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The structure of variation and its influence on the estimation of status: indicators of condition of lakes in the Northeast, U.S.A.

One goal of regional-scale sample surveys is to estimate the status of a resource of interest from a statistically drawn representative sample of that resource. An expression of status is the frequency distribution of indicator scores capturing variability of attributes of interest. However, extraneous variability interferes with the status description by introducing bias into the frequency distributions. To examine this issue, we used data from a regional survey of lakes in the Northeast U.S. collected by the U.S. Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP). We employ a components of variance model to identify sources of extraneous variance pertinent to status descriptions of physical, chemical, and biological attributes of the population of lakes in the NE. We summarize the relative magnitude of four components of variance (lake-to-lake, year, interaction, and residual) for each indicator and illustrate how extraneous variance biases the status descriptions. We describe a procedure that removes this bias from the status descriptions to produce unbiased estimates and introduce a novel method for estimating the 'cost' of removing the bias (expressed as either increased sampling uncertainty or additional samples needed to achieve the target precision in the absence of bias). We compare the relative magnitude of the four variance components across the array of indicators, finding in general that conservative chemical indicators are least affected by extraneous variance, followed by some nonconservative indicators, with nutrient indicators most affected by extraneous variance. Intermediate were trophic condition indicators (including sediment diatoms), fish species richness and individuals indicators, and zooplankton taxa richness and individuals indicators. We found no clear patterns in the relative magnitude of variance components as a function of several methods of aggregating fish and zooplankton indicators (e.g., level of taxonomy, or species richness vs. numbers of individuals).

Analysis of Variance↗

A more cost-effective EMAP benthic macrofaunal sampling protocol.

Benthic macrofaunal sampling protocols in the U.S. Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) are to collect 30 to 50 random benthic macrofauna [defined as animals retained on a 0.5 mm (East and Gulf Coasts, USA) or a 1.0 mm mesh sieve (West Coast, USA)] samples per reporting unit using a 0.044 m(2) (East and Gulf Coasts) or 0.1 m(2) (West Coast) grab. Benthic macrofaunal community conditions in the reporting unit are characterized by cumulative distribution functions (CDFs) on end points of interest, such as number of species (S), abundance (A), and Shannon-Wiener diversity (H'). An EMAP and a companion field study were conducted concurrently in Tillamook Bay (Oregon, USA) to compare the cost effectiveness of benthic macrofauna samples collected using the EMAP West Coast (0.1 m(2) x >or=7 cm deep, 1.0 mm mesh), a 0.01 m(2) x 5 cm deep, 1.0 mm mesh, and a 0.01 m(2) x 5 cm deep, 0.5 mm mesh sampling protocol. Cost was estimated in relative laboratory sample-processing time. Sampling protocols were judged equally effective for EMAP purposes if, after linear transformation to adjust for scale changes in end point distributions, their S, A, and H' CDFs were not significantly different. The 0.01 m(2) x 5 cm deep, 1.0 mm mesh sampling protocol was the most cost effective.

Animals↗

The influence of human activity patterns on personal PM exposure: a comparative analysis of filter-based and continuous particle measurements.

Particulate matter (PM) exposure data from the U.S. Environmental Protection Agency (EPA)-sponsored 1998 Baltimore and 1999 Fresno PM exposure studies were analyzed to identify important microenvironments and activities that may lead to increased particle exposure for select elderly (>65 years old) subjects. Integrated 24-hr filter-based PM2.5 or PM10 mass measurements [using Personal Environmental Monitors (PEMs)] included personal measurements, indoor and outdoor residential measurements, and measurements at a central indoor site and a community monitoring site. A subset of the participants in each study wore passive nephelometers that continuously measured (1-min averaging time) particles ranging in size from 0.1 to approximately 10 microm. Significant activities and locations were identified by a statistical mixed model (p < 0.01) for each study population based on the measured PM2.5 or PM10 mass and time activity data. Elevated PM concentrations were associated with traveling (car or bus), commercial locations (store, office, mall, etc.), restaurants, and working. The modeled results were compared to continuous PM concentrations determined by the nephelometers while participants were in these locations. Overall, the nephelometer data agreed within 6% of the modeled PM2.5 results for the Baltimore participants and within approximately 20% for the Fresno participants (variability was due to zero drift associated with the nephelometer). The nephelometer did not agree as well with the PM10 mass measurements, most likely because the nephelometer optimally responds to fine particles (0.3-2 microm). Approximately one-half (54 +/- 31%; mean +/- standard deviation from both studies) of the average daily PM2.5 exposure occurred inside residences, where the participants spent an average of 83 +/- 10% of their time. These data also showed that a significant portion of PM2.5 exposure occurred in locations where participants spent only 4-13% of their time.

Activities of Daily Living↗

Environmental and biological monitoring of exposure to ethylenebisdithiocarbamate fungicides and ethylenethiourea.

Exposure of workers to ethylenebisdithiocarbamates (EBDCs; maneb or mancozeb) in 29 potato farms was evaluated during the control of potato late blight. Concentrations of EBDCs and ethylenethiourea (ETU), an impurity and degradation product in EBDC formulations, in ambient air were evaluated during pesticide application. Biological monitoring of exposure to EBDCs was carried out by measuring the concentrations of ETU, a metabolite of EBDCs, in urine for 22 days after the end of the exposure. The estimated inhaled doses of ETU and EBDCs during the average four hour application period were 0.07 and 1.8 micrograms/kg, respectively. Only 1-10% of ETU on the clothes reached the skin. The creatinine corrected concentrations of ETU in urine were 0.1-2.5 micrograms/mmol creatinine 24 hours after exposure ended. The estimated half life for eliminating ETU through the kidneys was close to 100 hours. These results indicate that the measurement of ETU in urine is suitable for biological monitoring of exposure to EBDCs.

Agriculture↗

Determination of airborne polycyclic aromatic hydrocarbons at an airport by gas chromatography-mass spectrometry and evaluation of occupational exposure.

The aim of this study was to determine airborne polycyclic aromatic hydrocarbons (PAHs) and biphenyl at an airport by gas chromatography-mass spectrometry and to evaluate occupational exposure by environmental monitoring. A total of 12 samplings were carried out in three areas: (1) a handling area where baggage was unloaded manually from vehicles onto conveyor belts (n=5); (2) the runway with plane and motor vehicle traffic (n=5) and (3) a departure lounge (n=2). PAHs levels were in most cases low. The higher levels found refer to naphthalene (130-13,050 ng/m3) and to its methyl-substitutes 2-methylnaphthalene (64-28,500 ng/m3) and 1-methylnaphthalene (24-35,300 ng/m3), and biphenyl (24-1610 ng/m3). A method was used to quantify twenty-four airborne PAHs, and biphenyl, and to detect a variety of other chemical compounds by means of the deconvolution program AMDIS. After sampling air on quartz filter and PUF and XAD-2 sorbents; extraction with dichloromethane, and concentration and purification on silica cartridges, analyses were carried out by gas chromatography-ion trap mass spectrometry. We used 20 deuterated PAHs to quantify both the 24 native PAHs and biphenyl. The native substances had been subdivided into small groups and in this way, their volatility was adequately reflected by the D-PAH present in each group. The limit of detection was 0.1 ng/m3 for all the PAHs, and a linear range of at least about three-fold the maximum level studied (naphthalene) was obtained both for D-PAHs and the native PAHs. A good recovery pattern was obtained for D-PAHs on quartz filters, PUF and XAD-2.

Air Pollutants↗

Polycyclic aromatic hydrocarbons inside and outside of apartments in an urban area.

In the context of environmental monitoring in Berlin polycyclic aromatic hydrocarbon (PAH) concentrations in air and household dust were measured inside 123 residences (and simultaneously in a sub group in the air outside the windows). The aim of this study was to determine exposure to PAHs in the environment influencing by several factors, for instance, motor vehicle traffic in a populous urban area. Indoor air samplings were carried out in two periods (winter and spring/summer) in smokers and non-smokers apartments. Benzo(a)pyrene (BaP) median values were 0.65 ng m(-3) (winter) and 0.27 ng m(-3) (spring/summer) in smokers' apartments and 0.25 ng m(-3) (winter) and 0.09 ng m(-3) (spring/summer) in the apartments of non-smokers. The median BaP content in ambient air was 0.10 ng m(-3) (maximum: 1.1 ng/m(-3)) with an indoor-outdoor mean concentration ratio of 0.9 in non-smoker households and 5.4 in smoker apartments. In household dust we obtained median values of 0.3 mg kg(-1) (range: 0.1-1.4 mg kg(-1)). We found a significant relation between indoor and outdoor values. Approximately 75% of the variance of indoor air values was caused by the corresponding BaP concentrations in the air outside the apartment windows. Otherwise a significant correlation between indoor air and household dust values cannot be found. Therefore, according to our results, it is suggested that the indoor PAH concentration in non-smoker apartments could be attributed mainly to vehicular emissions.

Air Pollutants↗

Residential indoor air contamination by screen printing plants.

The presence of organic solvents was investigated by means of environmental monitoring of the indoor air during one workweek in each of ten selected small screen printing plants and the houses surrounding them in the inner city of Amsterdam. In the indoor air of the screen printing plants, 14 to 17 organic solvents were identified. The concentrations of the identified organic solvents varied widely from sampling location and period. In the indoor air of the houses situated above the plants, zero to fifteen organic solvents were identified. The concentration of organic solvents in the indoor air of the houses situated above was related to the type of construction materials. The highest concentrations were found in the houses situated above moderately maintained screen printing plants with wooden floors and ceilings (n = 5). The concentration of organic solvents in the indoor air of the houses situated above well maintained screen printing plants with wooden floors and ceilings (n = 3) was much smaller, while the plants situated in concrete new buildings (n = 2) were not a source of organic solvents. The calculated effect specific exposure index (EI), assuming an additive effect and based on the effect specific limit values (ESLVs) for two critical effects [irritation mucous membranes and (pre) narcotic effects] exceeded unity in one workroom in two of the screen printing plants. The calculated EIs for the residents of the houses on the first floor, based on the same ESLVs, but adjusted to potential continuous exposure and interindividual differences in susceptibility, did not exceed unity. However, episodes of irritation of mucous membranes and (pre) narcotic effects may occur.

Air↗

Development and evaluation of a Macroinvertebrate Biotic Integrity Index (MBII) for regionally assessing Mid-Atlantic Highlands Streams.

The Macroinvertebrate Biotic Integrity Index (MBII) was developed from data collected at 574 wadeable stream reaches in the Mid-Atlantic Highlands region (MAHR) by the U.S. Environmental Protection Agency's (USEPA) Environmental Monitoring and Assessment Program (EMAP). Over 100 candidate metrics were evaluated for range, precision, responsiveness to various disturbances, relationship to catchment area, and redundancy. Seven metrics were selected, representing taxa richness (Ephemeroptera richness, Plecoptera richness, Trichoptera richness), assemblage composition (percent non-insect individuals, percent 5 dominant taxa), pollution tolerance [Macroinvertebrate Tolerance Index (MTI)], and one functional feeding group (collector-filterer richness). We scored metrics and summed them, then ranked the resulting index through use of independently evaluated reference stream reaches. Although sites were classified into lowland and upland ecoregional groups, we did not need to develop separate scoring criteria for each ecoregional group. We were able to use the same metrics for pool and riffle composite samples, but we had to score them differently. Using the EMAP probability design, we inferred the results, with known confidence bounds, to the 167,797 kilometers of wadeable streams in the Mid-Atlantic Highlands. We classified 17% of the target stream length in the MAHR as good, 57% as fair, and 26% as poor. Pool-dominated reaches were relatively rare in the MAHR, and the usefulness of the MBII was more difficult to assess in these reaches. The process used for developing the MBII is widely applicable and resulted in an index effective in evaluating region-wide conditions and distinguishing good and impaired reaches among both upland and lowland streams dominated by riffle habitat.

Animals↗

Effects of industrial outfalls on tropical macrobenthic sediment communities in Reunion Island (Southwest Indian Ocean).

Temporal changes in the composition of soft bottom macrobenthic assemblages at Reunion Island (Southwest Indian Ocean) were studied in the context of a long-term environmental monitoring programme studying the impacts of effluents of industrial sugar cane refineries that are transferred to shallow and deep coastal environments by different pathways: surface discharge and deep underground injection. Seven stations (between 20 and 160 m depth) were surveyed between 1994 and 2003 on the industrial zone. One additional station was surveyed on a reference site. Spatio-temporal changes in the composition of macrobenthic communities were assessed using several diversity indices, ABC curves, MDS and associated ANOSIM tests and biotic indices. Among the 171 taxa recorded, polychaetes were dominant (89 species), followed by crustaceans and molluscs. The analysis of spatial changes in the composition of macrobenthos showed the existence of distinct benthic communities along the depth gradient. Temporal changes in macrobenthos composition were most prominent at the shallowest station. They mainly corresponded to the decline of several initially dominant taxa and the increase of the Eunicid polychaete Diopatra cuprea. This station further showed increasing macrofaunal abundance, biomass and sediment organic content over time, concomitant with decreasing sediment grain sizes. In deeper environments, temporal changes were much smaller. Macrofaunal abundance and species richness increased progressively, suggesting a moderate impact on benthic ecosystems resulting from slight enrichments due to effluents rich in organic matter. Our results highlight an original response to disturbance pattern involving opportunistic Eunicidae species (D. cuprea) not previously described. Moreover, they allow for the comparison of the impact on macrofauna caused by industrial effluents exported by two distinct and different pathways in a tropical coastal high-energy marine environment.

Analysis of Variance↗

Incidence of stress in benthic communities along the U.S. Atlantic and Gulf of Mexico coasts within different ranges of sediment contamination from chemical mixtures.

Synoptic data on concentrations of sediment-associated chemical contaminants and benthic macroinfaunal community structure were collected from 1,389 stations in estuaries along the U.S. Atlantic and Gulf of Mexico coasts as part of the nationwide Environmental Monitoring and Assessment Program (EMAP). These data were used to develop an empirical framework for evaluating risks of benthic community-level effects within different ranges of sediment contamination from mixtures of multiple chemicals present at varying concentrations. Sediment contamination was expressed as the mean ratio of individual chemical concentrations relative to corresponding sediment quality guidelines (SQGs), including Effects Range-Median (ERM) and Probable Effects Level (PEL) values. Benthic condition was assessed using diagnostic, multi-metric indices developed for each of three EMAP provinces (Virginian, Carolinian, and Louisianian). Cumulative percentages of stations with a degraded benthic community were plotted against ascending values of the mean ERM and PEL quotients. Based on the observed relationships, mean SQG quotients were divided into four ranges corresponding to either a low, moderate, high, or very high incidence of degraded benthic condition. Results showed that condition of the ambient benthic community provides a reliable and sensitive indicator for evaluating the biological significance of sediment-associated stressors. Mean SQG quotients marking the beginning of the contaminant range associated with the highest incidence of benthic impacts (73-100% of samples, depending on the province and type of SQG) were well below those linked to high risks of sediment toxicity as determined by short-term toxicity tests with single species. Measures of the ambient benthic community reflect the sensitivities of multiple species and life stages to persistent exposures under actual field conditions. Similar results were obtained with preliminary data from the west coast (Puget Sound).

Animals↗

Dust exposure indices and lung function changes in longshoremen and dock workers.

A group of Dutch harbor workers involved in loading and unloading bulk products from sea vessels such as coal, cokes, and some other products like alumina, borax, phosphate ore, and vermiculite was studied. Exposures were characterized by personal and environmental monitoring. This information was subsequently used to estimate several dust exposure indices and to study relationships with lung function variables and respiratory symptoms. Average respirable dust exposure levels ranged from 0.3-4.0 mg/m3. Workers involved in unloading products from sea vessels were exposed to the highest dust levels. Supervisors and workers with tasks in the dock had an intermediate to low exposure. Office workers had the lowest exposure to respirable dust. Inhalable dust levels were considerably higher and average exposures ranged from 0.3-80 mg/m3. The ranking of occupational titles by inhalable dust exposure was almost identical to the rank order of respirable dust levels. Workers with higher current and cumulative dust exposures tended to have a lower lung function, and only shortness of breath had a statistically significant relationship with current and cumulative inhalable dust exposure. In general, relationships between lung function and inhalable dust levels tended to be somewhat stronger in terms of statistical significance, because inhalable dust is an estimate of dust deposition in the upper airways and lung function is a measurable parameter of airway obstruction in that region. However, the differences with respirable dust were minimal, and variability in dust exposure levels was extremely large for this population. It was concluded that harbor workers involved in unloading ships containing coal and various kinds of ore can be exposed to high dust levels. Relationships between dust exposure and lung function illustrate that these exposures are a respiratory hazard. Our finding that inhalable dust levels have a somewhat stronger relationship with lung function level than respirable dust levels deserves further attention.

Adult↗

Determination of airborne isocyanates generated during the thermal degradation of car paint in body repair shops.

Polyurethanes are widely used in car paint formulations. During thermal degradation, such polymeric systems can generate powerful asthmatic sensitizing agents named isocyanates. In body repair shops, the thermal degradation of car paint can occur during abrasive processes that generate enough heat to involve release of isocyanates in air. An environmental monitoring study was performed in two body repair training schools and in a body repair shop to evaluate the workers' exposure to isocyanates during cutting, grinding and orbital sanding operations. For sampling, cassettes containing two 1-(2-methoxyphenyl)piperazine (MOPIP)-coated glass fiber filters (MFs) ( approximately 5 mg of MOPIP per filter) and bubblers containing 15 ml of MOPIP solution in toluene (1.0 mg ml(-1)) backed at the outlet with cassettes containing two MFs were used. Tandem mass spectrometry was used to analyze the MOPIP derivatives of isocyanic acid (HNCO), all the linear aliphatic isocyanates ranging from methyl isocyanate (Me-i) to hexyl isocyanate, all the alkenyl isocyanates ranging from propylene isocyanate to hexylene isocyanate, 1,6-hexamethylene diisocyanate (HDI), trans- and cis-isophorone diisocyanate (IPDI), 2,4- and 2,6-toluene diisocyanate (TDI), 2,4'-; 2,2'- and 4,4'-methylenediphenyl diisocyanate (MDI), phenyl isocyanate (Ph-i) and p-toluene isocyanate (p-Tol-i). The instrumental detection limits (LOD) were in the 0.13-0.75 microg of NCO per m(3) range for 15 l air samples converted into 3 ml liquid samples. The isocyanate concentrations detected in the workers' breathing zone were in the 1.07-9.80 microg of NCO per m(3) range for cutting, 0.63-3.62 microg of NCO per m(3) range for grinding and 0-1.29 microg of NCO per m(3) range for sanding. However, a rapid decrease of the isocyanate concentration was observed while moving away from the emission source. Among the isocyanates detected the most abundant were the monomers (MDI, HDI, TDI and IPDI) and Me-i.

Air Pollutants, Occupational↗

Locational differences in heavy metals and metalloids in Pacific Blue Mussels Mytilus [edulis] trossulus from Adak Island in the Aleutian Chain, Alaska.

Increasingly there is a need to implement biomonitoring plans that can be sustained cost-effectively, focusing on single widespread (or closely-related species) in different parts of the world to detect exposure, potential damage to the organisms themselves, and risk to their consumers, including humans. Blue Mussels (Mytilus edulis and its relatives) have been widely used for environmental monitoring. One successful program that has achieved great coverage in time and space is "Mussel Watch", and related programs exist in several regions. In this paper we use the Pacific Blue Mussel Mytilus [edulis] trossulus collected from five locations on Adak Island in the Aleutian Chain to examine five heavy metals and two metalloids, to test for locational differences as a function of anthropogenic activities, and to consider potential human health risks. Until the late 1990s Adak hosted a large U.S. military base, with multiple areas of contamination, some of which have been remediated. In June 2004 we identified four presumably human-impacted sites and a presumed unimpacted reference site, the latter on Clam Lagoon Beach, about 3 km from former military activity. No single site had the highest level of more than two metals, and the reference site had the highest levels of chromium and manganese. We subsequently found historic records of a former landfill within 1 km of the reference site. All of the locational differences were less than an order of magnitude, the greatest difference between the highest and lowest values being 4.5 times for lead. The highest correlations were between mercury and arsenic, mercury and lead, arsenic and lead, and chromium and manganese. Shell length was a better indicator of metals' levels than soft body weight, but the relationships were weak. There was no significant correlation between body size or weight with arsenic, lead, or selenium levels. There is substantial comparative data on these metals in mussels. Our results from Adak are generally within the range of mean values reported in the literature, except for the consistently elevated levels of chromium.

Alaska↗

QUASIMEME laboratory performance study of the biological effects of tributyltin (imposex and intersex) on two marine gastropod molluscs.

The disruption of the endocrine systems of gastropod molluscs and consequential physiological changes (imposex and intersex) are used as biomarkers for environmental contamination by tributyltin compounds. The first international laboratory performance study on the determination of imposex and intersex in neogastropod molluscs, Nucella lapillus and Littorina littorea has been undertaken by the QUASIMEME (Quality Assurance of Information for Marine Environmental Monitoring in Europe) project. Samples of live gastropods were distributed and participants were asked to record shell height and sex, together with penis length and vas deferens sequence stage (VDS) in Nucella or the intersex stage (IS) and prostate length in Littorina. Calculations were made of vas deferens sequence index (VDSI) and the relative penis size index (RPSI) in Nucella and of intersex stage index (ISI) and the average female prostate length (FPrL) in Littorina. Thirteen (87%) of the 15 participating laboratories returned data. The remaining two laboratories asked to participate in later exercises. For Nucella, seven laboratories reported sex ratios significantly different from the reference laboratory data. Differences in penis length measurements between laboratories were largely random, although there were indications of systematic errors affecting the data from three laboratories. Seven laboratories reported satisfactory data (Z-score magnitude of Z < 2) for VDSI. The inclusion of a high proportion of sub-adults in the Nucella samples may have made separation of the sexes more difficult than in mature adults. The sub-adults will have had smaller pene than mature adults in the same population, and therefore any errors (random or systematic) in the measurement of penis length or observation of reproductive organs would have a potentially greater impact on the final reported values of the summary imposex indices. The Littorina sample did not show a high degree of intersex (ISI = 0.41). The laboratories could determine the sex of Littorina reliably and only one laboratory reported data significantly different from the reference laboratory. All except two laboratories reported satisfactory data for ISI.

Animals↗

Biomonitoring of genotoxic exposure among stainless steel welders.

A biosurvey in the Danish metal industry measured the genotoxic exposure from stainless steel welding. The study comprised measurements of chromosomal aberrations (CA), sister-chromatid exchanges (SCE), unscheduled DNA synthesis (UDS) in peripheral lymphocytes and serum immunoglobulin G. Environmental monitoring of welding fumes and selected metal oxides, biomonitoring of chromium and nickel in serum and urine and mutagenic activity in urine, and evaluation of semen quality were also done. Manual metal arc (MMA) welding and tungsten inert gas (TIG) welding were the dominant welding processes. A higher frequency of chromosomal aberrations, classified as translocations, double minutes, exchanges and rings, was observed in stainless steel welders than in non-welders. SCE was lower in welders working with both MMA and TIG welding than in reference persons. N-Acetoxy-N-acetylaminofluorene (NA-AAF)-induced UDS was lower in 23 never-smoking welders than in 19 unexposed never-smokers. Smoking was a confounding factor resulting in significantly higher CA, SCE, NA-AAF binding to DNA and mutagenic activity in urine. Age was also a confounder: CA, SCE, NA-AAF binding to DNA and UDS increased significantly with age. No significant correlation between SCE and CA or between CA and UDS was found. UDS decreased significantly with increasing lymphocyte count and a higher lymphocyte count was seen in MMA welders than in reference persons and in smokers than in non-smokers. Differences in the composition among lymphocytes in exposed persons compared with non-exposed are suggested. MMA welding gave the highest exposure to chromium, an increased number of chromosomal aberrations and a decrease in SCE when compared with TIG welding. Consequently improvements in the occupational practice of stainless steel welding with MMA is recommended.

Acetoxyacetylaminofluorene↗

Environmental and health monitoring in Lithuanian cities: exposure to heavy metals and benz(a)pyrene in Vilnius and Siauliai residents.

The Environmental and Health Monitoring program in the large cities of Lithuania is aimed at the evaluation of the population health status in terms of chemically induced diseases. During the 1991 to 1995 period, this program was carried out in two Lithuanian cities, Vilnius, the capital of the country, and Siauliai. Data on the chemical pollution of ambient air, soil, and drinking water and the morbidity were mapped. Risk zones of environmental pathology threat were defined within each city on the basis of the mapped data. Subsequently, chemical pollutants, namely, heavy metals and benz(a)pyrene, were determined in the biomedia of selected population groups in the risk zones. Exposure analysis of heavy metals (Pb, Cd, Ni, Cr, Cu, Zn) and benz(a)pyrene was carried out for standardized groups of children and pregnant women in the risk zones and in a relatively safe (control) zone. The evaluation of exposure to heavy metals was based on the levels found in blood, urine, and hair. Benz(a)pyrene was tested in urine samples. The obtained data are applied in the process of environmental health monitoring in the large cities of Lithuania.

Ambulatory Care Facilities↗

Colorectal cancer and environmental pollution.

Monitoring of personal exposure of population from environmental pollution is a very complicated process. There are many different pollutants in environment in very low concentrations and their distribution is non-homogenous. To measure these pollutants is not often feasible or possible due to technical problems. On the other side these can influence the health status of inhabitants by the way of a long time exposition by low doses. In our work we studied an incidence of the cancer of colon and rectum in rural area of Trnava district during the years 1986-1995. These are the most frequent types of cancer in our district-13.4%, incidence rate is 27.5 per 100,000 inhabitants. The standardised incidence ratio (observed/expected cases) were calculated for all villages, including statistical parameters. The population in this small area (1390 km2) is relatively stabile from point of view of migration and nutritional habits. The urban area consisting from five towns was excluded from analysis because the life style and nutritional habits of people living in towns and villages are different. These suppositions enabled to concentrate our attention to the study of environmental factors which can influence development of the colorectal cancer. The SIR's were correlated with time of public drinking water supply, surface water quality, location of waste dumps, and time of gas heating using as kind of house heating. Positive and statistically significant correlation's were found between SIR of the colorectal cancer and waste dump location for females and weaker for surface water and SIR for males. Statistically significant elevation of SIR both for males and females were found in one village. Ecological design of study did not allow to study confounders, yet served enough information for preparation of analytical studies and public health decision-making process on local level.

Colorectal Neoplasms↗