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1.
Nat Commun ; 11(1): 4933, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33004787

RESUMO

The influence of seasons on biological processes is poorly understood. In order to identify biological seasonal patterns based on diverse molecular data, rather than calendar dates, we performed a deep longitudinal multiomics profiling of 105 individuals over 4 years. Here, we report more than 1000 seasonal variations in omics analytes and clinical measures. The different molecules group into two major seasonal patterns which correlate with peaks in late spring and late fall/early winter in California. The two patterns are enriched for molecules involved in human biological processes such as inflammation, immunity, cardiovascular health, as well as neurological and psychiatric conditions. Lastly, we identify molecules and microbes that demonstrate different seasonal patterns in insulin sensitive and insulin resistant individuals. The results of our study have important implications in healthcare and highlight the value of considering seasonality when assessing population wide health risk and management.


Assuntos
Exposição Ambiental , Resistência à Insulina/fisiologia , Redes e Vias Metabólicas/fisiologia , Microbiota/fisiologia , Estações do Ano , Adulto , Idoso , Glicemia/análise , Glicemia/metabolismo , California , Análise por Conglomerados , Feminino , Nível de Saúde , Humanos , Insulina/metabolismo , Estudos Longitudinais , Masculino , Metabolômica , Pessoa de Meia-Idade , RNA-Seq
2.
MMWR Morb Mortal Wkly Rep ; 69(41): 1497-1502, 2020 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-33056953

RESUMO

On May 13, 2020, the Wisconsin Supreme Court declared the state's Safer at Home Emergency Order (https://evers.wi.gov/Documents/COVID19/EMO28-SaferAtHome.pdf) "unlawful, invalid, and unenforceable,"* thereby increasing opportunities for social and business interactions. By mid-June, Winnebago County,† Wisconsin experienced an increase in the number of infections with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), with the largest increase among persons aged 18-23 years (young adults) (1). This age group§ accounts for 12.5% of the population in the county. To identify factors that influence exposure to COVID-19 among young adults in Winnebago County, characteristics of COVID-19 cases and drivers of behaviors in this age group were examined. During March 1-July 18, 2020, 240 young adults received positive SARS-CoV-2 test results, accounting for 32% of all Winnebago County cases. In 30 key informant interviews, most interviewees reported exposure to misinformation, conflicting messages, or opposing views about the need for and effectiveness of masks. Thirteen young adults described social or peer pressure to not wear a mask and perceived severity of disease outcome for themselves as low but high for loved ones at risk. Having low perceived severity of disease outcome might partly explain why, when not in physical contact with loved ones at risk, young adults might attend social gatherings or not wear a mask (2). Exposure to misinformation and unclear messages has been identified as a driver of behavior during an outbreak (3,4), underscoring the importance of providing clear and consistent messages about the need for and effectiveness of masks. In addition, framing communication messages that amplify young adults' responsibility to protect others and target perceived social or peer pressure to not adhere to public health guidance might persuade young adults to adhere to public health guidelines that prevent the spread of COVID-19.


Assuntos
Infecções por Coronavirus/epidemiologia , Exposição Ambiental/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Adolescente , Feminino , Humanos , Masculino , Pandemias , Fatores de Risco , Wisconsin/epidemiologia , Adulto Jovem
3.
Tex Med ; 116(9): 4-5, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-33023283

RESUMO

Human health is inextricably connected with the health of the environment. Our actions to reduce the threats of climate change and global warming are key to our well-being and survival.


Assuntos
Mudança Climática , Exposição Ambiental/efeitos adversos , Aquecimento Global/prevenção & controle , Saúde , Temperatura Alta/efeitos adversos , Papel do Médico , Responsabilidade Social , Promoção da Saúde , Humanos , Texas
4.
Tex Med ; 116(9): 4, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-33023284

RESUMO

While the World Health Organization estimates that climate change will cause approximately 250,000 additional deaths per year worldwide from malnutrition, malaria, diarrhea, and heat stress, these estimates are based on assumptions using models that have not been validated using real world, observational data.


Assuntos
Mudança Climática , Exposição Ambiental/efeitos adversos , Aquecimento Global , Educação em Saúde , Saúde , Causas de Morte , Diarreia , Resposta ao Choque Térmico , Temperatura Alta/efeitos adversos , Humanos , Malária , Desnutrição , Texas
5.
Cien Saude Colet ; 25(suppl 2): 4225-4230, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33027359

RESUMO

There is credible evidence that the 1984-Bhopal-methyl isocyanate (MIC)-gas-exposed long-term survivors and their offspring born post-exposure are susceptible to infectious/communicable and non-communicable diseases. Bhopal's COVID-19 fatality rate suggests that the MIC-gas tragedy survivors are at higher risk, owing to a weakened immune system and co-morbidities. This situation emboldened us to ponder over what we know, what we don't, and what we should know about their susceptibility to COVID-19. This article aims at answering these three questions that emerge in the minds of public health officials concerning prevention strategies against COVID-19 and health promotion in the Bhopal MIC-affected population (BMAP). Our views and opinions presented in this article will draw attention to prevent and reduce the consequences of COVID-19 in BMAP. From the perspective of COVID-19 prophylaxis, the high-risk individuals from BMAP with co-morbidities need to be identified through a door-to-door visit to the severely gas-affected regions and advised to maintain good respiratory hygiene, regular intake of immune-boosting diet, and follow healthy lifestyle practices.


Assuntos
Infecções por Coronavirus/prevenção & controle , Suscetibilidade a Doenças , Exposição Ambiental/efeitos adversos , Isocianatos/toxicidade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Sobreviventes , Betacoronavirus , Controle de Doenças Transmissíveis , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Desastres , Humanos , Hospedeiro Imunocomprometido , Índia/epidemiologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Autocuidado , Populações Vulneráveis
6.
Bull Environ Contam Toxicol ; 105(4): 565-571, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32918564

RESUMO

Fish consumption from contaminated water-bodies is a serious health issue. This study conducted to reveal the presence of heavy metals and bisphenols in Vembanad lake, an exploiting tourist spot in Kerala, receiving untreated agricultural, domestic, municipal, and industrial effluents. We evaluated aquatic contaminant impact on hepatic stress markers in Etroplus suratensis from fragile Vembanad lake. The significant difference in water physiochemical parameters, the concentration of heavy metals, and bisphenols (BPA and BPS) were studied. Hepatic tissue of E. suratensis inhabited in lake featured with high iron (11.29 ± 0.39 ppm) and BPA (0.02412 ± 0.0031 µg/mL) content along with an increased hepatic stress marker and distorted hepatic structure. The study highlights the presence of high iron and BPA in edible fish. The study recommends monitoring of physiochemical characters of freshwater lakes is essential for better survival of freshwater flora and fauna.


Assuntos
Compostos Benzidrílicos/toxicidade , Ciclídeos , Exposição Ambiental/efeitos adversos , Fígado/efeitos dos fármacos , Metais Pesados/toxicidade , Fenóis/toxicidade , Sulfonas/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Biomarcadores , Feminino , Índia , Lagos , Fígado/anatomia & histologia , Fígado/metabolismo , Masculino
7.
Bull Environ Contam Toxicol ; 105(4): 538-545, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32968836

RESUMO

In the present study, heavy metals (Cd, Cu, Pb, and Zn) level in the water, sediment, and crabs were analyzed from Noyyal and Chinnar Rivers of the Western Ghats in Tamil Nadu, India. Based on our results, Noyyal River is considered as polluted environment due to the discharge of contaminants by various anthropogenic activities, whereas, Chinnar River maintained as unpolluted one due to its tributary nature of Noyyal River located in Western Ghats hills. The results showed that the heavy metals in water and sediments were higher in Noyyal River. Also, the level of bioaccumulation of studied metals and biochemical constituents were higher in the crab Spiralothelphusa hydrodroma sampled from Noyyal River than Barytelphusa cunicularis collected from Chinnar River. The present findings revealed that the crab sampled from Noyyal River had elevated heavy metals which lead to a significant increase in biochemical constituents to overcome the stress.


Assuntos
Braquiúros/metabolismo , Exposição Ambiental , Sedimentos Geológicos/análise , Metais Pesados/metabolismo , Poluentes Químicos da Água/metabolismo , Animais , Bioacumulação , Monitoramento Ambiental , Feminino , Índia , Masculino , Rios/química , Especificidade da Espécie , Inquéritos e Questionários , Poluição Química da Água
8.
Bull Environ Contam Toxicol ; 105(4): 513-521, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32979081

RESUMO

Little is known about the prevalence of microplastics (MPs) in East Africa. In the present study, sediments were sampled at 18 sites along the Tanzanian coast that exhibit different levels of anthropogenic activity and were extracted using floatation methodology. Cockles (Anadara antiquata) were collected only from eight sites and MPs were extracted following NaOH digestion. MPs were most abundant at Mtoni Kijichi Creek (MKC, 2972 ± 238 particles kg-1 dry sediment), an industrial port in Dar es Salaam, and significantly higher than all other sites where the abundance range was 15-214 particles kg-1 dry sediment (p < 0.05, one-way ANOVA). Fragments and fibers were found at all sites. Polypropylene and polyethylene were identified polymers. MPs were found in cockles from all sampled sites with both frequencies of occurrence and MPs per individual subject to site-specific variation. This study provides a baseline of MP data in a previously uninvestigated area.


Assuntos
Arcidae/metabolismo , Exposição Ambiental , Sedimentos Geológicos/química , Microplásticos/metabolismo , Poluentes da Água/metabolismo , Animais , Praias , Bioacumulação , Tanzânia
9.
Chemosphere ; 258: 127342, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32947679

RESUMO

Environmental contaminations by potentially toxic metals (PTMs) are associated with energy exploitation and present a significant problem in urban areas due to their impacts on human health. The PTMs status in Urumqi total environment inevitably impacted by extensive development of coal and oil industries has been lack of understanding comprehensively. A series of PTMs (As, Ba, Ce, Co, Cr, Cu, Ga, La, Mn, Ni, Pb, Rb, Sr, Th, U, V, Y, Zn, Zr) in the soil-dust-plant (foliage of Ulmus pumila L.) system of Urumqi (NW China) were screened by XRF and ICPMS. Multivariate statistics, risk models, GIS-based geostatistics, Positive Matrix Factorization (PMF) receptor modelling and blood lead levels of 0-6 aged children evaluated by IEUBK model are used to determine the priority pollutants, sources and health effects of the investigated elements. The spatial distribution of PTMs in soil-dust-plant system significantly coincides with coal combustion, traffic emission, and industrial activity. Although all PTM toxicants in soil, dust and tree foliage show some effects, the priority contaminants are observed for Cu, Pb and Zn as single element. The total carcinogenic and non-carcinogenic risks from PTMs are beyond the tolerance range of 0-6 year's old children, and the dust (TCR = 1.07E-04) PTMs pose approximatively equivalent carcinogenic risk to soil PTMs (TCT = 1.09E-04). The predicted BLLs (75-83 µ g·L-1) of 1-2 years children are most strongly influenced by Pb in soil and dust, and therefore more attention should be focused on sources of Pb to support the primary health care of the toddlers in Urumqi.


Assuntos
Exposição Ambiental/estatística & dados numéricos , Metais Pesados/sangue , Poluentes do Solo/sangue , Carcinógenos , China , Poeira/análise , Monitoramento Ambiental , Poluentes Ambientais , Poluição Ambiental/estatística & dados numéricos , Substâncias Perigosas , Humanos , Indústrias , Chumbo/sangue , Metais Pesados/análise , Metais Pesados/metabolismo , Medição de Risco , Solo , Poluentes do Solo/análise , Poluentes do Solo/metabolismo
10.
Chemosphere ; 258: 127413, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32947681

RESUMO

Fishing is part of the traditional activities of Indigenous people in Canada. However, it is also a route of exposure to methylmercury, a known neurotoxicant, and this is a concern for those who rely on fish as part of their diet. The probable weekly intake (PWI) of methylmercury from six species of fish was calculated for Indigenous community members (N = 1406), grouped by age and sex, and compared to Canadian and international provisional reference doses to assess exposure. Mixed-effects regression models were also used to estimate the input of methylmercury into the blood, and Hazard Quotients (HQ) were used to assess potential effects. Of the species of fish in our study, walleye and lake trout contributed the most to methylmercury intake. There was a positive association between the consumption of walleye and the total blood mercury concentrations of mercury in women and men (R2A = 0.40 and 0.47, respectively), and to a lesser extent, children. Similar results were observed for the consumption of lake trout. The 95th-percentile HQ for girls (3.16) and boys (3.18) from the consumption of lake trout was relatively high, and to a lesser extent, so was the HQ for walleye and pike. The consumption of some species of fish increases the exposure to methylmercury, however, taking a balanced approach, there are health benefits associated with the consumption of fish that must be considered. To mitigate future exposure to methylmercury, we recommend follow-up blood monitoring and local-geospatial-based assessments.


Assuntos
Exposição Dietética/estatística & dados numéricos , Monitoramento Ambiental , Compostos de Metilmercúrio/toxicidade , Poluentes Químicos da Água/toxicidade , Adolescente , Animais , Baías , Canadá , Criança , Dieta , Exposição Ambiental/análise , Feminino , Peixes , Humanos , Masculino , Mercúrio/análise , Compostos de Metilmercúrio/análise , Compostos de Metilmercúrio/metabolismo , Quebeque , Alimentos Marinhos/estatística & dados numéricos , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/metabolismo
11.
Chemosphere ; 254: 126763, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32957263

RESUMO

Epidemiologic studies suggest that circulating metals from the natural environment are linked with cardiometabolic health. However, few studies examined the relationship between multiple metals exposure and metabolic phenotypes, especially in obese individuals. We conducted a cross-sectional study to explore the association between 23 urinary metals and metabolic phenotypes in 1392 overweight and obese individuals (592 males, 800 females, mean age 43.1 ± 9.8 years). Participants were classified as metabolically unhealthy if they had ≥2 of the following metabolic abnormalities: elevated blood pressure, elevated fasting blood glucose, elevated triglycerides, and reduced high-density lipoprotein cholesterol. Odds ratios (ORs) of unhealthy metabolic phenotypes for metal levels categorized into tertiles were assessed using logistic regression models. Five metals (barium, copper, iron, uranium, and zinc) were associated with unhealthy metabolic phenotypes in single-metal models, while in the multiple-metal model, only zinc and zinc-copper ratio remained significant. The ORs (95% CIs) comparing extreme tertiles were 2.57 (1.69, 3.89) for zinc and 1.68 (1.24, 2.27) for zinc-copper ratio after adjustment for confounders (both p-trends were <0.001). The numbers of metabolic abnormalities significantly increased with the levels of zinc and the zinc-copper ratio increased. Similar associations were observed with metabolic syndrome risk. High levels of urinary zinc were positively associated with elevated fasting blood glucose (p-trend < 0.001) and elevated triglycerides (p-trend = 0.003). The results suggest that urinary zinc and zinc-copper ratio are positively associated with increased risk of unhealthy metabolic phenotype. Further prospective studies with a larger sample size are required to verify these findings.


Assuntos
Exposição Ambiental , Metais/urina , Obesidade , Adulto , HDL-Colesterol , Cobre , Estudos Transversais , Feminino , Humanos , Ferro , Modelos Logísticos , Masculino , Síndrome Metabólica , Pessoa de Meia-Idade , Razão de Chances , Sobrepeso , Fenótipo , Estudos Prospectivos , Zinco
12.
Ecotoxicol Environ Saf ; 203: 110982, 2020 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-32888624

RESUMO

Freshwater ecosystems are constantly threatened by the advance of agricultural activities. Abiotic variables (such as temperature, ammonia, and nitrite) and contaminants (e.g. pesticides) can potentially interact, increasing metabolism and the absorption of toxic substances, which can alter the ability of organisms to establish adequate stress responses. This study aimed to verify which pesticides were most frequently found and in the greatest quantities in low-order streams, and whether the combination of these pesticides with the abiotic variables altered the biological metabolism of aeglids. These freshwater crustaceans are important shredders that inhabit low-order streams and are sensitive to disturbances and/or abrupt environmental variations. The animals were exposed in situ in four streams (reference site and sites 1, 2, and 3). The reference site is a preserved stream with no apparent anthropogenic interference where aeglids still occur, while the other sites no longer exhibit populations of these animals and are influenced by agricultural activities. The exposure was performed bimonthly from November 2017 to September 2018 and lasted 96 h. Measured abiotic data and water samples were collected through all days of exposure. The analyzed biochemical parameters were acetylcholinesterase activity in muscle; and glutathione S-transferase, lipid peroxidation, protein carbonylation, non-protein thiols, antioxidant capacity against peroxides, and reactive oxygen species (ROS) in muscle, gills, and hepatopancreas. We found 24 active principles of pesticides, the most frequently being clomazone, atrazine, and propoxur. Bentazone was present at the highest amounts. The parameters evaluated in this study, including biochemical biomarkers and abiotic factors measured from the water, provided a separation of the months as a function of environmental conditions. There was a difference in activity and biomarker levels throughout the year within the same site and in some months between sites. The greater concentration or variety of pesticides associated with extreme abiotic (very high temperatures) data generated increased oxidative stress, with high levels of protein damage and considerable lipid damage in all tissues, as well as elevation in ROS, even with high levels of antioxidant capacity and non-protein thiols. With these data, we intend to warn about the risks of exposure to these environmental conditions by trying to contribute to the preservation of limnic fauna, especially aeglid crabs, because most species are under some degree of threat.


Assuntos
Anomuros/efeitos dos fármacos , Biomarcadores/metabolismo , Exposição Ambiental/efeitos adversos , Praguicidas/efeitos adversos , Animais , Anomuros/metabolismo
13.
Environ Health ; 19(1): 94, 2020 08 31.
Artigo em Inglês | MEDLINE | ID: mdl-32867766

RESUMO

BACKGROUND: Various risk factors influence obesity differently, and environmental endocrine disruption may increase the occurrence of obesity. However, most of the previous studies have considered only a unitary exposure or a set of similar exposures instead of mixed exposures, which entail complicated interactions. We utilized three statistical models to evaluate the correlations between mixed chemicals to analyze the association between 9 different chemical exposures and obesity in children and adolescents. METHODS: We fitted the generalized linear regression, weighted quantile sum (WQS) regression, and Bayesian kernel machine regression (BKMR) to analyze the association between the mixed exposures and obesity in the participants aged 6-19 in the National Health and Nutrition Examination Survey (NHANES) 2005-2010. RESULTS: In the multivariable logistic regression model, 2,5-dichlorophenol (2,5-DCP) (OR (95% CI): 1.25 (1.11, 1.40)), monoethyl phthalate (MEP) (OR (95% CI): 1.28 (1.04, 1.58)), and mono-isobutyl phthalate (MiBP) (OR (95% CI): 1.42 (1.07, 1.89)) were found to be positively associated with obesity, while methylparaben (MeP) (OR (95% CI): 0.80 (0.68, 0.94)) was negatively associated with obesity. In the multivariable linear regression, MEP was found to be positively associated with the body mass index (BMI) z-score (ß (95% CI): 0.12 (0.02, 0.21)). In the WQS regression model, the WQS index had a significant association (OR (95% CI): 1.48 (1.16, 1.89)) with the outcome in the obesity model, in which 2,5-DCP (weighted 0.41), bisphenol A (BPA) (weighted 0.17) and MEP (weighted 0.14) all had relatively high weights. In the BKMR model, despite no statistically significant difference in the overall association between the chemical mixtures and the outcome (obesity or BMI z-score), there was nonetheless an increasing trend. 2,5-DCP and MEP were found to be positively associated with the outcome (obesity or BMI z-score), while fixing other chemicals at their median concentrations. CONCLUSION: Comparing the three statistical models, we found that 2,5-DCP and MEP may play an important role in obesity. Considering the advantages and disadvantages of the three statistical models, our study confirms the necessity to combine different statistical models on obesity when dealing with mixed exposures.


Assuntos
Exposição Ambiental/efeitos adversos , Monitoramento Ambiental/métodos , Poluentes Ambientais/efeitos adversos , Obesidade Pediátrica/epidemiologia , Adolescente , Teorema de Bayes , Criança , Feminino , Humanos , Modelos Lineares , Masculino , Modelos Estatísticos , Inquéritos Nutricionais , Obesidade Pediátrica/induzido quimicamente , Prevalência , Estados Unidos/epidemiologia
14.
PLoS One ; 15(9): e0238296, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32936802

RESUMO

The Quick Environmental Exposure and Sensitivity Inventory (QEESI) is a validated questionnaire used worldwide to assess intolerances to chemicals, foods, and drugs, and has emerged as the gold standard for assessing chemical intolerance (CI). Despite a reported prevalence of 8-33%, epidemiological studies and routine primary care clinics rarely assess CI. To help address this gap, we developed the Brief Environmental Exposure and Sensitivity Inventory (BREESI)-a 3-item CI screening tool. We tested the BREESI's potential to predict whether an individual is likely to be classified as chemically intolerant if administered the 50-item QEESI. We recruited 293 participants from a university-based primary care clinic and through online participation. The statistical sensitivity, specificity, and positive and negative predictive values of the BREESI were calculated against the validated QEESI. Ninety percent (90%) of participants answering "yes" to all three items on the BREESI fit the QEESI criteria for being very suggestive of CI based upon their chemical intolerance and symptom scores (positive predictive value = 90%). For participants endorsing two items, 93% were classified as either very suggestive (39%) or suggestive (54%) of CI (positive predictive value = 87%). Of those endorsing only one item, 13% were classified as very suggestive of CI, and 70% as suggestive. Of those answering "No" to all of the BREESI items, 95% were classified as not suggestive of CI (i.e., negative predictive value = 95%). The BREESI is a versatile screening tool for assessing potential CI useful for clinical and epidemiological applications, based upon individuals' past adverse responses in a variety of settings. Just as health care professionals routinely inquire about latex allergy to prevent adverse reactions, the BREESI provides an essential screen for CI. Together, the BREESI and QEESI provide new diagnostic tools that may help predict and prevent future adverse reactions to chemicals, foods, and drugs.


Assuntos
Testes Diagnósticos de Rotina , Exposição Ambiental/efeitos adversos , Programas de Rastreamento , Sensibilidade Química Múltipla/diagnóstico , Inquéritos e Questionários/estatística & dados numéricos , Adulto , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Sensibilidade Química Múltipla/epidemiologia , Sensibilidade Química Múltipla/etiologia , Prevalência , Curva ROC , Texas/epidemiologia
15.
MMWR Morb Mortal Wkly Rep ; 69(36): 1258-1264, 2020 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-32915165

RESUMO

Community and close contact exposures continue to drive the coronavirus disease 2019 (COVID-19) pandemic. CDC and other public health authorities recommend community mitigation strategies to reduce transmission of SARS-CoV-2, the virus that causes COVID-19 (1,2). Characterization of community exposures can be difficult to assess when widespread transmission is occurring, especially from asymptomatic persons within inherently interconnected communities. Potential exposures, such as close contact with a person with confirmed COVID-19, have primarily been assessed among COVID-19 cases, without a non-COVID-19 comparison group (3,4). To assess community and close contact exposures associated with COVID-19, exposures reported by case-patients (154) were compared with exposures reported by control-participants (160). Case-patients were symptomatic adults (persons aged ≥18 years) with SARS-CoV-2 infection confirmed by reverse transcription-polymerase chain reaction (RT-PCR) testing. Control-participants were symptomatic outpatient adults from the same health care facilities who had negative SARS-CoV-2 test results. Close contact with a person with known COVID-19 was more commonly reported among case-patients (42%) than among control-participants (14%). Case-patients were more likely to have reported dining at a restaurant (any area designated by the restaurant, including indoor, patio, and outdoor seating) in the 2 weeks preceding illness onset than were control-participants (adjusted odds ratio [aOR] = 2.4; 95% confidence interval [CI] = 1.5-3.8). Restricting the analysis to participants without known close contact with a person with confirmed COVID-19, case-patients were more likely to report dining at a restaurant (aOR = 2.8, 95% CI = 1.9-4.3) or going to a bar/coffee shop (aOR = 3.9, 95% CI = 1.5-10.1) than were control-participants. Exposures and activities where mask use and social distancing are difficult to maintain, including going to places that offer on-site eating or drinking, might be important risk factors for acquiring COVID-19. As communities reopen, efforts to reduce possible exposures at locations that offer on-site eating and drinking options should be considered to protect customers, employees, and communities.


Assuntos
Infecções Comunitárias Adquiridas/epidemiologia , Busca de Comunicante , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Exposição Ambiental/efeitos adversos , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Adolescente , Adulto , Instituições de Assistência Ambulatorial , Exposição Ambiental/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Estados Unidos/epidemiologia , Adulto Jovem
16.
Rev Prat ; 70(4): 434-439, 2020 Apr.
Artigo em Francês | MEDLINE | ID: mdl-32877104

RESUMO

Environmental endocrine disruptors, what risks for children? Not all chemicals around us are endocrine disruptors. The effects of endocrine disruptors go through mechanisms that are probably more complex than those of conventional toxicity. A number of convergent data seem to confirm for some of them the possibility of deleterious effects on the male and female reproductive organs, as well as on the thyroid function. Sensitivity to these products is maximum during embryonic life, involving great caution regarding their use in pregnant women, young children and pubertal period. Many uncertainties persist regarding the consequences of their use. An enlightened discernment is therefore necessary when there is a possible toxicity, which will require a lot of studies.


Assuntos
Disruptores Endócrinos , Poluentes Ambientais , Criança , Pré-Escolar , Exposição Ambiental , Feminino , Genitália , Humanos , Masculino , Gravidez , Incerteza
17.
J Korean Med Sci ; 35(35): e321, 2020 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-32893522

RESUMO

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has posed significant global public health challenges and created a substantial economic burden. Korea has experienced an extensive outbreak, which was linked to a religion-related super-spreading event. However, the implementation of various non-pharmaceutical interventions (NPIs), including social distancing, spring semester postponing, and extensive testing and contact tracing controlled the epidemic. Herein, we estimated the effectiveness of each NPI using a simulation model. METHODS: A compartment model with a susceptible-exposed-infectious-quarantined-hospitalized structure was employed. Using the Monte-Carlo-Markov-Chain algorithm with Gibbs' sampling method, we estimated the time-varying effective contact rate to calibrate the model with the reported daily new confirmed cases from February 12th to March 31st (7 weeks). Moreover, we conducted scenario analyses by adjusting the parameters to estimate the effectiveness of NPI. RESULTS: Relaxed social distancing among adults would have increased the number of cases 27.4-fold until the end of March. Spring semester non-postponement would have increased the number of cases 1.7-fold among individuals aged 0-19, while lower quarantine and detection rates would have increased the number of cases 1.4-fold. CONCLUSION: Among the three NPI measures, social distancing in adults showed the highest effectiveness. The substantial effect of social distancing should be considered when preparing for the 2nd wave of COVID-19.


Assuntos
Controle de Doenças Transmissíveis/métodos , Busca de Comunicante/métodos , Infecções por Coronavirus/transmissão , Programas de Rastreamento/métodos , Pneumonia Viral/transmissão , Distância Social , Betacoronavirus , Simulação por Computador , Exposição Ambiental/prevenção & controle , Humanos , Cadeias de Markov , Modelos Teóricos , Método de Monte Carlo , Pandemias , Prática de Saúde Pública/legislação & jurisprudência , República da Coreia
18.
Ecotoxicol Environ Saf ; 203: 111031, 2020 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-32888610

RESUMO

Bone mineral density (BMD) changes were reported to be associated with excessive fluoride exposure and abnormal expression of RUNX2. However, whether the alteration of methylation status, a most commonly used marker for the alteration of gene expression in epidemiological investigation, of RUNX2 is associated with low-to-moderate fluoride exposure and BMD changes has not been reported. Our study aims to explore the role of RUNX2 promoter methylation in BMD changes induced by low-to-moderate fluoride exposure. A total of 1124 adults (413 men and 711 women) were recruited from Kaifeng City in 2017. We measured BMD using ultrasound bone densitometer. Concentrations of urinary fluoride (UF) were measured using ion-selective electrode, and the participants were grouped into control group (CG) and excessive fluoride group (EFG) according to the concentration of UF. We extracted DNA from fasting peripheral blood samples and then detected the promoter methylation levels of RUNX2 using quantitative methylation-specific PCR. Relationships between UF concentration, RUNX2 promoter methylation and BMD changes were analyzed using generalized linear model and logistic regression. Results showed in EFG (UF concentration > 1.6 mg/L), BMD was negatively correlated with UF concentration (ß: -0.14; 95%CI: -0.26, -0.01) and RUNX2 promoter methylation (ß: -0.13; 95%CI: -0.22, -0.03) in women. The methylation rate of RUNX2 promoter increased by 2.16% for each 1 mg/L increment in UF concentration of women in EFG (95%CI: 0.37, 3.96). No any significant associations between UF concentration, RUNX2 promoter methylation, and BMD were observed in the individuals in CG. Mediation analysis showed that RUNX2 promoter methylation mediated 18.2% (95% CI: 4.2%, 53.2%) of the association between UF concentration and BMD of women in EFG. In conclusion, excessive fluoride exposure (>1.6 mg/L) is associated with changes of BMD in women, and this association is mediated by RUNX2 promoter methylation.


Assuntos
Densidade Óssea/efeitos dos fármacos , Subunidade alfa 1 de Fator de Ligação ao Core/genética , Exposição Ambiental/análise , Fluoretos/toxicidade , Poluentes Químicos da Água/toxicidade , Absorciometria de Fóton , Adulto , Idoso , Densidade Óssea/genética , China , Subunidade alfa 1 de Fator de Ligação ao Core/metabolismo , Estudos Transversais , Metilação de DNA/efeitos dos fármacos , Feminino , Fluoretos/urina , Humanos , Masculino , Pessoa de Meia-Idade , Regiões Promotoras Genéticas , Inquéritos e Questionários , Poluentes Químicos da Água/urina
20.
Lancet ; 396(10254): 854-866, 2020 09 19.
Artigo em Inglês | MEDLINE | ID: mdl-32910907

RESUMO

Asthma is a complex disease that often starts in childhood. Genomic and environmental factors as well as aberrant immune maturation early in life can contribute to the onset of disease, with great disparity over time and geographical regions. Epidemiological studies have scrutinised environmental exposures and attempted to translate these exposures into prevention strategies. Some approaches for patients with asthma have been successful (eg, smoking ban, the Finnish Asthma Programme), and primary prevention of wheeze in pre-school children (age 0-5 years) by the supplementation of vitamin D or fish oil, or both, to pregnant women seems promising. Several recent prevention initiatives are based on strong asthma-protective environmental microbial exposures associated with traditional rural lifestyles. Preclinical studies with various bacterial lysates, bacterial and dietary metabolites, or helminthic compounds have yielded promising results that await translation into clinical practice. Given the immense societal and individual burden of asthma, there is an urgent need to further develop novel strategies to eradicate the disease.


Assuntos
Asma/epidemiologia , Asma/prevenção & controle , Prevenção Primária/métodos , Asma/dietoterapia , Asma/imunologia , Pré-Escolar , Suplementos Nutricionais/provisão & distribução , Exposição Ambiental/efeitos adversos , Feminino , Finlândia/epidemiologia , Óleos de Peixe/administração & dosagem , Óleos de Peixe/provisão & distribução , Humanos , Lactente , Recém-Nascido , Masculino , Gravidez , Prevalência , Fatores de Proteção , Fatores de Risco , Prevenção do Hábito de Fumar/métodos , Vitamina D/administração & dosagem , Vitamina D/provisão & distribução
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