Redes locales de salud pública. A propósito de una experiencia / Local public health networks. Apropos of an experience

La acción en salud pública sobre un territorio es compleja y requiere la intervención de numerosos actores, que no siempre lo harán coordinadamente. La estructuración en redes de organizaciones que incluyan al conjunto de los actores implicados en el ámbito local es una alternativa adecuada para generar sinergias y posibilitar una mayor efectividad y eficiencia de las actuaciones realizadas en un mismo territorio. Presentamos la experiencia de 3 años de cuatro Comisiones de Salud Pública en una Región Sanitaria de Cataluña, formadas por los principales actores en salud pública del territorio. Cada una de las comisiones se organiza en plenarios y grupos de trabajo sobre temas surgidos del diagnóstico de salud del territorio, y coincidentes con el Plan de Salud de la Región Sanitaria. La coordinación en ningún caso presupone la pérdida ni la dilución del protagonismo del actor generador de la iniciativa de intervención en el terreno de la salud pública, sino su potenciación y la colaboración por parte del resto de los actores. En conclusión, se valora positivamente la generación de una cultura de colaboración y sinergias entre las diversas organizaciones implicadas. Se constata una falta de concreción en el establecimiento de los objetivos operativos, así como la necesidad de una mayor coordinación e implicación de los componentes de los diversos grupos de trabajo (AU)

Public health action on a territory is complex and requires the involvement of multiple actors, who do not always act coordinately. Networks of organizations structures including the whole of the local actors facilitate the generation of synergies and enable greater effectiveness and efficiency of the joint action from the different actors on a same landscape. We present 3 years experience of four Public Health Committees in a region of Catalonia (Spain), composed by the main actors in public health planning. Each of the committees is organized on a plenary and working groups on issues arising from the regional health diagnosis, and coincident with the Health Plan of the Region. Coordination in no case implies the loss or dilution of the firm of the actor generator of intervention initiative in public health, but their empowerment and collaboration by the other actors. In conclusion welcomes the creation of a culture of collaboration and synergies between the different organizations concerned. Lack of specificity is observed in establishing operational objectives, and the need for greater coordination and involvement of the components of the various working groups (AU)

[Local public health networks. Apropos of an experience]. / Redes locales de salud pública. A propósito de una experiencia.

Public health action on a territory is complex and requires the involvement of multiple actors, who do not always act coordinately. Networks of organizations structures including the whole of the local actors facilitate the generation of synergies and enable greater effectiveness and efficiency of the joint action from the different actors on a same landscape. We present 3 years experience of four Public Health Committees in a region of Catalonia (Spain), composed by the main actors in public health planning. Each of the committees is organized on a plenary and working groups on issues arising from the regional health diagnosis, and coincident with the Health Plan of the Region. Coordination in no case implies the loss or dilution of the firm of the actor generator of intervention initiative in public health, but their empowerment and collaboration by the other actors. In conclusion welcomes the creation of a culture of collaboration and synergies between the different organizations concerned. Lack of specificity is observed in establishing operational objectives, and the need for greater coordination and involvement of the components of the various working groups.

Behavior of metals, pathogen parasites, and indicator bacteria in sewage effluents during biological treatment by activated sludge.

The purpose of this study was to evaluate the behavior of metals, pathogen parasites, and indicator bacteria in sewage effluents during biological treatment by activated sludge in a wastewater treatment plant in Ribeirão Preto (WTP-RP), Sao Paulo, Brazil. The evaluation was done during a period of 1 year. Results showed that metal concentrations in treated effluents decreased, reaching concentrations according to those established by national regulations. The activated sludge process at the WTP-RP promoted a partial removal of parasites considered as possible indicators according to the WHO guidelines. Reduction factors varied between 18.2% and 100% for agents such as Endolimax nana, Entamoeba coli, Entamoeba hystolitica, Giardia sp., Ancylostoma sp., Ascaris sp., Fasciola hepatica, and Strongyloides stercoralis. A removal was also observed in total and fecal coliforms quantification. The present study represents an initial evaluation of the chemical and microbiological removal capacity of the WTP-RP. The results should be of interest for the authorities responsible for the environmental health at municipal, regional, national, and international levels.

Balancing health benefits and chemical risks associated to dietary habits: RIBEFOOD, a new Internet resource.

In recent years, a notable number of studies have shown that some foodstuffs might be a potential source of exposure to chemical pollutants, some of them with a well-known toxicity in humans. Based on the importance of a healthy diet, we have designed the software RIBEFOOD, a new Internet resource that allows the quantitative determination of the human intake of a long series of micro- and macronutrients contained in widely consumed foodstuffs, and with an important nutritional value. RIBEFOOD is also able to determine the dietary intake of a number of chemical contaminants (i.e., metals, dioxins and furans, PCBs, polycyclic aromatic hydrocarbons, etc.). In this paper, we introduce RIBEFOOD, and how it may be used as an easy Internet tool in order to optimize the dietary habits of any subject by increasing the intake of beneficial nutrients and by reducing that of toxic pollutants. RIBEFOOD can be useful not only for professionals (general physicians, nutritionists, endocrinologists, toxicologists, etc.), but also for the general population. It is available at: http://www.fmcs.urv.cat/ribefood/.

Exposure to hexachlorobenzene through fish and seafood consumption in Catalonia, Spain.

The concentrations of hexachlorobenzene (HCB) were analyzed by HRGC/HRMS in 42 composite samples of the 14 most consumed marine species (sardine, tuna, anchovy, mackerel, swordfish, salmon, hake, red mullet, sole, cuttlefish, squid, clam, mussel, and shrimp) in Catalonia, Spain. The daily intake of HCB associated with this consumption was also estimated for four age groups of the population of Catalonia: children, adolescents, adults and seniors, which were in turn divided according to sex. The highest HCB levels were found in salmon and mackerel: 1.68 and 0.80 ng/g of wet weight, respectively, whereas the lowest HCB levels were found in cuttlefish, mussel, and shrimp (0.02, 0.03, and 0.04 ng/g of wet weight, respectively). In general terms, these results are within the range of data reported in recent years by a number of authors. The highest and lowest HCB intake (ng/day) corresponded to female adults (13.3) and girls (4.0), respectively. For most age/sex groups, salmon and sole were the species showing the highest contribution to HCB intake. When HCB intake was calculated according to the average body weight of the individuals in each group, the highest and lowest values corresponded to boys (0.32 ng/kg/day) and female adolescents (0.14 ng/kg/day). For all groups, HCB intake from fish and seafood consumption was considerably lower than the WHO tolerable daily intake (TDI), for non-cancer effects and for neoplastic effects in humans.

Dietary exposure to PCDD/PCDFs by individuals living near a hazardous waste incinerator in Catalonia, Spain: temporal trend.

The levels of polychlorinated dibenzo-p-dioxins (PCDD) and polychlorinated dibenzofurans (PCDF) were measured in foodstuffs randomly acquired in July 2006 in various locations of Tarragona County (Catalonia, Spain), which are near a hazardous waste incinerator (HWI). A total of 35 composite samples, belonging to various food groups (vegetables, pulses, cereals, fruits, fish and seafood, meat and meat products, eggs, milk, dairy products, and oils and fats) were analyzed by HRGC/HRMS. The dietary intake of PCDD/PCDFs was subsequently determined and compared with a previous survey performed in 2002. For calculations, recent data on consumption of the selected food items were used. Total dietary intake of PCDD/PCDFs for the general population of Tarragona County was estimated to be 27.81 pg WHO-TEQ/day, value notably lower than that found in the 2002 study, 63.80 pg WHO-TEQ/day. Fish and seafood (28%), oils and fats (22%), eggs (17%), and dairy products (11%) were the most important contributors to this intake, while pulses (1%), milk (2%), vegetables (3%) and fruits (3%) showed the lowest contribution to total WHO-TEQ. The current PCDD/PCDF intake is also considerably lower than the intake estimated in 1998 for the population of the same geographical area, 210.1 pg I-TEQ/day, when a baseline study was carried out during the construction of the HWI. The present intake is also compared with the dietary intakes of PCDD/PCDFs recently (2006-2007) reported for a number of regions and countries.

Heavy metals in untreated/treated urban effluent and sludge from a biological wastewater treatment plant.

BACKGROUND, AIM AND SCOPE: The presence of heavy metals in wastewater is one of the main causes of water and soil pollution. The aim of the present study was to investigate the removal of Cd, Cu, Pb, Hg, Mn, Cr and Zn in urban effluent by a biological wastewater treatment, as well as to quantify the levels of As, Be, Cd, Cr, Cu, Fe, Hg, Mn, Ni, Pb, Sn, Tl, V and Zn in dewatering sludge from the Biological Wastewater Treatment Plant of Ribeirão Preto (RPBWTP), Brazil. MATERIALS AND METHODS: Concentrations of Cd, Cr, Cu, Mn and Pb in wastewater and those of Ni in sludge were determined by atomic absorption spectrophotometry with graphite furnace atomization. Mercury concentrations in wastewater were measured by hydride generation atomic spectrophotometry, and Zn levels were determined by atomic absorption spectrophotometry using acetylene flame. In sludge, the levels of As, Be, Cd, Cr, Cu, Fe, Hg, Mn, Pb, Sn, TI, V and Zn were determined by inductively coupled plasma-mass spectrometry. Results. The percentages of removal efficiency (RE) were the following: Hg 61.5%, Cd 60.0%, Zn 44.9%, Cu 44.2%, Pb 39.7%, Cr 16,5% and Mn 10.4%. In turn, the mean concentrations (mg/kg) of metals in dewatering sludge followed this increasing order: Tl (< 0.03), Hg (0.31), Be (0.43), As (1.14), Cd (1.34), V (59.2), Pb (132.1), Sn (166.1), Cr (195.0), Mn (208.1), Ni (239.4), Cu (391.7), Zn (864.4) and Fe (20537). DISCUSSION: The relationship between metal levels in untreated wastewater, as well as the removal efficiency are in agreement with previous data from various investigators. It is important to note that metal removal efficiency is not only affected by metal ion species and concentration, but also by other conditions such as operating parameters, physical, chemical, and biological factors. CONCLUSIONS: Metal values recorded for treated wastewater and sludge were within the maximum permitted levels established by the Environmental Sanitation Company (CETESB), São Paulo, Brazil. RECOMMENDATIONS: There is an urgent need for the authorities who are responsible for legislation on sludge uses in agriculture of establishing safety levels for As, Be, Hg, Sn, Tl and V. PERSPECTIVES: According to the current metal levels, RP-BWTP sludge might be used for agriculture purposes. However, for an environmentally safe use of sewage sludge, further studies including systematic monitoring are recommended. Annual metal concentrations and predicted variations of those elements in the sludge should be monitored.

Intake of chemical contaminants through fish and seafood consumption by children of Catalonia, Spain: health risks.

The intake of arsenic (As), cadmium (Cd), mercury (Hg), lead (Pb), polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), polychlorinated biphenyls (PCBs), polychlorinated naphthalenes (PCNs), polybrominated diphenylethers (PBDEs), polychlorinated diphenylethers (PCDEs), hexachlorobenzene, and polycyclic aromatic hydrocarbons through fish and seafood consumption by children of Catalonia, Spain, was assessed. In 2005, samples of the 14 most consumed marine species in Catalonia were randomly acquired in various cities of the country. Analysis of the above chemical contaminants were determined according to the appropriate analytical techniques and the daily intakes were estimated. For most pollutants, intake was higher in boys than in girls. Average exposure of children to contaminants through fish and seafood consumption did not exceed the respective tolerable daily intake of those pollutants for which it has been already established (metals, PCDD/Fs plus dioxin-like PCBs, HCB, and PAHs). In relation to body weight, intake by children of most contaminants was higher than that found for other age groups of the general population of Catalonia.

Levels of PCDD/PCDFs and PCBs in edible marine species and human intake: a literature review.

Polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs) and biphenyls (PCBs) are lipophilic organic compounds whose origin comes from many different sources. PCDD/Fs and PCBs are ubiquitous and persistent environmental pollutants with a well known potential toxicity, which were included at the 1998 UN-EC POP protocol. Although human exposure to PCDD/Fs and PCBs can occur by various routes, food is the primary source. A number of studies have shown that the major food sources of these organic pollutants are fat-containing animal products, including fish and other seafood. Because of the frequent health recommendations concerning fish consumption, to determine the contribution to the dietary intake of chemical contaminants such as PCDD/Fs and PCBs through fish and other seafood consumption is an issue of special interest. This paper reviews the state of the science regarding recent literature on PCDD/F and PCB levels in marine species and human intake through fish and seafood consumption. The concentrations of these pollutants depend basically on the environment in which the respective species are caught. It is concluded that some groups of population frequently consuming high quantities of certain species could be significantly increasing health risks due to PCDD/F and PCB exposure.

Human exposure to polychlorinated naphthalenes through the consumption of edible marine species.

The concentrations of polychlorinated naphthalenes (PCNs) were determined in samples of 14 edible marine species (sardine, tuna, anchovy, mackerel, swordfish, salmon, hake, red mullet, sole, cuttlefish, squid, clam, mussel and shrimp), which are widely consumed by the population of Catalonia, Spain. The daily intake of PCNs associated with this consumption was also determined. A total of 42 composite samples were analyzed by HRGC/HRMS. The highest PCN levels (ng/kg of fresh weight) were found in salmon (227) followed by mackerel (95) and red mullet (68), while the lowest levels of total PCNs corresponded to shrimp (4.9) and cuttlefish (2.7). With the exception of cephalopods and shellfish species, in which tetra-CN was the predominant homologue, penta-CN (60%) was the predominant contributor to total PCNs. For a standard male adult, PCN intake through the consumption of edible marine species was 1.53 ng/day. The highest contributions to this intake (ng/day) corresponded to salmon (0.41), sole (0.28) and tuna (0.24). Concerning health risks, species-specific TEFs such as those reported by WHO and NATO for PCDD/Fs and dioxin-like PCBs are not currently available for PCN congeners. Although in general terms the results of the present study do not seem to suggest specific risks derived from exposure to PCNs through fish and seafood consumption, to establish the contribution of individual PCN congeners to total TEQ is clearly necessary for the assessment of human health risks.

Benefits and risks of fish consumption Part I. A quantitative analysis of the intake of omega-3 fatty acids and chemical contaminants.

In recent years, and based on the importance of fish as a part of a healthy diet, there has been a notable promotion of fish consumption. However, the balance between health benefits and risks, due to the intake of chemical contaminants, is not well characterized. In the present study, edible samples of 14 marine species were analyzed for the concentrations of omega-3 fatty acids, as well as a number of metals and organic pollutants. Daily intakes were specifically determined for a standard adult of 70kg, and compared with the tolerable/admissible intakes of the pollutants, if available. Salmon, mackerel, and red mullet were the species showing the highest content of omega-3 fatty acids. The daily intakes of cadmium, lead, and mercury through fish consumption were 1.1, 2.0, and 9.9microg, respectively. Dioxins and furans plus dioxin-like polychlorinated biphenyls (PCBs) intake was 38.0pg WHO-TEQ/day, whereas those of polybrominated diphenyl ethers (PBDEs), polychlorinated diphenyl ethers (PCDEs), polychlorinated naphthalenes (PCNs) and hexachlorobenzene (HCB) were 20.8, 39.4, 1.53, and 1.50ng/day, respectively. In turn, the total intake of 16 analyzed polycyclic aromatic hydrocarbons (PAHs) was 268ng/day. The monthly fish consumption limits for human health endpoints based on the intake of these chemical contaminants were calculated for a 70 years exposure. In general terms, most marine species here analyzed should not mean adverse health effects for the consumers. However, the type of fish, the frequency of consumption, and the meal size are essential issues for the balance of the health benefits and risks of regular fish consumption.

Concentrations of PCDD/PCDFs and PCBs in fish and seafood from the Catalan (Spain) market: estimated human intake.

The concentrations of polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs) and biphenyls (PCBs) in samples from 14 fish and seafood species widely consumed by the population of Catalonia, Spain, were measured. These samples were randomly purchased independently of their geographical origin. The intake of PCDD/Fs and PCBs through consumption of these species was also estimated for various age and sex groups of this population. The highest and lowest levels of PCDD/Fs and dioxin-like PCBs (DL-PCBs) were found in red mullet and shrimp, respectively. For a standard adult man (70 kg body weight), the intake of PCDD/Fs plus DL-PCBs through consumption of fish and other seafood was estimated to be 38.0 pg WHO-TEQ/day. Tuna, hake, and sardine were the species with the highest contribution to this intake. The results of this study indicate that, in general terms, the dietary habits of the population of Catalonia (Spain) regarding fish and seafood consumption do not contribute remarkably to increase PCDD/F and DL-PCB intake.

Benefits and risks of fish consumption Part II. RIBEPEIX, a computer program to optimize the balance between the intake of omega-3 fatty acids and chemical contaminants.

In recent years, and based on the importance of fish as a part of a healthy diet, there has been a notable promotion of fish and seafood consumption. However, a number of recent studies have shown that fish may be a potential source of exposure to chemical pollutants, some of them with well known adverse effects on human health. Recently, we determined in 14 edible marine species the concentrations of eicosapentaenoic acid (EPA) and docosohexaenoic acid (DHA), as well as those of a number of chemical contaminants: Cd, Hg, Pb, polychlorinated dibenzo-p-dioxins and furans, polychlorinated biphenyls, hexachlorobenzene, polycyclic aromatic hydrocarbons, polychlorinated naphthalenes, polybrominated diphenylethers and polychlorinated diphenylethers. To quantitative establish the intake of these pollutants (risks) versus that of EPA+DHA (benefits), we designed a simple computer program, RIBEPEIX. The concentrations of EPA, DHA, and the chemical pollutants were introduced into the program. We here present how RIBEPEIX may be used as an easy tool to optimize fish consumption: most suitable species, frequency of consumption, and size of meals. RIBEPEIX can be useful not only for professionals (cardiologists, general physicians, nutritionists, toxicologists, etc.), but also for the general population. It is available at: .

Exposure to polycyclic aromatic hydrocarbons through consumption of edible marine species in Catalonia, Spain.

The concentrations of 16 polycyclic aromatic hydrocarbons (PAHs; naphthalene, acenaphtylene, acenaphtene, fluorene, phenanthrene, anthracene, fluoranthene, pyrene, benzo[a]anthracene, chrysene, benzo[b]fluoranthene, benzo[k]fluoranthene, benzo[a]pyrene, indeno[1,2,3-c,d]pyrene, dibenzo[a,h]anthracene, and benzo[g,h,i]perylene) were determined by gas chromatography-mass spectrometry in samples of 14 edible marine species (sardine, tuna, anchovy, mackerel, swordfish, salmon, hake, red mullet, sole, cuttlefish, squid, clam, mussel, and shrimp) collected in March and April 2005. These species are widely consumed by the population of Catalonia, Spain. PAH intake was also estimated for eight age and sex groups of this population. Mussel, clam, and shrimp had the highest PAH concentrations (22.4, 21.5, and 15.9 ng/g of fresh weight, respectively). In contrast, sole (2.5 ng/g of fresh weight) and cuttlefish and squid (both 3.0 ng/g of fresh weight) had the lowest mean concentrations. The highest PAH intake was found in women and girls (5.3 and 5.2 ng/kg/day, respectively), but female adolescents and female seniors had the lowest PAH intakes (3.3 ng/kg/day in both groups). The intake of benzo[a]pyrene and six other PAHs that are probably human carcinogens through consumption of these marine species would be associated with 0.27/10(6) increase in the risk of development of cancer over a 70-year life span.

Exposure to PBDEs and PCDEs associated with the consumption of edible marine species.

In the present study, the concentrations of PBDEs and PCDEs were determined in 14 edible marine species widely consumed by the population of Catalonia (Spain). The daily intake of PBDEs and PCDEs associated with this consumption was also determined. A total of 42 composite samples were analyzed by HRGC/HRMS. The highest PBDE levels (ng/kg wet weight) were found in salmon (2015) followed by mackerel, swordfish, and red mullet (1124, 978, and 769, respectively), while those of PCDEs (ng/kg wet weight) were detected in red mullet (7088) followed by sardine (1829), anchovy (1606), tuna (1292), and mackerel (1031). For a standard male adult, total PBDE and PCDE intakes through edible marine species were 20.8 and 39.4 ng/ day, respectively. The highest contributions to these intakes (ng/day) corresponded to the consumption of tuna (5.7), salmon (3.6), and hake (3.5) for PBDEs, and tuna (13.1), hake (7.3), and sardine (6.9) for PCDEs. Although currently there is not evidence of the dioxin-like behavior of PBDEs, further research is necessary to assess if long-term exposure to PBDEs, mainly through the diet, may mean adverse effects to humans. With respectto PCDE congeners, to establish TEF values would be of great value to evaluate human health risks.

Daily intake of arsenic, cadmium, mercury, and lead by consumption of edible marine species.

The daily intake of arsenic (As), cadmium (Cd), mercury (Hg), and lead (Pb) through the consumption of 14 edible marine species by the general population of Catalonia, Spain, was estimated. Health risks derived from this intake were also assessed. In March-April 2005, samples of sardine, tuna, anchovy, mackerel, swordfish, salmon, hake, red mullet, sole, cuttlefish, squid, clam, mussel, and shrimp were randomly acquired in six cities of Catalonia. Concentrations of As, Cd, Hg, and Pb were determined by ICP-MS. On the basis of recent fish and seafood consumption data, the daily intake of these elements was calculated for eight age/sex groups of the population. The highest As concentrations were found in red mullet, 16.6 microg/g of fresh weight, whereas clam and mussel (0.14 and 0.13 microg/g of fresh weight, respectively) were the species with the highest Cd levels. In turn, swordfish (1.93 microg/g of fresh weight) and mussel and salmon (0.15 and 0.10 microg/g of fresh weight) showed the highest concentrations of Hg and Pb, respectively. The highest metal intake through fish and seafood consumption corresponded to As (217.7 microg/day), Cd (1.34 microg/day), and Pb (2.48 microg/day) for male seniors, whereas that of Hg was observed in male adults (9.89 microg/day). The daily intake through fish and seafood consumption of these elements was compared with the provisional tolerable weekly intakes (PTWI). The intakes of As, Cd, Pb, and total Hg by the population of Catalonia were below the respective PTWI values. However, the estimated intake of methylmercury for boys, 1.96 microg/kg/week, was over the PTWI.

Monitoring metals in the population living in the vicinity of a hazardous waste incinerator: concentrations in autopsy tissues.

This study is a part of a monitoring program for the determination of metals in various human tissues of the population living in the vicinity of a new hazardous waste incinerator (HWI) in Constantí (Tarragona County, Spain). Concentrations of arsenic (As), beryllium (Be), cadmium (Cd), chromium (Cr), mercury (Hg), manganese (Mn), nickel (Ni), lead (Pb), tin (Sn), thallium (Tl), and vanadium (V) were determined in brain, bone, kidney, liver, and lung autopsy samples collected in 2003 from 22 individuals who had been living for at least 10 yr in the area under evaluation. Results were compared with the metal levels obtained in a baseline study, which was performed during the construction of the HWI (1996--1998). In the present survey, As, Be, Tl, and V levels were not detected in any of the analyzed tissues, while Cr concentrations were very close to the limit of detection. The highest levels of Cd and Hg were found in kidney (17.46 microg/g and 0.23 microg/g, respectively), those of Mn in liver (1.07 microg/g), and those of Ni, Pb, and Sn in bone (1.16 microg/g, 2.11 microg/g, and 0.34 microg/g, respectively). In comparison to the results of the baseline study, a general reduction of most metal concentrations was observed in the current survey.

Human exposure to metals through the diet in Tarragona, Spain: temporal trend.

The concentrations of arsenic (As), beryllium (Be), cadmium (Cd), chromium (Cr), mercury (Hg), manganese (Mn), nickel (Ni), lead (Pb), tin (Sn), thallium (Tl), and vanadium (V) were determined in a number of food items purchased in zones of Tarragona County (Catalonia, Spain) near a hazardous waste incinerator (HWI), which has been operating since 1999. Food samples corresponded to the following groups: meat, fish and seafood, pulses, cereals, vegetables, fruits, tubers, whole milk, yogurt, eggs, and sugar. Be and Tl were under their respective limits of detection in all samples. For the analyzed trace elements, the dietary intake by the general population of Tarragona was 458.5 microg/d for As, 14.3 microg/d for Cd, 88.3 microg/d for Cr, 5.3 microg/d for Hg, 2421.4 microg/d for Mn, 138.3 microg/d for Ni, 44.8 microg/d for Pb, 34.6 microg/d for Sn, and 28.9 microg/d for V. Results were compared with those found in a baseline survey carried out in the same area during the construction of the HWI (1996-1998). In general terms, the dietary intake of metals in 2003 was comparatively similar to those found in the baseline survey. For the most toxic elements (As, Cd, Hg, and Pb), it was under their respective Provisional Tolerable Weekly Intake (PTWI) established by the FAO/WHO.

Monitoring metals in the population living in the vicinity of a hazardous waste incinerator: levels in hair of school children.

Hair samples of 134 school children (12-14 yr old) living in three residential zones in the vicinity of a new hazardous waste incinerator (HWI) (Constanti, Tarragona County, Catalonia, Spain) were analyzed by inductively coupled plasma-mass spectrometry (ICP-MS) for arsenic (As), beryllium (Be), cadmium (Cd), chromium (Cr), mercury (Hg), manganese (Mn), nickel (Ni), lead (Pb), tin (Sn), thallium (Tl), and vanadium (V) concentrations. These concentrations were compared with those obtained in a baseline survey performed in the same area during the period of construction of the HWI. Current mean concentrations ranged from values under the respective limit of detection (As, Be, Cd, Tl, and V) to 0.70 and 0.86 microg/g for Hg and Pb, respectively. In comparison to the baseline survey, the levels of Cr, Mn, Ni, Pb, and Sn showed a significant reduction, whereas Hg concentrations were similar. No significant differences were observed according to the sex of the children. However, some differences were noted, especially for Pb and Cr, with respect to the specific zone of residence. In general terms, the current metal levels in hair of school children are similar or even lower than those recently reported for a number of industrial and residential areas of various regions and countries.

Daily intake of polychlorinated dibenzo-p-dioxins/polychlorinated dibenzofurans (PCDD/PCDFs) in foodstuffs consumed in Tarragona, Spain: a review of recent studies (2001-2003) on human PCDD/PCDF exposure through the diet.

Concentrations of polychlorinated dibenzo-p-dioxins (PCDD) and polychlorinated dibenzofurans (PCDF) were measured in foodstuffs randomly acquired in various locations of Tarragona County (Catalonia, Spain) in September 2002. A total of 36 composite samples, belonging to various food groups (vegetables, fruits, meat and meat products, fish and seafood, cereals, pulses, milk, dairy products, eggs, and oils and fats) were analyzed by high-resolution gas chromatography/high-resolution mass spectrometry. The dietary intake of PCDD/Fs was subsequently determined. For calculations, recent data on consumption of the selected food items were used. Total dietary intake of PCDD/Fs for the general population of Tarragona County was estimated to be 59.6 pg I-TEQ/day (63.8 pg WHO-TEQ/day). Fish and seafood (33.7%), oils and fats (15.3%), cereals (14.4%), and dairy products (13.7%) were the most important contributors to this intake. This PCDD/F intake is notably lower than the intake estimated in 1998 for the same geographical area, 210.1 pg I-TEQ/day. The current PCDD/F dietary intake is below the tolerable intake range of 1-4 pg TEQ/kg body weight/day established by the WHO in 1998. Finally, the current intake is compared with the dietary intakes of PCDD/Fs recently (2001-2003) reported for a number of regions and countries.