Dataset Information

Factors Associated with High Mercury Levels in Women and Girls from The Mojana Region, Colombia, 2013-2015.

ABSTRACT: Women are primarily exposed to mercury through the consumption of fish contaminated by gold mining activities. The main systems affected are the central nervous and renal systems, although effects on the reproductive system have also been found. Objective: To explore the relationship between mercury levels in women and their possible sources of contamination. A cross-sectional study was conducted from 2013 to 2015 with women residing in 11 municipalities in La Mojana, Colombia, using non-random sampling. Standardized instruments were used to identify sociodemographic characteristics, mercury use, mining-related activities, water and fish consumption, and other factors. Blood, urine, and hair samples were taken to quantify mercury levels. A logistic regression model was used to identify factors associated with elevated mercury values in the participants' samples. A total of 428 women were included, with an average age of 36.7 ± 16.7 years, 3.3% of whom were pregnant at the time of the survey and 8.4% of whom were exposed occupationally. High levels of mercury were present in 62.8% of the women, in any one of the three samples processed. Those exposed occupationally and environmentally had similar values (p = 0.821). Frequency of fish consumption and source of drinking water were associated with higher levels of mercury (p < 0.05).

SUBMITTER: Diaz SM

PROVIDER: S-EPMC7143275 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Factors Associated with High Mercury Levels in Women and Girls from The Mojana Region, Colombia, 2013-2015.

Diaz Sonia Mireya SM Palma Ruth Marien RM Muñoz Maria Nathalia MN Becerra-Arias Carolina C Fernández Niño Julián Alfredo JA

International journal of environmental research and public health 20200311 6

Women are primarily exposed to mercury through the consumption of fish contaminated by gold mining activities. The main systems affected are the central nervous and renal systems, although effects on the reproductive system have also been found. <i>Objective</i>: To explore the relationship between mercury levels in women and their possible sources of contamination. A cross-sectional study was conducted from 2013 to 2015 with women residing in 11 municipalities in La Mojana, Colombia, using non- ...[more]

PMID: 32168984

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Project description:BackgroundMultidrug- and rifampicin (RMP)-resistant tuberculosis (MDR/RR-TB) requires prolonged and expensive treatment, which is difficult to sustain in the Colombian health system. This requires the joint action of different providers to provide timely health services to people with TB. Identifying factors associated with unfavorable treatment outcomes in patients with MDR/RR-TB who received drug therapy between 2013 and 2015 in Colombia can help guide the strengthening of the national TB control program.MethodA retrospective cohort study was conducted with all patients who received treatment for MDR/RR-TB between January 2013 and December 2015 in Colombia who were registered and followed up by the national TB control program. A multivariate logistic regression model was used to estimate the associations between the exposure variables with the response variable (treatment outcome).ResultsA total of 511 patients with MDR/RR-TB were registered and followed up by the national TB control program in Colombia, of whom 16 (3.1%) had extensive drug resistance, 364 (71.2%) had multidrug resistance, and 131 (25.6%) had RMP monoresistance. The mean age was 39.9 years (95% confidence interval (CI): 38.5-41.3), most patients were male 285 (64.6%), and 299 (67.8%) were eligible for subsidized health services. The rate of unfavorable treatment outcomes in the RR-TB cohort was 50.1%, with rates of 85.7% for patients with extensive drug resistance, 47.6% for patients with multidrug resistance, and 52.6% for patients with RMP monoresistance. The 511 MDR/RR-TB patients were included in bivariate and multivariate analyses, patients age ≥ 60 years (crude odds ratio (ORc) = 2.4, 95% CI 1.1-5.8; adjusted odds ratio (ORa) = 2.7, 95% CI 1.1-6.8) and subsidized health regime affiliation (ORc = 3.6, 95% CI 2.3-5.6; ORa = 3.4, 95% CI 2.0-6.0) were associated with unfavorable treatment outcomes.ConclusionMore than 50% of the patients with MDR/RR-TB in Colombia experienced unfavorable treatment outcomes. The patients who were eligible for subsidized care were more likely to experience unfavorable treatment outcomes. Those who were older than 60 years were also more likely to experience unfavorable treatment outcomes.

Project description:Spatiotemporal behaviors of particulate matter (PM2.5 and PM10) and trace gases (SO2, NO2, CO, and O3) in Hefei during the period from December 2013 to November 2015 are investigated. The mean annual PM2.5 (PM10) concentrations are 89.1 ± 59.4 µg/m3 (118.9 ± 66.8 µg/m3) and 61.6 ± 32.2 µg/m3 (91.3 ± 40.9 µg/m3) during 2014 and 2015, respectively, remarkably exceeding the Chinese Ambient Air Quality Standards (CAAQS) grade II. All trace gases basically meet the requirements though NO2 and O3 have a certain upward trend. Old districts have the highest pollution levels, followed by urban periphery sites and new districts. Severe haze pollution occurs in Hefei, with frequent exceedances in particulate matter with 178 (91) days in 2014 (2015). The abnormal PM2.5 concentrations in June 2014 attributed to agricultural biomass burning from moderate resolution imaging spectroradiometry (MODIS) wildfire maps and aerosol optical depth (AOD) analysis. PM2.5 is recognized as the major pollutant, and a longer interspecies relationship is found between PM2.5 and other criteria pollutants for episode days as compared to non-episode days. The air pollution in Hefei tends to be influenced by local primary emissions, secondary formation, and regional transport from adjacent cities and remote regions. Most areas of Anhui, southern Jiangsu, northern Zhejiang, and western Shandong are identified as the common high-potential source regions of PM2.5. Approximately 9.44 and 8.53 thousand premature mortalities are attributed to PM2.5 exposure in 2014 and 2015. The mortality benefits will be 32% (24%), 47% (41%), 70% (67%), and 85% (83%) of the total premature mortalities in 2014 (2015) when PM2.5 concentrations meet the CAAQS grade II, the World Health Organization (WHO) IT-2, IT-3, and Air Quality Guideline, respectively. Hence, joint pollution prevention and control measures need to be strengthened due to pollutant regional diffusion, and much higher health benefits could be achieved as the Hefei government adopts more stringent WHO guidelines for PM2.5.

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Factors Associated with High Mercury Levels in Women and Girls from The Mojana Region, Colombia, 2013-2015.

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Factors Associated with High Mercury Levels in Women and Girls from The Mojana Region, Colombia, 2013-2015.

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