Acute exposure and biomarkers assessment in rainbow trout exposed to selected pharmaceuticals.

Pharmaceuticals released from municipal effluents discharges pose a risk to aquatic organisms. The toxicity of 5 pharmaceuticals with distinct therapeutic actions were assessed in rainbow trout: olanzapine (antipsychotic), erythromycin (antibiotic), mycophenoate (immunosuppression), pinaverium (anti-inflammatory) and trazodone (sedative). Juveniles were exposed to these drugs for 96 h at concentrations between 64 µg/L up to 40 mg/L to reach lethality. Survival was determined and a suite of biomarkers was analyzed for drug biotransformation, oxidative stress/damage and metabolic activity at sublethal concentrations. The data revealed the following toxicity: olanzapine >trazodone>mycophenolate>pinaverium∼erythromycin based on mortality. The data also revealed that toxicity was associated to mass, pKa and hydrophobicity and the following sublethal effects: GST, LPO and DNA strand breaks. Pharmaceuticals with lower molecular weight, physiological pKa, moderate hydrophobicity, low biotransformation and DNA strand breaks were generally more toxic to fish. However, this should be considered as a general guide in identifying toxic pharmaceuticals in non-target organisms.

Polonium-210: lessons learned from the contamination of individual Canadians.

This paper describes the radioactive poisoning episode in London in 2006 and the Health Canada response to locate and test any Canadians who might have been contaminated by this event. The search strategies and testing methods are explained and the results given. The lessons learned are summarised and implications for vulnerable populations are discussed. The greatest public health impact was probably the generation of fear and concern, especially among those prone to health-related anxiety disorders. The groups of individuals at risk were effectively managed by a single point of contact system combined with rapid triage and counselling that was provided to everyone to address their individual concerns.