Antibiotic resistant bacteria and antibiotic resistance genes as contaminants of emerging concern: Occurrences, impacts, mitigations and future guidelines.

Antibiotic resistance, driven by the proliferation of antibiotic resistance genes (ARGs) and antibiotic resistance bacteria (ARBs), has emerged as a pressing global health concern. Antimicrobial resistance is exacerbated by the widespread use of antibiotics in agriculture, aquaculture, and human medicine, leading to their accumulation in various environmental compartments such as soil, water, and sediments. The presence of ARGs in the environment, particularly in municipal water, animal husbandry, and hospital environments, poses significant risks to human health, as they can be transferred to potential human pathogens. Current remediation strategies, including the use of pyroligneous acid, coagulants, advanced oxidation, and bioelectrochemical systems, have shown promising results in reducing ARGs and ARBs from soil and water. However, these methods come with their own set of challenges, such as the need for elevated base levels in UV-activated persulfate and the long residence period required for photocatalysts. The future of combating antibiotic resistance lies in the development of standardized monitoring techniques, global collaboration, and the exploration of innovative remediation methods. Emphasis on combination therapies, advanced oxidation processes, and monitoring horizontal gene transfer can pave the way for a comprehensive approach to mitigate the spread of antibiotic resistance in the environment.

The use of the micronucleus test and comet assay in wild rodents: a historical review and future perspectives.

Rodents are considered good models for investigating genotoxic damage and mutagenic alterations caused by xenobiotic agents, due to their occupation of a wide variety of habitats. However, relatively few in situ studies have focused on DNA damage in wild rodents associated with environmental exposure. In this review, we investigate trends in the application of the micronucleus test and comet assay in in situ studies of wild rodents. A total of 33 papers were identified, distributed across 14 different countries. Brazil and Spain had the most published studies (six each), followed by Bulgaria (n = 5), Mexico (n = 4) and Italy (n = 3). Only 24 of the 2,652 recognized rodent species have been the subject of in situ studies, which have most frequently focus on species of the genus Mus. The protocols used for the micronucleus test and comet assay varied widely, although blood and bone marrow were the primary types of tissue used. Given the paucity of studies on wild rodents, we recommend further research, particularly focusing on the use of this group as bioindicators of environmental quality and the standardization of protocols.

[Sargassum seaweed assaults the French West Indies]. / Algues sargasses à l'assaut des Antilles.

SARGASSUM SEAWEED AS SAULTS THE FRENCH WEST INDIES. Since 2011, Martinique and the islands of Guadeloupe have been affected by repeated groundings, culminating in an exceptional wave in 2018. While the sargassum ( Sargassum natans and S. fluitans ) involved in these phenomena are neither toxic nor urticating, indirect toxicity linked to the presence of microorganisms and heavy metals (arsenic, mercury, etc.) in sargassum clusters has been described. Similarly, after a 24 to 48 hours stay on the shore, sargassum algae enter a putrefaction cycle responsible to produce hydrogen sulfide (H2S) and ammonia (NH3). The acute toxicity of these gases is well known. However, very few data are available on the clinical effects of prolonged exposure to low doses of H2S and NH3. Our team has recently described the syndromic features of chronic exposure, supposing for deleterious effects on the cardiovascular, respiratory and neurological systems.

ALGUES SARGASSES À L'ASSAUT DES ANTILLES. Depuis 2011, la Martinique et les îles de la Guadeloupe sont touchées par des échouements à répétition d'algues sargasses qui ont culminé avec une vague exceptionnelle en 2018. Si les sargasses (Sargassum natans et S. fluitans) impliquées dans ces phénomènes ne sont ni toxiques ni urticantes, une toxicité indirecte liée à la présence de micro-organismes et de métaux lourds (arsenic, mercure…) dans les amas de sargasses est décrite. De même, après un séjour de vingt-quatre à quarante-huit heures sur le littoral, les algues sargasses entrent dans un cycle de putréfaction responsable de la production d'hydrogène sulfuré (H2S) et d'ammoniac (NH3). La toxicité aiguë de ces gaz est bien connue. Il existe en revanche très peu de données disponibles sur les effets cliniques d'une exposition prolongée à de faibles doses d'H2S ou NH3. Notre équipe a récemment décrit le tableau syndromique de l'exposition chronique et suppose des effets délétères sur le système cardiovasculaire, respiratoire et neurologique.

Use of lichens as bioindicators of contamination by agrochemicals and metals.

The presence or absence of lichens serves as an indicator of the condition of an ecosystem and the degree to which it is contaminated by various agents, such as agrochemicals and metals. Evaluating the use of lichens as bioindicators of agrochemical contamination could provide a more comprehensive perspective of current contamination levels. Monitoring was conducted over a 4-month period in two study areas: one was a well-conserved area contaminated by metals, and the other was an area surrounded by agricultural crops contaminated by agrochemicals. Data on the presence and abundance of lichens in each study area were recorded at 10 monitoring points, a procedure that was repeated 16 times (every 15 days), and concentrations of heavy metals and "organophosphate" agrochemicals in the lichens collected were measured by means of Inductively Coupled Plasma Atomic Emission Spectroscopy (ICP-OES) and Gas Chromatography (GC), respectively. Generalized linear mixed models were used to assess abundance and richness, while general linear mixed models were used to attain Shannon diversity and Simpson dominance indices. Moreover, a multivariate analysis was performed in order to compare the lichen communities in both areas. The results indicated differences between the area contaminated by metals and that contaminated by agrochemicals in terms of abundance and Simpson's dominance index, while no differences were found in the case of the richness and diversity models. The PERMANOVA analysis additionally showed differences between the lichen communities in the two areas. The results also demonstrated that Canoparmelia caroliniana bioaccumulated metals in both areas. The levels of barium, cadmium, and sodium were higher in the area contaminated by metals, while concentrations of chromium and copper were higher in the area contaminated by agrochemicals. Finally, the concentrations of agrochemicals were higher in the area contaminated by agrochemicals and included toxic substances such as Methylparathion and Parathion, which are prohibited in Ecuador. In conclusion, this research underscores the importance of lichens as precise indicators of environmental health and contamination by agrochemicals and metals.

Risks to Human Health from Mercury in Gold Mining in the Coastal Region of Ecuador.

Artisanal and small-scale gold mining (ASGM) plays a crucial role in global gold production. However, the adoption of poor mining practices or the use of mercury (Hg) in gold recovery processes has generated serious environmental contamination events. The focus of this study is assessing the concentration of Hg in surface waters within the coastal region of Ecuador. The results are used to conduct a human health risk assessment applying deterministic and probabilistic methods, specifically targeting groups vulnerable to exposure in affected mining environments. Between April and June 2022, 54 water samples were collected from rivers and streams adjacent to mining areas to determine Hg levels. In the health risk assessment, exposure routes through water ingestion and dermal contact were considered for both adults and children, following the model structures outlined by the U.S. Environmental Protection Agency. The results indicate elevated Hg concentrations in two of the five provinces studied, El Oro and Esmeraldas, where at least 88% and 75% of the samples, respectively, exceeded the maximum permissible limit (MPL) set by Ecuadorian regulations for the preservation of aquatic life. Furthermore, in El Oro province, 28% of the samples exceeded the MPL established for drinking water quality. The high concentrations of Hg could be related to illegal mining activity that uses Hg for gold recovery. Regarding the human health risk assessment, risk values above the safe exposure limit were estimated. Children were identified as the most vulnerable receptor. Therefore, there is an urgent need to establish effective regulations that guarantee the protection of river users in potentially contaminated areas. Finally, it is important to continue investigating the contamination caused by human practices in the coastal region.

Environmental health of water bodies from a Brazilian Amazon Metropolis based on a conventional and metagenomic approach.

AIMS: The present study aimed to use a conventional and metagenomic approach to investigate the microbiological diversity of water bodies in a network of drainage channels and rivers located in the central area of the city of Belém, northern Brazil, which is considered one of the largest cities in the Brazilian Amazon. METHODS AND RESULTS: In eight of the analyzed points, both bacterial and viral microbiological indicators of environmental contamination-physical-chemical and metals-were assessed. The bacterial resistance genes, drug resistance mechanisms, and viral viability in the environment were also assessed. A total of 473 families of bacteria and 83 families of viruses were identified. Based on the analysis of metals, the levels of three metals (Cd, Fe, and Mn) were found to be above the recommended acceptable level by local legislation. The levels of the following three physicochemical parameters were also higher than recommended: biochemical oxygen demand, dissolved oxygen, and turbidity. Sixty-three bacterial resistance genes that conferred resistance to 13 different classes of antimicrobials were identified. Further, five mechanisms of antimicrobial resistance were identified and viral viability in the environment was confirmed. CONCLUSIONS: Intense human actions combined with a lack of public policies and poor environmental education of the population cause environmental degradation, especially in water bodies. Thus, urgent interventions are warranted to restore the quality of this precious and scarce asset worldwide.

Assessing the environmental pesticides impact of river sediments from a basin in western Mexico: Spatiotemporal distribution, risk assessment of aquatic invertebrates and pesticides prioritization.

The intensive use of pesticides in Mexican agriculture has contributed significantly to the increase in food production, but at the same time represents potential risk to biota. This situation creates a dilemma between the need to increase food production and the preservation of the environment and human health. Aquatic invertebrates play a vital role in the balance of aquatic ecosystems but are sensitive to pesticides contamination. The sensitivity of aquatic invertebrates to pesticides contamination has led them to be used to assess the potential impact of this contamination on aquatic ecosystems. In the present study, conducted in the Ayuquila-Armería basin, the following aims were achieved: 1) quantifying the presence of 20 pesticides in river sediments, 2) assessing the spatiotemporal distribution of pesticides in river sediments, 3) determining the potential risk to aquatic invertebrates, and 4) prioritizing pesticides based on their potential risk. Twelve pesticides were consistently quantified in 192 river sediments samples. The pesticides with the highest concentrations were ametrine, malathion and picloram. The temporal analysis showed seasonality in pesticide concentrations, with higher detection frequencies during the wet season. The risk assessment showed that aquatic invertebrates may be affected by the concentrations of carbofuran, malathion, diazinon and ametrine. Pesticides prioritization identified ametrine, carbofuran, and diazinon as major concerns based on the methodology that considers the Frequency and Extent of Exceedance. This study provides valuable insights into the current pesticides scenario in the Ayuquila-Armería River sediments. The findings underscore the need for sustainable alternatives to mitigate the ecological risks associated with pesticides contamination in this aquatic ecosystem.

Exposição ambiental e risco à saúde - Brasil / Environmental exposure and health risks in Brazil

Objetivo: Identificar possíveis fatores sociodemográficos, econômicos, de saúde, ambientais e de hábitos de vida associados a efeitos adversos sobre a saúde de moradores em três cidades brasileiras. Método: Estudo transversal com abordagem quantitativa realizado nas cidades de Imperatriz (Maranhão), Palmas (Tocantins) e Salvador (Bahia). Participaram 975 pacientes (18 a 75 anos) atendidos em unidades básicas de saúde no período de junho de 2021 a junho de 2022. Esses indivíduos foram selecionados aleatoriamente (amostra de conveniência). Foi aplicado o questionário padronizado sobre fatores sociodemográficos e exposição a fatores ambientais, assim como o de hábitos de vida. Empregou-se a situação de saúde (excelente/boa x regular/ má/péssima) como desfecho, foi realizada análise multivariada seguida por regressão logística respeitando-se cada município individualmente e o seu coletivo. Os dados foram apresentados como odds ratio (OR) e intervalos de confiança de 95% (IC95%). Resultados: Em todas as cidades houve predomínio de pacientes do sexo feminino: 58,3% em Imperatriz, 67,5% em Tocantins e 65,4% em Salvador. A prevalência de tabagismo (presente e/ou passado) foi significantemente mais elevada em Salvador, assim como a de consumo de álcool. Houve maior referência de saúde regular/má/péssima entre os moradores de Imperatriz, apesar de em Salvador haver o maior relato de comorbidades. Os fatores ambientais associados à condição precária de saúde, em ambos os modelos de análise, foram: ter sido exposto durante a infância a fogão a lenha/carvão/querosene/outro; passar mais de duas horas na cozinha, com fogão em funcionamento; e residir próximo a uma fonte poluidora. Morar em Imperatriz revelou chance 1,8 vezes maior de ter saúde debilitada quando comparado aos moradores de Salvador, e de 1,7 vezes para os de Palmas. Conclusões: Profissionais de saúde deverão orientar a população quanto as questões socioambientais que interferem nos índices de saúde. Os dados demográficos, ambientais e econômicos podem interferir nas condições de saúde.

Objective: To identify potential sociodemographic, socioeconomic, health, environmental, and lifestyle factors associated with adverse health effects in residents of 3 Brazilian cities. Methods: This cross-sectional study with a quantitative approach was conducted in the cities of Imperatriz (Maranhão), Palmas (Tocantins), and Salvador (Bahia). A total of 975 patients aged 18 to 75 years treated at primary health care units from June 2021 to June 2022 were selected via convenience sampling. A standardized questionnaire on sociodemographic characteristics, exposure to environmental factors, and lifestyle habits was administered. The outcome measured was health status (excellent/good vs fair/bad/very poor). Multivariate analysis was performed using logistic regression, respecting each municipality individually and collectively. Data were presented as odds ratios (OR) and 95%CIs. Results: Women predominated in all cities: 58.3% in Imperatriz, 67.5% in Tocantins, and 65.4% in Salvador. The prevalence of smoking (present and/or past) was significantly higher in Salvador, as was the prevalence of alcohol consumption. Despite Salvador having the highest rate of comorbidities, residents of Imperatriz reported more instances of fair/poor/very poor health. Environmental factors significantly associated with poor health conditions in both analysis models included exposure to wood/ coal/kerosene/other stoves during childhood, spending more than 2 hours in the kitchen with a working stove, and living close to a pollution source. Residents of Imperatriz were 1.8 times and 1.7 times more likely to have poor health compared with residents of Salvador (a more developed center with more health resources) and Palmas, respectively. Conclusions: Health professionals should guide the population regarding socio-environmental issues affecting health indices. Demographic, environmental, and economic data can impact health conditions.

Environmental Pollution and Risk of Childhood Cancer: A Scoping Review of Evidence from the Last Decade.

The long-term effects of environmental pollution have been of concern as several pollutants are carcinogenic, potentially inducing a variety of cancers, including childhood cancer, which is a leading cause of death around the world and, thus, is a public health issue. The present scoping review aimed to update and summarize the available literature to detect specific environmental pollutants and their association with certain types of childhood cancer. Studies published from 2013 to 2023 regarding environmental pollution and childhood cancer were retrieved from the PubMed database. A total of 174 studies were eligible for this review and were analyzed. Our search strategy brought up most of the articles that evaluated air pollution (29%) and pesticides (28%). Indoor exposure to chemicals (11%), alcohol and tobacco use during pregnancy (16%), electromagnetic fields (12%), and radon (4%) were the subjects of less research. We found a particularly high percentage of positive associations between prenatal and postnatal exposure to indoor (84%) and outdoor (79%) air pollution, as well as to pesticides (82%), and childhood cancer. Positive associations were found between leukemia and pesticides and air pollution (33% and 27%); CNS tumors and neuroblastoma and pesticides (53% and 43%); and Wilms tumor and other rare cancers were found in association with air pollution (50%). Indoor air pollution was mostly reported in studies assessing several types of cancer (26%). Further studies are needed to investigate the mechanisms underlying the potential associations between indoor/outdoor air pollution and pesticide exposure with childhood cancer risk as more preventable measures could be taken.

Influência da exposição ambiental na percepção do estado de saúde de indivíduos de cinco países latino-americanos / Effect of environmental exposure on the perceived health status of individuals from five Latin American countries

OBJETIVO: A relação entre exposição ambiental e risco à saúde é amplamente reconhecida e a avaliamos em cinco países da América Latina com condições culturais distintas, mas com Índices de Desenvolvimento Humano semelhantes. MÉTODOS: Estudo transversal envolvendo 3.016 indivíduos (18 a 75 anos) oriundos de: Argentina (n = 878), Brasil (n = 1.030), México (n = 272), Paraguai (n = 508) e Peru (n = 328). A seleção foi aleatória e todos responderam questionário padronizado (fatores sociodemográficos, fatores ambientais e hábitos de vida) derivado do Clinical Screening Tool for Air Pollution Risk. Segundo o estado atual de saúde, foram categorizados em: saúde regular/má/péssima ou excelente/boa. Tendo-a como desfecho, realizou-se análise multivariada.Os dados foram apresentados como razão de verossimilhança (RV) e intervalos de confiança de 95% (IC 95%), tendo-se 5% o nível de significância. RESULTADOS: Foram significantemente associados a pior percepção de situação de saúde: morar em qualquer um dos países, ter umidade na residência (OR = 1,68; IC 95%: 1,33-2,12), dirigir automóvel com janelas abertas (OR = 1,31; IC 95%: 1,03-1,65), ter baixa renda familiar (OR = 1,59; IC 95%: 1,26-2,01), nível educacional incompleto (OR = 1,54; IC 95%: 1,22-1,94), histórico pessoal/familiar de hipertensão arterial (OR = 2,25; IC 95%: 01,64-3,09), doença pulmonar obstrutiva crônica/asma (OR = 1,74; IC 95%: 1,28-2,36), diabete melito (OR = 3,74; IC 95%: 2,23-6,29), obesidade (OR = 1,84; IC 95%: 1,84-3,19) ou comorbidades oftalmológicas (OR = 1,89; IC 95%: 1,55-2,30); realizar exercícios ao ar livre (OR = 1,60; IC 95%: 1,31-1,96). CONCLUSÕES: Apesar das diferentes exposições a que foram submetidos, alguns fatores permanecem muito significativos, e ter baixa renda familiar, expor-se à poluição e ter antecedentes de doenças crônicas foram associados à percepção de condição ruim de saúde.

OBJECTIVE: The relationship between environmental exposure and health outcomes is well known.We investigated this relationship in five Latin American countries with different cultural backgrounds but similar Human Development Indexes. METHODS: This was a cross-sectional study involving 3,016 individuals (18 to 75 years old) from Argentina (n=878), Brazil (n=1030), Mexico (n=272), Paraguay (n=508), and Peru (n=328). Participants were randomly selected and responded to a standardized questionnaire (including sociodemographic and environmental factors and lifestyle habits) derived from a clinical screening tool for air pollution risk. Based on their current health status, participants were categorized as having regular/bad/very bad or excellent/good health. Multivariate analysis was conducted, and data were presented as likelihood ratios and 95% confidence intervals (95%CI).The significance level was set at 5%. RESULTS: Living in any of the study countries; indoor humidity (OR=1.68; 95%CI: 1.33-2.12); driving with the windows open (OR=1.31; 95%CI: 1.03-1.65); low family income (OR=1.59; 95%CI: 1.26-2.01); incomplete education (OR=1.54; 95%CI: 1.22-1.94); personal/family history of hypertension (OR=2.25; 95%CI: 01.643.09), chronic obstructive pulmonary disease/asthma (OR=1.74; 95%:CI: 1.28-2.36), diabetes (OR=3.74; 95%CI:2.23-6.29), obesity (OR=1.84; 95%CI: 1.84-3.19), or ocular comorbidities (OR=1.89; 95%CI: 1.55-2.30); and exercising outdoors (OR=1.60; 95%CI: 1.31-1.96) were significantly associated with a worse perceived health status. CONCLUSIONS: Despite the different exposures to which participants were subjected, some factors remain very significant. Low family income, exposure to pollution, and a history of chronic diseases were associated with the perception of a poor health condition.

Environmental pollution and health in Chilean older adults: Impact on quality of life and functional autonomy.

Background and Aims: Due to increased urbanization and industry, environmental pollution is a serious public health concern. Globally, the quality of life is particularly lowered by exposure to high amounts of particulate matter (PM). Chile has five industrial zones with high pollution levels, called "sacrifice zones." However, the effect of polluted air on the quality of life and functional autonomy (FA) of older people living in industrial zones with high pollution levels is unknown. Therefore, this study aimed to determine the quality of life and FA differences between Chilean older women (OW) living in areas with lower and higher PM levels. Materials and Methods: Seventy-two OW volunteered for this study. The sample was divided into Zone 1 (PM2.5 ≤ 15 µg/m3, n = 36) and Zone 2 (PM2.5 > 15 µg/m3, n = 36). The variables were quality of life-assessed through the SF-36v2.0 questionnaire, and FA-assessed through the GDLAM protocols. Differences between zones were tested by Student's t-test and Mann-Whitney test, both for independent samples (p < 0.05). Results: All eight dimensions of quality of life were lower in Zone 2, of which the role emotional (RE) showed significant differences between zones (p < 0.05). Performance on the GDLAM protocols and the FA index were lower in Zone 2 (p ˃ 0.05). Conclusion: OW in Zone 2 showed lower quality of life and FA. PM could affect the older population's physical and mental health and, therefore, the quality of life.

Functional differences of cultivable leaf-associated microorganisms in the native Andean tree Gevuina avellana Mol. (Proteaceae) exposed to atmospheric contamination.

AIMS: This study aimed to evaluate and describe the functional differences of cultivable bacteria and fungi inhabiting the leaves of Gevuina avellana Mol. (Proteaceae) in an urban area with high levels of air pollution and in a native forest in the southern Andes. METHODS AND RESULTS: Phyllosphere microorganisms were isolated from the leaves of G. avellana, their plant growth-promoting capabilities were estimated along with their biocontrol potential and tolerance to metal(loid)s. Notably, plants from the urban area showed contrasting culturable leaf-associated microorganisms compared to those from the native area. The tolerance to metal(loid)s in bacteria range from 15 to 450 mg l-1 of metal(loid)s, while fungal strains showed tolerance from 15 to 625 mg l-1, being especially higher in the isolates from the urban area. Notably, the bacterial strain Curtobacterium flaccumfaciens and the fungal strain Cladosporium sp. exhibited several plant-growth-promoting properties along with the ability to inhibit the growth of phytopathogenic fungi. CONCLUSIONS: Overall, our study provides evidence that culturable taxa in G. avellana leaves is directly influenced by the sampling area. This change is likely due to the presence of atmospheric pollutants and diverse microbial symbionts that can be horizontally acquired from the environment.

Urban noise assessment in hospitals: measurements and mapping in the context of the city of Sorocaba, Brazil.

Noise pollution has become a public health problem in several countries worldwide. Noise maps are tools used in many cities, mainly on the European continent. In other regions, they are used in smaller areas, and few studies focus on hospital areas, considered noise-sensitive zones. In this context, this study aimed to perform sound measurements and noise maps for the day and night periods in the surroundings of three hospitals in Sorocaba, Brazil. Sound measurements occurred around the three hospitals based on NBR 10151 and ISO 1996 standards. The noise maps were drawn up using a calculation model based on ISO 9613-2. Results showed that the sound measurement points around the hospitals had levels above those recommended by the Brazilian standard for sensitive areas (LAeq 50 and 45 dB for day and night, respectively). The acoustic maps showed high sound levels on all faces of the hospital buildings, both during the day and at night. The worst scenario concerned the vicinity of the roads with the highest flow and speed of vehicles. We concluded that three different hospitals in the city have high sound levels in their surroundings above the recommended for sensitive areas.

Saúde e práticas de mineração em terras indígenas / Health and mining practices in indigenous territories / Salud y prácticas de minería en tierras indígenas

RESUMO Objetivo: identificar as repercussões das práticas de mineração em terras indígenas na saúde. Método: estudo documental de abordagem qualitativa, a partir de matérias jornalísticas de jornais brasileiros e internacionais online registrados entre março de 2020 e dezembro de 2022. A coleta foi realizada entre dezembro e janeiro de 2023. Foi realizada análise de conteúdo. Resultados: foram identificadas 28 notícias vinculadas a jornais nas versões online, emergindo dois núcleos: Garimpo e as ameaças aos povos indígenas; Exposição da saúde dos povos indígenas. Conclusão: é notória a expansão do garimpo ilegal, ameaçando o isolamento dos povos indígenas e fragilizando o controle dos agravos à saúde pelos serviços epidemiológicos. A pesquisa contribui para conscientização sobre atividades de garimpo e saúde indígena, permitindo que os enfermeiros compreendam melhor as questões de saúde emergentes e adaptem suas práticas de cuidados.

ABSTRACT Objective: To identify the repercussions of mining practices on Indigenous Territories on health. Method: A qualitative documentary study was conducted, based on online news articles from Brazilian and international newspapers published between March 2020 and December 2022. Data collection took place between December and January 2023. A content analysis was performed. Results: A total of 28 news articles from online newspapers were identified, revealing two core themes: Mining and Threats to Indigenous Peoples; and Exposure of Indigenous Peoples' Health. Conclusion: The expansion of illegal mining is evident, posing a threat to the isolation of indigenous peoples and weakening the control of health-related issues by epidemiological services. This research contributes to raising awareness about mining activities and indigenous health, enabling nurses to better understand emerging health issues and adapt their care practices.

RESUMEN Objetivo: identificar las repercusiones para la salud de las prácticas de minería en tierras indígenas. Método: estudio documental con enfoque cualitativo, basado en artículos periodísticos de periódicos online brasileños e internacionales registrados entre marzo de 2020 y diciembre de 2022. La recolección se llevó a cabo entre diciembre y enero de 2023. Se realizó análisis de contenido. Resultados: Se identificaron 28 noticias vinculadas a la versión online de periódicos, y surgieron dos categorías: La minería y las amenazas a los pueblos indígenas; Exposición de la salud de los pueblos indígenas. Conclusión: es evidente la expansión de la minería ilegal, que amenaza el aislamiento de los pueblos indígenas y debilita el control de los servicios epidemiológicos de los problemas de salud. La investigación contribuye a crear conciencia sobre la actividad minera y la salud indígena, para que los enfermeros puedan comprender mejor los problemas de salud emergentes y adaptar sus prácticas de atención.

Análisis de la carga de enfermedad atribuible a los factores de riesgo ambientales en México en el período 1990-2021. Identificación de avances, rezagos y emergencias / Analysis of the burden of disease attributable to environmental risk factors in Mexico in the 1990-2021 period. Identification of advances, lags and emergencies

Resumen Antecedentes: Se estima que los factores de riesgo ambientales (FRA) fueron responsables en 2019 de nueve millones de muertes en el mundo. Objetivo: A partir de datos del estudio Global Burden of Disease, se analizaron indicadores de pérdida de salud asociada a la exposición a FRA en México. Material y métodos: Se analizaron números absolutos y porcentajes poblacionales de muertes y años de vida saludable (AVISA) perdidos según sexo atribuidos a FRA seleccionados en los ámbitos nacional y estatal, así como las tendencias estandarizadas por edad de 1990 a 2021. Resultados: En 2021, la contaminación por material particulado en ambiente exterior mostró la mayor mortalidad y AVISA perdidos por los FRA seleccionados (42.2 y 38.1 %, respectivamente), seguida de la exposición a plomo (20.6 y 13.4 %) y temperatura baja (19.8 y 12.3 %). Ambos indicadores han disminuido en todos los FRA seleccionados, en magnitudes diferentes entre 1991 y 2021, excepto la temperatura alta. Conclusiones: A pesar de las disminuciones en los últimos 32 años, el material particulado en ambiente exterior mostró la mayor mortalidad y AVISA perdidos, seguido de la exposición a plomo. Es fundamental fortalecer las políticas de calidad del aire y exposición a plomo en México.

Abstract Background: It is estimated that environmental risk factors (ERF) were responsible for nine million deaths worldwide in 2019. Objective: Using data from the Global Burden of Disease study, indicators of health loss associated with exposure to ERF in Mexico were analyzed. Material and methods: Absolute numbers and population percentages of deaths and disability-adjusted life years (DALY) lost attributed to selected ERFs were analyzed at the national and state level and by sex, as well as age-standardized trends from 1990 to 2021. Results: In 2021, ambient particulate matter pollution showed the highest mortality and DALYs lost attributed to selected ERFs (42.2 and 38.1% respectively), followed by lead exposure (20.6 and 13.4%) and low temperature (19.8 and 12.3%). Both indicators have decreased for all selected ERAs by different magnitudes between 1991 and 2021, except for high temperature. Conclusions: Despite decreases in the last 32 years, outdoor environment particulate matter showed the highest mortality and DALYs lost, followed by lead exposure. It is essential to strengthen air quality and lead exposure policies in Mexico.

The Clinical and Molecular Profile of Lung Cancer Patients Harboring the TP53 R337H Germline Variant in a Brazilian Cancer Center: The Possible Mechanism of Carcinogenesis.

In southern and southeastern Brazil, the TP53 founder variant c.1010G>A (R337H) has been previously documented with a prevalence of 0.3% within the general population and linked to a heightened incidence of lung adenocarcinomas (LUADs). In the present investigation, we cover clinical and molecular characterizations of lung cancer patients from the Brazilian Li-Fraumeni Syndrome Study (BLISS) database. Among the 175 diagnosed malignant neoplasms, 28 (16%) were classified as LUADs, predominantly occurring in females (68%), aged above 50 years, and never-smokers (78.6%). Significantly, LUADs manifested as the initial clinical presentation of Li-Fraumeni Syndrome in 78.6% of cases. Molecular profiling was available for 20 patients, with 14 (70%) revealing EGFR family alterations. In total, 23 alterations in cancer driver genes were identified, comprising 7 actionable mutations and 4 linked to resistance against systemic treatments. In conclusion, the carriers of TP53 R337H demonstrate a predisposition to LUAD development. Furthermore, our results indicate that environmental pollution potentially impacts the carcinogenesis of lung tumors in the carriers of TP53 R337H.

Total Mercury Content in the Tissues of Freshwater Chelonium (Podocnemis expansa) and a Human Health Risk Assessment for the Amazon Population in Brazil.

Researchers recognize the silent, negative and deleterious effects caused by mercury pollution in gold mining areas. Freshwater turtles are culturally part of the diet of riverside populations in the Amazon region and this area presents mercury (Hg) pollution issues mainly due to gold mining activities. Thus, this research aimed to evaluate the total mercury (THg) content in the different organs of Amazonian giant river turtle (Podocnemis expansa) and carry out a human health risk assessment associated with the consumption of these animals. This study was conducted in the Vila Balbina, municipality of Presidente Figueiredo, state of Amazonas, Brazil. Skin (n = 28), muscle (n = 19) and brain (n = 2) samples were analyzed by Atomic Absorption Spectrometry (TDA-AAS) and a DMA-80™ mercury analyzer was used for the total mercury determinations. The average values found for THg in the skin, muscle and brain samples were, respectively, 0.1045 mg·kg-1, 0.1092 mg·kg-1 and 0.0601 mg·kg-1. Thus, THg was observed even though the P. expansa were kept in captivity, possibly due to previous contamination by air, water and food. The Hazard Quotient (HQ) was calculated considering a 9.07 g·day-1 intake dose of P. expansa and the consumption of turtles once a week showed an HQ = 2.45, which may cause long-term injuries to human health. Although the muscle concentrations were below the maximum limit established by the World Health Organization (WHO) and Brazilian regulatory agencies, it is important to evaluate consumption factors such as amount ingested, frequency and animal gender, which may cause a potential risk to regular consumers due to mercury bioaccumulation. The WHO may consider various aspects in order to warn the Amazon population about the severity and silent hazard of this metal, especially due to the importance of this matrix in the region. This region urgently needs government actions to inhibit clandestine mining and to prevent future serious, chronic health problems of the entire population.

Vertical distribution and trace element contamination in sediment cores affected by gold mining in Colombia.

The vertical distribution, level of contamination, potential ecological risks, and historical fluxes of trace elements (Pb, As, and Hg) were evaluated from 210Pb-dated sediment cores in three different areas with gold mining impacts in northern Colombia: the Atrato River (AR), the Delicias Marsh (DM) and the Encaramada Marsh (EM). All cores spanned ∼100 years; the mass accumulation rates followed the order AR > DM > EM. The average trace elements concentrations in the sediment cores were: Pb 2.41 ± 0.72, As 0.65 ± 0.32, Hg 0.07 ± 0.02 µg g-1 in the Atrato River; Pb 23.49 ± 2.59, As 2.46 ± 0.88, Hg 0.10 ± 0.02 µg g-1 in the Delicias Marsh; and Pb 9.76 ± 4.18, As 2.44 ± 1.26, Hg 0.17 ± 0.06 µg g-1 in the Encaramada Marsh. Sediments are classified according to the contamination factor (CF) and geoaccumulation index (Igeo) as low to very highly contaminated. The Pollution load index (PLI) indicates environmental deterioration (PLI> 1), and the Sediment quality guidelines (SQGs) indicate that only Hg may produce adverse biological effects in the EM core. This study is an example of the reconstruction of temporal changes in pollution levels and impacts of potentially toxic elements caused by gold mining in remote ecosystems, which can be reproduced in other areas where environmental monitoring is scarce or non-existent.

Ecotoxicological response surface analysis of salt and pH in textile effluent on Bacillus subtilis and Lactuca sativa.

Textile effluents, although their composition can vary considerably, typically contain high levels of dissolved salts and exhibit wide variations in pH. Ecotoxicological studies regarding the effects of these parameters, however, have been limited owing to the need for sensitive and easy-to-handle bioindicators that require low amounts of sampling, are cost-effective, time-efficient, and ethically endorsed. This kind of study, additionally, demands robust multi-factorial statistical designs that can accurately characterize the individual and combined relationship between variables. In this research, Response Surface Methodology (RSM) was used to calculate the individual and interaction effects of NaCl concentration and pH value of a Simulated Textile Effluent (STE) on the development rate (DR) of the bioindicators: Bacillus subtilis bacteria and Lactuca sativa lettuce. The results demonstrated that the bioindicators were sensitive to both NaCl and pH factors, where the relative sensitivity relationship was B. subtilis > L. sativa. The quadratic equations generated in the experiments indicated that increased concentrations of 50-250 mg L-1 of NaCl caused a perturbance of 1.40%-34.40% on the DR of B. subtilis and 0.50%-12.30% on L. sativa. The pH factor at values of 3-11 caused an alteration of 27.00%-64.78% on the DR of the B. subtilis and 51.37%-37.37% on the L. sativa. These findings suggest that the selected bioindicators could serve as effective tools to assess the ecotoxicological effects of textile effluents on different ecological systems, and the RSM was an excellent tool to consider the ecotoxicological effects of the parameters and to describe the behavior of the results. In conclusion, the NaCl and pH factors may be responsible for disrupting different ecosystems, causing imbalances in their biodiversity and biomass. Before discharge or reuse, it is suggested to remove salts and neutralize pH from textile effluents and, mostly, develop novel, eco-friendlier textile processing techniques.