Environmental Health Insights最新文献

{"title":"Impact of Rising Summer Temperatures on Government Sector Tertiary Care Emergency Centers: Addressing Heatstroke and Associated Death Rates in Karachi, Pakistan.","authors":"Muddassir Syed Saleem, Syeda Zehra Fatima, Hamza Kamran, Ayesha Nouman, Khadija Bibi","doi":"10.1177/11786302241303584","DOIUrl":"10.1177/11786302241303584","url":null,"abstract":"<p><p>Rising summer temperatures pose significant challenges to healthcare systems, particularly in low-resource settings. This article examines the impact of heatwaves on government sector tertiary care emergency centers in Karachi, Pakistan and addresses the alarming increases in heatstroke cases and associated mortality during extreme heat events. The study signifies the urgent need for adaptive measures to enhance emergency preparedness, public awareness, and heat mitigation strategies. Addressing heat-related illnesses requires collaborative efforts from healthcare providers, policymakers, and community leaders. Effective interventions can mitigate the impact of rising temperatures on vulnerable populations and reduce heat-associated mortality.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241303584"},"PeriodicalIF":2.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11603459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidrug-Resistant Bacteria in Aquaculture Systems in Accra, Ghana.","authors":"Nicholas T K D Dayie, Frances N N Nathan-Mensah, Fleischer C N Kotey, Blessing Kofi Adu Tabi, Daniel E K Kabotso, Alex Odoom, Prince Hotor, Alberta D Dayie, Patience B Tetteh-Quarcoo, Beverly Egyir, Eric S Donkor","doi":"10.1177/11786302241299369","DOIUrl":"10.1177/11786302241299369","url":null,"abstract":"<p><strong>Background: </strong>Antibiotic resistance (ABR) poses a critical global health challenge, necessitating its surveillance across both human and animal health sectors. This study evaluated ABR in bacteria harboured in reared inland fishes sold in Accra and the pond water from which they originated.</p><p><strong>Method: </strong>The study was cross-sectional, involving fishes and water sampled from 80 ponds. The gastrointestinal organs of the fishes were homogenised and cultured for bacteria, as were the water samples. The bacteria were identified using matrix-assisted laser desorption/ionisation time of flight mass spectrometry (MALDI-TOF-MS). Antimicrobial susceptibility test was done using the Kirby-Bauer method. Multidrug-resistant (MDR) bacteria were selected for further testing. The double disc diffusion method was used to detect extended-spectrum beta-lactamase (ESBL) production in isolates that were resistant to third-generation cephalosporins. Whole genome sequencing was performed on the ESBL-positive isolates using the Illumina Miseq platform.</p><p><strong>Results: </strong>In total, 39 different bacterial species, with their individual numbers totalling 391, were isolated. The bacteria were predominantly <i>Escherichia coli</i> (17%), <i>Aeromonas veronii</i> (11%), <i>Citrobacter freundii</i> (8%), <i>Bacillus cereus</i> (5%), and <i>Klebsiella pneumoniae</i> (5%). The overall ABR rates were cefotaxime (32%), gentamicin (1%), ciprofloxacin (4%), chloramphenicol (19%), tetracycline (37%), meropenem (0%), and ertapenem (0%). Overall MDR and ESBL bacteria prevalence were 13.6% and 1.3%, respectively. The sequence types of the ESBL isolates were ST4684 (80%, <i>n</i> = 4) and ST2005 (20%, <i>n</i> = 1), and the serotypes were H34:09 (80%, <i>n</i> = 4) and H7 (20%, <i>n</i> = 1); the ABR genes were <i>blaCTX-M-</i>15, <i>fosA7</i>, and <i>qnrS1</i>.</p><p><strong>Conclusion: </strong>The fishes and the pond water were contaminated with a diverse range of bacteria, mainly <i>Escherichia coli</i> and <i>Aeromonas veronii</i>. The ABR, MDR, and ESBL rates were low to moderate. Moreover, the main sequence type and serotype of the ESBL isolates were ST4684 and H34:09, respectively, and the ABR genes were <i>blaCTX-M-15</i>, <i>fosA7</i>, and <i>qnrS1</i>.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241299369"},"PeriodicalIF":2.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142727280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of Food Contamination by Heavy Metals in Northwest Nigeria.","authors":"Usman Muhammad Ibrahim, Mustapha Zakariyya Karkarna, Salisu Muazu Babura, Mujahid Ajah Matazu, Abubakar Mohammed Jibo, Muhammad Lawan Umar, Muktar Hassan Aliyu","doi":"10.1177/11786302241301700","DOIUrl":"10.1177/11786302241301700","url":null,"abstract":"<p><strong>Background: </strong>The increasing cases of chronic kidney disease is a global public health concern. The potential link between consumption of food contaminated with heavy metals and development of end stage renal disease is becoming an emerging challenge. This study aimed to identify heavy metal contaminants in food and environmental risk factors for development of chronic kidney disease in Nigeria.</p><p><strong>Methods: </strong>Cross-sectional survey in 4 high burden local government areas of Jigawa state, northwest Nigeria.</p><p><strong>Results: </strong>The median age of the respondents was 45 years (interquartile range = 30-80) years. All the households had normal values of cadmium in the food analyzed. The majority of households (97.8%) had elevated mercury levels in analyzed food. Approximately 4.2% of households had increased lead levels. Elevated mercury levels were significantly higher in households that did not cultivate the food they consumed (median = 2.503 mg/kg, <i>P</i> = .05), those that did not use fertilizer on their farms (median = 2.522 mg/kg, <i>P</i> = .02), and those whose farms were located outside their communities (median = 2.733 mg/kg, <i>P</i> = .020). Households that did not use fertilizer on the farm (median = 0.027 mg/kg, <i>P</i> = .007), and those that primarily consumed rice (median = 0.023 mg/kg, <i>P</i> = .005) had significantly higher lead concentrations.</p><p><strong>Conclusions: </strong>We identified high levels of mercury in food samples of the majority of the households studied. Elevated levels of mercury were associated with food cultivation practices and fertilizer use. We recommend future studies that will identify points of food contamination and inform the development of appropriate environmental remediation measures.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241301700"},"PeriodicalIF":2.3,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zoonotic and Food-Related Hazards Due to Hepatitis A and E in Africa: A Systematic Review and Meta-Analysis.","authors":"Alex Odoom, Isaac Boamah, Kwamena Wc Sagoe, Fleischer Cn Kotey, Eric S Donkor","doi":"10.1177/11786302241299370","DOIUrl":"10.1177/11786302241299370","url":null,"abstract":"<p><strong>Introduction: </strong>Foodborne infections are caused by a wide spectrum of microbial pathogens, and they pose a significant global health threat, resulting in millions of cases and thousands of fatalities annually. Among these pathogens, human viruses, including Hepatitis A virus (HAV) and Hepatitis E virus (HEV), play a significant role in foodborne viral outbreaks, especially in Africa. This systematic review determined the prevalence of these viruses in livestock and produce in Africa.</p><p><strong>Method: </strong>A systematic search strategy was implemented following the PRISMA guidelines. Databases such as African Journal Online, Web of Science, Scopus, and PubMed were searched from their inception until November 30, 2023. Descriptive statistics and a proportional meta-analysis utilising a random-effects model with a 95% confidence interval were employed in the data analysis. The Cochrane risk-of-bias tool (ROB2) was utilised to evaluate the potential for bias in each study.</p><p><strong>Results: </strong>The search identified 27 articles that met the inclusion criteria, among which seven focused on HAV, comprising a total of 309 samples, whereas 20 studies focused on HEV, comprising a total of 4238 samples. Egypt had the highest number of studies, followed by Cameroon and Nigeria. The meta-analysis revealed an overall prevalence of 33.8% (95% CI: 17.0-50.6) for HAV in ducks and shellfish and 22.0% (95% CI: 12.1-31.8) for HEV in various livestock. Genotype 3 was identified as the predominant genotype, for both HAV and HEV.</p><p><strong>Conclusion: </strong>This review revealed a high prevalence of HAV and HEV in livestock populations in Africa, shedding light on the potential risks associated with zoonotic and/or food-related infections. There is a need for continued surveillance and monitoring of these viruses in both animals and food products to mitigate the risk of foodborne outbreaks and protect human health.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241299370"},"PeriodicalIF":2.3,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Double Burden: Climate Change Challenges for Health Systems.","authors":"Flavio Pinheiro Martins, Marco Antonio Catussi Paschoalotto, Jose Closs, Meike Bukowski, Mariana M Veras","doi":"10.1177/11786302241298789","DOIUrl":"10.1177/11786302241298789","url":null,"abstract":"<p><p>Climate change presents significant challenges to human health and health systems, and there is a critical need for health systems to adapt and become more resilient in order to effectively mediate the impacts of climate change on population health. This paper analyzes existing academic literature to identify key themes, trends, and research gaps at the intersection of climate change and health systems. Utilizing a scoping review of 179 studies, we explore how health systems can enhance their resilience through effective governance, sustainable financing, resource generation, and adaptive service delivery. Our findings emphasize the importance of integrating climate considerations into health system governance, mobilizing innovative financial resources, and adapting infrastructure and workforce capacities to address climate-related health challenges. The study highlights the need for continued interdisciplinary research and targeted interventions to ensure health systems are equipped to promote equity and protect vulnerable populations in the face of climate change. These insights contribute to the development of climate-resilient health systems and identify crucial areas for future research.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241298789"},"PeriodicalIF":2.3,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges, Health Risks and Recommendations on Meat Handling Practices in Africa: A Comprehensive Review.","authors":"Ridwan Olamilekan Adesola, Delower Hossain, Oluwaseun Adeolu Ogundijo, Ibrahim Idris, Abdulafees Hamzat, Bashar Haruna Gulumbe, Adetolase Azizat Bakre, Olamilekan Gabriel Banwo, Don Eliseo Lucero-Prisno","doi":"10.1177/11786302241301991","DOIUrl":"10.1177/11786302241301991","url":null,"abstract":"<p><p>Meat handling is a crucial aspect of public health as it forms complex interactions among humans, animals, and the environment. African meat handlers continue to face various challenges in slaughterhouses that significantly impact their lives and the general public during meat processing. This paper reviews the challenges meat handlers encounter and the associated risks of improper meat handling in various African slaughterhouses. A comprehensive literature search was performed on Science Direct, Web of Science, PubMed, Scopus and Google Scholar. Articles published to investigate the challenges and health risks of meat handling practices in Africa from 1961 to 2022 were included in this review. African meat handlers face socio-economic difficulties, including inadequate returns, unpredictable working environment, market, security, and limited healthcare access. Many meat handlers work informally in unregistered facilities and are not trained by experts on proper meat handling. This results in improper meat handling, raising the possibility of meat contamination by foodborne pathogens like <i>Salmonella</i> sp. and <i>E. coli</i> on slaughter and contact surfaces, hence posing a threat to meat safety and public health. We recommended that governmental, institutional and community-level actions should be used to address the health challenges associated with improper meat handling in Africa. Government and institutional bodies play an important role in supporting and upholding the laws that guide proper meat handling and processing. Meat handlers must be educated on meat safety, handling and storage to ensure meat is safe for consumption.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241301991"},"PeriodicalIF":2.3,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Handwashing at Critical Times Among Mothers/Caregivers of Children Under-Five Years Old: Panel Data Evidence From Rural Afghanistan.","authors":"Conrad Murendo, Richard Mottershead, Edwin Kimani, Kumar Chandan","doi":"10.1177/11786302241274485","DOIUrl":"10.1177/11786302241274485","url":null,"abstract":"<p><strong>Background: </strong>Very few studies have used panel data regression models to estimate the determinants of handwashing with water and soap at critical times in a developing country.</p><p><strong>Objective: </strong>To analyse the predictors of handwashing with water and soap at critical times among mother/caregivers of children under-5 years in rural Afghanistan.</p><p><strong>Method: </strong>This study used data from 1208 mothers/caregivers of children under-5 years who were selected and interviewed at baseline and endline in 7 provinces using systematic probability proportional-to-size sampling method.</p><p><strong>Results: </strong>Mother/caregivers with access to handwashing facility with water and soap had 1.20 higher odds of washing hands at 5 critical times. Treatment at public facility, an indirect proxy of health education and having children under 2 years was associated with 1.07 and 1.05 higher odds of washing hands at 5 critical times. Access to handwashing with water and soap, treatment at public facility and children under 2 years were significant and robust to alternative specification of handwashing at least 3 times. Mothers/caregivers who reported contracting infectious diseases in the past 6 months had 1.04- and 1.52-times higher odds of handwashing at 5 critical times and at least 3 times respectively.</p><p><strong>Conclusion: </strong>Access to handwashing facility with water and soap, health education, children under 2 years and occurrence of infectious diseases were the predictors of appropriate handwashing behaviour. Therefore, there is need to improve the availability of handwashing facilities with clean water and soap to promote appropriate handwashing behaviour at critical times. In addition, there is need to promote activities that increase disposable income for households to purchase soap and handwashing facilities. There is need to promote healthcare seeking behaviour for mothers to access medical treatment and health hygiene education at public facilities vital for prevention of infectious diseases.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241274485"},"PeriodicalIF":2.3,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Particulates Matter: The Influence of Cumulative Local Air Pollution Exposure on Sixth-Grade Academic Achievement in California.","authors":"Robert W Wassmer, Michael D Turgeon","doi":"10.1177/11786302241293292","DOIUrl":"10.1177/11786302241293292","url":null,"abstract":"<p><p>We examine the influence of exposure to fine particulate matter (PM 2.5) in ambient air over the previous 6 years on the average standardized test score performance in math, English language arts (ELA), and overall for sixth graders at a sample of California public school districts from 2015 through 2018. Public health research suggests that children exposed to localized air pollution may suffer from cognitive impairment during testing or chronic conditions such as asthma that could influence their academic performance. After controlling for the appropriate confounding variables, our findings indicate that a 1-unit increase (or an equivalent one-third increase in the standard deviation) in the average amount of particulate matter observed over the past 6 years in a school district reduces the average standardized test score by about 4%. In addition, a typical student in a California school district in the two highest quintiles of PM 2.5 exposure (controlling for other causal factors) exhibits standardized test scores closer to the fifth-grade equivalency level than the sixth. These results support the benefits of indoor air pollution mitigation as a likely cost-effective intervention to improve student academic success in primary school.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241293292"},"PeriodicalIF":2.3,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Risk Factors of β-Lactamase Genes of Extended-Spectrum β-Lactamases-Producing <i>Escherichia coli</i> From Dairy Farm Environments of Haryana, India.","authors":"Sarin Kamboj, Jinu Manoj, Jasleen Kaur, Mahavir Singh, Rajesh Chhabra","doi":"10.1177/11786302241296694","DOIUrl":"10.1177/11786302241296694","url":null,"abstract":"<p><p>Presence of extended-spectrum β-lactamases (ESBL)-producing <i>Enterobacteriaceae</i> in the dairy farm environment and food chain could be a possible interface for the exchange of antimicrobial resistance genes between humans and animals. A total of 600 samples comprised of raw bovine milk, faeces, feed, environmental swabs and water samples from 20 different bovine dairy farms in and around Hisar city, Haryana, India were analysed for presence of ESBL encoding genes. Out of 240 isolates of <i>Escherichia coli</i> obtained, 74 isolates were found to be ESBL producers. Maximum number of ESBL isolates were found from faeces (40.5%) followed by raw milk (37.8%) and environmental swabs (17.5%). Most of the ESBL <i>E. coli</i> isolates were sensitive to chloramphenicol (82.4%) and gentamicin (77.0%) antibiotics. The <i>bla</i> _CTX-M gene was found to be most prevalent (52.0%) followed by <i>bla</i> _TEM (9.45%) while <i>bla</i> _SHV gene alone was not detected in any sample by simplex PCR. However, the co-expression of bla_CTX-M + bla_TEM (21.6%) and bla_CTX-M + bla_SHV (4.05%) genes were also observed. The housing system, milking method and the hygienic mangement practices followed at farm level are found to be significant risk factors of ESBL-producing <i>E. coli</i> in dairy farms of Haryana.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241296694"},"PeriodicalIF":2.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental Exposure Inequities Among Sexual and Gender Minority Populations in the United States: A Scoping Review.","authors":"Nicholas A Carlisle, Sarah MacCarthy, Karlie Burrell, Jeffrey Wickliffe","doi":"10.1177/11786302241296225","DOIUrl":"10.1177/11786302241296225","url":null,"abstract":"<p><p>Despite growing attention and guiding frameworks, we still know very little about how environmental exposures may be contributing to the health inequities experienced by sexual and gender minority (SGM) people, especially exposures beyond psycho-behavioral mechanisms that have traditionally been viewed as the pathways between minority stress and negative health outcomes. To address this gap in knowledge, we conducted a scoping review to determine the extent to which disparities in environmental exposures between SGM and non-SGM (ie, heterosexual and cisgender) populations have been measured in the United States. We searched PubMed for studies that were (1) peer-reviewed; (2) written in English; (3) quantitatively measured environmental exposures; (4) included 1 or more groups identifying as a sexual minority, gender minority, or both; (5) compared to the general population; (6) in the United States; and (7) published on or after January 1, 2011. Our scoping review identified very few studies that examined and documented environmental exposure disparities between SGM and non-SGM populations in the United States. These studies focused mostly on cigarette smoke exposures. None examined environmental exposure disparities between gender minority and cisgender populations. To address this critical gap in environmental health research for SGM populations in the short term, researchers can merge existing environmental data (eg, data from the Environmental Protection Agency) with SGM population data. Longer-term solutions require systematically including validated sexual orientation and gender identity measures across federal, state, and local datasets, as well as increased funding for original research that explores diverse environmental exposures. Taken together, these efforts can significantly advance our ability to identify and address environmental health inequities experienced by SGM people.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241296225"},"PeriodicalIF":2.3,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}