孟加拉国比哈尔邦恒河平原地区的母亲的母乳中砷污染严重:这对婴儿的健康构成了重大威胁。

High arsenic contamination in the breast milk of mothers inhabiting the Gangetic plains of Bihar: a major health risk to infants.

机构信息

Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India.

Lovely Professional University, Phagwara, Punjab, India.

出版信息

Environ Health. 2024 Sep 20;23(1):77. doi: 10.1186/s12940-024-01115-w.

Abstract

Groundwater arsenic poisoning has posed serious health hazards in the exposed population. The objective of the study is to evaluate the arsenic ingestion from breastmilk among pediatric population in Bihar. In the present study, the total women selected were n = 513. Out of which n = 378 women after consent provided their breastmilk for the study, n = 58 subjects were non-lactating but had some type of disease in them and n = 77 subjects denied for the breastmilk sample. Hence, they were selected for the women health study. In addition, urine samples from n = 184 infants' urine were collected for human arsenic exposure study. The study reveals that the arsenic content in the exposed women (in 55%) was significantly high in the breast milk against the WHO permissible limit 0.64 µg/L followed by their urine and blood samples as biological marker. Moreover, the child's urine also had arsenic content greater than the permissible limit (< 50 µg/L) in 67% of the studied children from the arsenic exposed regions. Concerningly, the rate at which arsenic is eliminated from an infant's body via urine in real time was only 50%. This arsenic exposure to young infants has caused potential risks and future health implications. Moreover, the arsenic content was also very high in the analyzed staple food samples such as rice, wheat and potato which is the major cause for arsenic contamination in breastmilk. The study advocates for prompt action to address the issue and implement stringent legislative measures in order to mitigate and eradicate this pressing problem that has implications for future generations.

摘要

地下水砷中毒已对暴露人群的健康造成严重危害。本研究旨在评估比哈尔邦儿科人群母乳中的砷摄入量。在本研究中,共选择了 n=513 名女性。其中,n=378 名女性在同意后提供了母乳进行研究,n=58 名非哺乳期但患有某种疾病的女性,n=77 名拒绝提供母乳样本的女性。因此,她们被选为妇女健康研究对象。此外,还收集了 n=184 名婴儿的尿液样本,用于人类砷暴露研究。研究表明,暴露组妇女(55%)母乳中的砷含量明显高于世界卫生组织允许的 0.64μg/L 限量,其次是尿液和血液样本作为生物标志物。此外,在受砷污染地区的 67%研究儿童中,其尿液中的砷含量也超过了允许限量(<50μg/L)。令人担忧的是,砷通过尿液从婴儿体内实时排出的速度仅为 50%。这种对婴幼儿的砷暴露对未来的健康造成了潜在的风险和影响。此外,在分析的主食样本(如大米、小麦和土豆)中,砷含量也非常高,这是母乳中砷污染的主要原因。该研究主张采取紧急行动来解决这个问题,并实施严格的立法措施,以减轻和消除这一对子孙后代有影响的紧迫问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5987/11415992/82462e0faa57/12940_2024_1115_Fig1_HTML.jpg

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