Browsing by Author "Villanueva CM"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Exposure to drinking water trihalomethanes and nitrate and the risk of brain tumours in young people
    (Elsevier Inc, 2021-09) Zumel-Marne A; Castaño-Vinyals G; Alguacil J; Villanueva CM; Maule M; Gracia-Lavedan E; Momoli F; Krewski D; Mohipp C; Petridou E; Bouka E; Merletti F; Migliore E; Piro S; Ha M; 't Mannetje A; Eng A; Aragones N; Cardis E
    Brain tumours (BTs) are one of the most frequent tumour types in young people. We explored the association between tap water, exposure to trihalomethanes (THM) and nitrate and neuroepithelial BT risk in young people. Analysis of tap water consumption were based on 321 cases and 919 appendicitis controls (10-24 years old) from 6 of the 14 participating countries in the international MOBI-Kids case-control study (2010-2016). Available historical residential tap water concentrations of THMs and nitrate, available from 3 countries for 86 cases and 352 controls and 85 cases and 343 for nitrate, respectively, were modelled and combined with the study subjects' personal consumption patterns to estimate ingestion and residential exposure levels in the study population (both pre- and postnatal). The mean age of participants was 16.6 years old and 56% were male. The highest levels and widest ranges for THMs were found in Spain (residential and ingested) and Italy and in Korea for nitrate. There was no association between BT and the amount of tap water consumed and the showering/bathing frequency. Odds Ratios (ORs) for BT in relation to both pre- and postnatal residential and ingestion levels of THMs were systematically below 1 (OR = 0.37 (0.08-1.73)) for postnatal average residential THMs higher than 66 μg/L. For nitrate, all ORs were above 1 (OR = 1.80 (0.91-3.55)) for postnatal average residential nitrate levels higher than 8.5 mg/L, with a suggestion of a trend of increased risk of neuroepithelial BTs with increasing residential nitrate levels in tap water, which appeared stronger in early in life. This, to our knowledge, is the first study on this topic in young people. Further research is required to clarify the observed associations.
  • Thumbnail Image
    Item
    Global assessment of chemical quality of drinking water: The case of trihalomethanes
    (Elsevier Ltd, 15/02/2023) Villanueva CM; Evlampidou I; Ibrahim F; Donat-Vargas C; Valentin A; Tugulea A-M; Echigo S; Jovanovic D; Lebedev AT; Lemus-Pérez M; Rodriguez-Susa M; Luzati A; de Cássia Dos Santos Nery T; Pastén PA; Quiñones M; Regli S; Weisman R; Dong S; Ha M; Phattarapattamawong S; Manasfi T; Shaibu-Imodagbe EM; Eng A; Janák K; Rush SC; Reckhow D; Krasner SW; Vineis P; Richardson SD; Kogevinas M
    BACKGROUND: Trihalomethanes (THM), a major class of disinfection by-products, are widespread and are associated with adverse health effects. We conducted a global evaluation of current THM regulations and concentrations in drinking water. METHODS: We included 120 countries (∼7000 million inhabitants in 2016), representing 94% of the world population. We searched for country regulations and THM routine monitoring data using a questionnaire addressed to referent contacts. Scientific and gray literature was reviewed where contacts were not identified or declined participation. We obtained or estimated annual average THM concentrations, weighted to the population served when possible. RESULTS: Drinking water regulations were ascertained for 116/120 (97%) countries, with 89/116 (77%) including THM regulations. Routine monitoring was implemented in 47/89 (53%) of countries with THM regulations. THM data with a varying population coverage was obtained for 69/120 (58%) countries consisting of ∼5600 million inhabitants (76% of world's population in 2016). Population coverage was ≥90% in 14 countries, mostly in the Global North, 50-89% in 19 countries, 11-49% among 21 countries, and ≤10% in 14 countries including India, China, Russian Federation and Nigeria (40% of world's population). DISCUSSION: An enormous gap exists in THM regulatory status, routine monitoring practice, reporting and data availability among countries, especially between high- vs. low- and middle-income countries (LMICs). More efforts are warranted to regulate and systematically assess chemical quality of drinking water, centralize, harmonize, and openly report data, particularly in LMICs.