Studies have yet to evaluate the effects of water improvement on fluoride concentrations in drinking water and the corresponding health risks to Chinese residents in endemic fluorosis areas (EFAs) at a national level. This paper summarized available data in the published literature (2008–2016) on water fluoride from the EFAs in China before and after water quality was improved. Based on these obtained data, health risk assessment of Chinese residents' exposure to fluoride in improved drinking water was performed by means of a probabilistic approach. The uncertainties in the risk estimates were quantified using Monte Carlo simulation and sensitivity analysis. Our results showed that in general, the average fluoride levels (0.10–2.24 mg/L) in the improved drinking water in the EFAs of China were lower than the pre-intervention levels (0.30–15.24 mg/L). The highest fluoride levels were detected in North and Southwest China. The mean non-carcinogenic risks associated with consumption of the improved drinking water for Chinese residents were mostly accepted (hazard quotient < 1), but the non-carcinogenic risk of children in most of the EFAs at the 95th percentile exceeded the safe level of 1, indicating the potential non-cancer-causing health effects on this fluoride-exposed population. Sensitivity analyses indicated that fluoride concentration in drinking water, ingestion rate of water, and the exposure time in the shower were the most relevant variables in the model, therefore, efforts should focus mainly on the definition of their probability distributions for a more accurate risk assessment.

Pentachlorophenol (PCP) was used in large quantities, and mainly for killing the intermediate host snails of schistosome in China, thereby resulting in ubiquitous PCP residue in the environment. However, studies considering the carcinogenicity of PCP for humans mainly focused on occupational workers, and the actual carcinogenicity of PCP for general population is uncertain. To investigate the association between cancer risks and PCP exposure in a community population, an ecological study was conducted in three contaminated areas along the Yangtze River. Standardized rate ratio (SRR) was calculated to represent the risk of cancer incidence, by using incidence in the low PCP exposure category as the reference group. A total of 15,962 cancer records were collected, and 76 water samples and 213 urine samples in three areas were examined. Our findings suggested that compared with the low PCP group, the high PCP group had significantly excessive incidences of various cancers related to different organs including lymph (SRR = 19.44, 95% CI = 15.00–25.19), blood (SRR = 17.24, 95% CI = 12.92–23.01), nasopharynx (SRR = 3.97, 95% CI = 3.75–4.21), gallbladder (SRR = 3.46, 95% CI = 3.09–3.87), pancreas (SRR = 3.41, 95% CI = 3.07–3.79), respiratory system (SRR = 3.41, 95% CI = 3.27–3.57) and liver (SRR = 3.31, 95% CI = 3.09–3.56). Taken together, our present study provides evidence that general community population exposed to high level of PCP exhibits a broader spectrum of increased cancer risks as compared to occupational groups.

Increasing trends of atmospheric nitrogen (N) deposition due to pollution and land-use changes are dramatically altering global biogeochemical cycles. Bryophytes, which are extremely vulnerable to N deposition, often play essential roles in these cycles by contributing to large nutrient pools in boreal and montane forest ecosystems. To interpret the sensitivity of epiphytic bryophytes for N deposition and to determine their critical load (CL) in a subtropical montane cloud forest, community-level, physiological and chemical responses of epiphytic bryophytes were tested in a 2-year field experiment of N additions. The results showed a significant decrease in the cover of the bryophyte communities at an N addition level of 7.4 kg ha−1 yr−1, which is consistent with declines in the biomass production, vitality, and net photosynthetic rate responses of two dominant bryophyte species. Given the background N deposition rate of 10.5 kg ha−1yr−1 for the study site, a CL of N deposition is therefore estimated as ca. 18 kg N ha−1 yr−1. A disordered cellular carbon (C) metabolism, including photosynthesis inhibition and ensuing chlorophyll degradation, due to the leakage of magnesium and potassium and corresponding downstream effects, along with direct toxic effects of excessive N additions is suggested as the main mechanism driving the decline of epiphytic bryophytes. Our results confirmed the process of C metabolism and the chemical stability of epiphytic bryophytes are strongly influenced by N addition levels; when coupled to the strong correlations found with the loss of bryophytes, this study provides important and timely evidence on the response mechanisms of bryophytes in an increasingly N-polluted world. In addition, this study underlines a general decline in community heterogeneity and biomass production of epiphytic bryophytes induced by increasing N deposition.

Organic Aerosols (OAs) are typically defined as highly complex matrices whose composition changes in time and space. Focusing on time vector, this work uses two-dimensional nuclear magnetic resonance (2D NMR) techniques to examine the structural features of water-soluble (WSOM) and alkaline-soluble organic matter (ASOM) sequentially extracted from fine atmospheric aerosols collected in an urban setting during cold and warm seasons. This study reveals molecular signatures not previously decoded in NMR-related studies of OAs as meaningful source markers. Although the ASOM is less hydrophilic and structurally diverse than its WSOM counterpart, both fractions feature a core with heteroatom-rich branched aliphatics from both primary (natural and anthropogenic) and secondary origin, aromatic secondary organics originated from anthropogenic aromatic precursors, as well as primary saccharides and amino sugar derivatives from biogenic emissions. These common structures represent those 2D NMR spectral signatures that are present in both seasons and can thus be seen as an “annual background” profile of the structural composition of OAs at the urban location. Lignin-derived structures, nitroaromatics, disaccharides, and anhydrosaccharides signatures were also identified in the WSOM samples only from periods identified as smoke impacted, which reflects the influence of biomass-burning sources. The NMR dataset on the H–C molecules backbone was also used to propose a semi-quantitative structural model of urban WSOM, which will aid efforts for more realistic studies relating the chemical properties of OAs with their atmospheric behavior.

Both air pollution and meteorological factors in metropolitan areas increased emergency department (ED) visits from people with chronic obstructive pulmonary disease (COPD). Few studies investigated the associations between air pollution, meteorological factors, and COPD-related health disorders in Asian countries. This study aimed to investigate the relationship between the environmental factors and COPD-associated ED visits of susceptible elderly population in the largest Taiwanese metropolitan area (Taipei area, including Taipei city and New Taipei city) between 2000 and 2013. Data of air pollutant concentrations (PM10, PM2.5, O3, SO2, NO2 and CO), meteorological factors (daily temperature, relative humidity and air pressure), and daily COPD-associated ED visits were collected from Taiwan Environmental Protection Administration air monitoring stations, Central Weather Bureau stations, and the Taiwan National Health Insurance database in Taipei area. We used a case-crossover study design and conditional logistic regression models with odds ratios (ORs), and 95% confidence intervals (CIs) for evaluating the associations between the environmental factors and COPD-associated ED visits. Analyses showed that PM2.5, O3, and SO2 had significantly greater lag effects (the lag was 4 days for PM2.5, and 5 days for O3 and SO2) on COPD-associated ED visits of the elderly population (65–79 years old). In warmer days, a significantly greater effect on elderly COPD-associated ED visits was estimated for PM2.5 with coexistence of O3. Additionally, either O3 or SO2 combined with other air pollutants increased the risk of elderly COPD-associated ED visits in the days of high relative humidity and air pressure difference, respectively. This study showed that joint effect of urban air pollution and meteorological factors contributed to the COPD-associated ED visits of the susceptible elderly population in the largest metropolitan area in Taiwan. Government authorities should review existing air pollution policies, and strengthen health education propaganda to ensure the health of the susceptible elderly population.

The study investigated the degradation behaviors of swine farm tetracyclines (TCs) at a catchment scale and explored whether multi-pond systems could be beneficial to the interception of TCs so as to reduce the pollution risk to receiving rivers. The occurrence and migration of 12 kinds of tetracycline antibiotics, including their degradation products, were studied in four swine farms of the Meijiang River basin in China. The migration paths of the TCs were examined through sampling and analyzing the soil and/or sediment at different points along the swine wastewater outlet, which included sewer, sewage pond, mixed-canal (stream and sewage), farmland (paddy and upland soil) and finally the river. TC concentrations of all collected samples were obtained by solid phase extraction followed by measurement with high-performance liquid chromatography tandem mass spectrometry. The results showed that sediment TC concentrations varied greatly in different swine farms, from mg·kg−1 to μg·kg−1 levels. TCs had different decay patterns along different migration paths, such that TCs decayed exponentially in paddy soil, while linearly in sewer and mixed canal. The concentrations of TCs and their degradation products decreased in the order: sewer sediment > sewage pond sediment > mixed-canal sediment > paddy soil > upland soil, indicating that TCs tend to be more easily intercepted and accumulated in water-sediment systems such as ponds. Therefore, the multi-pond system could be an effective way to prevent TCs from migrating into rivers. These results provided essential information for contamination control of antibiotics in aquatic environments.

PM2.5 retrieval from space is still challenging due to the elusive relationship between PM2.5 and aerosol optical depth (AOD), which is further complicated by meteorological factors. In this work, we investigated the diurnal cycle of PM2.5 in China, using ground-based PM measurements obtained at 226 sites of China Atmosphere Watch Network during the period of January 2013 to December 2015. Results showed that nearly half of the sites witnessed a PM2.5 maximum in the morning, in contrast to the least frequent occurrence (5%) in the afternoon when strong solar radiation received at the surface results in rapid vertical diffusion of aerosols and thus lower mass concentration. PM2.5 tends to peak equally in the morning and evening in North China Plain (NCP) with an amplitude of nearly twice or three times that in the Pearl River Delta (PRD), whereas the morning PM2.5 peak dominates in Yangtze River Delta (YRD) with a magnitude lying between those of NCP and PRD. The gridded correlation maps reveal varying correlations around each PM2.5 site, depending on the locations and seasons. Concerning the impact of aerosol diurnal variation on the correlation, the averaging schemes of PM2.5 using 3-h, 5-h, and 24-h time windows tend to have larger R biases, compared with the scheme of 1-h time window, indicating diurnal variation of aerosols plays a significant role in the establishment of explicit correlation between PM2.5 and AOD. In addition, high cloud fraction and relative humidity tend to weaken the correlation, regardless of geographical location. Therefore, the impact of meteorology could be one of the most plausible alternatives in explaining the varying R values observed, due to its non-negligible effect on MODIS AOD retrievals. Our findings have implications for PM2.5 remote sensing, as long as the aerosol diurnal cycle, along with meteorology, are explicitly considered in the future.

Substituted phenylamines (SPAs) are incorporated into a variety of consumer products (e.g., polymers, lubricants) in order to increase the lifespan of the products by acting as a primary antioxidant. Based on their physicochemical properties, if SPAs were to enter the aquatic environment, they would likely partition into sediment. No studies to date have investigated the effect of sediment-associated SPAs on aquatic organisms. The current study examined the effect of four SPAs (diphenylamine (DPA); N-phenyl-1-napthylamine (PNA); N-(1,3-dimethylbutyl)-N’-phenyl-1,4-phenylenediamine (DPPDA); 4,4’-methylene-bis[N-sec-butylaniline] (MBA)) on three different life stages of the freshwater mussel, Lampsilis siliquoidea. The viability of larvae (glochidia) of L. siliquoidea and Lampsilis fasciola was assessed after 48 h of exposure to SPAs in water. The 48-h EC50s for glochidia viability of L. siliquoidea were 5951, 606, 439, and 258 μg/L for DPA, PNA, DPPDA, and MBA, respectively, and 7946, 591, 137, and 47 μg/L, respectively, for L. fasciola. Juvenile (7–15 months) and adult L. siliquoidea were exposed to sediment-associated SPAs for 28 d. LC50s for juvenile mussels were 18, 55, 62, and 109 μg/g dry weight (dw) of sediment for DPA, PNA, DPPDA, and MBA, respectively. Adult mussels were exposed to sub-lethal concentrations of sediment-associated SPAs in order to investigate reactive oxygen species (ROS), lipid peroxidation and total glutathione in the gill, gonad, and digestive gland tissue, and viability and DNA damage in hemocytes. No significant concentration-dependent trend in any of these biochemical and cellular endpoints relative to the concentration of sediment-associated SPAs was observed in any tissues. Investigations into the concentration of SPAs in the aquatic environment are required before a conclusion can be made on whether these compounds pose a hazard to the different life stages of freshwater mussels.

Although epoxiconazole is the worldwidely used fungicide, limited information is known about its toxic effects and bioaccumulation behavior in freshwater ecosystems. In this study, zebrafish were exposed to epoxiconazole at concentrations of 100 and 1000 μg L−1 for 21 d. 1H NMR-based metabolomics analysis showed that low- and high-dose epoxiconazole exposure resulted in two similar but not identical patterns for the change of endogenous metabolites related to energy, lipid and amino acid metabolism. The expression of genes associated with mitochondrial respiratory chain, ATP synthesis and fatty acid β-oxidation were further measured to explore the reason for the disturbed energy metabolism, finding epoxiconazole had an inhibition effect on the genes expression of the above ways. Significant enantioselectivity was observed with (+)-epoxiconazole enrichment in the bioaccumulation process. These results will be of great importance in understanding the toxic effects induced by epoxiconazole and provide important basis for its comprehensive environmental assessment.

Although several studies have estimated the effects of temperature on mortality and morbidity, little is known regarding the burden of out-of-hospital cardiac arrest (OHCA) attributable to solar radiation.We obtained data for all cases of OHCA and meteorological data reported between 2011 and 2014 in 3 Japanese prefectures: Hokkaido, Ibaraki, and Fukuoka. We first examined the relationship between daily solar radiation and OHCA risk for each prefecture using time-varying distributed lag non-linear models and then pooled the results in a multivariate random-effects meta-analysis. The attributable fractions of OHCA were calculated for low and high solar radiation, defined as solar radiation below and above the minimum morbidity solar radiation, respectively. The minimum morbidity solar radiation was defined as the specific solar radiation associated with the lowest morbidity risk.A total of 49,892 cases of OHCA occurred during the study period. The minimum morbidity solar radiation for each prefecture was the 100th percentile (72.5 MJ/m2) in Hokkaido, the 83rd percentile (59.7 MJ/m2) in Ibaraki, and the 70th percentile (53.8 MJ/m2) in Fukuoka. Overall, 20.00% (95% empirical confidence interval [eCI]: 10.97–27.04) of the OHCA cases were attributable to daily solar radiation. The attributable fraction for low solar radiation was 19.50% (95% eCI: 10.00–26.92), whereas that for high solar radiation was 0.50% (95% eCI: −0.07–1.01).Low solar radiation was associated with a substantial attributable risk for OHCA. Our findings suggest that public health efforts to reduce OHCA burden should consider the solar radiation level. Large prospective studies with longitudinal collection of individual data is required to more conclusively assess the impact of solar radiation on OHCA.