First Nations and Inuit Health Branch (FNIHB), Indigenous Services Canada, Ottawa, ON, Canada.
Department of Biology, University of Ottawa, 30 Marie Curie, Ottawa, ON, K1N 6N5, Canada.
Can J Public Health. 2021 Jun;112(Suppl 1):133-153. doi: 10.17269/s41997-021-00499-3. Epub 2021 Jun 28.
Pharmaceuticals are emerging contaminants in the environment. Little has been published about the presence of pharmaceuticals in waterbodies nearby or on reserve land of First Nations in Canada. The objectives of this study were to (1) quantify the level of pharmaceuticals in First Nations' surface waters, (2) calculate the human health risks of the mixtures found, and (3) measure the exposure to pharmaceuticals in First Nations' drinking water where source water was highly contaminated.
This participatory study measured the levels of 43 pharmaceuticals from surface water samples taken at three water sampling sites chosen by the 95 participating First Nations. The sites were in proximity to recreational areas, fishing areas, drinking water sources, and/or wastewater outflows. When elevated levels of pharmaceutical mixtures were found in samples, drinking water samples were obtained and analyzed for potential pharmaceuticals. Human health risks were calculated by an established protocol.
In total, 432 samples were collected at 302 water sampling sites (285 surface water, 11 drinking water, and 6 wastewater sites). Quantifiable levels of 35 pharmaceuticals were found in 79 of the 95 (83%) participating First Nations at 193 of the 285 surface water sites (68%). Overall, the levels found were comparable to or lower than those found in other studies in Canada and worldwide.
In almost all participating First Nations, there is no human health risk from consuming surface water for drinking. However, surface water in the vicinity of major urban centres should not be used as secondary untreated water sources due to the elevated human health risk associated with exposure to the mixtures of multiple pharmaceuticals detected.
药品是环境中的新兴污染物。在加拿大,有关水体附近或原住民保留地存在药品的资料很少。本研究的目的是:(1) 量化原住民地表水的药品水平,(2) 计算发现的混合药品的人类健康风险,以及 (3) 测量原住民饮用水中暴露于高污染水源的药品。
这项参与式研究从 95 个参与原住民选择的三个水质采样点采集了 43 种表面水样,以测量这些水样中的 43 种药品。这些地点靠近娱乐区、捕鱼区、饮用水源和/或废水排放口。当发现混合药品水平升高时,采集饮用水样并进行潜在药品分析。采用既定方案计算人类健康风险。
共在 302 个水质采样点(285 个地表水、11 个饮用水和 6 个废水)采集了 432 个样本。在 95 个参与原住民中的 79 个(83%)原住民的 285 个地表水点中的 193 个(68%)发现了 35 种可量化的药品。总体而言,发现的水平与加拿大和全球其他研究中的水平相当或更低。
在几乎所有参与的原住民中,饮用水的地表水不会对人类健康构成风险。然而,由于与检测到的多种药品混合暴露相关的人类健康风险较高,因此不应将主要城市中心附近的地表水用作未经处理的二级水源。