Introducing a land use-based weight factor in regional health risk assessment of PAHs in soils of an urban agglomeration.

The high heterogeneity of land uses in urban areas has led to large spatial variations in the contents and health risks of polycyclic aromatic hydrocarbons (PAHs) in soils. A land use-based health risk assessment (LUHR) model was proposed for soil pollution on a regional scale by introducing a land use-based weight factor, which considered the differences in exposure levels of soil pollutants to receptor populations between land uses. The model was applied to assess the health risk posed by soil PAHs in the rapidly industrializing urban agglomeration of Changsha-Zhuzhou-Xiangtan Urban Agglomeration (CZTUA). The mean concentration of total PAHs (∑PAHs) in CZTUA was 493.2 µg/kg, and their spatial distribution was consistent with emissions from industry and vehicles. The LUHR model suggested the 90th percentile health risk value was 4.63 × 10-7, which was 4.13 and 1.08 times higher than those of traditional risk assessments that have adopted adults and children as default risk receptors, respectively. The risk maps of LUHRs showed that the ratios of the area exceeding the risk threshold (1 × 10-6) to the total area were 34.0 %, 5.0 %, 3.8 %, 2.1 %, and 0.2 % in the industrial area, urban green space, roadside, farmland, and forestland, respectively. The LUHR model back-calculated the soil critical values (SCVs) for ∑PAHs under different land uses, resulting in values of 6719, 4566, 3224, and 2750 µg/kg for forestland, farmland, urban green space, and roadside, respectively. Compared with the traditional health risk assessment models, this LUHR model identified high-risk areas and drew risk contours more accurately and precisely by considering both the spatial variances of soil pollution and their exposure levels to different risk receptors. This provides an advanced approach to assessing the health risks of soil pollution on a regional scale.

[Characteristics and Risk Assessment of Heavy Metals in the Soil Around Copper Smelting Sites].

Copper smelting can cause heavy metal pollution in surrounding soil and threaten human health. This study examined the characteristics, distribution, and health risk of heavy metals in soil with different land uses around 40 copper smelting sites at home and abroad by collecting published literature data. The results showed that the mean values of ω(As), ω(Cd), ω(Cu), ω(Pb), and ω(Zn) in the soil around the copper smelting sites were 196, 10.5, 1948, 604, and 853 mg·kg-1, respectively. The order of Igeo was Cd(5.63)>Cu(3.88)>As(2.96)>Pb(2.30)>Zn(1.27), and the accumulation of Cd and Cu was the most serious. High Nemero index (NIPI) values were found in the soil around smelting sites with a long history of smelting, outdated process, and insufficient environmental protection measures. Significant correlations were found between the concentrations of heavy metals in the soil, which decreased with the sampling distance. The heavy metals mainly accumulated within 2-3 km from the smelting sites. Compared with the smelting history, scale, and process, land use type had a lower effect on soil heavy metal concentrations. The heavy metals in the soil around copper smelters may pose carcinogenic and non-carcinogenic risks on residents. The high health risks were mainly caused by As and Pb in smelting production areas, and Pb in woodland. These results may guide the risk prevention of heavy metal pollution in the soil around smelting sites.

Temporal Trend and Clinical Outcomes in HIV and Non-HIV Patients following Liposuction: A Propensity-Matched Analysis.

BACKGROUND: Because of the availability of highly active antiretroviral therapy, individuals infected with human immunodeficiency virus (HIV) are enjoying greater longevity with chronic conditions including abnormal adipose distribution. However, prior data on postoperative outcomes of liposuction in HIV-positive patients were limited by small sample size. Therefore, the authors aimed to compare differences in temporary trend, clinical characteristics, and outcomes between patients with and without HIV who underwent liposuction. METHODS: The National Inpatient Sample database from 2010 to 2017 was queried to identify patients who underwent liposuction. Univariate, multivariate logistic regression and 1:4 propensity score-matched analyses were used to assess the primary outcomes (i.e., in-hospital mortality and postoperative outcomes) and secondary outcomes (i.e., discharge disposition, prolonged length of stay, and total cost). RESULTS: Overall, 19,936 patients who underwent liposuction were identified, among whom 61 patients (0.31%) were infected with HIV. Patients with HIV were more likely to be male, insured by Medicare, and had more comorbidities and lower income. Unadjusted length of stay was longer among patients with HIV (OR, 1.81; 95% CI, 1.09 to 2.99; P = 0.020); nevertheless, multivariable models and propensity score-matched analysis demonstrated that patients with HIV were no more likely to have complications than the general population. This was also the case for length of stay and total costs. CONCLUSIONS: The authors' findings indicated that patients with HIV who underwent liposuction did not experience an increased risk of major complication or mortality. Liposuction could be safely considered as a surgical treatment for HIV-positive patients with local fat deposition. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.

[Characteristics and Risk Assessment of Heavy Metals in Urban Soils of Major Cities in China].

The rapid urbanization in China may lead to heavy metal pollution in urban soil, threatening the health of residents. By collecting literature data published in the last 15 years, the characteristics and risks of heavy metals in the urban soils of 52 cities in China were analyzed. The results showed that the average ω(Pb), ω(Cd), ω(Cu) and ω(Zn) in the urban soils of China were 58.5, 0.49, 42.1, and 156.3 mg·kg-1, respectively, and the average Igeo values were ordered as follows Cd(1.10) > Zn(0.36) > Pb(0.28) > Cu(0.13). The high concentrations of heavy metals in the urban soils were mainly found in cities located in coastal economically developed provinces (such as Jiangsu, Zhejiang, etc.) and resource-based provinces (such as Hunan, Henan, Inner Mongolia, etc.). The cities of Kaifeng, Yangzhou, Hohhot, Taiyuan, and Xiangtan had relatively high Igeo values for heavy metals in the soils. The concentrations of heavy metals in soils from industrial areas and roadsides were significantly higher than those from residential areas and parks, suggesting that heavy traffic and developed heavy industry were the main causes of heavy metal accumulation in the urban soils. No significant correlations between the average concentrations of heavy metals in urban soil and urban economic and environmental indicators[such as permanent population, GDP, ρ (PM10), ρ(PM2.5), and SO2 emissions] were found. The concentrations of heavy metals in urban soils showed large spatial heterogeneity, and hence the average concentrations may not reflect the overall accumulation level in a city. The non-carcinogenic risks for children posed by heavy metals in urban soils were generally low, and the main risk contributor was Pb. However, the exposure to heavy metals in soils in cities with developed smelting industries is worthy of attention.

Distribution Characteristics and Risk Assessment of Heavy Metals in Soil and Street Dust with Different Land Uses, a Case in Changsha, China.

Rapid urbanization and industrialization have led to the accumulation of heavy metals in urban areas. The distribution and health risk of heavy metals in soil and street dust were studied by collecting the samples in pairs from different land uses in Changsha, China. The results showed that the average contents of the heavy metals Pb, Cd, Cu, Zn, Cr and Ni in the soil were 45.3, 0.69, 46.3, 220.4, 128.7 and 32.9 mg·kg-1, and the corresponding heavy metal contents in the street dust were 130.1, 3.9, 130.8, 667.2, 223.2, 50.5 mg·kg-1, respectively. The soils in the parks and roadsides have higher heavy metal contents than those in the residential and agricultural areas. The street dust collected from parks, roadsides and residential areas contained higher heavy metal contents than agricultural areas. Significant correlations were found between heavy metals, suggesting similar sources. However, most of the heavy metals in the soil were uncorrelated with those in the street dust. The contents of heavy metals in soil are the results of long-term pollution. Street dust is easily affected by natural or human disturbances, reflecting pollution emissions in a short period. The health risks posed by heavy metals in the soil are acceptable, but the street dust may threaten children's health, especially in residential areas. Pb, Cr and Cd are the main risk contributors. Reducing the emissions from industrial plants and traffic may reduce the risk of exposure to heavy metals in the street dust.

A questionnaire based probabilistic risk assessment (PRA) of heavy metals in urban and suburban soils under different land uses and receptor populations.

The choice of receptor populations is crucial for assessing the health risk posed by heavy metals in soil. A total of 457 questionnaires were conducted on 10 sensitive receptor populations, which were exposed to potentially contaminated soil under four land uses, to determine their exposure frequency (EF) and exposure time (ET) values. The exposure risk (ER: the probability of being exposed to target soil) varied between the receptor populations because of their different EF and ET values. Green maintenance workers in park soil, who had fixed outdoor working hours (6 or 7 days per week and 8 h per day), had the highest EF and ET values, while adults and children who visited parks only at weekends had the lowest EF values. Green maintenance workers, sanitation workers, and children faced the highest hazards (i.e., hazard index (HI) values) from heavy metals in soil in parks and residential areas, roadsides, and farmland, and were found to be the most sensitive receptor populations (MSRPs) for these land uses. The 90th percentile of the HI value for the four land uses based on MSRPs followed the order of roadsides (0.48) > parks (0.44) > residential areas (0.21) > suburban farmlands(0.18), and all were lower than 1, indicating a virtually safe level. Washing hands immediately and wearing shoes when working on farmland considerably reduced the HI values by 56.6%. The EF, ET, and body weight (BW) values were the most sensitive parameters in the health risk assessment. The results suggested that the type of receptor population will greatly affect the results of a health risk assessment for soil pollutants. It is necessary to select the risk receptors carefully based on the land use types.

Factors influencing the effectiveness of liming on cadmium reduction in rice: A meta-analysis and decision tree analysis.

Lime is widely applied as a soil amendment to reduce the grain cadmium (Cd) content in rice production. However, the effectiveness of liming on grain Cd reduction is inconsistent and often cannot meet the safety requirements established for rice production. To identify the factors causing the effectiveness of liming to vary, we collected data from peer-viewed articles regarding lime application in paddy soils that were published during the last ten years. The average Cd reduction rates in rice grains after liming were -44% across all the studies considered, which could be broken down into -48% for pot experiments only and -42% for field trials only. The results of a meta-analysis and decision tree analysis indicated that the experiment type (field or pot), lime dosage, lime type (CaCO3, Ca(OH)2, or CaO), soil environment factors (soil pH, soil available Cd content, soil total Cd, and Zn content), and rice cultivar all influenced the effectiveness of liming. Recommendations were made to guide future liming practice, e.g., (1) using a larger lime dosage when applied to soil with pH < 5.5, or soil with total Cd > 1 mg/kg or total Zn > 200 mg/kg; (2) using CaCO3 when applied with large dosages; and (3) planting low-Cd accumulation rice cultivars while applying lime. CAPSULE: A meta-analysis showed that the effectiveness of liming on rice grain Cd reduction was affected by the experiment type (field or pot), lime dosage, lime type, soil pH, rice cultivar, and soil total Cd and Zn content.

Atmospheric deposition as a source of cadmium and lead to soil-rice system and associated risk assessment.

Atmospheric deposition of heavy metals is widely documented and has been connected to adverse ecological and health impacts. The influence of atmospheric deposition on the soil-rice system in a typical urban agglomeration region was studied continuously through a field contrast experiment for two years. The results showed that the Cd and Pb in rice grains is mainly from soil, but Cd and Pb from the atmospheric deposition should be a focus of attention. The bioavailable content of heavy metals in atmospheric deposition is higher than that in corresponding surface soil. Atmospheric deposition contributed 10.8-47.7% of the Cd and Pb in brown rice, and 13.7-60.3% of the Cd and Pb in rice leaves was from atmospheric deposition. In the traffic area, a high deposition site, the contributions of atmospheric depositions to heavy metals in rice plants were higher than those from abandoned mine area and suburban area. Atmospheric deposition also consistently decreased the pH (0.17-0.66) and increased the exchangeable Cd (27.1-62.1%) and Pb (3.3-26.1%) in surface soil. In addition, the health risk index (HRI) of rice consumption was also increased as a result of the different atmospheric depositions of heavy metals, which accounted for 40.0% and 35.5% of Cd and Pb at the high deposition site, respectively. These findings demonstrate the potential influences of atmospheric deposition on the soil-crop system and human health, and can also provide a useful reference for developing the emission control strategies.

Modelling mass balance of cadmium in paddy soils under long term control scenarios.

A simple mathematical model on the basis of the mass balance principle was developed to simulate the long-term changes of Cd in paddy soils. The model predicted the dynamics of cadmium concentration in soils under six alternative control scenarios, including rice straw incorporation into fields (A), removing straw from fields (B), irrigating paddies with groundwater (C), reducing atmospheric Cd deposition (D), liming (E), and integrating measures (F), which were used for Cd contaminated paddy fields in the central subtropical areas of China. The uncertainty of parameters was analyzed using Monte Carlo methods. Scenario simulation results showed that atmospheric deposition was the main external source of Cd, contributing 70% of the total inputs, and plant uptake was an important output pathway, responsible for 92% of the total outputs. Removing straw from fields was more effective than other single control scenarios, and integrating measures were more effective in lowering Cd concentration in contaminated paddy soils. The Cd concentration in soils can meet the critical value (0.3 mg kg-1) in a low-level Cd contaminated paddy field (0.68 mg kg-1) with integrating measures through 40 years of cultivation. In the same case, a high-level Cd contaminated field (1.48 mg kg-1) was converted to a low-level Cd contaminated field (0.54 mg kg-1). However, long term use of lime can increase the Cd concentration in paddy soils. Controllable factors that affected Cd accumulation in paddy soils were plant uptake factors, and the atmospheric deposition flux and irrigation water flux of Cd. Therefore, integrating measures including removing rice straw and preventing the emission of Cd into the atmosphere and irrigation water was the optimal approach to lower Cd concentration in contaminated paddy soils.

Health Risk Assessment of Trace Metals in Various Environmental Media, Crops and Human Hair from a Mining Affected Area.

Long term exposure to trace metals in various media is of great concern for people living in known pollution sources, such as mining and industrial activities. Health risk assessment and human hair analysis can provide important information for local environmental management. Information on distribution characteristics of trace metals in soil, water, sediment, air, local crops, and human hair from a typical mining area in southern China was collected. Results show there exists severely trace metal contamination in soil, sediment, and air. Arsenic and Pb contents in the local children's hair are higher than the upper reference values, and the accumulation of residents' hair trace metals shows great correlation with the ingestion and inhalation pathways. Arsenic contributes 52.27% and 58.51% to the total non-cancer risk of adults and children, respectively. The cancer risk of Cd in adults and children are 4.66 and 3.22 times higher than the safe level, respectively. Ingestion exposure pathway of trace metals largely contributes to the total non-cancer and cancer effect. The metals As, Cd, and Pb are major risk sources and pollutants that should be given priority for management, and ingestion pathway exposure to trace metals through soil and crops should be controlled.

Regional probabilistic risk assessment of heavy metals in different environmental media and land uses: An urbanization-affected drinking water supply area.

In this study, we proposed a Regional Probabilistic Risk Assessment (RPRA) to estimate the health risks of exposing residents to heavy metals in different environmental media and land uses. The mean and ranges of heavy metal concentrations were measured in water, sediments, soil profiles and surface soils under four land uses along the Shunde Waterway, a drinking water supply area in China. Hazard quotients (HQs) were estimated for various exposure routes and heavy metal species. Riverbank vegetable plots and private vegetable plots had 95th percentiles of total HQs greater than 3 and 1, respectively, indicating high risks of cultivation on the flooded riverbank. Vegetable uptake and leaching to groundwater were the two transfer routes of soil metals causing high health risks. Exposure risks during outdoor recreation, farming and swimming along the Shunde Waterway are theoretically safe. Arsenic and cadmium were identified as the priority pollutants that contribute the most risk among the heavy metals. Sensitivity analysis showed that the exposure route, variations in exposure parameters, mobility of heavy metals in soil, and metal concentrations all influenced the risk estimates.

Cost-Benefit Analysis of Green Infrastructures on Community Stormwater Reduction and Utilization: A Case of Beijing, China.

Cost-benefit analysis is demanded for guiding the plan, design and construction of green infrastructure practices in rapidly urbanized regions. We developed a framework to calculate the costs and benefits of different green infrastructures on stormwater reduction and utilization. A typical community of 54,783 m2 in Beijing was selected for case study. For the four designed green infrastructure scenarios (green space depression, porous brick pavement, storage pond, and their combination), the average annual costs of green infrastructure facilities are ranged from 40.54 to 110.31 thousand yuan, and the average of the cost per m3 stormwater reduction and utilization is 4.61 yuan. The total average annual benefits of stormwater reduction and utilization by green infrastructures of the community are ranged from 63.24 to 250.15 thousand yuan, and the benefit per m3 stormwater reduction and utilization is ranged from 5.78 to 11.14 yuan. The average ratio of average annual benefit to cost of four green infrastructure facilities is 1.91. The integrated facilities had the highest economic feasibility with a benefit to cost ratio of 2.27, and followed by the storage pond construction with a benefit to cost ratio of 2.14. The results suggested that while the stormwater reduction and utilization by green infrastructures had higher construction and maintenance costs, their comprehensive benefits including source water replacements benefits, environmental benefits and avoided cost benefits are potentially interesting. The green infrastructure practices should be promoted for sustainable management of urban stormwater.

[Spatial Distribution and Potential Ecological Risk Assessment of Heavy Metals in Soils and Sediments in Shunde Waterway, Southern China].

Environmental quality of soils and sediments around water source area can influence the safety of potable water of rivers. In order to study the pollution characteristics, the sources and ecological risks of heavy metals Zn, Cr, Pb, Cu, Ni and Cd in water source area, surface soils around the waterway and sediments in the estuary of main tributaries were collected in Shunde, and ecological risks of heavy metals were assessed by two methods of potential ecological risk assessment. The mean contents of Zn, Cr, Pb, Cu, Ni and Cd in the surface soils were 186.80, 65.88, 54.56, 32.47, 22.65 and 0.86 mg · kg⁻¹ respectively, and they were higher than their soil background values except those of Cu and Ni. The mean concentrations of Zn, Cr, Pb, Cu, Ni and Cd in the sediments were 312.11, 111.41, 97.87, 92.32, 29.89 and 1.72 mg · kg⁻¹ respectively, and they were higher than their soil background values except that of Ni. The results of principal component analysis illustrated that the main source of Cr and Ni in soils was soil parent materials, and Zn, Pb, Cu and Cd in soils mainly came from wastewater discharge of local manufacturing industry. The six heavy metals in sediments mainly originated from industry emissions around the Shunde waterway. The results of potential ecological risk assessment integrating environmental bioavailability of heavy metals showed that Zn, Cu, Pb and Ni had a slight potential ecological risk. Cd had a slight potential ecological risk in surface soils, but a moderate potential ecological risk in surfaces sediments. Because the potential ecological risk assessment integrating environmental bioavailability of heavy metals took the soil properties and heavy metal forms into account, its results of risks were lower than those of Hakanson methods, and it could avoid overestimating the potential risks of heavy metals.

Modelling cadmium contamination in paddy soils under long-term remediation measures: Model development and stochastic simulations.

A pollutant accumulation model (PAM) based on the mass balance theory was developed to simulate long-term changes of heavy metal concentrations in soil. When combined with Monte Carlo simulation, the model can predict the probability distributions of heavy metals in a soil-water-plant system with fluctuating environmental parameters and inputs from multiple pathways. The model was used for evaluating different remediation measures to deal with Cd contamination of paddy soils in Youxian county (Hunan province), China, under five scenarios, namely the default scenario (A), not returning paddy straw to the soil (B), reducing the deposition of Cd (C), liming (D), and integrating several remediation measures (E). The model predicted that the Cd contents of soil can lowered significantly by (B) and those of the plants by (D). However, in the long run, (D) will increase soil Cd. The concentrations of Cd in both soils and rice grains can be effectively reduced by (E), although it will take decades of effort. The history of Cd pollution and the major causes of Cd accumulation in soil were studied by means of sensitivity analysis and retrospective simulation.

Risk assessment of Cd polluted paddy soils in the industrial and township areas in Hunan, Southern China.

Cadmium (Cd) contamination in rice in Youxian, Hunan, China is a major environmental health concern. In order to reveal the Cd contamination in rice and paddy soils and the health risks to the population consuming the local rice grain, field surveys were conducted in eight towns in Youxian, China. The Cd contents of paddy soils averaged 0.228-1.91 mg kg(-1), 90% exceeding the allowable limit of 0.3 mg kg(-1) stipulated by the China Soil Environmental Quality Standards. Low average pH values (for air dried oxidized soils) ranging from 4.98 to 6.02 in paddy soil were also found. More than seventy percent (39 of 53) of the grain samples exceeded the maximum safe concentration of Cd, 0.2 mg kg(-1) on a dry weight basis. Considering the high consumption of local rice (339 g capita(-1) DW d(-1)) and Cd levels measured, dietary ingestion of 78% of the sampled rice grains would have adverse health risks because the intake exposure of Cd was greater than the JECFA recommended exposures, 0.8 µg Cd BW kg(-1) day(-1) or 25 µg Cd BW kg(-1) month(-1).

[Advances in low impact development technology for urban stormwater management].

Low impact development ( LID), as an innovative technology for stormwater management, is effective to mitigate urban flooding and to detain pollutants. This paper systemically introduced the LID technology system, and summarized the reduction effects of three typical LID facilities (i.e. , bio-retention, green roof and permeable pavement) on stormwater runoff and main pollutants in recent literature, as well as research outcomes and experiences of LID technology on model simulation, cost-benefit analysis and management system. On this basis, we analyzed the problems and limitations of current LID technology studies. Finally, some suggestions about future research directions, appropriate design and scientific management were put forth. This work intended to provide scientific basis and suggestions for widespread use and standard setting of LID technology in China by referencing overseas studies.

[Urban ecological risk assessment: a review].

With the development of urbanization and the degradation of urban living environment, urban ecological risks caused by urbanization have attracted more and more attentions. Based on urban ecology principles and ecological risk assessment frameworks, contents of urban ecological risk assessment were reviewed in terms of driven forces, risk resources, risk receptors, endpoints and integrated approaches for risk assessment. It was suggested that types and degrees of urban economical and social activities were the driven forces for urban ecological risks. Ecological functional components at different levels in urban ecosystems as well as the urban system as a whole were the risk receptors. Assessment endpoints involved in changes of urban ecological structures, processes, functional components and the integrity of characteristic and function. Social-ecological models should be the major approaches for urban ecological risk assessment. Trends for urban ecological risk assessment study should focus on setting a definite protection target and criteria corresponding to assessment endpoints, establishing a multiple-parameter assessment system and integrative assessment approaches.

A GIS technology based potential eco-risk assessment of metals in urban soils in Beijing, China.

Ecological risks of heavy metals in urban soils were evaluated using Beijing, China as an example. Cadmium, Cu, Zn, Pb, Cr and Ni contents of 233 surface soils sampled by 1 min latitude × 1 min longitude grid were used to identify their spatial distribution patterns and potential emission sources. Throughout the city, longer the duration of urbanization greater was the accumulations of heavy metals especially, Cd, Cu, Pb, and Zn. The soil Zn mainly came from the wears of vehicular tires. Point source emissions of heavy metals were few and far in the downwind south-east quadrant of Beijing. The calculated risk indices showed potential median eco-risks in the ancient central city. No potential high eco-risk due to soil-borne heavy metals was found. The potential medium eco-risk areas in Beijing would expand from the initial 24 to 110 km(2) if soil pH were to reduce by 0.5 units in anticipation.

[Distribution and risk assessment of polycyclic aromatic hydrocarbons in urban soils: a review].

With rapid urbanization, the contamination of polycyclic aromatic hydrocarbons (PAHs) has become one of the major factors threatening urban soil quality and human health. This paper summarized the current studies on the PAHs in urban soils, with the focus on the anthropogenic and natural factors affecting the distribution of PAHs in urban soils, analytical methods on the pollution sources of PAHs, risk assessment of urban soil contamination by PAHs, and especially, applications of geo-statistics in the spatial analysis and risk assessment of PAHs. The potential issues and research trends about the PAHs contamination of urban soils were also discussed.