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Bioaccumulation potential of persistent organic chemicals in humans.

A model was used to explore the influence of physicalchemical properties on the potential of organic chemicals to bioaccumulate in humans. ACC-HUMAN, a model of organic chemical bioaccumulation through the agricultural and aquatic food chains to humans, was linked to a level I unit world model of chemical fate in the physical environment and parametrized for conditions in southern Sweden. Hypothetical, fully persistent chemicals with varying physical-chemical properties were distributed in the environment, and their bioaccumulation to humans was calculated. The results were evaluated using the environmental bioaccumulation potential (EBAP), defined as the quotient of the chemical quantity in a human divided by the quantity of chemical in the whole environment. Since the latter is closely related to emissions, EBAP is potentially a more useful tool for comparative risk assessment of chemicals than currently used medium-specific measures such as the fish-water bioaccumulation factor. A high environmental bioaccumulation potential, defined as > 10% of the maximum EBAP, was found for chemicals with 2 < log KOW < 11 and 6 < log KOA < 12. While these chemical partitioning properties clearly influenced bioaccumulation at each trophic level, these effects tended to equalize over the food web. The fact that the transfer from the environment as a whole to humans was quite uniform over a large chemical partitioning space suggests that these partitioning properties are relatively unimportant determinants of human exposure compared to other factors such as the substance's persistence in the environment and in the food web.

Agriculture↗

Methodologies for assessing exposure to metals: speciation, bioavailability of metals, and ecological host factors.

Host factors play a role in the bioavailability of metals, making it critical to understand their nature and how to measure them, as well as how to measure bioavailability with respect to host factors. The host factors that are critical to consider during all phases of bioavailability studies are age, gender, size, genetic characteristics, behavior (food chain considerations), and interactions between all of them. Some of these vulnerabilities are unique to individuals, populations, species, or communities. There are many interactions between and among metals, the species of metals, and the physical environment (pH, salinity). Some factors enhance uptake and absorption, whereas others moderate it. Moreover, some metals have greater effects on invertebrate organisms, whereas other metals (or species thereof) affect vertebrates more strongly. Fish and wildlife are useful as sentinel species and bioindicators because they can help us understand the risk to the organisms themselves, to the ecosystem, and to humans.

Animals↗

[Toxicity of dioxins in humans].

Dioxins are produced as pollutants in industrial production processes and during incineration (e.g. of waste). Thanks to their highly lipophilic nature and long half-life in fat tissue, they accumulate in the food chain. One of the most important initial steps in the toxicity of dioxins is the activation of a cytosol receptor. This induces the production of a number of proteins, including cytochrome P450 CYP1A1. Our knowledge about the effects of dioxins in humans is based primarily on long-term epidemiological studies of people who were exposed to high concentrations of dioxins, either occupationally or as the result of an accident. The best known and most definitely established effect of exposure to dioxins is chloracne. Whether there is a relation between exposure to dioxins and other diseases, such as cancer, is uncertain.

Animals↗

Changes in mercury and cadmium concentrations and the feeding behaviour of beluga (Delphinapterus leucas) near Somerset Island, Canada, during the 20th century.

Beluga (Delphinapterus leucas) continues to be an important food species for Arctic communities, despite concerns about its high mercury (Hg) content. We investigated whether Hg and cadmium (Cd) concentrations had changed during the 20th century in beluga near Somerset Island in the central Canadian Arctic, using well-preserved teeth collected from historical sites (dating to the late 19th century and 1926-1947) and during subsistence hunts in the late 1990s. Mercury concentrations in both historical and modern teeth were correlated with animal age, but 1990s beluga exhibited a significantly more rapid accumulation with age than late 19th century animals, indicating that Hg concentrations or bioavailability in their food chain had increased during the last century. The geometric mean tooth Hg concentration in modern 30 year old animals was 7.7 times higher than in the late 19th century, which corresponds to threefold higher concentrations in muktuk and muscle. Teeth from 1926 to 1947 were similar in Hg content to the late 19th century, suggesting that the increase had occurred sometime after the 1940s. In contrast, tooth Cd was not correlated with animal age and decreased during the last 100 years, indicating that anthropogenic Cd was negligible in this population. Late 19th century beluga displayed a greater range of prey selection (tooth delta15N values: 15.6-20.5 per thousand) than modern animals (delta15N: 17.2-21.1 per thousand). To prevent this difference from confounding the temporal Hg comparison, the Hg-age relationships discussed above were based on historical animals, which overlapped isotopically with the modern group. Tooth delta13C also changed to isotopically more depleted values in modern animals, with the most likely explanation being a significant shift to more pelagic-based feeding. Industrial Hg pollution is a plausible explanation for the recent Hg increase. However, without further investigation of the relationship between the range exploitation of modern beluga and their possible exposure to regional marine food chains with (naturally) higher Hg contents than their historical counterparts, we cannot unequivocally conclude that the increase was anthropogenically driven.

Animals↗

Costs and practicability of clean feeding of dairy cattle during radioactive contamination of grasslands.

Both the farm-specific and regional costs of clean feeding as a countermeasure to reduce ingestion of contaminated grass when there is insufficient supply of other types of roughage were estimated for dairy farming in Finland in the first year after contamination. The cost estimation considered expenditures and revenues associated with milk production and were calculated using farm models developed for economic planning. A hypothetical contamination scenario was designed using RODOS models for atmospheric dispersion and transfer in terrestrial food chains. Costs for intervention after two similar hypothetical atmospheric dispersion and deposition scenarios in early June and in July were estimated. As a reference, the cost of complete replacement of fodder throughout the area was also calculated. Feed substitution costs were higher in June than in July, due to the availability of some harvested silage in the later scenario. In the first case, the additional costs of clean feeding amounted to one-fifth of the normal production costs. Effective advisory/support services, available to farmers, can substantially improve the implementation of countermeasures. However, high costs and insufficient sources of clean feed would restrict the use of clean feeding as the sole countermeasure after serious contamination during the growing season.

Agriculture↗

Absence of cadmium excretion and high assimilation result in cadmium biomagnification in a wolf spider.

Cd biomagnification in the terrestrial food chain appears to be dependent on the physiological properties of the organisms rather than on their trophic level. Although high Cd body burdens in spiders from the field have been reported many times, experimental verification of the key factors that determine the rate of cadmium accumulation is lacking. We investigated the cadmium assimilation rate in the common wolf spider Pirata piraticus fed with contaminated fruit flies. Spiders were fed for 42 days with contaminated flies, followed by a detoxicification period of 28 days. Every 14 days, a subsample of spiders and flies was taken for Cd determination. It was demonstrated that a high cadmium assimilation (69.5%) and an excretion rate approaching zero resulted in high Cd concentration factors. The results indicate the importance of spiders in cadmium biomagnification along critical pathways.

Animals↗

Health risk assessment of PCDD/F emissions from a hazardous and medical waste incinerator in Turkey.

A multimedia risk assessment procedure was conducted to determine the fate and transport of polychlorinated dibenzo-p-dioxin and polychlorinated dibenzofuran (PCDD/F) emissions from the Izmit Hazardous and Medical Waste Incinerator (IZAYDAS) in Turkey and their potential health risks. Congener concentrations in ambient air and their deposition rates were determined by an air dispersion model (ISCST3). Their transfer to some plant groups and animal tissues was predicted by food chain modeling. Exposure scenarios were produced based on three receptor groups (urban, semiurban, and rural) and five subgroups determined according to ages. Daily intakes of PCDD/Fs via exposure pathways were determined based on three different emission scenarios for each group and subgroup. Estimated incremental PCDD/F doses caused by the incinerator emissions in central-tendency scenario were computed as between 2.31 x 10(-6) and 0.008 pg TEQ kg(-1) bodyweight (bw) day(-1) on average for all the receptors other than infants in all the settings, while the range was 3.01 x 10(-5)-0.081 pg TEQ kg(-1) bw day(-1) for infants. Sensitivity analysis showed that the consumption of vegetal products and their locally grown fractions are the most significant parameters in the exposure to PCDD/Fs in the area.

Adolescent↗

Contaminant-induced immunotoxicity in harbour seals: wildlife at risk?

Persistent, lipophilic polyhalogenated aromatic hydrocarbons (PHAHs) accumulate readily in the aquatic food chain and are found in high concentrations in seals and other marine mammals. Recent mass mortalities among several marine mammal populations have been attributed to infection by morbilliviruses, but a contributing role for immunotoxic PHAHs, including the polychlorinated biphenyls (PCBs), polychlorinated dibenzo-p-dioxins (PCDDs), and polychlorinated dibenzofurans (PCDFs) was not ruled out. We addressed this issue by carrying out a semi-field study in which captive harbour seals were fed herring from either the relatively uncontaminated Atlantic Ocean or the contaminated Baltic Sea for 2 years. We present here an overview of results obtained during this study. An impairment of natural killer (NK) cell activity, in vitro T-lymphocyte function, antigen-specific in vitro lymphocyte proliferative responses, and in vivo delayed-type hypersensitivity and antibody responses to ovalbumin was observed in the seals fed the contaminated Baltic herring. Additional feeding studies in PVG rats using the same herring batches suggested that an effect at the level of the thymus may be responsible for changes in cellular immunity, that virus-specific immune responses may be impaired, and that perinatal exposure to environmental contaminants represents a greater immunotoxic threat than exposure as a juvenile or adult. Together with the pattern of TCDD toxic equivalents of different PHAHs in the herring, these data indicate that present levels of PCBs in the aquatic food chain are immunotoxic to mammals. A review of contaminant levels in free-ranging harbour seals inhabiting polluted areas of Europe and North America suggests that many populations may be at risk to immunotoxicity. This could result in diminished host resistance and an increased incidence and severity of infectious disease.

Animals↗

Use of field-based stable isotope probing to identify adapted populations and track carbon flow through a phenol-degrading soil microbial community.

The goal of this field study was to provide insight into three distinct populations of microorganisms involved in in situ metabolism of phenol. Our approach measured 13CO2 respired from [13C]phenol and stable isotope probing (SIP) of soil DNA at an agricultural field site. Traditionally, SIP-based investigations have been subject to the uncertainties posed by carbon cross-feeding. By altering our field-based, substrate-dosing methodologies, experiments were designed to look beyond primary degraders to detect trophically related populations in the food chain. Using gas chromatography-mass spectrometry (GC/MS), it was shown that (13)C-labeled biomass, derived from primary phenol degraders in soil, was a suitable growth substrate for other members of the soil microbial community. Next, three dosing regimes were designed to examine active members of the microbial community involved in phenol metabolism in situ: (i) 1 dose of [13C]phenol, (ii) 11 daily doses of unlabeled phenol followed by 1 dose of [13C]phenol, and (iii) 12 daily doses of [13C]phenol. GC/MS analysis demonstrated that prior exposure to phenol boosted 13CO2 evolution by a factor of 10. Furthermore, imaging of 13C-treated soil using secondary ion mass spectrometry (SIMS) verified that individual bacteria incorporated 13C into their biomass. PCR amplification and 16S rRNA gene sequencing of 13C-labeled soil DNA from the 3 dosing regimes revealed three distinct clone libraries: (i) unenriched, primary phenol degraders were most diverse, consisting of alpha-, beta-, and gamma-proteobacteria and high-G+C-content gram-positive bacteria, (ii) enriched primary phenol degraders were dominated by members of the genera Kocuria and Staphylococcus, and (iii) trophically related (carbon cross-feeders) were dominated by members of the genus Pseudomonas. These data show that SIP has the potential to document population shifts caused by substrate preexposure and to follow the flow of carbon through terrestrial microbial food chains.

Alphaproteobacteria↗

Culture free DGGE and cloning based monitoring of changes in bacterial communities of salad due to processing.

To assess the possibilities of a culture-independent monitoring of bacterial communities in the food chain, samples of salad from farming sites as well as corresponding, processed products in stores were analysed. The bacterial DNA was extracted using a modified soil extraction protocol. Amplification of 16S rDNA was carried out using primers specific for eubacteria and enterobacteriaceae. Fingerprints of 200/370 bp respectively were obtained by denaturing gradient gel electrophoresis (DGGE) analysis following PCR and nested PCR amplification. In parallel to DGGE analysis, clone libraries containing PCR fragments of the ribosomal gene were constructed and clones were screened by DGGE. DGGE analysis indicated a high diversity of bacterial communities in salad samples. Fingerprints indicated clearly reduced diversity of bacterial communities in processed samples from markets compared to field-grown salads. Surprisingly, primers pointed out in literature as specific for enterobacteriaceae did amplify pseudomonadeceae as well. Therefore, the more specific primers fD2 and rP1 were used subsequently in this study to amplify specific members of the family enterobacteriaceae. A total of 11 different 16S rDNA sequences were obtained and subjected to sequencing and phylogenetic affiliation. Sequences derived from the eubacterial clone library from organically farmed salad were affiliated to the family microbacteriaceae and pseudomonadaceae. In addition, a potential new genus within the family of enterobacteriaceae was detected. Furthermore, a sequence showing 98.9% similarity to Pseudomonas libaniensis (fluorescence subgroup) was found in a processed salad sample but not in the corresponding field samples. This species is generally known as an opportunistic pathogen. Whereas molecular based monitoring of bacterial communities in food still may need more experience and standardisation to detect specific bacteria present, the monitoring strategy presented in this paper, combining DGGE analysis with the construction of clone libraries, is an attractive method for culture-independent monitoring of changes of bacterial communities in the food chain.

Cloning, Molecular↗

Sewage sludge as a source of cadmium in soil-plant-animal systems.

The objective of this presentation is to relate the abundance and mobility of Cd in components of terrestrial ecosystems with implications for land utilization of sewage sludge. The uptake of Cd by crop plants is a function of the quantity of the element in the soil plus other soil factors affecting the Cd ion activity or electrochemical potential at the plant root surface. The natural abundance of Cd in soils has been reported as 0.5 mug/g which is higher than the background level of 0.2 mug/g found in soils studied in Pennsylvania. Experimental results indicate that the plant availability of Cd increases with each soil addition. While the plant availability of Cd is decreased by liming to increase soil pH, it has not been possible to add Cd salts or sewage sludge Cd without significantly increasing plant uptake. Field studies have shown that land application of sewage sludge can be expected to increase the Cd concentration of corn leaves from a range of 0.05-0.1 mug/g to 1-3 mug/g. Two years after the last application of sludge which added up to 10 ppm Cd to the surface soil, corn grain, sorghum grain, wheat grain, and potatoes showed a 10- to 15-fold increase in Cd over background levels. Studies were conducted with chicks, laying hens, and meadow voles (Microtus Pennsylvanias) to assess the impact of this increase in plant Cd upon the food chain. Corn and sorghum plants were grown on soils with either inorganic or sludge fertilizer for the purpose of producing herbage for use in feeding trials with meadow voles. Eight diets and a synthetic control diet were formulated to study the effect of source (plant vs. inorganic) of Cd on tissue accumulation. Significant accumulation of Cd occurred in kidney and liver, but not muscle, of voles fed diets containing sludge fertilized corn (1.09 mug/g) or sludge fertilized sorghum (2.76 mug/g). The source of Cd had little influence on tissue accumulation. In studies with broiler chicks and laying hens, natural diets containing 0.2 ppm Cd were supplemented with 3 ppm of this element. As with the meadow voles, Cd readily accumulated in liver and kidney. Although the results were not statistically significant, 3 ppm dietary Cd doubled muscle Cd content. There was no transfer of Cd to egg in a long term (12 month) experiment with laying hens. Soil management programs have been developed to maintain animal dietary levels of Cd at less than 1.0 mug/g from the use of sewage sludge on land in Pennsylvania. However, it is concluded that this level over time may cause a significant accumulation of Cd in animal tissues. Interpretation of these results in relation to those for human intake of Cd and the long range health effects of Cd is required for the proper monitoring of sewage sludge applications on land used for production of crops which enter the food chain.

Animals↗

Cadmium uptake by plants.

Food chain contamination by cadmium (Cd) is the most important pathway of Cd exposure to the general population, excluding smokers. Factors affecting transfer of Cd from soil and air to plants are reviewed. The direct deposition of airborne Cd in the plants has only a marginal influence on the crop Cd concentrations in rural areas with low atmospheric Cd deposition, i.e. < 2 g Cd ha(-1) y(-1). However, the indirect evidence is presented, predicting that airborne Cd may be the major source of crop Cd and dietary Cd in conditions where atmospheric Cd deposition is well above 10 g Cd ha(-1) y(-1). This situation may occur around pyrometallurgic smelters with high Cd emissions. The absorption of Cd by plant roots is more influenced by soil factors, controlling Cd bioavailability than by total soil Cd. Elevated soil-plant Cd transfer is observed in soils with chloride salinity, in zinc deficient soils and acid soils.

Absorption↗

Perfluorinated contaminants in sediments and aquatic organisms collected from shallow water and tidal flat areas of the Ariake Sea, Japan: environmental fate of perfluorooctane sulfonate in aquatic ecosystems.

Perfluorinated compounds (PFCs), such as perfluorooctane sulfonate (PFOS), perfluorooctanoate (PFOA), perfluorononanoate (PFNA), perfluorohexane sulfonate (PFHS), and perfluorooctane sulfonamide (PFOSA) are widely distributed in aquatic ecosystems. Despite studies reporting the occurrence of PFCs in aquatic organisms, the fate of PFCs in tidal flat and marine coastal ecosystems is not known. In this study, we determined concentrations of PFOS, PFOA, PFNA, PFHS, and PFOSA in sediments; benthic organisms, including lugworm, mussel, crab, clam, oyster, and mudskipper fish from tidal flat; and shallow water species, such as filefish, bream, flounder, shark, finless porpoise, gull, and mallard collected from the Ariake Sea, Japan. PFOS and PFOA were detected in most of the samples analyzed, followed by PFNA, PFOSA, and PFHS. In shallow water species, PFOS was the dominant contaminant, and elevated concentrations were found in higher trophic level species, such as marine mammals and omnivorous birds. These results suggest biomagnification of PFOS through the coastal food chain. In contrast, PFOA was the most abundant compound in tidal flat organisms and sediments. PFOA concentrations in sediments, lugworms, and omnivorous mudskippers in tidal flat were approximately 1 order of magnitude greater than the levels of PFOS. This indicates differences in exposure pattern and bioavailability of PFOS and PFOA between shallow water and tidal flat organisms. The accumulation profiles of PFCs were compared with those of organochlorines (polychlorinated biphenyls, PCB), organotin (tributyltin,TBT), and polycyclic aromatic hydrocarbons (PAHs) in tidal flat and shallow water samples collected from the Ariake Sea. Concentrations of PFCs in sediments and in tidal flat organisms were significantly lower than that found for PCBs, TBT, and PAHs. Nevertheless, PFOS concentrations in shallow water species were comparable to and/or significantly greater than those of other classes of contaminants. This implies that the aqueous phase is a major sink for PFCs, which is different from what was observed for nonpolar organic pollutants.

Alkanesulfonic Acids↗

Managing lead exposure and toxicity in cow-calf herds to minimize the potential for food residues.

Lead poisoning is commonly diagnosed in cattle. In this study, 3 groups of cattle from different herds accidentally exposed to discarded lead batteries on pasture were intensively studied to determine the extent and severity of exposure. The losses from acute death due to lead toxicity were substantial in all the 3 study groups at 12%, 17%, and 4%. Blood samples were taken from all cattle around the time of the first diagnosis and then later in 2 of the 3 herds to monitor the change in lead concentrations over time. Asymptomatic lead toxicosis was observed in these herds. In these 3 groups, between 4% and 12% of asymptomatic cattle had blood lead concentrations consistent with acute lead poisoning (> 0.35 ppm), and between 7% and 40% of these asymptomatic animals were in the high-normal range (0.1-0.35 ppm). Because of the consistently high number of asymptomatic cattle with elevated lead levels, all cattle potentially exposed to a lead source should be tested before sale or slaughter to minimize the entry of lead into the food chain. The blood lead concentrations, which were monitored for months after the initial diagnosis, decreased slowly after the cattle were removed from the lead source. The prolonged retention of lead may be due to continued release and absorption of lead from metal particles in the reticulum or rumen. The mean reduction in the lead level was 0.046 ppm (95% CI, 0.017-0.075 ppm) every 30 days for these 2 herds. Using a single-component exponential model, the half-life of lead in the animals retested from Herds 1 and 2 was highly variable. The median half-life was 63 days (interquartile range, 34-107 days). One out of 8 pregnant heifers with high blood levels had a stillborn calf. There were no abortions or calf mortalities in this group. Blood samples were'collected from the calves around the time of birth. The concentrations of lead in the blood of the calves exposed in utero were low (0.010-0.095 ppm).

Abattoirs↗

A mechanism for slow release of biomagnified cyanobacterial neurotoxins and neurodegenerative disease in Guam.

As root symbionts of cycad trees, cyanobacteria of the genus Nostoc produce beta-methylamino-l-alanine (BMAA), a neurotoxic nonprotein amino acid. The biomagnification of BMAA through the Guam ecosystem fits a classic triangle of increasing concentrations of toxic compounds up the food chain. However, because BMAA is polar and nonlipophilic, a mechanism for its biomagnification through increasing trophic levels has been unclear. We report that BMAA occurs not only as a free amino acid in the Guam ecosystem but also can be released from a bound form by acid hydrolysis. After first removing free amino acids from tissue samples of various trophic levels (cyanobacteria, root symbioses, cycad seeds, cycad flour, flying foxes eaten by the Chamorro people, and brain tissues of Chamorros who died from amyotrophic lateral sclerosis/Parkinsonism dementia complex), we then hydrolyzed the remaining fraction and found BMAA concentrations increased 10- to 240-fold. This bound form of BMAA may function as an endogenous neurotoxic reservoir, accumulating and being transported between trophic levels and subsequently being released during digestion and protein metabolism. Within brain tissues, the endogenous neurotoxic reservoir can slowly release free BMAA, thereby causing incipient and recurrent neurological damage over years or even decades, which may explain the observed long latency period for neurological disease onset among the Chamorro people. The presence of BMAA in brain tissues from Canadian patients who died of Alzheimer's disease suggests that exposure to cyanobacterial neurotoxins occurs outside of Guam.

Amino Acids, Diamino↗

Ecotoxicological responses of the mayfly Baetis tricaudatus to dietary and waterborne cadmium: implications for toxicity testing.

Trace metals readily accumulated by stream periphyton may enter aquatic food chains through grazer ingestion. Hence, experiments were conducted to determine the ecotoxicological responses of the grazing mayfly Baetis tricaudatus to dietary cadmium. Short-term feeding experiments indicated that B. tricaudatus nymphs did not initially avoid grazing on cadmium-contaminated diatom mats. During a partial life-cycle experiment, 4 and 10 microg/g of dietary cadmium significantly inhibited grazing, whereas 10 microg/g significantly inhibited growth. Feeding inhibition was the likely mechanism that inhibited growth (i.e., through reduced energy intake). Conversely, when exposed to waterborne cadmium using lethal toxicity test procedures, B. tricaudatus nymphs were relatively tolerant (96-h median lethal concentration, 1,611 microg/L). Thus, sublethal responses to dietary exposure appeared to be more sensitive than lethal responses to waterborne exposure. Because adult mayfly fecundity is a function of nymph size at emergence, dietary cadmium exposure could increase the extinction probability within mayfly populations. The present study highlights the importance of dietary exposure routes in determining the ecotoxicological responses of an organism to a contaminant. Furthermore, the findings emphasize the advantage of evaluating a combination of ecologically relevant, lethal and sublethal endpoints in laboratory methods used to generate data for ecological risk assessment and regulation.

Animals↗

A multistate outbreak of Escherichia coli O157:H7-associated bloody diarrhea and hemolytic uremic syndrome from hamburgers. The Washington experience.

OBJECTIVE: To determine the source of and describe a large outbreak of Escherichia coli O157:H7 infections in Washington State. DESIGN: Case-control study; environmental investigation; provider-based surveillance for E coli O157:H7 infections. SETTING: Chain of fast-food restaurants, hospitals, physician offices, local laboratories, and local health departments. PARTICIPANTS: Patients with diarrhea and neighborhood controls. A case was defined as diarrhea with culture-confirmed E coli O157:H7 infection or postdiarrheal hemolytic uremic syndrome (HUS) occurring from December 1, 1992, through February 28, 1993, in a Washington State resident. Controls were age- and neighborhood-matched friends of the first 16 case patients. INTERVENTIONS: Announcement to the public; recall of implicated hamburger lots. MAIN OUTCOME MEASURE: Abatement of outbreak due to E coli O157:H7. RESULTS: Infection was associated with eating at a fast-food chain (chain A) in the 10 days before symptoms began. Twelve (75%) of 16 case patients but no controls had eaten at chain A (matched odds ratio undefined; lower 95% confidence interval, 3.5; P < .001). In total, 501 cases were reported, including 151 hospitalizations (31%), 45 cases of HUS (9%), and three deaths. Forty-eight patients (10%) had secondary infections. Of the remaining 453 patients (90%), 398 (86%) reported eating at a Washington chain A restaurant; 92% of them reported eating a regular hamburger. The pulsed-field gel electrophoresis pattern of the E coli O157:H7 strains isolated from all regular hamburger lots of a single production date shipped to Washington was identical to that of the strains isolated from patients. Ten (63%) of 16 regular hamburgers cooked according to chain A policy had internal temperatures below 60 degrees C. Public health action removed more than 250,000 potentially contaminated hamburgers, preventing an estimated 800 cases. CONCLUSIONS: This E coli O157:H7 outbreak, the largest reported, resulted from errors in meat processing and cooking. Public health surveillance through state-mandated reporting of E coli O157:H7 infection as is carried out in Washington State was critical for prompt outbreak recognition and control. Measures should be developed to reduce meat contamination. Consumers and food service workers should be educated about cooking hamburger meat thoroughly.

Adolescent↗

Maternal contamination with dichlorodiphenyltrichloroethane and reproductive outcomes in an Australian population.

Persistent organochlorine pesticides, such as dichlorodiphenyltrichloroethane (DDT), are lipophilic environmental pollutants which accumulate in the food chain. These chemicals have long half-lives and can be detected in human milk, serum, and some other tissues. These chemicals have recently been under scrutiny for their possible health hazards such as cancer and reproductive outcomes including low birth weight. The aim of our study was to investigate whether mothers with a higher contamination of pesticides were different from mothers with low contamination in relation to their offspring's birth outcomes such as birth weight, small for gestation age, prematurity, head circumference, sex ratio, and previous miscarriage or still birth. We used data collected as part of a cross-sectional study of organochlorines in breast milk. This study did not show any association between low birth weight or small for gestation age and organochlorine contamination when comparing the higher to the low exposure group. Weak, significant correlations (-0.1) were detected between low birth weight and contamination levels of dichlorodiphenyldichloroethylene (DDE) only in female offspring. There was a decrease in the percentage of female offspring for all chemicals in the high-contamination group. The baby's head circumference increased as the mother's contamination increased but the adjusted difference in means was not significant. We did not see any association between either miscarriage or stillbirth in the mother's previous pregnancies or prematurity of the first live (recent) baby when comparing the higher to the low exposure mothers. The organochlorines DDT and DDE were not found to be associated with adverse birth outcomes in contaminated mothers in the range of contamination of our population (<7.5 mg/kg lipid in maternal milk), although there is weak evidence that sex ratio may be affected.

Abortion, Spontaneous↗