International quantification of microplastics in indoor dust: prevalence, exposure and risk assessment.

This international scale study measured the prevalence of indoor microplastics (MPs) in deposited dust in 108 homes from 29 countries over a 1-month period. Dust borne MPs shape, colour, and length were determined using microscopy and the composition measured using µFTIR. Human health exposure and risk was assessed along with residential factors associated with MPs via a participant questionnaire. Samples were categorised according to each country's gross national income (GNI). Synthetic polymers dominated in low income (LI) (39%) and high income (HI) (46%) while natural fibres were the most prevalent in medium income (MI) (43%) countries. Composition and statistical analysis showed that the main sources of MPs and dust were predominantly from indoor sources. Across all GNI countries, greater vacuuming frequency was associated with lower MPs loading. High income country samples returned higher proportions of polyamides and polyester fibres, whereas in LI countries polyurethane was the most prominent MPs fibre. Exposure modelling showed infants (0-2 years) were exposed to the highest MPs dose through inhalation (4.5 × 10-5 ± 3 × 10-5) and ingestion (3.24 × 10-2 ± 3.14 × 10-2) mg/kg-Bw/day. Health risk analysis of constituent monomers of polymers indicates cancer incidence was estimated at 4.1-8.7 per million persons across age groups. This study's analysis showed socio-economic factors and age were dominant variables in determining dose and associated health outcomes of MPs in household dust.

Spatial distribution and composition of mine dispersed trace metals in residential soil and house dust: Implications for exposure assessment and human health.

Trace metal exposure from environmental sources remains a persistent global problem, particularly in communities residing adjacent to metal extraction and processing industries. This study examines front yard soil and house dust from 62 residences throughout the Australian Ag-Pb-Zn mining city of Broken Hill to better understand spatial variability in metal distributions, compositions and exposures across an industrially polluted urban environment. X-ray fluorescence analysis of paired soil/dust samples indicated that geomean concentrations (mg/kg) of Cu (32/113), Zn (996/1852), As (24/34) and Pb (408/587) were higher in house dust while Ti (4239/3660) and Mn (1895/1101) were higher in outdoor soil. Ore associated metals and metalloids (Mn, Zn, As, Pb) in soil and house dust were positively correlated and declined in concentration away from mining areas, the primary source of metalliferous emissions in Broken Hill. The rate of decline was not equivalent between soil and house dust, with the indoor/outdoor concentration ratio increasing with distance from mining areas for Zn/Pb (geomean = 1.25/1.05 (<1 km); 2.14/1.52 (1-2 km); 2.54/2.04 (>2 km)). House dust and Broken Hill ore Pb isotopic compositions (206Pb/207Pb; 208Pb/207Pb) were more similar in homes nearest to mining areas than those further away (geomean apportioned ore Pb = 88% (<1 km); 76% (1-2 km); 66% (>2 km)), reflecting spatial shifts in the balance of sources contributing to indoor contamination. Incorporation of house dust Pb reduced overestimation of IEUBK modelled blood Pb concentrations compared to when only soil Pb was used. These findings demonstrate that even in contexts where the source and environmental burden of metals are relatively apparent, geochemical relationships and exposures between outdoor and indoor environments are not always predictable, nor easily disaggregated.

Quantification and exposure assessment of microplastics in Australian indoor house dust.

Limited attention has been given to the presence of MPs in the atmospheric environment, particularly in indoor environments where people spend about 90% of their time. This study quantitatively assesses the prevalence, source and type of MPs in Australian homes with the goal of evaluating human health exposure potential. Thirty-two airborne indoor deposited dust samples were collected in glass Petri dishes from Sydney (Australia) homes, over a one-month period in 2019. Participants completed a questionnaire on their household characteristics. Samples were analysed using a stereomicroscope, a fluorescent microscope and micro-Fourier transform infrared (FTIR) spectroscopy for their colour, size, shape and composition. Inhalation and ingestion rates were modelled using US EPA exposure factors. Microplastic fibre deposition rates ranged from 22 to 6169 fibres/m2/day. Deposited dust comprised 99% fibres. The highest proportion of fibres (19%) were 200-400 µm in length. The majority were natural (42%); 18% were transformed natural-based fibres; and 39% were petrochemical based. A significant difference was observed between the deposition rate and the main floor covering (p-value <0.05). Polyethylene, polyester, polyamide, polyacrylic, and polystyrene fibres were found in higher abundance in homes with carpet as the main floor covering. Where carpet was absent, polyvinyl fibres were the most dominant petrochemical fibre type, indicating the role of flooring materials (e.g. wood varnishes) in determining MP composition. Vacuum cleaner use was significantly related to MP deposition rates (p-value <0.05). MP ingestion rates peaked at 6.1 mg/kg-Bw/year for ages 1-6, falling to a minimum of 0.5 mg/kg-Bw/year in >20 years age group. Mean inhaled MP weight and count was determined to be 0.2±0.07 mg/kg-Bw/year and 12891±4472 fibres/year. Greatest inhalation intake rates were for the <0.5-yr age group, at 0.31 mg/kg-Bw/year. The study data reveal that MPs are prevalent in Australian homes and that the greatest risk of exposure resides with young children. Notwithstanding the limited number of global studies and the different methods used to measure MPs, this study indicates Australian deposition and inhalation rates are at the lower end of the exposure spectrum.

The relevance of particle size distribution and bioaccessibility on human health risk assessment for trace elements measured in indoor dust.

Trace metal contaminants in indoor dust pose a significant potential exposure risk to people because of the time spent indoors and the readily ingested and inhaled fine-grained composition of indoor dusts. However, there is limited trace metal data available on the specific interaction of dust particle size fraction and their respective bioaccessibility/bioavailability and its consequent effect on health risk assessment. This study addresses this knowledge gap by examining bioaccessible and bioavailable trace element concentrations (As, Cr, Cu, Mn, Ni, Pb, Zn) in 152 discrete size fractions from 38 indoor vacuum samples from a larger dataset (n = 376) of indoor dust from Sydney, Australia. Arsenic, Cu, Ni, Pb and Zn were most concentrated in the 90-150 µm fraction with Cr and Mn being more concentrated in < 45 µm fraction. Dust particle size fractions < 45 µm, 45-90 µm, 90-150 µm and 150-250 µm were analysed for their individual gastric phase (G-alone) in vitro trace element bioaccessibilities. Lead exposure risk was estimated using the United States Environmental Protection Agency's Integrated Exposure Uptake Biokinetic (IEUBK) children's model. Mean Pb bioaccessibility was 59.6%, 42%, 62% and 62.2% for < 45 µm, 45-90 µm, 90-150 µm, and 150-250 µm, respectively. Mean Pb absolute bioavailability (ABA) was lower at 26.2%, 18.4%, 27.2% and 27.3% for size fractions < 45 µm, 45-90 µm, 90-150 µm, and 150-250 µm, respectively. The predicted blood Pb (PbB) levels for a hypothetical child aged 1 to 3 years for each of the dust particle size fractions was > 5 µg/dL. Lead concentrations measured in the selected dust samples show a potential for adverse health impacts on young children with the greatest risk being from indoor dust sized 90-150 µm.

Assessment of the Presence of Soil Lead Contamination Near a Former Lead Smelter in Mombasa, Kenya.

BACKGROUND: The informal settlement of Owino Uhuru near an abandoned lead smelter attracted international attention due to an apparent lead poisoning event. Despite this attention, the environmental data collected to date do not indicate high levels of residual contamination. OBJECTIVES: To further confirm previous findings and determine any necessary risk mitigation measures, an assessment of surface soil lead concentrations was conducted in the community. METHODS: Investigators carried out an assessment of the soil in a ~12,000 m2 section of the Owino Uhuru neighborhood over the course of a single day in June 2017 with the assistance of community leaders. Fifty-nine in situ soil measurements were taken using an Innov-X tube-based (40 kV) alpha X-ray fluorescence instrument (pXRF). RESULTS: The assessment found that mean surface soil lead concentrations in areas conducive to exposure were 110 mg/kg (95% CI: 54-168); below United States Environmental Protection Agency and the Environment Canada screening levels of 400 mg/kg and 140 mg/kg, respectively. CONCLUSIONS: There is likely no current need for risk mitigation activities in the community. These results could inform discussions on the allocation of public health spending. COMPETING INTERESTS: The authors declare no competing financial interests. BE, VOO, CN and JSF are employees of Pure Earth. MPT sits on the Editorial Board of the Journal of Health and Pollution.

Assessment of the prevalence of lead-based paint exposure risk in Jakarta, Indonesia.

While lead-based paint has been banned for use in residential settings in most high-income countries, it remains commonly available in many low- and middle-income countries (LMICs). Despite its continued availability, little is known about the specific exposure risk posed by lead-based paint in LMICs. To address this knowledge gap, an assessment of home and preschool dust and paint was carried out in Greater Jakarta, Indonesia. A team of investigators used field portable X-ray Fluorescence (pXRF) to measure 1574 painted surfaces for the presence of lead (mg/cm2) and collected 222 surface dust wipe samples for lead loading (µg/m2) from 103 homes and 19 preschools across 13 different neighborhoods of Jakarta. The assessment found that 2.7% (n = 42) of pXRF measurements and 0.05% (n = 1) of dust wipe samples exceeded the commonly applied USEPA guideline values for paint (1 mg/cm2) and dust (floors: 431 µg/m2; window sills: 2691 µg/m2). Thus, contrary to expectations the locations analyzed in Greater Jakarta showed that exposure risk to lead-based paint appears low. Further study is required in other settings to confirm the findings here. Precautionary measures, such as the proposed ban on lead-based paint, should be taken to prevent the significant social and economic costs associated with lead exposure.

A meta-analysis of blood lead levels in India and the attributable burden of disease.

Multiple studies in India have found elevated blood lead levels (BLLs) in target populations. However the data have not yet been evaluated to understand population-wide exposure levels. We used arithmetic mean blood lead data published from 2010 to 2018 on Indian populations to calculate the average BLLs for multiple subgroups. We then calculated the attributable disease burden in IQ decrement and Disability Adjusted Life Years (DALYs). Our Pubmed search yielded 1066 articles. Of these, 31 studies representing the BLLs of 5472 people in 9 states met our study criteria. Evaluating these, we found a mean BLL of 6.86 µg/dL (95% CI: 4.38-9.35) in children and 7.52 µg/dL (95% CI: 5.28-9.76) in non-occupationally exposed adults. We calculated that these exposures resulted in 4.9 million DALYs (95% CI: 3.9-5.6) in the states we evaluated. Population-wide BLLs in India remain elevated despite regulatory action to eliminate leaded petrol, the most significant historical source. The estimated attributable disease burden is larger than previously calculated, particularly with regard to associated intellectual disability outcomes in children. Larger population-wide BLL studies are required to inform future calculations. Policy responses need to be developed to mitigate the worst exposures.

Assessment of soil metal concentrations in residential and community vegetable gardens in Melbourne, Australia.

Gardening and urban food production is an increasingly popular activity, which can improve physical and mental health and provide low cost nutritious food. However, the legacy of contamination from industrial and diffuse sources may have rendered surface soils in some urban gardens to have metals value in excess of recommended guidelines for agricultural production. The objective of this study was to establish the presence and spatial extent of soil metal contamination in Melbourne's residential and inner city community gardens. A secondary objective was to assess whether soil lead (Pb) concentrations in residential vegetable gardens were associated with the age of the home or the presence or absence of paint. The results indicate that most samples in residential and community gardens were generally below the Australian residential guidelines for all tested metals except Pb. Mean soil Pb concentrations exceeded the Australian HIL-A residential guideline of 300 mg/kg in 8% of 13 community garden beds and 21% of the 136 residential vegetable gardens assessed. Mean and median soil Pb concentrations for residential vegetable gardens was 204 mg/kg and 104 mg/kg (range <4-3341 mg/kg), respectively. Mean and median soil Pb concentration for community vegetable garden beds was 102 mg/kg and 38 mg/kg (range = 17-578 mg/kg), respectively. Soil Pb concentrations were higher in homes with painted exteriors (p = 0.004); generally increased with age of the home (p = 0.000); and were higher beneath the household dripline than in vegetable garden beds (p = 0.040). In certain circumstances, the data indicates that elevated soil Pb concentrations could present a potential health hazard in a portion of inner-city residential vegetable gardens in Melbourne.

Cost Effectiveness of Environmental Lead Risk Mitigation in Low- and Middle-Income Countries.

Environmental remediation efforts in low- and middle-income countries have yet to be evaluated for their cost effectiveness. To address this gap we calculate a cost per Disability Adjusted Life Year (DALY) averted following the environmental remediation of the former lead smelter and adjoining residential areas in Paraiso de Dios, Haina, the Dominican Republic, executed from 2009 to 2010. The remediation had the effect of lowering surface soil lead concentrations to below 100 mg/kg and measured geometric mean blood lead levels (BLLs) from 20.6 µg/dL to 5.34 ug/dL. Because BLLs for the entire impacted population were not available, we use environmental data to calculate the resulting disease burden. We find that before the intervention 176 people were exposed to elevated environmental lead levels at Paraiso de Dios resulting in mean BLLs of 24.97 (95% CI: 24.45-25.5) in children (0-7 years old) and 13.98 µg/dL (95% CI: 13.03-15) in adults. We calculate that without the intervention these exposures would have resulted in 133 to 1,096 DALYs and that all of these were averted at a cost of USD 392 to 3,238, depending on assumptions made. We use a societal perspective, meaning that we include all costs regardless of by whom they were incurred and estimate costs in 2009 USD. Lead remediation in low- and middle-income countries is cost effective according to World Health Organization thresholds. Further research is required to compare the approach detailed here with other public health interventions.

The Global Burden of Lead Toxicity Attributable to Informal Used Lead-Acid Battery Sites.

BACKGROUND: Prior calculations of the burden of disease from environmental lead exposure in low- and middle-income countries (LMICs) have not included estimates of the burden from lead-contaminated sites because of a lack of exposure data, resulting in an underestimation of a serious public health problem. OBJECTIVE: We used publicly available statistics and detailed site assessment data to model the number of informal used lead-acid battery (ULAB) recyclers and the resulting exposures in 90 LMICs. We estimated blood lead levels (BLLs) using the US Environment Protection Agency's Integrated Exposure Uptake Biokinetic Model for Lead in Children and Adult Lead Model. Finally, we used data and algorithms generated by the World Health Organization to calculate the number of attributable disability adjusted life years (DALYs). RESULTS: We estimated that there are 10,599 to 29,241 informal ULAB processing sites where human health is at risk in the 90 countries we reviewed. We further estimated that 6 to 16.8 million people are exposed at these sites and calculate a geometric mean BLL for exposed children (0-4 years of age) of 31.15 µg/dL and a geometric mean BLL for adults of 21.2 µg/dL. We calculated that these exposures resulted in 127,248 to 1,612,476 DALYs in 2013. CONCLUSIONS: Informal ULAB processing is currently causing widespread lead poisoning in LMICs. There is an urgent need to identify and mitigate exposures at existing sites and to develop appropriate policy responses to minimize the creation of new sites.

A review of environmental lead exposure and management in Mount Isa, Queensland.

The public health leadership and management of lead exposure in a lead mining and smelting community in Mount Isa is an ongoing issue. There exists deficiencies in public health and environmental legal frameworks that regulate lead exposure and management in Mount Isa, Queensland. Although some positive practical measures on lead containment have been implemented, evidence suggests they are currently inadequate. Greater investments in public health leadership at a local and state level are required to address the ongoing issue of lead in Mount Isa.

Environmental arsenic, cadmium and lead dust emissions from metal mine operations: Implications for environmental management, monitoring and human health.

Although blood lead values in children are predominantly falling globally, there are locations where lead exposure remains a persistent problem. One such location is Broken Hill, Australia, where the percentage of blood lead values >10 µg/dL in children aged 1-4 years has risen from 12.6% (2010), to 13% (2011) to 21% (2012). The purpose of this study was to determine the extent of metal contamination in places accessible to children. This study examines contemporary exposure risks from arsenic, cadmium, lead, silver and zinc in surface soil and dust, and in pre- and post-play hand wipes at six playgrounds across Broken Hill over a 5-day period in September 2013. Soil lead (mean 2,450 mg/kg) and zinc (mean 3,710 mg/kg) were the most elevated metals in playgrounds. Surface dust lead concentrations were consistently elevated (mean 27,500 µg/m(2)) with the highest lead in surface dust (59,900 µg/m(2)) and post-play hand wipes (60,900 µg/m(2)) recorded close to existing mining operations. Surface and post-play hand wipe dust values exceeded national guidelines for lead and international benchmarks for arsenic, cadmium and lead. Lead isotopic compositions ((206)Pb/(207)Pb, (208)Pb/(207)Pb) of surface dust wipes from the playgrounds revealed the source of lead contamination to be indistinct from the local Broken Hill ore body. The data suggest frequent, cumulative and ongoing mine-derived dust metal contamination poses a serious risk of harm to children.

Australia's leading public health body delays action on the revision of the public health goal for blood lead exposures.

Globally, childhood blood lead levels have fallen precipitously in developed countries since the 1970s following action by international bodies such as the WHO and Food and Agricultural Organization (FAO) of the United Nations. These reductions have been affected by the activities of national agencies such as the US EPA and US Centers for Disease Control and Prevention in the establishment of air lead and blood lead standards, the introduction of legislation to remove lead from petrol, paint and consumer products and tighter restrictions on lead emissions. The outcome of recent major international reviews of research into the effects of low-level lead exposures (e.g. by WHO, USA health and environmental agencies, German and Canadian health bodies) has resulted in recommendations to reduce and eliminate lead exposures. By contrast, Australian policy responses to the incontrovertible evidence that adverse neurocognitive and behavioural effects that occur at levels well below the current national goal of 10µg/dL have stalled. The delayed response by Australia occurs at a time when blood lead levels in two of Australia's three primary lead mining and smelting cities: Port Pirie, South Australia and Broken Hill, New South Wales, are rising. In the third city, Mount Isa, Queensland, there is still no systematic, annual testing of childhood blood lead values. This is despite the fact that Mount Isa has the highest lead (and other toxic metals such as cadmium and arsenic) emissions to the environment (120tonnes of lead in 2011/12) from any single point source in Australia. It is clear that both state and national policy approaches to the ongoing risks of lead exposure need to be revised urgently and in line with contemporary international standards. Recommended changes should include a new lower blood lead intervention level of no more than 5µg/dL, with a national goal for all children under 5years of age to have a blood lead level of below 1µg/dL by 2020. In order to achieve any new lower exposure goals other relevant lead standards including air, dust, soil and water must also be revised downwards.