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Exposure to air pollution during the first 1000 days of life and subsequent health service and medication usage in children
2020
Evidence of health effects following early life exposure to short-to-medium duration of high pollution levels is extremely limited.We aimed to evaluate the associations between: 1. intrauterine exposure to fine particulate matter (PM2.5) from coal mine fire emissions and the frequencies of general practitioner attendances and dispensations of prescribed asthma inhalers, steroid skin creams, and antibiotics during the first year of life; 2. infant exposure and those outcomes during the year following the fire.All participants were recruited from the Latrobe Valley of Victoria, Australia. Participants’ 24-h average and hourly peak mine fire-specific PM2.5 exposures from 09/02/2014 to 31/03/2014 were estimated using chemical transport modelling. Outcome data were obtained from the Australian Medicare Benefits Schedule and Pharmaceutical Benefits Scheme from each child’s birth to 31/12/2016. We used negative binomial and logistic regression models to independently assess risks of the outcomes associated with every 10 and 100 μg m−3 increase in average or peak PM2.5 exposure, respectively, while adjusting for potential confounders.We included 286 of 311 children whose parents consented to be linked, comprising 77 with no exposure, 88 with intrauterine exposure and 121 with exposure in infancy. 10- and 100- μg m−3 increases in average and peak PM2.5 exposure during infancy were associated with greater incidence of antibiotics being dispensed during the year following the fire: the adjusted incidence rate ratios were 1.24 (95% CI 1.02, 1.50, p = 0.036) and 1.14 (1.00, 1.31, p = 0.048) respectively. No other significant associations were observed.Exposure to coal mine fire emissions during infancy was associated with increased dispensing of antibiotics. This could reflect increased childhood infections or increased prescriptions of antibiotics in the year following the fire.
Mostrar más [+] Menos [-]Organohalogen compounds in human breast milk from mothers living in Payatas and Malate, the Philippines: Levels, accumulation kinetics and infant health risk
2009
Malarvannan, Govindan | Kunisue, Tatsuya | Isobe, Tomohiko | Sudaryanto, Agus | Takahashi, Shin | Prudente, Maricar | Subramanian, Annamalai | Tanabe, Shinsuke
Human breast milk samples (n = 33) from primipara and multipara mothers from Payatas a waste dump site, and Malate a reference site in the Phillipines were collected in 2004 and analyzed for eight organohalogen compounds, viz., PCBs, DDTs, CHLs, HCHs, HCB, TCPMe, PBDEs and HBCDs. DDTs and PCBs were predominant in all the samples. Overall mean concentrations of PBDEs found in our study were higher (7.5 ng/g lipid wt.) than those reported for Japan and many other Asian countries. Primipara mothers had significantly higher levels of DDTs, CHLs and HCHs than multipara mothers, but not PBDEs and HBCDs. A few individuals accumulated CHLs close to or even higher than the tolerable daily intake guidelines proposed by Health Canada. First comprehensive study on organohalogen contaminants in human breast milk from the Philippines.
Mostrar más [+] Menos [-]Tetrabromobisphenol A and hexabromocyclododecane flame retardants in infant–mother paired serum samples, and their relationships with thyroid hormones and environmental factors
2014
Kim, Ŭn-jung | Oh, Jeong-Eun
The concentrations of tetrabromobisphenol A (TBBPA) and hexabromocyclododecanes (HBCDs), and their correlations with thyroid hormones, were investigated in sera from 26 infants with congenital hypothyroidism, 12 healthy infants, and their mothers. The analyte concentrations were not significantly different in the two infant groups. Polybrominated diphenyl ethers (measured in a previous study) were the dominant brominated flame retardants, contributing 42–87% of the total, and HBCDs contributed 5–18%. TBBPA concentrations were 2–5 times higher in the infants than in the mothers. The TBBPA concentrations decreased dramatically with age for 2–3 months after birth, which might be caused by its relatively high maternal transfer rate, short half-life, and fast excretion. Significant correlations were found between mothers and infants in the TBBPA and HBCD concentrations, implying that maternal transfer was important. TBBPA correlated weakly with thyroid hormones, showing a positive relationship with FT4 but a negative relationship with T3.
Mostrar más [+] Menos [-]Global climate change: Impact of diurnal temperature range on mortality in Guangzhou, China
2013
Yang, Jun | Liu, Hua-Zhang | Ou, Chun-Quan | Lin, Guo-Zhen | Zhou, Qin | Shen, Gi-Chuan | Chen, Ping-Yan | Guo, Yuming
Diurnal temperature range (DTR) is an important meteorological indicator associated with global climate change, but little is known about the effects of DTR on mortality. We examined the effects of DTR on cause-/age-/education-specific mortality in Guangzhou, a subtropical city in China during 2003–2010. A quasi-Poisson regression model combined with distributed lag non-linear model was used to examine the effects of DTR, after controlling for daily mean temperature, air pollutants, season and day of the week. A 1 °C increase in DTR at lag 0–4 days was associated with a 0.47% (95% confidence interval: 0.01%–0.93%) increase in non-accidental mortality. Stroke mortality was most sensitive to DTR. Female, the elderly and those with low education were more susceptible to DTR than male, the youth and those with high education, respectively. Our findings suggest that vulnerable subpopulations should pay more attention to protect themselves from unstable daily weather.
Mostrar más [+] Menos [-]Mercury concentrations in human placenta, umbilical cord, cord blood and amniotic fluid and their relations with body parameters of newborns
2013
Kozikowska, Iwona | Binkowski, Łukasz J. | Szczepańska, Katarzyna | Sławska, Helena | Miszczuk, Katarzyna | Śliwińska, Magdalena | Łaciak, Tomasz | Stawarz, Robert
Studies were conducted on samples taken from giving birth women (n = 40) living in Poland, representing three age groups: 19–25, 26–30 and 31–38 years old. Mercury concentrations were measured with CV-AAS in placenta, umbilical cord, cord blood and amniotic fluid.The placentas weight did not exceed the 750 g value and was heavier than 310 g. Mean values of Hg concentrations in blood, placenta and umbilical cord were similar (c.a. 9 μg/g). High levels of mercury were noted in cord blood which in 75% of all observations exceeded (up to 17 μg/L) the safe dose set by US EPA (5.8 μg/L). No statistically significant differences in medium level of Hg in all the studied tissues among age groups of women were observed. Positive correlations between Hg concentrations in placenta and umbilical cord and cord blood were revealed as well as some negative ones between mercury concentrations and pregnancy parameters.
Mostrar más [+] Menos [-]Levels of prenatal mercury exposure and their relationships to neonatal anthropometry in Wujiang City, China
2013
Guo, Bao-Qiang | Cai, Shi-Zhong | Guo, Jun-Liang | Xu, Jian | Wu, Wei | Li, Hui | Zhou, Xin | Kim, Dae-Seon | Yan, Chong-Huai | Lü, Hong-Dao
We determined the levels of prenatal Hg exposure in Wujiang City, located in the southeast of Taihu Lake in China's Jiangsu Province, and analyze the relationship between prenatal exposure to Hg and neonatal anthropometry, including birth weight, body length, and head circumference. From June 2009 to July 2010, a total of 213 mother-infant pairs were enrolled. The geometric means of Hg levels in maternal hair, fetal hair, placentas, and cord blood were 496.76 μg/kg, 233.94 μg/kg, 3.58 μg/kg, and 1.54 μg/L, respectively. The Hg levels detected in our study were significantly lower than those reported by previous studies. In addition, no significant correlations were found between Hg levels in maternal hair, fetal hair, placenta, or cord blood and neonatal anthropometrics. Together, our findings may be important for understanding the effects of prenatal exposure to Hg on newborns' development and have implications concerning the recommended dose for Hg.
Mostrar más [+] Menos [-]Legacy and current-use flame retardants in house dust from Vancouver, Canada
2012
Shoeib, Mahiba | Harner, Tom | Webster, Glenys M. | Sverko, Ed | Cheng, Yu
Fifteen polybrominated diphenyl ethers (PBDEs) and eighteen non-PBDEs were measured in 116 dust samples collected from homes in Vancouver, Canada during 2007–2008 as part of the Chemicals Health and Pregnancy (CHirP) study. The highest concentrations of PBDEs in house dust were observed for BDE 209, with a median concentration of 1350 ng/g. This is about two times greater than the median concentration of the PentaBDE (represented by the most abundant compounds in this formulation, ΣBDE 47, 99 and 100). In the case of non-PBDE FRs, a detection frequency between 81% and 100% was observed for nine analytes including: HBCD, BTBPE, BEHTBP, EHTBB, HBB, PBTO, PBBe, ATE and DP. The high detection of new FRs in indoor environments reflects their ubiquitous presence in indoor environment due to regulation of the PBDEs. Exposure to FRs are estimated based on these data for adults and toddlers.
Mostrar más [+] Menos [-]Increased levels of 8-hydroxy-2′-deoxyguanosine are attributable to organophosphate pesticide exposure among young children
2012
Ding, Guodong | Han, Song | Wang, Pei | Gao, Yu | Shi, Rong | Wang, Guoquan | Tian, Ying
Oxidative damage has been proposed as an important mechanism linking pesticide exposure to health effects. A study of 268 young Shanghai children was conducted to examine the relationship between organophosphate pesticide (OP) exposure and a biomarker of oxidative DNA damage. Urine samples were analyzed for five nonspecific dialkyl phosphate (DAP) metabolites [dimethyl phosphates (DMs) and diethyl phosphates (DEs)] and 8-hydroxy-2′-deoxyguanosine (8-OHdG). The creatinine-adjusted median of 8-OHdG in urine samples was 3.99ng/mg. Increased exposure to OPs was associated with greater levels of urinary 8-OHdG [total DAPs: ß (adjusted)=0.46 per log₁₀ unit increase, 95% confidence interval (CI)=0.40–0.53, p=0.000; DMs: ß (adjusted)=0.34, 95% CI=0.28–0.41, p=0.000; DEs: ß (adjusted)=0.48, 95% CI=0.42–0.54, p=0.000]. Thus, the 8-OHdG biomarker is useful for increasing our understanding of the link between childhood exposure to OPs and health outcomes.
Mostrar más [+] Menos [-]National survey of the levels of persistent organochlorine pesticides in the breast milk of mothers in China
2011
Zhou, Pingping | Wu, Yongning | Yin, Shian | Li, Jingguang | Zhao, Yunfeng | Zhang, Lei | Chen, Huijing | Liu, Yinping | Yang, Xin | Li, Xiaowei
The occurrence of persistent organochlorine pesticides (OCPs) in breast milk samples collected from mothers from twelve provinces in mainland China was investigated. Dichlorodiphenyltrichloroethanes (DDTs) were the most prevalent agent, followed by HCHs and HCB, whereas levels of chlordane compounds, drins and mirex were lower. The relatively lower DDE/DDT ratio in the Fujian rural area suggested more recent exposure to DDT than in other areas. The mean level of DDTs in breast milk from the southern China was higher than those from northern China (p < 0.05). A positive correlation was observed between concentration of DDTs in human milk and consumption of animal-origin food, suggesting that this parameter could play an important part in influencing OCPs burdens in lactating women. The mean estimated daily intakes of different OCPs for breastfed infants were lower than the tolerable daily intake.
Mostrar más [+] Menos [-]Exposure assessment of French women and their newborn to brominated flame retardants: Determination of tri- to deca- polybromodiphenylethers (PBDE) in maternal adipose tissue, serum, breast milk and cord serum
2009
Antignac, Jean-Philippe | Cariou, Ronan | Zalko, Daniel | Berrebi, A (Alain) | Cravedi, Jean-Pierre | Maume, Daniel | Marchand, Philippe | Monteau, Fabrice | Riu, Anne | Andre, François
In the frame of a French monitoring program, tri- to deca- polybromodiphenylethers (PBDE) have been measured in maternal and cord serum, adipose tissue, and breast milk samples, collected from 93 volunteer women during caesarean deliveries. The seven major tri- to heptaBDE (BDE-28, 47, 99, 100, 153, 154, and 183) were detected in adipose tissue and breast milk with cumulated median values of 2.59 and 2.51 ng g-1 l w. Nine highly brominated octa- to decaBDE (BDE-196, 197, 201, 202, 203, 206, 207, 208 and 209) was performed in the same samples, with cumulated median values of 2.73 and 3.39 ng g-1 l w in adipose tissue and breast milk, respectively. At this opposite, median levels of octa- to decaBDE in maternal and cord serum appeared significantly higher than the levels of tri- to heptaBDE in the same matrices, i.e. 8.85 and 12.34 versus 0.98 and 0.69 ng g-1 l w, respectively. This study provides the first data at the French level regarding the occurrence of PBDE in human, and demonstrates the exposure of both human foetus at late stage of pregnancy and newborn at early stages of life through breastfeeding with special emphasis on the presence of highly brominated compounds.
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