长三角地区人群环境和食品化学污染物暴露状况及应对策略建议

Exposure status of human population to chemical pollutants from environment and food in Yangtze River Delta and suggestions for response strategies

  • 摘要: 环境和食品中的化学污染物对人群健康影响深远。掌握我国不同地区人群环境和食品化学污染物暴露状况是控制健康危害的重要基础。长三角地区人口稠密,是我国重要经济带。目前,尚缺少关于长三角地区人群环境和食品中化学污染物暴露的综合性监测与研究报告。为此,本文综合现有环境、食品和人群的化学污染物内暴露和外暴露相关研究,推测长三角地区人群环境和食品中化学污染物暴露水平、暴露来源和潜在健康危害。研究结果显示,长三角地区人群的持久性有机污染物(全氟/多氟类化合物、有机氯农药、多氯联苯、多环芳香烃、二噁英、多氯化萘等)、兽药(抗生素等)、农药(新烟碱类杀虫剂、有机磷杀虫剂等)、增塑剂(邻苯二甲酸酯等)、重金属(砷、汞、镉等)、阻燃剂(有机磷阻燃剂等)以及超加工食品和个人护理用品相关化学物等的暴露水平在全国可能较高,其中一些类别(全氟/多氟类化合物、多氯联苯、新烟碱类杀虫剂等)的暴露水平可能居全国前列,给人群带来不可忽视的健康风险。长三角地区人群暴露水平较高的主要原因是环境和食品中可能存在相对较高水平的化学污染物及人群的水产品等动物性食品、蔬菜和水果等植物性食品、超加工食品和个人护理用品等消费量较高。需要根据长三角地区不同类别化学污染物相关产品的使用情况、污染特征以及人群食物和个人护理用品等的消费构成,采取有针对性的措施,降低人群化学污染物暴露水平。为控制化学污染物的健康危害,应该全面监测长三角地区代表性人群的环境和食品化学污染物的暴露状况和动态变化,识别暴露具体来源,深入研究污染物暴露对重大疾病的影响和作用机制,定量评估污染物暴露对人群健康的影响,建立健康危害预警机制。

     

    Abstract: The chemical pollutants from environment and food have significant impacts on human health. Mastering the exposure of human to chemical pollutants from environment and food among different regions is essential for controlling their health hazards in China. Yangtze River Delta is an important economic belt in China with a dense population, but the comprehensive monitoring and research reports on human exposure to chemical pollutants from environment and food remains lacking. Therefore, existing research data on internal and external exposure to pollutants related to environment, food, and human population are synthesized to estimate the levels, sources, and potential health hazards of exposure to chemical pollutants from environment and food in Yangtze River Delta. Research results indicate that the exposure level of human to organic persistent pollutants e.g., perfluoroalkyl/polyfluoroalkyl substances (PFAs), organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), dioxins, polychlorinated naphthalenes (PCNs), veterinary drugs (e.g., antibiotics), pesticides (e.g., neonicotinoid insecticides and organophosphorus insecticides), plasticizers (e.g., phthalates), heavy metals (e.g., arsenic, mercury, and cadmium), flame retardants (e.g., organophosphorus flame retardants), and ultra-processed food- and personal care product-related chemicals in Yangtze River Delta is very likely to be relatively higher in China, and for some types of pollutants, the exposure levels might be among the top in the country, including PFAs, PCBs, and neonicotinoid insecticides. This relatively high exposure level of pollutants poses non-negligible health risks on the human population in Yangtze River Delta. The main reasons for high exposure to pollutants in Yangtze River Delta are the relatively high levels of pollutants in environment and food and the high consumption of animal-derived foods (e.g. aquatic products), plant-derived foods (e.g. vegetables and fruits), ultra-processed foods, and personal care products. To reduce the exposure level of human to pollutants in Yangtze River Delta, specific measures need to be taken according to the characteristics of related utilization and pollution of pollutants and the consumption composition of food and personal care products. It is recommended to comprehensively monitor the exposure status and dynamic changes of chemical pollutants from environment and food in representative groups of human population in Yangtze River Delta, identify concrete exposure sources, conduct in-depth researches on impacts and mechanisms of exposure to pollutants on major diseases, quantitatively assess their health impacts on human, and establish a warning mechanism for health hazards.

     

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