Clinical and toxicological findings in nitrate and nitrite poisoning in cattle in Northeastern Brazil / Achados clínicos e toxicológicos na intoxicação por nitrato e nitrito em bovinos no Nordeste do Brasil

We report two outbreaks of nitrate and nitrite poisoning in Paraíba, Northeast Brazil. The first, due to Pennisetum purpureum (elephant grass), and the second, due to P. purpureum and Brachiaria spp. (brachiaria grass), both occurred during a prolonged drought. In the first outbreak, the irrigation of the pastures with wastewater and sewage contributed to nitrate accumulation. The second outbreak occurred in pastures cultivated in the border of a dam, that had been submerged for long time accumulating large amounts of organic matter in the soil. Other probably risk factors for nitrate accumulation included the use of chemical fertilizers and herbicides and burning of the vegetation. In the first outbreak, four calves out of a total of 42 cattle died, and in the second outbreak 49 out of 243 cattle, including adults, yearlings, and a 2-day-old calf died. The clinical signs included dyspnea, cyanosis, ataxia, and falls, leading to death. The presence of nitrates was detected in both outbreaks using the diphenylamine test. Quantitative tests were performed in the second outbreak using a portable nitrate meter, and high nitrate concentrations were found. The characteristic macroscopic findings and absence of microscopic lesions and response to treatment with methylene blue were key to the diagnosis of poisoning by nitrates and nitrites. We conclude that poisoning by nitrates and nitrites in ruminants in the semiarid region of Northeastern Brazil is frequent due to the cultivation of grasses in the border of dams that had been covered by water for long periods or in areas irrigated by wastewater and/or sewage. In addition, the use of a portable measuring device is an effective alternative for the quantification of nitrates in pastures.(AU)

Relatamos dois surtos de intoxicação por nitrato e nitrito na Paraíba, Nordeste do Brasil. O primeiro por Pennisetum purpureum (capim-elefante), e o segundo por P. purpureum e Brachiaria spp. (capim braquiária); ambos ocorreram durante uma estiagem prolongada. No primeiro surto, a irrigação das pastagens com água poluída e esgoto contribuiu para o acúmulo de nitrato. O segundo surto ocorreu em pastagens cultivadas na borda de uma barragem, que há muito tempo ficavam submersas, acumulando grande quantidade de matéria orgânica no solo. Outros prováveis fatores de risco para o acúmulo de nitrato incluíram o uso de fertilizantes químicos e herbicidas e a queima da vegetação. No primeiro surto, quatro bezerros de um total de 42 bovinos morreram, e no segundo surto 49 de 243 bovinos, incluindo adultos, jovens de um ano e um bezerro de 2 dias de idade morreram. Os sinais clínicos incluíram dispneia, cianose, ataxia e quedas, levando à morte. A presença de nitratos foi detectada em ambos os surtos pelo teste de difenilamina. Testes quantitativos foram realizados no segundo surto usando um medidor portátil de nitrato, e altas concentrações de nitrato foram encontradas. Os achados macroscópicos característicos e a ausência de lesões microscópicas e a resposta ao tratamento com azul de metileno foram fundamentais para o diagnóstico de intoxicação por nitratos e nitritos. Concluímos que a intoxicação por nitratos e nitritos em ruminantes na região semiárida do Nordeste do Brasil é frequente devido ao cultivo de gramíneas nas bordas de barragens que estiveram cobertas por água por longos períodos ou em áreas irrigadas por água poluída e/ou esgoto. Além disso, o uso de medidor portátil é uma alternativa eficaz para a quantificação de nitratos em pastagens.(AU)

Clinical and toxicological findings in nitrate and nitrite poisoning in cattle in Northeastern Brazil / Achados clínicos e toxicológicos na intoxicação por nitrato e nitrito em bovinos no Nordeste do Brasil

We report two outbreaks of nitrate and nitrite poisoning in Paraíba, Northeast Brazil. The first, due to Pennisetum purpureum (elephant grass), and the second, due to P. purpureum and Brachiaria spp. (brachiaria grass), both occurred during a prolonged drought. In the first outbreak, the irrigation of the pastures with wastewater and sewage contributed to nitrate accumulation. The second outbreak occurred in pastures cultivated in the border of a dam, that had been submerged for long time accumulating large amounts of organic matter in the soil. Other probably risk factors for nitrate accumulation included the use of chemical fertilizers and herbicides and burning of the vegetation. In the first outbreak, four calves out of a total of 42 cattle died, and in the second outbreak 49 out of 243 cattle, including adults, yearlings, and a 2-day-old calf died. The clinical signs included dyspnea, cyanosis, ataxia, and falls, leading to death. The presence of nitrates was detected in both outbreaks using the diphenylamine test. Quantitative tests were performed in the second outbreak using a portable nitrate meter, and high nitrate concentrations were found. The characteristic macroscopic findings and absence of microscopic lesions and response to treatment with methylene blue were key to the diagnosis of poisoning by nitrates and nitrites. We conclude that poisoning by nitrates and nitrites in ruminants in the semiarid region of Northeastern Brazil is frequent due to the cultivation of grasses in the border of dams that had been covered by water for long periods or in areas irrigated by wastewater and/or sewage. In addition, the use of a portable measuring device is an effective alternative for the quantification of nitrates in pastures.

Relatamos dois surtos de intoxicação por nitrato e nitrito na Paraíba, Nordeste do Brasil. O primeiro por Pennisetum purpureum (capim-elefante), e o segundo por P. purpureum e Brachiaria spp. (capim braquiária); ambos ocorreram durante uma estiagem prolongada. No primeiro surto, a irrigação das pastagens com água poluída e esgoto contribuiu para o acúmulo de nitrato. O segundo surto ocorreu em pastagens cultivadas na borda de uma barragem, que há muito tempo ficavam submersas, acumulando grande quantidade de matéria orgânica no solo. Outros prováveis fatores de risco para o acúmulo de nitrato incluíram o uso de fertilizantes químicos e herbicidas e a queima da vegetação. No primeiro surto, quatro bezerros de um total de 42 bovinos morreram, e no segundo surto 49 de 243 bovinos, incluindo adultos, jovens de um ano e um bezerro de 2 dias de idade morreram. Os sinais clínicos incluíram dispneia, cianose, ataxia e quedas, levando à morte. A presença de nitratos foi detectada em ambos os surtos pelo teste de difenilamina. Testes quantitativos foram realizados no segundo surto usando um medidor portátil de nitrato, e altas concentrações de nitrato foram encontradas. Os achados macroscópicos característicos e a ausência de lesões microscópicas e a resposta ao tratamento com azul de metileno foram fundamentais para o diagnóstico de intoxicação por nitratos e nitritos. Concluímos que a intoxicação por nitratos e nitritos em ruminantes na região semiárida do Nordeste do Brasil é frequente devido ao cultivo de gramíneas nas bordas de barragens que estiveram cobertas por água por longos períodos ou em áreas irrigadas por água poluída e/ou esgoto. Além disso, o uso de medidor portátil é uma alternativa eficaz para a quantificação de nitratos em pastagens.

Ingesta de arsénico: el impacto en la alimentación y la salud humana / Arsenic Intake: Impact in Human Nutrition and Health

RESUMEN El arsénico es un elemento que se encuentra ampliamente distribuido en todo el medio ambiente. Sus compuestos se hallan principalmente en estado de oxidación pentavalente y trivalente; y en formas inorgánicas y orgánicas. Las especies arsenicales varían en su grado de toxicidad, siendo los compuestos inorgánicos más tóxicos que los orgánicos, y los compuestos trivalentes más tóxicos que los pentavalentes. Habría interconversión entre las especies menos tóxicas a otras más toxicas y los métodos de cocción y de procesamiento podrían afectarla. El arsénico es un agente carcinogénico y ocasiona múltiples efectos negativos sobre la salud humana a corto y largo plazo. La exposición humana no ocupacional al arsénico se da principalmente por agua y alimentos. La normativa es variable para cada país, y se basa en los estándares de la OMS, Codex Alimentarius y la Unión Europea. Muchos estudios se enfocan en determinar el contenido total de arsénico mas no identifican las especies arsenicales en alimentos. A nivel global, pescado y mariscos, pollo, carnes, arroz y algas marinas tienen niveles elevados de arsénico. En Perú, hay escasos estudios sobre contenido de arsénico total y especies arsenicales en alimentos a pesar que tenemos zonas con altos niveles de contaminación ambiental. El objetivo de esta revisión es discutir la exposición al arsénico a través de la ingesta de alimentos y agua, la normativa relacionada, toxicidad, consecuencias en la salud humana y principales alimentos que contribuyen a su ingesta.

ABSTRACT Arsenic is an element that is widely distributed throughout the environment. Its compounds are mainly in the state of pentavalent and trivalent oxidation; and in inorganic and organic forms. Arsenical species vary in their degree of toxicity, with inorganic compounds being more toxic than organic and trivalent compounds more toxic than pentavalent compounds. There would be interconversion between the less toxic species and other more toxic species and the cooking and processing methods could affect it. Arsenic is a carcinogenic agent and causes multiple negative effects on human health in the short and long term. Non-occupational human exposure to arsenic occurs mainly through water and food. The regulation is variable for each country and is based on WHO standards, the Codex Alimentarius, and the European Union. Many studies focus on determining the total arsenic content but do not identify arsenical species in foods. Globally, fish and seafood, chicken, meat, rice, and seaweed have high levels of arsenic. In Peru, there are few studies on total arsenic content and arsenical species in food despite the fact that we have areas with high levels of environmental contamination. The objective of this review is to discuss exposure to arsenic through food and water intake, related regulations, toxicity, consequences on human health and main foods that contribute to its intake.

Effects of terrestrial runoff on the coral communities in Santiago Bay, Colima, Mexican Pacific Coast

Abstract:Coral reef ecosystems are under stress of different origins, from factors including sedimentation, fragmentation, overfishing, and tourism, depending on their geographical location, depth, and proximity to recreation areas. In this study of Juluapan Lagoon, we examined the relationship between various water-quality attributes and the status indicators of the coral community at La Boquita reef. During 2011 (12 months of sampling), six monitoring stations in the Juluapan lagoon were established in order to observe the gradient of the distribution of the physicochemical parameters: three stations on the upper part, or BI, (S4 to S6) and three more in the lower part, or BII, (S1 to S3). A control station (CS) was located in the coral reef close to the lagoon channel, and where dissolved inorganic nutrients and cellular carbon content were determined. Additionally, we considered the monitoring of three of the eight largest coral structures/headlands of this community: the first was the station closest to the channel communicating with Juluapan lagoon (C1), the second was in the intermediate region with respect to that lagoon (C2), and the third was farthest from the channel (C3). Three line intercept transects (LIT) 30 m in length and perpendicular to the coast provenance were established in each station, and the parameters indicative of the status of corals were evaluated in an area of 60 m2 on each transect (180 m2 by the station). Turbidity, evidence of fishing, signs of settling, algal coverage, abundance of fish, rate of sediment, and coral health records (as for CoralWach chart) were determined in situ and from digital photographs and videos. Considering various community status indicators used in the reef area, we could recognize a state of general deterioration, which was reflected in the loss of 17% of coral coverage. The main anthropogenic disturbances in adjacent areas to La Boquita reef included wastewater discharges into the lagoon, tourist developments in the coastal zone, deforestation and erosion resulting from inappropriate development, and the runoff of nutrients from agricultural lands nearby the lagoon. All these significantly contributed to the nutrient-enriched waters of the lagoon, especially in summer, with negative effects on the coral community. Continued exposure to these factors, coupled with the lack of control over other anthropogenic components, has promoted the maintenance of a chronic stress state in the studied coral community. Our findings highlight the need for the development of appropriate coastal management and conservation policies for the coral reefs of the Mexican Pacific Coast. Rev. Biol. Trop. 64 (3): 1185-1200. Epub 2016 September 01.

ResumenDependiendo de la ubicación geográfica, la profundidad, y la proximidad a zonas de recreo, algunos arrecifes de coral están bajo estrés por factores que incluyen la sedimentación, la fragmentación, la sobrepesca y el turismo. En la presente investigación, se estudian los diferentes atributos de calidad de agua de la Laguna Juluapan e indicadores del estatus de la comunidad coralina La Boquita. Durante 2011 (12 meses de muestreo), seis estaciones de monitoreo fueron establecidas dentro de la laguna de Juluapan, a fin de observar el gradiente de distribución de los parámetros fisicoquímicos: tres estaciones en la parte interna ó B1, (S4 a S6), y tres en la parte más externa, ó B2 (S1 a S3); una estación control (CS) fue ubicada en la zona coralina cercana a la comunicación con la Laguna de Juluapan, fueron determinados nutrientes inorgánicos disueltos y contenido de carbono celular. Adicionalmente se realizó el monitoreo de tres de los ocho cabezales coralinos que conforman esta comunidad. El primero de ellos fue localizado en la cercanía de la intercomunicación con la Laguna Juluapan (C1), el segundo en la región intermedia respecto a la proximidad de dicho cuerpo lagunar (C2), y el tercero totalmente alejado respeto a la intercomunicación (C3). En cada estación fueron colocadas, tres líneas de transectos de intersección (LIT) de 30 m de longitud de forma perpendicular al perfil de la costa, a partir de ello, fueron evaluados diversos parámetros de la condición coralina, cubriendo un área de 60 m2 en cada transecto (180 m2 por estación). En cada área de transecto fue evaluada la turbidez, evidencias de daños por pesca, daños por sedimentación, cobertura de algas, abundancia de peces, tasa de sedimentación, además de obtenerse registros de la salud coralina usando como indicador la tarjeta CoralWatch in situ, a partir de tomas fotográficas y videos. Considerando los diferentes indicadores del estatus de la comunidad coralina estudiada, nosotros pudimos reconocer un estado general de deterioro, reflejado en la pérdida del 17% de la cobertura de coral. Las principales alteraciones antropogénicas en las zonas adyacentes al arrecife La Boquita corresponde a descargas de aguas residuales en la laguna, desarrollos turísticos en la zona costera, la deforestación y efecto erosivo asociado al desarrollo urbano inadecuado, así como el escurrimiento de nutrientes de tierras agrícolas alrededor de la laguna. Estos factores contribuyen de manera significativa al enriquecimiento de nutrientes a la laguna, sobre todo en verano, con efectos negativos sobre la comunidad de coral. La exposición continua a estos factores, junto con la falta de control sobre otros componentes antropogénicos, promueve la existencia de un estado de estrés crónico en la comunidad coralina estudiada. Nuestros resultados destacan la necesidad de implementar políticas apropiadas de conservación para los arrecifes coralinos de la costa del Pacífico mexicano.

The effects of press and pulse disturbance by long and short-term pollution on the fish community in the Sinos River, RS, Brazil / Efeitos de distúrbios contínuos e pulsados da poluição aguda e de longo prazo sobre a comunidade de peixes no Rio dos Sinos, RS, Brasil

The fish fauna of the Sinos River has been subjected to severe pollution since the 1970´s. Continuous discharges of industrial and municipal sewage cause hypoxia and often even fish kills. The objectives of the present study are to assess long-term effects of pollution on the fish community over a time scale of approximately ten years and to investigate recuperation of the fish fauna after a massive fish kill in 2006. To assess the long-term impacts, seasonal sampling was conducted from September 2007 to March 2009 in four sites which were investigated in 1998/99 with the same methodology. The effects of the fish kill were investigated by comparing the present fauna in the affected river stretch with the fauna of an unaffected adjacent river stretch. The collective community properties richness and Shannon diversity changed during the ten year interval in a consistent pattern. Richness and Shannon diversity increased significantly in all sites, abundance values, however, did not. Analysis of species constancy and cluster analysis showed that the differences between the 1998/99 and 2007/09 studies were relatively small. The comparison of the reaches affected by the 2006 fish kills showed a rapid recovery within one year. Probably the Sinos fish fauna suffered the most severe impacts in the 70s of the last century, which could not be documented by this study. After an initial decline, the community displays relatively stable patterns with a tendency of recovery. After a severe fish kill, faunal recovery was rapid, probably favoured by the proximity of unpolluted source areas and physical habitat integrity of the Sinos River.

A fauna de peixes do Rio dos Sinos vem sendo exposta a uma poluição grave desde os anos 70 do século passado. Descargas contínuas de esgotos industriais e urbanos causaram hipóxia e recorrentes mortandades de peixes. Os objetivos do presente estudo são: avaliar os efeitos de longo prazo da poluição sobre a comunidade de peixes e investigar a recuperação da ictiofauna após uma mortandade severa em 2006. Para avaliar os impactos de longo prazo, foram realizados amostragens sazonais entre setembro de 2007 a março de 2009 em quatro locais que foram investigados em 1998/99 com a mesma metodologia. Os efeitos da mortandade de peixes foram investigados comparando a fauna no trecho afetado pela mortandade com o que não foi afetado. As propriedades coletivas da comunidade íctica riqueza e diversidade de Shannon aumentaram durante o intervalo de 10 anos em todos os pontos de amostragem, porém os valores da abundância ficaram estáveis. A análise da constância das espécies e a análise de agrupamento mostraram que as diferenças encontradas entre os estudos 1998-1999 e 2007/09 são pouco expressivas. A comparação dos trechos afetados e não afetados pela mortandade de peixes mostrou uma rápida recuperação da fauna que ocorreu em um ano. A ictiofauna do Rio dos Sinos sofreu provavelmente os impactos mais graves nos anos 70 do século passado, contudo, não documentado por este estudo. Depois de um declínio inicial a comunidade exibiu padrões relativamente estáveis com tendências de recuperação. Após as mortandades de 2006 a recuperação da fauna foi rápida, provavelmente favorecida pela proximidade de áreas de fonte não poluídas e pela integridade física dos habitats do Rio dos Sinos.

Human mercury exposure and adverse health effects in the Amazon: a review / Exposição humana ao mercúrio e efeitos adversos à saúde na Amazônia: uma revisão

This paper examines issues of human mercury (Hg) exposure and adverse health effects throughout the Amazon region. An extensive review was conducted using bibliographic indexes as well as secondary sources. There are several sources of Hg (mining, deforestation, reservoirs), and exposure takes place through inhalation or from fish consumption. There is a wide range of exposure, with mean hair-Hg levels above 15µg/g in several Amazonian communities, placing them among the highest reported levels in the world today. Dietary Hg intake has been estimated in the vicinity of 1-2µg/kg/day, considerably higher than the USEPA RfD of 0.1µg/kg/day or the World Health Organization recommendation of 0.23µg/kg/day. Neurobehavioral deficits and, in some cases, clinical signs have been reported both for adults and children in relation to Hg exposure in several Amazonian countries. There is also some evidence of cytogenetic damage, immune alterations, and cardiovascular toxicity. Since fish provide a highly nutritious food source, there is an urgent need to find realistic and feasible solutions that will reduce exposure and toxic risk, while maintaining healthy traditional dietary habits and preserving this unique biodiversity.

Este artigo examina questões sobre exposição humana ao mercúrio (Hg) e seus efeitos adversos à saúde na Amazônia, com base em extensa revisão da literatura. Diferentes bioindicadores revelam uma ampla faixa de exposição, com teores médios de Hg em cabelo acima de 15µg/g em diversas comunidades amazônicas, situando-as dentre as mais expostas no mundo atualmente. Taxas de ingestão diária de Hg foram estimadas em alguns estudos e situam-se entre 1-2µg/kg/dia, consideravelmente acima das doses de referência estabelecidas pela USEPA (0,1µg/kg/dia) ou pela OMS (0,23µg/kg/dia). Déficits neurocomportamentais e, em alguns casos, sinais clínicos relacionados à exposição mercurial têm sido relatados tanto em adultos quanto em crianças de diversos países amazônicos. Há também evidências de dano citogenético, mudanças imunológicas e toxicidade cardiovascular. Visto que peixe é altamente nutritivo e há diversas fontes de Hg nesta região, existe uma necessidade urgente de encontrar soluções realistas e viáveis capazes de reduzir os níveis de exposição e de risco tóxico, ao mesmo tempo mantendo os hábitos alimentares tradicionais, preservando a biodiversidade píscea e frutífera e melhorando a saúde das populações desfavorecidas e afetadas.

Effect of drinking arsenic contaminated water in children.

OBJECTIVE: Chronic arsenic toxicity due to drinking of arsenic contaminated water is a major environmental health hazard throughout the world including India. Though lot of information is available on health effects due to chronic arsenic toxicity in adults, knowledge of such effect on children is scanty. A review of available literature has been made to highlight the problem in children. REVIEW METHODS: Scientific publication in journals, monograph, thesis and proceedings of conferences on arsenic in regard to epidemiological, clinical and psychometric studies were reviewed. RESULTS: Skin abnormalities including pigmentation change and keratosis are the diagnostic signs of chronic arsenic toxicity in adults. Incidence of skin manifestations vary between 1.9-37.1% in various arsenic exposed children populations in different regions of the world. Occurrence of chronic lung disease including pulmonary interstitial fibrosis was described in arsenic exposed children in Chile. Affection of intellectual function is also reported from Thailand, Bangladesh and India. CONCLUSION: Chronic arsenic toxicity due to drinking of arsenic contaminated water causes significant morbidity in children in different parts of the world.

Evaluation of changes of kidney parmeter in New Zealand rabbits subseqent to 90 days exposure to uranyl nitrate in drinking water

This study was undertaken to examine the reversibility of renal injury in the male New Zealand white rabbits subsequent to a 90-days exposure to uranyl nitrate [UN] in drinking water. Animals were exposed for 90 days to uranyl nitrate in their drinking water [24 or 500mg/l]. Control group were given municipal tap water. The indicators of kidney function measured in this study included glucose [marker of tubular] microalbumin[marker of glomerular] and marker for cell toxicity was alkaline phosphatase. Urinary glucose was found to be significantly different and positively correlated with uranium intake for rabbits. Microalbuminuria was found to be significantly different but this different is in normal range. Increase of alkaline phosphatase at weeks 2, 4, 6 was correlated with uranium intake, but at weeks 8, 10, 13 excretion of alkaline phosphatase was decreased. These results suggest that chronic ingestion of uranium in drinking water affect kidney function and to the proximal tubule, rather than glomerul

Electrocardiographic abnormalities among arsenic-exposed persons through groundwater in Bangladesh.

This study was carried out among arsenic-exposed and non-exposed people of Bangladesh to assess and compare their cardiac status based on electrocardiographic (ECG) findings. For the purpose of the study, participants were included in three groups: arsenic-exposed persons with arsenicosis (arsenicosis group), arsenic-exposed persons without arsenicosis (non-arsenicosis group), and persons not exposed to arsenic (non-exposed group). Each group included 50 respondents. In this study, no significant difference in heart rate, rhythm, axis, and pulse rate interval was detected among the arsenicosis, non-arsenicosis and non-exposed groups. A significant difference in corrected QT interval between the arsenicosis and the non-exposed group (p<0.05) was observed. On the contrary, no statistically significant difference in corrected QT interval between the non-arsenicosis and the non-exposed group was found. Abnormal QRS complex was found among 14%, 8%, and 2% of the arsenicosis, non-arsenicosis, and non-exposed groups respectively. ECG findings, indicative of left ventricular hypertrophy, ischaemic heart disease, and right bundle branch block, were high among the arsenicosis group. Overall, abnormal ECG findings were high (58%) among the respondents of the arsenicosis group and were highly significant (p<0.001). The findings revealed that there was a significant association between ECG abnormalities and arsenic exposure.

Association between chronic exposure to arsenic and slow nerve conduction velocity among adolescents in Taiwan.

The association between chronic exposure to arsenic and peripheral neuropathy has been controversial in previous studies, which may be due to the influence of factors, such as age, gender, chronic diseases, occupational injuries, and arsenic exposure. To clarify the question of this association, a cross-sectional study was designed. In total, 130 junior high school students aged 12-14 years were included and examined for the motor and sensory nerve conduction velocity of peripheral nerves in their right-upper and lower limbs. Concentrations of arsenic in well-water and history of drinking well-water were retrieved from a baseline database created in 1991. After adjustment for gender and height, a significant odds ratio of 2.9 (95% confidence interval [CI] 1.1-7.5) was observed for the development of slow nerve conduction velocity of the sural sensory action potential (SAP) among the study subjects with a cumulative arsenic dosage of>100.0 mg. In addition, a borderline statistical significance with odds ratio of 7.8 (95% CI 1.001-69.5) for the development of slow nerve conduction velocity of sural SAP was also observed among the study subjects who drank well-water containing arsenic concentrations of >50.0 microg/L and with a cumulative arsenic dosage of >100.0 mg. The study found that chronic exposure to arsenic might induce peripheral neuropathy. It also found that the slowing of the nerve conduction velocity of sural SAP might be an early marker of chronic arsenic neuropathy.

Prevalence of arsenicosis in terai, Nepal.

This paper summarizes the findings of surveys on arsenicosis cases conducted during 2001-2004 in terai, Nepal, by governmental and non-governmental organizations in their respective project areas and by some national and international institutes. Studies were conducted in six arsenic-contaminated districts of terai, namely Nawalparasi, Bara, Parsa, Rautahat, Rupandehi, and Kapilvastu. In these districts, arsenic contamination in tubewells varied from 2.1% to 25.7%. The prevalence of arsenicosis was, on average, 2.2% and varied from 0.7% in Kapilavastu district to 3.6% in Nawalparasi district. In the community-based study, the highest prevalence (18.6%) of arsenicosis was found in Patkhouli village of Nawalparasi, where 95.8% of tubewells were contaminated with arsenic. The prevalence of arsenicosis was higher in older age-groups (>50 years) of both the sexes. Males suffered more from arsenicosis than females (odds ratio: 2.50, 95% confidence interval 1.80-3.47). Skin manifestations, such as melanosis and keratosis, were the common symptoms of arsenicosis. Most patients were identified in the early or mild stage of the disease. They are expected to recover if further exposure to arsenic could be avoided by providing arsenic-safe drinking-water through intervention measures.

Current research problems of chronic arsenicosis in China.

Chronic arsenicosis is a newly-emerged public-health issue in China and many other Asian countries. Over 200 million people are estimated to be at the risk of high arsenic exposure from drinking-water in the Asian region. To protect people from the hazards of chronic arsenic poisoning, the Chinese Government has been providing low-arsenic drinking-water to some seriously-affected rural areas, such as Inner Mongolia autonomous province. Results of follow-up studies showed that both the average values of arsenic, including inorganic arsenic (iAs), monomethylated arsenic, dimethylated arsenic and trimethylated arsenic, and 8-hydroxydeoxyguanine in urine, decreased significantly after drinking low-arsenic water for one year, and arsenic-specific skin lesions also improved to some extent. However, a five-year follow-up study showed no more significant improvement of skin lesions, while the potential risk of arsenic-induced cancers after cutting off high-arsenic exposure was still uncertain and indefinite. The susceptibility of children compared to adults to chronic arsenic exposure and the need to re-evaluate the appropriate standard of arsenic in drinking-water were also discussed in this paper.

Effects of an oil spill and discharge of domestic sewage on the insect fauna of Cururu stream, Manaus, AM, Brazil

As assembléias de insetos aquáticos e edáficos de três igarapés da Amazônia Central foram utilizadas para avaliar o impacto sofrido por um deles (igarapé Cururu), após um vazamento de óleo derivado de petróleo, ocorrido em agosto de 1999. O igarapé Cururu já era impactado pelo despejo de esgoto doméstico. A avaliação desses sistemas foi realizada em quatro diferentes períodos do ciclo hidrológico da região (vazante, seca, enchente e cheia), entre setembro de 2000 e maio de 2001. Os insetos foram coletados com draga Eckman, rede entomológica aquática e trado, e utilizados para estimar a riqueza taxonômica (nível de família) e a densidade de insetos em cada sistema. Os efeitos de anóxia e os efeitos da eutroficação foram mensurados pelas médias de concentração de oxigênio dissolvido, nitrogênio total e fósforo total, estimadas nos três sistemas. A riqueza e abundância da fauna de insetos foram maiores no igarapé Cristalino (não impactado) do que nos igarapés Bom Jardim (impactado pelo despejo de esgoto) e Cururu, com exceção das amostragens de insetos litorâneos. A concentração do oxigênio dissolvido no igarapé Cururu foi menor do que nos outros dois sistemas, enquanto as concentrações de nitrogênio total e fósforo total no igarapé Cururu foram maiores. Esses elementos tiveram valores inversos no igarapé Cristalino e intermediários no igarapé Bom Jardim. As concentrações de oxigênio dissolvido, nitrogênio total e fósforo total refletem as modificações provocadas pela eutroficação antropogênica nos sistemas Bom Jardim e Cururu. Isso ocorreu devido à liberação de efluentes domésticos pelas comunidades locais e pelo óleo introduzido no igarapé Cururu, influenciando negativamente a riqueza e abundância de insetos nesses igarapés.

Behavioral responses of Cyprinus carpio to industrial effluents.

Fish were collected from Nath Sagar, Paithan 50 kms away from Aurangabad and were brought to the laboratory and exposed to industrial effluent (tannery effluent). Behavioral changes and responses of the fish to the tannery effluent were observed. Control fish showed normal behaviour and swimming in contrast the effluent exposed fish showed abnormal swimming, loss of equilibrium, fading of colour, coughing and opercular movements.

Pulmonary involvement in chronic arsenic poisoning from drinking contaminated ground-water.

OBJECTIVES: Chronic arsenic poisoning, due to ingestion of contaminated ground-water, is a major public health problem in West Bengal. It causes multiorgan damage. The present study attempts to objectively investigate the pulmonary involvement by examining the lung function. The nature of lung changes was also evaluated. MATERIAL AND METHODS: One hundred and seven subjects with (cases) and 52 subjects without (controls) chronic arsenic poisoning were examined by spirometry. Forced expiratory volume-I second (FEVI), forced vital capacity (FVC) and peak expiratory flow rate (PEFR) were measured. Bronchoalveolar lavage (BAL) was performed in five cases with and five cases without pulmonary involvement. RESULTS: Thirty three (30.8%) cases and four (7.6%) controls (p<0.01) had respiratory involvement. The pattern of involvement in cases was: obstructive- 20(68.9%) (including three (10%) with bronchiectasis), restrictive- 1(3.5%), mixed- 8(27.6%), malignancy- 4(12.1%) (adenocarcinoma-I, squamous cell- 2, undifferentiated- I). FEVI (69.7+/-25.9 [n=105] vs 83.7+/-15.19 [n=51], p=0.0005), FVC (77.4+/-22.7 [n=105] vs 85.6+/-18.23 [n=51], p=0.025), FEVI/FVC (73.6+/-13.38 [n=105] vs 79.1+/-18.65 [n=52], p=0.007) and PEFR (53.9+/-21.52 [n= 103] vs 67.3+/-18.36 [n=51], p=0.0002) (percent of predicted) were all reduced more in cases compared to controls. Worsening of these parameters correlated with increasing degree of arsenic toxicity. Markers of inflammation (macrophage, lactate dehydrogenase, nitric oxide) were apparently more in the BAL fluid of those with lung involvement than in those without, though the arsenic content did not differ significantly. CONCLUSION: Chronic arsenic poisoning causes pulmonary involvement, predominantly obstructive, the degree of which worsens with increasing degree of arsenic toxicity. Inflammation, rather than direct toxicity, appears to be the underlying mechanism.

Arsenic-related health problems among hospital patients in southern Bangladesh.

To assess the health effects of arsenic poisoning and to determine the relationship among duration and severity of skin lesions, exposure dose of arsenic, and nutritional status of people, 150 patients attending the Dermatology Outpatients Department of Sher-e-Bangla Medical College Hospital, Barisal, Bangladesh, were included in this cross-sectional study. The study was conducted during January-December 2000. Records of patients were collected prospectively using a pre-tested questionnaire, which included information on demography, sources of water for drinking and cooking, duration and amount of drinking-water obtained from shallow tubewells, clinical presentations, complications, and physical and laboratory findings. Water samples from tubewells currently being used by individual patients were examined. Nine percent of the patients were unaware that arsenic-contaminated water causes diseases. Due to lack of alternative water supplies, 25% of the subjects were still drinking water from contaminated tubewells. About 18% did not complain of any clinical symptoms, except that their skin lesions were ugly-looking, and 82% had moderate or severe skin lesions. Thirty-one percent of the water samples had arsenic concentrations 10-fold higher than the permissible limit of 0.05 mg/L in Bangladesh and 50-fold higher than the WHO guideline value of 0.01 mg/L. The mean arsenic concentration in water was significantly associated with the severity of disease. Body mass index correlated inversely (r = -0.298, p = 0.013) with the duration of disease after controlling for age. The findings suggest the need to enhance public awareness on negative health effects of arsenic poisoning in rural Bangladesh. From a public-health perspective, effective intervention strategies need to be developed to curb the exposure, strengthen rapid diagnostic facilities, establish effective treatment facilities in rural areas, and improve the nutritional status of people.