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Videos recorded with infrared camera traps placed in petroleum contaminated areas of the Peruvian Amazon have shown that four wildlife species, the most important for indigenous peoples’ diet (lowland tapir, paca, red-brocket deer and collared peccary), consume oil-contaminated soils and water. Further research is needed to clarify whether Amazonian wildlife's geophagy can be a route of exposure to petrogenic contamination for populations living in the vicinity of oil extraction areas and relying on subsistence hunting. [ABSTRACT FROM AUTHOR]

Accidental ingestion of contaminated soil has been recognized as an important pathway of human exposure to lead (Pb), especially for children through hand-to-mouth activities. Intake of food following the soil ingestion may affect the bioaccessibility of Pb in the gastrointestinal tract. In this study, the effect of steamed bread on the transformation and subsequent bioaccessibility of Pb in two soils was determined by the physiologically based extraction test (PBET). Two compounds, Pb(NO 3 ) 2 and PbCO 3 , were included in the evaluation for comparison. In the gastric phase, Pb bioaccessibility decreased as the steamed bread increased due to the sorption of Pb on the undissolved steamed bread, especially in PbCO 3 , Pb bioaccessibility decreased from 95.03% to 85.40%. Whereas in the intestinal phase, Pb bioaccessibility increased from 1.85% to 5.66% and from 0.89% to 1.80% for Pb(NO 3 ) 2 and PbCO 3 , respectively. The increase was attributed to the transformation of formed Pb carbonates into soluble organic-Pb complexes induced by the dissolved steamed bread at neutral pH as indicated by MINTEQ modeling. For the PbCO 3 -contaminated soil, the change in Pb bioaccessibility in both gastric and intestinal phases behaved like that in the pure PbCO 3 compound, the steamed bread increased the bioaccessibility of Pb in the intestinal phase, but the decreased bioaccessibility of Pb was observed in the gastric phase after the steamed bread was added. However, in the soil contaminated with free Pb 2+ or sorbed Pb forms, the steamed bread increased the Pb bioaccessibility in both gastric and intestinal phases. This was probably due to the higher dissolved organic carbon induced transformation of sorbed Pb (Pb sorbed by Fe/Mn oxides) into soluble Pb-organic complex. Results from this study indicated that steamed bread had an influence on the Pb speciation transformation, correspondingly affecting Pb bioaccessibility in the gastrointestinal tract. [ABSTRACT FROM AUTHOR]

Background and Introduction: Previous studies of soil eating, or geophagia, among pregnant women in sub-Saharan Africa indicate the practice is widespread. Various explanations have been explored to explain the global phenomenon of soil eating, with the most compelling explanation focused on clay's ability to prevent or treat intestinal infection. The urban South African context for clay eating is not well understood. This paper explores clay consumption amongst pregnant migrants who are nationals of countries where clay consumption may be common.Methods: I conducted in-depth interviews with a purposively selected group of Somali, Congolese, and Zimbabwean women (n = 23). Interviews included questions broadly related to maternal and infant nutrition. In addition, I conducted nine focus group discussions (n = 48) with adult Somali, Congolese (DRC), and Zimbabwean men (N = 3) and women (N = 6), segregated by country of origin and gender. This paper focuses specifically on responses related to geophagia.Results: While Somali women did not report consuming clay or charcoal, Congolese and Zimbabwean participants self-reported commonly consuming clay during pregnancy, and at times also when not pregnant. Despite having heard public health messaging that discouraged the practice, participants largely did not describe this consumption in terms of health, but rather in terms of craving and habit. Participants described continued consumption of clay in South Africa, and the only reason for ceasing consumption was in cases of severe constipation.Discussion: The widespread consumption of clay soil by Congolese and Zimbabwean women during pregnancy may be a mechanism through which identity was reasserted and reproduced in a foreign country. Participants' emphasis on clay consumption seemed related to the absence or expense of other craved foods, and perhaps also to feelings of loss in Cape Town. [ABSTRACT FROM AUTHOR]

PAH bioaccessibility in contaminated soil was determined using the organic physiologically based extraction test with the inclusion of a sorption sink. Silicone cord was incorporated into the assay in order to overcome the limited capacity of the in vitro medium to accommodate desorbable PAHs. Initially, silicone cord sorption efficacy was determined by assessing sorption kinetics using PAH-spiked sand (phenanthrene, pyrene and benzo[a]pyrene; 10–1000 mg kg −1 ). Irrespective of PAH and concentration, >95% of the initial PAH mass partitioned into the silicone cord within 12 h although rates were lower at higher concentration and with increasing hydrophobicity. When PAH bioaccessibility was assessed in contaminated soil ( n =18), contamination source (i.e. pyrogenic versus petrogenic) influenced PAH bioaccessibility. Individual PAH bioaccessibility ranged up to 81.7±2.7% although mean values ranged from 2.1 (acenaphthalene) to 20.8% (benzo[k]fluoranthene) with upper 95% confidence intervals of the means of 4.5 and 28.3% respectively. Although a PAH in vivo–in vitro correlation is yet to be established, bioaccessibility approaches incorporating sorption sinks represent a robust approach for estimating PAH bioavailability as the desorbable fraction may be a conservative measure of the absorbable fraction. [ABSTRACT FROM AUTHOR]

Human toxocarosis is an important zoonosis caused by larvae of Toxocara canis/cati . The objective was to evaluate the role of IgG anti- Toxocara antibody detection and the specific IgG avidity in diagnostics of human toxocarosis. Anti- Toxocara IgG antibodies and IgG avidity were evaluated by excretory-secretory (ES)-enzyme-linked immunosorbent assay (ELISA). The IgG anti- Toxocara seroprevalence in people (n = 7678) from western Slovakia was 15.3% and found to be highest in the oldest age groups. The presence of low- IgG avidity in 179 suspected patients for toxocarosis was evaluated in relation to sex, age, IgG antibody levels, eosinophilia, increased total IgE, domicile, geophagia, dog/cat ownership, anamnesis. Low- IgG avidity index was found in 30.7% of the patients. The low- IgG avidity in eosinophilic group (42.1%) was significantly higher than in non-eosinophilic group (22.0%; P = 0.043). Substantially higher eosinophilia was detected in children (under 10 years old; 55.6%) than in adults (aged ≥ 41 years; 17.6%; P = 0.009). Significant difference between seroprevalence of total IgE in patients coming from towns (48.8%) and patients from villages (21.3%) was established ( P = 0.007). Mild negative correlation ( r = −0.477, P = 0.043) was observed between the amounts of eosinophils and the values of IgG avidity. The sensitivity and specificity of IgG avidity assay were 43.8% and 83.3%, respectively. Our results suggest that besides anti- Toxocara IgG, measurement of IgG avidity may be useful for the determination of acute toxocarosis. Moreover, these tests should be accompanied by other immunological markers and determinants of examined patients such as eosinophilia, increased total IgE and age. [ABSTRACT FROM AUTHOR]

Prenatal lead exposure is a public health concern. Geophagy, the practice of soil eating, is documented for pregnant women of sub-Saharan Africa to treat pregnancy-related malaise. The soils however can contain substantial amounts of lead. In an exploratory study on 48 mother-child pairs in the Democratic Republic of Congo, we found striking site-specific differences in prenatal lead exposure, i.e., higher lead levels at Kisangani than at Isiro. Kisangani women consumed 1/ more often soil during the first trimester of pregnancy as well as 2/ a different type of soil compared to Isiro women (P<0.05). We conclude geophagy may be a potential source of prenatal lead exposure. [ABSTRACT FROM AUTHOR]

Abstract: The present study investigates the possible influence of human activities on metal loadings of topsoil in a typical small rural city in central Greece and the chemical quality of tap water in surrounding villages. Furthermore, the study aimed to examine potential health risks of naturally enriched heavy metals to exposed population taking into account the soil and drinking water as exposure pathways. The mean concentrations of Ni, Cr, Co, Mn, Pb, Cu, Zn and Cd in the soil were 1777, 285, 99, 946, 30, 26, 78 and 0.67mg/kg respectively. Combination of pollution indexes based on local reference background soils and statistical analyses (correlation analysis, cluster analysis and principal component analysis) revealed that anthropogenic activities have not modified the natural soil chemistry at least in a large scale. High Hazard Quotient (HQ) values for children were estimated for Ni, Cr and Co based on total metal concentrations for the soil ingestion route (9.26E−01, 9.75E−01 and 3.45E+00 respectively). However, evaluation of HQs based on published bioaccessible concentrations suggested that the population groups would not likely experience potential health risks as a result of exposure to contaminated soils. Concentrations of Cr(VI) in tap waters were within the allowable limits. However, the risk assessment model revealed that local residents (adults) of Eleonas and Neochori villages are at some carcinogenic risks considering lifetime ingestion of water (potential cancer risks 2.05E−04 and 1.29E−04 respectively). Despite the uncertainties accompanying these procedures and the great deal of debate regarding the human carcinogenicity of Cr(VI) by the oral route, results of this study drive attention to remediation measures that should include epidemiological studies for the local population. [Copyright &y& Elsevier]

Abstract: The aim of this paper is to present a conceptual framework for a systems approach to protect the environment and human health by taking into account differences in the cumulative risks of total human exposure in a territorial context. To this end the measures that are available and that can be included in REACH exposure scenarios in order to obtain territorially relevant chemical safety assessments (CSAs) were explored. The advantage of linking the REACH exposure scenarios with background environmental quality data reported under other national regulations is discussed. The main question is how REACH may be improved to protect the environment and human health inside and outside the EU. This question is exemplified in a comparative case study of two countries, Denmark and Korea, each with its own set of different environmental qualities and national regulations. As a member of the EU Denmark is obliged to adopt REACH, while Korea implemented REACH to improve the competitiveness of Korean industry within the EU market. It is presented how differences in national regulations and environmental qualities in these two countries affect background human exposure concentrations. Choosing lead as a model compound, the territorial differences in background exposure to endocrine and neurological interfering stressors were modelled. It is concluded that the different territorial soil and air lead pollution levels contribute differently to the total childhood lead exposure in the two countries. As such, the probability of the total exposure from air and soil exceeding 10% of the provisional Total Daily Intake (PTDI) is estimated to be 55.3% in Denmark and 8.2% in Korea. The relative contribution from air inhalation and soil ingestion to childhood lead exposure is estimated to be 1–99% in Denmark while it is 83–17% in Korea. [Copyright &y& Elsevier]

Abstract: Incidental soil ingestion is expected to be a significant exposure route to arsenic for children because of the potentially high arsenic contents found in certain soils. Therefore, it is prudent to get information on oral bioaccessibility of arsenic following incidental soil ingestion and its relevance in health risk assessment for future remediation strategies. Soil samples were collected from eight villages of Ambagarh Chauki block, Chhattisgarh, Central India. The soils from seven villages had total arsenic content more than the background level of 10mgkg−1 (ranged from 16 to 417mgkg−1), whereas the total arsenic content of soil from Hauditola was 7mgkg−1. Bioaccessible arsenic assessed by the simplified bioaccessibility extraction test (SBET) ranged from 5.7 to 46.3%. Arsenic bioaccessibility was significantly influenced by clay content (R 2=0.53, p<0.05, n=8), TOC (R 2=0.50, p<0.05, n=8), Fe content (R 2=0.47, p<0.05, n=8) and soil pH (R 2=0.75, p<0.01, n=8). Risk assessment of the study sites showed that hazard index of arsenic under incidental soil ingestion was below 1 in all the study sites, except Kaudikasa. However, carcinogenic risk probability for arsenic to children from the villages Meregaon, Thailitola, Joratarai and Kaudikasa was below acceptable level (<1×10−4), suggesting potential health risk for children from these sites could not be overlooked. With high carcinogenic risk value (3.8E−05) and HI index (>1) for arsenic in soils of Kaudikasa, attention should be paid for development of remediation measure. [Copyright &y& Elsevier]

In this study the Impact Pathway Approach (IPA) was used to calculate the external costs associated with indirect exposure, via topsoil ingestion, to atmospheric emissions of lead (Pb) from a waste-to-energy plant in Denmark. Three metal-specific models were combined to quantify the atmospheric dispersion of lead, its deposition and accumulation in topsoil, and the increase in blood lead concentration for children resulting from lead intake via topsoil ingestion. The neurotoxic impact of lead on children was estimated using a lead-specific concentration-response function that measures impaired cognitive development in terms of IQ points lost per each incremental μg/dl of lead in blood. Since IQ loss during childhood can be associated with a percent decrease in expected lifetime earnings, the monetary value of such an impact can be quantified and the external costs per kg of lead emitted from the plant were then calculated. The costs of indirect exposure calculated over a time horizon of 100 years, for the sub-population of children of 0–3 years, and discounted at 3%, were in the range of 15–30 €/kg. Despite the continued accumulation of lead in topsoil resulting in increasing future indirect exposure, the results indicate that costs associated with this exposure pathway are of the same order of magnitude as costs associated with direct exposure via inhalation, calculated at 45–91 €/kg. Moreover, when the monetary value of future impacts is discounted to the present, the differences between the two exposure pathways are diminished. Finally, setting a short time horizon reduces the uncertainties but excludes part of the costs of indirect exposure from the assessment. [Copyright &y& Elsevier]

Abstract: Arsenic is a carcinogenic metalloid and the risks of accidental ingestion should therefore be borne in mind when assessing areas with high levels of this element. In this work, the concentrations of bioaccessible As in mining-influenced soils, in SE Spain are determined. The risk posed by the accidental ingestion is studied in two soil fractions (<2mm and <250μm), taking into consideration the possible uses of the soils (residential/agricultural) and possible receptors (adults and/or children). The properties and mineralogical composition of 26 soil samples are analysed. The results showed that the use of a conservative approach to calculate the Chemical Daily Intake (CDI) based on the total concentrations of arsenic, may overestimate the risk existing in the zone, leading to problems in the management of contaminated soils. The paper emphasises the importance of considering the amount of bioaccessible As in the <250μm fraction before permitting land near temporary watercourses to be used for residential purposes, as beaches or for agriculture. [Copyright &y& Elsevier]

Abstract: Gastrointestinal (GI) symptoms, the primary acute effect of the essential micronutrient copper, paradoxically occur at lower exposure levels than hepatotoxicity, the primary chronic effect. We developed a remedial action criterion (RAC) for copper to protect against GI symptoms, which primarily relate to the stomach copper concentration, and subside within an hour. Using Monte Carlo methods, we generated a distribution of RACs protective against GI symptoms for a 1h exposure (hourly RACs) based on soil ingestion rate, volume of liquid and food in the stomach, and bioaccessibility. We then generated a distribution of daily RACs, selected as the minimum hourly RAC for each day over a year, constrained by total daily soil ingestion. Next, we identified a percentile of the distribution of daily RACs, and associated RAC, that would result in a high probability of having a minimal number of GI symptom episodes per year. Our analysis indicates that a copper concentration of 3600mg/kg would result in a 95% probability of having fewer than five episodes of GI symptoms per year, for a child ingesting outdoor soil 180days per year. Children residing near copper smelters are most likely to experience GI symptoms from ingestion of copper in soil. [Copyright &y& Elsevier]

Abstract: The relatively few soil ingestion studies that have been conducted to date to support soil ingestion rate values used for contaminated site human health risk assessments (HHRAs) typically have measured mass balance elemental tracers (e.g., Al, Si, Ba, Ce, Mn, Ti, V, Zr), found in soil to estimate soil ingestion. This pilot study, involving a canine subject fed a known amount of tracer on a daily basis, assessed the use of alternative mass balance tracers, specifically naturally occurring radionuclides of the 238U and 232Th decay series, to estimate soil ingestion. A novel method of estimating soil ingestion via difference in isotopic ratios between the two decay series in food and soil was also assessed. The results of the study showed that the mean 214Pb and 212Pb activities measured in fecal samples were greater than what was contained in the soil inoculant, suggesting that the tracers were not being significantly absorbed in the GI tract. The mean daily soil ingestion rates, calculated after subtracting the contribution of tracers in the soil inoculant, were 3.9gd−1 (standard deviation 3.6gd−1) for the isotope tracers, and 1.9g−1 (standard deviation 2.1gd−1) for the 3 most reliable elemental tracers. The differences were not statistically significant and further evaluation of isotopic tracers for soil ingestion studies is warranted. Similarly, soil ingestion estimates calculated using the Isotope Ratio Method were not significantly different than when calculated using 212Pb; however, the Isotope Ratio Method was observed to positively bias the soil ingestion estimates by approximately 50%. [Copyright &y& Elsevier]

Abstract: Trace amounts of polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs) and polychlorinated biphenyls (PCBs) are ubiquitous in the environment. Because of industrial activity, other human activities, and accidents, higher concentrations of these chemicals may be present in soil, in residential and recreational areas. Human uptake of these chemicals from such soils has been assumed by regulators, and people contacting such soils may be concerned about potential adverse health effects. Accordingly, clean up levels have been set by state and federal agencies. Whether and to what extent humans actually take up these chemicals from soil is the focus of this review. Since humans are also exposed to PCDD/Fs and PCBs in food and air, their concentrations in these media are presented. We find that their presence in soils is unlikely to increase human body burdens. [Copyright &y& Elsevier]

[Display omitted] • Red soils from Hormoz used to flavour food were analysed for microplastics (MP). • Fibres of various polymer types were detected in all samples up to 0.1 MP g−1. • Geophagy is a route of MP ingestion for humans and animals. • The significance and impacts of this route require further study. Microplastics (MPs) are ubiquitous and pervasive contaminants whose impacts on human health are unclear but are gaining interest in the scientific literature. Human exposure to MPs may arise through inhalation and ingestion, with research into the latter route focusing on foodstuffs and beverages contaminated from the environment or during processing and preparation. What has not been considered thus far, however, is MP exposure through geophagy, or the cultural, culinary or compulsive ingestion of contaminated soil and dirt. In this study, soils from the island of Hormoz, Iran, and spices prepared from these soils were analysed for MP contamination. Fibres of polyethylene terephthalate, nylon, polystyrene or polypropylene were detected in the soils and a composite spice derived from packaged products, with the MP concentration greatest in the latter sample (0.1 MP g−1). Although typical consumption of this material results in MP exposure that is lower than that arising from the dietary consumption of fish and bottled water, for example, geophagy more generally may represent a significant means of exposure for humans and animals that deliberately ingest geosolids. [ABSTRACT FROM AUTHOR]

Geophagy, the craving and intentional consumption of soil, is common especially among pregnant women in some low- and middle-income settings. Soils may contain a variety of non-nutritive components such as heavy metals and microbes or substances that interfere with gastrointestinal absorptive processes, posing health risks to pregnant women. Several hypotheses regarding the practice have been proposed but very few have examined the role of maternal stress. The practice of geophagy may help to alleviate stress or anxiety during gestation from perceived dietary or other pregnancy-related concerns. In this study, we evaluated several measures of maternal stress (general anxiety, Pregnancy-Related Anxiety Scores (10-item revised), and Perceived Stress Scores) and other covariates in relation to geophagic behaviour in early pregnancy in 227 women (12-19 weeks gestation) recruited from two hospitals in the Nyamagana district of Mwanza City, Tanzania. Geophagy was reported by 24.7% of the pregnant women. Using LASSO regression, self-reported treatment of nausea or vomiting during pregnancy (adjusted OR = 3.12, 95%CI: 1.43 to 6.83), paternal education level (adjusted OR = 2.79, 95%CI: 1.32 to 5.87 for primary or lower education level), antenatal hospital site (adjusted OR = 3.71, 95%CI: 1.78 to 7.75), prescription drug use prior to pregnancy (adjusted OR = 1.76, 95%CI: 0.87 to 3.56) and general anxiety (feeling worried, tense or anxious in the past four weeks) (adjusted OR = 1.81, 95%CI: 0.88 to 3.72) were associated with geophagic behaviour. Given that relatively little has been done to examine geophagy in relation to the public health risk it may pose to pregnant women, these findings suggest the need for further investigations regarding maternal stress. [ABSTRACT FROM AUTHOR]