Risk of health disorders in children casued by consumption of contaminated food products
A.G. Setko, J.K. Mryasova, A.V. Turin
Orenburg State Medical University, 6 Sovetskaya Str., Orenburg, 460000, Russian Federation
Prevalence of diseases related to chemical contamination of the environment, including food products, among various population group is still a vital issue. A child's body is the most sensitive to influences exerted by environmental contamination; deficiency of nutrients in a ration leads to a drastic increase in a risk of ecology-related health disorders. Our research goal was to hygienically assess safety of teenagers' and children's nutrition in Orenburg, taken in dynamics over 2007–2015, within risk assessment frameworks. Nutrition safety was assessed as per various food products groups. First of all, we focused on chemical contaminants; the priority ones that were identified included nitrates, heavy metals (lead, cadmium, mercury, arsenic, and copper), pesticides, chloramphenicol, and histamine. Laboratory analysis revealed the most contaminated products that included meat and meat products, milk and dairy products, fish and fish products, vegetative and animal oil. Dynamics taken over a long-term period allowed us to detect that a major contribution into a risk caused by chemical contamination was made by nitrates, mercury, cadmium, and arsenic. We determined non-carcinogenic hazards related to food products provided for nutrition in schools and pre-school children facilities; the first place belonged to impacts on the cardiovascular system, HIcvs=4.99; the second rank place was taken by impacts on the hormonal system, HIhorm=4.56; the third place belonged to impacts on the CNS, HIcns=3.2. Impacts on blood followed (HIblood=3.18); they were followed by impacts on the immune system (HIimmune=2.99), nervous system (HInerv=2.28), and kidneys (HIkidneys=2.28). When we assessed non-carcinogenic hazard indexes for nutrition outside children and teenagers facilities, we detected risks for the hormonal system (HIhorm=2.8); CNS (HIcns=2.0); kidneys (HIkidneys=1.63); immune system (HIimmune=1.58); reproductive system (HIrepr =1.24); and the nervous system (HInerv=1.17).
Total non-carcinogenic risk for critical organs and systems was assessed as "high" for the hormonal system (HI=7.4), CNS (HI=5.2), and the cardiovascular system (HI=5.8). Average non-carcinogenic risk was detected for the immune system (HI=4.6) and the nervous system (HI=3.5), for kidneys (HI=3.9) and blood (HI=3.6).
We detected changes in the microelement state of children and teenagers that were characterized with some parameters being higher than an average level in the country, namely as per lead contents (by 56 %), cadmium contents (by 87 %), mercury contents (by 30 %), and arsenic contents (by 23 %).
- Fetter V.V., Polyakov A.D. Comparative analysis of public health risk determined by chemical contamination of dif-ferent types of food products. Health Risk Analysis, 2014, no. 2, pp. 55–67. DOI: 10.21668/health.risk/2014.2.07.eng (in Rus-sian).
- Fomina S.F., Stepanova N.V. Nekantserogennyi risk dlya zdorov'ya detskogo naseleniya g. Kazani, obuslovlennyi kontaminatsiei pishchevykh produktov i syr'ya [Non-carcinogenic risk to health of children population of Kazan, caused by con-tamination of food products and raw materials]. Aktual'nye voprosy obespecheniya sanitarno-epidemiologicheskogo blagopolu-chiya naseleniya na urovne sub"ekta federatsii: Materialy mezhregional'noi nauchno-prakticheskoi internet-konferentsii [Vital issues related to providing sanitary-epidemiologic welfare of the population in a RF region: Materials collected at the regional theoretical and practical conference]. In: A.YU. Popova, N.V. Zaitseva, eds. Perm, 2017, pp. 236–243 (in Russian).
- Arnautov O.V. On improvement of the mechanism for establishing and changing indicators of quality and food safety in the regulatory and legal acts of the Eurasian Economical Union. Voprosy pitaniya, 2016, no. 1, pp. 110–116 (in Russian).
- Bocharov E.P. Otsenka riska zdorov'yu naseleniya na territorii respubliki Tatarstan, svyazannogo s zagryazneniem produktov pitaniya [Assessment of population health risk related to food products contamination in the Republic of Tatarstan]. Voprosy pitaniya, 2015, vol. 84, no.S5, pp. 22 (in Russian).
- Kon I.Ya., Konovalova L.S., Georgieva O.V. Issues of the support of the quality and safety of baby food. Gigiena i sanitariya, 2013, no. 1, pp. 36–39 (in Russian).
- Kalinovskaya M.V., Litvinova O.S. Zaichenko, T.A., Sivokhina T.A. Sotsial'no-gigienicheskii monitoring kak instru-ment obespecheniya bezopasnosti pishchevoi produktsii v Rossiiskoi Federatsii [Social and hygienic monitoring as a tool for providing food products safety in the Russian Federation]. Rossiiskaya gigiena – razvivaya traditsii, ustremlyaemsya v budush-chee: Materialy XII Vserossiiskogo s"ezda gigienistov i sanitarnykh vrachei, 17–18 noyabrya 2017 g. [Russian Hygiene – we develop traditions and head for the future: Materials collected at the XII Russian Conference of hygienists and sanitary inspectors, held on November 17–18, 2017]. Moscow, 2017, pp. 80–82 (in Russian).
- Onishchenko G.G. The Information on a sanitary-and-epidemiologic condition of general educational establishments and catering services of schoolboys. Voprosy pitaniya, 2008, no. 2, pp. 4–9 (in Russian).
- Onishchenko G.G. Tasks and strategies of school nutrition in modern conditions. Voprosy pitaniya, 2009, vol. 78, no. 1, pp. 16–22 (in Russian).
- Potoroko I. Ju., Popova N.V. State policy of Russia in the field of food safety and safety of foodstuff. Modern condition of the question. Vestnik yuzhno-ural'skogo gosudarstvennogo universiteta. Seriya: ekonomika i menedzhment, 2014, no. 21, pp. 92–98 (in Russian).
- Setko A.G., Vyal'tsina N.E., Mryasova J.K., Plotnikova E.G. Risk zdorov'yu naseleniya, svyazannyi s upotrebleniem kontaminirovannykh pro-duktov pitaniya [Population health risk related to consumption of contaminated food products]. Rossi-iskaya gigiena – razvivaya traditsii, ustremlyaemsya v budushchee: Materialy XII Vserossiiskogo s"ez-da gigienistov i sanitarnykh vrachei [Russian Hygiene – we develop traditions and head for the future: Materials collected at the XII Russian Conference of hygienists and sanitary inspectors, held on November 17–18, 2017]. Moscow, 2017, pp. 167–170 (in Russian).
- Setko I.M., Tymoshenko Evgenija, Setko A.G., Fateeva T.A. Feature microelement balance in the body school food contamination in heavy metal. Zdorov'e naseleniya i sreda obitaniya, 2013, no. 6, pp. 12–13 (in Russian).
- Novikov S.M., Arutyunyan R.V., Shashina T.V., Sudakova E.V. [et al.]. Opyt otsenki kantserogennogo riska pri vozdeistvii khimicheskikh veshchestv, soderzhashchikhsya v pishchevykh produktakh [An experience of carcinogenic risk as-sessment under exposure to chemicals contained in food products]. Rossiiskaya gigiena – razvivaya traditsii, ustremlyaemsya v budushchee: Materialy XII Vserossiiskogo s"ezda gigienistov i sanitarnykh vrachei, 17–18 noyabrya 2017 g. [Russian Hygiene – we develop traditions and head for the future: Materials collected at the XII Russian Conference of hygienists and sanitary inspectors, held on November 17–18, 2017]. Moscow, 2017, pp. 130–133 (in Russian).
- Sergeev V.V., Klimushkin O.D., Il'ina E.V., Chernykh A.M. Otsenka riska vliyaniya khimicheskikh zagryaznitelei produktov pitaniya [Assessment of risks caused by chemical contaminants in food products]. Rossiiskaya gigiena – razvivaya traditsii, ustremlyaemsya v budushchee: Materialy XII Vserossiiskogo s"ezda gigienistov i sanitarnykh vrachei, 17–18 noyabrya 2017 g. [Russian Hygiene – we develop traditions and head for the future: Materials collected at the XII Russian Conference of hygienists and sanitary inspectors, held on November 17–18, 2017]. Moscow, 2017, pp. 164–167 (in Russian).
- Pokrovskii A.A. Metabolicheskie aspekty farmakologii i toksikologii pishchi [Metabolic aspects of food pharmacy and toxicology]. Moscow, Meditsina Publ., 1987, 181 p. (in Russian).
- Ivanova I.L., Kislitsyna L.V. The impact of contaminated food on the incidence of digestive diseases of the population in the Primorsky territory. Zdorov'e. Meditsinskaya ekologiya. Nauka, 2014, vol. 58, no. 4, pp. 85–88 (in Russian).
- Kislitsyna L.V., Ivanova I.L., Kiku P.F. Estimation of risk of the likely impact of heavy metals in food on health of population of the Primorsky region. Zdorov'e. Meditsinskaya ekologiya. Nauka, 2015, vol. 62, no. 4, pp. 78–83 (in Russian).
- Stepanova N.V., Fomina S.F., Valeeva E.R. Gigienicheskaya otsenka bezopasnosti pitaniya naseleniya Respubliki Tatarstan [Hygienic assessment of nutrition safety for population in the Republic of Tatarstan]. Voprosy pitaniya, 2016, vol. 85, no. S2, pp. 36–37 (in Russian).
- Sorokina A.V., Giguz T.L., Polyakov A.Ya., Bogachanov N.D. Hygienic assessment of actual nutrition of children of school age as a risk factor for the formation of morphological and functional abnormalities. Zdorov'e naseleniya i sreda obitaniya, 2017, vol. 286, no. 1, pp. 27–30 (in Russian).
- Kon I.Ya., Volkova L.Yu., Dimitrieva S.A. Aktual'nye problemy organizatsii pitaniya shkol'nikov [Vital issues related to organization of nutrition for children]. Zdorov'e naseleniya i sreda obitaniya, 2009, vol. 194, no. 5, pp. 4–8 (in Russian).
- Kuchma V.R., Rapoport I.K., Gorelova Zh.Yu. Nauchno-organizatsionnye osnovy mo-nitoringa realizatsii eksperi-mental'nykh proektov po sovershenstvovaniyu organizatsii pitaniya obuchayushchikhsya v GOU sub"ektov Rossiiskoi Federatsii i munitsipal'nykh obshcheobrazovatel'nykh uchrezhdeniyakh [Scientific and organizational grounds for monitoring and imple-mentation of experimental projects aimed at updating organization of nutrition for schoolchildren in the RF regional and municipal educational establishments]. Zdorov'e naseleniya i sreda obitaniya, 2009, no. 5, pp. 9–11 (in Russian).
- Kuchma V.R., Rapoport I.K., Gorelova Zh.Yu. Monitoring the realization of of experimental projects aimed at im-provement of school alimentation in secondary school institutions in the regions of the russian federation and in municipal edu-cational institutions. Zdorov'e naseleniya i sreda obitaniya, 2009, no. 8, pp. 27–29 (in Russian).