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Journal of Hazardous Materials Mar 2024COVID-19 has aggravated the biomedical waste generation all over the world and the concern for its safe disposal is on the rise. The vast majority of healthcare systems... (Review)
Review
COVID-19 has aggravated the biomedical waste generation all over the world and the concern for its safe disposal is on the rise. The vast majority of healthcare systems employ incineration as their treatment method considering its agility to reduce the waste volume by up to 95-96% and high-temperature inactivation of infectious biological materials. However, incinerator emission is a significant contributor of polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) and dioxin-like polychlorinated biphenyls (dl-PCBs) according to various national inventories across the globe. Bio-Medical Waste Incinerators (BMWIs) are the dominant form of incinerator plants in developing nations and hence BMWI emissions were found to contribute lion's share of national dioxins inventories in most of these countries. The Stockholm Convention on POPs played a key role in imbibing significant urge on the dl-POPs monitoring studies of incinerators internationally and on controlling the average incinerator emission levels. Though many national/international agencies endorse a stringent incinerator stack emission standard of 0.1 ngTEQ/Nm, there are some differences observed in nation-to-nation regulatory scenarios. This paper reviews and reports on the dioxins emission and health risk studies associated with bio-medical waste incineration over the last three decades (1990-2020) with a comprehensive spatial and temporal emission trend analysis. An overview of important national and international regulations, national inventories and emission factors for the biomedical waste incineration sector is also reviewed in detail. The study observes that continuous regulatory monitoring and logical relaxations can enhance the performance of the existing facilities ensuring low emissions and minimal risk.
Topics: Dioxins; Air Pollutants; Environmental Monitoring; Incineration; Polychlorinated Dibenzodioxins; Polychlorinated Biphenyls; Dibenzofurans, Polychlorinated
PubMed: 38176262
DOI: 10.1016/j.jhazmat.2023.133384 -
The Science of the Total Environment Oct 2020Prenatal exposure to widespread environmental toxicants is detrimental to maternal health and fetal development. The effects of environmental toxicants on maternal and...
Prenatal exposure to widespread environmental toxicants is detrimental to maternal health and fetal development. The effects of environmental toxicants on maternal and fetal metabolic profile changes have not yet been summarized. This systematic review aims to summarize the current studies exploring the association between prenatal exposure to environmental toxicants and metabolic profile alterations in mother and fetus. We searched the MEDLINE (PubMed) electronic database for relevant literature conducted up to September 18, 2019 with some key terms. From the initial 155 articles, 15 articles met the inclusion and exclusion criteria, and consist of highly heterogeneous research methods. Seven studies assessed the effects of multiple environmental pollutants (metals, organic pollutants, nicotine, air pollutants) on the maternal urine and blood metabolomic profile; five studies evaluated the effects of arsenic, polychlorinated biphenyls (PCBs), nicotine, and ambient fine particulate matter (PM) on the cord blood metabolomic profile; and one study assessed the effects of smoking exposure on the amniotic fluid metabolomic profile. The alteration of metabolic pathways in these studies mainly involve energy metabolism, hormone metabolism, oxidative stress and inflammation. No population study investigated the association between environmental toxicants and placental metabolomics. This systematic review provides evidence that prenatal exposure to a variety of environmental pollutants can affect maternal and fetal metabolomic characteristics. Integration of environmental toxicant exposure and metabolomics data in maternal-fetal samples is helpful to understand the interaction between toxicants and metabolites, so as to reveal the pathogenesis of fetal disease or diseases of fetal origin.
Topics: Biomarkers; Environmental Exposure; Female; Fetus; Hazardous Substances; Humans; Maternal Exposure; Maternal Health; Metabolomics; Pregnancy
PubMed: 32535459
DOI: 10.1016/j.scitotenv.2020.139626 -
The Science of the Total Environment Jul 2021Toxicity of compounds belonging to persistent organic pollutants (POPs) is widely known, and their re-emission from glaciers has been conclusively demonstrated. However,... (Review)
Review
Toxicity of compounds belonging to persistent organic pollutants (POPs) is widely known, and their re-emission from glaciers has been conclusively demonstrated. However, the harmful effects associated with such secondary emissions have yet to be thoroughly understood, especially in the spatial and temporal context, as the existing literature has a clear sampling bias with the best recognition of sites in the European Alps. In this review, we elaborated on the hazards associated with the rapid melting of glaciers releasing organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs) and polycyclic aromatic hydrocarbons (PAHs). To this end, we collated knowledge on: (1) the varying glacier melt rate across the Northern Hemisphere, (2) the content of POPs in the glacial system components, including the less represented areas, (3) the mechanisms of POPs transfer through the glacial system, including the importance of immediate emission from snow melt, (4) risk assessment associated with POPs re-emission. Based on the limited existing information, the health risk of drinking glacial water can be considered negligible, but consuming aquatic organisms from these waters may increase the risk of cancer. Remoteness from emission sources is a leading factor in the presence of such risk, yet the Arctic is likely to be more exposed to it in the future due to large-scale processes shifting atmospheric pollution and the continuous supply of snow. For future risk monitoring, we recommend to explore the synergistic toxic effects of multiple contaminants and fill the gaps in the spatial distribution of data.
PubMed: 33832784
DOI: 10.1016/j.scitotenv.2021.145244 -
Environmental Science and Pollution... Mar 2019Breastfeeding is a gold standard of neonate nutrition because human milk contains a lot of essential compounds crucial for proper development of a child. However, milk...
Breastfeeding is a gold standard of neonate nutrition because human milk contains a lot of essential compounds crucial for proper development of a child. However, milk is also a biofluid which can contain environmental pollution, which can have effects on immune system and consequently on the various body organs. Polychlorinated biphenyls are organic pollutants which have been detected in human milk. They have lipophilic properties, so they can penetrate to fatty milk and ultimately to neonate digestive track. Another problem of interest is the presence in milk of heavy metals-arsenic, lead, cadmium, and mercury-as these compounds can lead to disorders in production of cytokines, which are important immunomodulators. The toxicants cause stimulation or suppression of this compounds. This can lead to health problems in children as allergy, disorders in the endocrine system, end even neurodevelopment delay and disorder. Consequently, correlations between pollutants and bioactive components in milk should be investigated. This article provides an overview of environmental pollutants found in human milk as well as of the consequences of cytokine disorder correlated with presence of heavy metals. Graphical abstract.
Topics: Arsenic; Breast Feeding; Cadmium; Cytokines; Environmental Pollutants; Environmental Pollution; Female; Humans; Maternal Exposure; Mercury; Metals, Heavy; Milk, Human; Mothers; Polychlorinated Biphenyls
PubMed: 30687894
DOI: 10.1007/s11356-019-04141-1 -
Gynecological Endocrinology : the... Aug 2019Endocrine-disrupting chemicals (EDCs) are suspected to be associated with endometriosis (EMs). This study aimed to synthesize published data and evaluate the... (Meta-Analysis)
Meta-Analysis
Endocrine-disrupting chemicals (EDCs) are suspected to be associated with endometriosis (EMs). This study aimed to synthesize published data and evaluate the relationship between four classic EDCs exposure and the risk of EMs. A systematic literature search for original peer reviewed papers was performed in the databases PubMed, EMBASE, and Web of Science based on inclusion criteria up to January 2018. Subsequently, a total of 20 papers conducting 30 studies fulfilled the eligibility criteria and were included in this meta-analysis (four studies for bisphenol A (BPA), 12 studies for polychlorinated biphenyls (PCBs), eight studies for organochlorine pesticides (OCPs), and six studies for phthalate esters (PAEs)). The overall odds ratio (OR) across all exposures and EMs was 1.41 (95% confidence interval (CI): 1.23-1.60). When assessing four specific chemicals, respectively, consistent increases in the risk of EMs were found in PCBs group (OR = 1.58; 95% CI: 1.18-2.12), OCPs group (OR = 1.40; 95% CI: 1.02-1.92) and PAEs group (OR = 1.27; 95% CI: 1.00-1.60), while BPA showed no significant association with EMs. Besides, in the di-(2-ethylhexyl)-phthalate (DEHP) group - the most commonly used PAEs, significant risk was also found (OR = 1.42; 95% CI: 1.19-1.70). The current meta-analysis strengthens the evidence that specific EDCs or their metabolites may promote the occurrence of EMs.
Topics: Endocrine Disruptors; Endometriosis; Environmental Exposure; Female; Humans; Risk Factors
PubMed: 30907174
DOI: 10.1080/09513590.2019.1590546 -
Environmental Toxicology and Chemistry Oct 2023The aryl hydrocarbon receptors (Ahrs) are evolutionarily conserved ligand-dependent transcription factors that are activated by structurally diverse endogenous compounds...
The aryl hydrocarbon receptors (Ahrs) are evolutionarily conserved ligand-dependent transcription factors that are activated by structurally diverse endogenous compounds as well as environmental chemicals such as polycyclic aromatic hydrocarbons and halogenated aromatic hydrocarbons. Activation of the Ahr leads to several transcriptional changes that can cause developmental toxicity resulting in mortality. Evidence was assembled and evaluated for two novel adverse outcome pathways (AOPs) which describe how Ahr activation (molecular initiating event) can lead to early-life stage mortality (adverse outcome), via either SOX9-mediated craniofacial malformations (AOP 455) or cardiovascular toxicity (AOP 456). Using a key event relationship (KER)-by-KER approach, we collected evidence using both a narrative search and a systematic review based on detailed search terms. Weight of evidence for each KER was assessed to inform overall confidence of the AOPs. The AOPs link to previous descriptions of Ahr activation and connect them to two novel key events (KEs), increase in slincR expression, a newly characterized long noncoding RNA with regulatory functions, and suppression of SOX9, a critical transcription factor implicated in chondrogenesis and cardiac development. In general, confidence levels for KERs ranged between medium and strong, with few inconsistencies, as well as several opportunities for future research identified. While the majority of KEs have only been demonstrated in zebrafish with 2,3,7,8-tetrachlorodibenzo-p-dioxin as an Ahr activator, evidence suggests that the two AOPs likely apply to most vertebrates and many Ahr-activating chemicals. Addition of the AOPs into the AOP-Wiki (https://aopwiki.org/) helps expand the growing Ahr-related AOP network to 19 individual AOPs, of which six are endorsed or in progress and the remaining 13 relatively underdeveloped. Environ Toxicol Chem 2023;42:2063-2077. © 2023 SETAC. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.
Topics: Animals; Humans; Zebrafish; Receptors, Aryl Hydrocarbon; Polychlorinated Dibenzodioxins; Polycyclic Aromatic Hydrocarbons; Hydrocarbons, Aromatic
PubMed: 37341548
DOI: 10.1002/etc.5699 -
Environmental Toxicology and Chemistry Jan 2020Maternal transfer of persistent organic pollutants (POPs) confronts developing embryos with a pollution legacy and poses conservation concerns due to its potential... (Meta-Analysis)
Meta-Analysis
Maternal Transfer of Persistent Organic Pollutants to Sea Turtle Eggs: A Meta-Analysis Addressing Knowledge and Data Gaps Toward an Improved Synthesis of Research Outputs.
Maternal transfer of persistent organic pollutants (POPs) confronts developing embryos with a pollution legacy and poses conservation concerns due to its potential impacts unto subsequent generations. We conducted a systematic review focusing on: 1) processes of POP maternal transfer, 2) challenges and opportunities to synthesizing current knowledge on POP concentrations in eggs, and 3) a meta-analysis of patterns in current egg pollution data. Results suggest selective maternal transfer of individual compounds. These relate to biological factors such as the foraging and remigration behavior, and to the selective mobilization of POPs during vitellogenesis, such as increased diffusion limitation for lipophilic POPs and slower release and higher reabsorption of apolar POPs. A key gap relates to knowledge of further selective toxicokinetics during embryonic development, as research to date has mainly focused on initial uptake into eggs. Challenges in the synthesis of current data on egg contamination profiles relate to methodological differences, varying analytical approaches, restricted data access, and reporting transparency among studies. To increase opportunities in the use of current data, we propose best practice guidelines, and synthesize a database on POP concentrations within sea turtle eggs. The meta-analysis revealed a geographical and taxonomic bias on the West Atlantic Ocean, including the Gulf of Mexico and Caribbean Sea, with most studies conducted on green turtles. Concentrations of POPs show temporal patterns related to trends in usage, production, release, and persistence in the environment, often with regional patterns. The trophic level has the potential to influence POP patterns with higher concentrations in loggerheads compared to other species, but this is confounded by temporal and geographic trends. We argue for more mechanistically process-focused and methodologically comparable research. Environ Toxicol Chem 2019;39:9-29. © 2019 SETAC.
Topics: Animals; Caribbean Region; Environmental Monitoring; Female; Gulf of Mexico; Hydrocarbons, Chlorinated; Maternal Exposure; Ovum; Pesticides; Polychlorinated Biphenyls; Turtles; Water Pollutants, Chemical
PubMed: 31560792
DOI: 10.1002/etc.4585 -
Environmental Research Aug 2020The evidence evaluating environmental chemical exposures (ECE) and breast cancer (BC) risk is heterogeneous which may stem in part as few studies measure ECE during key...
BACKGROUND
The evidence evaluating environmental chemical exposures (ECE) and breast cancer (BC) risk is heterogeneous which may stem in part as few studies measure ECE during key BC windows of susceptibility (WOS). Another possibility may be that most BC studies are skewed towards individuals at average risk, which may limit the ability to detect signals from ECE.
OBJECTIVES
We reviewed the literature on ECE and BC focusing on three types of studies or subgroup analyses based on higher absolute BC risk: BC family history (Type 1); early onset BC (Type 2); and/or genetic susceptibility (Type 3).
METHODS
We systematically searched the PubMed database to identify epidemiologic studies examining ECE and BC risk published through June 1, 2019.
RESULTS
We identified 100 publications in 56 unique epidemiologic studies. Of these 56 studies, only 2 (3.6%) were enriched with BC family history and only 11% of studies (6/56) were specifically enriched with early onset cases. 80% of the publications from these 8 enriched studies (Type 1: 8/10 publications; Type 2: 8/10 publications) supported a statistically significant association between ECE and BC risk including studies of PAH, indoor cooking, NO, DDT; PCBs, PFOSA; metals; personal care products; and occupational exposure to industrial dyes. 74% of Type 3 publications (20/27) supported statistically significant associations for PAHs, traffic-related air pollution, PCBs, phthalates, and PFOSAs in subgroups of women with greater genetic susceptibility due to variants in carcinogen metabolism, DNA repair, oxidative stress, cellular apoptosis and tumor suppressor genes.
DISCUSSION
Studies enriched for women at higher BC risk through family history, younger age of onset and/or genetic susceptibility consistently support an association between an ECE and BC risk. In addition to measuring exposures during WOS, designing studies that are enriched with women at higher absolute risk are necessary to robustly measure the role of ECE on BC risk.
Topics: Breast Neoplasms; Cooking; Environmental Exposure; Environmental Pollutants; Female; Humans; Polychlorinated Biphenyls; Polycyclic Aromatic Hydrocarbons
PubMed: 32445942
DOI: 10.1016/j.envres.2020.109346 -
Phytotherapy Research : PTR Jan 2020Quercetin is one of the most abundant flavonoids in human diet that has been reported to exhibit a wide range of pharmacological properties. The biochemical and...
Quercetin is one of the most abundant flavonoids in human diet that has been reported to exhibit a wide range of pharmacological properties. The biochemical and molecular mechanisms involved in the hepatoprotective activity of quercetin were discussed in this review. Quercetin exhibited hepatoprotective activity against 2-butoxyethanol, acrylamide, acrylonitrile, aflatoxin B1, aroclor-1254, arsenic, sodium arsenite, azathioprine, cadmium chloride, carbon tetrachloride, chlorpyrifos, cyclosporine A, diazinon, dimethylnitrosamine, doxorubicin, epirubicin, ethanol, fenvalerate, isoniazide, rifampicin, lead acetate, lindane, D-galactosamine, methotrexate, methylmercury, nickel sulfate, paracetamol, perfluorooctanoic acid, polychlorinated biphenyls, pyrrolizidine alkaloid clivorine, rotenone, sodium fluoride, streptazotocin, tert-butyl hydroperoxide, thioacetamide, titanium dioxide, tumor necrosis factor-α, tripterygium glycoside, triptolide, ultraviolet A light, concavalin A, bisphenol, and ischemia-induced hepatotoxicity in various animal models due to its antioxidant, free radical-scavenging,anti-inflammatory, antiapoptotic, and cytochrome P450 2E1 (CYP2E1) inhibitory activities. In this review, we provide an overview of the possible mechanisms by which quercetin reduced the hepatotoxicity of different hepatotoxicants. This will help the toxicologists, pharmacologists, and chemists to develop new safer pharmaceutical products with quercetin and other hepatotoxicants.
Topics: Animals; Antioxidants; Humans; Liver; Male; Quercetin; Rats; Rats, Sprague-Dawley; Rats, Wistar
PubMed: 31617262
DOI: 10.1002/ptr.6503 -
Waste Management (New York, N.Y.) Feb 2024Biochar obtained from sewage sludge serves as a valuable soil amendment in agriculture, enhancing soil properties by increasing the nutrient content, cation exchange...
Biochar obtained from sewage sludge serves as a valuable soil amendment in agriculture, enhancing soil properties by increasing the nutrient content, cation exchange capacity, water retention, and oxygen transmission. However, its utilisation is hampered by the presence of micropollutants such as polycyclic aromatic hydrocarbons (PAHs), polychlorinated dibenzodioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), polychlorinated biphenyls (PCBs), and volatile organic compounds (VOCs). Previous studies indicate that the type and amount of micropollutants can be significantly adjusted by selecting the right process parameters. This literature review provides an overview of how (1) pyrolysis temperature, (2) carrier gas flow and type, (3) heating rate, and (4) residence time affect the concentration of micropollutants in biochar produced from sewage sludge. The micropollutants targeted are those listed by the European Biochar Certificate (EBC) and by the International Biochar Institution (IBI), including PAHs, PCDD/Fs, PCBs and VOCs. In addition, per- and poly-fluoroalkyl substances (PFAS) are also considered due to their presence in sewage sludge. The findings suggest that higher pyrolysis temperatures reduce micropollutant levels. Moreover, the injection of a carrier gas (N or CO) during the pyrolysis and cooling processes effectively lowers PAHs and PCDD/Fs, by reducing the contact of biochar with oxygen, which is crucial in mitigating micropollutants. Nevertheless, limited available data impedes an assessment of the impact of these parameters on PFAS in biochar. In addition, further research is essential to understand the effects of carrier gas type, heating rate, and residence time in order to determine the optimal pyrolysis process parameters for generating clean biochar.
Topics: Sewage; Polychlorinated Dibenzodioxins; Polychlorinated Biphenyls; Dibenzofurans; Pyrolysis; Charcoal; Polycyclic Aromatic Hydrocarbons; Soil; Oxygen; Fluorocarbons
PubMed: 38154418
DOI: 10.1016/j.wasman.2023.12.036