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Genetic radiation risks: a neglected topic in the low dose debate.

Inge SCHMITZ-FEUERHAKE ; Christopher BUSBY ; Sebastian PFLUGBEIL

Environmental Health and Toxicology.2016;31(1):e2016001-. doi:10.5620/eht.e2016001

OBJECTIVES: To investigate the accuracy and scientific validity of the current very low risk factor for hereditary diseases in humans following exposures to ionizing radiation adopted by the United Nations Scientific Committee on the Effects of Atomic Radiation and the International Commission on Radiological Protection. The value is based on experiments on mice due to reportedly absent effects in the Japanese atomic bomb (Abomb) survivors. METHODS: To review the published evidence for heritable effects after ionising radiation exposures particularly, but not restricted to, populations exposed to contamination from the Chernobyl accident and from atmospheric nuclear test fallout. To make a compilation of findings about early deaths, congenital malformations, Down’s syndrome, cancer and other genetic effects observed in humans after the exposure of the parents. To also examine more closely the evidence from the Japanese A-bomb epidemiology and discuss its scientific validity. RESULTS: Nearly all types of hereditary defects were found at doses as low as one to 10 mSv. We discuss the clash between the current risk model and these observations on the basis of biological mechanism and assumptions about linear relationships between dose and effect in neonatal and foetal epidemiology. The evidence supports a dose response relationship which is non-linear and is either biphasic or supralinear (hogs-back) and largely either saturates or falls above 10 mSv. CONCLUSIONS: We conclude that the current risk model for heritable effects of radiation is unsafe. The dose response relationship is non-linear with the greatest effects at the lowest doses. Using Chernobyl data we derive an excess relative risk for all malformations of 1.0 per 10 mSv cumulative dose. The safety of the Japanese A-bomb epidemiology is argued to be both scientifically and philosophically questionable owing to errors in the choice of control groups, omission of internal exposure effects and assumptions about linear dose response.
Accidental Falls ; Animals ; Asian Continental Ancestry Group ; Down Syndrome ; Epidemiology ; Genetic Diseases, Inborn ; Humans ; Mice ; Nuclear Weapons ; Parents ; Radiation, Ionizing ; Risk Factors ; Survivors ; United Nations

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Time trend of malaria in relation to climate variability in Papua New Guinea.

Jae Won PARK ; Hae Kwan CHEONG ; Yasushi HONDA ; Mina HA ; Ho KIM ; Joel KOLAM ; Kasis INAPE ; Ivo MUELLER

Environmental Health and Toxicology.2016;31(1):e2016003-. doi:10.5620/eht.e2016003

OBJECTIVES: This study was conducted to describe the regional malaria incidence in relation to the geographic and climatic conditions and describe the effect of altitude on the expansion of malaria over the last decade in Papua New Guinea. METHODS: Malaria incidence was estimated in five provinces from 1996 to 2008 using national health surveillance data. Time trend of malaria incidence was compared with rainfall and minimum/maximum temperature. In the Eastern Highland Province, time trend of malaria incidence over the study period was stratified by altitude. Spatio-temporal pattern of malaria was analyzed. RESULTS: Nationwide, malaria incidence was stationary. Regionally, the incidence increased markedly in the highland region (292.0/100000/yr, p =0.021), and remained stationary in the other regions. Seasonality of the malaria incidence was related with rainfall. Decreasing incidence of malaria was associated with decreasing rainfall in the southern coastal region, whereas it was not evident in the northern coastal region. In the Eastern Highland Province, malaria incidence increased in areas below 1700 m, with the rate of increase being steeper at higher altitudes. CONCLUSIONS: Increasing trend of malaria incidence was prominent in the highland region of Papua New Guinea, while long-term trend was dependent upon baseline level of rainfall in coastal regions.
Altitude ; Climate Change ; Climate* ; Incidence ; Malaria* ; Papua New Guinea* ; Seasons

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Humidifier disinfectants, unfinished stories.

Yeyong CHOI ; Domyung PAEK

Environmental Health and Toxicology.2016;31(1):e2016004-. doi:10.5620/eht.e2016004

Once released into the air, humidifier disinfectants became tiny nano-size particles, and resulted in chemical bronchoalveolitis. Families had lost their most beloved members, and even some of them became broken. Based on an estimate of two million potential victims who had experienced adverse effects from the use of humidifier disinfectants, we can say that what we have observed was only the tip of the iceberg. Problems of entire airways, as well as other systemic effects, should be examined, as we know these nano-size particles can irritate cell membranes and migrate into systemic circulation. The story of humidifier disinfectant is not finished yet.
Cell Membrane ; Disinfectants* ; Humans ; Humidifiers* ; Ice Cover

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Spatial assessment of soil contamination by heavy metals from informal electronic waste recycling in Agbogbloshie, Ghana.

Vincent Nartey KYERE ; Klaus GREVE ; Sampson M. ATIEMO

Environmental Health and Toxicology.2016;31(1):e2016006-. doi:10.5620/eht.e2016006

OBJECTIVES: This study examined the spatial distribution and the extent of soil contamination by heavy metals resulting from primitive, unconventional informal electronic waste recycling in the Agbogbloshie e-waste processing site (AEPS) in Ghana. METHODS: A total of 132 samples were collected at 100 m intervals, with a handheld global position system used in taking the location data of the soil sample points. Observing all procedural and quality assurance measures, the samples were analyzed for barium (Ba), cadmium (Cd), cobalt (Co), chromium (Cr), copper (Cu), mercury (Hg), nickel (Ni), lead (Pb), and zinc (Zn), using X-ray fluorescence. Using environmental risk indices of contamination factor and degree of contamination (Cdeg), we analyzed the individual contribution of each heavy metal contamination and the overall Cdeg. We further used geostatistical techniques of spatial autocorrelation and variability to examine spatial distribution and extent of heavy metal contamination. RESULTS: Results from soil analysis showed that heavy metal concentrations were significantly higher than the Canadian Environmental Protection Agency and Dutch environmental standards. In an increasing order, Pb>Cd>Hg>Cu>Zn>Cr>Co>Ba>Ni contributed significantly to the overall Cdeg. Contamination was highest in the main working areas of burning and dismantling sites, indicating the influence of recycling activities. Geostatistical analysis also revealed that heavy metal contamination spreads beyond the main working areas to residential, recreational, farming, and commercial areas. CONCLUSIONS: Our results show that the studied heavy metals are ubiquitous within AEPS and the significantly high concentration of these metals reflect the contamination factor and Cdeg, indicating soil contamination in AEPS with the nine heavy metals studied.
Agriculture ; Barium ; Burns ; Cadmium ; Chromium ; Cobalt ; Copper ; Electronic Waste* ; Fluorescence ; Ghana* ; Metals ; Metals, Heavy* ; Nickel ; Recycling* ; Soil* ; Spatial Analysis ; United States Environmental Protection Agency ; Zinc

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Risk assessment of di(2-ethylhexyl) phthalate in the workplace.

Hyeon Yeong KIM

Environmental Health and Toxicology.2016;31(1):e2016011-. doi:10.5620/eht.e2016011

OBJECTIVES: A hazard assessment of di(2-ethylhexyl) phthalate (DEHP), a commonly used workplace chemical, was conducted in order to protect the occupational health of workers. A literature review, consisting of both domestic and international references, examined the chemical management system, working environment, level of exposure, and possible associated risks. This information may be utilized in the future to determine appropriate exposure levels in working environments. METHODS: Hazard assessment was performed using chemical hazard information obtained from international agencies, such as Organization for Economic Cooperation and Development-generated Screening Information Data Set and International Program on Chemical Safety. Information was obtained from surveys conducted by the Minister of Employment and Labor (“Survey on the work environment”) and by the Ministry of Environment (“Survey on the circulation amount of chemicals”). Risk was determined according to exposure in workplaces and chemical hazard. RESULTS: In 229 workplaces over the country, 831 tons of DEHP have been used as plasticizers, insecticides, and ink solvent. Calculated 50% lethal dose values ranged from 14.2 to 50 g/kg, as determined via acute toxicity testing in rodents. Chronic carcinogenicity tests revealed cases of lung and liver degeneration, shrinkage of the testes, and liver cancer. The no-observed-adverse-effect level and the lowest-observed-adverse-effect level were determined to be 28.9 g/kg and 146.6 g/kg, respectively. The working environment assessment revealed the maximum exposure level to be 0.990 mg/m³, as compared to the threshold exposure level of 5 mg/m³. The relative risk of chronic toxicity and reproductive toxicity were 0.264 and 0.330, respectively, while the risk of carcinogenicity was 1.3, which is higher than the accepted safety value of one. CONCLUSIONS: DEHP was identified as a carcinogen, and may be dangerous even at concentrations lower than the occupational exposure limit. Therefore, we suggest management of working environments, with exposure levels below 5 mg/m³ and all workers utilizing local exhaust ventilation and respiratory protection when handling DEHP.
Carcinogenicity Tests ; Chemical Safety ; Clergy ; Dataset ; Diethylhexyl Phthalate ; Employment ; Humans ; Ink ; Insecticides ; International Agencies ; Liver ; Liver Neoplasms ; Lung ; Mass Screening ; No-Observed-Adverse-Effect Level ; Occupational Exposure ; Occupational Health ; Plasticizers ; Plastics ; Risk Assessment* ; Rodentia ; Testis ; Toxicity Tests, Acute ; Ventilation

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Major concerns regarding lung injury and related health conditions caused by the use of humidifier disinfectant.

Donguk PARK

Environmental Health and Toxicology.2016;31(1):e2016014-. doi:10.5620/eht.e2016014

A total of 221 patients were evaluated to be humidifier disinfectant associated with lung injury (HDLI) through two rounds of programs through April 2015. The humidifier disinfectant (HD) brands most often associated with HDLI were found to be Oxy (n=151, 68 %) and Cefu (n=26, 17 %). Polyhexamethylene guanidine used for disinfectant for four types of HD brands including Oxy was found to be associated with the highest number of HDLI cases (n=188). Further programs are operating to identify various health effects including lung injury which may be associated with the use of HD. Not only national agencies, but also pertinent environmental health societies should cooperate in the necessary investigations so that this tragedy can be properly addressed and future incidents concerning chemicals and chemical-containing products can be prevented.
Environmental Health ; Guanidine ; Humans ; Humidifiers* ; Lung Injury* ; Lung*

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The humidifier disinfectant case and the legislative challenges of the 20th Congress.

Taehyun PARK

Environmental Health and Toxicology.2016;31(1):e2016015-. doi:10.5620/eht.e2016015

A number of absurdities surrounding the humidifier disinfectant (HD) incident may have occurred because 1) a judicial system operates on the underlying false assumption that the involved parties are equals in knowledge, information and resource mobilization capabilities, regardless of respective real status as company or individual; 2) there is a lack of a system that mandates a company to prevent and actively manage possible catastrophes; 3) the regulatory scheme makes companies believe that as long as they are complying with the existing regulations, they have satisfied all of their responsibilities. I believe that this issue is an opportunity to bring about changes in the judicial redress system, the system of internal management of manufacturers, and the regulatory system of the government. The following regulation amendments are needed to move towards the changes stated above. First, legislation relating to victim relief that is applicable to the HD incident must be established. Second, a risk management system must be formed within the manufacturing company and to this end an institutional environment for the system must be established within regulatory framework. Furthermore, legislation must be passed that could punish companies themselves that have caused severe damage to individuals because they had failed to take necessary actions to avoid foreseeable harm. Finally, the framework of regulation must be changed so that the company, who has the necessary information regarding the product and the component chemicals used in the product, must self-directed experiment and assessment of the safety of their own products.
Humidifiers* ; Risk Management ; Social Control, Formal

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Humidifier disinfectant lung injury, how do we approach the issues?.

Jihyun Emma CHOI ; Sang Bum HONG ; Kyung Hyun DO ; Hwa Jung KIM ; Seockhoon CHUNG ; Eun LEE ; Jihyun CHOI ; Soo Jong HONG

Environmental Health and Toxicology.2016;31(1):e2016019-. doi:10.5620/eht.e2016019

A large portion of the Korean population has been exposed to toxic humidifier disinfectants (HDs), and considering that the majority of the victims are infants, the magnitude of the damage is expected to be considerably larger than what has currently been revealed. The current victims are voicing problems caused by various diseases, including but not limited to lung, upper respiratory tract, cardiovascular, kidney, musculoskeletal, eye, and skin diseases, etc. However, there has been difficulty in gaining validation for these health problems and identifying causal relationships due to lack of evidence proving that toxic HD is the specific causes of extrapulmonary diseases such as allergic rhinitis. Furthermore, the victims and bereaved families of the HD case have not received any support for psychological distress such as post-traumatic stress disorder, depression, feelings of injustice, and anger caused by the trauma. In addition, because the underlying mechanisms of the toxic materials within the HDs such as polyhexamethylene guanidine phosphate, poly(oxyalkylene guanidine) hydrochloride, chloromethylisothiazolinone/methylisothiazolinone have yet to be determined, the demand for information regarding the HD issue is growing. The victims of the HD cases require support that goes beyond financial aid for medical costs and living expenses. There is a desperate need for government-led integrated support centers that provide individualized support through health screenings; in other words, we need an integrated facility that provides the appropriate social support to allow the victims to recover their physical and mental health, so as to well prepare them to return to a normal life. The implementation of such a plan requires not only the close cooperation between those departments already directly involved such as the Ministry of Environment and the Ministry of Health and Welfare, but also active support on a national scale from pan-governmental consultative bodies.
Anger ; Depression ; Disasters ; Disinfectants ; Guanidine ; Humans ; Humidifiers* ; Infant ; Kidney ; Lung Injury* ; Lung* ; Mass Screening ; Mental Health ; Respiratory System ; Rhinitis, Allergic ; Skin Diseases ; Stress Disorders, Post-Traumatic

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A call for action from workers, local residents, and consumers: a safe society from toxic chemicals.

Shinbum KIM ; Sanghyuk IM ; Youngeun CHOI ; Soomi PARK ; Jaesoon HYUN ; Kyung Seok LEE ; Sunimm LEE ; Sung nan LEE ; Jeongri SEO ; Ju Hee KIM ; Hyunsun NA ; Minsun KIM

Environmental Health and Toxicology.2016;31(1):e2016020-. doi:10.5620/eht.2016020

No abstract available.

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Evaluation of metal contamination and phytoremediation potential of aquatic macrophytes of East Kolkata Wetlands, India.

Amina KHATUN ; Sandipan PAL ; Aloke Kumar MUKHERJEE ; Palas SAMANTA ; Subinoy MONDAL ; Debraj KOLE ; Priyanka CHANDRA ; Apurba Ratan GHOSH

Environmental Health and Toxicology.2016;31(1):e2016021-. doi:10.5620/eht.e2016021

OBJECTIVES: The present study analyzes metal contamination in sediment of the East Kolkata Wetlands, a Ramsar site, which is receiving a huge amount of domestic and industrial wastewater from surrounding areas. The subsequent uptake and accumulation of metals in different macrophytes are also examined in regard to their phytoremediation potential. METHODS: Metals like cadmium (Cd), copper (Cu), manganese (Mn), and lead (Pb) were estimated in sediment, water and different parts of the macrophytes Colocasia esculenta and Scirpus articulatus. RESULTS: The concentration of metals in sediment were, from highest to lowest, Mn (205.0±65.5 mg/kg)>Cu (29.9±10.2 mg/kg)>Pb (22.7±10.3 mg/kg)>Cd (3.7±2.2 mg/kg). The phytoaccumulation tendency of these metals showed similar trends in both native aquatic macrophyte species. The rate of accumulation of metals in roots was higher than in shoots. There were strong positive correlations (p<0.001) between soil organic carbon (OC) percentage and Mn (r =0.771), and sediment OC percentage and Pb (r=0.832). Cation exchange capacity (CEC) also showed a positive correlation (p<0.001) with Cu (r=0.721), Mn (r=0.713), and Pb (r=0.788), while correlations between sediment OC percentage and Cu (r=0.628), sediment OC percentage and Cd (r=0.559), and CEC and Cd (r=0.625) were significant at the p<0.05 level. CONCLUSIONS: Bioaccumulation factor and translocation factors of these two plants revealed that S. articulatus was comparatively more efficient for phytoremediation, whereas phytostabilization potential was higher in C. esculenta.
Biodegradation, Environmental* ; Cadmium ; Carbon ; Colocasia ; Copper ; India* ; Manganese ; Metals ; Soil ; Waste Water ; Water ; Wetlands*

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