Reduction of household air pollution through clean fuel intervention and recovery of cellular immune balance.

BACKGROUND: We conducted a clean fuel intervention trial (Bangladesh Global Environmental and Occupational Health (GEOHealth) (NCT02824237) with liquefied petroleum gas (LPG) for 26 months among rural Bangladeshi women chronically exposed to household air pollution (HAP) from biomass fuel (BMF) use. We aimed to evaluate the effect of HAP reduction following LPG intervention on immune response outcome. METHODS: We supplied LPG cook stove and refills in cylinder in 200 households for 26 months. We measured personal exposure to HAP [particulate matter 2.5 (PM2·5), black carbon (BC) and carbon monoxide (CO)] in 200 women (main cook) by personal monitors at pre- and post-intervention. Immune function was assessed before and after intervention, in blood collected within 2 weeks of HAP measurements. Primary endpoints included reduction in HAP, lymphocyte proliferation and oxidative stress response, and alterations in T and B cell proportions. FINDINGS: Exclusive LPG use for 26 months resulted in significant reduction in PM2·5 (43.5%), BC (13%) and CO (48%) exposure in the women. For one unit decrease in BC, Treg cells and memory B cells increased by 7% and 34% respectively, in the peripheral circulation. One unit decrease in CO was significantly associated with increase in early B cells and plasmablasts by 66% and 5% respectively. For one unit decrease in BC, percent-dividing cells, proliferation and expansion indices increased by 2%, 0.4%, and 1%, respectively. INTERPRETATION: Reduced personal exposure to HAP through clean fuel intervention was related to a return towards cellular immune balance.

Sources of toxic elements in indoor dust sample at export processing zone (EPZ) area: Dhaka, Bangladesh; and their impact on human health.

In industrial areas, increased human activities generate high emissions of metals that contaminate the environment, and eventually affect human health. Therefore, this study aims to investigate the sources of toxic elements in indoor dust samples, and to evaluate possible health risks due to expose of human body through dermal contact, inhalation, and ingestion. A total 36 indoor dust samples were collected from the windows of twelve (12) industrial buildings, which are facing the main roads in the biggest export process zone (DEPZ) in Dhaka City, Bangladesh. The indoor dust samples were analyzed using X-ray fluorescence (XRF) technique for the determination of Cu, Zn, As, Pb, Fe, Cr, Co, Ni, K, Ca, Ti, Rb, and Sr. This investigation revealed that Cu, Zn, Pb, Fe, and Sr concentrations were slightly higher in various degree than that of the background value in soil recommended by the Chinese Environmental Protection Administration (CEPA). Subsequently, ANOVA (α = 0.05, p < 0.001) test and %RSD values (33% to 168%) showed that the concentrations of these metals were present non-homogeneously in different sampling points. However, statistical analysis and several geochemical indices have been proposed that these heavy metals might be come in indoor dust samples because of anthropogenic events. This investigation also showed that the most-extreme permissible hazard index (HIs) levels known as non-cancer risk for As, Mn, and Zn because of dust exposure in the study area were below than that of the safe limit (HI = 1) but with an exception of Pb (HI = 1.9E+00) for children. On the other hand, the degree of cancer-causing risk linked with exposure to arsenic in indoor dust (i.e., 0.502E-06 to 0.121E-05) falls within the range of threshold values (10-6 to 10-4). Therefore, following USEPA health risk models, it has been suggested that these metals present in indoor dust samples might not have significant impact on causing non-cancer and cancer risk to children and to adult at this moment in the DEPZ area, Bangladesh. However, a continuous monitoring should be needed to assess more accurately the non-cancer and cancer risk to children and adult.

Status of metals in serum and urine samples of chronic kidney disease patients in a rural area of Bangladesh: An observational study.

The traditional causes of Chronic Kidney Damage (CKD) are Diabetes and Hypertension. However, recent studies reported the possible relations between metal exposure and CKD. This study aims to explore the status of metals in CKD patients compared to their healthy counterparts at Narayanganj, Bangladesh, through a cross-sectional study. In this study, 50 volunteers were involved; 30 CKD patients and 20 healthy controls. Five metals were measured from serum [Copper (Cu) and Zinc (Zn)] and urine [Lead (Pb), Cadmium (Cd), and Chromium (Cr)] using Atomic Absorption Spectrometry. Compared to the controls the CKD patients exhibited significantly higher levels of Pb, Cd and Cr levels in their urine samples. This signifies a potential association between heavy metal exposure and CKD. The serum levels of Cu were much higher than expected for CKD patients than controls, and the Zn values were in accordance with established literature. However, the level of Zn in blood was significantly lower in the CKD group compared to the control. This data suggests that the Cu imbalance in the serum of the CKD subjects might have been related to a myriad of reasons, the most plausible of which being exposed to large concentrations of the nephrotoxic metals such as Pb, Cd and Cr in this study. Our study has shed a much needed light on the correlation between CKD and exposure to heavy metals and imbalance of essential metals in blood serum, in a rural locality of Bangladesh.

Assessment of contamination level, pollution risk and source apportionment of heavy metals in the Halda River water, Bangladesh.

This study demonstrates the level of heavy metal pollution in the Halda River, the only natural breeding source of carps in Bangladesh. Water was collected from 12 different sampling points along the Halda River. Water at various locations was found satisfactory in terms of the assessed physicochemical parameters (pH, electrical conductivity, and total dissolved solids). The presence of various cations and anions was also studied using ion chromatography. Atomic absorption spectroscopy was used to identify and quantify various heavy metals in the collected water samples. Among the heavy metals, Cd, Cr, Fe, Pb, Cu, and As concentration exceeded the safe limit suggested by WHO. The calculated heavy metal pollution index and metal index were found higher than the critical index value. The single-factor assessment (P i ) and Nemerow's multi-factor index (P N ) of heavy metals was calculated to find out the degree of pollution in the Halda River. The maximum values of P i (Cd), P i (Pb), P i (As), P i (Cu), and P i (Cr) were determined to be 26.67, 260.00, 17.00, 208.76 and 2.80 respectively. The maximum value of P N was found to be 289.04. The discharge of effluents from various large and small industries near the Halda River is considered to be the major source of the identified heavy metals. Multivariate statistical analysis such as principal component analysis, Pearson correlation matrix and cluster analysis revealed that most of the heavy metals originated from different anthropogenic sources. Multivariate analysis also showed that Co, Mn, Cu, Cr, Pb, Cd, NH4 +, NO3 - mainly came from artificial sources whereas Fe, Ca, As mainly originated from natural sources. Arsenic (As) also came from artificial sources with Cu.