Environmental footprints of the data center service sector in Sweden.

The global data center (DC) sector has expanded rapidly during the last decades, due to the rising demand for digital services. In the Nordic region, Sweden has emerged as a global hub, attracting leading technology companies like Amazon, Facebook, Microsoft, and Google. Server halls of DCs are energy intensive buildings, which puts pressure on local water resources and contributes to global greenhouse gas emissions. This study aims to, firstly, quantify the environmental impact of DCs, based on energy usage, water consumption, and greenhouse gas (GHG) emissions. Secondly, it develops a planning tool by employing a multi-criteria approach to optimally locate new DCs and to assess the site suitability of existing ones in Sweden. Data of various performance indicators (geographical data on renewable energy accessibility, free cooling conditions, excess heat receivers, and resilience to water shortages) of DCs was collected through different means, e.g., questionnaire surveys, permit applications, company websites, and other open online data repositories. ArcGIS Pro was employed for spatial analysis, and 68 DCs with a site suitability index (SSI) ≤ 45 % were identified as less ideally located. The principal findings are centered on Sweden, and thereby primarily benefit stakeholders engaged in decision-making for evaluating existing or strategic planning of new DCs by incorporating a comprehensive environmental perspective. Given the rapidly changing climate, strategically siting DCs will become crucial for minimizing the sector's environmental impact.

Managing health risks in urban agriculture: The effect of vegetable washing for reducing exposure to metal contaminants.

A common, yet poorly evaluated, advice to remove contaminants from urban vegetables is to wash the produce before consumption. This study is based on 63 samples of chard, kale, lettuce and parsley that have grown near a heavily trafficked road in the third largest city in Sweden, with one portion of each sample being analysed without first being washed, and the other portion being subjected to common household washing. Concentrations of 71 elements were analysed by ICP-SFMS after a sample digestion that dissolves both the plant tissues and all potentially adhering particles. The results show that the washing effect, or the fraction removed upon washing, varies significantly between elements: from approximately 0 % for K to 68 % for the ∑REEs. Considering traditional metal contaminants, the efficiency decreased from Pb (on average 56 % lost) to Co (56 %) > Cr (55 %) > As (45 %) > Sb (35 %) > Ni (33 %) > Cu (13 %) > Zn (7 %) > Cd (7 %), and Ba (5 %). A clear negative correlation between the washing effect and the different elements' bioconcentration factors shows that the elements' accessibility for plant uptake is a key controlling factor for the degree to which they are removed upon washing. Based on the average washing efficiencies seen in this study, the average daily intake of Pb would increase by 130 % if vegetables are not washed prior to consumption. For the other contaminant metals this increase corresponds to 126 % (Co), 121 % (Cr), 82 % (As), 55 % (Sb), 50 % (Ni), 16 % (Cu), 8 % (Zn), 7 % (Cd) and 5 % (Ba). The advice to wash vegetables is therefore, for many elements, highly motivated for reducing exposure and health risks. For elements which are only slightly reduced when the vegetables are washed, however, advising should rather focus on reducing levels of contamination in the soil itself.

Temporal risk assessment - 20th century Pb emissions to air and exposure via inhalation in the Swedish glass district.

The objective of the present study was to assess historical emissions of Pb to air around a number of glassworks sites in southeastern Sweden, and the possible implications for human exposure. To do so, a four-step method was applied. First, emissions of Pb to air around 10 glassworks were modelled for the 20th century. Second, an assessment of the resulting exposure was made for a number of scenarios. Third, the number of people potentially exposed at different times was estimated, and fourth, measurements of "current" Pb concentrations in PM10 material from four sites were conducted in 2019. The results show that the highest emissions, and exposures, occurred from 1970 to1980. It coincides with the time period when the highest number of people resided in the villages. At this time, the average Pb concentration in air around the six largest factories was about 2.4 µg Pb/m3, i.e. 16 times the present US national ambient air quality standard (NAAQS) of 0.15 µg Pb/m3. By year 2000 the modelled average concentration had dropped to 0.05 µg Pb/m3, a level that is normal for urban regions today. The PM10 measurements from 2019 indicate a further decline, now with a mean value of about 0.02 µg Pb/m3. Over the entire study period, inhalation hazard quotients (HQs) exceeded the dietary HQ by many orders of magnitude, indicating that inhalation has been the most prevalent exposure pathway in the past. At present, both pathways are judged to be associated with low exposures. Even if only roughly approximated, a picture of the historical exposure can increase our understanding of the connection between exposure and disease, and can be valuable when risks are to be communicated to residents near contaminated areas.

Testing the applicability of dendrochemistry using X-ray fluorescence to trace environmental contamination at a glassworks site.

The potential of dendrochemistry as a tool for tracing anthropogenic contamination at a glassworks site in southeastern Sweden was investigated through a multidisciplinary approach combining continuous high-resolution time series of tree rings and sediment profiles. Tree cores from Scots pine (Pinus sylvestris), Norway spruce (Picea abies) and European aspen (Populus tremula) were analysed for their elemental composition using an energy dispersive X-ray fluorescence (ED-XRF) technique. Sediment cores were sampled along a transect extending from the pollution point source to unpolluted areas and analysed using core-scanning-XRF (CS-XRF). High contaminant concentrations in the soil were found for As (≈2000 ppm), Pb (>5000 ppm), Ba (≈1000 ppm) and Cd (≈150 ppm). The concentrations decreased with depth and distance from the pollution source. The dendrochemical analyses revealed alterations in the Barium, Chlorine and Manganese profiles, allowing the identification of seven potential asynchronous releases from the glassworks. Our results suggest that differences in the response of tree species to elemental uptake together with soil chemical properties dictate the success of dendrochemistry as an environmental monitoring tool.

Physicochemical and toxicological characterization of hazardous wastes from an old glasswork dump at southeastern part of Sweden.

More than 34 old glasswork sites in the southeastern part of Sweden pose a permanent threat to human and environmental health due to the presence of toxic trace elements in open dumps with glass waste. The possibility of leaching of trace elements from different fractions of the disposed waste needed to be assessed. In the present investigation, leachate from a mixture of soil and waste glass of particle sizes of less than 2 mm (given the name fine fraction) was characterized by analyzing the pH (7.3), total organic content (TOC < 2%), organic matter content (4.4%), moisture content (9.7%), chemical oxygen demand (COD, 163 mg/kg) and trace elements content, being the values in accordance to the Swedish guidelines for landfilling of inert materials. However, very high trace elements content was found in the fine fraction as well as in all colors of waste glass, whose values were compatible to hazardous waste landfill class. Tests with Lepidium sativum growing in the fine fraction as substrate revealed chronic toxicity expressed as inhibition of root biomass growth in 11 out of 15 samples. Additionally, leachate from fine fractions posed acute toxicity to genetically modified E. coli (Toxi-Chromotest). This study highlights the importance of combining physicochemical characterization with toxicity tests for both solid waste and leachate obtained from different waste fractions for proper hazardousness assessment supporting decision making on remediation demands.

Effects of a 1-Day Training Course in Dermoscopy Among General Practitioners.

BACKGROUND: General practitioners (GPs) are often the first point of contact for Swedish patients seeking medical advice for skin lesions of concern, but many lack training in dermoscopy. OBJECTIVE: To examine the effects of a 1-day training course in dermoscopy among Swedish GPs. METHODS: The intervention group consisted of GPs who underwent a 1-day training course in dermoscopy and a control group that did not undergo any education. Before the training course, the intervention group performed a test consisting of 30 dermoscopy cases including 9 different benign and malignant melanocytic and nonmelanocytic diagnoses. The participants then took the same test directly after the course and again after 6 months. The control group took the same test twice with a 6-month interval in between tests in order to avoid recall bias. RESULTS: Twenty-seven GPs in the intervention group took the test before and immediately after the course with an improvement of their median test scores by 8 points (13 vs 20 correct answers, P < 0.01). Eighteen participants also took the test a third time after 6 months with similar results compared with the second test (median scores of 20.5 vs 20.0, P = 0.3). In the control group, 16 persons preformed both tests with an improvement of their median score by 2 points (13.5 vs 15.5 correct answers, P = 0.06). CONCLUSIONS: The results of this study show positive effects on diagnostic accuracy in a test situation among GPs receiving a 1-day training course in dermoscopy.

Exposure of metals and PAH through local foods and risk of cancer in a historically contaminated glassworks area.

BACKGROUND: Production of crystal glass and colored art glassware have been going on in the south-eastern part of Sweden since the 1700s, at over 100 glassworks and smaller glass blowing facilities, resulting in environmental contamination with mainly arsenic (As), cadmium (Cd), lead (Pb) and polycyclic hydrocarbons (PAH). High levels of metals have been found in soil, and moderately elevated levels in vegetables, mushrooms and berries collected around the glassworks sites compared with reference areas. Food in general, is the major exposure source to metals, such as Cd and Pb, and PAHs. Exposure to these toxic metals and PAH has been associated with a variety of adverse health effects in humans including cancer. OBJECTIVE: The aim of the present study was to evaluate the occurrence of cancer in a cohort from the contaminated glasswork area in relation to long-term dietary intake of locally produced foods, while taking into account residential, occupational and life styles factors. METHODS: The study population was extracted from a population cohort of 34,266 individuals who, at some time between the years 1979-2004, lived within a 2 km radius of a glassworks or glass landfill. Register information on cancer incidence and questionnaire information on consumption of local foods (reflecting 30 years general eating habits), life-time residence in the area, life style factors and occupational exposure was collected. Furthermore, blood (n = 660) and urine (n = 400) samples were collected in a subsample of the population to explore associations between local food consumption frequencies, biomarker concentrations in blood (Cd, Pb, As) and urine (PAH metabolite 1-OHPy) as well as environmental and lifestyle factors. The concurrent exposure to persistent organic pollutants (POPs) from food was also considered. A case-control study was performed for evaluation of associations between intakes of local food and risk of cancer. RESULTS: Despite high environmental levels of Cd, Pb and As at glasswork sites and landfills, current metal exposure in the population living in the surrounding areas was similar or only moderately higher in our study population compared to the general population. Reported high consumption of certain local foods was associated with higher Cd and Pb, but not As, concentrations in blood, and 1-OHPy in urine. An increased risk of cancer was associated with smoking, family history of cancer, obesity, and residence in glasswork area before age 5 years. Also, a long-term high consumption of local foods (reflecting 30 years general eating habits), i.e. fish and meat (game, chicken, lamb), was associated with increased risk of various cancer forms. CONCLUSIONS: The associations between consumption of local food and different types of cancer may reflect a higher contaminant exposure in the past, and thus, if consumption of local food contributes to the risk of acquiring cancer, that contribution is probably lower today than before. Furthermore, it cannot be ruled out that other contaminants in the food contribute to the increased cancer risks observed.

Challenges in assessing the health risks of consuming vegetables in metal-contaminated environments.

A great deal of research has been devoted to the characterization of metal exposure due to the consumption of vegetables from urban or industrialized areas. It may seem comforting that concentrations in crops, as well as estimated exposure levels, are often found to be below permissible limits. However, we show that even a moderate increase in metal accumulation in crops may result in a significant increase in exposure. We also highlight the importance of assessing exposure levels in relation to a regional baseline. We have analyzed metal (Pb, Cd, As) concentrations in nearly 700 samples from 23 different vegetables, fruits, berries and mushrooms, collected near 21 highly contaminated industrial sites and from reference sites. Metal concentrations generally complied with permissible levels in commercial food and only Pb showed overall higher concentrations around the contaminated sites. Nevertheless, probabilistic exposure assessments revealed that the exposure to all three metals was significantly higher in the population residing around the contaminated sites, for both low-, median- and high consumers. The exposure was about twice as high for Pb and Cd, and four to six times as high for As. Since vegetable consumption alone did not result in exposure above tolerable intakes, it would have been easy to conclude that there is no risk associated with consuming vegetables grown near the contaminated sites. However, when the increase in exposure is quantified, its potential significance is harder to dismiss - especially when considering that exposure via other routes may be elevated in a similar way.

Fractionation of Pb and Cu in the fine fraction (<10 mm) of waste excavated from a municipal landfill.

The fractionation of metals in the fine fraction (<10 mm) of excavated waste from an Estonian landfill was carried out to evaluate the metal (Pb and Cu) contents and their potential towards not only mobility but also possibilities of recovery/extraction. The fractionation followed the BCR (Community Bureau of Reference) sequential extraction, and the exchangeable (F1), reducible (F2), oxidizable (F3) and residual fractions were determined. The results showed that Pb was highly associated with the reducible (F2) and oxidizable (F3) fractions, suggesting the potential mobility of this metal mainly when in contact with oxygen, despite the low association with the exchangeable fraction (F1). Cu has also shown the potential for mobility when in contact with oxygen, since high associations with the oxidizable fraction (F3) were observed. On the other hand, the mobility of metals in excavated waste can be seen as beneficial considering the circular economy and recovery of such valuables back into the economy. To conclude, not only the total concentration of metals but also a better understanding of fractionation and in which form metals are bound is very important to bring information on how to manage the fine fraction from excavated waste both in terms of environmental impacts and also recovery of such valuables in the economy.

Increased Cancer Incidence in the Local Population Around Metal-Contaminated Glassworks Sites.

OBJECTIVE: The aim of this study was to examine mortality causes and cancer incidence in a population cohort that have resided in close proximity to highly metal-contaminated sources, characterized by contamination of, in particular, arsenic (As), cadmium (Cd), and lead (Pb). METHODS: Data from Swedish registers were used to calculate standardized mortality and cancer incidence ratios. An attempt to relate cancer incidence to metal contamination levels was made. RESULTS: Significantly elevated cancer incidences were observed for overall malignant cancers in both genders, cancer in the digestive system, including colon, rectum, and pancreas, and cancers in prostate among men. Dose-response relationships between Cd and Pb levels in soil and cancer risks were found. CONCLUSIONS: Cancer observations made, together with previous studies of metal uptake in local vegetables, may imply that exposure to local residents have occurred primarily via oral intake of locally produced foodstuffs.

Effect of Medicago sativa L. and compost on organic and inorganic pollutant removal from a mixed contaminated soil and risk assessment using ecotoxicological tests.

Several Gentle Remediation Options (GRO), e.g., plant-based options (phytoremediation), singly and combined with soil amendments, can be simultaneously efficient for degrading organic pollutants and either stabilizing or extracting trace elements (TEs). Here, a 5-month greenhouse trial was performed to test the efficiency of Medicago sativa L., singly and combined with a compost addition (30% w/w), to treat soils contaminated by petroleum hydrocarbons (PHC), Co and Pb collected at an auto scrap yard. After 5 months, total soil Pb significantly decreased in the compost-amended soil planted with M. sativa, but not total soil Co. Compost incorporation into the soil promoted PHC degradation, M. sativa growth and survival, and shoot Pb concentrations [3.8 mg kg(-1) dry weight (DW)]. Residual risk assessment after the phytoremediation trial showed a positive effect of compost amendment on plant growth and earthworm development. The O2 uptake by soil microorganisms was lower in the compost-amended soil, suggesting a decrease in microbial activity. This study underlined the benefits of the phytoremediation option based on M. sativa cultivation and compost amendment for remediating PHC- and Pb-contaminated soils.

An assessment of health risks associated with arsenic exposure via consumption of homegrown vegetables near contaminated glassworks sites.

The health risk posed by arsenic in vegetables grown in private gardens near 22 contaminated glassworks sites was investigated in this study. Firstly, vegetable (lettuce and potato) and soil samples were collected and arsenic concentrations measured to characterize the arsenic uptake in the selected crops. Secondly, a probabilistic exposure assessment was conducted to estimate the average daily intake (ADIveg), which was then evaluated against toxicological reference values by the calculation of hazard quotients (HQs) and cancer risks (CRs). The results show that elevated arsenic concentrations in residential garden soils are mirrored by elevated concentrations in vegetables, and that consumption of these vegetables alone may result in an unacceptable cancer risk; the calculated reasonable maximum exposure, for example, corresponded to a cancer incidence 20 times higher than the stated tolerance limit. However, the characterization of risk depends to a great extent on which toxicological reference value is used for comparison, as well as how the exposure is determined. Based on the assumptions made in the present study, the threshold levels for chronic non-carcinogenic or acute effects were not exceeded, but the cancer risks indicated highlight the need for further exposure studies, as dietary intake involves more than just homegrown vegetables and total exposure is a function of more than just one exposure pathway. In addition, glassworks sites--and contaminated sites in general--contain multiple contaminants, affecting the final and total risk.

Metal uptake by homegrown vegetables - the relative importance in human health risk assessments at contaminated sites.

Risk assessments of contaminated land often involve the use of generic bioconcentration factors (BCFs), which express contaminant concentrations in edible plant parts as a function of the concentration in soil, in order to assess the risks associated with consumption of homegrown vegetables. This study aimed to quantify variability in BCFs and evaluate the implications of this variability for human exposure assessments, focusing on cadmium (Cd) and lead (Pb) in lettuce and potatoes sampled around 22 contaminated glassworks sites. In addition, risks associated with measured Cd and Pb concentrations in soil and vegetable samples were characterized and a probabilistic exposure assessment was conducted to estimate the likelihood of local residents exceeding tolerable daily intakes. The results show that concentrations in vegetables were only moderately elevated despite high concentrations in soil, and most samples complied with applicable foodstuff legislation. Still, the daily intake of Cd (but not Pb) was assessed to exceed toxicological thresholds for about a fifth of the study population. Bioconcentration factors were found to vary more than indicated by previous studies, but decreasing BCFs with increasing metal concentrations in the soil can explain why the calculated exposure is only moderately affected by the choice of BCF value when generic soil guideline values are exceeded and the risk may be unacceptable.

Assessing the risk of an excess fluoride intake among Swedish children in households with private wells--expanding static single-source methods to a probabilistic multi-exposure-pathway approach.

It is often assumed that water consumption is the major route of exposure for fluoride and analysis of water fluoride content is the most common approach for ensuring that the daily intake is not too high. In the present study, the risk of excess intake was characterized for children in households with private wells in Kalmar County, Sweden, where the natural geology shows local enrichments in fluorine. By comparing water concentrations with the WHO drinking water guideline (1.5 mg/L), it was found that 24% of the ca. 4800 sampled wells had a concentration above this limit, hence providing a figure for the number of children in the households concerned assessed to be at risk using this straightforward approach. The risk of an excess intake could, alternatively, also be characterized based on a tolerable daily intake (in this case the US EPA RfD of 0.06 mg/kg-day). The exposure to be evaluated was calculated using a probabilistic approach, where the variability in all exposure factors was considered, again for the same study population. The proportion of children assessed to be at risk after exposure from drinking water now increased to 48%, and when the probabilistic model was adjusted to also include other possible exposure pathways; beverages and food, ingestion of toothpaste, oral soil intake and dust inhalation, the number increased to 77%. Firstly, these results show how the risk characterization is affected by the basis of comparison. In this example, both of the reference values used are widely acknowledged. Secondly, it illustrates how much of the total exposure may be overlooked when only focusing on one exposure pathway, and thirdly, it shows the importance of considering the variability in all relevant pathways.

Climate change - An uncertainty factor in risk analysis of contaminated land.

Metals frequently occur at contaminated sites, where their potential toxicity and persistence require risk assessments that consider possible long-term changes. Changes in climate are likely to affect the speciation, mobility, and risks associated with metals. This paper provides an example of how the climate effect can be inserted in a commonly used exposure model, and how the exposure then changes compared to present conditions. The comparison was made for cadmium (Cd) exposure to 4-year-old children at a highly contaminated iron and steel works site in southeastern Sweden. Both deterministic and probabilistic approaches (through probability bounds analysis, PBA) were used in the exposure assessment. Potential climate-sensitive variables were determined by a literature review. Although only six of the total 39 model variables were assumed to be sensitive to a change in climate (groundwater infiltration, hydraulic conductivity, soil moisture, soil:water distribution, and two bioconcentration factors), the total exposure was clearly affected. For example, by altering the climate-sensitive variables in the order of 15% to 20%, the deterministic estimate of exposure increased by 27%. Similarly, the PBA estimate of the reasonable maximum exposure (RME, defined as the upper bound of the 95th percentile) increased by almost 20%. This means that sites where the exposure in present conditions is determined to be slightly below guideline values may in the future exceed these guidelines, and risk management decisions could thus be affected. The PBA, however, showed that there is also a possibility of lower exposure levels, which means that the changes assumed for the climate-sensitive variables increase the total uncertainty in the probabilistic calculations. This highlights the importance of considering climate as a factor in the characterization of input data to exposure assessments at contaminated sites. The variable with the strongest influence on the result was the soil:water distribution coefficient (Kd).