Pharmaceuticals in biota: The impact of wastewater treatment plant effluents on fish in Australia.

Globally, pharmaceuticals and personal care products (PPCPs) are detected in surface waters receiving wastewater, yet their presence in biota, remain largely understudied. To address this, we conducted a study that measured 46 PPCPs in spot water samples and fish caught up- and downstream from wastewater treatment plants (WWTPs) in Victoria, Australia. We sampled 15 sites located along four waterways following a 3-site design: WWTP-discharge('hotspot'), 'upstream'(∼2 km) and 'downstream'(∼2 km).

Trees, Climate Change, and Health: An Urban Planning, Greening and Implementation Perspective.

The In Conversation: Boundary, Spanners, Thinkers and Policy Actors Round Table Series provides a platform for researchers, policy actors, and implementation experts to elevate discussion on emerging issues, present new and upcoming research, and facilitate conversations around impacts and possible solutions. This brief report, on trees, climate change, and health, reflects a conversation between the authors of this paper, along with supporting literature. It explores the potential of green spaces and trees as a viable strategy to address climate change challenges and simultaneously improve population health, well-being, and health equity.

Prenatal exposure to mixtures of persistent environmental chemicals and fetal growth outcomes in Western Australia.

Background: Environmental chemicals have been implicated in the etiology of impaired fetal growth. However, few studies have assessed the effects of chemical mixtures or considered the possibility of non-monotonic exposure-response relationships for chemicals that act through the endocrine system.

Methods: We assessed exposure to polybrominated diphenyl ethers, organochlorine pesticides, metals, and perfluorinated alkyl substances in blood and urine samples collected approximately two weeks prior to delivery in 166 non-smoking pregnant women, and subsequent birth weight, length, and head circumference of neonates who were part of the Australian Maternal Exposures to Toxic Substances (AMETS) study.

Suggestions for Improving the Characterization of Risk from Exposures to Per and Polyfluorinated Alkyl Substances.

Many state and federal environmental and health agencies have developed risk-based criteria for assessing the risk of adverse health effects of per- and polyfluorinated alkyl substances (PFAS) exposure to humans and the environment. However, the criteria that have been developed vary; drinking water criteria developed for perfluorooctanoic acid, for example, can vary by up to 750 fold. This is due to differences and variability in the data and information used, study/endpoint selection, assumptions and magnitude of uncertainty factors used in the absence and extrapolation of critical effect data, differences in underlying approaches to addressing exposure within criteria development, and/or policy decisions on levels of acceptable risk.

Per- and Polyfluoroalkyl Substances in Ducks and the Relationship with Concentrations in Water, Sediment, and Soil.

The present study examined the occurrence and concentration of per- and polyfluoroalkyl substances (PFAS) measured in game ducks (13 compounds), water, sediment, and soils (33 compounds) in waterways in Victoria, Australia. The study aimed to identify potential ecological and human health risks from measured PFAS concentrations. Four species of duck and samples of water, sediment, and soil were collected from 19 wetlands, which were chosen based on their popularity as hunting locations.

Roof cavity dust as an exposure proxy for extreme air pollution events.

Understanding exposure to air pollution during extreme events such as fire emergencies is critical for assessing their potential health impacts. However, air pollution emergencies often affect places without a network of air quality monitoring and characterising exposure retrospectively is methodologically challenging due to the complex behaviour of smoke and other air pollutants. Here we test the potential of roof cavity (attic) dust to act as a robust household-level exposure proxy, using a major air pollution event associated with a coal mine fire in the Latrobe Valley, Australia, as an illustrative study.

Emission factors and composition of PM from laboratory combustion of five Western Australian vegetation types.

This study investigated the emission of PM and PM (particulates with diameters of less than 10 µm and 2.5 µm, respectively) and the chemical composition of PM from laboratory combustion of five Australian vegetation types (three grasslands, a woodland and a forest). A mix of plants representative of Banksia (woodland) and Jarrah (forest) and three types of grasses (Spinifex - Triodia basedowii; Kimberley grass - Sehima nervosum and Heteropogon contortus; and an invasive grass (Veldt) - Ehrharta calycina) were burnt in 9 combustion conditions comprised of 3 fuel moisture levels (dry, moist, wet) and 3 air flow rates (no, low and high flow).

Emerging and legacy contaminants across land-use gradients and the risk to aquatic ecosystems.

Information on potentially harmful emerging and legacy chemicals is essential to understand the risks to the environment and inform regulatory actions. The objective of this study was to assess the occurrence, concentration, and distribution of emerging and legacy contaminants across a gradient of land-use intensity and determine the risk posed to aquatic ecosystems. The land-use intensity gradient considered was: background/undeveloped < low-intensity agriculture < high-intensity agriculture < urban residential < urban industrial.

Long-term Exposure to Low Air Pollutant Concentrations and the Relationship with All-Cause Mortality and Stroke in Older Men.

Background: Long-term air pollution exposure has been associated with increased risk of mortality and stroke. Less is known about the risk at lower concentrations. The association of long-term exposure to PM2.

The pro-inflammatory effects of particulate matter on epithelial cells are associated with elemental composition.

Background: Adverse health effects of particulate matter (PM) vary with chemical composition; however, evidence regarding which elements are the most detrimental is limited. The roof space area provides an open and stable environment for outdoor PM to settle and deposit. Therefore, this study used roof space PM samples as a proxy of residential cumulative exposure to outdoor air pollution to investigate their pro-inflammatory effects on human lung cells and the contribution of the endotoxin and chemical content.

Low-level cadmium exposure and cardiovascular outcomes in elderly Australian women: A cohort study.

Background: Cadmium has been associated with increased risk of cardiovascular disease (CVD) in observational studies, however there has been a limited focus on this relationship in women.

Objectives: This study investigated the association of urinary cadmium (UCd) concentrations with CVD outcomes and all-cause mortality in elderly Western Australian (WA) women.

Methods: UCd excretion was measured at baseline in 1359 women, mean age 75.

In vitro assessment of the toxicity of bushfire emissions: A review.

Bushfires produce many toxic pollutants and the smoke has been shown to have negative effects on human health, especially to the respiratory system. Bushfires are predicted to increase in size and frequency, leading to a greater incidence of smoke and impacts. While there are many epidemiological studies of the potential impact on populations, there are few studies using in vitro methods to investigate the biological effects of bushfire emissions to better understand its toxicity and significance.

Investigating the relationship between environmental factors and respiratory health outcomes in school children using the forced oscillation technique.

The environmental factors which may affect children's respiratory health are complex, and the influence and significance of factors such as traffic, industry and presence of vegetation is still being determined. We undertook a cross-sectional study of 360 school children aged 5-12 years who lived on the outskirts of a heavy industrial area in Western Australia to investigate the effect of a range of environmental factors on respiratory health using the forced oscillation technique (FOT), a non-invasive method that allows for the assessment of the resistive and reactive properties of the respiratory system. Based on home address, proximity calculations were used to estimate children's exposure to air pollution from traffic and industry and to characterise surrounding green space.

Relationship between antibiotic resistance genes and metals in residential soil samples from Western Australia.

Increasing drug-resistant infections have drawn research interest towards examining environmental bacteria and the discovery that many factors, including elevated metal conditions, contribute to proliferation of antibiotic resistance (AR). This study examined 90 garden soils from Western Australia to evaluate predictions of antibiotic resistance genes from total metal conditions by comparing the concentrations of 12 metals and 13 genes related to tetracycline, beta-lactam and sulphonamide resistance. Relationships existed between metals and genes, but trends varied.

Sex specific influence on the relationship between maternal exposures to persistent chemicals and birth outcomes.

Prenatal exposure to persistent pollutants has been associated with adverse birth outcomes, although few studies have investigated the influence of the sex of the infant. Sex specific differences have been associated with neurobehavioural impacts from environmental exposures with limited and contrary findings in relation to persistent pollutants. This study investigated the relationships between maternal exposure to a range of metals, polychlorinated biphenyls and pesticides measured in biological samples and birth outcomes with a specific focus on the sex of the infant.

Maternal exposure to perfluoroalkyl acids measured in whole blood and birth outcomes in offspring.

Perfluoralkyl and polyfluoralkyl substances have been measured in plasma and serum of pregnant women as a measure of prenatal exposure. Increased concentrations of individual perfluoroalkyl acids (PFAAs), (typically perfluorooctanoic acid (PFOA) and perfluoroctane sulfonate (PFOS) have been reported to be associated with reductions in birth weight and other birth outcomes. We undertook a study of 14 PFAAs in whole blood (including PFOS, PFHxS, PFHpA, PFOA, PFNA, PFDA and PFUnDA) from 98 pregnant women in Western Australia from 2008 to 2011.

Maternal exposure to alkali, alkali earth, transition and other metals: Concentrations and predictors of exposure.

Most studies of metals exposure focus on the heavy metals. There are many other metals (the transition, alkali and alkaline earth metals in particular) in common use in electronics, defense industries, emitted via combustion and which are naturally present in the environment, that have received limited attention in terms of human exposure. We analysed samples of whole blood (172), urine (173) and drinking water (172) for antimony, beryllium, bismuth, cesium, gallium, rubidium, silver, strontium, thallium, thorium and vanadium using ICPMS.

Investigation of the relationship between low environmental exposure to metals and bone mineral density, bone resorption and renal function.

Environmental exposure to metals has been linked to adverse health outcomes. Exposure to cadmium has been associated with decreased bone density, an increased risk of osteoporotic fracture and possible renal dysfunction. Older women are a group at risk of renal and bone density impacts and exposure to metals may be an important risk factor for these health outcomes.

Vehicle refuelling, use of domestic wood heaters and the risk of childhood brain tumours: Results from an Australian case-control study.

Background: The aetiology of childhood brain tumours (CBT) is largely unknown. Damage to germ cells after parental exposure to airborne carcinogens, such as volatile organic compounds and polycyclic aromatic hydrocarbons is one plausible pathway. This analysis aimed to investigate whether parental refuelling of vehicles or the use of domestic wood heaters in key time periods relating to the child's birth was associated with an increased risk of CBT.

Polychlorinated biphenyl (PCB) and dioxin concentrations in residential dust of pregnant women.

Polychlorinated biphenyls (PCBs) and dioxins are well known for their persistence in the environment. PCBs can be found in the residential environment long after the use of these chemicals in domestic products and industrial processes has ceased. Dioxins have been assessed in Australia as being of very low concentrations.

Metals in commonly eaten groceries in Western Australia: a market basket survey and dietary assessment.

Children's dietary exposure to metals has received limited attention in Australia. This study undertook a market basket survey and analysed 253 food and beverages for metals. These data were used in conjunction with recent average diet data for children in Western Australia to model dietary metals exposure, with mean metals intakes calculated for boys and girls aged 8, 12, 13 and 16 years.

Polybrominated diphenyl ether (PBDE) concentrations in plasma of pregnant women from Western Australia.

PBDEs are a class of brominated flame retardants applied to consumer goods to reduce their flammability. These compounds are lipophilic, persistent and bioaccumulate through the food web. PBDEs have been detected in human blood, adipose tissue and breast milk.

Children's personal exposure to PM10 and associated metals in urban, rural and mining activity areas.

There has been limited study of children's personal exposure to PM10 and associated metals in rural and iron ore mining activity areas where PM10 concentrations can be very high. We undertook a small study of 70 children where 13 children were recruited in an area of iron ore mining processing and shipping, 15 children from an area in the same region with no mining activities, and 42 children in an urban area. Each child provided a 24h personal exposure PM10 sample, a first morning void urine sample, a hair sample, time activity diary, and self administered questionnaire.

Maternal exposure to metals--concentrations and predictors of exposure.

A variety of metals are important for biological function but have also been shown to impact health at elevated concentrations, whereas others have no known biological function. Pregnant women are a vulnerable population and measures to reduce exposure in this group are important. We undertook a study of maternal exposure to the metals, aluminium, arsenic, copper, cobalt, chromium, lithium, manganese, nickel, selenium, tin, uranium and zinc in 173 participants across Western Australia.

Cadmium, lead and mercury exposure in non smoking pregnant women.

Recent literature suggests that exposure to low concentrations of heavy metals may affect both maternal and child health. This study aimed to determine the biological heavy metals concentrations of pregnant women as well as environmental and dietary factors that may influence exposure concentrations. One hundred and seventy three pregnant women were recruited from Western Australia, each providing a sample of blood, first morning void urine, residential soil, dust and drinking water samples.