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Risk assessment in an estuarine environment: a case-study in the Sado Estuary

dc.contributor.authorMachado, Ausenda
dc.contributor.authorPaixão, Eleonora
dc.contributor.authorCaeiro, Sandra
dc.contributor.authorDias, Carlos Matias
dc.date.accessioned2013-02-11T17:08:06Z
dc.date.available2013-02-11T17:08:06Z
dc.date.issued2012-05
dc.description.abstractIntroduction Previous studies found high heavy metal concentration on Sado estuary, its sediments and marine species, related with industrial and non-point anthropogenic sources. Heavy metal human exposure is associated with neoplasic, renal and neurological diseases, as well as teratogenic effects, but has never been assessed in populations living on this estuary. The HERA project (Environmental Risk Assessment of a contaminated estuarine environment: a case study) aimed to characterize human exposure pathways and potential health effects of estuarine contamination. Materials and Method The cross-sectional epidemiological study compared the population of a small fisherman community (Carrasqueira) on the southern shore of the Sado Estuary, with a non exposed population living in Vila Nova de Mil Fontes (VNMF). Face to face data collection took place between June and July 2011 using a structured questionnaire. Participants were selected by simple randomization of medical registration lists of local Health Centers. Written informed consent was obtained. Identification of potential confounders and adjusted OR were computed using Mantel-Haenszel and non-conditional logistic regression. Significance level was set at 5%. Results Results relate to 202 participants. Carrasqueira population showed a significantly higher risk of exposure from several sources (occupation, leisure habits, estuarine fish consumption, estuarine water for drinking, food preparation, irrigation, as well as own grown vegetable consumption). A higher proportion of chronic heavy metal related morbidity (OR= 1,913; IC95%: 1,007-3,635), and congenital anomalies (OR= 1,527; IC95%: 0,474- 4,918) were observed in Carrasqueira. Only age was retained as confounder in logistic regression, resulting in a 2,361 higher risk of having at least one of the diseases in Carrasqueira compared to VNMF (IC95%: 1,189-4,691). Conclusions These results support possible health effects of exposure to Sado estuary. However, small sample size and self-reported nature of exposure and outcomes advice caution in interpretation. Further studies should use bioindicators of exposure and outcome.por
dc.description.sponsorshipFCTpor
dc.identifier.urihttp://hdl.handle.net/10400.18/1256
dc.language.isoengpor
dc.peerreviewednopor
dc.publisherInstituto Nacional de Saúde Doutor Ricardo Jorge, IPpor
dc.relationHERA (HERA - Environmental Risk Assessment of a contaminated estuarine environment: A case study)PTDC/SAU-ESA/100107/2008por
dc.subjectDeterminantes da Saúde e da Doençapor
dc.subjectEstados de Saúde e de Doençapor
dc.subjectAvaliação de Risco Ecológico e Para Saúde Humanapor
dc.titleRisk assessment in an estuarine environment: a case-study in the Sado Estuarypor
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceVilnius, Lithuaniapor
oaire.citation.title12th World Congress on Environmental Health, 22-27 May 2012por
rcaap.rightsopenAccesspor
rcaap.typeconferenceObjectpor

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