Zhang Qiu-Qiu, Pan Shen-Ling, Liu Wei, Zhang Yu, An Wei
State Key Laboratory of Environmental Aquatic Chemistry, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China.
University of Chinese Academy of Sciences, Beijing 100049, China.
Huan Jing Ke Xue. 2017 May 8;38(5):1835-1841. doi: 10.13227/j.hjkx.201608151.
Based on the drinking water quality survey data of China's major cities, the existing disease burden calculation method was improved and disability-adjusted life years (DALYs) was taken as the end of evaluation to assess the health risk of arsenic contamination level. The results showed that the concentration of arsenic in drinking water of major cities in China was very low (0.53 μg·L), far below the national limit (10 μg·L) and the total lifetime cancer incidence was 1.76×10. The order of risks of different kinds of cancers was:skin cancer (1.53×10) > lung cancer (2.25×10) > liver cancer (2.30×10) > bladder cancer (1.34×10) and the average disease burden was 1.91×10 per person-year. Among them, skin cancer and lung cancer accounted for 70.2% and 29.0% respectively, and the disease burdens of bladder cancer and liver cancer were negligible, but the overall cancer risk was still higher than the recommended level of 10 per person-year by WHO. Although the arsenic level of drinking water in China was not high, the risk of cancer could not be ignored. Thus more effective and feasible measures should be taken to reduce arsenic concentration to protect people's drinking water safety in the future.
基于中国主要城市的饮用水水质调查数据,对现有的疾病负担计算方法进行了改进,并采用伤残调整生命年(DALYs)作为评价终点来评估砷污染水平的健康风险。结果表明,中国主要城市饮用水中的砷浓度很低(0.53μg·L),远低于国家限值(10μg·L),终生癌症总发病率为1.76×10。不同类型癌症的风险排序为:皮肤癌(1.53×10)>肺癌(2.25×10)>肝癌(2.30×10)>膀胱癌(1.34×10),人均年平均疾病负担为1.91×10。其中,皮肤癌和肺癌分别占70.2%和29.0%,膀胱癌和肝癌的疾病负担可忽略不计,但总体癌症风险仍高于世界卫生组织推荐的每人每年10的水平。尽管中国饮用水中的砷含量不高,但癌症风险仍不容忽视。因此,未来应采取更有效可行的措施降低砷浓度,以保障人们的饮用水安全。