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Predictors of household drinking water E. coli contamination: Population-based results from rural areas of Ghana, Malawi, Mozambique, Niger, Rwanda, Uganda, and Zambia 家庭饮用水大肠杆菌污染的预测因素:加纳、马拉维、莫桑比克、尼日尔、卢旺达、乌干达和赞比亚农村地区基于人口的结果。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-10 DOI: 10.1016/j.ijheh.2024.114507
Audrey R. Yang , James M. Bowling , Camille E. Morgan , Jamie Bartram , Georgia L. Kayser

Background

In sub-Saharan Africa, rural areas have lower rates of access to safe drinking water compared to urban areas. We investigated predictors of Escherichia coli contamination in drinking water of rural households in Ghana, Malawi, Mozambique, Niger, Rwanda, Uganda, and Zambia.

Methods

We used a population-based, cluster randomized sampling design to select rural households in each country. Household interviews on water access, sanitation, and hygiene (WaSH) practices and demographic characteristics were conducted and water samples from every fifth household were collected and enumerated for E. coli. Negative binomial regression models with survey sampling weights were run to evaluate predictors of E. coli contamination.

Results

A total of 18,747 rural household surveys (2,378–2,804 per country) were conducted and a total of 3,848 water samples (460–660 per country) were collected. Of surveyed rural households, 61–78% of households had high (11–100 E. coli cfu/100 mL) or very high (>100 cfu/100 mL) risk water quality in Ghana, Niger, and Uganda. Statistically significant WaSH predictors associated with lower E. coli incidence rates included using an improved-type primary water source (Mozambique), storing water in a narrow-mouthed container or container with a spigot (Niger), having continuous water supply during the dry season (Ghana), paying for water service (Rwanda), having soap or ash at handwashing points (Mozambique), having an improved-type household sanitation facility (Malawi), and attaining an education level greater than primary school (Niger and Zambia).

Conclusion

This study highlights the variability in WaSH access between rural areas of the study countries in association with microbial drinking water quality.
背景:在撒哈拉以南非洲,与城市地区相比,农村地区获得安全饮用水的比例较低。我们调查了加纳、马拉维、莫桑比克、尼日尔、卢旺达、乌干达和赞比亚农村家庭饮用水中大肠杆菌污染的预测因素。方法:我们采用以人口为基础的整群随机抽样设计,在每个国家选择农村家庭。进行了关于水获取、环境卫生和个人卫生(WaSH)做法和人口特征的家庭访谈,并从每五户家庭收集水样并枚举大肠杆菌。采用调查抽样权的负二项回归模型评价大肠杆菌污染的预测因子。结果:共进行了18747次农村住户调查(每个国家2378 - 2804次),共收集了3848份水样(每个国家460-660份)。在接受调查的加纳、尼日尔和乌干达农村家庭中,61-78%的家庭存在高(11-100 cfu/100 mL)或非常高(100 -100 cfu/100 mL)风险水质。与大肠杆菌发病率较低相关的具有统计意义的WaSH预测因素包括:使用改进型主要水源(莫桑比克)、将水储存在窄口容器或带水龙头的容器中(尼日尔)、在旱季有连续供水(加纳)、支付水服务费用(卢旺达)、在洗手点有肥皂或灰(莫桑比克)、拥有改进型家庭卫生设施(马拉维)、达到小学以上的教育水平(尼日尔和赞比亚)。结论:本研究强调了研究国家农村地区之间WaSH获取的可变性与微生物饮用水质量的关系。
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引用次数: 0
Per- and polyfluoroalkyl substances in paired serum and breastmilk samples among pregnant farmworkers in Thailand 泰国怀孕农场工人配对血清和母乳样本中的全氟烷基和多氟烷基物质。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-07 DOI: 10.1016/j.ijheh.2024.114509
Stephanie M. Eick , Neha Sehgal , Amina Salamova , Nancy Fiedler , Robert B. Hood , Volha Yakimavets , Nattawadee Promkam , Tippawan Prapamontol , Panrapee Suttiwan , Supattra Sittiwang , Ampica Mangklabruks , Warangkana Naksen , Parinya Panuwet , Dana Boyd Barr
Per- and polyfluoroalkyl substances (PFAS) are widely detected in pregnant persons and can be transferred to the developing fetus in utero. Breastfeeding may represent an important source of PFAS exposure for infants. However, studies quantifying levels of PFAS in breastmilk samples remain scarce, particularly in low- and middle-income countries. We examined breastmilk as a postnatal PFAS exposure source among mother-infant pairs in Thailand. Pregnant farmworkers were enrolled in the Study of Asian Women and their Offspring's Development and Environmental Exposures (SAWASDEE), a prospective birth cohort in Northern Thailand, between 2017 and 2019. We quantified levels of eight PFAS in maternal serum samples obtained during the second trimester, as well as in breastmilk samples obtained at 9.5 months and 11.5 months in infancy (N = 46 matched pairs). For each PFAS, we calculated lactational (serum to milk) transfer efficiencies and lactational estimated daily intake. PFOA, PFOS PFHxS, PFNA, PFDA, and PFUnDA were detected in >90% of serum samples. PFOS was detected in >60% of breastmilk samples obtained at 9.5 and 11.5 months, while PFNA was detected in >50% of 9.5-month breastmilk samples only. All remaining PFAS were detected in <50% of breastmilk samples. The lactational transfer efficiency for PFOS was 7.03% (SD = 5.78) and 5.83% (SD = 5.21) at 9.5 and 11.5 months, respectively. The lactational estimated daily intake for PFOS was 12.1 ng/kg bodyweight/day (SD = 5.49) and 10 ng/kg bodyweight/day (SD = 6.22) at 9.5 and 11.5 months, respectively. For PFNA, the lactational transfer efficiency and estimated daily intake at 9.5 months was 14.7% (SD = 14.3) and 6.14% (SD = 3.40), respectively. Within one of the first PFAS biomonitoring studies conducted in Thailand, we found that legacy PFAS were widely detected in serum, and some compounds were also detected in breastmilk of farmworkers. This study provides new evidence enhancing our understanding of postnatal exposure to PFAS.
全氟烷基和多氟烷基物质(PFAS)在孕妇体内被广泛检测到,并可转移到子宫内发育中的胎儿体内。母乳喂养可能是婴儿接触PFAS的一个重要来源。然而,量化母乳样本中PFAS水平的研究仍然很少,特别是在低收入和中等收入国家。我们在泰国的母婴对中检查了母乳作为产后PFAS暴露源。怀孕的农场工人在2017年至2019年期间参加了亚洲妇女及其后代发育和环境暴露研究(SAWASDEE),这是泰国北部的一个前瞻性出生队列。我们量化了在妊娠中期获得的母体血清样本中8种PFAS的水平,以及在婴儿9.5个月和11.5个月获得的母乳样本(N = 46对配对)。对于每个PFAS,我们计算了泌乳(血清到乳)转移效率和泌乳估计日摄入量。血清样品中PFOA、PFOS、PFHxS、PFNA、PFDA和PFUnDA的检出率为50% ~ 90%。在9.5个月和11.5个月的母乳样本中,有60%的母乳样本检测到全氟辛烷磺酸,而在9.5个月的母乳样本中,只有50%的母乳样本检测到全氟辛烷磺酸。所有剩余PFAS均在
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引用次数: 0
The role of greenspace in vitamin D status: cross-sectional, observational evidence from the UK Biobank 绿色空间在维生素D状态中的作用:来自英国生物银行的横断面观察证据。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-06 DOI: 10.1016/j.ijheh.2024.114502
Chinonso Christian Odebeatu , Darsy Darssan , Joana A. Revez , Charlotte Roscoe , Phu Do , Simon Reid , Nicholas J. Osborne

Background

Exposure to greenspace is associated with positive health outcomes. This relationship is poorly understood, with limited knowledge on the mechanisms through which greenspace affects health, including biomarkers of greenspace effects.

Methods

We used data from the UK Biobank to examine the cross-sectional association between greenspace exposure and serum 25-hydroxyvitamin D [25(OH)D]. Greenspace was assessed in a 300- and 1000-m buffer of land cover around each participant's home location, while 25(OH)D was measured by chemiluminescent immunoassay. We used multinomial regression models accounting for individual and area-level covariates. Additionally, we conducted mediation analysis by physical activity and time spent outdoors and performed various stratifications and sensitivity analyses.

Results

A total of 443 810 participants (mean age: 56.51 [SD: 8.1] years, 53.6% females) were included in the study. Compared to the first quartile (within 1000 m buffer of participants’ home locations), we found positive associations between the highest quartile of greenspace and insufficient (OR: 1.16, 95% CI: 1.11, 1.21) and sufficient 25(OH)D (OR: 1.36, 95% CI: 1.30, 1.42) categories after adjusting for individual- and areal-level covariates. Other quartiles showed similar but smaller effect estimates. The observed association exhibited similar directionality when a 300 m buffer was used, and was more pronounced among males, and most deprived individuals. Physical activity and time spent outdoors partially explained the relationship between greenspace quartiles and sufficient serum 25(OH)D.

Conclusion

We found positive associations between greenspace quartiles and serum 25(OH)D categories. This has implications for greening policies aimed at reducing vitamin D deficiency through controlled sun exposure.
背景:接触绿色空间与积极的健康结果有关。人们对这种关系知之甚少,对绿色空间影响健康的机制(包括绿色空间效应的生物标志物)了解有限。方法:我们使用来自UK Biobank的数据来检查绿地暴露与血清25-羟基维生素D [25(OH)D]之间的横断面关联。在每个参与者家周围300米和1000米的土地覆盖缓冲区中评估绿色空间,而25(OH)D则通过化学发光免疫分析法测量。我们使用多项回归模型来考虑个体和区域水平的协变量。此外,我们通过身体活动和户外活动时间进行了中介分析,并进行了各种分层和敏感性分析。结果:共纳入43810名参与者(平均年龄56.51 [SD: 8.1]岁,53.6%为女性)。与第一个四分位数(在参与者家位置的1000米缓冲范围内)相比,我们发现在调整个体和区域水平协变量后,绿色空间的最高四分位数与不足(OR: 1.16, 95% CI: 1.11, 1.21)和充足的25(OH)D (OR: 1.36, 95% CI: 1.30, 1.42)类别之间存在正相关。其他四分位数显示了类似但较小的影响估计。当使用300米缓冲区时,观察到的关联表现出类似的方向性,并且在雄性和大多数贫困个体中更为明显。体力活动和户外活动时间部分解释了绿地四分位数与血清25(OH)D充足之间的关系。结论:我们发现绿地四分位数与血清25(OH)D类别呈正相关。这对旨在通过控制阳光照射减少维生素D缺乏症的绿化政策具有启示意义。
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引用次数: 0
Assessing occupational styrene exposure in the European and US Glass Reinforced Plastics Industry for the period between 1947 and 2020 评估1947年至2020年期间欧洲和美国玻璃增强塑料工业的职业苯乙烯暴露。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-05 DOI: 10.1016/j.ijheh.2024.114494
Yvette Christopher-de Vries , Igor Burstyn , Mette Wulf Christensen , Hilde Notø , Kurt Straif , Eero Pukkala , Vivi Schlünssen , Stephen Bertke , Martie van Tongeren , Henrik A. Kolstad , Damien McElvenny , Ioannis Basinas

Background

We aimed to develop a method for assessing occupational styrene exposures for application in epidemiological studies on risks of lymphohematopoietic neoplasms and other malignant and non-malignant diseases in the European and the US glass reinforced plastics industries.

Method

We estimated a linear mixed effects model based on individual airborne personal measurements of styrene from the glass reinforced plastics industry in Denmark, Norway, Sweden, UK, and the US. The most suitable model was chosen based on its predictive power as assessed using cross validation with different combinations of predictors; and by comparing their prediction errors.

Results

We created a database containing 21,201 personal and area measurements but a subset of 14,440 personal measurements that spanned a period from 1962 to 2018, were used in the analysis. The selected model included fixed effects for year, sampling duration, measurement reason, product, process and random effects for country and worker. There was strong agreement between the model's predictions and actual exposure values indicating a good fit (Lin's CCC: 0.85 95% CI 0.84, 0.85). There were regional differences in exposure levels, with the UK and the US having comparable exposures that were higher than those in the Nordic countries. Higher exposures were consistent with measurements collected for inspection purposes, the lamination process, and specific products. Styrene exposure levels have decreased annually on average by 7%.

Conclusion

Our exposure model and the resulting exposure predictions will enable estimation of lifetime occupational exposure for individual workers in the European and the US glass reinforced plastics industry and possibly related health risks among employees. The approach facilitates understanding of the uncertainty in our prediction model and can inform analysis of the bias that application of our exposure assessment approach can produce in epidemiologic analyses of exposure-response associations. Addressing systematic sources of bias can increase confidence in the conclusions of the epidemiologic analysis.
背景:我们旨在开发一种评估职业苯乙烯暴露的方法,用于欧洲和美国玻璃钢工业中淋巴造血肿瘤和其他恶性和非恶性疾病风险的流行病学研究。方法:我们根据丹麦、挪威、瑞典、英国和美国玻璃增强塑料工业中苯乙烯的个人空气测量数据估计了一个线性混合效应模型。通过交叉验证对不同预测因子组合的预测能力进行评估,选择最合适的模型;通过比较他们的预测误差。结果:我们创建了一个包含21,201个个人和区域测量数据的数据库,但分析中使用了1962年至2018年期间14,440个个人测量数据的子集。所选模型包括年份、采样时间、测量原因、产品、过程的固定效应和国家、工人的随机效应。模型的预测和实际暴露值之间有很强的一致性,表明拟合良好(Lin’s CCC: 0.85 95% CI 0.84, 0.85)。暴露水平存在地区差异,英国和美国的暴露水平高于北欧国家。较高的暴露量与为检验目的、层压过程和特定产品而收集的测量值一致。苯乙烯暴露水平平均每年下降7%。结论:我们的暴露模型和由此产生的暴露预测将能够估计欧洲和美国玻璃钢行业个体工人的终身职业暴露以及员工可能存在的相关健康风险。该方法有助于理解我们的预测模型中的不确定性,并可以为应用我们的暴露评估方法在暴露-反应关联的流行病学分析中可能产生的偏差分析提供信息。解决系统的偏倚来源可以增加对流行病学分析结论的信心。
{"title":"Assessing occupational styrene exposure in the European and US Glass Reinforced Plastics Industry for the period between 1947 and 2020","authors":"Yvette Christopher-de Vries ,&nbsp;Igor Burstyn ,&nbsp;Mette Wulf Christensen ,&nbsp;Hilde Notø ,&nbsp;Kurt Straif ,&nbsp;Eero Pukkala ,&nbsp;Vivi Schlünssen ,&nbsp;Stephen Bertke ,&nbsp;Martie van Tongeren ,&nbsp;Henrik A. Kolstad ,&nbsp;Damien McElvenny ,&nbsp;Ioannis Basinas","doi":"10.1016/j.ijheh.2024.114494","DOIUrl":"10.1016/j.ijheh.2024.114494","url":null,"abstract":"<div><h3>Background</h3><div>We aimed to develop a method for assessing occupational styrene exposures for application in epidemiological studies on risks of lymphohematopoietic neoplasms and other malignant and non-malignant diseases in the European and the US glass reinforced plastics industries.</div></div><div><h3>Method</h3><div>We estimated a linear mixed effects model based on individual airborne personal measurements of styrene from the glass reinforced plastics industry in Denmark, Norway, Sweden, UK, and the US. The most suitable model was chosen based on its predictive power as assessed using cross validation with different combinations of predictors; and by comparing their prediction errors.</div></div><div><h3>Results</h3><div>We created a database containing 21,201 personal and area measurements but a subset of 14,440 personal measurements that spanned a period from 1962 to 2018, were used in the analysis. The selected model included fixed effects for year, sampling duration, measurement reason, product, process and random effects for country and worker. There was strong agreement between the model's predictions and actual exposure values indicating a good fit (Lin's CCC: 0.85 95% CI 0.84, 0.85). There were regional differences in exposure levels, with the UK and the US having comparable exposures that were higher than those in the Nordic countries. Higher exposures were consistent with measurements collected for inspection purposes, the lamination process, and specific products. Styrene exposure levels have decreased annually on average by 7%.</div></div><div><h3>Conclusion</h3><div>Our exposure model and the resulting exposure predictions will enable estimation of lifetime occupational exposure for individual workers in the European and the US glass reinforced plastics industry and possibly related health risks among employees. The approach facilitates understanding of the uncertainty in our prediction model and can inform analysis of the bias that application of our exposure assessment approach can produce in epidemiologic analyses of exposure-response associations. Addressing systematic sources of bias can increase confidence in the conclusions of the epidemiologic analysis.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114494"},"PeriodicalIF":4.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792679","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
The association of prenatal volatile organic compounds exposure and newborn anthropometrics: A cross-sectional study 产前挥发性有机化合物暴露与新生儿人体测量的关系:一项横断面研究。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-12-03 DOI: 10.1016/j.ijheh.2024.114493
Tal Michael , Ido Solt , Sharon Daniel , Amalia Levy , Ori Hochwald , Liron Borenstein-Levin , Ariela Hazan , Matitiahu Berkovitch , Anna Brik , Adi Malkoff Rabin , Moshe Betser , Miki Moskovich , Ayelet Livne , Rimona Keidar , Frieda Schwartsburd , Zeev Weiner , Elkana Kohn

Background

Several studies have associated prenatal exposure to volatile organic compounds (VOCs) with adverse health outcomes among newborns. However, little is known about the associations of VOCs at relatively low concentrations with newborn outcomes. Hence, this study aimed to investigate the potential associations between prenatal exposure to VOCs and VOC mixtures with newborn anthropometric measures.

Methods

In this cross-sectional study, 883 mother–term infant pairs who lived in urban areas in Israel and were admitted to the delivery rooms of two major hospitals between 2016 and 2020 were recruited. Associations between VOC metabolites detected in maternal urine samples on the day of delivery with weight, length, and head circumference at birth were estimated using single-exposure linear models and weighted quantile sum (WQS) approach.

Results

Toluene, ethylbenzene/styrene, and xylene metabolites were detected in most samples at levels comparable to OECD populations. In male newborns, higher levels of phenylglyoxylic acid (PGA), a metabolite of ethylbenzene/styrene, were associated with lower birth weight (β = −0.08, 95% CI: 0.14, −0.01; P = 0.03). WQS models suggested PGA as the most prominent contributor to this association.

Conclusion

This study suggests that moderate exposure to ethylbenzene/styrene may be associated with reduced birth weight in male newborns. The sex-specific finding requires further research for the potential endocrine-disrupting mechanisms of these compounds. While the effect size was small, these results highlight the need to better understand the associations of frequent VOC exposures in levels similar to those common in OECD countries with fetal and child development.
背景:一些研究将产前暴露于挥发性有机化合物(VOCs)与新生儿的不良健康结局联系起来。然而,对于相对较低浓度的VOCs与新生儿结局的关系,人们知之甚少。因此,本研究旨在调查产前暴露于VOC和VOC混合物与新生儿人体测量之间的潜在关联。方法:在这项横断面研究中,招募了2016年至2020年在以色列两家主要医院的产房入住的883对居住在城市地区的母月儿。使用单次暴露线性模型和加权分位数和(WQS)方法估计分娩当天母体尿液样本中检测到的VOC代谢物与出生时体重、身长和头围之间的关系。结果:在大多数样品中检测到的甲苯、乙苯/苯乙烯和二甲苯代谢物的水平与经合组织人群相当。在男性新生儿中,较高水平的苯乙苯/苯乙烯代谢物苯乙醛酸(PGA)与较低的出生体重相关(β = -0.08, 95% CI: 0.14, -0.01;p = 0.03)。WQS模型表明PGA是这种关联的最突出贡献者。结论:本研究提示,中度接触乙苯/苯乙烯可能与男性新生儿出生体重降低有关。性别特异性的发现需要进一步研究这些化合物潜在的内分泌干扰机制。虽然影响大小很小,但这些结果强调需要更好地了解频繁接触与经合组织国家类似水平的VOC与胎儿和儿童发育的关系。
{"title":"The association of prenatal volatile organic compounds exposure and newborn anthropometrics: A cross-sectional study","authors":"Tal Michael ,&nbsp;Ido Solt ,&nbsp;Sharon Daniel ,&nbsp;Amalia Levy ,&nbsp;Ori Hochwald ,&nbsp;Liron Borenstein-Levin ,&nbsp;Ariela Hazan ,&nbsp;Matitiahu Berkovitch ,&nbsp;Anna Brik ,&nbsp;Adi Malkoff Rabin ,&nbsp;Moshe Betser ,&nbsp;Miki Moskovich ,&nbsp;Ayelet Livne ,&nbsp;Rimona Keidar ,&nbsp;Frieda Schwartsburd ,&nbsp;Zeev Weiner ,&nbsp;Elkana Kohn","doi":"10.1016/j.ijheh.2024.114493","DOIUrl":"10.1016/j.ijheh.2024.114493","url":null,"abstract":"<div><h3>Background</h3><div>Several studies have associated prenatal exposure to volatile organic compounds (VOCs) with adverse health outcomes among newborns. However, little is known about the associations of VOCs at relatively low concentrations with newborn outcomes. Hence, this study aimed to investigate the potential associations between prenatal exposure to VOCs and VOC mixtures with newborn anthropometric measures.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 883 mother–term infant pairs who lived in urban areas in Israel and were admitted to the delivery rooms of two major hospitals between 2016 and 2020 were recruited. Associations between VOC metabolites detected in maternal urine samples on the day of delivery with weight, length, and head circumference at birth were estimated using single-exposure linear models and weighted quantile sum (WQS) approach.</div></div><div><h3>Results</h3><div>Toluene, ethylbenzene/styrene, and xylene metabolites were detected in most samples at levels comparable to OECD populations. In male newborns, higher levels of phenylglyoxylic acid (PGA), a metabolite of ethylbenzene/styrene, were associated with lower birth weight (β = −0.08, 95% CI: 0.14, −0.01; P = 0.03). WQS models suggested PGA as the most prominent contributor to this association.</div></div><div><h3>Conclusion</h3><div>This study suggests that moderate exposure to ethylbenzene/styrene may be associated with reduced birth weight in male newborns. The sex-specific finding requires further research for the potential endocrine-disrupting mechanisms of these compounds. While the effect size was small, these results highlight the need to better understand the associations of frequent VOC exposures in levels similar to those common in OECD countries with fetal and child development.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"264 ","pages":"Article 114493"},"PeriodicalIF":4.5,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782246","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
Pyrethroid exposure biomarker 3-phenoxybenzoic acid (3-PBA) binds to transthyretin and is positively associated with free T3 in pregnant women 拟除虫菊酯暴露生物标志物3-苯氧苯甲酸(3-PBA)与甲状腺转甲状腺素结合,并与孕妇游离T3呈正相关
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-30 DOI: 10.1016/j.ijheh.2024.114495
Stine Søgaard Normann , Yanying Ma , Helle Raun Andersen , Maria João Valente , Kostja Renko , Selina Arnold , Richard Christian Jensen , Marianne Skovsager Andersen , Anne Marie Vinggaard
Pyrethroids constitute a large group of insecticides widely used in agriculture, indoor environments, and in vector control. Structurally, pyrethroids resemble thyroid hormones, and have been suggested to be thyroid hormone disruptors based on experimental studies. During pregnancy, even minor disturbances in maternal levels can affect fetal brain development. Therefore, we aimed to investigate whether three commonly used pyrethroids and their common metabolite, 3-PBA, were able to trigger thyroid disrupting effects on thyroid hormone production and transport, activation or deactivation of thyroid hormones, recycling of iodine, or on iodide uptake into the thyroid. Furthermore, we investigated associations between urinary 3-PBA concentrations (as biomarker of pyrethroid exposure) and serum concentrations of thyroid hormones in early pregnancy in the large prospective Odense Child Cohort (OCC).
We found that the generic metabolite, 3-PBA, was capable of binding to transthyretin (TTR) at low concentrations, comparable to those reported in human cord blood. Among pregnant women in OCC, we found urinary 3-PBA concentrations to be positively associated with free triiodothyronine (fT3) serum levels. Displacement of thyroid hormones from TTR by pyrethroid exposure in early pregnancy may disturb the transplacental transport of thyroid hormones to the fetus during a very vulnerable window of development, including neural maturation. We did not find any evidence for thyroid disrupting effects in vitro for the three pyrethroids: Deltamethrin, α-cypermethrin, and etofenprox.
拟除虫菊酯是一大类杀虫剂,广泛用于农业、室内环境和病媒控制。在结构上,拟除虫菊酯类似于甲状腺激素,并且根据实验研究被认为是甲状腺激素干扰物。在怀孕期间,即使母体水平的轻微紊乱也会影响胎儿的大脑发育。因此,我们的目的是研究三种常用的拟除虫菊酯及其共同代谢物3-PBA是否能够对甲状腺激素的产生和运输、甲状腺激素的激活或失活、碘的再循环或甲状腺对碘的吸收产生甲状腺干扰作用。此外,我们在大型前瞻性欧登塞儿童队列(OCC)中研究了妊娠早期尿3-PBA浓度(作为拟除虫菊酯暴露的生物标志物)与血清甲状腺激素浓度之间的关系。我们发现,通用代谢物3-PBA能够在低浓度下与转甲状腺素(TTR)结合,与人类脐带血中报道的水平相当。在OCC孕妇中,我们发现尿中3-PBA浓度与血清游离三碘甲状腺原氨酸(fT3)水平呈正相关。妊娠早期接触拟除虫菊酯导致甲状腺激素从TTR中转移,可能会干扰甲状腺激素在胎儿发育的一个非常脆弱的窗口期(包括神经成熟期)经胎盘转运到胎儿。我们没有发现任何证据表明三种拟除虫菊酯:溴氰菊酯、α-氯氰菊酯和乙醚菊酯在体外有甲状腺干扰作用。
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引用次数: 0
Human biomonitoring health-based guidance values: A case study of the HB2GV Dashboard and DEHP 人类生物监测健康指导值:HB2GV Dashboard 和 DEHP 案例研究
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-25 DOI: 10.1016/j.ijheh.2024.114490
Kristin Macey , Rosa Lange , Petra Apel , Devika Poddalgoda , Antonia M. Calafat , Marike Kolossa-Gehring , Judy S. LaKind , Lisa Jo Melnyk , Shoji F. Nakayama , Annie St-Amand , Tyler Pollock
In 2022, the International Society of Exposure Science (ISES) International Human Biomonitoring (i-HBM) Working Group launched a free, online repository of biomonitoring guidance values referred to as the Human Biomonitoring Health-Based Guidance Value (HB2GV) Dashboard. The goal of the Dashboard is to assist global human biomonitoring data users (e.g., risk assessors, risk managers) and human biomonitoring programs with a readily available compilation of guidance values for the general population. The Dashboard contains approximately 600 HB2GVs for over 150 chemicals or their metabolites. Although there are many different types of HB2GVs, most are Biomonitoring Equivalents (BEs), Human Biomonitoring (HBM-I and HBM-II) values, or Human Biomonitoring Guidance Values (HBM-GVs). For users new to human biomonitoring, understanding how the different types of HB2GVs are derived and how to interpret those values in the context of human biomonitoring data can be difficult. Therefore, there is a need to inform users of the differences among available guidance values and to help users identify the HB2GV that could be most suitable for their purposes. Here, we summarize the derivation of HB2GVs for a case study chemical, di-(2-ethylhexyl) phthalate (DEHP). We selected DEHP as there are 36 unique HB2GVs available from three of the most common types of guidance values (i.e., BE, HBM-I value, HBM-GV). We also compare the available HB2GVs with a focus on the differences among their derivation methods, relative quality and confidence, and interpretation. This case study provides guidance on the use of existing HB2GVs for health-based interpretation of human biomonitoring data that may be applied to other chemicals. As with any other type of guidance or regulatory value (e.g., RfDs, MRLs), thoughtful selection and use are strongly encouraged. Appropriately interpreting HBM data with the aid of guidance values can result in improved decision making which, ultimately, could lead to better protection of public health.
2022 年,国际暴露科学学会(ISES)国际人体生物监测(i-HBM)工作组推出了一个免费的在线生物监测指导值库,称为人体生物监测健康指导值(HB2GV)仪表板。Dashboard 的目标是协助全球人类生物监测数据用户(如风险评估员、风险管理员)和人类生物监测计划,随时提供普通人群的指导值汇编。Dashboard 包含 150 多种化学品或其代谢物的约 600 个 HB2GV。尽管 HB2GV 有许多不同类型,但大多数都是生物监测等值 (BE)、人体生物监测 (HBM-I 和 HBM-II) 值或人体生物监测指导值 (HBM-GV)。对于刚刚接触人类生物监测的用户来说,理解不同类型的 HB2GVs 是如何得出的,以及如何在人类生物监测数据的背景下解释这些值可能比较困难。因此,有必要让用户了解现有指导值之间的差异,并帮助用户识别最适合其目的的 HB2GV。在此,我们总结了邻苯二甲酸二(2-乙基己基)酯(DEHP)这一案例研究化学品的 HB2GV 值的推导过程。我们之所以选择 DEHP,是因为从三种最常见的指导值类型(即 BE 值、HBM-I 值、HBM-GV 值)中可获得 36 个独特的 HB2GV。我们还对现有的 HB2GV 进行了比较,重点关注其推导方法、相对质量和可信度以及解释之间的差异。本案例研究为如何使用现有的 HB2GV 对人类生物监测数据进行基于健康的解释提供了指导,这些指导可应用于其他化学品。与任何其他类型的指导或监管值(如 RfDs、MRLs)一样,强烈建议进行周到的选择和使用。借助指导值对人体生物监测数据进行适当解释,可以改进决策,最终更好地保护公众健康。
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引用次数: 0
Environmental exposures and fecundability: The Norwegian Mother, Father, and Child Cohort study 环境暴露与生育能力:挪威母亲、父亲和儿童队列研究。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-22 DOI: 10.1016/j.ijheh.2024.114492
Thea Grindstad , Siri E. Håberg , Olga Basso , Hans Ivar Hanevik , Ida H. Caspersen , Lise A. Arge , Cecilia Høst Ramlau-Hansen , Mikko Myrskyla , Maria C. Magnus
Previous studies have linked certain environmental exposures to reduced fecundability, influencing exposure recommendations. We continue to encounter numerous environmental exposures in our everyday lives, and further evidence is needed regarding their effects on fecundability. We evaluated associations between various self-reported environmental exposures and fecundability, measured as time to pregnancy, in 64,942 women and 53,219 men participating in the Norwegian Mother, Father, and Child Cohort study (MoBa). Women reported on 17, and men on 19, environmental exposures, including heavy metals, pesticides, paints, and radiation. Fecundability ratios (FR) were estimated using log-binomial regression, comparing likelihood of conception during a given menstrual cycle between exposed versus unexposed participants. About 50 % of women and 75 % of men reported minimum one environmental exposure. Exposure to any pesticide (FR 0.94 [95 % CI 0.91–0.98]), and frequent exposure to photographic chemicals (FR 0.84 [95 % CI: 0.73–0.96]), was associated with decreased fecundability in women. We also observed a tendency of a slightly higher fecundability among women and men exposed to disinfectants (FR 1.02 [95 % CI: 1.00–1.04] and 1.03 [95 % CI: 1.00–1.06], respectively). Our results suggests that exposure to pesticides and photographic chemicals could affect women's fecundability.
以往的研究已将某些环境暴露与受精能力下降联系起来,从而影响了暴露建议。我们在日常生活中仍会遇到许多环境暴露,因此需要进一步的证据来证明它们对受孕率的影响。我们对参加挪威母亲、父亲和儿童队列研究(MoBa)的 64942 名女性和 53219 名男性的各种自我报告的环境暴露与受孕率(以怀孕时间来衡量)之间的关系进行了评估。女性和男性分别报告了 17 项和 19 项环境暴露,包括重金属、杀虫剂、油漆和辐射。采用对数二项式回归法估算受孕率(FR),比较暴露与未暴露的参与者在特定月经周期中受孕的可能性。约 50% 的女性和 75% 的男性报告至少接触过一种环境。接触任何杀虫剂(FR 0.94 [95 % CI 0.91-0.98])和经常接触照相化学品(FR 0.84 [95 % CI: 0.73-0.96])与女性受孕率下降有关。我们还观察到,接触消毒剂的女性和男性受孕率略高(FR 分别为 1.02 [95 % CI:1.00-1.04] 和 1.03 [95 % CI:1.00-1.06])。我们的研究结果表明,接触杀虫剂和照相化学品可能会影响女性的受孕能力。
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引用次数: 0
Association between chronic long-term exposure to airborne dioxins and breast cancer 长期慢性接触空气中的二恶英与乳腺癌之间的关系。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-22 DOI: 10.1016/j.ijheh.2024.114489
Delphine Praud , Amina Amadou , Thomas Coudon , Margaux Duboeuf , Benoît Mercoeur , Elodie Faure , Lény Grassot , Aurélie MN. Danjou , Pietro Salizzoni , Florian Couvidat , Laure Dossus , Gianluca Severi , Francesca Romana Mancini , Béatrice Fervers
Breast cancer is the most common type of cancer among women. Environmental pollutants, specifically those with endocrine disrupting properties like dioxins, may impact breast cancer development. Current epidemiological studies on the association between exposure to dioxins and the risk of breast cancer show inconsistent results. To address these uncertainties, our objective was to investigate the impact of airborne dioxin exposure on breast cancer risk within the E3N cohort, encompassing 5222 cases identified during the 1990–2011 follow-up and 5222 matched controls. Airborne dioxin exposure was assessed using a Geographic Information System-based metric considering residential proximity to dioxin emitting sources, their technical characteristics, exposure duration and wind direction. Additional analyses were performed using dioxin concentrations estimated by a chemistry transport model, CHIMERE. The results suggest a slightly increased risk between cumulative dioxin exposure at the residential address and overall breast cancer risk (adjusted odds ratio (OR) = 1.03, 95% confidence interval (CI): 0.99–1.07, for a one standard deviation (SD) increment among controls (14.47 log-μg-TEQ/m2). The associations remained consistent for sources within 3, 5, and 10 km, and when restricting exposure to dioxin emissions from household waste incinerators. Similar OR estimates (OR = 1.02, 95% CI: 0.97–1.07, for a one SD increment) were obtained using the CHIMERE model. The findings of this study suggest the possibility of an increased risk of breast cancer associated with long-term residential exposure to dioxins and emphasize the importance of efforts to mitigate air pollution exposure.
乳腺癌是女性最常见的癌症类型。环境污染物,特别是二恶英等具有干扰内分泌特性的污染物,可能会影响乳腺癌的发病。目前关于二恶英暴露与乳腺癌风险之间关系的流行病学研究结果并不一致。为了解决这些不确定性,我们的目标是调查空气中二恶英暴露对 E3N 队列中乳腺癌风险的影响,该队列包括 1990-2011 年间发现的 5222 例病例和 5222 例匹配对照。我们使用基于地理信息系统的指标来评估空气中二恶英的暴露情况,该指标考虑了住宅与二恶英排放源的距离、二恶英排放源的技术特征、暴露持续时间和风向。此外,还利用化学迁移模型 CHIMERE 估算的二恶英浓度进行了其他分析。结果表明,居住地址的累积二恶英暴露量与总体乳腺癌风险之间的风险略有增加(调整后的几率比(OR)= 1.03,95% 置信区间(CI):0.99-1.07,对照组中一个标准差(14.47 log-μg-TEQ/m2 )的增量)。对于 3、5 和 10 千米范围内的污染源,以及将接触范围限制在生活垃圾焚烧炉排放的二恶英时,相关性保持一致。使用 CHIMERE 模型也得出了类似的 OR 估计值(OR = 1.02,95% CI:0.97-1.07,增量为 1 SD)。这项研究结果表明,长期在住宅中接触二恶英可能会增加罹患乳腺癌的风险,并强调了努力减少空气污染接触的重要性。
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引用次数: 0
Wastewater surveillance of Candida auris in Baltimore 巴尔的摩念珠菌废水监测。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-20 DOI: 10.1016/j.ijheh.2024.114486
Daniel A. Nwaubani, Rakshya Baral, Tamunobelema Solomon, Oladele Idris, Samendra P. Sherchan
Candida auris (C. auris), an opportunistic fungus causing disease, poses a growing global health concern due to its significant mortality rate, resistance to antifungal treatment, and ability to persist in healthcare settings. Over a span of 47 weeks, untreated wastewater samples were regularly gathered from two wastewater treatment plants (referred to as WWTP-A and WWTP-B) in Baltimore, from July 27, 2022, to June 23, 2023. Throughout the study period, 110 primary influent (PI) samples were collected from both WWTP-A and WWTP-B. A quantitative polymerase chain reaction (qPCR) method was used to analyze C. auris captured on filters (0.45 μm) from these samples. Positive C. auris detection (11.81%) occurred in the influent samples, with a higher frequency of detection in WWTP-B. Influent wastewater concentrations ranged from 1.2 to 7.9 log10 gene copies per liter (gc/L). Interestingly, seasonal analysis showed that C. auris presence in wastewater was more pronounced during the spring season, indicating a sustained existence of the pathogen as seasons changed. Integration of wastewater surveillance and clinical data reveals temporal correlations in C. auris dynamics. The resulting Pearson correlation coefficient of 0.27 reveals a weak positive correlation between the number of new C. auris cases in Baltimore and the quantity of detected gene copies in wastewater. This study marks the first instance of detecting C. auris in Baltimore's wastewater. The results emphasize that wastewater monitoring could serve as an additional early warning tool for anticipating and managing future outbreaks of C. auris.
白色念珠菌(C. auris)是一种机会性致病真菌,由于其致死率高、对抗真菌治疗具有抗药性以及能够在医疗环境中持续存在,它已成为一个日益严重的全球健康问题。在 2022 年 7 月 27 日至 2023 年 6 月 23 日的 47 周时间里,巴尔的摩的两家污水处理厂(分别称为 WWTP-A 和 WWTP-B)定期收集未经处理的废水样本。在整个研究期间,从污水处理厂-A 和污水处理厂-B 收集了 110 份一次进水 (PI) 样本。采用定量聚合酶链式反应 (qPCR) 方法分析从这些样本的过滤器(0.45 μm)上捕获的 C. auris。在进水样本中检测到阳性的 C. auris(11.81%),在污水处理厂 B 中检测到的频率较高。进水废水的浓度范围为 1.2 至 7.9 log10 基因拷贝/升(gc/L)。有趣的是,季节性分析表明,废水中的阿氏杆菌在春季更为明显,这表明随着季节的变化,病原体会持续存在。废水监测与临床数据的整合揭示了 C. auris 动态的时间相关性。由此得出的皮尔逊相关系数为 0.27,表明巴尔的摩市新发现的阿氏杆菌病例数与废水中检测到的基因拷贝数之间存在微弱的正相关关系。这项研究标志着首次在巴尔的摩的废水中检测到 C. auris。研究结果表明,废水监测可作为一种额外的预警工具,用于预测和管理未来爆发的阿氏杆菌疫情。
{"title":"Wastewater surveillance of Candida auris in Baltimore","authors":"Daniel A. Nwaubani,&nbsp;Rakshya Baral,&nbsp;Tamunobelema Solomon,&nbsp;Oladele Idris,&nbsp;Samendra P. Sherchan","doi":"10.1016/j.ijheh.2024.114486","DOIUrl":"10.1016/j.ijheh.2024.114486","url":null,"abstract":"<div><div><em>Candida auris (C. auris)</em>, an opportunistic fungus causing disease, poses a growing global health concern due to its significant mortality rate, resistance to antifungal treatment, and ability to persist in healthcare settings. Over a span of 47 weeks, untreated wastewater samples were regularly gathered from two wastewater treatment plants (referred to as WWTP-A and WWTP-B) in Baltimore, from July 27, 2022, to June 23, 2023. Throughout the study period, 110 primary influent (PI) samples were collected from both WWTP-A and WWTP-B. A quantitative polymerase chain reaction (qPCR) method was used to analyze <em>C. auris</em> captured on filters (0.45 μm) from these samples. Positive <em>C. auris</em> detection (11.81%) occurred in the influent samples, with a higher frequency of detection in WWTP-B. Influent wastewater concentrations ranged from 1.2 to 7.9 log10 gene copies per liter (gc/L). Interestingly, seasonal analysis showed that <em>C. auris</em> presence in wastewater was more pronounced during the spring season, indicating a sustained existence of the pathogen as seasons changed. Integration of wastewater surveillance and clinical data reveals temporal correlations in <em>C. auris</em> dynamics. The resulting Pearson correlation coefficient of 0.27 reveals a weak positive correlation between the number of new <em>C. auris</em> cases in Baltimore and the quantity of detected gene copies in wastewater. This study marks the first instance of detecting <em>C. auris</em> in Baltimore's wastewater. The results emphasize that wastewater monitoring could serve as an additional early warning tool for anticipating and managing future outbreaks of <em>C. auris</em>.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"263 ","pages":"Article 114486"},"PeriodicalIF":4.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690098","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
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International journal of hygiene and environmental health
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