Lalor Gerald C
International Centre for Environmental and Nuclear Sciences, University of the West Indies Mona, Kingston, Jamaica.
Sci Total Environ. 2008 Aug 1;400(1-3):162-72. doi: 10.1016/j.scitotenv.2008.07.011. Epub 2008 Aug 26.
Concerns about the effects of cadmium on human health have led to numerous guidelines and regulations limiting its concentrations in soils and food and allowable human intakes. These have socio-economic consequences in terms of land use and the marketing of food. The bauxite soils in Jamaica, which are both aluminium ores and agricultural soils contain orders of magnitude higher than world normal concentrations of cadmium resulting in elevated Cd concentrations in several foodstuffs and significant transfers to humans, which would seem to represent a risk factor for increased mortality and/or morbidity in the local populations. But, as in Shipham and other examples, there is no evidence of cadmium-related human distress. Macro-indicators like life expectancy and median ages of death do not show cadmium related geographical distributions. The present review focuses on the soils and foods and illnesses of high incidence especially cancers and renal disease that have been traditionally associated with cadmium. In view of the remarkable concentrations of cadmium involved in Jamaica, and often contradictory reports in the literature, it appears that much remains to be learned about certain details of cadmium toxicity.
对镉对人体健康影响的担忧导致了众多限制其在土壤、食物中的浓度以及人体可摄入量的指导方针和法规。这些在土地使用和食品销售方面产生了社会经济后果。牙买加的铝土矿土壤既是铝矿石又是农业土壤,其镉含量比世界正常浓度高出几个数量级,导致几种食品中的镉浓度升高,并大量转移到人体,这似乎是当地人口死亡率和/或发病率增加的一个风险因素。但是,正如在希普姆及其他例子中一样,没有证据表明镉会给人类带来困扰。诸如预期寿命和死亡年龄中位数等宏观指标并未显示出与镉相关的地理分布情况。本综述聚焦于土壤、食物以及高发病率的疾病,尤其是传统上与镉相关的癌症和肾病。鉴于牙买加镉含量极高,且文献中的报道往往相互矛盾,看来关于镉毒性的某些细节仍有许多有待了解。