Occurrence and concentration of dissolved silver in rivers in England and Wales.

There is a paucity of monitoring data for silver in freshwater environments in Europe. There are several reasons for this, including the relatively low levels of silver in the aquatic environment and the requirement for commensurately low levels of detection (<100 ng l⁻¹), which are generally not routinely achieved in analytical laboratories. In this study 425 separate analytical determinations for dissolved (<0.45 µm) silver from 84 Environment Agency monitoring stations were carried out. Sampling was carried out on a monthly basis over a period of 6 months. Of the 425 samples, 346 were reported as having dissolved silver concentrations below the limit of quantification (6.6 ng l⁻¹) and, of these, 280 samples were reported as below the reporting limit of detection (3 ng l⁻¹). The mean of the maximum dissolved silver concentrations reported at each station was calculated as 6.1 ng l⁻¹ using a statistical extrapolation technique to allow for the high level of censorship in the dataset. The maximum mean dissolved silver concentration recorded at a station was 19.8 ng l⁻¹. A freshwater Predicted No Effect Concentration (PNEC) of 40 ng l⁻¹ was used in this study.

Copper and zinc water quality standards under the EU Water Framework Directive: the use of a tiered approach to estimate the levels of failure.

Environmental quality standards are an important tool for assessing the chemical quality of water bodies under the Water Framework Directive. However, there must be confidence in assessments of any failure to avoid disproportionate investment in unnecessary risk reduction. Metals present a number of unique challenges for environmental regulators in that they are naturally occurring and their ecotoxicology is driven, in part, by the physico-chemical conditions of the water body in which they are present. This paper describes the use of a tiered approach that could be adopted to assess compliance with any future environmental quality standards for metals under the Water Framework Directive. Through this approach, the use of background concentrations is considered and also bioavailability via the use of biotic ligand models. This assessment is based on an analysis of routine Environment Agency chemical monitoring data combined with biological indices to support results of the approach. Using copper and zinc as examples, it is shown that it is important to take account of background concentrations and the bioavailability of metals, otherwise the risk of impact from metals may be significantly overestimated. The approach presented here provides a methodology by which regulators and the regulated community may implement surface water standards for metals under the Water Framework Directive.

Routine breast screening for women aged 65-69: results from evaluation of the demonstration sites.

Routine programme data and specially designed surveys from 3 demonstration sites were analysed to determine the implications of extending the NHS Breast Screening Programme (NHSBSP), to include routine invitations for women up to 69 years. All women aged 65-69 and registered with GPs in these areas received routine invitations for breast screening along with those aged 50-64. Overall uptake was 71% in women aged 65-69 compared with 78% in younger women, but was > or = 90% in both groups who had previously attended within 5 years. Recall rates were lower for older women, but with a higher positive predictive value for cancer. The percentages of invasive cancer in different prognostic categories were similar in the 2 age groups. Older women took no longer to screen than younger women. The costs per woman invited or per woman screened were also similar to those for women aged 50-64, whilst the cost per cancer detected was some 34% lower in older women. Breast screening is as cost effective for women aged 65-69 as for those aged 50-64, with a higher cancer detection rate balancing shorter life expectancy. The proposed extension to the national programme will have considerable workforce implications for the NHSBSP and require additional resources.