Environmental and health risk assessment in abandoned mining area, Zlata Idka, Slovakia

The Zlata Idka village is a typical mountainous settlement. As a consequence of more than 500 years of mining activity, its environment has been extensively affected by pollution from potentially toxic elements. This paper presents the results of an environmental-geochemical and health research in the Zlata Idka village, Slovakia. Geochemical analysis indicates that arsenic (As) and antimony (Sb) are enriched in soils, groundwater, surface water and stream sediments. The average As and Sb contents are 892 mg/kg and 818 mg/kg in soils, 195 mg/kg and 249 mg/kg in stream sediments, 0.028 mg/l and 0.021 mg/l in groundwater and 0.024 mg/l and 0.034 mg/l in surface water. Arsenic and Sb concentrations exceed upper permissible limits in locally grown vegetables. Within the epidemiological research the As and Sb contents in human tissues and fluids have been observed (blood, urine, nails and hair) in approximately one third of the village’s population (120 respondents). The average As and Sb concentrations were 16.3 μg/l and 3.8 μg/l in blood, 15.8 μg/l and 18.8 μg/l in urine, 3,179 μg/kg and 1,140 μg/kg in nails and 379 μg/kg and 357 μg/kg in hair. These concentrations are comparatively much higher than the average population. Health risk calculations for the ingestion of soil, water, and vegetables indicates a very high carcinogenic risk (>1/1,000) for as content in soil and water. The hazard quotient [HQ=average daily dose (ADD)/reference dose (RfD)] calculation method indicates a HQ>1 for groundwater As and Sb concentrations.     

(Re)surveying the uses of Geographical Information Systems in Health Authorities 1991–2001

This paper provides a comparative analysis of two separate national surveys of the uptake and use of Geographical Information Systems (GIS) by Health Authorities (HAs) in England and Wales. The surveys were undertaken at two different time points (1991 and 2001), and the intervening period has been characterized by major (and continuing) health sector restructuring. The substantial number of HA mergers between 1991 and 2001 provide a methodological challenge in attempting to make comparisons. A pragmatic approach is adopted and the presentation of results has to be restricted solely to English and Welsh HA data. Our findings show that there has been a considerable increase in the use of GIS since the early 1990s, and there is some evidence of more sophisticated uses for a wider range of policy-related and application tasks. However, we conclude that there is still considerable scope for the wider uptake and use of GIS within the NHS. In addition, our findings provide a baseline with which to monitor the impacts of future organizational restructuring on the uses of GIS within the NHS. We suggest that this is important given the replacement of 95 English HAs with 28 new Strategic HAs (StHAs) from April 2002, and the repercussions of the anticipated shift in GIS responsibility to Primary Care Trusts.     

Toxic Cyanobacteria in Greek Freshwaters, 1987—2000: Occurrence,Toxicity, and Impacts in the Mediterranean Region

In a survey in Greece from 1987 to 2000 hepatotoxic cyanobacterial blooms were observed in 9 out of 33 freshwaters. Microcystins (MCYSTs) were detected by HPLC in 7 of these lakes, and the total MCYST concentration per scum dry weight ranged from 50.3 to 1638 ± 464 μg g^—1. Cyanobacterial genera (Microcystis, Anabaena, Anabaenopsis, Aphanizomenon, Cylindrospermopsis) with known toxin producing taxa were present in 31 freshwaters. From our data and a review of the literature, it would appear that Mediterranean countries are more likely 1) to have toxic cyanobacterial blooms consisting of Microcystis spp. and 2) to have higher intracellular MCYST concentrations. A case study in Lake Kastoria is used to highlight seasonal patterns of cyanobacterial and MCYST‐LR occurrence and to assess cyanotoxin risk. Cyanobacterial biovolume was high (> 11 μL L^—1) throughout the year and was in excess of Guidance Level 2 (10 μL L^—1) proposed by WHO for recreational waters and Alert Level 2 for drinking water. Further, surface water samples from April to November exceeded Guidance Level 3, with the potential for acute cyanobacterial poisoning. Intracellular MCYST‐LR concentrations (max 3186 μg L^—1) exceeded the WHO guideline for drinking water (1 μg L^—1) from September to November with a high risk of adverse health effects. Preliminary evidence indicates that in 3 lakes microcystins are accumulated in some aquatic organisms. Generally, a high risk level can be deduced from the data for the Mediterranean region.     

上海热浪与健康监测预警系统

用1989～1998年上海逐日4次气象观测资料,应用美国特拉华大学的SSC天气分类方法确定逐日天气类型,形成了10年逐日天气类型日历。并通过天气类型与死亡率的对比分析,确定MT+类型是上海地区形成热浪的“侵人型”气团,是具有最高死亡率的天气类型。采用逐步回归方法建立了MT+类型下因受热浪侵袭而超正常死亡数的回归方程。在此基础上建立了上海热浪与健康监测预警系统。通过1999年气象和死亡实况资料检验,系统对热浪及因此引起的死亡具有较好的监测和预警效果。     

Voluntarism,defensive localism and spaces of resistance to health care restructuring

This paper examines the evolving role of volunteers and the voluntary sector in shaping community responses to structural change in health care systems. It contributes to the emerging understanding of the different forms voluntarism can take within and among places, including as a space of resistance to contemporary restructuring initiatives such as regionalization. Within the geographies of voluntarism literature, however, little attention has been directed towards interrogating the local dynamics of such voluntarism, especially as it is reflected in public discourse. We address this deficiency through a media-based case study of public reaction to the recent implementation of Ontario’s Local Health Integration Networks (a type of regional health authority). Specifically, we examine a decade of newspaper coverage in a mid-size Canadian city region to document and characterize how the activities of volunteers and voluntary sector organizations in the community are portrayed in light of the structural imperatives to integrate health care services and regionalize health care governance. The media findings reveal a suite of public concerns and related activities, with the voluntary sector called upon in various ways to defend the autonomy of the community against the perceived threats to local services, employment and vulnerable populations. We interpret the evident complexity of voluntary sector resistance as a form of ‘defensive localism’ and discuss implications for developing informed policy on health care restructuring and for advancing knowledge on the local geographies of voluntarism.     

Contamination,bioaccessibility and human health risk of heavy metals in exposed-lawn soils from 28 urban parks in southern China's largest city,Guangzhou

The total concentrations and oral bioaccessibility of heavy metals in surface-exposed lawn soils from 28 urban parks in Guangzhou were investigated, and the health risks posed to humans were evaluated. The descending order of total heavy metal concentrations was Fe > Mn > Pb > Zn > Cu > Cr > Ni > Cd, but Cd showed the highest percentage bioaccessibility (75.96%). Principal component analysis showed that Grouped Cd, Pb, Cr, Ni, Cu and Zn, and grouped Cr and Mn could be controlled two different types of human sources. Whereas, Ni and Fe were controlled by both anthropogenic and natural sources. The carcinogenic risk probabilities for Pb and Cr to children and adults were under the acceptable level (<1 × 10⁻⁴). Hazard Quotient value for each metal and Hazard Index values for all metals studied indicated no significant risk of non-carcinogenic effects to children and adults in Guangzhou urban park soils.     

城市居民日常身体活动时空分异特征及影响因素

依托南京主城区居民日常身体活动调查数据,基于身体活动时空维度,挖掘城市居民日常身体活动时空分异特征,并采用混合效应模型探究身体活动分异的影响因素。研究表明：① 居民日常身体活动时空异质特征明显。工作日/非工作日不同类型身体活动时间安排及个体间差异均显著;工作性、交通性、家务性身体活动空间制约明显,而休闲性身体活动空间分布更具弹性;与工作日相比,非工作日不同类型身体活动空间范围变化收敛与扩散特征并存。② 活动空间范围、个人社会经济属性、自身健康状况对居民日常身体活动分异均具有显著影响。具体而言,居民日常活动空间范围决定身体活动的空间适应与选择;社会分工差异导致不同性别、年龄人群身体活动具有指向性;身体活动时间出现与个人社会经济实力倒置现象;而良好健康状态会激励居民日常身体活动的保持。     

Climate and human health: synthesizing environmental complexity and uncertainty

Broad relationships between weather and human health have long been recognized, and there is currently a large body of research examining the impacts of climate change on human health. Much of the literature in this area examines climate–health relationships at global or regional levels, incorporating mostly generalized responses of pathogens and vectors to broad changes in climate. Far less research has been done to understand the direct and indirect climate-mediated processes involved at finer scales. Thus, some studies simplify the role of climate and may over- or under-estimate the potential response, while others have begun to highlight the subtle and complex role for climate that is contingent on other relevant processes occurring in natural and social environments. These fundamental processes need to be understood to determine the effects of past, current and future climate variation and change on human health. We summarize the principal climate variables and climate-dependent processes that are believed to impact human health across a representative set of diseases, along with key uncertainties in these relationships.     

桑沟湾农药残留及贝毒对海洋环境质量影响和主要食用贝类健康风险评估

根据2009-04—2010-02隔月6个航次桑沟湾9个调查站位贝类养殖区有机氯(OCPs)、有机磷(OPPs)农药残留和麻痹性贝毒(PSP)的调查资料,分析了它们在该海域海水中、表层沉积物中和主要贝类(栉孔扇贝、太平洋牡蛎和菲律滨蛤仔)体内的含量水平,就农药残留及贝毒污染对海洋环境质量的影响进行综合评价和类别划分,并对主要食用贝类中农药残留和贝毒的暴露水平进行健康风险评估。结果表明,桑沟湾贝类养殖区海水质量、沉积物质量和养殖贝类质量水平范围为1~2级,平均分别为2级、1级和1级,养殖生态环境综合质量水平为2级;总体上,该海域海洋环境综合质量处于良好水平,贝类产区生态环境质量为1类区(清洁区)。即该海域农药残留及贝毒污染对海洋环境质量影响较小或无明显影响。另外,针对食用桑沟湾贝类水产品的消费人群进行了农药残留及贝毒污染的健康风险评估,结果表明调查人群食用贝类中OCPs中的HCHs和DDTs、OPPs中的马拉硫磷和甲基对硫磷、PSP的日摄入量分别为0.75,2.11,0.19,0.09和1.22μg/(人·d),其摄入量低于ADI的推荐限值,因此桑沟湾主要食用贝类中农药残留及贝毒污染的健康风险处于安全范围。