Relative rates of cancers and deaths in Australian communities with PFAS environmental contamination associated with firefighting foams: A cohort study using linked data.

BACKGROUND: Per- and polyfluoroalkyl substances (PFAS) are environmental contaminants that are potentially harmful to health. We examined if rates of selected cancers and causes of deaths were elevated in three Australian communities with local environmental contamination caused by firefighting foams containing PFAS. The affected Australian communities were Katherine in Northern Territory, Oakey in Queensland and Williamtown in New South Wales. METHODS: All residents identified in the Medicare Enrolment File (1983-2019)-a consumer directory for Australia's universal healthcare-who ever lived in an exposure area (Katherine, Oakey and Williamtown), and a sample of those who ever lived in selected comparison areas, were linked to the Australian Cancer Database (1982-2017) and National Death Index (1980-2019). We estimated standardised incidence ratios (SIRs) for 23 cancer outcomes, four causes of death and three control outcomes, adjusting for sex, age and calendar time of diagnosis. FINDINGS: We observed higher rates of prostate cancer (SIR=1·76, 95 % confidence interval (CI) 1·36-2·24) in Katherine; laryngeal cancer (SIR=2·71, 95 % CI 1·30-4·98), kidney cancer (SIR=1·82, 95 % CI 1·04-2·96) and coronary heart disease (CHD) mortality (SIR=1·81, 95 % CI 1·46-2·33) in Oakey; and lung cancer (SIR=1·83, 95 % CI 1·39-2·38) and CHD mortality (SIR=1·22, 95 % CI 1·01-1·47) in Williamtown. We also saw elevated SIRs for control outcomes. SIRs for all other outcomes and overall cancer were similar across exposure and comparison areas. INTERPRETATION: There was limited evidence to support an association between living in a PFAS exposure area and risks of cancers or cause-specific deaths.

Serum concentration trends and apparent half-lives of per- and polyfluoroalkyl substances (PFAS) in Australian firefighters.

BACKGROUND: Per- and polyfluoroalkyl substances (PFASs) are persistent manmade compounds used in aqueous film forming foam (AFFF). The extensive use of AFFF has led to widespread environmental PFAS contamination and exposures of firefighters. OBJECTIVES: To determine PFAS blood serum concentration trends and apparent serum half-lives in firefighters after the replacement of AFFF. METHODS: Current and former employees of an Australian corporation providing firefighting services, where AFFF formulations had been used since the 1980s up until 2010, were recruited in 2018-2019 to participate in this study. Special focus was put on re-recruiting participants who had provided blood samples five years prior (2013-2014). Participants were asked to provide a blood sample and fill in a questionnaire. Serum samples were analysed for 40 different PFASs using HP LC-MS/MS. RESULTS: A total of 799 participants provided blood samples in 2018-2019. Of these, 130 previously provided blood serum in 2013-2014. In 2018-2019, mean (arithmetic) serum concentrations of perfluorooctane sulfonate (PFOS, 27 ng/mL), perfluoroheptane sulfonate (PFHpS, 1.7 ng/mL) and perfluorohexane sulfonate (PFHxS, 14 ng/mL) were higher than the levels in the general Australian population. Serum concentrations were associated with the use of PFOS/PFHxS based AFFF. Participants who commenced service after the replacement of this foam had serum concentrations similar to those in the general population. Mean (arithmetic) individual apparent half-lives were estimated to be 5.0 years (perfluorooctanoic acid (PFOA)), 7.8 years (PFHxS), 7.4 years (PFHpS) and 6.5 years (PFOS). CONCLUSION: This study shows how workplace interventions such as replacement of AFFF can benefit employees at risk of occupational exposure.

Genetic parameters of piglet survival and birth weight from a two-generation crossbreeding experiment under outdoor conditions designed to disentangle direct and maternal effects.

Multivariate Bayesian linear-threshold models were used to estimate genetic parameters of peri- and postnatal piglet survival and individual birth weight of piglets reared under outdoor conditions. Data of 21,835 individual piglet observations were available from a 2-generation crossbreeding experiment selected for direct and maternal genetic effects of postnatal piglet survival on piglet and dam levels, respectively. In the first generation, approximately one-half of the Landrace sires used were selected for large or average breeding values of maternal genetic effects on postnatal piglet survival, whereas in the second generation the Large White sires used were selected for direct genetic effects of the same trait. Estimates of direct and maternal heritability were 0.21 and 0.15, 0.24 and 0.14, and 0.36 and 0.28 for piglet survival at birth and during the nursing period, and individual birth weight, respectively. In particular, direct heritabilities are substantially larger than those from the literature estimated for indoor-reared piglets, suggesting that genetic effects of these traits are substantially greater under outdoor conditions. Direct or maternal genetic correlations between survival traits or with birth weight were small (ranging from 0.06 to 0.17), indicating that peri- and postnatal survival are genetically under rather different control, and survival was only slightly positively influenced by birth weight. There were significant (P < 0.05) negative genetic correlations between direct and maternal genetic effects within each of the analyzed traits ranging from -0.36 to -0.45, which have to be considered when selecting for piglet survival. Adjustment of traits for litter size or inclusion of genetic groups showed insignificant effects on the magnitude of the estimated genetic parameters. The magnitude of genetic parameters suggested that there is substantial potential for genetic improvement of survival traits and birth weight in direct and maternal genetic effects, especially when piglets are kept under outdoor conditions.