Sauvé Sébastien
Environmental Chemistry Laboratory, Chemistry Department, Université de Montréal, Montréal, QC, Canada.
BMC Public Health. 2014 May 17;14:465. doi: 10.1186/1471-2458-14-465.
Current arsenic regulations focus on drinking water without due consideration for dietary uptake and thus seem incoherent with respect to the risks arising from rice consumption. Existing arsenic guidelines are a cost-benefit compromise and, as such, they should be periodically re-evaluated.
Literature data was used to compare arsenic exposure from rice consumption relative to exposure arising from drinking water. Standard risk assessment paradigms show that arsenic regulations for drinking water should target a maximum concentration of nearly zero to prevent excessive lung and bladder cancer risks (among others). A feasibility threshold of 3 μg As l(-1) was determined, but a cost-benefit analysis concluded that it would be too expensive to target a threshold below 10 μg As l(-1). Data from the literature was used to compare exposure to arsenic from rice and rice product consumption relative to drinking water consumption. The exposure to arsenic from rice consumption can easily be equivalent to or greater than drinking water exposure that already exceeds standard risks and is based on feasibility and cost-benefit compromises. It must also be emphasized that many may disagree with the implications for their own health given the abnormally high cancer odds expected at the cost-benefit arsenic threshold.
Tighter drinking water quality criteria should be implemented to properly protect people from excessive cancer risks. Food safety regulations must be put in place to prevent higher concentrations of arsenic in various drinks than those allowed in drinking water. Arsenic concentrations in rice should be regulated so as to roughly equate the risks and exposure levels observed from drinking water.
现行的砷法规主要关注饮用水,而未充分考虑膳食摄入,因此在涉及大米消费所产生的风险方面似乎缺乏连贯性。现有的砷指导方针是成本效益折中的结果,因此应定期重新评估。
利用文献数据比较了大米消费中的砷暴露与饮用水中的砷暴露。标准风险评估范式表明,饮用水的砷法规应将最大浓度设定为接近零,以防止过度的肺癌和膀胱癌风险(以及其他风险)。确定了3μg As l(-1)的可行性阈值,但成本效益分析得出结论,将阈值设定在10μg As l(-1)以下成本过高。利用文献数据比较了大米及大米制品消费中的砷暴露与饮用水消费中的砷暴露。大米消费中的砷暴露很容易等同于或超过已经超出标准风险且基于可行性和成本效益折中的饮用水暴露。还必须强调的是,鉴于在成本效益砷阈值下预期的异常高癌症几率,许多人可能不同意这对自身健康的影响。
应实施更严格的饮用水质量标准,以妥善保护人们免受过度的癌症风险。必须制定食品安全法规,以防止各种饮料中的砷浓度高于饮用水允许的浓度。应规范大米中的砷浓度,以使风险和暴露水平大致等同于饮用水中的情况。