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1.
Regul Toxicol Pharmacol ; 124: 104969, 2021 Aug.
Article in English | MEDLINE | ID: mdl-34089813

ABSTRACT

Hexavalent chromium [Cr(VI)] exists in the ambient air at low concentrations (average upperbound ~0.1 ng/m3) yet airborne concentrations typically exceed EPA's Regional Screening Level for residential exposure (0.012 ng/m3) and other similar benchmarks, which assume a mutagenic mode of action (MOA) and use low-dose linear risk assessment models. We reviewed Cr(VI) inhalation unit risk estimates developed by researchers and regulatory agencies for environmental and occupational exposures and the underlying epidemiologic data, updated a previously published MOA analysis, and conducted dose-response modeling of rodent carcinogenicity data to evaluate the need for alternative exposure-response data and risk assessment approaches. Current research supports the role of non-mutagenic key events in the MOA, with growing evidence for epigenetic modifiers. Animal data show a weak carcinogenic response, even at cytotoxic exposures, and highlight the uncertainties associated with the current epidemiological data used in risk assessment. Points of departure from occupational and animal studies were used to determine margins of exposure (MOEs). MOEs range from 1.5 E+3 to 3.3 E+6 with a median of 5 E+5, indicating that current environmental exposures to Cr(VI) in ambient air should be considered of low concern. In this comprehensive review, the divergent results from default linear and MOE assessments support the need for more relevant and robust epidemiologic data, additional mechanistic studies, and refined risk assessment strategies.


Subject(s)
Carcinogens, Environmental/toxicity , Chromium/toxicity , Lung Neoplasms/epidemiology , Datasets as Topic , Environmental Exposure/adverse effects , Environmental Exposure/standards , Epigenesis, Genetic/drug effects , Gene Expression Regulation, Neoplastic/drug effects , Humans , Inhalation Exposure/adverse effects , Lung Neoplasms/chemically induced , Lung Neoplasms/genetics , Occupational Exposure/adverse effects , Occupational Exposure/standards , Risk Assessment/methods , United States/epidemiology , United States Environmental Protection Agency/standards
2.
Toxicol Sci ; 180(1): 38-50, 2021 02 26.
Article in English | MEDLINE | ID: mdl-33404626

ABSTRACT

Oral exposure to hexavalent chromium (Cr[VI]) induces intestinal tumors in mice. Mutagenic and nonmutagenic modes of action (MOAs) have been accepted by different regulatory bodies globally, the latter involving cytotoxicity-induced regenerative cell proliferation. However, concerns persist that all possible MOAs have not been fully considered. To address the potential for alternative MOAs, mechanistic data not represented in the existing two MOAs were evaluated. Relevant data were identified and organized by key characteristics of carcinogens (KCCs); literature related to epigenetics, immunosuppression, receptor-mediated effects, and immortalization were reviewed to identify potential key events associated with an alternative MOA. Over 200 references were screened for these four KCCs and further prioritized based on relevance to the research objective (ie, in vivo, oral exposure, gastrointestinal tissue). Minimal data were available specific to the intestine for these KCCs, and there was no evidence of any underlying mechanisms or key events that are not already represented in the two proposed MOAs. For example, while epigenetic dysregulation of DNA repair genes has been demonstrated, epigenetic effects were not measured in intestinal tissue, and it has been shown that Cr(VI) does not cause DNA damage in intestinal tissue. High-throughput screening data related to the KCCs were also evaluated, with activity generally limited to the two recognized MOAs. Collectively, no plausible alternative MOAs (or key events) were identified in addition to those previously proposed for Cr(VI) small intestine tumors.


Subject(s)
Carcinogens, Environmental , Intestinal Neoplasms , Animals , Carcinogens/toxicity , Chromium/toxicity , Humans , Intestinal Neoplasms/chemically induced , Mice , Risk Assessment , Rodentia
3.
BMC Public Health ; 20(1): 1017, 2020 Jun 26.
Article in English | MEDLINE | ID: mdl-32590953

ABSTRACT

BACKGROUND: Quantifying the potential cancer cases associated with environmental carcinogen exposure can help inform efforts to improve population health. This study developed an approach to estimate the environmental burden of cancer and applied it to Ontario, Canada. The purpose was to identify environmental carcinogens with the greatest impact on cancer burden to support evidence-based decision making. METHODS: We conducted a probabilistic assessment of the environmental burden of cancer in Ontario. We selected 23 carcinogens that we defined as "environmental" (e.g., pollutants) and were relevant to the province, based on select classifications provided by the International Agency for Research on Cancer. We evaluated population exposure to the carcinogens through inhalation of indoor/outdoor air; ingestion of food, water, and dust; and exposure to radiation. We obtained or calculated concentration-response functions relating carcinogen exposure and the risk of developing cancer. Using both human health risk assessment and population attributable fraction models in a Monte Carlo simulation, we estimated the annual cancer cases associated with each environmental carcinogen, reporting the simulation summary (e.g., mean and percentiles). RESULTS: We estimated between 3540 and 6510 annual cancer cases attributable to exposure to 23 environmental carcinogens in Ontario. Three carcinogens were responsible for over 90% of the environmental burden of cancer: solar ultraviolet (UV) radiation, radon in homes, and fine particulate matter (PM2.5) in outdoor air. Eight other carcinogens had an estimated mean burden of at least 10 annual cancer cases: acrylamide, arsenic, asbestos, chromium, diesel engine exhaust particulate matter, dioxins, formaldehyde, and second-hand smoke. The remaining 12 carcinogens had an estimated mean burden of less than 10 annual cancer cases in Ontario. CONCLUSIONS: We found the environmental burden of cancer in Ontario to fall between previously estimated burdens of alcohol and tobacco use. These results allow for a comparative assessment across carcinogens and offer insights into strategies to reduce the environmental burden of cancer. Our analysis could be adopted by other jurisdictions and repeated in the future for Ontario to track progress in reducing cancer burden, assess newly classified environmental carcinogens, and identify top burden contributors.


Subject(s)
Carcinogens, Environmental/administration & dosage , Cost of Illness , Environmental Exposure/adverse effects , Environmental Monitoring/statistics & numerical data , Neoplasms/chemically induced , Asbestos/adverse effects , Carcinogens , Carcinogens, Environmental/analysis , Environmental Exposure/statistics & numerical data , Humans , Neoplasms/epidemiology , Ontario , Particulate Matter/analysis , Risk Assessment , Risk Factors
4.
Am J Ind Med ; 63(9): 803-816, 2020 09.
Article in English | MEDLINE | ID: mdl-32573821

ABSTRACT

BACKGROUND: Disparities in exposure to occupational hazards may be linked to social position as well as the type of job a person holds. This study aimed to describe the prevalence of exposure to workplace hazards among three migrant worker groups and to assess whether social disparities in exposure for these groups remain after adjusting for occupational characteristics. METHODS: Data were collected in 2017/2018 from 1630 Australian workers born in New Zealand, India, and the Philippines. Weighted estimated prevalence of exposure to 10 carcinogens and four psychosocial hazards (discrimination, job strain, vulnerability, and insecurity) was calculated for sociodemographics and occupation. Regression estimated the likelihood of exposure by sociodemographics after adjustment for occupational characteristics. RESULTS: Exposure to workplace hazards ranged from 11.7% (discrimination) to 61.2% (exposed to at least one carcinogen). Compared with workers born in India, New Zealand born workers were over twice as likely to be exposed to diesel engine exhaust (adjusted odds ratio [aOR] = 2.60) and 60% more likely to be exposed to at least one carcinogen (aOR = 1.60) but less likely to be exposed to any psychosocial hazard. Social disparities by country of birth, sex, age, education, and number of years in Australia, as well as company size, employment type, and hours, worked remained associated with greater likelihood of reporting one or more workplace hazards after adjusting for occupational characteristics. CONCLUSION: Examining sociodemographic as well as occupational characteristics helps to clarify groups most likely to be exposed to workplace hazards who can be hidden when examining occupational characteristics alone.


Subject(s)
Carcinogens, Environmental/analysis , Occupational Exposure/statistics & numerical data , Occupations/statistics & numerical data , Socioeconomic Factors , Transients and Migrants/statistics & numerical data , Adolescent , Adult , Aged , Australia/epidemiology , Cluster Analysis , Female , Health Status Disparities , Humans , India/ethnology , Male , Middle Aged , New Zealand/ethnology , Occupational Exposure/analysis , Philippines/ethnology , Prevalence , Regression Analysis , Surveys and Questionnaires , Workplace/statistics & numerical data , Young Adult
5.
Chemosphere ; 251: 126393, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32155496

ABSTRACT

Fumonisin B1 (FB1) is a mycotoxin frequently found in agricultural commodities, and poses a considerable risk for human and animal health. The aim of this study was to investigate the toxic effect of FB1 in mice intestine. Male Kunming mice (n = 40) were treated with FB1 diet for 42 days. Histopathological and biochemical analyses, including ion concentrations, transcription of ATPase subunits and mRNA expression of cytochrome P450s (CYP450s) analyses were performed on duodenum, cecum and colon of mice. The results revealed that FB1 caused histological alterations, including partial shedding of villous epithelial cells and inflammatory cell infiltration. Furthermore, a significant change in Na+, K+ and Ca2+ in serum, and the mRNA expression of ATPase subunits and CYP450s in intestinal tracts were observed in FB1-exposed mice. Our results suggested that FB1 exposure induce histopathological injury via disrupting CYP isoforms transcription and triggering ion homeostasis imbalance in mice intestinal tracts.


Subject(s)
Carcinogens, Environmental/toxicity , Cytochrome P-450 Enzyme System/metabolism , Fumonisins/toxicity , Homeostasis/physiology , Animals , Epithelial Cells , Humans , Liver/drug effects , Male , Mice , Mycotoxins/toxicity
6.
Arch Environ Contam Toxicol ; 78(2): 190-205, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31901970

ABSTRACT

The focus of this research on children's playgrounds with artificial surfaces aimed to establish levels of potentially toxic elements (PTEs) in dust, their origin, and impact on children at 15 playgrounds: 9 on school grounds and 6 on day nurseries in Belgrade (Serbia). Soil samples were taken from the immediate vicinity of the playgrounds to establish the origin of PTEs in the dust samples. Soil analyses revealed the lithogenic origin of Co, Cr, Ni, Fe, Mn, As, Cd, Cu, Pb, and Zn and the anthropogenic origin of As, Cd, Cu, Pb, and Zn. However, in the dust samples, the origin of the elements was different with As, Co, Fe, and Mn originating from the surrounding soil; Cr and Ni levels affected by both atmospheric deposition and the surrounding soil; Cd, Pb, and Zn concentrations impacted by atmospheric deposition; and Cu levels affected by factors of a local character. No noncancer risk was found for any of the individual elements investigated, nor for any of the playgrounds being studied, while a minimal cancer risk was found from As with values greater than 1E-6 at almost all the sites. Based on the results obtained for the spatial distribution of individual PTE levels, it was determined that the surrounding soil and atmospheric deposition have an almost equal impact on noncancer risk values.


Subject(s)
Dust/analysis , Environmental Pollutants/analysis , Environmental Pollutants/toxicity , Metals/analysis , Metals/toxicity , Air Pollutants/analysis , Atmosphere , Carcinogens, Environmental/analysis , Carcinogens, Environmental/toxicity , Child , Environmental Monitoring/methods , Humans , Parks, Recreational , Risk Assessment , Serbia , Soil Pollutants/analysis
7.
Ann Ist Super Sanita ; 55(4): 371-379, 2019.
Article in English | MEDLINE | ID: mdl-31850865

ABSTRACT

The burden of cancer is increasing worldwide, with a continuous rise of the annual total cases. Although mortality rates due to cancer are declining in developed countries, the total number of cancer deaths continues to rise due to the increase in the number of aged people. Three main causes of cancer have been described, represented by environmental factors, hereditary factors and random factors related to defects originated during cell replication. The frequency of cancers is very different for the various tissues and there is great debate on the extent of the specific contribution of environmental factors and random factors (due to "bad luck") to cancer development. However, there is consensus that about 50% of all cases of cancer are related to environment and are preventable. Although a part of cancers is related to intrinsic mechanisms non preventable of genetic instability, it is evident that implementation of primary and secondary prevention measures is the only affordable strategy to meet from a medical and economic point of view the tremendous pressure created on healthcare structures by the increased cancer burden. It is time to bypass the paradox of disease prevention: celebrated in principle, resisted in practice.


Subject(s)
Neoplasms/prevention & control , Animals , Carcinogens, Environmental/adverse effects , Cell Division , Cell Transformation, Neoplastic , Cost of Illness , DNA Replication , Genomic Instability , Humans , Immunotherapy , Life Style , Mice , Mutation , Neoplasms/economics , Neoplasms/etiology , Neoplasms/therapy , Neoplastic Syndromes, Hereditary/genetics , Neoplastic Syndromes, Hereditary/prevention & control , Primary Prevention , Risk Factors , Secondary Prevention , Tumor Escape , Tumor Virus Infections/epidemiology
8.
Environ Geochem Health ; 41(6): 2821-2843, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31190126

ABSTRACT

Analysis of soil samples around pristine and major gold-mining areas in Ghana was carried out for heavy metals as part of a larger soil contamination and metal background study. The surface soil samples were digested using microwave digester (aqua regia) and analyzed with ICP-MS for As, Cd, Hg, Zn, Co, Cu, Mn, Fe, Al, V, Cr, and Pb. The average concentrations (mg/L) for the metals ranged from 0.01 ± 0.01 (Cd) to 86,859.36 ± 47.07 (Fe) for the pristine sites, and 0.01 ± 0.01 (Cd) to 59,006.95 ± 79.06 (Fe) for the mining sites. Mercury was below the detection limit of the analytical instrument (0.029). The concentrations of heavy metals from this study were used to assess their contamination levels, and health risks. The results showed that, the metals ranked by severity of health risks as As > Pb > Cr > Cd. Principal component analysis (PCA) and cluster analysis showed two groupings with the PCA showing metals variability explained by 79.02%. Results from the PCA and Cluster analysis indicate anthropogenic sources of the metals which may be emanating from gold-mining activities. Results from multi-criteria ranking and pattern recognition employing PROMETHEE and GAIA revealed major contribution of the metals from the mining sites with metal variability explained by 72.83%. This is the first time a multi-criteria approach is employed to characterize heavy metal contamination in Ghana, and the study nevertheless brought to light the impact of mining on human health and the environment with implications for other mineral areas around the globe.


Subject(s)
Metals, Heavy/analysis , Mining , Risk Assessment/methods , Soil Pollutants/analysis , Carcinogens, Environmental/analysis , Carcinogens, Environmental/toxicity , Cluster Analysis , Environmental Monitoring/methods , Ghana , Gold , Humans , Limit of Detection , Mass Spectrometry/methods , Mercury/analysis , Metals, Heavy/toxicity , Soil Pollutants/toxicity
9.
Wiad Lek ; 72(5 cz 1): 807-812, 2019.
Article in English | MEDLINE | ID: mdl-31175777

ABSTRACT

OBJECTIVE: The aim of the work was assessment of the criterial significance of the complex of early immunological reactions of the organism, pathomorphological and genotoxic changes in the organs for the acceleration of testing and hygienic assessment of carcinogenic danger of chemical substances. PATIENTS AND METHODS: Materials and methods: Investigations were carried out in the chronic experiment on white random-bred male mice and included 2 series of the investigations: 1 - application of benz(a)pyrene on skin in different doses (10.5µg; 2.1µg; 0.21µg); 2 - peroral administration of benz(a)pyrene and phenol (single dose - 0.1 mg). Genotoxic changes in skin and forestomach were assessed with the help of micronuclear test. RESULTS: Results: Under carcinogen exposure, regardless of routes of administration we determined an increase frequency of the cells with micronuclei and suppression of T-link ofimmune system during the first month which were characterized by a parallelism of development, unidirectional relative to carcinogenesis and presence of reliable reverse correlative connection between them. In the period between the 1t and the 3d months we observed a stabilization of the number of cells with micronuclei and deepening of immunosuppression at the expense of the suppression of humoral chain of the immunity. CONCLUSION: Conclusions: The obtained data became a basis for the development of methodic scheme of accelerated testing of the chemical substances under investigations for carcinogenicity and hygienic setting of genotoxic carcinogens.


Subject(s)
Carcinogens, Environmental , Animals , DNA Damage , Male , Mice
10.
Environ Geochem Health ; 41(1): 481-505, 2019 Feb.
Article in English | MEDLINE | ID: mdl-29623519

ABSTRACT

This study was initiated to develop a model specialized to conduct human risk assessments (HRAs) of abandoned metal mine areas in Korea. The Korean guideline (KG) model used in study was formulated via modification of the original Korean guidelines on HRAs of soil contamination. In addition, the newly developed model was applied to the HRAs of two abandoned metal mines contaminated with arsenic (As) and heavy metals (Cd, Cu, Pb, and Zn). The results of the KG model were compared with those of two internationally renowned models [Contaminated land exposure assessment (CLEA) and CSOIL models]. The HRA results of the three models indicated that the areas of concern were unsafe when it came to both carcinogenic and non-carcinogenic hazards. Furthermore, the hazards in both areas were mostly attributed to As and the predominant exposure pathways were identified as crop intake in the KG model and surface soil dermal contact in CLEA and CSOIL models. Accordingly, measures to protect against As exposure should be established immediately to prevent adverse health effects on inhabitants in these areas. A comparison of HRA results revealed significant differences between KG, CLEA, and CSOIL models due to the various types of exposure pathways, contaminants, and input data, such as exposure factors and receptor parameters. This study suggests that set-up of an exposure scenario is crucial for the successful performance of HRAs, and the most relevant HRA model should be deliberately selected to attain risk assessment goals.


Subject(s)
Arsenic/toxicity , Environmental Monitoring/methods , Metals, Heavy/toxicity , Models, Theoretical , Soil Pollutants/toxicity , Carcinogens, Environmental/toxicity , Humans , Mining , Republic of Korea , Risk Assessment
11.
J Occup Health ; 60(6): 515-524, 2018 Nov 27.
Article in English | MEDLINE | ID: mdl-30122732

ABSTRACT

OBJECTIVE: We assessed the cancer risks resulting from the exposure to chromium, hexavalent chromium (Cr (VI) ), oxidic nickel (Ni), and soluble Ni in welding fumes during pipeline and shipyard construction and pressure container manufacturing in Taiwan. We also determined the roles of welding performance and demographic characteristics during the exposure to Cr and Ni. METHODS: Personal air samples were collected for the analysis of Cr and Ni, and the concentrations of Cr (VI), oxidic Ni, and soluble Ni were quantified. We assessed cancer slope factors for Cr, Cr (VI), oxidic Ni, and soluble Ni, and we used the Incremental Lifetime Cancer Risk model proposed by the United States Environmental Protection Agency to calculate excess risk. RESULTS: The risks of exposure to Cr and Cr (VI) in welding fumes exceeded the acceptable level of occupational exposure (10-3). We ranked the excess cancer risk in three industries in decreasing order as follows: pipeline construction, shipyard construction, and pressure container manufacturing. The most sensitive parameters for the risk assessment were Cr and Ni concentrations. Statistically significant determinants of Cr (VI), oxidic Ni, and soluble Ni concentrations were the following: stainless steel as the base metal and the filler metals of shielded metal arc welding (SMAW) and of gas tungsten arc welding (GTAW). CONCLUSION: The study revealed that welders belong to a high cancer-risk group. Furthermore, we demonstrated the roles of filler metals and stainless steel in exposure to Cr and Ni.


Subject(s)
Carcinogens, Environmental/adverse effects , Chromium/adverse effects , Neoplasms/chemically induced , Neoplasms/epidemiology , Nickel/adverse effects , Occupational Exposure/adverse effects , Adult , Aged , Air Pollutants, Occupational/adverse effects , Air Pollutants, Occupational/analysis , Carcinogens, Environmental/analysis , Chromium/analysis , Construction Materials , Environmental Monitoring/methods , Humans , Male , Middle Aged , Nickel/analysis , Occupational Exposure/analysis , Risk Assessment , Ships , Taiwan/epidemiology , Welding
12.
Huan Jing Ke Xue ; 39(1): 99-108, 2018 Jan 08.
Article in Chinese | MEDLINE | ID: mdl-29965670

ABSTRACT

Six groups of 10 antibiotics in the water plants and water supply network in Tianjin were sampled and analyzed by using solid phase extraction and high performance liquid chromatography-mass spectrometry. The concentrations of 10 antibiotics were detected in the water treatment process units, and the distribution, migration, and health risk assessment in the water supply networks were studied. The results of antibiotic determination in the water plants showed that the antibiotic concentrations were 0.96-126.43 ng·L-1, and the removal efficiency was -46.47%-45.10% in plant A using traditional treatment processes. The coagulation treatment process was effective for the antibiotic removal in plant A. In plant B with an advanced treatment process, roxithromycin was not detected, and the concentration of other antibiotics was ND-72.27 ng·L-1. The removal efficiency of the antibiotics was 40.25%-70.33% in plant B, which was remarkably higher than that in plant A. The results indicated the process of UV combined with chlorine disinfection played a major role in removing antibiotics in plant B. In addition, the antibiotic distribution in the water pipes indicated that the detection rate of roxithromycin was 75.0% and that for other antibiotics was 100.0%. The concentration of 10 antibiotics was ND-348.99 ng·L-1 and decreased gradually with the increase of the transmission distance, which followed the first order reaction kinetics model. Based on the Monte Carlo method, the carcinogenic and non-carcinogenic health risks of antibiotics in drinking water were assessed. The results displayed that both were at an acceptable level of risk.


Subject(s)
Anti-Bacterial Agents/analysis , Drinking Water/analysis , Water Pollutants, Chemical/analysis , Water Supply , Carcinogens, Environmental , China , Risk Assessment , Water Purification
13.
Food Addit Contam Part B Surveill ; 11(3): 229-236, 2018 Sep.
Article in English | MEDLINE | ID: mdl-29788825

ABSTRACT

The occurrence and human dietary exposure of 12 dioxin-like polychlorinated biphenyls (DL-PCBs) in 41 marine fish samples from Shandong Province of China were investigated. The DL-PCB congeners were extracted using automated Soxhlet extraction, purified via a composite column clean-up procedure and analysed by gas chromatography-triple quadrupole mass spectrometry. DL-PCB congeners were found in all analysed samples, with a mean concentration of 0.887 ng/g ww (wet weight). The TEQ concentrations of DL-PCBs in individual fish samples ranged from 0.011 to 9.214 pg WHO TEQ/g ww. The mean dietary intake for all fish species was 36.5 pg TEQ/kg bw/month, which was lower than the provisional tolerable monthly intake of 70 pg TEQ/kg bw/month set by the Joint FAO/WHO Expert Committee on Food Additives. To monitor the trend of DL-PCBs in fish for food safety control, it is necessary to maintain a surveillance programme.


Subject(s)
Carcinogens, Environmental/analysis , Dioxins/analysis , Fishes , Food Contamination , Food Inspection/methods , Polychlorinated Biphenyls/analysis , Seafood/analysis , Analytic Sample Preparation Methods , Animals , Automation, Laboratory , Calibration , Carcinogens, Environmental/toxicity , China , Diet/adverse effects , Diet/ethnology , Dietary Exposure/adverse effects , Dioxins/toxicity , Fishes/growth & development , Gas Chromatography-Mass Spectrometry , Humans , Limit of Detection , Pacific Ocean , Polychlorinated Biphenyls/toxicity , Reproducibility of Results , Seafood/adverse effects , Seafood/economics , Tandem Mass Spectrometry
14.
JAMA Oncol ; 4(6): 828-831, 2018 06 01.
Article in English | MEDLINE | ID: mdl-29710126

ABSTRACT

Importance: Elevated rates of cancer have been reported in individuals exposed to the World Trade Center (WTC) disaster, including Fire Department of the City of New York (FDNY) rescue and recovery workers. Objective: To project the future burden of cancer in WTC-exposed FDNY rescue and recovery workers by estimating the 20-year cancer incidence. Design, Setting, and Participants: A total of 14 474 WTC-exposed FDNY employees who were cancer-free on January 1, 2012; subgroup analyses were conducted of the cohort's white male population (n = 12 374). In this closed-cohort study, we projected cancer incidence for the January 1, 2012, to December 31, 2031, period. Simulations were run using demographic-specific New York City (NYC) cancer and national mortality rates for each individual, summed for the whole cohort, and performed 1000 times to produce mean estimates. Additional analyses in the subgroup of white men compared case counts produced by using 2007-2011 FDNY WTC Health Program (FDNY-WTCHP) cancer rates vs NYC rates. Average and 20-year aggregate costs of first-year cancer care were estimated using claims data. Exposures: World Trade Center disaster exposure defined as rescue and recovery work at the WTC site at any time from September 11, 2001, to July 25, 2002. Main Outcomes and Measures: (1) Projected number of incident cancers in the full cohort, based on NYC cancer rates; (2) cancer incidence estimates in the subgroup projected using FDNY-WTCHP vs NYC rates; and (3) estimated first-year treatment costs of incident cancers. Results: On January 1, 2012, the cohort was 96.8% male, 87.1% white, and had a mean (SD) age of 50.2 (9.2) years. The projected number of incident cancer cases was 2960 (95% CI, 2883-3037). In our subgroup analyses using FDNY-WTCHP vs NYC cancer rates, the projected number of new cases in white men was elevated (2714 [95% CI, 2638-2786] vs 2596 [95% CI, 2524-2668]). Accordingly, we expect more prostate (1437 [95% CI, 1383-1495] vs 863 [95% CI, 816-910]), thyroid (73 [95% CI, 60-86] vs 57 [95% CI, 44-69]), and melanoma cases (201 [95% CI, 179-223] vs 131 [95% CI, 112-150), but fewer lung (237 [95% CI, 212-262] vs 373 [95% CI, 343-405]), colorectal (172 [95% CI, 152-191] vs 267 [95% CI, 241-292]), and kidney cancers (66 [95% CI, 54-80] vs 132 [95% CI, 114-152]) (P < .001 for all comparisons). The estimated 20-year cost of first-year treatment was $235 835 412 (95% CI, $187 582 227-$284 088 597). Conclusions and Relevance: We project that the FDNY-WTCHP cohort will experience a greater cancer burden than would be expected from a demographically similar population. This underscores the importance of cancer prevention efforts and routine screening in WTC-exposed rescue and recovery workers.


Subject(s)
Disasters , Emergency Responders , Environmental Restoration and Remediation , Neoplasms/epidemiology , Occupational Diseases/epidemiology , Rescue Work , September 11 Terrorist Attacks , Adult , Aged , Air Pollutants/toxicity , Carcinogens, Environmental/toxicity , Cohort Studies , Firefighters , Forecasting , Humans , Incidence , Male , Middle Aged , Neoplasms/economics , Neoplasms/etiology , New York City/epidemiology , Occupational Diseases/etiology
15.
Food Addit Contam Part B Surveill ; 11(3): 167-174, 2018 Sep.
Article in English | MEDLINE | ID: mdl-29529936

ABSTRACT

During 2016-2017, 156 samples of fresh milk samples were collected from local markets of Karachi, Pakistan and analysed for aflatoxin M1 (AFM1) contamination using ELISA technique. AFM1 was detected in 143 (91.7%) samples, ranged from 20 to 3090 ng L-1 with a mean level of 346.2 ng L-1. In 125 (80.1%) samples, the AFM1 contamination was greater than the maximum limit (ML = 50 ng L-1) set by EU. However, in 51 (32.7%) samples, the AFM1 level was higher than the ML of 500 ng L-1 as assigned by the USA. Statistical analysis showed that the AFM1 level in milk samples from summer was significantly (p < 0.05) higher than that obtained in winter. It was concluded that the AFM1 levels in the tested samples appear to be a serious public health problem. Therefore, immediate measures should be taken and re-evaluation done for the procedures for farming, transportation, refrigeration, and storage for the control of AFM1 level in milk samples.


Subject(s)
Aflatoxin M1/analysis , Carcinogens, Environmental/analysis , Food Contamination , Food Inspection/methods , Milk/chemistry , Animals , Calibration , Cattle , Enzyme-Linked Immunosorbent Assay , Humans , Limit of Detection , Milk/economics , Milk/standards , Pakistan , Reproducibility of Results , Seasons , Uncertainty
16.
Nutrients ; 10(3)2018 Mar 10.
Article in English | MEDLINE | ID: mdl-29534461

ABSTRACT

OBJECTIVE: To assess the risk of mycotoxin exposure (aflatoxin M1, ochratoxin A, and zearalenone) in celiac disease (CD) breastfeeding mothers and healthy control mothers, as well as in their offspring, by quantifying these contaminants in breast milk. STUDY DESIGN: Thirty-five breastfeeding women with CD on a gluten-free diet and 30 healthy breastfeeding controls were recruited. Milk sampling was performed three times per day for three consecutive days. Mycotoxin content was investigated by an analytical method using immunoaffinity column clean-up and high-performance liquid chromatography (HPLC) with fluorometric detection. RESULTS: Aflatoxin M1 (AFM1) was detected in 37% of CD group samples (mean ± SD = 0.012 ± 0.011 ng/mL; range = 0.003-0.340 ng/mL). The control group showed lower mean AFM1 concentration levels in 24% of the analyzed samples (0.009 ± 0.007 ng/mL; range = 0.003-0.067 ng/mL, ANOVA on ranks, p-value < 0.01). Ochratoxin A and zearalenone did not differ in both groups. CONCLUSION: Breast milk AFM1 contamination for both groups is lower than the European safety threshold. However, the estimated exposures of infants from CD mothers and control mothers was much higher (≃15 times and ≃11 times, respectively) than the threshold set by the joint FAO/WHO Expert Committee on Food Additives (JECFA). Since incongruities exist between JECFA and the European Union standard, a novel regulatory review of the available data on this topic is desirable. Protecting babies from a neglected risk of high AFM1 exposure requires prompt regulatory and food-control policies.


Subject(s)
Celiac Disease/diet therapy , Diet, Gluten-Free/adverse effects , Food Contamination , Maternal Exposure/adverse effects , Maternal Nutritional Physiological Phenomena , Milk, Human/chemistry , Mycotoxins/toxicity , Analytic Sample Preparation Methods , Breast Feeding/adverse effects , Carcinogens, Environmental/analysis , Carcinogens, Environmental/toxicity , Chromatography, High Pressure Liquid , Cohort Studies , Diet Records , Dietary Exposure/adverse effects , Edible Grain/adverse effects , Edible Grain/chemistry , Female , Food Inspection/methods , Humans , Infant , Infant, Newborn , Italy , Limit of Detection , Middle Aged , Mycotoxins/analysis , Spectrometry, Fluorescence
17.
Food Addit Contam Part B Surveill ; 11(2): 126-137, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29547065

ABSTRACT

This work reports data on the occurrence of nine mycotoxins and two food processing contaminants - acrylamide and furan - in a total of 100 beers produced in Latvia. Mycotoxins were detected by high-performance liquid chromatography (HPLC) coupled with time-of-flight mass spectrometry, acrylamide by HPLC coupled with quadrupole-Orbitrap mass spectrometry, and furan by headspace gas chromatography-mass spectrometry. The most frequently occurring mycotoxins were HT-2 and deoxynivalenol (DON), which were detected in 52% and 51% of the analysed samples. The highest content was observed for DON, reaching the maximum of 248 µg kg-1. Furan was ubiquitous, and 74% of the samples contained acrylamide. In terms of the estimated exposure, the biggest potential risk was identified for HT-2 representing more than 11% of tolerable weekly intake. The margin of exposure approach indicated the exposure to furan through beer as significant, this parameter being close to the critical limit.


Subject(s)
Acrylamide/analysis , Beer/analysis , Carcinogens, Environmental/analysis , Food Contamination , Furans/analysis , Mycotoxins/analysis , Acrylamide/toxicity , Alcohol Drinking/adverse effects , Analytic Sample Preparation Methods , Beer/adverse effects , Beer/economics , Calibration , Carcinogens, Environmental/chemistry , Carcinogens, Environmental/toxicity , Chromatography, High Pressure Liquid , Diet Surveys , Food Handling , Food Inspection/methods , Furans/chemistry , Furans/toxicity , Humans , Latvia , Limit of Detection , Mycotoxins/toxicity , Risk Assessment , T-2 Toxin/analogs & derivatives , T-2 Toxin/analysis , T-2 Toxin/toxicity , Trichothecenes/analysis , Trichothecenes/toxicity , Volatilization
18.
Food Addit Contam Part B Surveill ; 11(3): 191-197, 2018 Sep.
Article in English | MEDLINE | ID: mdl-29490584

ABSTRACT

The present study was conducted to explore the occurrence of mycotoxins in commercial baby foods in Doha-Qatar. LCMS/MS- and HPLC-based analysis of baby food (n = 67) for 12 mycotoxins confirmed the presence of aflatoxin M1 (AFM1, 33%), ochratoxin A (OTA, 31%), deoxynivalenol (DON, 27%), aflatoxin B1 (AFB1, 22%), fumonisin B2 (FB2, 10%), zearalenone (ZEN, 4%) and T-2 toxin (2%). Noodles exhibited the maximum contamination percentage, with 33% of the samples being contaminated above the EU maximum limits, for at least one mycotoxin. Among the multi-grain flake samples, up to 28% and for the milk and milk-based-cereal samples, 14% contained at least one mycotoxin above the EU maximum limits. From all cereal-based food samples, 22%, 5%, 2% and 2% were concurrently contaminated with 2, 3, 4 and 5 mycotoxins, respectively. The occurrence of toxicological important mycotoxins in Qatari market warrants the implementation of strict regulatory limits to protect human health.


Subject(s)
Carcinogens, Environmental/analysis , Edible Grain/chemistry , Food Contamination , Food Inspection/methods , Infant Food/analysis , Infant Formula/chemistry , Mycotoxins/analysis , Animals , Cattle , Chromatography, High Pressure Liquid , Dairy Products/analysis , Dairy Products/economics , Dairy Products/standards , Edible Grain/economics , Edible Grain/standards , Food, Preserved/analysis , Food, Preserved/economics , Food, Preserved/standards , Goats , Humans , Infant , Infant Food/economics , Infant Food/standards , Infant Formula/economics , Infant Formula/standards , Limit of Detection , Qatar , Reproducibility of Results , Spectrometry, Mass, Electrospray Ionization , Tandem Mass Spectrometry
19.
Food Addit Contam Part B Surveill ; 11(2): 138-145, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29486658

ABSTRACT

A total of 77 traditionally smoked meat samples produced in Latvia, Lithuania, and Estonia were tested for the occurrence of four EU regulated polycyclic aromatic hydrocarbons (PAHs). Levels of PAHs exceeding the EU maximum levels for benzo[a]pyrene and for the sum of four PAHs (PAH4) were detected in 46% and 48% of the samples originating from Latvia. The detected BaP levels in smoked meats ranged from 0.05 to 166 µg kg-1, while the PAH4 content ranged from 0.42 to 628 µg kg-1. The mean dietary exposure to PAHs was estimated at the levels of 5.4 ng BaP/kg bw/day and 36 ng PAH4/kg bw/day. The margin of exposure (MOE) approach was utilised to assess the risks to Latvian consumers due to PAHs and the obtained MOEs were in a range of 7205-24,434, thus indicating a potential concern for consumer health for specific population groups.


Subject(s)
Carcinogens, Environmental/analysis , Diet/adverse effects , Food Contamination , Food, Preserved/analysis , Meat Products/analysis , Polycyclic Aromatic Hydrocarbons/analysis , Analytic Sample Preparation Methods , Baltic States , Calibration , Carcinogens, Environmental/isolation & purification , Carcinogens, Environmental/toxicity , Chromatography, Gas , Diet/ethnology , European Union , Food Inspection , Food Preferences/ethnology , Food Preservation , Food, Preserved/adverse effects , Food, Preserved/economics , Food, Preserved/standards , Humans , Limit of Detection , Meat Products/adverse effects , Meat Products/economics , Meat Products/standards , Polycyclic Aromatic Hydrocarbons/isolation & purification , Polycyclic Aromatic Hydrocarbons/toxicity , Reproducibility of Results , Risk Assessment , Smoke , Surface Properties , Tandem Mass Spectrometry
20.
Food Addit Contam Part B Surveill ; 11(2): 146-152, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29486662

ABSTRACT

Polycyclic aromatic hydrocarbons (PAHs) are food-processing contaminants considered to be carcinogenic and genotoxic. Due to its drying process stage, teas may be contaminated with PAHs. The aim of the study was to validate an analytical method involving QuEChERS and HPLC-FLD for the determination of PAH4 in teas and evaluate the contamination levels in 10 different types of teas from Brazil. Recoveries varied from 54% to 99% and relative standard deviations from 1% to 21%. Limits of detection and quantification were from 0.03 to 0.3 µg/kg and 0.1 to 0.5 µg/kg, respectively. Mate tea presented the highest PAH levels, with PAH4 varying from 194 to 1795 µg/kg; followed by black (1.8-186 µg/kg), white (24-119 µg/kg), and green teas (3.1-92 µg/kg). Teas with lowest PAH4 were strawberry, lemongrass, peppermint, and boldo. Only trace levels of PAHs were detected in tea infusions, so apparently it would not affect PAH intake by Brazilian population.


Subject(s)
Carcinogens, Environmental/analysis , Food Contamination , Polycyclic Aromatic Hydrocarbons/analysis , Tea/chemistry , Teas, Herbal/analysis , Analytic Sample Preparation Methods , Benz(a)Anthracenes/analysis , Benz(a)Anthracenes/isolation & purification , Benzo(a)pyrene/analysis , Benzo(a)pyrene/isolation & purification , Brazil , Carcinogens, Environmental/isolation & purification , Chromatography, High Pressure Liquid , Chrysenes/analysis , Chrysenes/isolation & purification , Fluorenes/analysis , Fluorenes/isolation & purification , Food Handling , Food Inspection/methods , Ilex paraguariensis/chemistry , Limit of Detection , Oxidation-Reduction , Plant Leaves/chemistry , Polycyclic Aromatic Hydrocarbons/isolation & purification , Reproducibility of Results , Spectrometry, Fluorescence , Tea/economics , Teas, Herbal/economics
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