Panel Discussion Michinori Kabuto National Institute for Environmental Studies (NIES) Arsenic Contamination in Groundwater - Technical and Policy Dimensions 73 Major Points Related to Health Risks Concerned with As Exposures ・ Urgent promotion of As monitoring, mitigation, clinical intervention etc. ・ Assessment of intake through As pollution of agricultural products (plants and animals) by groundwater use --- intensifying environmental monitoring ・ Possible chronic effects of As exposures in relation to various cancers, DM , HT etc. (including possible EDC actions) even a fter cessation of extreme exposures. Interactive effects of F pollution should also be considered. ----risk assessment researches including epidemiological studies for setting safer standards ・ As pollution in terms of not only indoor but also possibly outdoor air pollution in China --- more risk assessment researches as in the case for water pollution are essential This is the second workshop on this topic for NIES since last year, although this time in collaboration with UNU. As for the 1 st workshop, please find the proceeding available around at the registration counter. 環境と健康リスクについて の2調査地域 As pollution area 太原市 大気汚染地域 江蘇省 飲料水汚染 74 Arsenic Contamination in Groundwater - Technical and Policy Dimensions In a village of Shanxi Province December 2001 In a village of Shanxi Province December 2001 Arsenic Contamination in Groundwater - Technical and Policy Dimensions 75 In a village of Shanxi Province December 2001 Special issue for China n Arsenicosis through As pollution of indoor air -- special cases in Guiyang area with 2,500 reported patients n As pollution of outdoor air especially in relation to lung cancer risk (our preliminary finding in a recent WHO project) Note) Both are related to As pollution due to coal burning for heating and industries As pollution of outdoor air especially in relation to lung cancer risk (our preliminary finding in a WHO project on Environment and Health in China) indirect evidence yet but highly suspicious 76 Arsenic Contamination in Groundwater - Technical and Policy Dimensions Distribution of 28 subject cities where both cause-specific mortality and air pollution data are available for 1991-98 log (Mortality) Dose-response between SO2 and mortality of lung cancer (total age group) 2.0 1.8 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 0 0.5 1 1.5 2 2.5 3 log (SO2) Dose-response between SO2 and mortality of neoplasm (total age group) log (Mortality) 2.4 2.2 2.0 1.8 1.6 1.4 1.2 1.0 0 0.5 1 1.5 log (SO2) 2 2.5 3 Arsenic Contamination in Groundwater - Technical and Policy Dimensions 77 Estimated excess annual deaths due to ambient SO2 pollution >60 μg/m3 in 28 Cities in China Estimated excess death number from lung cancer for all ages in all urban areas was estimated to be 44,000 (SE: 2,100) Note) TSP (total suspended particulates) levels did not show significant correlation with lung caner mortality, Indicating an importance of PM2.5 or PM10 in relation to the observed association with lung cancer Hypothesis Coal burning may produce not only SO2 aerosol and inhalable dusts containing AS as carcinogen proportionally. Thus, it is expected PM2.5 or PM10 may correlate more stably with SO2 level irrelevantly with TSP, which may vary largely according to soil dusts prevailing especially in NW part of China 環境と健康リスクについて の2調査地域 As pollution area 太原市 大気汚染地域 江蘇省 飲料水汚染 78 Arsenic Contamination in Groundwater - Technical and Policy Dimensions Taiyuan City, Shanxi Province Indoor and outdoor NO2 and SO2 in Aug. and Dec. (Taiyuan City) 1000 Max level reaches about 2 mg/m3 ppb 100 10 1 NO2 in No2 out SO2 in SO2 out NO2 in August No2 out SO2 in SO2 out December 2001 Arsenic Contamination in Groundwater - Technical and Policy Dimensions 79 PM2.5 or PM10 vs TSP in Outdoor Air Taiyuan City (December, 2001) PM2.5 or PM10 (μg/m3) 1200 1000 800 PM2.5 600 PM10 400 200 0 100 200 300 400 TSP (μg/m3) 500 600 PM2.5 or PM10 vs TSP in Outdoor Air Taiyuan City (August,2001) PM2.5 or PM10 (μg/m3) 1200 1000 800 PM2.5 600 PM10 400 200 0 100 200 300 400 TSP (μg/m3) 500 600 Research Recommendation Extensive As monitoring is needed for urban air especially in winter season when SO2 levels are very high due to coal combustion especially for heating Conlusively Transboundary and more integrated approaches to global environmental risks (climate change to local pollution issues) as a whole become urgent Vulnerability in terms of health risks and ecosystem risks at the community and national level must be evaluated together with their adapting capacity In every sense, we should shift more to global environmental risk assessment and management 80 Arsenic Contamination in Groundwater - Technical and Policy Dimensions