D.K. Essumang

Association of Arsenic with Adverse Pregnancy Outcomes/Infant Mortality: A Systematic Review and Meta-Analysis

Background Exposure to arsenic is one of the major global health problems, affecting > 300 million people worldwide, but arsenic’s effects on human reproduction are uncertain. Objectives We conducted a systematic review and meta-analysis to examine the association between arsenic and adverse pregnancy outcomes/infant mortality. Methods We searched PubMed and Ovid MEDLINE (from 1946 through July 2013) and EMBASE (from 1988 through July 2013) databases and the reference lists of reviews and relevant articles. Studies satisfying our a priori eligibility criteria were evaluated independently by two authors. Results Our systematic search yielded 888 articles; of these, 23 were included in the systematic review. Sixteen provided sufficient data for our quantitative analysis. Arsenic in groundwater (≥ 50 μg/L) was associated with increased risk of spontaneous abortion (6 studies: OR = 1.98; 95% CI: 1.27, 3.10), stillbirth (9 studies: OR = 1.77; 95% CI: 1.32, 2.36), moderate risk of neonatal mortality (5 studies: OR = 1.51; 95% CI: 1.28, 1.78), and infant mortality (7 studies: OR = 1.35; 95% CI: 1.12, 1.62). Exposure to environmental arsenic was associated with a significant reduction in birth weight (4 studies: β = –53.2 g; 95% CI: –94.9, –11.4). There was paucity of evidence for low-to-moderate arsenic dose. Conclusions Arsenic is associated with adverse pregnancy outcomes and infant mortality. The interpretation of the causal association is hampered by methodological challenges and limited number of studies on dose response. Exposure to arsenic continues to be a major global health issue, and we therefore advocate for high-quality prospective studies that include individual-level data to quantify the impact of arsenic on adverse pregnancy outcomes/infant mortality. Citation Quansah R, Armah FA, Essumang DK, Luginaah I, Clarke E, Marfoh K, Cobbina SJ, Nketiah-Amponsah E, Namujju PB, Obiri S, Dzodzomenyo M. 2015. Association of arsenic with adverse pregnancy outcomes/infant mortality: a systematic review and meta-analysis. Environ Health Perspect 123:412–421; http://dx.doi.org/10.1289/ehp.1307894

Cancer and Non-Cancer Risk Assessment from Exposure to Arsenic, Copper, and Cadmium in Borehole, Tap, and Surface Water in the Obuasi Municipality, Ghana

ABSTRACT Cancer and non-cancer risk assessment from exposure to As, Cd, and Cu by resident adults and children from different water sources in Obuasi Municipality, Ghana, were measured in this study in accordance with the U.S. Environmental Protection Agencys (USEPAs) Human Health Risk Assessment guidelines. The results of cancer health risk for resident adults in Obuasi exposed to As in their tap water for both Central Tendency Exposure (CTE) and Reasonable Maximum Exposure (RME) parameters, respectively, are 6.6 × 10−4 and 5.5 × 10−6. For resident children in Odumasi, we obtained 4.7 × 10−1 (CTE) and 6.7 × 10−1 (RME). The results of the study obtained in most cases were found to exceed the USEPAs acceptable cancer risk range of 1 × 10−6 to 1 × 10−4 (i.e., 1 case of cancer out of 1,000,000 people to 1 case of cancer out of 10,000 people). Similarly, the results of the non-cancer human health risk for both resident adults and children were also found in most cases to be greater than the USEPAs acceptable non-cancer human health hazard index of 1.

Effect of smoke generation sources and smoke curing duration on the levels of polycyclic aromatic hydrocarbon (PAH) in different suites of fish

The research studied the impact of smoke generation sources on PAH contamination in four different smoke-cured fish (mackerel, sardine, tuna and Cigar minnows). The smoke sources used included acacia, sugarcane bagasse and mangrove. PAHs in the smoke-cured fish were analysed using Varian GC/MS (3800-GC) system. The mean total PAH concentrations in the smoked fish (n=108) ranged from 250.59-1376.09 μg/kg in tuna, cigar minnows, sardine and mackerel smoke-cured with sugarcane bagasse, mangrove and acacia for between 2 and 8h. The mean BaP levels for most fish cured with smoke from acacia and mangrove for between 2 and 8h were all above the European Commission set limit of 5.0 μg/kg. Positive correlations (at P=0.01, 2-tailed) were observed between PAH levels in smoked fish and lignin contents of wood type used for the smoke generation, the fat content and the smoke-curing duration. Risk assessment conducted using benzo[a]pyrene carcinogenic and mutagenic toxicity equivalency factors (TEF and MEF respectively) showed high risk associated with consuming fish smoke-cured with hard woods (acacia and mangroves). Sugarcane bagasse was found to be relatively the best and safest smoke-generating source for smoke-curing of fish among the three wood types when using the traditional kiln.

Evaluation of lead and mercury neurotoxic health risk by resident children in the Obuasi municipality, Ghana.

This study assesses neurotoxic effects associated with exposure to lead and mercury in borehole, tap and surface water by resident children in the Obuasi municipality in accordance with USEPA risk assessment guidelines. From the results of the study, the hazard quotient for oral ingestion of mercury in tap water in Obuasi is 7.4 and 15 respectively via both central tendency exposure (CTE) and reasonable maximum exposure (RME) parameters, respectively. This means that approximately 7 and 15 (by both CTE and RME parameters, respectively) resident children in Obuasi are likely to show neurologic effects associated with exposure to mercury and lead such as increased nervousness, loss of memory and/or decrease in concentration, impaired writing ability and tremor.

Analysis of Some Pesticide Residues in Tomatoes in Ghana

ABSTRACT Pesticide residues, both natural and synthetic, can be found in most of the things we eat, for example, fruits, vegetables, bread, meat, poultry, fish, and the processed foods made from them. Some of this pesticide contamination is legal, but does this mean it is safe? Much of it is illegal, with residues found in excess of regulatory safe levels. Identifying and determining the level of trace contaminants in our food and environment is critical in protecting and improving human health and the environment. This study evaluates the residue levels of select pesticides used on tomato crops in Ghana that are likely to have accumulated in the tomatoes during application. The results obtained confirm that pesticide residues were indeed present in the tomatoes and further analysis quantified the amount present. Analysis of some organochlorine and organophosphorus residue levels in the fruits indicated that chlorpyrifos, which is an active ingredient of pesticides registered in Ghana under the trade name dursban 4E or terminus 480 EC for use on vegetables, has the greatest residue level of 10.76 mg/kg. The lowest residue level observed was that of pirimiphos-methyl with 0.03 mg/kg. Human health risk assessment was performed on the results obtained from the analysis using Human Health Evaluation computerized software-RISC 4.02. The risk assessment showed cancer risk for adults and children due to the presence of endosulfan and chlopyrifos. Endosulfan is not registered in Ghana as a pesticide for use on vegetables, therefore the detection of endosulfan in several samples indicates misuse of agrochemicals among Ghanaian farmers.

Analysis and Human Health Risk Assessment of Arsenic, Cadmium, and Mercury in Manta Birostris (Manta Ray) Caught Along the Ghanaian Coastline

ABSTRACT The Ghanaian marine water of the Atlantic Ocean could be said to be polluted with As and Hg. However, Cd levels do not appear to pose an environmental concern based on levels reported in tissue samples collected. Tissue samples from six Manta birostris (manta ray) used as a bioindicator were tested for these heavy metals because many people in Ghana eat this fish (aka “kako”). The pattern of bioaccumulation of these heavy metals found in the tissues of manta rays, which feed on phytoplankton, suggests that pollution has traveled deeper into the sea, which is an environmental concern and one that may require some urgent attention. Concentrations of As, Cd, and Hg were determined in kidney, liver, and muscle samples from six Manta birostris using the neutron activation analysis method. The results showed elevated levels of the metals in the manta rays. If these values are interpreted to represent daily human exposure estimates of possible human health cancer and non-cancer risks may be derived to conclude some potential risk for daily consumers of manta ray tissues. From the assessment, most of the hazard indexes for children were less than 1 except for arsenic, which was greater than 1. This means that there is for arsenic some hazard risk for children consumers of the manta ray. This is the first study to show the accumulation of heavy metals in manta ray; although the sources are not very clear, and may be due to the numerous mining activities, it needs to be investigated further. The presence of the heavy metals is very significant because the meat (muscle) is consumed in Ghana and hence there is possible accumulation in humans.

Polychlorinated biphenyls in coastal tropical ecosystems: Distribution, fate and risk assessment

Polychlorinated biphenyls (PCBs) though banned still find use in most developing countries including Ghana. PCB congener residues in sediments in the coastal regions of Ghana were determined. Sediment samples (n=80) were collected between June 2008 and March 2009, extracted by the continuous soxhlet extraction using (1:1) hexane-acetone mixture for 24h and analyzed with a CP 3800 gas chromatogram equipped with (65)Ni electron capture detector (GC-ECD) and a mixed PCBs standard of the ICES 7 as marker, after clean-up. Validation of the efficiency and precision of the extraction and analytical methods were done by extracting samples spiked with 2 ppm ICES PCB standard and a certified reference material 1941b for marine sediments from NIST, USA, and analyzed alongside the samples. Total PCBs detected in sediments during the dry and wet seasons were, respectively, 127 and 112 μg/kg dry weight (dw), with a mean concentration of 120 μg/kg (dw). The composition of PCB homologues in the sediments were dominated by tri-, penta- and tetra-PCBs. There was no correlation between organic carbon (OC) of the sediments and total PCBs content. Risk assessments conducted on the levels indicated that PCB levels in sediments along the coastal region of Ghana poses no significant health risk to humans.

Statistical evaluation of environmental contamination, distribution and source assessment of heavy metals (aluminum, arsenic, cadmium, and mercury) in some lagoons and an estuary along the coastal belt of Ghana.

An environmental pollution investigation was carried out to determine the concentrations of aluminum (Al), arsenic (As), cadmium (Cd), and mercury (Hg) (heavy metals) in the surface water and river water bed sediments of lagoons and estuaries along the coastal belt of Ghana. The study assessed the environmental pollution situation and evaluated their sources and distribution of these metals. The total concentrations of Al, As, Cd, and Hg were determined by the neutron activation analysis technique. Water and sediment samples were collected from the Benya, Fosu, and Narkwa lagoons in the Central Region and from the Pra estuary in the western part of Ghana. Some indices, such as contamination factor, pollution-load index, contamination degree, and geoaccumulation index, were used to assess eco-environmental quality of the sampling sites. The analysis indicated that the Fosu lagoon was fairly polluted with Cd. The investigation indicated a highly localized distribution pattern closely associated with the two pollution sources (garbage/solid waste dumps and industrial activities) along the coastal belt. The resulting environmental deterioration required a concerted evaluative effort by all stakeholders.

Associations between pesticide use and respiratory symptoms: A cross-sectional study in Southern Ghana.

BACKGROUND Indiscriminate use of pesticides is a common practice amongst farmers in Low and Middle Income Countries (LMIC) across the globe. However, there is little evidence defining whether pesticide use is associated with respiratory symptoms. OBJECTIVES This cross-sectional study was conducted with 300 vegetable farmers in southern Ghana (Akumadan). Data on pesticide use was collected with an interviewed-administered questionnaire. The concentration of seven organochlorine pesticides and 3 pyrethroid pesticides was assayed in urine collected from a sub-population of 100 vegetable farmers by a gas chromatograph equipped with an electron capture detector (GC-ECD). RESULTS A statistically significant exposure-response relationship of years per day spent mixing/applying fumigant with wheezing [30-60 days/year: prevalence ratio (PR)=1.80 (95% CI 1.30, 2.50); >60days/year: 3.25 (1.70-6.33), p for trend=0.003] and hours per day spent mixing/applying fumigant with wheezing [1-2h/day: 1.20 (1.02-1.41), 3-5h/day: 1.45 (1.05-1.99), >5h/day: 1.74 (1.07-2.81), p for trend=0.0225]; days per year spent mixing/applying fungicide with wheezing [30-60 days/year: 2.04 (1.31-3.17); >60days/year: 4.16 (1.72-10.08), p for trend=0.0017] and h per day spent mixing/applying fungicide with phlegm production [1-2h/day: 1.25 (1.05-1.47), 3-5h/day: 1.55 (1.11-2.17), >5h/day: 1.93 (1.17-3.19), p for trend=0.0028] and with wheezing [1-2h/day: 1.10 (1.00-1.50), 3-5h/day: 1.20 (1.11-1.72), >5h/day: 1.32 (1.09-2.53), p for trend=0.0088]; h per day spent mixing/applying insecticide with phlegm production [1-2h/day: 1.23 (1.09-1.62), 3-5h/day: 1.51 (1.20-2.58), >5h/day: 1.85 (1.31-4.15), p for trend=0.0387] and wheezing [1-2h/day: 1.22 (1.02-1.46), 3-5h/day: 1.49 (1.04-2.12), >5h/day: 1.81 (1.07-3.08), p for trend=0.0185] were observed. Statistically significant exposure-response association was also observed for a combination of activities that exposes farmers to pesticide with all 3 respiratory symptoms. Furthermore, significant exposure-response associations for 3 organochlorine insecticides: beta-HCH, heptachlor and endosulfan sulfate were noted. CONCLUSIONS In conclusion, vegetable farmers in Ghana may be at increased risk for respiratory symptoms as a result of exposure to pesticides.

Bioaccumulation of platinum group metals on some fish species ( Oreochromis niloticus , Penaeus laspisulcates , Scylla serrate , Galaxias brevipinnis and Mollusc ) in the Pra estuary of Ghana

Catalytic converters have been designed to solve the problem of pollution from automobiles. However, recent studies have shown that the platinum group metals (PGMs) that are used in the design are being deposited alongside highways. The objective of this study was to measure the levels of PGMs that bioaccumulate in Oreochromis niloticus, Penaeus laspisulcates, Scylla serrate, Galaxias brevipinnis and Mollusc in the river Pra estuary along a major highway in Ghana. Chemical analysis using neutron activation analysis showed accumulation of the PGMs in all the biota species analysed. The S. serrate and mollusc showed higher accumulation than the other species. The mollusc and the other fish species in the estuary are consumed in Ghana, and therefore there is the need to educate the population on the effect of the PGMs on their health.