Is Food Irrigated with Oilfield-Produced Water in the California Central Valley Safe to Eat? A Probabilistic Human Health Risk Assessment Evaluating Trace Metals Exposure.

Reuse of oilfield-produced water (OPW) for crop irrigation has the potential to make a critical difference in the water budgets of highly productive but drought-stressed agricultural watersheds. This is the first peer-reviewed study to evaluate how trace metals in OPW used to irrigate California crops may affect human health. We modeled and quantified risks associated with consuming foods irrigated with OPW using available concentration data. The probabilistic risk assessment simulated OPW metal concentrations, crop uptake, human exposures, and potential noncancer and carcinogenic health effects. Overall, our findings indicate that there is a low risk of ingesting toxic amounts of metals from the consumption of tree nuts, citrus, grapes, and root vegetables irrigated with low-saline OPW. Results show increased arsenic cancer risk (at 10-6 ) for adult vegetarians, assuming higher consumption of multiple foods irrigated with OPW that contain high arsenic concentrations. All other cancer risks are below levels of concern and all noncancer hazards are far below levels of concern. Arsenic risk concerns could be mitigated by practices such as blending high-arsenic OPW. Future risk assessment research should model the risks of organic compounds in OPW, as our study focused on inorganic compounds. Nevertheless, our findings indicate that low-saline OPW may provide a safe and sustainable alternative irrigation water source if water quality is adequately monitored and blended as needed prior to irrigation.

Quest to identify geochemical risk factors associated with chronic kidney disease of unknown etiology (CKDu) in an endemic region of Sri Lanka-a multimedia laboratory analysis of biological, food, and environmental samples.

The emergence of a new form of chronic kidney disease of unknown etiology (CKDu) in Sri Lanka's North Central Province (NCP) has become a catastrophic health crisis. CKDu is characterized as slowly progressing, irreversible, and asymptomatic until late stages and, importantly, not attributed to diabetes, hypertension, or other known risk factors. It is postulated that the etiology of CKDu is multifactorial, involving genetic predisposition, nutritional and dehydration status, exposure to one or more environmental nephrotoxins, and lifestyle factors. The objective of this limited geochemical laboratory analysis was to determine the concentration of a suite of heavy metals and trace element nutrients in biological samples (human whole blood and hair) and environmental samples (drinking water, rice, soil, and freshwater fish) collected from two towns within the endemic NCP region in 2012 and 2013. This broad panel, metallomics/mineralomics approach was used to shed light on potential geochemical risk factors associated with CKDu. Based on prior literature documentation of potential nephrotoxins that may play a role in the genesis and progression of CKDu, heavy metals and fluoride were selected for analysis. The geochemical concentrations in biological and environmental media areas were quantified. Basic statistical measurements were subsequently used to compare media against applicable benchmark values, such as US soil screening levels. Cadmium, lead, and mercury were detected at concentrations exceeding US reference values in many of the biological samples, suggesting that study participants are subjected to chronic, low-level exposure to these elements. Within the limited number of environmental media samples, arsenic was determined to exceed initial risk screening and background concentration values in soil, while data collected from drinking water samples reflected the unique hydrogeochemistry of the region, including the prevalence of hard or very hard water, and fluoride, iron, manganese, sodium, and lead exceeding applicable drinking water standards in some instances. Current literature suggests that the etiology of CKDu is likely multifactorial, with no single biological or hydrogeochemical parameter directly related to disease genesis and progression. This preliminary screening identified that specific constituents may be present above levels of concern, but does not compare results against specific kidney toxicity values or cumulative risk related to a multifactorial disease process. The data collected from this limited investigation are intended to be used in the subsequent study design of a comprehensive and multifactorial etiological study of CKDu risk factors that includes sample collection, individual surveys, and laboratory analyses to more fully evaluate the potential environmental, behavioral, genetic, and lifestyle risk factors associated with CKDu.

Additional perspectives on chronic kidney disease of unknown aetiology (CKDu) in Sri Lanka--lessons learned from the WHO CKDu population prevalence study.

The recent emergence of an apparently new form of chronic kidney disease of unknown aetiology (CKDu) has become a serious public health crisis in Sri Lanka. CKDu is slowly progressive, irreversible, and asymptomatic until late stages, and is not attributable to hypertension, diabetes, or other known aetiologies. In response to the scope and severity of the emerging CKDu health crisis, the Sri Lanka Ministry of Health and the World Health Organization initiated a collaborative research project from 2009 through 2012 to investigate CKDu prevalence and aetiology. The objective of this paper is to discuss the recently published findings of this investigation and present additional considerations and recommendations that may enhance subsequent investigations designed to identify and understand CKDu risk factors in Sri Lanka or other countries.

Assessing Community Vulnerability to Extreme Events in the Presence of Contaminated Sites and Waste Management Facilities: An Indicator Approach.

Communities across the world are facing extreme events, such as excessive heat, droughts, floods, and wildfires. In the presence of contaminated sites and waste management facilities, communities must consider the impacts of potential releases from these sites due to such events. Impacts of extreme events on sites and consequently on surrounding, often disadvantaged communities result from complex interactions between natural, physical, and social factors. A conceptual framework was developed to identify and provide a shared understanding of key vulnerabilities and pathways that transcend disciplines. A transparent and replicable method was developed to create mappable indicators that represent contaminated sites, waste facilities, contaminant transport via air and water, and population sensitivities. This method can be applied as a screening step to assist states and local communities in prioritizing targeted strategies and resources and determining where in-depth assessments are needed. These indicators can facilitate communication with a broad audience more easily than complex modeling approaches or aggregated indices. Case study results demonstrate the importance of considering indicators in conjunction with each other. The indicator method was developed together with U.S.-based partners, but can be adapted for other countries seeking to understand the potential impacts of extreme events on contaminated sites and communities.