Laguna de Bay, the largest and nationally significant freshwater lake ecosystem in the Philippines, has been increasingly subjected to anthropogenic pressures over the years. Domestic, agricultural, and industrial activities in the surrounding areas have contributed directly and indirectly to the deterioration of the lake's overall ecological health and integrity. This study assessed the chromium (Cr), nickel (Ni), copper (Cu), zinc (Zn), arsenic (As), lead (Pb), and cadmium (Cd) contamination in Asiatic clam, Corbicula fluminea, using quadrupole inductively coupled plasma-mass spectrometry. Estimated daily consumption of Asiatic clam was determined through a social survey. The data from analytical analysis and social surveys were utilized to calculate the target hazard quotient (THQ) to determine the potential health risks of consuming heavy metal-enriched clams to fishing households. Results from the Knowledge, Attitude, and Practices (KAP) survey indicated that the majority of the respondents have an acceptable level of knowledge on the hazards posed by the intake of contaminated clams but disapproved the banning of its collection and consumption. Sampled households with high consumption rates in all municipalities except Victoria were also found to be exposed to imminent health risk due to the high toxicity level of As based on their THQ values. Overall, one-third of the fishing households exposed to elevated health risk based on their total target hazard quotient (TTHQ) values already warrant a concern. The potential human health risks validate the worsening condition of Laguna de Bay. Integrative and holistic management of the lake through collaborative efforts of various stakeholders and institutions is necessary, to restore the health of the ecosystem and safeguard the health of the public.
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http://dx.doi.org/10.1007/s11356-021-13298-7 | DOI Listing |
J Infect Dis
January 2025
Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland 21218, USA.
Clinical trials that employ human challenge, also known as controlled human infection models (CHIM), have rapidly advanced vaccine development for multiple pathogens, including at least 30 disease models to date. CHIM studies, championed by networks of researchers, regulators, ethicists, technical experts, and other stakeholders, limit exposure of individuals to an investigational product, de-risk product investments, identify correlates of protection, and most importantly provide a prompt readout of vaccine efficacy. While CHIM studies provide multiple advantages, important challenges exist, including strengthening the relevance and comparability of CHIM study results to efficacy trials in endemic areas, particularly in resource-limited settings.
View Article and Find Full Text PDFClin Infect Dis
January 2025
GSK, Wavre, Belgium.
Background: In this phase 3 trial of an investigational maternal respiratory syncytial virus prefusion F protein-based vaccine (RSVPreF3-Mat), a higher rate of preterm birth was observed in the vaccine (6.8%) versus the placebo group (4.9%).
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Cancer Screening, American Cancer Society, Atlanta, GA, United States.
Background: The online nature of decision aids (DAs) and related e-tools supporting women's decision-making regarding breast cancer screening (BCS) through mammography may facilitate broader access, making them a valuable addition to BCS programs.
Objective: This systematic review and meta-analysis aims to evaluate the scientific evidence on the impacts of these e-tools and to provide a comprehensive assessment of the factors associated with their increased utility and efficacy.
Methods: We followed the 2020 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and conducted a search of MEDLINE, PsycINFO, Embase, CINAHL, and Web of Science databases from August 2010 to April 2023.
J Med Internet Res
January 2025
School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Background: Lifestyle interventions have been acknowledged as effective strategies for preventing type 2 diabetes mellitus (T2DM). However, the accessibility of conventional face-to-face interventions is often limited. Digital health intervention has been suggested as a potential solution to overcome the limitation.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!