Terttu Vartiainen

Flame retardants in placenta and breast milk and cryptorchidism in newborn boys

Background Polybrominated diphenyl ethers (PBDEs) are widely used in Western countries. Objectives Because the prevalence of cryptorchidism appears to be increasing, we investigated whether exposure to PBDEs was associated with testicular maldescent. Methods In a prospective Danish–Finnish study, 1997–2001, all boys were examined for cryptorchidism. We analyzed whole placentas (for 95 cryptorchid/185 healthy boys) and individual breast milk samples (62/68) for 14 PBDEs and infant serum samples for gonadotropins, sex-hormone binding globulin, testosterone, and inhibin B. Results In 86 placenta–milk pairs, placenta PBDE concentrations in fat were lower than in breast milk, and a larger number of congeners were nondetectable. There was no significant difference between boys with and without cryptorchidism for individual congeners, the sum of 5 most prevalent, or all 14 congeners. The concentration of PBDEs in breast milk was significantly higher in boys with cryptorchidism than in controls (sum of BDEs 47, 153, 99, 100, 28, 66, and 154: median, 4.16 vs. 3.16 ng/g fat; p < 0.007). There was a positive correlation between the sum of PBDEs and serum luteinizing hormone (p < 0.033). The sum of PBDEs in breast milk did not differ between Denmark and Finland (median, 3.52 vs. 3.44 ng/g fat), but significant differences in some individual congeners were found. Conclusions Two different proxies were used for prenatal PBDE exposure, and levels in breast milk, but not in placenta, showed an association with congenital cryptorchidism. Other environmental factors may contribute to cryptorchidism. Our observations are of concern because human exposure to PBDEs is high in some geographic areas.

Polychlorinated dibenzo-p-dioxins and dibenzofurans via mother's milk may cause developmental defects in the child's teeth.

Previous studies have shown developmental dental defects in rhesus macaques and rats experimentally exposed to dioxin. Now it was investigated if dioxin exposure from mothers milk in a normal breast-fed child population correlated with enamel hypomineralization of teeth that mineralize during the first 2 years of life. We studied 102 6-7-year-old Finnish children breast-fed for an average of 10.5 months. Milk samples were collected when the child was 4 weeks old. The concentrations of 17 most toxic polychlorinated dibenzo-p-dioxin and furan congeners were determined. The total exposure to dioxins was calculated from the concentrations in milk and the duration of breast feeding. Hypomineralization of the target teeth was found in 17 children. Both the frequency and severity of the lesions correlated with the total exposure. The results suggest that at the prevailing levels in human milk, dioxin may be an important cause of hypomineralization in the developing teeth of children.

Drinking water mutagenicity and gastrointestinal and urinary tract cancers: an ecological study in Finland.

OBJECTIVES The purpose of this study was to investigate the relationship between exposure to mutagenic drinking water and cancers of the gastrointestinal and urinary tract. METHODS Past exposure to drinking water mutagenicity was assessed in 56 Finnish municipalities for the years 1955 and 1970. The cases of bladder, kidney, stomach, colon, and rectum cancers were derived from two periods (1967 to 1976 and 1977 to 1986). Age, sex, social class, urban living, and time period were taken into account in the Poisson regression analysis. RESULTS Statistically significant exposure-response association was observed between exposure and incidence of bladder, kidney, and stomach cancers. In an ordinary municipality using chlorinated surface water, this exposure would indicate a relative risk of 1.2 for bladder cancer and of 1.2 to 1.4 for kidney cancer compared with municipalities where nonmutagenic drinking water was consumed. CONCLUSIONS The acidic mutagenic compounds present in drinking water may play a role in the etiology of kidney and bladder cancers, but, because the results are based on aggregate data, they should be interpreted with caution.

PCDD/Fs and PCBs in Baltic herring during the 1990s

Baltic herring samples caught from the Baltic Sea during the spring periods of 1993-1994 and 1999 were analysed for polychlorinated dibenzo-p-dioxins (PCDD), polychlorinated dibenzofurans (PCDF), and polychlorinated biphenyls (PCB). For analyses, 1570 individual herring were combined to 120 pools. Correlations between concentrations of congeners 1,2,3,7,8-PeCDD, 1,2,3,7,8-PeCDF, 2,3,4,7,8-PeCDF, and 2,3,4,6,7,8-HxCDF, and age of herring were the strongest (r>0.8) followed by correlations between PCB congeners PCB 105, 118, 126, 156, 169 and 180 (r>0.7), and age of herring. Due to higher fat percentage in herring in the Gulf of Bothnia the concentrations of PCDD/Fs and PCBs on fresh weight (fw) basis were higher than in herring in the Gulf of Finland. The concentrations of WHO(PCDD/F)-TEQs ranged from 1 to 27 pg/g fw, depending on the age and catchment area of herring, and concentrations of WHO(PCB)-TEQs reached 32 pg/g fw. Between the two studied time points no clear downward trend in concentrations was observed.

Drinking water chlorination and cancer – a historical cohort study in Finland

Chlorinationof water richin organic material is knownto produce a complexmixture of organochlorine compounds, including mutagenic and carcinogenicsubstances. A historical cohort study of 621,431 persons living in 56 townsin Finland was conducted in order to assess the relation between historicalexposure to drinking water mutagenicity and cancer. Exposure to quantity ofmutagenicity was calculated on the basis of historical information of rawwater quality and water treatment practices using an empirical equationrelating mutagenicity and raw water pH, KMnO4 value andchlorine dose. Cancercases were derived fromthe population-based FinnishCancer Registryandfollow-up time in the study started in 1970. Age, gender, time period,social class, and urban residence were taken into account in Poissonregression analysis of the observed numbers of cases using expected numbersof cases standardized for age and gender as a basis. Excess risks werecalculated using a continuous variab le for mutagenicity for 3,000 net rev/lexposure representing an average exposure in a town using chlorinated surfacewater. After adjustment for con-founding, a statistically significant excessrisk was observed for women in cancers of the bladder (relative risk [RR] =1.48, 95 percent confidence interval [CI] = 1.01-2.18), rectum (RR = 1.38, CI= 1.03-1.85), esophagus (RR = 1.90, CI = 1.02-3.52), and breast (RR = 1.11,CI = 1.01-1.22). These results support the magnitude of excess risks forrectal and bladder cancers found in earlier epidemiologic studies onchlorination by-products and give additional information on exposure-responseconcerning the mutagenic compounds. Nevertheless, due to the public healthimportance of water chlorination, uncertainty related to the magnitude ofobserved risks, and the fact that excess risks were observed only for women,the results of the study should be interpreted withcaution.

Disinfection by-products in Finnish drinking waters

Disinfection by-products (DBPs) were measured in plant effluents of 35 Finnish waterworks, which utilized different treatment processes and raw water sources. DBPs were measured also from the distribution systems of three waterworks. Di- and trichloroacetic acids, and chloroform were the major DBPs found in treated water samples. The concentration of six haloacetic acids (HAA6) exceeded the concentrations of trihalomethanes (THMs). Chlorinated drinking waters (DWs) originating from surface waters contained the highest concentration of HAA6 and THMs: 108 and 26 microg/l, respectively. The lowest concentrations of DBPs were measured from ozonated and/or activated carbon filtrated and chloraminated DWs. Higher concentrations of HAA6, THMs, and adsorbable organic halogens were measured in summer compared to winter. The levels of chlorinated acetic acids, chloroform, and bromodichloromethane correlated positively with mutagenicity. Past mutagenicity levels of DWs were examined. A major reduction in the use of prechlorination, increased use of chloramine disinfection, and better removal of organic carbon were the most important reasons for the 69% decrease in mutagenicity from 1985 to 1994.

Molecular size distribution of natural organic matter in raw and drinking waters

The purpose of this study was to compare the molecular size distribution (MSD) of natural organic matter (NOM) in raw waters (RW) and drinking waters (DW), and to find out the differences between MSD after different water treatment processes. The MSD of NOM of 34 RW and DW of Finnish waterworks were determined with high-performance size-exclusion chromatography (HPSEC). Six distinct fractions were generally separated from water samples with the TSK G3000SW column, using sodium acetate at pH 7 as an eluent. Large and intermediate humic fractions were the most dominant fractions in surface waters (lakes and rivers), while in artificially recharged groundwaters and natural groundwaters intermediate and small fractions predominated. Water treatment processes removed the two largest fractions almost completely shifting the MSD towards smaller molecular size in DW. Granular activated carbon (GAC) filtration, ozonation, and their combination reduced all humic fractions compared to the conventional treatment. Humic fractions correlated with total organic carbon (TOC) content and chemical oxygen demand, this being especially true in RW. The results demonstrate that the HPSEC method can be applied for a qualitative and also for rough estimate quantitative analyzes of NOM directly from RW and DW samples without sample pretreatment.

Dietary intakes of polychlorinated dibenzo- p -dioxins, dibenzofurans and polychlorinated biphenyls in Finland

Samples of cow milk, pork, beef, eggs, rainbow trout, flours and vegetables were analysed for 17 polychlorinated dibenzo- p -dioxins and dibenzofurans (PCDD/F) and 36 polychlorinated biphenyls (PCB). Daily dietary intake of PCDD/Fs as toxic equivalent (I-TEq) and PCBs (PCB-TEq) was assessed using food consumption data from a 24-h dietary recall study for 2862 Finnish adults. The calculated intake of PCDD/F was 46pg I-TEq day -1. The current level was about half of the earlier estimation of intake in Finland made in 1992. The assessed PCB intake was 53pg PCBTEqday -1. Thus, the total intake of PCDD/Fs and PCBs was 100pg TEqday -1 (1.3pg TEqkg -1b.w.day -1), which is within the range of tolerable daily intake (TDI) proposed by the WHO (1-4pg TEqkg -1 b.w.day -1).

Analysis of oak tannins by liquid chromatography-electrospray ionisation mass spectrometry

Extractable tannins were analysed by liquid chromatography-electrospray ionisation mass spectrometry in two oak species, North American white oak (Quercus alba) and European red oak (Quercus robur). They mainly included various glucose gallic and ellagic acid esters. The structures were partially determined, and they included grandinin/roburin E, castalagin/vescalagin, gallic acid, valoneic acid bilactone, monogalloyl glucose, digalloyl glucose, trigalloyl glucose, ellagic acid rhamnose, quercitrin and ellagic acid.

Changes in content of microbially available phosphorus, assimilable organic carbon and microbial growth potential during drinking water treatment processes

There are regions where microbial growth in drinking water is limited by phosphorus instead of organic carbon. In phosphorus limited waters small changes in phosphorus concentration significantly affect microbial growth. We studied how water treatment processes in waterworks affect the availability of microbial nutrients and microbial growth potential in drinking water. The nutrients studied were assimilable organic carbon (AOCpotential) and microbially available phosphorus (MAP) which both were quantified by bioassays. Chemical coagulation, commonly used in surfacewater works, effectively removed AOCpotential and MAP. In contrast to activated carbon filtration, ozonation increased the concentrations of AOCpotential and MAP, and also microbial growth potential. In most of the drinking waters, microbial growth was limited by phosphorus, and microbial growth potential correlated with the MAP concentration. Microbial growth potential was lowest in drinking waters produced from surface waters with efficient treatment technique and highest in less treated ground waters.