed to variability.

Results

HEV and other biomarkers were highest in active smokers, followed by passive smokers, and lowest in non-smokers. Predicted HEV matched observed patterns but was consistently 20–30 pmol/g globin lower than measured values. Body weight was a major source of variability, while age and others contributed less. Serum cotinine showed the strongest link with HEV. 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and 2-hydroxyethyl mercapturic acid (2-HEMA) added complementary information across different exposure windows.

Conclusions

Cigarette smoking is the primary source of HEV in the U.S. Using PBPK modeling alongside tobacco biomarkers helps explain variability and supports exposure assessment.
背景:环氧乙烷(EtO)是一种人类致癌物,而香烟烟雾是普通人群暴露的主要来源。在血液中,EtO将血红蛋白的N端缬氨酸烷基化,形成N-(2-羟乙基)缬氨酸(HEV),这是一种稳定的生物标志物。然而,即使在吸烟者中,HEV水平也存在很大差异。这种可变性反映了尼古丁摄入量、吸烟行为、内源性乙烯氧化和人口统计学因素的差异。目的:我们估计吸烟对HEV水平的贡献,并评估将HEV与尼古丁衍生和其他烟草生物标志物结合是否可以改善暴露评估。方法:我们分析了2013-2014年国家健康与营养调查(NHANES)的成年人,这是唯一一个同时使用HEV和补充吸烟生物标志物的周期。根据血清可替宁估计卷烟消费量,并进入基于生理的药代动力学(PBPK)模型,以预测卷烟衍生的EtO形成HEV。预测值与测量的HEV水平进行比较。调查加权回归检验了人口因素和其他生物标记物对变异性的影响。结果:HEV和其他生物标志物在主动吸烟者中最高,其次是被动吸烟者,在非吸烟者中最低。预测的HEV符合观察到的模式,但始终低于20-30 pmol/g球蛋白值。体重是变异的主要来源,而年龄和其他因素的影响较小。血清可替宁与HEV的相关性最强。4-(甲基亚硝胺)-1-(3-吡啶基)-1-丁醇(NNAL)和2-羟乙基巯基酸(2-HEMA)在不同的暴露窗口增加了互补信息。结论:吸烟是美国HEV的主要来源。使用PBPK模型和烟草生物标志物有助于解释变异性并支持暴露评估。
{"title":"Integrating PBPK modeling and tobacco biomarkers to interpret N-(2-hydroxyethyl)valine (HEV) hemoglobin adducts in the U.S. population","authors":"Yu-Sheng Lin ,&nbsp;Viktor Morozov ,&nbsp;Kuen-Yuh Wu","doi":"10.1016/j.ijheh.2025.114721","DOIUrl":"10.1016/j.ijheh.2025.114721","url":null,"abstract":"<div><h3>Background</h3><div>Ethylene oxide (EtO) is a human carcinogen, and cigarette smoke is the leading source of exposure in the general population. In blood, EtO alkylates the N-terminal valine of hemoglobin to form N-(2-hydroxyethyl)valine (HEV), a stable biomarker. Yet HEV levels vary widely, even among smokers. This variability reflects differences in nicotine intake, smoking behavior, endogenous ethylene oxidation, and demographic factors.</div></div><div><h3>Objective</h3><div>We estimated the contribution of cigarette smoking to HEV levels and evaluated whether combining HEV with nicotine-derived and other tobacco biomarkers improves exposure assessment.</div></div><div><h3>Methods</h3><div>We analyzed adults from the National Health and Nutrition Examination Survey (NHANES) 2013–2014, the only cycle with both HEV and supplemental smoking biomarkers. Cigarette consumption was estimated from serum cotinine and entered into a physiologically based pharmacokinetic (PBPK) model to predict HEV formation from cigarette-derived EtO. Predicted values were compared with measured HEV levels. Survey-weighted regression examined how demographic factors and other biomarkers contributed to variability.</div></div><div><h3>Results</h3><div>HEV and other biomarkers were highest in active smokers, followed by passive smokers, and lowest in non-smokers. Predicted HEV matched observed patterns but was consistently 20–30 pmol/g globin lower than measured values. Body weight was a major source of variability, while age and others contributed less. Serum cotinine showed the strongest link with HEV. 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and 2-hydroxyethyl mercapturic acid (2-HEMA) added complementary information across different exposure windows.</div></div><div><h3>Conclusions</h3><div>Cigarette smoking is the primary source of HEV in the U.S. Using PBPK modeling alongside tobacco biomarkers helps explain variability and supports exposure assessment.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114721"},"PeriodicalIF":4.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deconjugation enzymes - pitfalls, contamination risks, and practical insights from human biomonitoring of bisphenols, phthalates, and oxidative stress markers 解偶联酶-陷阱,污染风险,从人类生物监测双酚类,邻苯二甲酸酯和氧化应激标志物的实际见解。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-16 DOI: 10.1016/j.ijheh.2025.114730
Ian Zammit , Yuya Cheng , Daniel Bury , Xianyu Wang , Jochen F. Mueller , Holger M. Koch
Human biomonitoring assesses exposure to xenobiotics via human samples such as urine. Xenobiotics can undergo Phase I and II metabolism, with Phase II forming conjugates such as glucuronides and sulfates. Deconjugation enzymes hydrolyse conjugates to the free biomarker form for analytical quantification. Deconjugation enzymes are commercially available and include digestive enzyme mixtures from molluscs and from recombinant microorganisms. This paper provides contextual information on the metabolism of xenobiotics and the role of deconjugation enzymes, outlining good practices and pitfalls to avoid. Contamination of enzyme extracts is an important consideration, as the tested extracts contained background levels of bisphenol A and several oxidative stress biomarkers. Concentrations ranged from tens of ng/mL for bisphenol A (73 ng/mL) and 8-hydroxy-2′-deoxyguanosine (26 ng/mL) to thousands of ng/mL for N-carboxymethyllysine (2850 ng/mL) and N-carboxyethyllysine (1080 ng/mL). This work also demonstrates potential incompatibilities of deconjugation enzymes with workflows for certain compound classes. Several Helix pomatia extracts (e.g. HP-2) are shown to be incompatible with ester-containing analytes. Phthalates showed conversion from diesters to monoesters, with butyl phthalate the highest at >80 %. These monoesters are also Phase I metabolism products. If exposure assessment relied only on these monoesters as biomarkers, the use of Helix pomatia extract would result in overestimations, as at least part of these compounds would originate from enzymatic breakdown rather than true systemic human metabolism. When employed well, deconjugation enzymes are particularly valuable because they simplify analytical workflows and enhance data reliability and consistency between studies. This work provides guidance to support these objectives.
人体生物监测评估通过人体样本(如尿液)暴露于异种生物的情况。异种生物可以经历第一阶段和第二阶段的代谢,第二阶段形成缀合物,如葡萄糖醛酸盐和硫酸盐。解偶联酶水解偶联到自由的生物标志物形式进行分析定量。解结酶是市售的,包括来自软体动物和重组微生物的消化酶混合物。本文提供了有关外源代谢和解结酶的作用的背景信息,概述了良好的做法和陷阱,以避免。酶提取物的污染是一个重要的考虑因素,因为测试的提取物含有双酚A和几种氧化应激生物标志物的背景水平。浓度范围从双酚A (73 ng/mL)和8-羟基-2'-脱氧鸟苷(26 ng/mL)的几十ng/mL到n -羧甲基赖氨酸(2850 ng/mL)和n -羧乙基赖氨酸(1080 ng/mL)的数千ng/mL不等。这项工作还证明了解偶联酶与某些化合物类别的工作流程的潜在不兼容性。一些Helix pomatia提取物(例如HP-2)被证明与含酯的分析物不相容。邻苯二甲酸酯有从二酯到单酯的转化,其中邻苯二甲酸丁酯的转化率最高,达到80 %。这些单酯也是I期代谢产物。如果暴露评估仅依赖于这些单酯作为生物标志物,使用Helix pomatia提取物会导致高估,因为至少部分这些化合物来自酶分解,而不是真正的全身人体代谢。如果使用得当,解偶联酶特别有价值,因为它们简化了分析工作流程,提高了数据的可靠性和研究之间的一致性。这项工作为支持这些目标提供了指导。
{"title":"Deconjugation enzymes - pitfalls, contamination risks, and practical insights from human biomonitoring of bisphenols, phthalates, and oxidative stress markers","authors":"Ian Zammit ,&nbsp;Yuya Cheng ,&nbsp;Daniel Bury ,&nbsp;Xianyu Wang ,&nbsp;Jochen F. Mueller ,&nbsp;Holger M. Koch","doi":"10.1016/j.ijheh.2025.114730","DOIUrl":"10.1016/j.ijheh.2025.114730","url":null,"abstract":"<div><div>Human biomonitoring assesses exposure to xenobiotics via human samples such as urine. Xenobiotics can undergo Phase I and II metabolism, with Phase II forming conjugates such as glucuronides and sulfates. Deconjugation enzymes hydrolyse conjugates to the free biomarker form for analytical quantification. Deconjugation enzymes are commercially available and include digestive enzyme mixtures from molluscs and from recombinant microorganisms. This paper provides contextual information on the metabolism of xenobiotics and the role of deconjugation enzymes, outlining good practices and pitfalls to avoid. Contamination of enzyme extracts is an important consideration, as the tested extracts contained background levels of bisphenol A and several oxidative stress biomarkers. Concentrations ranged from tens of ng/mL for bisphenol A (73 ng/mL) and 8-hydroxy-2′-deoxyguanosine (26 ng/mL) to thousands of ng/mL for <em>N</em>-carboxymethyllysine (2850 ng/mL) and <em>N</em>-carboxyethyllysine (1080 ng/mL). This work also demonstrates potential incompatibilities of deconjugation enzymes with workflows for certain compound classes. Several <em>Helix pomatia</em> extracts (e.g. HP-2) are shown to be incompatible with ester-containing analytes. Phthalates showed conversion from diesters to monoesters, with butyl phthalate the highest at &gt;80 %. These monoesters are also Phase I metabolism products. If exposure assessment relied only on these monoesters as biomarkers, the use of <em>Helix pomatia</em> extract would result in overestimations, as at least part of these compounds would originate from enzymatic breakdown rather than true systemic human metabolism. When employed well, deconjugation enzymes are particularly valuable because they simplify analytical workflows and enhance data reliability and consistency between studies. This work provides guidance to support these objectives.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114730"},"PeriodicalIF":4.4,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of glyphosate and aminomethylphosphonic acid (AMPA) concentrations with birth outcomes in pregnant women from the Midwestern U.S. 草甘膦和氨基甲基膦酸(AMPA)浓度与美国中西部孕妇出生结局的关系
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-15 DOI: 10.1016/j.ijheh.2025.114733
Kelsi A. Morris , Maria E. Cinzori , Brad A. Ryva , Nicole Talge , Khyatiben V. Pathak , Brooke Lovell , Patrick Pirrotte , Susan L. Schantz , Rita S. Strakovsky

Background

Pregnant women are ubiquitously exposed to the herbicide glyphosate and its major metabolite aminomethylphosphonic acid (AMPA). Therefore, we examined associations of glyphosate and AMPA with birth outcomes.

Methods

Pregnant women from the Illinois Kids Development Study (I-KIDS) participating in this pilot study (n = 300) provided first-morning urine samples at median 13-weeks gestation for glyphosate and AMPA measurement. We calculated gestational-age-at-birth using the last menstrual period after ultrasound confirmation, abstracted birthweight from electronic medical records, and calculated sex-specific birthweight-for-gestational-age z-scores (BWz). We measured birth length (cm) and anogenital distance (AGD) within 24 h of birth and calculated the anogenital index (AGI, mm/m) by dividing each AGD value (in mm) by the body length (in m). Multivariable linear regression models evaluated associations of glyphosate or AMPA with birth outcomes and differences in associations by newborn sex.

Results

In all newborns, only 2-fold higher AMPA was associated with −0.07 cm shorter birth length (95 %CI: −0.16, 0.02). In males, each 2-fold higher glyphosate was associated with −0.06 lower BWz (95 % CI: −0.13, 0.01), −0.14 cm shorter birth length (95 %CI: −0.31, 0.04), and 0.63 longer AGIlong (95 %CI: −0.19, 1.44). In females, each two-fold higher glyphosate was associated with 0.54 longer AGIlong (95 %CI: −0.16, 1.25). AMPA was associated with 0.61 (95 %CI: −0.01, 1.24) and 0.48 (95 %CI: 0.02, 0.94) longer AGIlong in males and females, respectively. Some associations gained precision in sensitivity analyses removing infants born preterm or after controlling for gestational-age-at-birth.

Conclusions

Glyphosate or AMPA were associated with smaller birth size and longer AGIlong, with evidence of sexual-dimorphism, although most findings were imprecise. Larger studies are needed, including those that consider implications of these findings for child lifelong health.
背景:孕妇普遍暴露于除草剂草甘膦及其主要代谢物氨基甲基膦酸(AMPA)。因此,我们研究了草甘膦和AMPA与出生结局的关系。方法:来自伊利诺伊州儿童发展研究(I-KIDS)的孕妇(n = 300)参与了这项试点研究,提供了中位妊娠13周的第一天早晨尿液样本,用于测量草甘膦和AMPA。我们使用超声确认后的最后一次月经来计算出生胎龄,从电子病历中提取出生体重,并计算性别特异性出生体重-胎龄z分数(BWz)。测定出生后24 h内的出生体长(cm)和肛门生殖器距离(AGD),并将每个AGD值(mm)除以体长(m)计算肛门生殖器指数(AGI, mm/m)。多变量线性回归模型评估草甘膦或AMPA与出生结局的关联,以及新生儿性别之间的关联差异。结果:在所有新生儿中,只有2倍高的AMPA与出生长度缩短-0.07 cm相关(95% CI: -0.16, 0.02)。在雄性中,草甘膦每高2倍,BWz降低-0.06 (95% CI: -0.13, 0.01),出生长度缩短-0.14 cm (95% CI: -0.31, 0.04), AGIlong延长0.63 cm (95% CI: -0.19, 1.44)。在女性中,草甘膦每高两倍,AGIlong就会延长0.54 (95% CI: -0.16, 1.25)。AMPA在男性和女性中分别与0.61 (95% CI: -0.01, 1.24)和0.48 (95% CI: 0.02, 0.94)的AGIlong相关。一些关联在剔除早产婴儿或控制出生胎龄后的敏感性分析中获得了精度。结论:草甘膦或AMPA与较小的出生尺寸和较长的AGIlong有关,有证据表明性别二态性,尽管大多数发现不精确。需要更大规模的研究,包括那些考虑这些发现对儿童终身健康影响的研究。
{"title":"Associations of glyphosate and aminomethylphosphonic acid (AMPA) concentrations with birth outcomes in pregnant women from the Midwestern U.S.","authors":"Kelsi A. Morris ,&nbsp;Maria E. Cinzori ,&nbsp;Brad A. Ryva ,&nbsp;Nicole Talge ,&nbsp;Khyatiben V. Pathak ,&nbsp;Brooke Lovell ,&nbsp;Patrick Pirrotte ,&nbsp;Susan L. Schantz ,&nbsp;Rita S. Strakovsky","doi":"10.1016/j.ijheh.2025.114733","DOIUrl":"10.1016/j.ijheh.2025.114733","url":null,"abstract":"<div><h3>Background</h3><div>Pregnant women are ubiquitously exposed to the herbicide glyphosate and its major metabolite aminomethylphosphonic acid (AMPA). Therefore, we examined associations of glyphosate and AMPA with birth outcomes.</div></div><div><h3>Methods</h3><div>Pregnant women from the Illinois Kids Development Study (I-KIDS) participating in this pilot study (n = 300) provided first-morning urine samples at median 13-weeks gestation for glyphosate and AMPA measurement. We calculated gestational-age-at-birth using the last menstrual period after ultrasound confirmation, abstracted birthweight from electronic medical records, and calculated sex-specific birthweight-for-gestational-age z-scores (BWz). We measured birth length (cm) and anogenital distance (AGD) within 24 h of birth and calculated the anogenital index (AGI, mm/m) by dividing each AGD value (in mm) by the body length (in m). Multivariable linear regression models evaluated associations of glyphosate or AMPA with birth outcomes and differences in associations by newborn sex.</div></div><div><h3>Results</h3><div>In all newborns, only 2-fold higher AMPA was associated with −0.07 cm shorter birth length (95 %CI: −0.16, 0.02). In males, each 2-fold higher glyphosate was associated with −0.06 lower BWz (95 % CI: −0.13, 0.01), −0.14 cm shorter birth length (95 %CI: −0.31, 0.04), and 0.63 longer AGI<sub>long</sub> (95 %CI: −0.19, 1.44). In females, each two-fold higher glyphosate was associated with 0.54 longer AGI<sub>long</sub> (95 %CI: −0.16, 1.25). AMPA was associated with 0.61 (95 %CI: −0.01, 1.24) and 0.48 (95 %CI: 0.02, 0.94) longer AGI<sub>long</sub> in males and females, respectively. Some associations gained precision in sensitivity analyses removing infants born preterm or after controlling for gestational-age-at-birth.</div></div><div><h3>Conclusions</h3><div>Glyphosate or AMPA were associated with smaller birth size and longer AGI<sub>long</sub>, with evidence of sexual-dimorphism, although most findings were imprecise. Larger studies are needed, including those that consider implications of these findings for child lifelong health.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114733"},"PeriodicalIF":4.4,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145770477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rainfall and temperature influence effectiveness of on-site sanitation intervention against E. coli contamination in Bangladeshi households 降雨和温度影响孟加拉国家庭对大肠杆菌污染的现场卫生干预的有效性
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-10 DOI: 10.1016/j.ijheh.2025.114731
Caitlin G. Niven , Mahfuza Islam , Anna Nguyen , Andrew Mertens , Amy J. Pickering , Laura H. Kwong , Mahfuja Alam , Debashis Sen , Sharmin Islam , Mahbubur Rahman , Leanne Unicomb , Alan E. Hubbard , Stephen P. Luby , Jessica A. Grembi , John M. Colford Jr. , Benjamin F. Arnold , Jade Benjamin-Chung , Ayse Ercumen
Weather can influence the environmental spread and survival of fecal pathogens, potentially affecting the effectiveness of water, sanitation, and hygiene (WASH) interventions. We assessed whether rainfall and temperature modified effects of an on-site sanitation intervention on fecal contamination among households in the WASH Benefits trial in rural Bangladesh. The intervention included double-pit latrines, potties, feces removal tools and behavior change promotion. We longitudinally visited households from intervention and control groups to enumerate E. coli. Samples (n = 23,238) included drinking water from tubewells and storage containers, prepared food, caregiver and child hand rinses, pond water, courtyard soil, and flies. We geospatially matched E. coli measurements to daily weather data and estimated intervention effects with and without stratification by weather. The intervention resulted in greater reduction in contamination following higher rainfall for four pathways (mother/child hands, ponds, flies), and following higher temperatures for five pathways (food, mother/child hands, soil, ponds). Compared to controls, E. coli levels were reduced by approximately 1-log for flies and 0.25-log in ponds after higher rainfall, 0.2-log on child hands, 0.3–0.4 log in soil and ponds after higher temperatures (interaction p-values<0.20), and 0.1-log in stored drinking water under most conditions. Intervention effects were minimal when not stratified by weather, with <0.1-log reductions for stored drinking water and child hands, and no effects on other pathways. Sanitation interventions may deliver greater protection against environmental contamination during wetter, warmer conditions, and assessments that average over time may conceal differential intervention effects. WASH trials should incorporate spatiotemporal weather data into impact evaluations.
天气可影响粪便病原体在环境中的传播和生存,从而可能影响水、环境卫生和个人卫生(WASH)干预措施的有效性。在孟加拉国农村的WASH福利试验中,我们评估了降雨量和温度是否改变了现场卫生干预对家庭粪便污染的影响。干预措施包括双坑厕所、便盆、粪便清除工具和行为改变促进。我们对干预组和对照组的家庭进行了纵向访问,以枚举大肠杆菌。样本(n = 23,238)包括来自管井和储存容器的饮用水、准备好的食物、护理人员和儿童的洗手液、池塘水、庭院土壤和苍蝇。我们在地理空间上将大肠杆菌测量值与每日天气数据相匹配,并估计了有无天气分层的干预效果。干预措施导致四个途径(母亲/孩子的手、池塘、苍蝇)的降雨量增加,以及五个途径(食物、母亲/孩子的手、土壤、池塘)的温度升高,从而大大减少了污染。与对照相比,在大多数条件下,苍蝇的大肠杆菌水平降低了约1 log,高降雨量后池塘中的大肠杆菌水平降低了0.25 log,儿童手部的大肠杆菌水平降低了0.2 log,高温后土壤和池塘中的大肠杆菌水平降低了0.3-0.4 log(相互作用p值<;0.20),储存饮用水中的大肠杆菌水平降低了0.1 log。当不按天气分层时,干预效果最小,储存的饮用水和儿童的手减少了0.1 log,对其他途径没有影响。在更潮湿、更温暖的条件下,卫生干预措施可以提供更大的保护,防止环境污染,而随着时间推移的平均评估可能会掩盖干预措施的不同效果。WASH试验应将时空天气数据纳入影响评估。
{"title":"Rainfall and temperature influence effectiveness of on-site sanitation intervention against E. coli contamination in Bangladeshi households","authors":"Caitlin G. Niven ,&nbsp;Mahfuza Islam ,&nbsp;Anna Nguyen ,&nbsp;Andrew Mertens ,&nbsp;Amy J. Pickering ,&nbsp;Laura H. Kwong ,&nbsp;Mahfuja Alam ,&nbsp;Debashis Sen ,&nbsp;Sharmin Islam ,&nbsp;Mahbubur Rahman ,&nbsp;Leanne Unicomb ,&nbsp;Alan E. Hubbard ,&nbsp;Stephen P. Luby ,&nbsp;Jessica A. Grembi ,&nbsp;John M. Colford Jr. ,&nbsp;Benjamin F. Arnold ,&nbsp;Jade Benjamin-Chung ,&nbsp;Ayse Ercumen","doi":"10.1016/j.ijheh.2025.114731","DOIUrl":"10.1016/j.ijheh.2025.114731","url":null,"abstract":"<div><div>Weather can influence the environmental spread and survival of fecal pathogens, potentially affecting the effectiveness of water, sanitation, and hygiene (WASH) interventions. We assessed whether rainfall and temperature modified effects of an on-site sanitation intervention on fecal contamination among households in the WASH Benefits trial in rural Bangladesh. The intervention included double-pit latrines, potties, feces removal tools and behavior change promotion. We longitudinally visited households from intervention and control groups to enumerate <em>E. coli</em>. Samples (n = 23,238) included drinking water from tubewells and storage containers, prepared food, caregiver and child hand rinses, pond water, courtyard soil, and flies. We geospatially matched <em>E. coli</em> measurements to daily weather data and estimated intervention effects with and without stratification by weather. The intervention resulted in greater reduction in contamination following higher rainfall for four pathways (mother/child hands, ponds, flies), and following higher temperatures for five pathways (food, mother/child hands, soil, ponds). Compared to controls, <em>E. coli</em> levels were reduced by approximately 1-log for flies and 0.25-log in ponds after higher rainfall, 0.2-log on child hands, 0.3–0.4 log in soil and ponds after higher temperatures (interaction p-values&lt;0.20), and 0.1-log in stored drinking water under most conditions. Intervention effects were minimal when not stratified by weather, with &lt;0.1-log reductions for stored drinking water and child hands, and no effects on other pathways. Sanitation interventions may deliver greater protection against environmental contamination during wetter, warmer conditions, and assessments that average over time may conceal differential intervention effects. WASH trials should incorporate spatiotemporal weather data into impact evaluations.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114731"},"PeriodicalIF":4.4,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145734087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining the effect of neighborhood sanitation coverage on childhood diarrheal disease in rural Bangladesh 检查社区卫生设施覆盖对孟加拉国农村儿童腹泻病的影响。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-09 DOI: 10.1016/j.ijheh.2025.114732
Hannah Van Wyk , Andrew F. Brouwer , Jesse Contreras , Mahbubur Rahman , Mahfuza Islam , Amy J. Pickering , Benjamin F. Arnold , Stephen P. Luby , John M. Colford , Matthew Freeman , Ayse Ercumen , Joseph N.S. Eisenberg

Background

Neighborhood-level sanitation coverage may offer significant indirect protection against diarrheal disease, an observation that has been supported by several studies.

Methods

We analyzed the protective effect of neighborhood sanitation coverage using harmonized data from two studies: a randomized control trial (RCT) examining the effectiveness of improved compound-level sanitation and an observational study that collected information on compounds within 100 m of the RCT study compounds. We developed the Neighborhood Sanitation & Fecal Exposure (NSFE) metric, which estimates the fecal contamination at a study compound based on the demographic and sanitation characteristics of the neighborhood. NSFE is a function of the number of individuals and latrine quality at surrounding compounds, the distance to neighboring compounds, and the effectiveness of hygienic and unhygienic latrines relative to open defecation. We modeled the relationship between NSFE and childhood diarrheal prevalence within RCT study compounds. Finally, we examined counterfactual scenarios to understand how much of the observed diarrheal burden was attributable to neighbors’ latrine quality.

Results

We estimated a 3.6-fold increase in diarrheal prevalence between compounds with the highest and lowest NSFE, with about two-thirds of this association concentrated in compounds between the 90th and 100th percentile of NSFE values. In counterfactual scenarios, we estimate that 15.5 % of the entire diarrheal disease burden in children living in the study compounds would be eliminated if all neighboring compounds had high-quality latrines.

Conclusion

Community effects associated with neighborhood sanitation coverage are important drivers of diarrheal disease and should be considered in future designs of sanitation interventions. Our findings support the importance of universal basic sanitation as a target for United Nations Sustainable Development Goal 6.
背景:社区一级的卫生设施覆盖可能对腹泻疾病提供重要的间接保护,这一观察结果已得到几项研究的支持。方法:我们使用来自两项研究的统一数据分析了社区卫生设施覆盖率的保护作用:一项随机对照试验(RCT)检验了改善小区卫生设施的有效性,另一项观察性研究收集了RCT研究小区100米范围内的小区信息。我们开发了社区卫生和粪便暴露(NSFE)指标,该指标根据社区的人口统计和卫生特征估计研究小区的粪便污染。NSFE是个体数量和周围小区的厕所质量、与邻近小区的距离以及卫生和不卫生厕所相对于露天排便的有效性的函数。我们在RCT研究化合物中模拟了NSFE与儿童腹泻患病率之间的关系。最后,我们检查了反事实情景,以了解观察到的腹泻负担有多少可归因于邻居的厕所质量。结果:我们估计,具有最高和最低NSFE的化合物之间腹泻患病率增加3.6倍,其中约三分之二的关联集中在NSFE值的第90和第100百分位数之间的化合物中。在反事实的情况下,我们估计,如果所有邻近的小区都有高质量的厕所,生活在研究小区的儿童的腹泻病负担的15.5%将被消除。结论:与社区卫生设施覆盖率相关的社区效应是腹泻病的重要驱动因素,在未来的卫生干预措施设计中应予以考虑。我们的研究结果支持将普遍基本卫生设施作为联合国可持续发展目标6的一项具体目标的重要性。
{"title":"Examining the effect of neighborhood sanitation coverage on childhood diarrheal disease in rural Bangladesh","authors":"Hannah Van Wyk ,&nbsp;Andrew F. Brouwer ,&nbsp;Jesse Contreras ,&nbsp;Mahbubur Rahman ,&nbsp;Mahfuza Islam ,&nbsp;Amy J. Pickering ,&nbsp;Benjamin F. Arnold ,&nbsp;Stephen P. Luby ,&nbsp;John M. Colford ,&nbsp;Matthew Freeman ,&nbsp;Ayse Ercumen ,&nbsp;Joseph N.S. Eisenberg","doi":"10.1016/j.ijheh.2025.114732","DOIUrl":"10.1016/j.ijheh.2025.114732","url":null,"abstract":"<div><h3>Background</h3><div>Neighborhood-level sanitation coverage may offer significant indirect protection against diarrheal disease, an observation that has been supported by several studies.</div></div><div><h3>Methods</h3><div>We analyzed the protective effect of neighborhood sanitation coverage using harmonized data from two studies: a randomized control trial (RCT) examining the effectiveness of improved compound-level sanitation and an observational study that collected information on compounds within 100 m of the RCT study compounds. We developed the Neighborhood Sanitation &amp; Fecal Exposure (NSFE) metric, which estimates the fecal contamination at a study compound based on the demographic and sanitation characteristics of the neighborhood. NSFE is a function of the number of individuals and latrine quality at surrounding compounds, the distance to neighboring compounds, and the effectiveness of hygienic and unhygienic latrines relative to open defecation. We modeled the relationship between NSFE and childhood diarrheal prevalence within RCT study compounds. Finally, we examined counterfactual scenarios to understand how much of the observed diarrheal burden was attributable to neighbors’ latrine quality.</div></div><div><h3>Results</h3><div>We estimated a 3.6-fold increase in diarrheal prevalence between compounds with the highest and lowest NSFE, with about two-thirds of this association concentrated in compounds between the 90th and 100th percentile of NSFE values. In counterfactual scenarios, we estimate that 15.5 % of the entire diarrheal disease burden in children living in the study compounds would be eliminated if all neighboring compounds had high-quality latrines.</div></div><div><h3>Conclusion</h3><div>Community effects associated with neighborhood sanitation coverage are important drivers of diarrheal disease and should be considered in future designs of sanitation interventions. Our findings support the importance of universal basic sanitation as a target for United Nations Sustainable Development Goal 6.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114732"},"PeriodicalIF":4.4,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between exposure to environmental pollutants, metabolic syndrome risk, and obesity-related anthropometric indices 暴露于环境污染物、代谢综合征风险和肥胖相关人体测量指数之间的关系。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-06 DOI: 10.1016/j.ijheh.2025.114720
Iman Al-Saleh , Rola Elkhatib , Reem Alswayeh , Reem Al-Rouqi , Mawadah Baali , Yara Aljerayed , Sophia S. De Padua , Hissah Alnuwaysir , Ghada Hussein , Habiba Sultana , Naveed Yousaf , Abass Waqar , Khalid Alhusayn , Shoaib Khan , Amber Shammama , Abdullah Aldowaish , Fadiah Alkattabi , Ghadah Almansour , Gamal Mohamed , Edward Devol
Environmental pollutants—including heavy metals, phthalates, bisphenol A (BPA), polycyclic aromatic hydrocarbons (assessed via urinary 1-hydroxypyrene), and volatile organic compounds (assessed via benzene metabolites)—have been linked to metabolic dysfunction. Yet, population-based evidence across age groups remains limited. This study examined associations between exposure to multiple pollutants and metabolic syndrome (MetS) and its components, focusing on novel obesity-related anthropometric indices that capture subtle metabolic alterations. Originally designed as a case–control study, it was analyzed cross-sectionally among 536 participants aged ≥10 years at a tertiary hospital in Riyadh, Saudi Arabia. Biomarkers of metals, phthalates, BPA, PAHs, and benzene were quantified in blood and urine. MetS components and advanced anthropometric indices—A Body Shape Index (ABSI), Waist-to-Height Ratio (WHtR), Conicity Index (CI), Waist-Triglyceride Index (WTI), Body Roundness Index, Visceral Adiposity Index, Lipid Accumulation Product, and Cardiometabolic Index—were evaluated using multivariable logistic and linear regression adjusted for relevant covariates, with percent change expressing relative change in outcomes per ln-unit increase in pollutant concentration. In adults (≥18 years), no pollutant was significantly associated with MetS; however, blood cadmium was linked to higher WHtR (+2.4 %) and CI (+1.1 %) and lower fasting glucose (−3.1 %), while mercury increased fasting glucose (+1.7 %), ABSI (+0.6 %), and CI (+0.6 %). Urinary 1-hydroxypyrene was positively associated with ABSI and CI (∼+0.9 %), and the cumulative blood-metal index increased ABSI (+1.9 %) and CI (+2.1 %). In children (<18 years), arsenic increased systolic pressure (+1.2 %), whereas lead and DEHP metabolites showed inverse associations with diastolic pressure, triglycerides, and central adiposity indices. Metals exerted stronger effects in adults, whereas phthalate-related associations appeared inverse in children, underscoring age- and matrix-dependent exposure–response differences and the value of advanced anthropometric indices for detecting early pollutant-related metabolic alterations.
环境污染物——包括重金属、邻苯二甲酸盐、双酚A (BPA)、多环芳烃(通过尿1-羟基芘评估)和挥发性有机化合物(通过苯代谢物评估)——与代谢功能障碍有关。然而,基于人群的跨年龄组证据仍然有限。本研究考察了暴露于多种污染物与代谢综合征(MetS)及其组成部分之间的关系,重点关注了捕捉细微代谢变化的新型肥胖相关人体测量指标。该研究最初设计为病例对照研究,在沙特阿拉伯利雅得的一家三级医院对536名年龄≥10岁的参与者进行了横断面分析。测定血液和尿液中金属、邻苯二甲酸酯、双酚a、多环芳烃和苯的生物标志物。代谢产物成分和高级人体测量指标——体型指数(ABSI)、腰高比(WHtR)、圆度指数(CI)、腰-甘油三酯指数(WTI)、体圆度指数、内脏脂肪指数、脂质积累产物和心脏代谢指数——采用多变量logistic和线性回归进行评估,调整相关协变量,百分比变化表示污染物浓度每增加ln单位的结果的相对变化。在成人(≥18岁)中,没有污染物与MetS显著相关;然而,血镉与较高的WHtR(+ 2.4%)和CI(+ 1.1%)以及较低的空腹血糖(- 3.1%)有关,而汞增加了空腹血糖(+ 1.7%)、ABSI(+ 0.6%)和CI(+ 0.6%)。尿1-羟基芘与ABSI和CI呈正相关(~ + 0.9%),累积血金属指数使ABSI(+ 1.9%)和CI(+ 2.1%)升高。儿童(
{"title":"Associations between exposure to environmental pollutants, metabolic syndrome risk, and obesity-related anthropometric indices","authors":"Iman Al-Saleh ,&nbsp;Rola Elkhatib ,&nbsp;Reem Alswayeh ,&nbsp;Reem Al-Rouqi ,&nbsp;Mawadah Baali ,&nbsp;Yara Aljerayed ,&nbsp;Sophia S. De Padua ,&nbsp;Hissah Alnuwaysir ,&nbsp;Ghada Hussein ,&nbsp;Habiba Sultana ,&nbsp;Naveed Yousaf ,&nbsp;Abass Waqar ,&nbsp;Khalid Alhusayn ,&nbsp;Shoaib Khan ,&nbsp;Amber Shammama ,&nbsp;Abdullah Aldowaish ,&nbsp;Fadiah Alkattabi ,&nbsp;Ghadah Almansour ,&nbsp;Gamal Mohamed ,&nbsp;Edward Devol","doi":"10.1016/j.ijheh.2025.114720","DOIUrl":"10.1016/j.ijheh.2025.114720","url":null,"abstract":"<div><div>Environmental pollutants—including heavy metals, phthalates, bisphenol A (BPA), polycyclic aromatic hydrocarbons (assessed via urinary 1-hydroxypyrene), and volatile organic compounds (assessed via benzene metabolites)—have been linked to metabolic dysfunction. Yet, population-based evidence across age groups remains limited. This study examined associations between exposure to multiple pollutants and metabolic syndrome (MetS) and its components, focusing on novel obesity-related anthropometric indices that capture subtle metabolic alterations. Originally designed as a case–control study, it was analyzed cross-sectionally among 536 participants aged ≥10 years at a tertiary hospital in Riyadh, Saudi Arabia. Biomarkers of metals, phthalates, BPA, PAHs, and benzene were quantified in blood and urine. MetS components and advanced anthropometric indices—A Body Shape Index (ABSI), Waist-to-Height Ratio (WHtR), Conicity Index (CI), Waist-Triglyceride Index (WTI), Body Roundness Index, Visceral Adiposity Index, Lipid Accumulation Product, and Cardiometabolic Index—were evaluated using multivariable logistic and linear regression adjusted for relevant covariates, with percent change expressing relative change in outcomes per ln-unit increase in pollutant concentration. In adults (≥18 years), no pollutant was significantly associated with MetS; however, blood cadmium was linked to higher WHtR (+2.4 %) and CI (+1.1 %) and lower fasting glucose (−3.1 %), while mercury increased fasting glucose (+1.7 %), ABSI (+0.6 %), and CI (+0.6 %). Urinary 1-hydroxypyrene was positively associated with ABSI and CI (∼+0.9 %), and the cumulative blood-metal index increased ABSI (+1.9 %) and CI (+2.1 %). In children (&lt;18 years), arsenic increased systolic pressure (+1.2 %), whereas lead and DEHP metabolites showed inverse associations with diastolic pressure, triglycerides, and central adiposity indices. Metals exerted stronger effects in adults, whereas phthalate-related associations appeared inverse in children, underscoring age- and matrix-dependent exposure–response differences and the value of advanced anthropometric indices for detecting early pollutant-related metabolic alterations.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114720"},"PeriodicalIF":4.4,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145703666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detection of free-living amoebae and Stenotrophomonas maltophilia in two drinking water networks in eastern Pennsylvania 宾夕法尼亚州东部两个饮水管网中游离变形虫和嗜麦芽窄养单胞菌的检测
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-06 DOI: 10.1016/j.ijheh.2025.114728
Jennifer A. Rao, Kristen L. Jellison
The presence of free-living amoebae (FLA) in drinking water systems, along with the pathogens they harbor, is a global concern. Free-living amoebae are ubiquitous microorganisms found in both natural and man-made environments. Some FLA can cause fatal infections such as primary amoebic meningoencephalitis (PAM) and amoebic keratitis (AK). Additionally, certain FLA may harbor pathogenic bacteria and play a role in their fate and transport.
In this study, we investigated the presence of FLA and the endosymbiotic opportunistic pathogen Stenotrophomonas maltophilia in drinking water delivery networks. Known for its multi-drug resistance, S. maltophilia has been associated with infections in immunocompromised people, especially those in hospitals.
From January 2022 to December 2023, raw and finished water samples were collected approximately monthly from two Pennsylvania water utilities. Free-living amoebae were detected by filtration and plating. Results showed 74 % (56/76) of all raw water samples, and 22 % (15/69) and 14 % (12/83) of finished water samples from the two utilities, respectively, were positive for FLA by microscopy. Confirmatory testing using DNA extraction, PCR, and Sanger sequencing showed that 47 % (36/76) of all raw water samples, and 20 % (14/69) and 14 % (12/83) of finished water samples from the two utilities, respectively, were positive for at least one of the targeted FLA. Vermamoeba vermiformis was the most frequently recovered FLA, followed by Acanthamoeba spp. Potentially endosymbiotic S. maltophilia was recovered at various locations throughout the water treatment plants and the distribution system, demonstrating that FLA can serve as vectors that transport bacteria through conventional water treatment processes.
饮用水系统中存在自由生活的变形虫(FLA),以及它们所携带的病原体,是一个全球关注的问题。自由生活的变形虫是在自然和人造环境中普遍存在的微生物。一些FLA可引起致命性感染,如原发性阿米巴脑膜脑炎(PAM)和阿米巴角膜炎(AK)。此外,某些FLA可能携带致病菌,并在其命运和运输中发挥作用。在这项研究中,我们调查了FLA和内共生条件致病菌嗜麦芽窄养单胞菌在饮用水输送网络中的存在。嗜麦芽葡萄球菌以其耐多药而闻名,与免疫功能低下人群的感染有关,尤其是医院患者。从2022年1月到2023年12月,大约每月从宾夕法尼亚州的两家水务公司收集原水和成品水样。采用过滤法和电镀法检测游离变形虫。结果显示,两家公用事业公司的所有原水样品中有74%(56/76)、成品水样中分别有22%(15/69)和14%(12/83)在显微镜下呈FLA阳性。使用DNA提取、PCR和Sanger测序的验证性测试表明,来自两家公用事业公司的所有原水样品中47%(36/76)、成品水样中分别有20%(14/69)和14%(12/83)对至少一种目标FLA呈阳性。蠕形虫是最常见的FLA,其次是棘阿米巴。在整个水处理厂和分配系统的不同位置都发现了潜在的内共生嗜麦芽链球菌,这表明FLA可以作为载体通过常规水处理过程运输细菌。
{"title":"Detection of free-living amoebae and Stenotrophomonas maltophilia in two drinking water networks in eastern Pennsylvania","authors":"Jennifer A. Rao,&nbsp;Kristen L. Jellison","doi":"10.1016/j.ijheh.2025.114728","DOIUrl":"10.1016/j.ijheh.2025.114728","url":null,"abstract":"<div><div>The presence of free-living amoebae (FLA) in drinking water systems, along with the pathogens they harbor, is a global concern. Free-living amoebae are ubiquitous microorganisms found in both natural and man-made environments. Some FLA can cause fatal infections such as primary amoebic meningoencephalitis (PAM) and amoebic keratitis (AK). Additionally, certain FLA may harbor pathogenic bacteria and play a role in their fate and transport.</div><div>In this study, we investigated the presence of FLA and the endosymbiotic opportunistic pathogen <em>Stenotrophomonas maltophilia</em> in drinking water delivery networks. Known for its multi-drug resistance, <em>S. maltophilia</em> has been associated with infections in immunocompromised people, especially those in hospitals.</div><div>From January 2022 to December 2023, raw and finished water samples were collected approximately monthly from two Pennsylvania water utilities. Free-living amoebae were detected by filtration and plating. Results showed 74 % (56/76) of all raw water samples, and 22 % (15/69) and 14 % (12/83) of finished water samples from the two utilities, respectively, were positive for FLA by microscopy. Confirmatory testing using DNA extraction, PCR, and Sanger sequencing showed that 47 % (36/76) of all raw water samples, and 20 % (14/69) and 14 % (12/83) of finished water samples from the two utilities, respectively, were positive for at least one of the targeted FLA. <em>Vermamoeba vermiformis</em> was the most frequently recovered FLA, followed by <em>Acanthamoeba</em> spp. Potentially endosymbiotic <em>S. maltophilia</em> was recovered at various locations throughout the water treatment plants and the distribution system, demonstrating that FLA can serve as vectors that transport bacteria through conventional water treatment processes.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114728"},"PeriodicalIF":4.4,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145683217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in lung function and fractional exhaled nitric oxide across wildfire seasons in the wildland firefighter exposure and health effect (WFFEHE) study 野火季节野火消防员暴露与健康影响(WFFEHE)研究中肺功能和呼气一氧化氮分数的变化
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-05 DOI: 10.1016/j.ijheh.2025.114729
Chieh-Ming Wu , Kathleen Clark , Olorunfemi Adetona , Kathleen Navarro DuBose , Corey Butler , Alejandra Ramirez-Cardenas , James Odei , Molly West , Christa Hale

Introduction

Long-term pulmonary effects of wildland firefighting are unclear even though lung function declines have been observed following wildfire season and firefighting shift.

Methods

Spirometry and airway inflammation indicated as fractional exhaled nitric oxide (FeNO) were measured among 152 wildland firefighters (WFFs) at the beginning (pre-season, April & May) and end (post-season, September & October) of the 2018 and/or 2019 wildfire seasons and among 19 WFFs at across 3 days of firefighting during a 2019 mid-season wildfire deployment.

Results

Overall peak expiratory flow (PEF) and percent of predicted PEF (PEF%) significantly decreased across fire season when 2018 and 2019 measurements were combined (−0.15 ± 0.07 L/s, p = 0.04; −1.87 ± 0.71%, p = 0.01; respectively), more so due to 2018 declines. PEF% and percent of predicted forced vital capacity (FVC%) significantly improved between 2018 post-season and 2019 pre-season (i.e., off-season) (3.08 ± 1.26%, p = 0.02; 0.99 ± 0.41%, p = 0.02; respectively). FVC and FVC% significantly decreased across a firefighting shift on the first day of wildfire deployment (−0.12 ± 0.03 L, p < 0.01; −2.35 ± 0.64%, p < 0.01). FeNO significantly decreased across the 2018 and 2019 fire seasons (p < 0.01) and significantly increased during the off-season (p < 0.01). FeNO also showed statistically significant cross-shift decreases on the second day of wildfire deployment (−3.50 ± 0.95 ppm, p < 0.01).

Conclusions

Seasonal wildland firefighting were associated with decreases in lung function and FeNO as well as increases in respiratory symptom score in this cohort. While lung function recovered during the off-season among the WFFs, the results suggest a need for longer-term studies to determine the impact of chronic wildland firefighting on pulmonary health.
尽管在野火季节和消防轮班后观察到肺功能下降,但野火对肺部的长期影响尚不清楚。方法在2018年和/或2019年野火季节开始(季前,4月和5月)和结束(季后,9月和10月)对152名野火消防员(wff)进行肺活量测定和气道炎症(分数呼出一氧化氮(FeNO))测量,并在2019年野火季节中期部署的3天消防期间对19名野火消防员(wff)进行测量。结果综合2018年和2019年的数据,总呼气峰流量(PEF)和预测呼气峰流量百分比(PEF%)在火灾季节显著下降(分别为- 0.15±0.07 L/s, p = 0.04; - 1.87±0.71%,p = 0.01), 2018年下降幅度更大。2018年季后和2019年季前(即淡季)的PEF%和预测强制肺活量百分比(FVC%)显著提高(分别为3.08±1.26%,p = 0.02; 0.99±0.41%,p = 0.02)。在野火部署的第一天,FVC和FVC%在消防轮班中显著降低(- 0.12±0.03 L, p < 0.01; - 2.35±0.64%,p < 0.01)。FeNO在2018年和2019年火灾季节显著下降(p < 0.01),在淡季显著增加(p < 0.01)。FeNO在野火部署的第二天也显示出具有统计学意义的交叉位移减少(- 3.50±0.95 ppm, p < 0.01)。结论季节性野外灭火与肺功能和FeNO下降以及呼吸症状评分升高有关。虽然wff的肺功能在淡季期间会恢复,但研究结果表明,需要进行更长期的研究,以确定长期的荒地消防对肺部健康的影响。
{"title":"Changes in lung function and fractional exhaled nitric oxide across wildfire seasons in the wildland firefighter exposure and health effect (WFFEHE) study","authors":"Chieh-Ming Wu ,&nbsp;Kathleen Clark ,&nbsp;Olorunfemi Adetona ,&nbsp;Kathleen Navarro DuBose ,&nbsp;Corey Butler ,&nbsp;Alejandra Ramirez-Cardenas ,&nbsp;James Odei ,&nbsp;Molly West ,&nbsp;Christa Hale","doi":"10.1016/j.ijheh.2025.114729","DOIUrl":"10.1016/j.ijheh.2025.114729","url":null,"abstract":"<div><h3>Introduction</h3><div>Long-term pulmonary effects of wildland firefighting are unclear even though lung function declines have been observed following wildfire season and firefighting shift.</div></div><div><h3>Methods</h3><div>Spirometry and airway inflammation indicated as fractional exhaled nitric oxide (FeNO) were measured among 152 wildland firefighters (WFFs) at the beginning (pre-season, April &amp; May) and end (post-season, September &amp; October) of the 2018 and/or 2019 wildfire seasons and among 19 WFFs at across 3 days of firefighting during a 2019 mid-season wildfire deployment.</div></div><div><h3>Results</h3><div>Overall peak expiratory flow (PEF) and percent of predicted PEF (PEF%) significantly decreased across fire season when 2018 and 2019 measurements were combined (−0.15 ± 0.07 L/s, <em>p</em> = 0.04; −1.87 ± 0.71%, <em>p</em> = 0.01; respectively), more so due to 2018 declines. PEF% and percent of predicted forced vital capacity (FVC%) significantly improved between 2018 post-season and 2019 pre-season (i.e., off-season) (3.08 ± 1.26%, <em>p</em> = 0.02; 0.99 ± 0.41%, <em>p</em> = 0.02; respectively). FVC and FVC% significantly decreased across a firefighting shift on the first day of wildfire deployment (−0.12 ± 0.03 L, <em>p</em> &lt; 0.01; −2.35 ± 0.64%, <em>p</em> &lt; 0.01). FeNO significantly decreased across the 2018 and 2019 fire seasons (<em>p</em> &lt; 0.01) and significantly increased during the off-season (<em>p</em> &lt; 0.01). FeNO also showed statistically significant cross-shift decreases on the second day of wildfire deployment (−3.50 ± 0.95 ppm, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>Seasonal wildland firefighting were associated with decreases in lung function and FeNO as well as increases in respiratory symptom score in this cohort. While lung function recovered during the off-season among the WFFs, the results suggest a need for longer-term studies to determine the impact of chronic wildland firefighting on pulmonary health.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114729"},"PeriodicalIF":4.4,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145683216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal and paternal smoking and offspring antral follicle count in women from an infertility clinic 不孕症门诊妇女父母亲吸烟与子代卵泡计数的关系。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-12-03 DOI: 10.1016/j.ijheh.2025.114719
Sarahna A. Moyd , Robert B. Hood , Qiang Zhang , Lidia Minguez-Alarcon , Russ Hauser , Irene Souter , Audrey J. Gaskins

Background

The ovarian reserve is established in utero, and therefore may be influenced by parental characteristics such as tobacco smoking. However, the epidemiologic literature on parental smoking and adult antral follicle count (AFC) remains conflicted.

Research design and methods

Our study included 631 women enrolled in the Environment and Reproductive Health (EARTH) study, a prospective cohort at an academic fertility center between 2005 and 2019. Exposure was assessed by women self-reporting their mother's and father's overall and pregnancy specific smoking status. Outcome was assessed via AFC measured using transvaginal ultrasonography day 3 of an unstimulated menstrual cycle or progesterone withdrawal bleed. Adjusted multivariable Poisson regression with robust standard errors was used to estimate associations between participant maternal and paternal smoking exposure and AFC.

Results

The women in our study were mostly ≥35 years (55 %), never smokers (74 %), college-educated (92 %), White (84 %), and US born (76 %). The median AFC was 13.5 (interquartile range: 8–18). History of maternal smoking was not associated with AFC (ever vs never smoker: 1.3 %, 95 % CI: 8.4 %, 6.4 %) nor was maternal smoking during pregnancy (smoked during pregnancy vs. never smoker: 4.6 %, 95 % CI: 7.6 %, 18.4 %). History of paternal smoking was associated with lower AFC (ever vs never: 9.9 %; 95 % CI: 16.3 %, −2.9 %). Participants who reported that both their parents were ever smokers averaged 10.9 % lower AFC (95 % CI: 18.6 %, −2.5 %) compared to participants whose parents never smoked.

Conclusion

Paternal smoking, including time periods outside the pregnancy window, may negatively influence the long-term ovarian development and function in female offspring.

Trial registration number

NCT00011713.
背景:卵巢储备是在子宫内建立的,因此可能受到父母特征(如吸烟)的影响。然而,关于父母吸烟和成人窦卵泡计数(AFC)的流行病学文献仍然存在矛盾。研究设计和方法:我们的研究纳入了631名参加环境与生殖健康(EARTH)研究的女性,这是2005年至2019年在一家学术生育中心进行的前瞻性队列研究。通过妇女自我报告其母亲和父亲的总体吸烟状况以及怀孕期间的具体吸烟状况来评估暴露程度。结果通过经阴道超声测量无刺激月经周期或黄体酮戒断性出血第3天的AFC来评估。采用稳健性标准误差的校正多变量泊松回归来估计参与者父母吸烟暴露与AFC之间的关系。结果:我们研究中的女性大多年龄≥35岁(55%),从不吸烟(74%),受过大学教育(92%),白人(84%)和美国出生(76%)。AFC中位数为13.5(四分位数间距:8-18)。母亲吸烟史与AFC无关(曾经吸烟vs从不吸烟:1.3%,95% CI: 8.4%, 6.4%),怀孕期间吸烟与AFC无关(怀孕期间吸烟vs从不吸烟:4.6%,95% CI: 7.6%, 18.4%)。父亲吸烟史与较低的AFC相关(曾经与从不:9.9%;95% CI: 16.3%, - 2.9%)。与父母从不吸烟的参与者相比,父母都曾经吸烟的参与者平均AFC降低10.9% (95% CI: 18.6%, - 2.5%)。结论:父亲吸烟,包括妊娠期外吸烟,可能对女性子代卵巢的长期发育和功能产生负面影响。试验注册号:NCT00011713。
{"title":"Maternal and paternal smoking and offspring antral follicle count in women from an infertility clinic","authors":"Sarahna A. Moyd ,&nbsp;Robert B. Hood ,&nbsp;Qiang Zhang ,&nbsp;Lidia Minguez-Alarcon ,&nbsp;Russ Hauser ,&nbsp;Irene Souter ,&nbsp;Audrey J. Gaskins","doi":"10.1016/j.ijheh.2025.114719","DOIUrl":"10.1016/j.ijheh.2025.114719","url":null,"abstract":"<div><h3>Background</h3><div>The ovarian reserve is established <em>in utero</em>, and therefore may be influenced by parental characteristics such as tobacco smoking. However, the epidemiologic literature on parental smoking and adult antral follicle count (AFC) remains conflicted.</div></div><div><h3>Research design and methods</h3><div>Our study included 631 women enrolled in the Environment and Reproductive Health (EARTH) study, a prospective cohort at an academic fertility center between 2005 and 2019. Exposure was assessed by women self-reporting their mother's and father's overall and pregnancy specific smoking status. Outcome was assessed via AFC measured using transvaginal ultrasonography day 3 of an unstimulated menstrual cycle or progesterone withdrawal bleed. Adjusted multivariable Poisson regression with robust standard errors was used to estimate associations between participant maternal and paternal smoking exposure and AFC.</div></div><div><h3>Results</h3><div>The women in our study were mostly ≥35 years (55 %), never smokers (74 %), college-educated (92 %), White (84 %), and US born (76 %). The median AFC was 13.5 (interquartile range: 8–18). History of maternal smoking was not associated with AFC (ever vs never smoker: 1.3 %, 95 % CI: 8.4 %, 6.4 %) nor was maternal smoking during pregnancy (smoked during pregnancy vs. never smoker: 4.6 %, 95 % CI: 7.6 %, 18.4 %). History of paternal smoking was associated with lower AFC (ever vs never: 9.9 %; 95 % CI: 16.3 %, −2.9 %). Participants who reported that both their parents were ever smokers averaged 10.9 % lower AFC (95 % CI: 18.6 %, −2.5 %) compared to participants whose parents never smoked.</div></div><div><h3>Conclusion</h3><div>Paternal smoking, including time periods outside the pregnancy window, may negatively influence the long-term ovarian development and function in female offspring.</div></div><div><h3>Trial registration number</h3><div>NCT00011713.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114719"},"PeriodicalIF":4.4,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Organophosphate pesticide metabolite concentrations in a pregnancy cohort: daily variability, and predictors of exposure 妊娠队列中有机磷农药代谢物浓度:每日变异性和暴露的预测因子
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-11-29 DOI: 10.1016/j.ijheh.2025.114716
Lyndsay Caton , Susan MacPherson , Tye E. Arbuckle , Mark Walker , Mandy Fisher
Organophosphates (OP) are commonly used agricultural pesticides. In 2009–2010, 80 pregnant women were recruited from Ottawa, Canada for the Plastics and Personal-care Product use in Pregnancy (P4) Study. A subset (n = 25) collected multiple spot urines (up to 10 each; total n = 431) over two 24-h periods in early pregnancy - one weekday and weekend day - while logging their food consumption beginning 24 h prior to the first urine void and continuing through the following 24-h urine collection period. Urine samples (n = 431 samples) were analyzed for six dialkyl OP metabolites, dimethyldithiophosphate (DMDTP), dimethylthiophosphate (DMTP), dimethylphosphate (DMP), diethyldithiophosphate (DEDTP), diethylthiophosphate (DETP), and diethylphosphate (DEP). This is the first study to look at within day variability of OP pesticide metabolites. Intra-class correlation coefficients (ICC's) were highest for DMP on weekend days (0.82) and lowest for DEDTP (0.35). Using a single spot urine to predict high urinary concentrations compared to the geometric mean of the participant's remaining samples for that day showed median sensitivities ranging from 67 to 87 % (weekday) and 73–81 % (weekend). This study was underpowered to see clear group differences; however molar sum dialkyl phosphate (DAP) metabolite concentrations over the 24 h weekday collection period increased or remained stable in urine samples collected >6–12 h post-consumption of most food groups. We encourage future research with a larger sample size and more diverse participants, with a focus on OPs that are increasing or remaining stable over time including DEP and metabolites of pyrethroids, and neonicotinoids.
有机磷是常用的农业农药。2009-2010年,80名来自加拿大渥太华的孕妇被招募参加孕期塑料和个人护理产品使用(P4)研究。一组(n = 25)在怀孕早期的两个24小时内(一个工作日和周末)收集了多次斑点尿(每次最多10次;总n = 431),同时记录了她们在第一次尿空前24小时开始的食物消耗,并持续到接下来的24小时尿液收集期。尿液样本(n = 431份)分析了六种二烷基OP代谢物:二甲基二硫代磷酸(DMDTP)、二甲基硫代磷酸(DMTP)、二甲基磷酸(DMP)、二乙基二硫代磷酸(DEDTP)、二乙基硫代磷酸(DETP)和二乙基磷酸(DEP)。这是第一个观察有机磷农药代谢物在一天内变化的研究。周末DMP的类内相关系数(ICC)最高(0.82),而DEDTP的类内相关系数(ICC)最低(0.35)。与参与者当天剩余样本的几何平均值相比,使用单点尿液来预测高尿浓度显示,中位灵敏度范围为67%至87%(工作日)和73 - 81%(周末)。这项研究不足以看到明确的组间差异;然而,在大多数食物组食用后6-12小时收集的尿液样本中,在工作日24小时的收集期内,摩尔二烷基磷酸酯(DAP)代谢物浓度增加或保持稳定。我们鼓励未来开展更大样本量和更多样化的研究,重点关注随时间增加或保持稳定的OPs,包括DEP和拟除虫菊酯和新烟碱类的代谢物。
{"title":"Organophosphate pesticide metabolite concentrations in a pregnancy cohort: daily variability, and predictors of exposure","authors":"Lyndsay Caton ,&nbsp;Susan MacPherson ,&nbsp;Tye E. Arbuckle ,&nbsp;Mark Walker ,&nbsp;Mandy Fisher","doi":"10.1016/j.ijheh.2025.114716","DOIUrl":"10.1016/j.ijheh.2025.114716","url":null,"abstract":"<div><div>Organophosphates (OP) are commonly used agricultural pesticides. In 2009–2010, 80 pregnant women were recruited from Ottawa, Canada for the Plastics and Personal-care Product use in Pregnancy (P4) Study. A subset (n = 25) collected multiple spot urines (up to 10 each; total n = 431) over two 24-h periods in early pregnancy - one weekday and weekend day - while logging their food consumption beginning 24 h prior to the first urine void and continuing through the following 24-h urine collection period. Urine samples (n = 431 samples) were analyzed for six dialkyl OP metabolites, dimethyldithiophosphate (DMDTP), dimethylthiophosphate (DMTP), dimethylphosphate (DMP), diethyldithiophosphate (DEDTP), diethylthiophosphate (DETP), and diethylphosphate (DEP). This is the first study to look at within day variability of OP pesticide metabolites. Intra-class correlation coefficients (ICC's) were highest for DMP on weekend days (0.82) and lowest for DEDTP (0.35). Using a single spot urine to predict high urinary concentrations compared to the geometric mean of the participant's remaining samples for that day showed median sensitivities ranging from 67 to 87 % (weekday) and 73–81 % (weekend). This study was underpowered to see clear group differences; however molar sum dialkyl phosphate (DAP) metabolite concentrations over the 24 h weekday collection period increased or remained stable in urine samples collected &gt;6–12 h post-consumption of most food groups. We encourage future research with a larger sample size and more diverse participants, with a focus on OPs that are increasing or remaining stable over time including DEP and metabolites of pyrethroids, and neonicotinoids.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"272 ","pages":"Article 114716"},"PeriodicalIF":4.4,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International journal of hygiene and environmental health
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1