PhD, University of Cincinnati, 2017, Medicine: Epidemiology (Environmental Health)
Background: CBS's 60 Minutes ran an episode entitled “Following the Trail of Toxic E-waste” in 2008 and gave Americans, and the world, a firsthand look at informal electronic waste (e-waste) recycling. E-waste is the fastest growing solid waste stream worldwide with the United Nations Environmental Programme (UNEP) estimating that 50 million metric tons by the end of 2018. It contains many valuable metals that can be recycled and resold, however it also contains many harmful chemicals, such has lead (Pb), cadmium (Cd), hexavalent chromium (Cr[VI]), and manganese (Mn). Informal e-waste recycling involves methods that can lead to widespread contamination and adverse health effects, especially in pregnant women and children.
Methods: Using data from the E-waste Recycling and Community Health (e-REACH) study, we measured Pb, Cd, Cr, and Mn from pregnant women who were enrolled at delivery from Guiyu (n=314), the exposed site, and Haojiang (n=320), a community with no history of informal e-waste recycling, from 2011-12. We calculated the geometric mean (GM) and recorded the minimum and maximum values for each metal in maternal blood, cord blood, and maternal urine for both sites. The ratio of each metal concentration in each of the biospecimens between Guiyu and Haojiang were calculated using linear regression. Relative risks (RR) were calculated for elevated blood Pb in mothers. We compared the differences in birth weight, birth length, head circumference, body mass index (BMI), and Ponderal index (PI). Odds ratios (OR) for small for gestational age in association with each metal concentration in the biospecimens were calculated. Finally, we used a structural equation model (SEM) to create an overall latent variable from each metal and examine its association with neonatal BMI.
Results: Guiyu mothers had higher concentrations of Pb (ratio: 1.74, 95% CI: 1.60, 1.89), Cd (ratio: 1.31, 95% CI: 1.15, 1.48), and Cr (ratio: 1.52, 95% CI: 1.34, 1.73) in their blood c (open full item for complete abstract)
Committee: Aimin Chen Ph.D. (Committee Chair); Kim Dietrich Ph.D. (Committee Member); Tiina Reponen Ph.D. (Committee Member); Heidi Sucharew Ph.D. (Committee Member); Changchun Xie Ph.D. (Committee Member)
Subjects: Epidemiology