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Serum per- and polyfluoroalkyl substances (PFAS) concentrations and anti-spike SARS-CoV-2 IgG levels following COVID-19 vaccination: A cross-sectional study in three communities with elevated PFAS exposure COVID-19疫苗接种后血清全氟和多氟烷基物质(PFAS)浓度和抗spike SARS-CoV-2 IgG水平:三个PFAS暴露升高社区的横断面研究
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-04-01 Epub Date: 2026-02-04 DOI: 10.1016/j.ijheh.2026.114755
Sarah Rhea , David Collier , Michael Cuffney , C. Suzanne Lea , Nadine Kotlarz , Jane A. Hoppin
Per- and polyfluoroalkyl substances (PFAS) are associated with reduced vaccine immune response, though most observational studies have found no link to COVID-19 vaccine response. Residents of North Carolina's Cape Fear River Basin have elevated serum PFAS levels. We investigated the cross-sectional association between serum PFAS and anti-Spike SARS-CoV-2 IgG (anti-S IgG) levels among COVID-19-vaccinated adults (N = 330) from three communities of the GenX Exposure Study with elevated PFAS. Eligibility criteria included no prior COVID-19 diagnosis and receipt of ≥2 COVID-19 vaccinations, the most recent within 180 days of data collection (June–November 2021). Serum PFAS (liquid chromatography-high resolution mass spectrometry) and anti-S IgG (AdviseDx SARS-CoV-2 IgG II Assay) were measured. For five PFAS with >85 % sample detection, we built general linear models of log-transformed PFAS and anti-S IgG for each community, adjusting for age, sex, and days since last vaccination. Most participants were mid-aged, female, and White. COVID-19 vaccination patterns (i.e., doses, manufacturer) and anti-S IgG levels varied by community. Modest positive and negative estimates of PFAS−anti-S IgG relationships were observed across communities and PFAS. One community (Lower Cape Fear River region) had the largest, and only statistically significant, estimate: 0.31 % (95 % CI: 0.07 %–0.56 %) increase in anti-S IgG per 1 % increase in PFHpS (PFAS with lowest median concentration). We observed no consistent evidence linking higher serum PFAS to lower COVID-19 vaccine response, aligning with prior studies. Assessing PFAS exposure and COVID-19 vaccine response in observational studies is challenging. Longitudinal studies with serial antibody measurements, and vaccine type considerations, might provide additional insight.
全氟烷基和多氟烷基物质(PFAS)与疫苗免疫反应降低有关,尽管大多数观察性研究未发现与COVID-19疫苗反应有关。北卡罗莱纳州开普菲尔河流域的居民血清PFAS水平升高。我们调查了来自GenX暴露研究中三个社区的covid -19疫苗接种成人(N = 330)中PFAS升高的血清PFAS与抗spike SARS-CoV-2 IgG(抗s IgG)水平之间的横断面关联。入选标准包括既往无COVID-19诊断,接种过2次以上COVID-19疫苗,最近一次接种时间为数据收集后180天内(2021年6月至11月)。测定血清PFAS(液相色谱-高分辨率质谱)和抗s - IgG (AdviseDx SARS-CoV-2 IgG II Assay)。对于5个样本检测率为> 85%的PFAS,我们为每个社区建立了对数转换PFAS和抗s IgG的一般线性模型,并根据年龄、性别和上次接种疫苗的天数进行了调整。大多数参与者是中年、女性和白人。COVID-19疫苗接种模式(即剂量、制造商)和抗s - IgG水平因社区而异。在社区和PFAS中观察到PFAS-抗s IgG关系的适度正估计和负估计。一个社区(下开普恐惧河地区)有最大的,只有统计学意义,估计:每增加1%的PFHpS(最低中位浓度的PFAS),抗s IgG增加0.31% (95% CI: 0.07% - 0.56%)。我们观察到没有一致的证据将较高的血清PFAS与较低的COVID-19疫苗应答联系起来,这与先前的研究一致。在观察性研究中评估PFAS暴露和COVID-19疫苗反应具有挑战性。纵向研究与连续抗体测量和疫苗类型的考虑,可能会提供额外的见解。
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引用次数: 0
Systematic review of wild birds as reservoirs of antimicrobial resistance: Implications for roof-harvested rainwater safety 野生鸟类作为抗菌素耐药性储存库的系统综述:对屋顶收集雨水安全的影响
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-04-01 Epub Date: 2026-01-27 DOI: 10.1016/j.ijheh.2026.114743
Mira Cooper-Beknazarova , Ben van den Akker , Barbara Drigo , Kirstin Ross , Harriet Whiley , Craig R. Williams
This review investigates the role of wild birds as reservoirs and vectors of antimicrobial-resistant bacteria and antimicrobial resistance genes, and the implications for human health via contamination of harvested rainwater. A systematic literature review revealed that urban-adapted birds, especially gulls and pigeons, frequently carry clinically relevant antimicrobial-resistant bacteria including Carbapenem resistant Enterobacterales (CRE), multidrug-resistant Escherichia coli, extended-spectrum beta-lactamases (ESBL)-producing E. coli, and methicillin-resistant Staphylococcus aureus (MRSA) as well as colistin and macrolide-lincosamide-streptogramin (MLS) resistance genes. Due to urbanisation, these birds often forage in contaminated urban environments such as landfills, sewage sites and waste deposits, which increases their exposure to antimicrobial-resistant bacteria and antimicrobial resistance genes raising concerns about their increasing role in the environmental dissemination of AMR. Roof-harvested rainwater, a growing alternative water source amid climate change and water scarcity, can be contaminated by bird droppings containing antimicrobial-resistant bacteria and antimicrobial resistance genes. Despite its widespread use, harvested rainwater remains largely unregulated, presenting a public health risk. The findings from this review highlights the need for increased monitoring, targeted research, and improved risk management strategies to address AMR transmission from birds to humans via environmental pathways such as harvested rainwater.
本文综述了野生鸟类作为耐药细菌和耐药基因的宿主和载体的作用,以及雨水污染对人类健康的影响。系统的文献综述发现,适应城市的鸟类,特别是海鸥和鸽子,经常携带临床相关的抗菌耐药细菌,包括耐碳青霉烯类肠杆菌(CRE)、耐多药大肠杆菌、产生广谱β -内酰胺酶(ESBL)的大肠杆菌、耐甲氧西林金黄色葡萄球菌(MRSA)以及粘菌素和大环内酯-lincosamide-streptogramin (MLS)抗性基因。由于城市化,这些鸟类经常在被污染的城市环境中觅食,如垃圾填埋场、污水场和废物堆场,这增加了它们对抗微生物药物耐药性细菌和抗微生物药物耐药性基因的暴露,这引起了人们对它们在抗菌素耐药性环境传播中日益重要的作用的担忧。在气候变化和水资源短缺的情况下,屋顶收集的雨水作为一种日益增长的替代水源,可能被含有抗微生物药物耐药性细菌和抗微生物药物耐药性基因的鸟粪污染。尽管雨水被广泛使用,但收集的雨水在很大程度上仍未得到管理,对公众健康构成威胁。这篇综述的发现强调需要加强监测、有针对性的研究和改进风险管理战略,以解决抗生素耐药性通过雨水等环境途径从鸟类传播给人类的问题。
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引用次数: 0
Wastewater reduction of Salmonella Typhimurium and H2S by using TiO2 films deposited by spin coating or magnetron sputtering 自旋镀膜或磁控溅射沉积TiO2膜对鼠伤寒沙门氏菌和H2S废水的还原研究
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1016/j.ijheh.2025.114738
Luz A. Rincón-Barón , Luis A. Cañón-Tafur , María P. Forero-Carvajal , Laura G. Ramírez-Alemán , Luis C. Jiménez-Borrego , Lucia A. Díaz-Ariza , Augusto E. Mejía-Gómez , Camilo Velez , Ana K. Carrascal-Camacho , Claudia M. Rivera-Hoyos , Aura M. Pedroza-Rodríguez
Salmonellosis is one of the most common infectious diseases transmitted by contaminated food or water. The emergence of antibiotic-resistant strains of Salmonella Typhimurium is associated with an increase in the incidence of invasive salmonellosis, acquired through contaminated products or water. Therefore, wastewater treatment is crucial for reducing the risk of infection, especially when this water is to be used or reused in agro-industrial sectors without proper treatment. This research studied TiO2 film photocatalysis deposited by spin coating and magnetron sputtering for the simultaneous reduction of Salmonella Typhimurium and H2S in wastewater. The TiO2 films produced by spin coating and annealed at 550 °C exhibit aggregate-dominated growth, generating heterogeneous and clustered surfaces, with the anatase phase (bandwidth 3.14 eV) as the predominant crystalline structure; while the films deposited by magnetron sputtering showed a dense and uniform morphology, associated with the columnar growth typical of this technique, with good adhesion to the porous biochar substrate. At 200 °C, a mixture of anatase–rutile phases with a bandwidth of 3.21 eV occurred. Results showed that both types of TiO2 films reduced more than 79 ± 2 % of bacteria and generated qualitative changes in H2S production by the colonies and reducing more than 78 ± 2 % of the H2S responsible for unpleasant odours. These results suggest that the photocatalysis process with both kinds of TiO2 films could serve as a complementary treatment to conventional wastewater treatment technologies, favouring the production of water free of Salmonella Typhimurium and reusable in activities that do not involve direct human consumption.
沙门氏菌病是由受污染的食物或水传播的最常见的传染病之一。鼠伤寒沙门氏菌耐抗生素菌株的出现与通过受污染的产品或水获得的侵袭性沙门氏菌病发病率的增加有关。因此,废水处理对于降低感染风险至关重要,特别是当这些水在未经适当处理的情况下用于或再用于农工部门时。本研究采用自旋镀膜和磁控溅射沉积TiO2薄膜光催化同时还原废水中的鼠伤寒沙门氏菌和H2S。550℃退火后的TiO2薄膜呈现出以聚集为主的生长模式,形成了非均质和簇状的表面,其中锐钛矿相(带宽为3.14 eV)为主要晶体结构;而磁控溅射沉积的薄膜表现出致密和均匀的形态,与该技术典型的柱状生长有关,与多孔生物炭衬底具有良好的附着力。在200℃时,出现了带宽为3.21 eV的锐钛矿-金红石相混合物。结果表明,两种类型的TiO2膜均减少了79±2%以上的细菌,并使菌落产生的H2S发生了质变,减少了78±2%以上的产生难闻气味的H2S。这些结果表明,两种TiO2膜的光催化工艺可以作为传统废水处理技术的补充,有利于生产不含鼠伤寒沙门氏菌的水,并且可以在不涉及人类直接消费的活动中重复使用。
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引用次数: 0
Differential metabolic profiles by training fire exposure in female firefighters 女性消防员在火灾暴露训练中代谢谱的差异
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1016/j.ijheh.2026.114746
Tuo Liu , James Hollister , Krystal J. Kern , Michelle Valenti , Shawn C. Beitel , John J. Gulotta , Sara A. Jahnke , Heather Buren , John Haseney , Brian O'Neill , Caitlin St Clair , Yiwen Liu , Frank von Hippel , Catherine E. Mullins , Douglas I. Walker , Jaclyn M. Goodrich , Jefferey L. Burgess , Melissa A. Furlong

Background

Female firefighters face elevated risks for cancer and reproductive disorders, but the underlying metabolic mechanisms remain unclear.

Objectives

This study aimed to identify urinary metabolites and metabolic processes associated with training fire exposure among female municipal firefighters.

Methods

High-resolution metabolomics (HRM) was conducted on urine samples collected before and after live-fire training from female firefighters enrolled in the Fire Fighter Cancer Cohort Study. Linear mixed-effects models, adjusting for age, education, and Hispanic ethnicity, were used to identify differentially expressed metabolites (DEMs) with false discovery rate correction. Functional enrichment analysis (FEA) via metabolite-set enrichment analysis (MSEA) from MetaboAnalyst was performed to identify enriched metabolic processes. A stratified analysis examined the influence of fire types on post-fire metabolic profiles.

Results

One hundred female firefighters donated a total of 200 urine samples (100 pre-, 100 post-fire). HRM was performed in four modes including HILIC(+), HILIC(−), C18(+), and C18(−). We identified 200, 300, 280, and 306 metabolites and 10, 9, 23, and 19 post-training fire DEMs from the four modes, respectively. FEA highlighted enrichment of glycerophospholipid metabolism (p < 0.05). Stratified analysis identified 11 DEMs by fire type with greater changes observed following burn room/tower exposures compared to flashover fires.

Conclusion

Training fire exposure induced widespread metabolic alterations in female firefighters, particularly in pathways related to oxidative stress and cell damage. These findings suggest potential biological pathways linking repeated fire exposure to chronic inflammation and disease risk. Burn room/tower burn exercises elicited more pronounced metabolic shifts than flashover fires.
女性消防员患癌症和生殖障碍的风险较高,但其潜在的代谢机制尚不清楚。目的:本研究旨在确定女性市政消防员的尿液代谢物和代谢过程与火灾暴露相关。方法对参加消防员癌症队列研究的女性消防员实弹训练前后的尿液样本进行高分辨率代谢组学(HRM)分析。线性混合效应模型,调整了年龄、教育和西班牙裔种族,用于识别差异表达代谢物(dem),并校正了错误发现率。通过MetaboAnalyst代谢物集富集分析(MSEA)进行功能富集分析(FEA),以确定富集的代谢过程。分层分析研究了火灾类型对火灾后代谢谱的影响。结果100名女消防员共捐献尿样200份(火灾前100份,火灾后100份)。采用HILIC(+)、HILIC(-)、C18(+)、C18(-)四种模式进行HRM。我们从四种模式中分别鉴定出200、300、280和306种代谢物,以及10、9、23和19种训练后的fire dem。FEA显示甘油磷脂代谢富集(p < 0.05)。分层分析确定了火灾类型的11个dem,与闪燃火灾相比,烧伤房间/塔楼暴露后观察到的变化更大。结论:暴露在训练火中会引起女性消防员广泛的代谢改变,特别是在氧化应激和细胞损伤相关的途径中。这些发现表明,反复接触火与慢性炎症和疾病风险之间存在潜在的生物学途径。燃烧室/塔燃烧练习比闪火引起更明显的代谢变化。
{"title":"Differential metabolic profiles by training fire exposure in female firefighters","authors":"Tuo Liu ,&nbsp;James Hollister ,&nbsp;Krystal J. Kern ,&nbsp;Michelle Valenti ,&nbsp;Shawn C. Beitel ,&nbsp;John J. Gulotta ,&nbsp;Sara A. Jahnke ,&nbsp;Heather Buren ,&nbsp;John Haseney ,&nbsp;Brian O'Neill ,&nbsp;Caitlin St Clair ,&nbsp;Yiwen Liu ,&nbsp;Frank von Hippel ,&nbsp;Catherine E. Mullins ,&nbsp;Douglas I. Walker ,&nbsp;Jaclyn M. Goodrich ,&nbsp;Jefferey L. Burgess ,&nbsp;Melissa A. Furlong","doi":"10.1016/j.ijheh.2026.114746","DOIUrl":"10.1016/j.ijheh.2026.114746","url":null,"abstract":"<div><h3>Background</h3><div>Female firefighters face elevated risks for cancer and reproductive disorders, but the underlying metabolic mechanisms remain unclear.</div></div><div><h3>Objectives</h3><div>This study aimed to identify urinary metabolites and metabolic processes associated with training fire exposure among female municipal firefighters.</div></div><div><h3>Methods</h3><div>High-resolution metabolomics (HRM) was conducted on urine samples collected before and after live-fire training from female firefighters enrolled in the Fire Fighter Cancer Cohort Study. Linear mixed-effects models, adjusting for age, education, and Hispanic ethnicity, were used to identify differentially expressed metabolites (DEMs) with false discovery rate correction. Functional enrichment analysis (FEA) via metabolite-set enrichment analysis (MSEA) from MetaboAnalyst was performed to identify enriched metabolic processes. A stratified analysis examined the influence of fire types on post-fire metabolic profiles.</div></div><div><h3>Results</h3><div>One hundred female firefighters donated a total of 200 urine samples (100 pre-, 100 post-fire). HRM was performed in four modes including HILIC(+), HILIC(−), C18(+), and C18(−). We identified 200, 300, 280, and 306 metabolites and 10, 9, 23, and 19 post-training fire DEMs from the four modes, respectively. FEA highlighted enrichment of glycerophospholipid metabolism (p &lt; 0.05). Stratified analysis identified 11 DEMs by fire type with greater changes observed following burn room/tower exposures compared to flashover fires.</div></div><div><h3>Conclusion</h3><div>Training fire exposure induced widespread metabolic alterations in female firefighters, particularly in pathways related to oxidative stress and cell damage. These findings suggest potential biological pathways linking repeated fire exposure to chronic inflammation and disease risk. Burn room/tower burn exercises elicited more pronounced metabolic shifts than flashover fires.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"273 ","pages":"Article 114746"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076430","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
Potential over-adjustment bias in cohort studies of air pollution and health: A methodological study 空气污染与健康队列研究中潜在的过度调整偏倚:一项方法学研究。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-04-01 Epub Date: 2026-02-10 DOI: 10.1016/j.ijheh.2026.114758
Han Luo , Yinyan Gao , Weijia Xu , Hui Sun , Irene Xinyin Wu

Objectives

Confounder adjustment is essential in causal inference studies; however, over-adjustment—excessive statistical adjustment—can bias causal effect estimation. This issue is prevalent in environmental health impact studies but has not received sufficient attention. This study aimed to investigate current practices regarding over-adjustment in studies examining long-term air pollution exposure and health outcomes.

Methods

We searched PubMed from January 2021 to October 2023 for cohort studies published in high-impact journals that investigated long-term ambient air pollution exposure (including ambient fine particulate, carbon monoxide, compounds, oxynitride, ozone, sulfur dioxide) and health outcomes. Two reviewers independently screened studies and extracted relevant information. Potential over-adjustment was identified based on the Modified Disjunctive Cause Criterion. Descriptive analyses were performed on all data.

Results

A total of 175 studies were included. Only 26 (14.9%) employed directed acyclic graphs (DAGs) for variable selection. More than half of the studies (122, 69.7%) exhibited potential over-adjustment; of these, 120 (68.6%) adjusted for mediators and 2 (1.1%) adjusted for both mediators and colliders. The most commonly adjusted mediators were Body Mass Index (98, 56.0%) and hypertension (25, 14.3%). Studies that applied DAGs demonstrated a significantly lower proportion of over-adjustment (42.3% vs 74.5%).

Conclusion

A considerable proportion of cohort studies on air pollution and health exhibit potential over-adjustment, with a few employing DAGs for confounder selection to mitigate this issue. We emphasize the importance of avoiding potential over-adjustment and advocate for the proper use of DAGs in accordance with established methodological guidelines to reduce the risk of over-adjustment and improve the validity of future research.
目的:混杂因素调整在因果推理研究中是必不可少的;然而,过度调整——过度的统计调整——会使因果效应估计产生偏差。这个问题在环境健康影响研究中很普遍,但没有得到足够的重视。本研究旨在调查长期空气污染暴露和健康结果研究中有关过度调整的现行做法。方法:我们从2021年1月至2023年10月在PubMed检索了发表在高影响力期刊上的队列研究,这些研究调查了长期环境空气污染暴露(包括环境细颗粒物、一氧化碳、化合物、氮化氧、臭氧、二氧化硫)和健康结果。两位审稿人独立筛选研究并提取相关信息。基于修正析取原因准则识别潜在的过度调整。对所有数据进行描述性分析。结果:共纳入175项研究。只有26个(14.9%)采用有向无环图(dag)进行变量选择。超过一半的研究(122项,69.7%)表现出潜在的过度调整;其中,120个(68.6%)针对中介进行了调整,2个(1.1%)针对中介和碰撞器进行了调整。最常调整的调节因子为体重指数(98,56.0%)和高血压(25,14.3%)。应用dag的研究显示过度调整的比例显著降低(42.3% vs 74.5%)。结论:相当一部分关于空气污染和健康的队列研究存在潜在的过度调整,少数研究采用dag进行混杂因素选择以缓解这一问题。我们强调避免潜在的过度调整的重要性,并倡导根据既定的方法指南正确使用dag,以减少过度调整的风险,提高未来研究的有效性。
{"title":"Potential over-adjustment bias in cohort studies of air pollution and health: A methodological study","authors":"Han Luo ,&nbsp;Yinyan Gao ,&nbsp;Weijia Xu ,&nbsp;Hui Sun ,&nbsp;Irene Xinyin Wu","doi":"10.1016/j.ijheh.2026.114758","DOIUrl":"10.1016/j.ijheh.2026.114758","url":null,"abstract":"<div><h3>Objectives</h3><div>Confounder adjustment is essential in causal inference studies; however, over-adjustment—excessive statistical adjustment—can bias causal effect estimation. This issue is prevalent in environmental health impact studies but has not received sufficient attention. This study aimed to investigate current practices regarding over-adjustment in studies examining long-term air pollution exposure and health outcomes.</div></div><div><h3>Methods</h3><div>We searched PubMed from January 2021 to October 2023 for cohort studies published in high-impact journals that investigated long-term ambient air pollution exposure (including ambient fine particulate, carbon monoxide, compounds, oxynitride, ozone, sulfur dioxide) and health outcomes. Two reviewers independently screened studies and extracted relevant information. Potential over-adjustment was identified based on the Modified Disjunctive Cause Criterion. Descriptive analyses were performed on all data.</div></div><div><h3>Results</h3><div>A total of 175 studies were included. Only 26 (14.9%) employed directed acyclic graphs (DAGs) for variable selection. More than half of the studies (122, 69.7%) exhibited potential over-adjustment; of these, 120 (68.6%) adjusted for mediators and 2 (1.1%) adjusted for both mediators and colliders. The most commonly adjusted mediators were Body Mass Index (98, 56.0%) and hypertension (25, 14.3%). Studies that applied DAGs demonstrated a significantly lower proportion of over-adjustment (42.3% vs 74.5%).</div></div><div><h3>Conclusion</h3><div>A considerable proportion of cohort studies on air pollution and health exhibit potential over-adjustment, with a few employing DAGs for confounder selection to mitigate this issue. We emphasize the importance of avoiding potential over-adjustment and advocate for the proper use of DAGs in accordance with established methodological guidelines to reduce the risk of over-adjustment and improve the validity of future research.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"273 ","pages":"Article 114758"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168396","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
Defining the external exposome of newborns from La Palma Island, Spain: characteristics of realistic mixtures and its role on Precision Public Health 界定西班牙拉帕尔马岛新生儿的外部暴露:现实混合物的特点及其对精确公共卫生的作用
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-04-01 Epub Date: 2026-02-13 DOI: 10.1016/j.ijheh.2026.114761
Ángelo Santana del Pino , María Del Pino Quintana-Montesdeoca , Katherine Simbaña-Rivera , Manuel Zumbado , Octavio P. Luzardo , Luis Alberto Henríquez-Hernández , Raúl Cabrera-Rodríguez , Maira del Pino Almeida-González , Luis D. Boada

Introduction

The exposome framework provides an integrative perspective to characterize real-life exposures beyond single-chemical assessments. However, evidence on perinatal exposomes in non-urban populations is limited, particularly regarding pollutant mixtures and their contribution to adverse birth outcomes.

Methods

We conducted a population-based cross-sectional study including 471 neonates from La Palma (Spain). A total of 106 pollutants were quantified in cord blood using validated methods. Exposures encompassed essential elements, toxic metals, prioritized pollutants, emerging elements, organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), and polycyclic aromatic hydrocarbons (PAHs), grouped into seven categories. Statistical analyses included descriptive statistics, correlation matrices, principal component analysis (PCA), and network visualization, stratified by sex, birthweight, and maternal smoking.

Results

Essential elements (Se, Zn, Cu, Mn) were detected in all samples, whereas emerging rare earth elements showed lower prevalence. PCA highlighted distinct exposure profiles, with PAHs and OCPs explaining the highest variance. Maternal smoking strongly influenced clustering: small for gestational age neonates from smoking mothers displayed a specific mixture of PAHs, OCPs, low-chlorinated PCBs, and Pb, contrasting with neonates of appropriate or large for gestational age. Network analyses revealed four main pollutant clusters, diverging from the seven predefined chemical groups and reflecting real-world mixtures shaped by common sources. Emerging pollutants, including rare earth elements and metals from electronic waste, formed a separate cluster.

Conclusion

Exposome-based approaches can characterize neonatal exposure mixtures, reveal modifiable patterns, and inform targeted interventions within Precision Public Health. These findings underscore the need to mitigate maternal smoking and address emerging contaminant exposures in perinatal populations.
暴露框架提供了一个综合的视角来描述现实生活中的暴露,而不是单一化学品的评估。然而,关于非城市人口围产期暴露的证据有限,特别是关于污染物混合物及其对不良出生结果的影响。方法我们进行了一项基于人群的横断面研究,包括来自西班牙拉帕尔马的471名新生儿。使用经过验证的方法对脐带血中的106种污染物进行了量化。暴露包括必需元素、有毒金属、优先污染物、新兴元素、有机氯农药(ocp)、多氯联苯(PCBs)和多环芳烃(PAHs),共分为7类。统计分析包括描述性统计、相关矩阵、主成分分析(PCA)和网络可视化,并按性别、出生体重和母亲吸烟进行分层。结果所有样品均检出必需元素Se、Zn、Cu、Mn,新兴稀土元素的检出率较低。PCA强调了不同的暴露概况,PAHs和ocp解释了最大的方差。母亲吸烟强烈影响聚类:与孕龄合适或孕龄较大的新生儿相比,孕龄较小的母亲所生的新生儿显示出特定的多环芳烃、OCPs、低氯多氯联苯和Pb的混合物。网络分析揭示了四种主要的污染物集群,从七个预定义的化学组中分离出来,反映了现实世界中由共同来源形成的混合物。新兴污染物,包括稀土元素和电子垃圾中的金属,形成了一个单独的集群。结论基于暴露体的方法可以表征新生儿暴露混合物,揭示可修改的模式,并为精准公共卫生提供有针对性的干预措施。这些发现强调了减少孕产妇吸烟和解决围产期人群中新出现的污染物暴露的必要性。
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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 : 2026-03-01 Epub 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":"2026-03-01","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
Gestational PBDE concentrations and functional connectivity in adolescents: The HOME Study 孕期多溴二苯醚浓度与青少年的功能连接:HOME研究
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1016/j.ijheh.2026.114745
Jonathan Dudley , Kimberly Yolton , Alex D. Edmondson , Yingying Xu , Aimin Chen , Jeffrey R. Strawn , Joseph M. Braun , Andreas Sjodin , Bruce P. Lanphear , Kim M. Cecil

Background

Gestational polybrominated diphenyl ethers (PBDE) exposure is linked with adverse neurobehavioral outcomes in children, but scientists do not fully understand how these flame retardants damage the developing brain.

Objective

We estimated the association of gestational PBDE serum concentrations and intrinsic functional connectivity in 143 adolescents from the Health Outcomes and Measures of the Environment (HOME) Study, a prospective pregnancy and birth cohort enrolling from 2003 to 2006.

Methods

We measured maternal serum concentrations of five PBDE congeners and created a summary variable (∑5BDE) during pregnancy. At age 12 years, we acquired high resolution anatomical and resting state functional magnetic resonance neuroimaging to examine the relationship between gestational concentrations and intrinsic functional connectivity, adjusting for covariates. We assessed behaviors, mental health symptoms, and executive function using self- and caregiver-reports. We examined whether functional connectivity patterns mediated the observed associations between gestational PBDE concentrations and neurobehavioral outcomes.

Results

Higher gestational BDE-153 serum concentrations were associated with higher local correlation in the left inferior lateral occipital cortex. Higher gestational PBDE serum concentrations (BDE-28, -47, −99, −100, and the ∑5BDE) were associated with reduced global correlation in the primary visual cortex. Seed-to-voxel connectivity patterns showed significant mediation for associations between ∑5BDE and neurobehavioral outcomes.

Discussion

Higher gestational PBDE serum concentrations were associated with diminished connectivity in the primary visual cortex. Connectivity patterns also mediated the relationship between gestational ∑5BDE concentrations and neurobehavioral outcomes at age 12. These findings suggest that gestational PBDE exposure alters how the brain processes visual information across global networks.
妊娠期接触多溴联苯醚(PBDE)与儿童不良的神经行为结果有关,但科学家们并不完全了解这些阻燃剂是如何损害发育中的大脑的。目的:我们从健康结局和环境测量(HOME)研究中估计143名青少年妊娠期多溴二苯醚血清浓度与内在功能连通性的关系,这是一项2003年至2006年纳入的前瞻性妊娠和出生队列研究。方法测定孕妇妊娠期间5种多溴二苯醚同系物的血清浓度,并建立汇总变量∑5BDE。在12岁时,我们获得了高分辨率解剖和静息状态功能磁共振神经成像,以检查妊娠浓度与内在功能连通性之间的关系,并调整了协变量。我们使用自我报告和照顾者报告来评估行为、心理健康症状和执行功能。我们研究了功能连接模式是否介导了妊娠多溴二苯醚浓度与神经行为结果之间的关联。结果妊娠期血清BDE-153浓度增高与左侧下外侧枕皮质局部相关性增高有关。较高的妊娠期血清PBDE浓度(BDE-28、-47、- 99、- 100和∑5BDE)与初级视觉皮层整体相关性降低相关。种子-体素连接模式表明∑5BDE与神经行为结果之间存在显著的关联。妊娠期较高的多溴二苯醚血清浓度与初级视觉皮层连通性下降有关。连接模式还介导了妊娠期∑5BDE浓度与12岁时神经行为结果的关系。这些发现表明,孕期接触多溴二苯醚会改变大脑在全球网络中处理视觉信息的方式。
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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 : 2026-03-01 Epub 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(
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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 : 2026-03-01 Epub 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。
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引用次数: 0
期刊
International journal of hygiene and environmental health
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