Globally, millions of people who rely on groundwater for potable purposes and agriculture have been inadvertently exposed to toxic arsenic (As) because of its natural occurrence in groundwater in several countries of Asia, Europe and America. While the presence of As in groundwater and its impacts on human health have been documented in many countries, there is little information on As contamination in Pakistan. This review highlights, for the first time, the extent and severity of As-induced problems in Pakistan based on relevant published papers; discusses possible sources of As contamination of aquifers; and estimates As-induced potential health hazards in the country in relation to global data. Data from 43 studies (>9882 groundwater samples) were used to describe As variability in groundwater of Pakistan and for comparison with global data. The mean groundwater As content reported in these studies was 120 μg/L (range: 0.1–2090 μg/L; SD: ±307). About 73% of the values for mean As contents in the 43 studies were higher than the World Health Organization (WHO) permissible limit (10 μg/L) for drinking water, while 41% were higher than the permissible limit of As in Pakistan (50 μg/L). It was observed that groundwater samples in some areas of Punjab and Sindh provinces contained high As concentrations which were almost equal to concentrations reported in the most contaminated areas of the world. We predicted that the mean values of ADD, HQ and CR were 4.4 μg kg⁻¹day⁻¹ (range: 0–77 μg kg⁻¹day⁻¹), 14.7 (range: 0–256) and 0.0029 (range: 0–0.0512), respectively, based on mean As concentrations reported in Pakistan. In addition, this article proposes some integrated sustainable solutions and future perspectives keeping in view the regional and global context, as well as the on-ground reality of the population drinking As-contaminated water, planning issues, awareness among civil society and role of the government bodies. Based on available data, it is predicted that almost 47 million people in Pakistan are residing in areas where more than 50% of groundwater wells contain As concentrations above the WHO recommended limit of As in drinking water.

Solid fuels, an important source of severe Household Air Pollution (HAP) linked to many adverse health outcomes, has been widely consumed around the world. China consumes large amounts of solid fuels and suffers from serious indoor and outdoor air pollution. Though global HAP issues had been reviewed in previous literatures, peer-reviewed Chinese publications were seldom included in those reviews. We conducted a literature review on the studies of HAP and personal exposure in rural China with inputs from peer-reviewed publications in both English and Chinese. A total of 36,572 articles were retrieved, 294 were read in full text, of which 92 were included in final data extraction and in-depth analysis. Although HAP is a very serious issue in China, studies on either HAP or personal exposure assessment were very limited. From existing studies, levels of air pollutants including carbon monoxide, sulfur dioxide, particulate matter (PM), organic carbon, elemental carbon, polycyclic aromatic hydrocarbons (PAHs), etc., in indoor and ambient air were analyzed for their temporal and spatial variations, and the differences across different fuel types were compared. The studies showed that PM and PAHs levels in most rural homes exceeded the World Health Organization (WHO) and Chinese National Standards, especially during the heating season in northern China. Replacing traditional fuels with cleaner ones (such as liquid petroleum gas (LPG), biogas or electricity) was considered as the most appropriate way to mitigate HAP. The daily exposure to PM and PAHs from using LPG, biogas or electricity was considerably lower than that from using traditional solid fuels. However, the level was still higher than the guideline values for PM and PAHs set by WHO to protect human health. To achieve a more effective control, the current data gap need to be closed and suggestions for future research were discussed in this review.

Exposure to ambient air pollution has been linked with adverse health outcomes of the circulatory and nervous systems. Given that falls are closely related to circulatory and nervous health, we hypothesize that air pollution may adversely affect fall-related injury. We employed Wave 1 data from 36,662 participants aged ≥50 years in WHO's Study on Global AGEing and Adult Health in six low- and middle-income countries. Ambient annual concentration of PM2.5 was estimated using satellite data. A three-level logistic regression model was applied to examine the long-term association between ambient PM2.5 and the prevalence of fall-related injury, and associated disease burden, as well as the potential effect modification of consumption of fruit and vegetables. Ambient PM2.5 was found to be significantly associated with the risk of fall-related injury. Each 10 μg/m3 increase corresponded to 18% (OR = 1.18, 95% CI: 1.09, 1.28) increase in fall-related injury after adjusting for various covariates. The association was relatively stronger among participants with lower consumption of fruit (OR = 1.22, 95% CI: 1.12, 1.33) than higher consumption (OR = 1.06, 95% CI: 0.92, 1.23), and among those with lower vegetable consumption (OR = 1.18, 95% CI: 1.08, 1.28) than higher consumption (OR = 1.08, 95% CI: 0.91, 1.27). Our study suggests that ambient PM2.5 may be one risk factor for fall-related injury and that higher consumption of fruit and vegetables could alleviate this effect.

Metal concentrations (As, Cd, Pb, Cr, Ba, Co, Ni, Cu, and Zn) in conventional and organic produce were assessed, specifically, five most-consumed vegetables from the US including potato, lettuce, tomato, carrot and onion. They were from four representative supermarkets in a college town in Florida. All vegetables contained detectable metals, while As, Cd, Pb, Cr, and Ba are toxic metals, Co, Ni, Cu, and Zn are nutrients for humans. The mean concentrations of As, Cd, Pb, Cr and Ba in five vegetables were 7.86, 9.17, 12.1, 44.8 and 410 μg/kg for organic produce, slightly lower than conventional produce at 7.29, 15.3, 17.9, 46.3 and 423 μg/kg. The mean concentrations of Co, Ni, Cu, and Zn in five vegetables were 3.86, 58.5, 632, and 2528 μg/kg for organic produce, comparable to conventional produce at 5.94, 68.2, 577, and 2354 μg/kg. For toxic metals, the order followed tomato < lettuce < onion < carrot < potato, with root vegetables being the highest. All metals in vegetables were lower than the allowable concentrations by FAO/WHO. Health risks associated with vegetable consumption based on daily intake and non-carcinogenic risk based on hazard quotient were lower than allowable limits. For the five most-consumed vegetables in the US, metal contents in conventional produce were slightly greater than organic produce, especially for Cd and Pb.

Multiple cross-sectional studies indicated an association between hypertension and road traffic noise and they were recently synthetized in a WHO systematic evidence review. However, recent years have seen a growing body of high-quality, large-scale research, which is missing from the WHO review. Therefore, we aimed to close that gap by conducting an updated systematic review and meta-analysis on the exposure-response relationship between residential road traffic noise and the risk of hypertension in adults. Studies were identified by searching MEDLINE, EMBASE, the Internet, conference proceedings, reference lists, and expert archives in English, Russian, and Spanish through August 5, 2017. The risk of bias for each extracted estimate and the overall quality of evidence were evaluated using a list of predefined safeguards against bias related to different study characteristics and the Grading of Recommendations Assessment, Development and Evaluation system, respectively. The inverse variance heterogeneity (IVhet) model was used for meta-analysis. The possibility of publication bias was evaluated by funnel and Doi plots, and asymmetry in these was tested with Egger's test and the Luis Furuya-Kanamori index, respectively. Sensitivity analyses included leave-one-out meta-analysis, subgroup meta-analysis with meta-regressions, and non-linear exposure-response meta-analysis. Based on seven cohort and two case-control studies (n = 5 514 555; 14 estimates; Lden range ≈ 25–90 dB(A)), we found “low” evidence of RR per 10 dB(A) = 1.018 (95% CI: 0.984, 1.053), moderate heterogeneity (I2 = 46%), and no publication bias. In the subgroup of cohort studies, we found “moderate” evidence of RR per 10 dB(A) = 1.018 (95% CI: 0.987, 1.049), I2 = 31%, and no publication bias. In conclusion, residential road traffic noise was associated with higher risk of hypertension in adults, but the risk was lower than previously reported in the systematic review literature.

In this work, magnesium ferrite (MgFe₂O₄) nano-platelets with rich defects and abundant surface hydroxyl groups were synthesized, and used for the removal of low concentration As(V) in aqueous solution. Results from scanning electron microscopy (SEM) showed that the as-synthesized MgFe₂O₄ nano-platelets were consisted of many individual nanospheres. Rietveld refinement of X-ray diffraction (XRD) data indicated that the Mg²⁺ ions substituted the Fe³⁺ ions at both the octahedral and the tetrahedral sites of the crystal structure. Batch adsorption experiment showed that the equilibrium concentration of As(V) could be reduced down to 4.9 μg·L⁻¹ when the initial concentration of As(V) is 1 mg·L⁻¹, which complied with the drinking water standard of WHO (10 μg·L⁻¹). The adsorption capacity of synthesized MgFe₂O₄ towards As(V) was higher than commonly used iron oxide adsorbents (Fe₃O₄, γ-Fe₂O₃ and α-Fe₂O₃). Mechanistic studies proved that the superior adsorption capacity was attributed to: (1) increased amount of surface hydroxyl groups that resulted from the surface defects. (2) formation of tridentate hexanuclear surface complexes instead of bidentate binuclear complexes, and (3) formation of excess Mg-OH surface hydroxyl groups and As-Mg monodentate mononuclear surface complexes. This work disclosed the correlation of the superior As(V) adsorption ability with the surface hydroxyl groups in defective MgFe₂O₄, and propose MgFe₂O₄ as a potential candidate for the remediation of As-contaminated water.

While increasing evidence suggested that PM₂.₅ is the most harmful fraction of the particle pollutants, the health effects of coarse particles (PM₁₀–₂.₅) have been inconclusive, especially on cerebrovascular diseases, we thus evaluated the effects of PM₁₀, PM₂.₅, and PM₁₀–₂.₅ on stroke mortality in six Chinese subtropical cities using generalized additive models. We also conducted random-effects meta-analyses to estimate the overall effects across the six cities. We found that PM₁₀, PM₂.₅, and PM₁₀₋₂.₅ were significantly associated with stroke mortality. Each 10 μg/m³ increase of PM₁₀, PM₂.₅ and PM₁₀₋₂.₅ (lag03) was associated with an increase of 1.88% (95% CI: 1.37%, 2.39%), 3.07% (95% CI: 2.35%, 3.79%), and 5.72% (95% CI: 3.82%, 7.65%) in overall stroke mortality. Using the World Health Organization's guideline as reference concentration, we estimated that 3.21% (95% CI: 1.65%, 3.01%) of stroke mortality (corresponding to 1743 stroke mortalities, 95% CI: 896, 1633) were attributed to PM₁₀, 5.57% (95% CI: 0.50%, 1.23%) stroke mortality (3019, 95% CI: 2286, 3777) were attributed to PM₂.₅, and 2.02% (95% CI: 1.85%, 3.08%) of stroke mortality (1097, 95% CI: 1005, 1673) could be attributed to PM₁₀₋₂.₅. Our analysis indicates that both PM₂.₅ and PM₁₀₋₂.₅ are important risk factors of stroke mortality and should be considered in the prevention and control of stroke in the study area.

Air pollution remains a major global public health and environmental issue. We assessed the levels of PM₂.₅ and delineated the major sources in Makkah, Saudi Arabia. Fine particulate matter (PM₂.₅) sampling was performed from February 26, 2014–January 27, 2015 in four cycles/seasons. Samples were analyzed for black carbon (BC) and trace elements (TEs). PM₂.₅ source apportionment was performed by computing enrichment factors (EFs) and positive matrix factorization (PMF). Backward-in time trajectories were used to assess the long-range transport. Significant seasonal variations in PM₂.₅ were observed, Spring: 113 ± 67.1, Summer: 88.3 ± 36.4, Fall: 67.8 ± 24, and Winter: 67.6 ± 36.9 μg m⁻³. The 24-h PM₂.₅ exceeded the WHO (25 μg m⁻³) and Saudi Arabia's (35 μg m⁻³) guidelines, with an air quality index (AQI) of “unhealthy to hazardous” to human health. Most delta–C computations were below zero, indicating minor contributions from bio-mass burning. TEs were primarily Si, Ca, Fe, Al, S, K and Mg, suggesting major contributions from soil (Si, Ca, Fe, Al, Mg), and industrial and vehicular emissions (S, Ca, Al, Fe, K). EF defined two broad categories of TEs as: anthropogenic (Cu, Zn, Eu, Cl, Pb, S, Br and Lu), and earth-crust derived (Al, Si, Na, Mg, Rb, K, Zr, Ti, Fe, Mn, Sr, Y, Cr, Ga, Ca, Ni and Ce). Notably, all the anthropogenic TEs can be linked to industrial and vehicular emissions. PMF analysis defined four major sources as: vehicular emissions, 30.1%; industrial-mixed dust, 28.9%; soil/earth-crust, 24.7%; and fossil-fuels/oil combustion, 16.3%. Plots of wind trajectories indicated wind direction and regional transport as major influences on air pollution levels in Makkah. In collusion, anthropogenic emissions contributed >75% of the observed air pollution in Makkah. Developing strategies for reducing anthropogenic emissions are paramount to controlling particulate air pollution in this region.

Rapid industrialization in China in recent decades has resulted in soil contamination in some areas, raising the concern about food safety. Consumption of rice represents a major exposure route for the toxic elements cadmium (Cd) and arsenic (As). We collected 160 polished rice from local markets in 20 provinces in China and determined total Cd and As concentrations and As speciation. Total Cd concentration ranged from below the detection limit to 0.77 mg kg−1, with 10% of the samples exceeding the Chinese limit (0.2 mg kg−1). Rice Cd concentration showed a distinct geographical pattern, increasing from low levels in the north to high levels in the south of China. Median daily Cd intake from rice varied from 0.01 μg kg−1 body weight in the north to 0.61 μg kg−1 body weight in the south of China, representing between 1% and 73% of the tolerable daily intake (TDI) recommended by FAO/WHO. The highest median Cd intake from rice was in Hunan province with 2 times TDI. Total As concentration ranged from 0.011 to 0.186 mg kg−1, with inorganic As (iAs) and dimethylarsinic acid (DMAs) on average accounting for 69% and 31%, respectively. All samples were below the Chinese limit for iAs in rice (0.2 mg kg−1). There was no clear geographical pattern in rice total As concentration, but rice produced in northeastern China contained higher percentages of DMAs and lower percentages of iAs. This study highlights a high risk of Cd exposure from rice consumption for the population of southern China and suggested strategies for reducing Cd accumulation in rice crop.

Air pollution is an important public health concern especially for children who are particularly susceptible. Latin America has a large children population, is highly urbanized and levels of pollution are substantially high, making the potential health impact of air pollution quite large. We evaluated the effect of air pollution on children respiratory mortality in four large urban centers: Mexico City, Santiago, Chile, and Sao Paulo and Rio de Janeiro in Brazil.Generalized Additive Models in Poisson regression was used to fit daily time-series of mortality due to respiratory diseases in infants and children, and levels of PM10 and O3. Single lag and constrained polynomial distributed lag models were explored. Analyses were carried out per cause for each age group and each city. Fixed- and random-effects meta-analysis was conducted in order to combine the city-specific results in a single summary estimate.These cities host nearly 43 million people and pollution levels were above the WHO guidelines. For PM10 the percentage increase in risk of death due to respiratory diseases in infants in a fixed effect model was 0.47% (0.09–0.85). For respiratory deaths in children 1–5 years old, the increase in risk was 0.58% (0.08–1.08) while a higher effect was observed for lower respiratory infections (LRI) in children 1–14 years old [1.38% (0.91–1.85)]. For O3, the only summarized estimate statistically significant was for LRI in infants. Analysis by season showed effects of O3 in the warm season for respiratory diseases in infants, while negative effects were observed for respiratory and LRI deaths in children.We provided comparable mortality impact estimates of air pollutants across these cities and age groups. This information is important because many public policies aimed at preventing the adverse effects of pollution on health consider children as the population group that deserves the highest protection.