Indoor air pollution is associated with adverse health effects; however, few studies exist studying indoor air pollution on the Navajo Nation in the southwest U.S., a community with high rates of respiratory disease. Indoor PM2.5 concentration was evaluated in 26 homes on the Navajo Nation using real-time PM2.5 monitors. Household risk factors and daily activities were evaluated with three metrics of indoor PM2.5: time-weighted average (TWA), 90th percentile of concentration, and daily minutes exceeding 100 μg/m3. A questionnaire and recall sheet were used to record baseline household characteristics and daily activities. The median TWA, 90th percentile, and daily minutes exceeding 100 μg/m3 were 7.9 μg/m3, 14.0 μg/m3, and 17 min, respectively. TWAs tended to be higher in autumn and in houses that used fuel the previous day. Other characteristics associated with elevated PM exposure in all metrics included overcrowded houses, nonmobile houses, and houses with current smokers, pets, and longer cooking time. Some residents of the Navajo Nation have higher risk of exposure to indoor air pollution by Environmental Protection Agency (EPA) standards. Efforts to identify the causes and associations with adverse health effects are needed to ensure that exposure to risks and possible health impacts are mitigated.

Aristolochic acids (AAs) are nephrotoxic and carcinogenic derivatives found in several Aristolochia species. To date, the toxicity of AAs has been inferred only from the effects observed in patients suffering from a kidney disease called "aristolochic acid nephropathy" (AAN, formerly known as "Chinese herbs nephropathy"). More recently, the chronic poisoning with Aristolochia seeds has been considered to be the main cause of Balkan endemic nephropathy, another form of chronic renal failure resembling AAN. So far, it was assumed that AAs can enter the human food chain only through ethnobotanical use (intentional or accidental) of herbs containing self-produced AAs. We hypothesized that the roots of some crops growing in fields where Aristolochia species grew over several seasons may take up certain amounts of AAs from the soil, and thus become a secondary source of food poisoning. To verify this possibility, maize plant (Zea mays) and cucumber (Cucumis sativus) were used as a model to substantiate the possible significance of naturally occurring AAs' root uptake in food chain contamination. This study showed that the roots of maize plant and cucumber are capable of absorbing AAs from nutrient solution, consequently producing strong peaks on ultraviolet HPLC chromatograms of plant extracts. This uptake resulted in even higher concentrations of AAs in the roots compared to the nutrient solutions. To further validate the measurement of AA content in the root material, we also measured their concentrations in nutrient solutions before and after the plant treatment. Decreased concentrations of both AAI and AAII were found in nutrient solutions after plant growth. During this short-term experiment, there were much lower concentrations of AAs in the leaves than in the roots. The question is whether these plants are capable of transferring significant amounts of AAs from the roots into edible parts of the plant during prolonged experiments.

Indoor air pollution has been identified as a major risk factor for acute and chronic respiratory diseases throughout the world. In the sovereign Navajo Nation, an American Indian reservation located in the Four Corners area of the USA, people burn coal in their homes for heat. To explore whether/how indoor coal combustion might contribute to poor respiratory health of residents, this study examined respiratory health data, identified household risk factors such as fuel and stove type and use, analyzed samples of locally used coal, and measured and characterized fine particulate airborne matter inside selected homes. In twenty-five percent of homes surveyed coal was burned in stoves not designed for that fuel, and indoor air quality was frequently found to be of a level to raise concerns. The average winter 24-hourPM2.5concentration in 20 homes was 36.0 μg/m3. This is the first time thatPM2.5has been quantified and characterized inside Navajo reservation residents' homes.

Energy resources (coal, oil, and natural gas) are among the cornerstones of modern industrial society. The exploitation of these resources, however, is not without costs. Energy materials may contain harmful chemical substances that, if mobilized into air, water, or soil, can adversely impact human health and environmental quality. In order to address the issue of human exposure to toxic substances derived from energy resources, the U.S. Geological Survey (USGS) Energy Resources Program developed a project entitled 'Impacts of Energy Resources on Human Health and Environmental Quality.' The project is intended to provide policymakers and the public with the scientific information needed to weigh the human health and environmental consequences of meeting our energy needs. This fact sheet discusses several areas where the USGS Energy Resources Program is making scientific advances in this endeavor.

For many Navajo people, coal provides an affordable and convenient means of home heating. However, coal combustion results in the formation and mobilization of materials that are known risk factors for respiratory and other diseases. The level of respiratory morbidity among the Navajo people is higher than can be explained by usual epidemiological risk factors. The Shiprock area of the Navajo Nation is somewhat unique in that atmospheric thermal inversions trap air pollution low to the ground, especially in winter. There are two large mine mouth coal-fired power plants located in the vicinity, with a third plant in the planning stages. Both of the existing power plants are exempt from regulation under the U.S. Environmental Protection Agency 1990 Amendments to the Clean Air Act due to their age. The purpose of this survey was to assess the fuel and stove type and use, and document other household characteristics that might be related to the exposure of potentially toxic coal combustion products. A total of 137 surveys was conducted in English and Navajo to ascertain and document fuel usage and the type, size and conditions of heating stoves used in both traditional and modern homes. Results have been presented to the community at the Shiprock Chapter in the Navajo language. To increase public awareness, ways to properly use and store coal and to improve stove function and ventilation were also shared.

Generation of secondary biogenic methane in coal beds is likely controlled by a combination of factors such as the bioavailability, of coal carbon, the presence of a microbial community to convert coal carbon to methane, and an environment supporting microbial growth and methanogenesis. A set of treatments and controls was developed to bioassay the bioavailability, of coal for conversion to methane under defined laboratory conditions. Treatments included adding a well-characterized consortium of bacteria and methanogens (enriched from modern wetland sediments) and providing conditions to support endemic microbial activity. The contribution of desorbed methane in the bioassays was determined in treatments with bromoethane sulfonic acid, an inhibitor of microbial methanogenesis. The bioassay compared 16 subbituminous coal samples collected from beds in Texas (TX), Wyoming (WY), and Alaska (AK), and two bituminous coal samples from Pennsylvania (PA). New biogenic methane was observed in several samples of subbituminous coal with the microbial consortium added, but endemic activity was less commonly observed. The highest methane generation [80 mu mol methane/g coal (56 scf/ton or 1.75 cm(3)/g)] was from a south TX coal sample that was collected from a non-gas-producing well. Subbituminous coals from the Powder River Basin, WY and North Slope Borough, AK contained more sorbed (original) methane than the TX coal sample and generated 0-23 mu mol/g (up to 16 scf/ton or 0.5 cm(3)/g) new biogenic methane in the bioassay. Standard indicators of thermal maturity such as burial depth, nitrogen content, and calorific value did not explain differences in biogenic methane among subbituminous coal samples. No original methane was observed in two bituminous samples from PA, nor was any new methane generated in bioassays of these samples. The bioassay offers a new tool for assessing the potential of coal for biogenic methane generation, and provides a platform for studying the mechanisms involved in this economically important activity. Published by Elsevier B.V.

Compliance with U.S. air quality regulatory standards for atmospheric fine particulate matter (PM2.5) is based on meeting average 24 hour (35 μ m−3) and yearly (15 μg m−3) mass‐per‐unit‐volume limits, regardless of PM2.5 composition. Whereas this presents a workable regulatory framework, information on particle composition is needed to assess the fate and transport of PM2.5 and determine potential environmental/human health impacts. To address these important non‐regulatory issues an integrated approach is generally used that includes (1) field sampling of atmospheric particulate matter on filter media, using a size‐limiting cyclone, or with no particle‐size limitation; and (2) chemical extraction of exposed filters and analysis of separate particulate‐bound fractions for total mercury, trace elements and organic constituents, utilising different USGS laboratories optimised for quantitative analysis of these substances. This combination of sampling and analysis allowed for a more detailed interpretation of PM2.5 sources and potential effects, compared to measurements of PM2.5 abundance alone. Results obtained using this combined approach are presented for a 2006 air sampling campaign in Shenandoah National Park (Virginia, USA) to assess sources of atmospheric contaminants and their potential impact on air quality in the Park. PM2.5 was collected at two sampling sites (Big Meadows and Pinnacles) separated by 13.6 km. At both sites, element concentrations in PM25 were low, consistent with remote or rural locations. However, element/Zr crustal abundance enrichment factors greater than 10, indicating anthropogenic input, were found for Hg, Se, S, Sb, Cd, Pb, Mo, Zn and Cu, listed in decreasing order of enrichment. Principal component analysis showed that four element associations accounted for 84% of the PM2.5 trace element variation; these associations are interpreted to represent: (1) crustal sources (Al, REE); (2) coal combustion (Se, Sb), (3) metal production and/or mobile sources (Mo, Cd, Pb, Cu, Zn) and (4) a transient marine source (Sr, Mg). Concentrations of Hg in PM2.5 at background levels in the single pg m−3 were shown by collection and analysis of PM2.5 on filters and by an automated speciation analyser set up at the Big Meadows air quality site. The speciation unit revealed periodic elevation of reactive gaseous mercury (RGM) that co‐occurred with peaks in SO2, indicating an anthropogenic source. GC/MS total ion current chromatograms for the two sites were quite similar indicating that organic signatures were regional in extent and/or that the same compounds were present locally at each site. Calculated carbon preference index values for n‐alkanes indicated that plant waxes rather than anthropogenic sources, were the dominant alkane source. Polycyclic aromatic hydrocarbons (PAHs) were detected, with a predominance of non‐alkylated, and higher molecular weight PAHs in this fraction, suggestive of a combustion source (fossil fuel or forest fires).

Medical Geology, the study of the impacts of geologic materials and processes on animal and human health, is a dynamic emerging discipline bringing together the geoscience, biomedical, and public health communities to solve a wide range of environmental health problems. Among the Medical Geology described in this review are examples of both deficiency and toxicity of trace element exposure. Goiter is a widespread and potentially serious health problem caused by deficiency of iodine. In many locations the deficiency is attributable to low concentrations of iodine in the bedrock. Similarly, deficiency of selenium in the soil has been cited as the principal cause of juvenile cardiomyopathy and muscular abnormalities. Overexposure to arsenic is one of the most widespread Medical Geology problems affecting more than one hundred million people in Bangladesh, India, China, Europe, Africa and North and South America. The arsenic exposure is primarily due to naturally high levels in groundwater but combustion of mineralized coal has also caused arsenic poisoning. Dental and skeletal fluorosis also impacts the health of millions of people around the world and, like arsenic, is due to naturally high concentrations in drinking water and, to a lesser extent, coal combustion. Other Medical Geology issues described include geophagia, the deliberate ingestion of soil, exposure to radon, and ingestion of high concentrations of organic compounds in drinking water. Geoscience and biomedical/public health researchers are teaming to help mitigate these health problems as well as various non-traditional issues for geoscientists such as vector-borne diseases.

Coal contains myriad organic compounds, some known to be toxic and others that are potentially toxic. Toxic organic compounds found in coal of particular interest include: i) condensed aromatic structures (e.g., polycyclic aromatic hydrocarbons), which can act as mutagens, cancer promoters, and endocrine disrupters; ii) aromatic amines, which have probable nephrotoxic activity; and iii) heterocyclic compounds, which may be carcinogenic and nephrotoxic. Toxic organic compounds can be leached from coal into water supplies, and longterm human exposure to these compounds may lead to disease occurrence, including cancer and renal disease. Despite these potential hazards, little is known about the impact and toxicity of organic substances derived from coal in water supplies. One example of a disease hypothesized to be linked to coal-derived toxic organic compounds in water supplies is Balkan endemic nephropathy (BEN). In this paper, we summarize results from our studies linking BEN to the leaching of toxic organic compounds from low rank (lignite) Pliocene coal deposits into water supplies (well and spring water) of the rural villages where the disease occurs. We also introduce the idea of panendemic nephropathy (PEN) for BEN-like diseases that are linked to coal-derived toxic organic compounds in water supplies, but that occur outside the Balkans. Preliminary results supporting the PEN hypothesis are presented, with results from proposed PEN areas in Wyoming (WY) and Louisiana (LA). Results of toxicological studies of the effects of organic compounds isolated from water supplies in BEN and PEN areas on human cell cultures are also discussed. China, India, Turkey, and Portugal represent other areas where BEN-like diseases may occur, as a result of the presence of extensive low rank coal deposits and rural populations using untreated water in contact with coal in these nations.

Balkan endemic nephropathy (BEN) occurs in Serbia, Bulgaria, Romania, Bosnia and Herzegovina, and Croatia. BEN has been characterized as a chronic, slowly progressive renal disease of unknown etiology. In this study, we examined the influence of soluble organic compounds in drinking water leached from Pliocene lignite from BEN-endemic areas on plasma lecithin-cholesterol acyltransferase (LCAT) activity. We found that changes for all samples were the most prominent for the dilution category containing 90% plasma and 10% of diluting media. Water samples from BEN villages from Serbia and Romania showed higher LCAT inhibiting activity (p = 0.02) and (p = 0.003), respectively, compared to deionised water and non-endemic water. A secondary LCAT deficiency could result from this inhibitory effect of the organic compounds found in endemic water supplies and provide an ethiopathogenic basis for the development of BEN in the susceptible population.

High-molecular-weight organic compounds such as humic acids and/or fulvic acids that are naturally mobilized from lignite beds into untreated drinking-water supplies were suggested as one possible cause of Balkan endemic nephropathy (BEN) and cancer of the renal pelvis. A lab investigation was undertaken in order to assess the nephrotoxic potential of such organic compounds using an in vitro tissue culture model. Because of the infeasibility of exposing kidney tissue to low concentrations of organics for years in the lab, tangential flow ultrafiltration was employed to hyperconcentrate samples suitable for discerning effects in the short time frames necessitated by tissue culture systems. Effects on HK-2 kidney cells were measured using two different cell proliferation assays (MTT and alamarBlue). Results demonstrated that exposure of kidney tissue to high-molecular-weight organics produced excess cell death or proliferation depending on concentration and duration of exposure.

In May and September, 2002, 14 private residential drinking water wells, one dewatering well at a lignite mine, eight surface water sites, and lignite from an active coal mine were sampled in five Parishes of northwestern Louisiana, USA. Using a geographic information system (GIS), wells were selected that were likely to draw water that had been in contact with lignite; control wells were located in areas devoid of lignite deposits. Well water samples were analyzed for pH, conductivity, organic compounds, and nutrient and anion concentrations. All samples were further tested for presence of fungi (cultures maintained for up to 28 days and colonies counted and identified microscopically) and for metal and trace element concentration by inductively-coupled plasma mass spectrometry and atomic emission spectrometry. Surface water samples were tested for dissolved oxygen and presence of pathogenic leptospiral bacteria. The Spearman correlation method was used to assess the association between the endpoints for these field/laboratory analyses and incidence of cancer of the renal pelvis (RPC) based on data obtained from the Louisiana Tumor Registry for the five Parishes included in the study. Significant associations were revealed between the cancer rate and the presence in drinking water of organic compounds, the fungi Zygomycetes, the nutrients PO 4 and NH 3 , and 13 chemical elements. Presence of human pathogenic leptospires was detected in four out of eight (50%) of the surface water sites sampled. The present study of a stable rural population examined possible linkages between aquifers containing chemically reactive lignite deposits, hydrologic conditions favorable to the␣leaching and transport of toxic organic compounds from the lignite into the groundwater, possible microbial contamination, and RPC risk.

Among the Navajo people, high levels of respiratory disease, such as asthma, exist in a population with low rates of cigarette smoking. Air quality outdoors and indoors affects respiratory health. Many Navajo Nation residents burn locally mined coal in their homes for heat, as coal is the most economical energy source. The U.S. Geological Survey and Dine College, in cooperation with the Navajo Division of Health, are conducting a study in the Shiprock, New Mexico, area to determine if indoor use of this coal might be contributing to some of the respiratory health problems experienced by the residents. Researchers in this study will (1) examine respiratory health data, (2) identify stove type and use, (3) analyze samples of coal that are used locally, and (4) measure and characterize air quality inside selected homes. This Fact Sheet summarizes the interim results of the study in both English and Navajo. This Fact Sheet is available in three versions: * English [800-KB PDF file ] * Navajo [computer must have Navajo language fonts installed - 304-KB PDF file] * Image of the Navajo language version [19.8-MB PDF file]

Balkan endemic nephropathy (BEN) is an irreversible, chronic, tubulo-interstitial nephropathy of unknown origin, geographically confined to several rural regions of the Balkan Peninsula. The geological setting of the endemic areas in the affected countries is similar. Most of the BEN villages are located on alluvial plains of tributaries of the Danube River, with older Tertiary layers (clays, sands and Pliocene lignites) covered by Quaternary river sediments. It is estimated that several thousand people in the affected countries are currently suffering from BEN and that thousands more will be diagnosed with BEN in the coming years.