Environmental geohydrochemistry and health of the high altitude population in Ladakh

Background： Radiographic signs of Pneumoconiosis found in farming Ladakhi despite absences of mines and industries were believed to be due to exposure to frequent dust storms and domestic fire pollutions. Seasonal Koilonychia （spoon nail） occurring predominantly in farming women in absences of iron deficiency anaemia was thought to arise from exposure to water made alkaline by weathering of hornblende minerals. The relation of these health conditions to environmental geohydrochemistry is postulated as the source of irrigation water in the affected population originates from glaciers in trans-Himalaya range of sedimentary geology and steep landscape favouring flushing of silica/silicate containing silts. Methods and results： Survey in two central Ladakh villages revealed radiographic evidence of silicosis in all middle aged women and half in middle aged men. In a large-scale study of 3105 subjects aged over 30 years from three villages; 101 （22.5%） of the 449 radiographed showed signs of pneumoconiosis （ILO 1980 criteria） including eggshell calcification of hilar gland and progressive massive fibrosis. Indoor dust analyzed using Philips 400T electron microscope with energy dispersive analysis system attached showed SiO2 levels upto 53.27% with particle size of 0.5 to 5.0 microns and the concentration during cooking period in the worst affected area was 7.495 mg/m^3. Microscopy and histopathology from the subject was characteristic of pneumoconiosis. Analysis of the inorganic dust in the lung showed 40.2% muscovite, 37.3% quartz with the extracted dust wt 147.9 mg/gm of dry tissue. Prevalence of chronic cough with chronic phlegm and percentage of villagers with FEV1/FVC ratio of less than 65% rose with age. Of 70 subjects studied 19 women and 2 men had Koilonychia with incidence being highest in summer. Absence of seasonal Koilonychia in villages fed by water derived from northern mountain range glaciers with mainly igneous geology supports our hypothesis.     

Optimization of nonconventional wells under uncertainty using statistical proxies

The determination of the optimal type and placement of a nonconventional well in a heterogeneous reservoir represents a challenging optimization problem. This determination is significantly more complicated if uncertainty in the reservoir geology is included in the optimization. In this study, a genetic algorithm is applied to optimize the deployment of nonconventional wells. Geological uncertainty is accounted for by optimizing over multiple reservoir models (realizations) subject to a prescribed risk attitude. To reduce the excessive computational requirements of the base method, a new statistical proxy (which provides fast estimates of the objective function) based on cluster analysis is introduced into the optimization process. This proxy provides an estimate of the cumulative distribution function (CDF) of the scenario performance, which enables the quantification of proxy uncertainty. Knowledge of the proxy-based performance estimate in conjunction with the proxy CDF enables the systematic selection of the most appropriate scenarios for full simulation. Application of the overall method for the optimization of monobore and dual-lateral well placement demonstrates the performance of the hybrid optimization procedure. Specifically, it is shown that by simulating only 10% or 20% of the scenarios (as determined by application of the proxy), optimization results very close to those achieved by simulating all cases are obtained.     

城市化过程中土地征用风险表征及对策

从土地征用基本概念和基本特征着手，描述了土地征用的主要风险，其表现为土地征用权力滥用、侵害失地农民的权益、诱发集体土地黑市、诱发社会矛盾等方面。分析了产生风险的“公共利益需要”缺乏明确界定、土地征用的补偿标准偏低或滞后、土地征用及相关制度不健全或存在缺陷等主要原因。提出了控制与规避风险的对策与措施：严格限定公益性用地范围，提高征地补偿标准，扩大补偿范围，完善相关制度，严格土地征用程序。     

Natural siliceous dust and human health： Pathways, toxicity, and impact

Fine atmospheric dust includes mineral particles and aggregates, fibrous minerals and fibrous organic material. Generation, dislodgement and transport （deflation） of natural dust with the finer （〈4 microns） components suspended as silt-size aggregates, is widespread in and adjacent to the world＇s drylands, as well as deriving from volcanic vents. Silica is a highly fibrogenic agent in lung tissue. Long-term inhaling of siliceous dusts can lead to a number of fibrotic lung diseases, including natural （non-occupational） pneumoconioses （notably silicosis, but including asbestosis and others）. Different polymorphs of silica show different levels of toxicity in interaction with lung tissue. Particles with highly active surfaces may release radicals, causing cell damage. Some types of inhaled particulates are degraded by macrophages, but many are highly resistant and persist in the lungs, some stimulating fibroblastic cells to deposit collagen. Silicosis is an inflammation of the lung commonly caused by silicate mineral particles, leading to fibrosis. Three types are recognized： nodular pulmonary fibrosis （simple or chronic silicosis）, acute silicosis, and accelerated silicosis. Generally, finer particulates have greater oxidative capacity than the coarser fractions. They contain more reactive oxygen species, their greater bioreactivity making them more toxic to pulmonary tissue. Nevertheless, inhalation of large dust particles （〉 10μm） may constitute a health risk if the mineralogy is toxic, regardless of where the grains lodge in the respiratory system. Dust may absorb harmful gases, disease-generating bacteria and carcinogenic hydrocarbon compounds. Silica-related respiratory disease may also an exacerbate cardiac problem, and epidemiology suggests a link with tuberculosis. Quantification of dust loading and exposure requires study of spatial and temporal patterns, supported by meteorological analysis, airflow modeling and satellite-borne imagery. Some acute, short-term health impacts have been assessed using atmospheric and health records both before and after a dust storm or by comparison of populations within and outside such events. Analysis of the size, shape, mineralogy and geochemistry of ambient dust particulates provides information on natural dust sources, dust concentrations, and potential particulate toxicity, as well as providing a datum for assessment of human exposure levels.     

Quantification of the risk associated with high levels of mercury pollution at Temirtau, Kazakhstan

This research aims to establish the risks of hurnan exposure to modeling approach. The study site was located on the River Nura 1990s, an acetaldehyde production plant located in the industrial high environmental mercury levels, based on a quantitative risk in central Kazakhstan. From the 1950s until its closure in the mid city of Temirtau released mercury-containing wastewater into the river. River sediments are highly contaminated with mercury up to a distance of 25 km and beyond. In addition, a local power station released an estimated 6 million tonnes of fly-ash into the water and the mercury has become quite tightly associated with the ash deposits. River water, fish and agricultural land in the floodplain are also contaminated with mercury, yet the risks posed to the local population have not been evaluated to date. In June and July 2005, we took samples of soil, interior and exterior dust, drinking water, and food from individual households, communal areas and markets. Additionally, water and sediment samples and fish were taken from the river. Interviews were conducted with householders to establish their age and body weight, general living conditions and sources of irrigation and drinking water. A food frequency questionnaire （FFQ） was designed to investigate the frequencies of consumption of several common regional food items, including fish from the fiver and/or local market. Human hair samples were also collected to estimate the mercury bioburden and to enable the validity of the modeling approach to be established. The paper expands on the main pathways of contamination and looks at linkages between exposure pathways and mercury concentrations found in human hair. Uncertainties inherent in risk analysis as well as their influence on the relative importance of different exposure routes are also discussed.     

Methylmercury and human biomarkers： Questioning the evidence

Methylmercury （MeHg） is a powerful neurotoxicant in humans. In terms of biomarkers of MeHg exposure, hair and blood have long been used in epidemiological studies as the biomarkers of choice. In fact, total hair mercury （Hg） content as well as organic blood Hg concentrations reflects exposure to organic Hg from food consumption. Extensive studies, establishing a constant and linear relation between MeHg intake versus Hg levels in hair and blood, were conducted by governmental officials to establish guidelines on safe levels of MeHg exposure, which were translated into threshold daily fish consumption rates （usually expressed as μg MeHg per kg bodyweight）. Nowadays, in most epidemiologic studies blood or hair mercury （Hg） level is commonly used as a valid proxy to estimate human exposure to methylmercury （MeHg） through fish consumption without relating this signal to actual fish consumption patterns among populations. Human variability in mercury toxicokinetics was identified and measurement error has been pointed out to be a substantial contributor to observed variability, particularly where dietary information is retrospective and self-reported. However, experimental evidence indicates that significant variability among individuals may exist in the biokinetics of mercury. Also recent findings from previous population-based studies through COMERN initiative also revealed that MeHg metabolic processes might greatly vary across populations. In fact, it is unlikely that the magnitude of the difference measured between observed and expected levels of mercury, given the reported intake, can be entirely explained by laboratory measurement errors or reporting bias.     

Comparative Seismic Risk Studies for German Earthquake Regions on the Basis of the European Macroseismic Scale EMS-98

Within the framework of recent research projects, basic tools for GIS-based seismic risk assessment technologies were developed and applied to the building stock and regional particularities of German earthquake regions. Two study areas are investigated, being comparable by the level of seismic hazard and the hazard-consistent scenario events (related to mean return periods of 475, 2475 and 10000 years). Significant differences exist with respect to the number of inhabitants, the grade and extent of urbanisation, the quality and quantity of building inventory: the case study of Schmölln in Eastern Thuringia seems to be representative for the majority of smaller towns in Germany, the case study of Cologne (Köln) stands for larger cities. Due to the similarities of hazard and scenario intensities, the considerable differences do not only require proper decisions concerning the appropriate methods and acceptable efforts, they enable conclusions about future research strategies and needs for disaster reduction management. Not least important, results can sharpen the focus of public interest. Seismic risk maps are prepared for different scenario intensities recognising the scatter and uncertainties of site-dependent ground motion and also of the applied vulnerability functions. The paper illustrates the impact of model assumptions and the step-wise refinements of input variables like site conditions, building stock or vulnerability functions on the distribution of expected building damage within the study areas. Furthermore, and in contrast to common research strategies, results support the conclusion that in the case of stronger earthquakes the damage will be of higher concentration within smaller cities like Schmölln due to the site-amplification potential and/or the increased vulnerability of the building stock. The extent of damage will be pronounced by the large number of masonry buildings for which lower vulnerability classes have to be assigned. Due to the effect of deep sedimentary layers and the composition of building types, the urban centre of Cologne will be less affected by an earthquake of comparable intensity.     

Placing sexuality in health policies: feminist geographies and public health nursing

Despite the increasing public profile of same-sex issues, health policies are often shaped by heteronormative assumptions. The health concerns of lesbian, gay, bisexual, transsexual/transgender, two-spirit, intersex, queer and questioning (LGBTTTIQQ) people are complex and require broadening from an often exclusively sexual health and risk focus to a more holistic approach. In this context, this paper illustrates how a critical feminist geography of health, with its focus on the mutual construction of gender relations, space and place, potentially enhances and extends current understandings of public health policy and practice. Moreover, the use of a policy lens foregrounding gender and other power relations suggests that feminist research and coalitions facilitate participatory processes that address “the politics of discourse.” In particular, public health nursing practice can enhance the construction of spaces of resistance that challenge heteronormative discourse through research strategies focused on sexual minority communities’ health experiences and their visions for supportive care. In this respect, two strategies consistent with public health priorities to increase knowledge and participate in alliances are described. Ethnographic research with childbearing lesbians demonstrates that attention to institutional dynamics that foster safe spaces can facilitate access to public health services. Public health nurses’ involvement in community coalitions can enhance dissemination of community knowledges. The implications for gender inclusive and place-sensitive public health nursing practice include the development of sensitive educators, meaningful educational curriculum and related program planning, explicit policies, community partnerships and political leadership in institutional and research venues.