Health Risks for Consumers of Forest Ground Cover Produce Contaminated with Heavy Metals.

BACKGROUND: The activity of heavy metal (HM) mining and processing industries causes soils contamination with HM. The metals could be transferred from contaminated soils to edible plants and fungi. This study aimed to assess the content of Cd, Pb, Hg, As, and Ni in berries and edible mushrooms collected in the forests located near Miasteczko Slaskie zinc smelter and in the Lubliniec region, in the context of consumers' health risk. METHODS: The ET-AAS method was used to determine the content of Cd, Pb, Ni, and As. Mercury concentration was determined using the CV-AFS method. RESULTS: The studies showed high levels of Cd and Pb in the examined products. A statistically significant impact of the distance from the smelter on the Cd concentration in the berries was observed. Total non-cancer health risk from the combined exposure of adults to all HM in mushrooms and berries was significant when consuming the most heavily contaminated produce. The risk to children was significant, even when consuming products with moderate levels of the metals. Ingestion of Cd by children with mushrooms was related to a high cancer risk. The uncertainty of the results was determined. CONCLUSIONS: It is recommended to take action to increase awareness among residents of the areas adjacent to the forests regarding the existing health risk and to take possible measures to reduce exposure to HM.

Teeth as an Indicator of the Environmental Exposure of Silesia Province's Inhabitants in Poland to Metallic Trace Elements.

(1) Background: The elemental composition of teeth can provide an estimate of environmental exposure to heavy metals. The aim of this study was to analyze the possibility of using teeth in the biomonitoring of environmental exposure to heavy metals as an indicator of contaminants present in the human residential environment. (2) Methods: The research materials were 110 samples of extracted teeth. The samples were taken from people living in three areas in the province of Silesia. The concentrations of cadmium, lead, and mercury in the samples were determined. (3) Results: The results of the chemical analysis of the collected samples showed a significant variation in the concentrations of heavy metals (Cd, Pb, and Hg) in the analyzed teeth. Furthermore, the mean concentrations of the analyzed heavy metals in the teeth varied according to the patient's place of residence, the type of tooth analyzed, the presence of caries in the patient, and the smoking or non-smoking status of the patient. (4) Conclusions: The results of the chemical analysis of the teeth of inhabitants of three cities in the most polluted region of Poland indicate that they can be used as an indicator of environmental exposure to cadmium, lead, and mercury.

Colorectal Cancer and the Role of the Gut Microbiota-Do Medical Students Know More Than Other Young People?-Cross-Sectional Study.

(1) Background: Malignant neoplasms account for an increasing share of the disease burden of the world population and are an increasingly common cause of death. In the aspect of colorectal cancer, increasing attention is paid to the microbiota. According to current knowledge, the composition of gut microbiota in patients diagnosed with colorectal cancer significantly differs from the composition of microorganisms in the intestines of healthy individuals. (2) Material and methods: The survey included 571 students from the three universities located in Silesia. The research tool was an original, anonymous questionnaire created for the study. The ratio of correct answers to the total number of points possible to obtain was evaluated according to the adopted criteria (≤25%­very low level of knowledge; >75%­high level of knowledge). (3) Results: From the questions about the gut microbiota, the subjects scored an average of six points (SD ± 1.31) out of nine possible points. Statistical analysis showed differences between the number of correct answers among students of the Medical University of Silesia and the University of Silesia (p = 0.04, p < 0.05). On the other hand, in the field of colorectal cancer, the respondents scored on average four points (SD ± 2.07) out of eight possible. Statistical analysis showed significant differences between the ratio of correct answers and the respondent's university affiliation (p < 0.05). Both age and place of residence did not positively correlate with knowledge level (p = 0.08 NS). In contrast, chronic diseases were found to have a significant effect on the amount of information held by the students surveyed (p < 0.05). (4) Conclusions: The level of knowledge of the surveyed students of the Silesia Province is unsatisfactory. The higher awareness among the students of medical universities results from the presence of issues related to microbiota and CRC in the medical educational content. Therefore, there is a need to consider the introduction of educational activities in the field of cancer prevention, including CRC, especially among non-medical university students.

HEALTH RISK RELATED TO EXPOSURE TO TOXIC COMPOUNDS CONTAINED IN MINERAL AND SPRING WATERS.

OBJECTIVE: The aim: The study aimed to assess the content of selected toxic compounds in mineral and spring waters available on the Polish market regarding potential health risks to consumers. PATIENTS AND METHODS: Materials and methods: Selected mineral and spring waters available on the Polish market were the study's objects. The content of such chemical compounds as arsenic, cadmium, lead, copper, and mercury in selected mineral and spring waters was analyzed. The content of metals in the samples was determined by inductively coupled plasma mass spectrometry (ICP-MS). Additionally, a literature review was performed to determine nitrates contamination of bottled waters available on the Polish market. Based on the collected data, an assessment of exposure and health risk to consumers was performed. RESULTS: Results: Arsenic had the highest mean concentration in the analyzed water samples. Consumption of such contaminated waters may be a significant health risk factor for consumers. Literature data indicate a relatively low content of nitrates in bottled waters available on the Polish market. Consumption of such mineral waters is not a significant source of exposure and does not translate into a significant health risk for consumers. CONCLUSION: Conclusions: To ensure consumers' health safety, there is a need to monitor the content of potentially harmful compounds in mineral and spring waters available on the Polish market.

Health risks from consumption of medicinal plant dietary supplements.

The aim of this study was to determine the heavy metal contents of dietary supplements manufactured from medicinal plants and assess the potential daily burden on their consumers. The study consisted of 41 dietary supplements produced from terrestrial plants or microalgae. The analysis of cadmium, lead, and mercury content was performed using analytical methods. The content of Cd and Pb was determined by flame atomic absorption spectrometry (FAAS). The mercury content was determined using atomic absorption spectrometry with the generation of cold mercury vapor (CVAAS). The presence of at least one of the three analyzed heavy metals was found in 79.2% samples of supplements produced from terrestrial plants and in 88.2% supplement samples produced from microalgae. Hazard quotient was used to calculate noncarcinogenic risk for humans by ingestion of dietary supplements containing heavy metals. From among all supplements, 68.3% of samples were contaminated with Cd and Pb (this does not always apply to the same samples) and 29.3% of samples were contaminated with Hg. The health risk assessment of consumers of dietary supplements showed, in an extreme case, that taking this supplement for only one week poses a health risk associated with exposure to Pb. The health risk associated with the intake of dietary supplements primarily depends on the duration of consumption.

PCDDs, PCDFs and PCBs in locally produced foods as health risk factors in Silesia Province, Poland.

Dioxins (PCDDs), furans (PCDFs) and polychlorinated biphenyls (PCBs) emitted into the environment can accumulate in foods and become a significant source of dietary exposure for consumers of these compounds. This study aims to assess the dietary exposure of the residents in a rural area of the Silesia region in southern Poland to PCDDs, PCDFs and PCBs. The goal is to estimate cancer and non-cancer health risks due to the consumption of foods of animal origin. The area has relatively higher concentration of PCDDs, PCDFs and PCBs in the air in comparison to large industrialized cities of the Silesia province. Three popular foods of animal origin, namely free-range chicken meat, free-range chicken eggs, and cow milk produced in the farms were used. The control samples were the same foods from the local grocery stores. Two exposure scenarios were considered: Firstly that residents consumed free-range foods and secondly that the food items were purchased from stores in the study area. In the first scenario, exposure to concentrations of PCDDs, PCDFs, and dioxin-like PCBs (dl-PCBs) yielded evidence of elevated cancer and non-cancer risks. The hazard quotient (HQ) was 71.3 for non-cancer risk and 7.5 × 10-3 for cancer risk. The health risk from exposure to PCDDs, PCDFs and dl-PCBs in the second scenario was 6.9 × 10-4 and HQ = 0.8, respectively. Implementation of educational activities in the study area is needed to increase the resident's awareness of the risks associated with the emissions of chlorinated persistent organic pollutants to the environment, including aspects such as the main sources of the emission and how to avoid exposure to these compounds.

Is the soil quality monitoring an effective tool in consumers' protection of agricultural crops from cadmium soil contamination?-a case of the Silesia region (Poland).

The monitoring of soil quality should be a control tool used to reduce the adverse health effects arising from exposure to toxic chemicals in soil through cultivated crop absorption. The aim of the study was to evaluate the effectiveness of the monitoring and control system of soil quality in Poland, in terms of consumer safety, for agricultural plants cultivated in areas with known serious cadmium contamination, such as Silesia Province. To achieve the objective, the contents of cadmium in soils and vegetables in the Silesia administrative area were examined. The obtained results were compared with the results of soil contamination from the quality monitoring of arable soil in Poland. The studies show a significant exceedance of the permissible values of cadmium in soil samples and the vegetables cultivated on that soil. The threat to consumer health is a valid concern, although this threat was not indicated by the results of the national monitoring of soil quality. The results indicated an unequal distribution of risk to consumers resulting from contaminated soil. Moreover, the monitoring systems should be designed at the local or regional scale to guarantee the safety of consumers of edible plants cultivated in the areas contaminated with cadmium.

Cadmium in edible plants from Silesia, Poland, and its implications for health risk in populations.

The health risk associated with cadmium exposure through consumption of edible plants cultivated in different parts of the Silesia administration area inhabitants has been estimated. The impact of the arable soils acidity on the BCF (bioconcentration factor) has been also analyzed. The concentration of cadmium in arable soils and in 118 samples of vegetables - carrots, beets, potato, celery (tuber), parsley (root) were determined. The cadmium content in examined soil samples were in the range from >0.5-68.5mgkg-1 d.w. The most contaminated samples, above the maximum permissible concentration, originated from the central part of the region. The highest BCF value in case of parsley roots and carrots has been shown (0.941 and 0.828 respectively). Significant correlation between soil pH and BCF in examined edible plants has been demonstrated. In the exposure scenario, which assumes the consumption of the most contaminated vegetables from Silesia administration area, the value of the hazard quotient (HQ) for Cd was 2.56. On the contaminated arable soils from the central part of Silesia administration area the non-edible plants should be cultivated. In case of acidic and slightly acidic pH-range of arable soils, some methods of metals immobilization in soil are recommended e.g. liming.

Preliminary study of possible relationships between exposure to PCDD/Fs and dl-PCBs in ambient air and the length of life of people.

There is a lack of studies on the impact of very toxic and persistent organic compounds as polychlorinated dibenzodioxins (PCDDs), dibenzofurans (PCDFs) and polychlorinated biphenyls (PCBs) on the population life expectancy. Preliminary studies on the relations between exposure to PCDD/Fs and dl-PCBs in ambient air and the length of life of residents of 12 cities (2 million people) in the Silesia province has been undertaken. The average length of life of inhabitants in 12 cities of Silesia province was calculated on the basis of register of deaths after excluding deaths caused by external causes and the concentration of PCDD/Fs and dl-PCBs were measured. The studies have shown that inhalation exposure to dioxins, furans and dl-PCBs could be an important factor which may shorten the life expectancy of the population. The results of preliminary studies indicate a strong correlation between the concentration of PCDD/Fs and dl-PCBs in the ambient air and the length of life of women. The conducted analysis of the regression shows that reduction of chlorinated persistent organic compounds of 10fg I-TEQ/m3 could extend life expectancy of women by approximately 4months (0.3years).

Long-term exposure to urban air pollution and the relationship with life expectancy in cohort of 3.5 million people in Silesia.

Air pollution is considered to be one of the most important environmental health determinants. The studies constitute an attempt to explain the role of air pollutants in the impact on the length of life of the 3.5 million people living in the cities of the Silesia province in Poland. The association between the long-term inhalation exposure to PM10, benzo(a)pyrene, cadmium and lead in the period from 1989 to 2008 and length of life in the year 2014 of the inhabitants of 19 cities of the Silesia province has been estimated. The Pearson linear regression method was applied to calculate the relation between exposure to specific pollutants and length of life. In order to determine the influence of the mixture of the pollutants the multiple regression analysis was carried out. The studies have confirmed the significant correlations between the chronic exposure of Silesia province residents to PM10 and benzo(a)pyrene and their length of life. The stronger correlation was demonstrated in case of the long-term exposure to the mixture of examined air pollutants. Differentiated exposure of the inhabitants of the Silesia province to air pollutants results in existing inequalities in the life expectancy of men and women among the cities.

Inhalation Exposure to Dioxins and dl-PCBs Depending on the Season in Upper Silesia, Poland: A Pilot Study.

AIM: The aim of this study was to investigate the seasonal fluctuation of PCDD/Fs and dl-PCBs levels in the ambient air of Upper Silesia in the aspect of human inhalation exposure as well as the estimation of health risk attributed to this exposure pathway to dioxins and dl-PCBs. METHODS: In the study air samples were taken in five urban districts of Upper Silesia, Poland, where the houses are heated with coal. The same sampling points in summer and winter were analyzed for dioxins/furans and dl-PCBs. In addition, information was collected on awareness of the residents about the co-incineration of plastic waste and effects of this activity on human health. RESULTS: The results show that the average daily exposure of residents of Upper Silesia to TCDD and DLCs in the heating season was about 6.5.-fold higher than in summer. The risk assessment showed that expected excess of cancer cases per 1,000,000 people ranged from 4.5 to 13.2 in winter and from 0.9 to 2.1 in summer. The practice of mixing waste with coal for houses heating has been confirmed by investigated families, who do not associate it with the possibility of negative health effects. CONCLUSIONS: Air pollution can be a significant source of dioxin and dl-PCB for people during the winter season, as a result of co-burning coal and waste containing plastics. The dose of dioxins inhaled through the respiratory pathway in winter can be associated with the higher cancer risk in the population of Upper Silesia.

Contamination of food crops grown on soils with elevated heavy metals content.

The exposure of inhabitants from 13 cities of The Upper Silesia Industrial Region to cadmium and lead has been estimated on the basis of heavy metals content in commonly consumed vegetables. The samples were collected from agricultural fields, allotments and home gardens in these cities. Cadmium and lead concentrations in samples of soil and vegetables - cabbage, carrots and potatoes were determined. High content of heavy metals in the arable layer of soil in Upper Silesia (max. 48.8 and 2470mgkg(-1) d.w. for Cd and Pb, respectively) explained high Cd and Pb concentrations in locally cultivated vegetables which are well above the permissible level. Three exposure scenarios with different concentrations of Pb and Cd in vegetables were taken into consideration. In the Scenario I where the content of heavy metals was equal to maximum permissible level, the value of hazard quotient (HQ) for Pb and Cd was 0.530 and 0.704, respectively. In the scenarios where were assumed consumption of contaminated vegetables from Upper Silesia the value of hazard quotient (HQ) for Pb and Cd was 0.755 and 1.337 for Scenario II and 1.806 and 4.542 for Scenario III. The study showed that consumption of vegetables cultivated in Upper Silesia Region on the agricultural fields, allotments and in home gardens may pose a significant health risk.

Environmentally related diseases and the possibility of valuation of their social costs.

The risks of the morbidity of the asbestos-related lung cancer was estimated in the general population of Poles as the result of increased exposure to asbestos fibers during the removal of asbestos-cement products and the possibility of the valuation of the social costs related to this risk. The prediction of the new incidences was made using linear regression model. The forecast shows that to the end of 2030 about 3,500 new cases of lung cancer can be expected as a result of occupational exposure to asbestos in the past which makes together with paraoccupational exposure about 14.000 new cases. The forecast shows the increasing number of asbestos-related lung cancer in Poland and indicates the priority areas where preventive action should be implemented.

Environmental risks perception--a study of the awareness of families to threats in areas with increased health disorders in children.

INTRODUCTION: Children are at greater risk than adults to experience adverse effects from environmental agents. Significant neurological damage to children can occur even at very low levels of exposure. Reliable protection of children living in areas with high environmental hazards is not possible without their parent's' understanding of where, how and why children's exposures occur. OBJECTIVES: The aim of the presented study was to indicate families' awareness of environmental risks with increased health disorders in children in the chosen area of the Silesian Province. MATERIALS AND METHODS: Rates of development disorders in general, including physical and psychomotor development disorders, in a population of children from the study area were estimated. A questionnaire was used in order to explore through a door-to-door survey the perceptions of environmental risk in a population of 2,491 residents. RESULTS: The presented study shows that the parents' awareness of environmental health risks is not satisfactory. The majority expressed an opinion that the outdoor environment exerts a major influence upon the state of health, but less than 1% of the parents were aware of the indoor environmental risk. CONCLUSION: The most effective way to prevent children's exposure is to teach the community to identify environmental threats and educate them on how to their protect children. The appropriate policies and programmes should be developed and implemented as this seems to be the most effective and cheapest way to prevent children's exposure to environmental risks.

Risk assessment and risk communication in environmental health in Poland.

Efficient prevention activities can reduce disease, caused by environmental factors as well as costs to the health-care system, but it is impossible without understanding by the society of when, where, how and why exposures occur. Physicians and other health-care professionals may have an important role to play in communication of these potential dangers as the public requires information from knowledgeable and trusted sources about environmental risks and methods to avoid them. Epidemiological study in Poland shows that the health risk awareness in the society is not satisfactory and improvement of communication processes is essential to reduce individual risk factors.

Study of the health effects of long-term exposure to cadmium and lead in a region of Poland.

A region in Poland with a high concentration of lead (Pb) and cadmium (Cd) was used as a case study to look for the potential health consequences of chronic cadmium and lead exposure. The analysis of the incidence of cardiovascular diseases and neoplasms mortality were carried out and the mortality using SDR (standardized death rate) were compared with Cd and Pb pollution in each of 13 cities. To estimate the association between health effect and the pollutant concentration, the linear regression method was used. On the basis of calculated regression, the magnitude of changes in the health state has been estimated assuming that the ambient air pollution decrease is 10%. The reduction of the concentrations of both heavy metals in the air will lower SDR, by 24.4 and 31.6 people for cadmium and lead, respectively.