In several industrialized countries, there has been a report of a decrease in the proportion of male births. The current study is designed to perform a systematic review and present a comprehensive summary of current epidemiological evidence of an association between exposure to the mentioned pollutants and sex ratio. The present systematic review was executed according to the PRISMA protocol. A comprehensive online search was performed in PubMed Medline, Scopus, Web of Science, Embase databases, Google Scholar, and the World Health Organization databases from 2000 to September 2023. After searching all databases, 20 articles were included in this systematic review. Regarding the studied pollutants found that exposure to increased PM10, PM2.5, and Nitrogen dioxide (NO2) levels was significantly associated with the sex ratio. Both maternal Benzophenone (BP)-2 and paternal BP-2 were significantly associated with an excess of female births. Finally, it must be said that the effect of some environmental pollutants on the sex ratio is undeniable. However, the sex ratio is the result of multiple factors that interact simultaneously during pregnancy. Additional research is required to examine the mechanisms responsible for the change in sex ratio.
在几个工业化国家,有报告说,男婴出生的比例有所下降。目前的研究旨在进行系统审查,并对暴露于上述污染物与性别比之间存在关联的现有流行病学证据进行全面总结。本系统评价是根据PRISMA方案进行的。从2000年到2023年9月,在PubMed Medline、Scopus、Web of Science、Embase数据库、谷歌Scholar和世界卫生组织数据库中进行了全面的在线搜索。在检索所有数据库后,本系统综述纳入了20篇文章。关于所研究的污染物,发现暴露于增加的PM10、PM2.5和二氧化氮(NO2)水平与性别比例显著相关。母亲的二苯甲酮(BP)-2和父亲的BP-2都与过量的女婴有关。最后,必须说一些环境污染物对性别比的影响是不可否认的。然而,性别比例是怀孕期间多种因素同时相互作用的结果。需要进一步的研究来检查造成性别比例变化的机制。
{"title":"Evaluation of the impact of environmental pollutants on the sex ratio: a systematic review.","authors":"Behnam Azizi, Esmail Najafi, Vahideh Aghamohammadi, Khadijeh Nasiri, Hamed Rezakhani Moghadam, Hadi Bazyar, Amin Hosseini, Elahe Sharifi, Fatemeh Salari","doi":"10.1515/reveh-2024-0046","DOIUrl":"10.1515/reveh-2024-0046","url":null,"abstract":"<p><p>In several industrialized countries, there has been a report of a decrease in the proportion of male births. The current study is designed to perform a systematic review and present a comprehensive summary of current epidemiological evidence of an association between exposure to the mentioned pollutants and sex ratio. The present systematic review was executed according to the PRISMA protocol. A comprehensive online search was performed in PubMed Medline, Scopus, Web of Science, Embase databases, Google Scholar, and the World Health Organization databases from 2000 to September 2023. After searching all databases, 20 articles were included in this systematic review. Regarding the studied pollutants found that exposure to increased PM<sub>10</sub>, PM<sub>2.5</sub>, and Nitrogen dioxide (NO<sub>2</sub>) levels was significantly associated with the sex ratio. Both maternal Benzophenone (BP)-2 and paternal BP-2 were significantly associated with an excess of female births. Finally, it must be said that the effect of some environmental pollutants on the sex ratio is undeniable. However, the sex ratio is the result of multiple factors that interact simultaneously during pregnancy. Additional research is required to examine the mechanisms responsible for the change in sex ratio.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"417-426"},"PeriodicalIF":3.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22Print Date: 2025-06-26DOI: 10.1515/reveh-2024-0111
Su Ji Heo, Nalae Moon, Ju Hee Kim
Plastic waste enters the oceans and soil and is consumed by organisms and humans. Some of the ingested microplastics may remain in the human body and cause toxicity. We conducted a systematic review to estimate the extent to which humans are exposed to microplastics through consumption and performed a quality assessment of research results. We searched for studies published up to December 2023 and included studies that reported on the characteristics and estimated intake of microplastics. The quality assessment tool reported in previous studies was used for food and drinking water studies. We included 76 studies in the analysis, and the types of foods were classified into seven categories: seafood, drinking water, table salt, fruits and vegetables, beverages, condiments, and meat. The estimated daily intake of microplastics via food was 0.0002-1,531,524 MP/day, with the highest value in bottled water. The quality of food and drinking water studies was evaluated using a quantitative tool to assess reliability. The quality of food studies was 11.50 out of 20 points and the quality of drinking water studies was 11.16 out of 19 points. These results indicate that the closer the score is to the maximum, the more reliable the research findings. The quantitative assessment can be used as an indicator for evaluating the risks of microplastics and can help reduce biases that may occur during the research process. This study confirmed microplastics in foods and human exposure to up to one million microplastics daily. Our study emphasizes the potential for microplastic exposure through food intake and subsequent accumulation in the human body; therefore, efforts are needed to reduce exposure to microplastics in daily life.
{"title":"A systematic review and quality assessment of estimated daily intake of microplastics through food.","authors":"Su Ji Heo, Nalae Moon, Ju Hee Kim","doi":"10.1515/reveh-2024-0111","DOIUrl":"10.1515/reveh-2024-0111","url":null,"abstract":"<p><p>Plastic waste enters the oceans and soil and is consumed by organisms and humans. Some of the ingested microplastics may remain in the human body and cause toxicity. We conducted a systematic review to estimate the extent to which humans are exposed to microplastics through consumption and performed a quality assessment of research results. We searched for studies published up to December 2023 and included studies that reported on the characteristics and estimated intake of microplastics. The quality assessment tool reported in previous studies was used for food and drinking water studies. We included 76 studies in the analysis, and the types of foods were classified into seven categories: seafood, drinking water, table salt, fruits and vegetables, beverages, condiments, and meat. The estimated daily intake of microplastics via food was 0.0002-1,531,524 MP/day, with the highest value in bottled water. The quality of food and drinking water studies was evaluated using a quantitative tool to assess reliability. The quality of food studies was 11.50 out of 20 points and the quality of drinking water studies was 11.16 out of 19 points. These results indicate that the closer the score is to the maximum, the more reliable the research findings. The quantitative assessment can be used as an indicator for evaluating the risks of microplastics and can help reduce biases that may occur during the research process. This study confirmed microplastics in foods and human exposure to up to one million microplastics daily. Our study emphasizes the potential for microplastic exposure through food intake and subsequent accumulation in the human body; therefore, efforts are needed to reduce exposure to microplastics in daily life.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"371-392"},"PeriodicalIF":3.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-06Print Date: 2025-03-26DOI: 10.1515/reveh-2023-0152
Lucas Vilas Bôas Correia, Talita Trindade de Moraes, Aparecida Marta Regina Dos Santos Pereira, Gabriel Carvalhal de Aguiar, Milena de Barros Viana, Daniel Araki Ribeiro, Regina Cláudia Barbosa da Silva
The present review aimed to evaluate the apoptotic effect of tributyltin (TBT) exposure on mammalian tissues and cells in vivo. A search was conducted in specialized literature databases including Embase, Medline, Pubmed, Scholar Google, and Scopus for all manuscripts using the following keywords: "tributyltin", "apoptosis", "mammals", "mammalian cells', "eukaryotic cells", 'rodents', "rats", "mice" and "in vivo" for all data published until September 2023. A total of 16 studies were included. The studies have demonstrated that TBT exposure induces apoptosis in cells from various mammalian organs or tissues in vivo. TBT is capable to increase apoptotic cells, to activate proapoptotic proteins such as calpain, caspases, bax and beclin-1 and to inhibit antiapoptotic protein bcl-2. Additionally, TBT alters the ratio of bcl-2/bax which favor apoptosis. Therefore, the activation of enzymes such as calpain induces apoptosis mediated by ERS and caspases through the intrinsic apoptosis pathway. This review has demonstrated that TBT exposure induces apoptosis in mammalian tissues and cells in vivo.
{"title":"Tributyltin induces apoptosis in mammalian cells <i>in vivo</i>: a scoping review.","authors":"Lucas Vilas Bôas Correia, Talita Trindade de Moraes, Aparecida Marta Regina Dos Santos Pereira, Gabriel Carvalhal de Aguiar, Milena de Barros Viana, Daniel Araki Ribeiro, Regina Cláudia Barbosa da Silva","doi":"10.1515/reveh-2023-0152","DOIUrl":"10.1515/reveh-2023-0152","url":null,"abstract":"<p><p>The present review aimed to evaluate the apoptotic effect of tributyltin (TBT) exposure on mammalian tissues and cells <i>in vivo</i>. A search was conducted in specialized literature databases including Embase, Medline, Pubmed, Scholar Google, and Scopus for all manuscripts using the following keywords: \"tributyltin\", \"apoptosis\", \"mammals\", \"mammalian cells', \"eukaryotic cells\", 'rodents', \"rats\", \"mice\" and \"<i>in vivo</i>\" for all data published until September 2023. A total of 16 studies were included. The studies have demonstrated that TBT exposure induces apoptosis in cells from various mammalian organs or tissues <i>in vivo</i>. TBT is capable to increase apoptotic cells, to activate proapoptotic proteins such as calpain, caspases, bax and beclin-1 and to inhibit antiapoptotic protein bcl-2. Additionally, TBT alters the ratio of bcl-2/bax which favor apoptosis. Therefore, the activation of enzymes such as calpain induces apoptosis mediated by ERS and caspases through the intrinsic apoptosis pathway. This review has demonstrated that TBT exposure induces apoptosis in mammalian tissues and cells <i>in vivo</i>.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"197-203"},"PeriodicalIF":3.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John W. Frank, Ronald L. Melnick, Joel M. Moskowitz
The World Health Organization (WHO) in 2012 initiated an expert consultation about research on the health effects of radio-frequency electromagnetic fields (RF-EMF) for a WHO monograph that was last updated in 1993. The project was abandoned over concerns about the quality of the commissioned review papers. The WHO restarted the project in 2019 by commissioning 10 systematic reviews (SRs) of the research on RF-EMF exposure and adverse biological and health outcomes in laboratory animals, cell cultures, and human populations. The second of these SRs, published in 2024, addresses human observational studies of RF-EMF exposure and non-specific symptoms, including tinnitus, migraine/headache, and sleep disturbance. The present commentary is a critical appraisal of the scientific quality of this SR (SR7) employing criteria developed by the Oxford Centre for Evidence-Based Medicine. Based upon our review, we call for a retraction of SR7 and an impartial investigation by unconflicted experts of the currently available evidence and future research priorities.
世界卫生组织(WHO)于 2012 年启动了一项专家咨询,内容是关于射频电磁场(RF-EMF)对健康影响的研究,WHO 专著的上一次更新是在 1993 年。由于担心委托审查论文的质量,该项目被放弃。世卫组织于 2019 年重启该项目,委托对实验室动物、细胞培养物和人类群体中射频电磁场暴露与不良生物学和健康结果的研究进行 10 次系统性审查(SR)。其中第二份系统综述于 2024 年发表,涉及射频-电磁场暴露与非特异性症状(包括耳鸣、偏头痛/头痛和睡眠障碍)的人类观察性研究。本评论采用牛津循证医学中心(Oxford Centre for Evidence-Based Medicine)制定的标准,对该 SR(SR7)的科学质量进行了严格评估。根据我们的评论,我们呼吁撤回 SR7,并由无异议专家对现有证据和未来研究重点进行公正调查。
{"title":"A critical appraisal of the WHO 2024 systematic review of the effects of RF-EMF exposure on tinnitus, migraine/headache, and non-specific symptoms","authors":"John W. Frank, Ronald L. Melnick, Joel M. Moskowitz","doi":"10.1515/reveh-2024-0069","DOIUrl":"https://doi.org/10.1515/reveh-2024-0069","url":null,"abstract":"The World Health Organization (WHO) in 2012 initiated an expert consultation about research on the health effects of radio-frequency electromagnetic fields (RF-EMF) for a WHO monograph that was last updated in 1993. The project was abandoned over concerns about the quality of the commissioned review papers. The WHO restarted the project in 2019 by commissioning 10 systematic reviews (SRs) of the research on RF-EMF exposure and adverse biological and health outcomes in laboratory animals, cell cultures, and human populations. The second of these SRs, published in 2024, addresses human observational studies of RF-EMF exposure and non-specific symptoms, including tinnitus, migraine/headache, and sleep disturbance. The present commentary is a critical appraisal of the scientific quality of this SR (SR7) employing criteria developed by the Oxford Centre for Evidence-Based Medicine. Based upon our review, we call for a retraction of SR7 and an impartial investigation by unconflicted experts of the currently available evidence and future research priorities.","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":"29 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141612823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-11Print Date: 2025-06-26DOI: 10.1515/reveh-2024-0076
Élyse Caron-Beaudoin, Hélène Akpo, Mary M Doyle-Waters, Lisa A Ronald, Michael Friesen, Tim Takaro, Karen Leven, Ulrike Meyer, Margaret J McGregor
Many chemicals associated with unconventional oil and natural gas (UOG) are known toxicants, leading to health concerns about the effects of UOG. Our objective was to conduct a scoping review of the toxicological literature to assess the effects of UOG chemical exposures in models relevant to human health. We searched databases for primary research studies published in English or French between January 2000 and June 2023 on UOG-related toxicology studies. Two reviewers independently screened abstracts and full texts to determine inclusion. Seventeen studies met our study inclusion criteria. Nine studies used solely in vitro models, while six conducted their investigation solely in animal models. Two studies incorporated both types of models. Most studies used real water samples impacted by UOG or lab-made mixtures of UOG chemicals to expose their models. Most in vitro models used human cells in monocultures, while all animal studies were conducted in rodents. All studies detected significant deleterious effects associated with exposure to UOG chemicals or samples, including endocrine disruption, carcinogenicity, behavioral changes and metabolic alterations. Given the plausibility of causal relationships between UOG chemicals and adverse health outcomes highlighted in this review, future risk assessment studies should focus on measuring exposure to UOG chemicals in human populations.
{"title":"The human health effects of unconventional oil and gas (UOG) chemical exposures: a scoping review of the toxicological literature.","authors":"Élyse Caron-Beaudoin, Hélène Akpo, Mary M Doyle-Waters, Lisa A Ronald, Michael Friesen, Tim Takaro, Karen Leven, Ulrike Meyer, Margaret J McGregor","doi":"10.1515/reveh-2024-0076","DOIUrl":"10.1515/reveh-2024-0076","url":null,"abstract":"<p><p>Many chemicals associated with unconventional oil and natural gas (UOG) are known toxicants, leading to health concerns about the effects of UOG. Our objective was to conduct a scoping review of the toxicological literature to assess the effects of UOG chemical exposures in models relevant to human health. We searched databases for primary research studies published in English or French between January 2000 and June 2023 on UOG-related toxicology studies. Two reviewers independently screened abstracts and full texts to determine inclusion. Seventeen studies met our study inclusion criteria. Nine studies used solely <i>in vitro</i> models, while six conducted their investigation solely in animal models. Two studies incorporated both types of models. Most studies used real water samples impacted by UOG or lab-made mixtures of UOG chemicals to expose their models. Most <i>in vitro</i> models used human cells in monocultures, while all animal studies were conducted in rodents. All studies detected significant deleterious effects associated with exposure to UOG chemicals or samples, including endocrine disruption, carcinogenicity, behavioral changes and metabolic alterations. Given the plausibility of causal relationships between UOG chemicals and adverse health outcomes highlighted in this review, future risk assessment studies should focus on measuring exposure to UOG chemicals in human populations.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"259-276"},"PeriodicalIF":3.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-10Print Date: 2025-06-26DOI: 10.1515/reveh-2024-0089
Else K Nordhagen, Einar Flydal
We examined one of the first published of the several systematic reviews being part of WHO's renewed initiative to assess the evidence of associations between man-made radiofrequency electromagnetic radiation (RF-EMF) and adverse health effects in humans. The examined review addresses experimental studies of pregnancy and birth outcomes in non-human mammals. The review claims that the analyzed data did not provide conclusions certain enough to inform decisions at a regulatory level. Our objective was to assess the quality of this systematic review and evaluate the relevance of its conclusions to pregnant women and their offspring. The quality and relevance were checked on the review's own premises: e.g., we did not question the selection of papers, nor the chosen statistical methods. While the WHO systematic review presents itself as thorough, scientific, and relevant to human health, we identified numerous issues rendering the WHO review irrelevant and severely flawed. All flaws found skew the results in support of the review's conclusion that there is no conclusive evidence for nonthermal effects. We show that the underlying data, when relevant studies are cited correctly, support the opposite conclusion: There are clear indications of detrimental nonthermal effects from RF-EMF exposure. The many identified flaws uncover a pattern of systematic skewedness aiming for uncertainty hidden behind complex scientific rigor. The skewed methodology and low quality of this review is highly concerning, as it threatens to undermine the trustworthiness and professionalism of the WHO in the area of human health hazards from man-made RF-EMF.
{"title":"WHO to build neglect of RF-EMF exposure hazards on flawed EHC reviews? Case study demonstrates how \"no hazards\" conclusion is drawn from data showing hazards.","authors":"Else K Nordhagen, Einar Flydal","doi":"10.1515/reveh-2024-0089","DOIUrl":"10.1515/reveh-2024-0089","url":null,"abstract":"<p><p>We examined one of the first published of the several systematic reviews being part of WHO's renewed initiative to assess the evidence of associations between man-made radiofrequency electromagnetic radiation (RF-EMF) and adverse health effects in humans. The examined review addresses experimental studies of pregnancy and birth outcomes in non-human mammals. The review claims that the analyzed data did not provide conclusions certain enough to inform decisions at a regulatory level. Our objective was to assess the quality of this systematic review and evaluate the relevance of its conclusions to pregnant women and their offspring. The quality and relevance were checked on the review's own premises: e.g., we did not question the selection of papers, nor the chosen statistical methods. While the WHO systematic review presents itself as thorough, scientific, and relevant to human health, we identified numerous issues rendering the WHO review irrelevant and severely flawed. All flaws found skew the results in support of the review's conclusion that there is no conclusive evidence for nonthermal effects. We show that the underlying data, when relevant studies are cited correctly, support the opposite conclusion: There are clear indications of detrimental nonthermal effects from RF-EMF exposure. The many identified flaws uncover a pattern of systematic skewedness aiming for uncertainty hidden behind complex scientific rigor. The skewed methodology and low quality of this review is highly concerning, as it threatens to undermine the trustworthiness and professionalism of the WHO in the area of human health hazards from man-made RF-EMF.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"277-288"},"PeriodicalIF":3.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Solid fuel use is increasingly linked to low birth weight (LBW), but conclusions were inconsistent. We aimed to summarize the association between solid fuel use and LBW. Twenty-one studies that met the inclusion criteria were identified through PubMed, Qvid Medline, and Web of Science databases. The final search occurred on March 20, 2024. Summary relative effect and 95 % confidence intervals were estimated with a random-effects model. Subgroup analyses and sensitivity analyses were performed to investigate possible sources of heterogeneity and to test the stability of the results. Nineteen studies evaluated the association between solid fuel use in pregnant woman and LBW (1.188 for solid fuels: 1.055 to 1.322). No significant heterogeneity was identified among the included studies (p=0.010, Tau2=0.02, I2=48.1 %). Subgroup analysis found positive correlations for Asia, data years prior to 2014, and rural studies (1.245 for Asia: 1.077 to 1.412; Tau2=0.03, I2=56.0 %; 1.243 for data years prior to 2014: 1.062 to 1.424; Tau2=0.04, I2=60.98 %; 1.514 for rural: 1.258 to 1.771; Tau2=0.00, I2=0.0 %). Our meta-analysis showed that solid fuel use in pregnant women had an impact on LBW. Measures and policies are also needed to promote energy conversion and to limit and reduce the use of solid fuels.
{"title":"Solid fuel use and low birth weight: a systematic review and meta-analysis.","authors":"Jie He, Kangkang Zhong, Rui Yang, Chuanting Wen, Shubo Liu, Yiping Yang, Qi Zhong","doi":"10.1515/reveh-2024-0055","DOIUrl":"10.1515/reveh-2024-0055","url":null,"abstract":"<p><p>Solid fuel use is increasingly linked to low birth weight (LBW), but conclusions were inconsistent. We aimed to summarize the association between solid fuel use and LBW. Twenty-one studies that met the inclusion criteria were identified through PubMed, Qvid Medline, and Web of Science databases. The final search occurred on March 20, 2024. Summary relative effect and 95 % confidence intervals were estimated with a random-effects model. Subgroup analyses and sensitivity analyses were performed to investigate possible sources of heterogeneity and to test the stability of the results. Nineteen studies evaluated the association between solid fuel use in pregnant woman and LBW (1.188 for solid fuels: 1.055 to 1.322). No significant heterogeneity was identified among the included studies (p=0.010, Tau<sup>2</sup>=0.02, I<sup>2</sup>=48.1 %). Subgroup analysis found positive correlations for Asia, data years prior to 2014, and rural studies (1.245 for Asia: 1.077 to 1.412; Tau<sup>2</sup>=0.03, I<sup>2</sup>=56.0 %; 1.243 for data years prior to 2014: 1.062 to 1.424; Tau<sup>2</sup>=0.04, I<sup>2</sup>=60.98 %; 1.514 for rural: 1.258 to 1.771; Tau<sup>2</sup>=0.00, I<sup>2</sup>=0.0 %). Our meta-analysis showed that solid fuel use in pregnant women had an impact on LBW. Measures and policies are also needed to promote energy conversion and to limit and reduce the use of solid fuels.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"249-258"},"PeriodicalIF":3.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-19Print Date: 2025-03-26DOI: 10.1515/reveh-2024-0017
Lennart Hardell, Mona Nilsson
The fifth generation, 5G, for wireless communication is currently deployed in Sweden since 2019/2020, as well as in many other countries. We have previously published seven case reports that include a total of 16 persons aged between 4 and 83 years that developed the microwave syndrome within short time after being exposed to 5G base stations close to their dwellings. In all cases high radiofrequency (RF) radiation from 4G/5G was measured with a broadband meter. RF radiation reached >2,500,000 to >3,180,000 μW/m2 in peak maximum value in three of the studies. In total 41 different health issues were assessed for each person graded 0 (no complaint) to 10 (worst symptoms). Most prevalent and severe were sleeping difficultly (insomnia, waking night time, early wake-up), headache, fatique, irritability, concentration problems, loss of immediate memory, emotional distress, depression tendency, anxiety/panic, dysesthesia (unusual touched based sensations), burning and lancinating skin, cardiovascular symptoms (transitory high or irregular pulse), dyspnea, and pain in muscles and joints. Balance disorder and tinnitus were less prevalent. All these symptoms are included in the microwave syndrome. In most cases the symptoms declined and disappeared within a short time period after the studied persons had moved to a place with no 5G. These case histories are classical examples of provocation studies. They reinforce the urgency to inhibit the deployment of 5G until more safety studies have been performed.
{"title":"Summary of seven Swedish case reports on the microwave syndrome associated with 5G radiofrequency radiation.","authors":"Lennart Hardell, Mona Nilsson","doi":"10.1515/reveh-2024-0017","DOIUrl":"10.1515/reveh-2024-0017","url":null,"abstract":"<p><p>The fifth generation, 5G, for wireless communication is currently deployed in Sweden since 2019/2020, as well as in many other countries. We have previously published seven case reports that include a total of 16 persons aged between 4 and 83 years that developed the microwave syndrome within short time after being exposed to 5G base stations close to their dwellings. In all cases high radiofrequency (RF) radiation from 4G/5G was measured with a broadband meter. RF radiation reached >2,500,000 to >3,180,000 μW/m<sup>2</sup> in peak maximum value in three of the studies. In total 41 different health issues were assessed for each person graded 0 (no complaint) to 10 (worst symptoms). Most prevalent and severe were sleeping difficultly (insomnia, waking night time, early wake-up), headache, fatique, irritability, concentration problems, loss of immediate memory, emotional distress, depression tendency, anxiety/panic, dysesthesia (unusual touched based sensations), burning and lancinating skin, cardiovascular symptoms (transitory high or irregular pulse), dyspnea, and pain in muscles and joints. Balance disorder and tinnitus were less prevalent. All these symptoms are included in the microwave syndrome. In most cases the symptoms declined and disappeared within a short time period after the studied persons had moved to a place with no 5G. These case histories are classical examples of provocation studies. They reinforce the urgency to inhibit the deployment of 5G until more safety studies have been performed.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"147-157"},"PeriodicalIF":3.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141420662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The impact of air pollution is a major public health concern. However, there are few studies on the correlation between PM2.5 and respiratory infections. This study aimed to determine a link between PM2.5 and respiratory diseases among the elderly in Thailand. The data source for this study consisted of 43 electronic files from the Khon Kaen Provincial Health Office covering years 2020 and 2021 and surveyed a total of 43,534 people. The generalized linear mixed model (GLMM) was used to determine the adjusted odds ratio (AOR), and 95 % CI. We found that exposure to PM2.5 concentrations (in 10 μg m-3 increments) was associated with respiratory diseases (AOR: 3.98; 95 % CI [1.53-10.31]). Respondents who are male, aged less than 80 years, single, self-employed, or working as contractors, have a body mass index (BMI) not equal to the standard, have NCDs (hypertension, diabetes mellitus, and cardiovascular disease), are smokers, live in sub-districts where more than 5 % of the land is planted to sugarcane, or live in close proximity to a biomass power plant were at significantly higher risk of developing respiratory diseases (p<0.05). Therefore, environmental factors including ambient PM2.5 concentrations, the proportion of sugarcane plantation areas, and biomass power plants impact the occurrence of respiratory diseases among the elderly. Also, demographic factors and NCDs are serious issues. Systematic approaches to reducing PM2.5 levels in industrial and agricultural sectors are necessary for both the general population and vulnerable groups, including the elderly and NCD patients.
{"title":"Exploring the link between ambient PM<sub>2.5</sub> concentrations and respiratory diseases in the elderly: a study in the Muang district of Khon Kaen, Thailand.","authors":"Chananya Jirapornkul, Kornkawat Darunikorn, Yuparat Limmongkon, Rittirong Junggoth, Naowarat Maneenin, Pornpun Sakunkoo, Jetnapis Rayubkul","doi":"10.1515/reveh-2023-0138","DOIUrl":"10.1515/reveh-2023-0138","url":null,"abstract":"<p><p>The impact of air pollution is a major public health concern. However, there are few studies on the correlation between PM<sub>2.5</sub> and respiratory infections. This study aimed to determine a link between PM<sub>2.5</sub> and respiratory diseases among the elderly in Thailand. The data source for this study consisted of 43 electronic files from the Khon Kaen Provincial Health Office covering years 2020 and 2021 and surveyed a total of 43,534 people. The generalized linear mixed model (GLMM) was used to determine the adjusted odds ratio (AOR), and 95 % CI. We found that exposure to PM<sub>2.5</sub> concentrations (in 10 μg m<sup>-3</sup> increments) was associated with respiratory diseases (AOR: 3.98; 95 % CI [1.53-10.31]). Respondents who are male, aged less than 80 years, single, self-employed, or working as contractors, have a body mass index (BMI) not equal to the standard, have NCDs (hypertension, diabetes mellitus, and cardiovascular disease), are smokers, live in sub-districts where more than 5 % of the land is planted to sugarcane, or live in close proximity to a biomass power plant were at significantly higher risk of developing respiratory diseases (p<0.05). Therefore, environmental factors including ambient PM<sub>2.5</sub> concentrations, the proportion of sugarcane plantation areas, and biomass power plants impact the occurrence of respiratory diseases among the elderly. Also, demographic factors and NCDs are serious issues. Systematic approaches to reducing PM<sub>2.5</sub> levels in industrial and agricultural sectors are necessary for both the general population and vulnerable groups, including the elderly and NCD patients.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"175-183"},"PeriodicalIF":3.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141306742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-11Print Date: 2025-03-26DOI: 10.1515/reveh-2024-0030
Omosehin D Moyebi, Tamba Lebbie, David O Carpenter
Lead poisoning is a serious environmental health problem in every country in the world. Exposure to lead results in neurocognitive and behavioral changes, has adverse effects on the immune system, causes anemia, hypertension and perturbs other organ systems. The effects of lead poisoning are most critical for children because their bodies are growing and developing, and particularly because agents that reduce cognitive function and attention span as well as promote disruptive behavior will have life-long consequences. Lead exposure, especially to children, is a major health disparity issue. If the next generation starts with reduced cognitive ability, there will be significant barriers for development of skills and country-wide development. While there are many sources of exposure to lead, the commonest source is lead in soil and dust. Since lead is an element, it does not go away and past releases of lead into the environment remain as soil and dust contamination. This is an especially important route of exposure to children because children regularly play in soil and are exposed via hand-to-mouth activity. In addition to indoor sources of lead, contaminated soil is tracked on shoes or feet and blown by air currents into homes, accumulating in household dust which is a major source of exposure for both children and adults. The purpose of this review is to determine standards presumed to be health protective for lead and dust in different countries. We find that many countries have no standards for lead in soil and dust and rely on standards set by the World Health Organization or the US Environmental Protection Agency, and these standards may or may not be enforced. There is considerable variation in standards set by other countries.
{"title":"Standards for levels of lead in soil and dust around the world.","authors":"Omosehin D Moyebi, Tamba Lebbie, David O Carpenter","doi":"10.1515/reveh-2024-0030","DOIUrl":"10.1515/reveh-2024-0030","url":null,"abstract":"<p><p>Lead poisoning is a serious environmental health problem in every country in the world. Exposure to lead results in neurocognitive and behavioral changes, has adverse effects on the immune system, causes anemia, hypertension and perturbs other organ systems. The effects of lead poisoning are most critical for children because their bodies are growing and developing, and particularly because agents that reduce cognitive function and attention span as well as promote disruptive behavior will have life-long consequences. Lead exposure, especially to children, is a major health disparity issue. If the next generation starts with reduced cognitive ability, there will be significant barriers for development of skills and country-wide development. While there are many sources of exposure to lead, the commonest source is lead in soil and dust. Since lead is an element, it does not go away and past releases of lead into the environment remain as soil and dust contamination. This is an especially important route of exposure to children because children regularly play in soil and are exposed via hand-to-mouth activity. In addition to indoor sources of lead, contaminated soil is tracked on shoes or feet and blown by air currents into homes, accumulating in household dust which is a major source of exposure for both children and adults. The purpose of this review is to determine standards presumed to be health protective for lead and dust in different countries. We find that many countries have no standards for lead in soil and dust and rely on standards set by the World Health Organization or the US Environmental Protection Agency, and these standards may or may not be enforced. There is considerable variation in standards set by other countries.</p>","PeriodicalId":21165,"journal":{"name":"Reviews on Environmental Health","volume":" ","pages":"185-196"},"PeriodicalIF":3.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}