Identifying the Hydrochemical Characteristics,Genetic Mechanisms and Potential Human Health Risks of Fluoride and Nitrate Enriched Groundwater in the Tongzhou District,Beijing,North China

Fluoride and nitrate enriched groundwater are potential threats to the safety of the groundwater supply that may cause significant effects on human health and public safety,especially in aggregated population areas and economic hubs.This study focuses on the high F^(−)and NO_(3)^(−)concentration groundwater in Tongzhou District,Beijing,North China.A total of 36 groundwater samples were collected to analyze the hydrochemical characteristics,elucidate genetic mechanisms and evaluate the potential human health risks.The results of the analysis indicate:Firstly,most of the groundwater samples are characterized by Mg-HCO_(3) and Na-HCO_(3) with the pH ranging from 7.19 to 8.28 and TDS with a large variation across the range 471-2337 mg/L.The NO_(3)^(−)concentration in 38.89%groundwater samples and the F^(−)concentration in 66.67%groundwater samples exceed the permissible limited value.Secondly,F^(−)in groundwater originates predominantly from water-rock interactions and the fluorite dissolution,which is also regulated by cation exchange,competitive adsorption of HCO_(3)−and an alkaline environment.Thirdly,the effect of sewage disposal and agricultural activities have a significant effect on high NO3-concentration,while the high F^(−)concentration is less influenced by anthropogenic activity.The alkaline environment favors nitrification,thus being conducive to the production of NO_(3)^(−).Finally,the health risk assessment is evaluated for different population groups.The results indicate that high NO_(3)^(−)and F^(−)concentration in groundwater would have the largest threat to children’s health.The findings of this study could contribute to the provision of a scientific basis for groundwater supply policy formulation relating to public health in Tongzhou District.

Health risk assessment of trace metal(loid)s in agricultural soils based on Monte Carlo simulation coupled with positive matrix factorization model in Chongqing, southwest China

This study aimed to investigate the pollution characteristics, source apportionment, and health risks associated with trace metal(loid)s(TMs) in the major agricultural producing areas in Chongqing, China. We analyzed the source apportionment and assessed the health risk of TMs in agricultural soils by using positive matrix factorization(PMF) model and health risk assessment(HRA) model based on Monte Carlo simulation. Meanwhile, we combined PMF and HRA models to explore the health risks of TMs in agricultural soils by different pollution sources to determine the priority control factors. Results showed that the average contents of cadmium(Cd), arsenic (As), lead(Pb), chromium(Cr), copper(Cu), nickel(Ni), and zinc(Zn) in the soil were found to be 0.26, 5.93, 27.14, 61.32, 23.81, 32.45, and 78.65 mg/kg, respectively. Spatial analysis and source apportionment analysis revealed that urban and industrial sources, agricultural sources, and natural sources accounted for 33.0%, 27.7%, and 39.3% of TM accumulation in the soil, respectively. In the HRA model based on Monte Carlo simulation, noncarcinogenic risks were deemed negligible(hazard index <1), the carcinogenic risks were at acceptable level(10^(-6)<total carcinogenic risk ≤ 10^(-4)), with higher risks observed for children compared to adults. The relationship between TMs, their sources, and health risks indicated that urban and industrial sources were primarily associated with As, contributing to 75.1% of carcinogenic risks and 55.7% of non-carcinogenic risks, making them the primary control factors. Meanwhile, agricultural sources were primarily linked to Cd and Pb, contributing to 13.1% of carcinogenic risks and 21.8% of non-carcinogenic risks, designating them as secondary control factors.

Health Assessment of Typical Reservoirs in Eastern Jilin: A Case Study of Niligou Reservoir

Niligou Reservoir,a typical reservoir in the eastern region of Jilin Province,is subordinate to Niligou River,which is located in the Changbai Mountains in eastern Jilin,with abundant plant and animal resources and well protected biodiversity in the basin,but there are also some related problems such as fragile ecosystem of forest wetland.This paper carried out a health assessment of Niligou River,including water quality monitoring,aquatic organism monitoring,and riparian zone investigation.According to the requirements of the Technical Guidelines for River and Lake Health Assessment,13 assessment indexes were selected to build a river and lake health assessment index system.By sorting and analyzing the monitoring and investigation data,we got a clear picture of the ecological environment status and existing problems of Niligou Res-ervoir.Based on the actual situation of Niligou River,we evaluated the hydrologic integrity,chemical integrity,morphological and structural integrity,biological integrity and sustainability of social service function,and put forward corresponding countermeasures according to the re-sults,in order to provide a technical support for the health treatment of rivers and lakes in Jilin Province.

Health risk assessment of heavy metals in soils and crops in a mining area(Au-Ag-Cutrona-oil et al.) of the Nanyang Basin, Henan Province, China

Heavy metal distribution in mining areas has always been a hot research topic due to the special environment of these areas. This study aims to explore the impact of heavy metal pollution on soils and crops in the study area, ensure the safety of local crops and the health of local residents, and provide a basis for the subsequent environmental restoration and the prevention and control of environmental pollution. Based on the analysis of the heavy metal concentrations in local soils and crops, the study investigated the spatial distribution, pollution degrees, and potential ecological risks of heavy metals in the farmland of a mining area in the southeastern Nanyang Basin, Henan province, China explored the sources of heavy metals and assessed the health risks caused by crop intake. The results of this study are as follows. The root soils of crops in the study area suffered heavy metal pollution to varying degrees. The degree of heavy metal pollution in maize fields is higher than that in wheat fields, and both types of fields suffer the most severe Cd pollution. Moreover, the root soils of different crops suffer compound pollution.The root soils in the maize fields suffer severe compound pollution at some sampling positions, whose distribution is similar to that of the mining area. Cd poses the highest potential ecological risks among all heavy metals, and the study area mainly suffers low and moderate comprehensive potential ecological risks. The principal component analysis(PCA) shows that the distribution of Zn, Cd, Pb, and As in soils of the study area is mainly affected by anthropogenic factors such as local mining activities;the distribution of Cr and Ni is primarily controlled by the local geological background;the distribution of Hg is mainly affected by local vehicle exhaust emissions, and the distribution of Cu is influenced by both human activities and the geological background. Different cereal crops in the study area are polluted with heavy metals dominated by Cd and Ni to varying degrees, especially wheat. As indicated by the health risk assessment results, the intake of maize in the study area does not pose significant human health risks;however, Cu has high risks to human health, and the compound heavy metal pollution caused by the intake of wheat in the study area poses risks to the health of both adults and children. Overall, the soils and crops in the study area suffer a high degree of heavy metal pollution, for which mining activities may be the main reason.

Intelligent Student Mental Health Assessment Model on Learning Management System

A learning management system(LMS)is a software or web based application,commonly utilized for planning,designing,and assessing a particular learning procedure.Generally,the LMS offers a method of creating and delivering content to the instructor,monitoring students’involvement,and validating their outcomes.Since mental health issues become common among studies in higher education globally,it is needed to properly determine it to improve mental stabi-lity.This article develops a new seven spot lady bird feature selection with opti-mal sparse autoencoder(SSLBFS-OSAE)model to assess students’mental health on LMS.The major aim of the SSLBFS-OSAE model is to determine the proper health status of the students with respect to depression,anxiety,and stress(DAS).The SSLBFS-OSAE model involves a new SSLBFS model to elect a useful set of features.In addition,OSAE model is applied for the classification of mental health conditions and the performance can be improved by the use of cuckoo search optimization(CSO)based parameter tuning process.The design of CSO algorithm for optimally tuning the SAE parameters results in enhanced classifica-tion outcomes.For examining the improved classifier results of the SSLBFS-OSAE model,a comprehensive results analysis is done and the obtained values highlighted the supremacy of the SSLBFS model over its recent methods interms of different measures.

Seasonal variations and health risk assessment of trace elements in the Badigad River,lesser Himalayas,Nepal

The consumption of contaminated river water can have severe effects on human health.This study aims to investigate the trace elements(TEs)content and their health risk assessment in the Badigad River Basin in the lesser Himalayas of Nepal.In total,44 water samples were collected from 22 different sites during the pre-monsoon and monsoon seasons,and 25 TEs were analyzed.Correlation matrix and principal component analysis(PCA)were used to analyze the potential relationship between the measured TEs and their source tracking.Furthermore,the water quality index(WQI),metal index(MI),and cancer index(CI)were evaluated.The TEs content in all samples were found to be within the WHO recommended guideline for drinking and domestic purposes.The dominancy order of the TEs was observed as Sr>Ba>Li>Rb>Zn>Cr>Sc>Mn>Ti>Cu>As>Ni>Co>U>V>Pb>Cs>Ga>Y>Tl>Th>Zr>Bi>Cd>Nb.The PCA analysis suggested that TEs could have natural,anthropogenic,and mixed origins.The WQI indicated that the river water is safe from a human health perspective.The MI suggested that Badigad River can be considered safer for drinking purposes,and the cancer index(CI)showed that all the reported TEs are at low-risk levels.The findings of this study could be useful for government agencies in developing more sustainable water management policies in the region.However,it is suggested that further investigations should be conducted in terms of other hydrogeochemical variables,including major ions,at spatiotemporal levels for the sustainability of the river basin.

Shaoma Zhijing granule for children with tic disorders: A rapid health technology assessment

Objective:To rapidly assess the effectiveness,safety,economy,and applicability of Shaoma Zhijing granule(SZG)for the treatment of children with tic disorders(TD),and provide currently available best evidence for decision-makers of health policies.Methods:We conducted a rapid health technology assessment(RHTA)to explore the value of SZG.A systematic literature search in eight literature databases and on three clinical trial registration platforms was performed.The literature was screened according to eligibility criteria.The screening process and data extraction were conducted by two reviewers,and the quality of the literature was also assessed.The results were summarized,analyzed,and presented in tables or figures.Results:A total of five randomized controlled trials(RCTs)were included in this study,of which one was published in English(in the Journal of Child Psychology and Psychiatry)and four in Chinese journals.The overall risk of bias for the five RCTs was evaluated as“some concerns.”SZG monotherapy or in combi-nation with tiapride was better than tiapride alone in improving traditional Chinese medicine(TCM)syndromes and tic symptoms,with a daily cost of¥67.50e107.22.Adverse events were mainly related to the digestive,respiratory,and neurological systems,but all were mild.Conclusion:Overall,the current RHTA of published,peer-reviewed literature has located a small body of evidence evaluating the use of SZG for the treatment of TD in children.SZG has effects on improving TCM syndromes and tic symptoms;the daily cost is¥67.50e107.22;and all adverse events are mild.High-quality studies with long-term follow-up should be conducted,so as to provide local evidence and consistently guide and improve scientific decision-making.

Integrated assessment of river health based on water quality, aquatic life and physical habitat

The health conditions of Liao River were assessed using 25 sampling sites in April 2005, with water quality index, biotic index and physical habitat quality index. Based on the method of cluster analysis （CA） for water quality indices, it revealed that heavily polluted sites of Liao River are located at estuary and mainstream. The aquatic species surveyed were attached algae and benthic invertebrates. The result showed that the diversity and biomass of attached algae and benthic index of biotic integrity （B-IBI） were degrading as the chemical and physical quality of water bodies deteriorating. Physiochemical parameters, BODs, CODcr, TN, TP, NH3-N, DO, petroleum hydrocarbon and conductivity, were statistically analyzed with principal component analysis and correlation analysis. The statistical results were incorporated into the integrated assessing water quality index, combining fecal coliform count, attached algae diversity, B-IBI and physical habitat quality score. A comprehensive integrated assessing system of fiver ecological health was established. Based on the systimetic assessment, the assessed sites are categorized into 9 ＂healthy＂ and ＂sub-healthy＂ sites and 8 ＂sub-sick＂ and ＂sick＂ sites.

Assessing the concentration and potential health risk of heavy metals in China's main deciduous fruits

To assess levels of contamination and human health risk, we analyzed the concentrations of the heavy metals lead （Pb）, cadmium （Cd）, chromium （Cr）, and nickel （Ni） in China’s main deciduous fruits-apple, pear, peach, grape, and jujube. The concentration order of the heavy metals was Ni〉Cr〉Pb〉Cd. In 97.5% of the samples, heavy metal concentrations were within the maximum permissible limits. Among the fruits studied, the heavy metal concentrations in jujube and peach proved to be the highest, and those in grape proved to be the lowest. Only 2.2% of the samples were poluted by Ni, only 0.4% of the samples were poluted by Pb, and no samples were poluted by Cd or Cr. Compared with the other fruits, the combined heavy metal polution was signiifcantly higher （P〈0.05） in peach and signiifcantly lower （P〈0.05） in grape. For the combined heavy metal polution, 96.9% of the samples were at safe level, 2.32% at warning level, 0.65% at light level, and 0.13% at moderate level. In the fruits studied, the contribution of heavy metals to the daily intake rates （DIR） folowed the order of Ni〉Cr〉Pb〉Cd. The highest DIR came from apple, while the lowest DIR came from grape. For each of the heavy metals, the total DIR from ifve studied fruits corresponded to no more than 1.1% of the tolerable daily intake, indicating that no signiifcant adverse health effects are expected from the heavy metals and the fruits studied. The target hazard quotients and the total target hazard quotients demonstrated that none of the analyzed heavy metals may pose risk to consumers through the fruits studied. The highest risk was posed by apple, folowed in decreasing order by peach and pear, jujube, and grape. We suggest that the main deciduous fruits （apple, pear, peach, grape, and jujube） of China’s main producing areas are safe to eat.

Assessment of pollution levels and human health risk of heavy metals in dust deposited on Yerevan＇s tree leaves (Armenia)

The total concentrations of Cd,As,Pb,Cr,Ni,Co,Zn,Cu,Ag,Hg,and Mo were determined in the atmospheric dust of the city of Yerevan by atomic absorption spectrometry(AAnalyst PE 800).Heavy metal pollution levels were evaluated by calculating geo-accumulation(I_(geo)) and summary pollution(Z_c) indices.Potential human health risk was assessed using the United States Environmental Protection agency's human health risk assessment model.The results show that mean contents of all elements tested except Ni and Cr were substantially higher than local geochemical background values.According to the I_(geo),Yerevan territory is strongly-to-extremely polluted by As,Ag,Hg,Mo,and Cd.The Z_c assessment indicated that very high pollution was detected in 36%of samples,high in 32%,average in 12%,and low in 20%.The health risk assessment revealed a noncarcinogenic risk(HI >1) for children at 13 samplings sites and for adults at one sampling site.For children the risk was due to elevated levels of Mo,Cd,Co,and As,while for adults,only Mo.Carcinogenic risk(>1:1,000,000) of As and Cr via ingestion pathway was observed in 25 and 14 samples,respectively.This study,therefore,is the base for further detailed investigations to organize problematic site remediation and risk reduction measures.

Spatial variation of health risk of groundwater for drinking water supply in Mingshan County,Ya'an City,China

Rural drinking water safety is a growing concern in China. This study investigated the health risk of pollution of groundwater for the drinking water supply in Mingshan County, Ya＇an City, in Sichuan Province, China, using 46 samples from the years 1991 to 2010. Carcinogenic, non-carcinogenic, and total risks were assessed by the model recommended by the United States Environmental Protection Agency （U.S. EPA）. Thematic maps of the risks caused by single and multiple factors were generated from inverse distance weighting interpolation （IDW） and the geostatistical analysis functions of ArcGIS. The results show that the carcinogenic risks caused by chemicals in groundwater for drinking water supply are low, within the acceptable interval for risk management. However, non-carcinogenic risks are high and the number of sampling sites with risk values exceeding the standards amounted to 29. Non-carcinogenic risks of Cr6＋, nitrate, fluoride, and Fe at sites 43, 46, 50, 64, 67, and 74 were the sources that caused high total health risk. This study reveals the risk level of groundwater quality and orders of treatment of pollutants, and provides a scientific basis for groundwater management in this area.

Research Progress in Occupational Health Risk Assessment Methods in China

Traditional occupational disease control and prevention has remained prevalent in China over recent decades. There are appropriately 30,000 new case reports of occupational diseases annually. Although China has already established a series of occupational disease prevention programs, occupational health risk assessment （OHRA） strategies continue to be a limitation.

Soil Heavy Metal Pollution and Health Risk Assessment of Abandoned Land in Coal Mining Areas in Xingren County

Total contents of heavy metals （ Pb, Cr, Cd, Hg, As, Cu, Zn, and Ni） in 68 soil samples were determined to evaluate the contamination level of soil from five coal mine areas in Xingren County, Guizhou province. The pollution levels of heavy metals were characterized by anthro- pogenic influence multiple, and the pollution of heavy metal in soil was evaluated using geo-accumulation index. Based on the health risk models recommended by the U.S. Environmental Protection Agency （ US EPA）, the health risks of heavy metals in the soils were assessed. The results showed that the abandoned land in the five coal mining areas were contaminated by heavy metals, and the order of pollution levels of eight heavy metals was As 〉 Pb 〉 Cu 〉 Hg 〉 Ni 〉 Cr 〉 Cd 〉 Zn. The soils suffered moderate-heavy pollution from As and Pb, and the contents of As and Pb in the soils were 13.16 and 4.76 times higher than the background values of Guizhou Province, followed by Cu, Hg and Ni , while soil pollution from Cr, Cd and Zn was mild. The order of non-caminogenic risks of the heavy metals in the soils was As 〉 Pb 〉 Cr 〉 Ni 〉 Cu 〉 Hg 〉 Cd 〉 Zn, and the non-carcinogenic dsk value of As was higher than that its threshold value 1, which indicated that As had a high potential health risk to adults and children. The order of carcinogen risks of the four heavy metals was As 〉 Cd 〉 Cr 〉 Ni, and the carcinogenic risk value of As was higher than its threshold value, indicating that As had a high carcinogenic risk to adults and children. The carcinogenic risk values of other three heavy metals （ Cd, Cr and Ni） were lower than the threshold value, so they had no carcinogenic risk to human health. Moreover, children were more sensitively affect- ed by heavy metals from the abandoned land. Therefore, the health of children in such areas should be paid more attention to. The HI value of the eight heavy metals to children was seven times higher than that to adults. The contribution rate of HQAs to HI was about 88%, and the contribution rate of CRA, to TCR was about 98%, so As was the most crucial factor influencing non-carcinogenic and carcinogenic dsk in the abandoned soils.

Occupational Health Risk Assessment of Benzene,Toluene,and Xylene in Shanghai

Objective This study was designed to conduct a retrospective and systematic occupational health risk assessment(OHRA)of enterprises that used benzene,toluene,and xylene(BTX)in Shanghai,China.Methods All data for the study were obtained from 1,705 occupational health examination and evaluation reports from 2013 to 2017,and a semiquantitative model following Chinese OHRA guidelines(GBZ/T 298-2017)was applied for the assessment.Results The selected enterprises using BTX were mainly involved in manufacturing of products.Using the exposure level method,health risk levels associated with exposure to BTX were classified as medium,negligible,or low.However,the risk levels associated with benzene and toluene were significantly different according to job types,with gluers and inkers exhibiting greater health risks.For the same job type,the health risk levels assessed using the comprehensive index method were higher than those using the exposure level method.Conclusion Our OHRA reveals that workers who are exposed to BTX still face excessive health risk.Additionally,the risk level varied depending on job categories and exposure to specific chemicals.Therefore,additional control measures recommended by OHRA guidelines are essential to reduce worker exposure levels.

Literature review and analysis of the development of health outcomes assessment instruments in Chinese medicine

OBJECTIVE： To evaluate the development of health outcomes assessment instruments in Chinese medicine. METHODS： A comprehensive literature search for all published articles in China National Knowledge Infrastructure Database, Chongqing VIP Database and WANFANG Data was conducted. The studies that met the inclusion and exclusion criteria were used to extract information according to a predesigned assessment instrument. RESULTS： A total of 97 instruments for health outcome assessment in Chinese medicine were identified. Of these questionnaires, 7 were generic, 12 were condition-specific and 78 were disease-specific. All instruments were suitable for adults, children, and both men and women. These instruments aimed to evaluate the health-related quality of life, signs and symptoms as well as patient satisfaction and doctor-reported outcome. However, the descriptions were poorly constructed for some of the most basic parameters, such as the domains and items, administrative mode, response options, memory recall periods, burden evaluation, format, copyright, content validity, and other properties. CONCLUSION： The instrument development for health outcomes assessment in Chinese medicine is increasing rapidly; however, there are many limitations in current methodologies and standards, and further studies are needed.

Literature review and analysis of the application of health outcome assessment instruments in Chinese medicine

OBJECTIVE： To evaluate the application of health assessment instruments in Chinese medicine. METHODS： According to a pre-defined search strategy, a comprehensive literature search for all articles published in China National Knowledge Infrastructure databases was conducted. The resulting articles that met the defined inclusion and exclusion criteria were used for analysis. RESULTS： A total of 97 instruments for health outcome assessment in Chinese medicine have been used in fundamental and theoretical research, and 14 of these were also used in 29 clinical trials that were randomized controlled trials, or descriptive or cross-sectional studies. In 2 152 Chinese medicine-based studies that used instruments in their methodology, more than 150 questionnaires were identified. Among the identified questionnaires, 51 were used in more than 10 articles （0.5%）. Most of these instruments were developed in Western countries and few studies （4%） used the instrument as the primary evidence for their conclusions. CONCLUSION： Usage of instruments for health outcome assessment in Chinese medicine is increasing rapidly; however, current limitations include selection rationale, result interpretation and standardization, which must be addressed accordingly.

Potentially toxic metal concentration,spatial distribution,and health risk assessment in drinking groundwater resources of southeast Iran

In this study, the concentration and spatial distribution of potentially toxic metals(PTMs), including arsenic(As), cadmium(Cd), chromium(Cr), lead(Pb), copper(Cu), iron(Fe), manganese(Mn), and magnesium(Mg) in 23 wells and drinking groundwater distribution networks of Rafsanjan, located in southeast Iran were evaluated. Moreover, the assessment of carcinogenic and non-carcinogenic risks was estimated by Monte Carlo simulation(MCS). The results showed that the concentrations of As and Pb in more than 99% and 23.46% of the study area, respectively, were higher than the maximum concentration level(10 μg/L). The mean concentration of other metals, including Cd, Cr, Cu, Fe, Mg, and Mn in all drinking water resources was within the WHO standard level. The mean hazard quotient(HQ) for As in the age group of children was 9.246 and adults 2.972, indicating high non-carcinogenic risk of As in the study area. The lifetime cancer risk(LTCR) of As was 1.36 E-3 for adults and 1.52 E-2 for children, indicating high non-carcinogenic risk of As. The level of HQ and LTCR for Pb in both age groups was in the acceptable range. The results of sensitivity analysis showed that the most effective variables were pollutant concentration and body weight(BW), respectively. Finally, it can be concluded that exposure to PTMs, especially As through drinking water in the study area can have significant effects on people’s health living in the area;therefore, it is necessary to treat and remove As from groundwater resources before drinking or using for domestic purpose.

Groundwater pollution and human health risk based on Monte Carlo simulation in a typical mining area in Northern Anhui Province,China

The main objective of this study was to evaluate eight kinds of trace element pollutants in groundwater from a typical coal mine area,and carry out a corresponding health risk assessment for the local populace.To do this,34 shallow groundwater(SG)samples and 18 mid-layer groundwater(MG)samples were collected from the Sulin mining area.To minimize the uncertainties in the health risk assessment,this paper relied on Monte Carlo simulations and sensitivity analysis.The results revealed that Sr and Mn contents exceeded their corresponding WHO(Guidelines for drinking water quality,4th edn.Geneva,2011)guidelines and Chinese groundwater standards(GB/T14848-2017),while the other analyzed trace elements remain below those threshold values.The calculated hazard quotient and hazard index values for adults from ingestion exposure to SG and MG were well below the threshold limit of 1.Probabilistic simulations further show that the total cancer risk value above the limit of 1×10^(-6) is 0%for SG and 29.39%for MG.Sensitivity analysis identified the Sr and Cr contents as the most relevant element variables affecting the probabilistic non-carcinogenic and carcinogenic risk values in the model,respectively.

Migration of Heavy Metal Elements in Reclaimed Irrigation Water-Soil-Plant System and Potential Risk to Human Health

[Objectives]To study the impact of heavy metal pollution of soil and plants during the process of reclaimed water for irrigation of green land in arid areas and the potential health risks to humans during use.[Methods]Taking Zhongwei City in Ningxia,a typical arid area,as the research area,the irrigation water,soil and green grass in the reclaimed water irrigation region and the original green water irrigation region were sampled,the heavy elements Hg,As,Zn,Pb,Cd,Cr were detected,and the Nemerow method,biological absorption coefficient,and health risk assessment were employed to evaluate the degree of soil pollution,plant absorption capacity,and human health risks.[Results]Compared with the original green water,the Hg,Cd,and Cr pollution of the reclaimed water irrigated green land was higher,the As,Zn,Pb pollution was lower,and the content of Hg and Cd was higher than the environmental background values of soil in Ningxia;the Cr content exceeded the risk intervention values of the first type of land in the Soil Environmental Quality—Risk Control Standard for Soil Contamination of Development Land(GB 36600-2018).Compared with the original green water irrigation region,it is found that the reclaimed water irrigation reduced the heavy metal pollution of the soil to a certain extent.The heavy metal content of tall fescue grass(Festuca arundinacea)in the reclaimed water irrigation region was Zn,Cr,Pb,As,Cd,and Hg from high to low;the order of the biological absorption coefficient was Cd>As>Zn>Pb>Hg>Cr;irrigation water exerted a certain effect on the content of heavy metals in plants and the biological absorption coefficient through the soil.Using the health risk assessment method recommended by Environmental Protection Agency of the United States of America(USEPA),it was found that the reclaimed water has the highest risk through the inhalation route,and the occupational population has a higher risk of skin contact with soil and plants.[Conclusions]This study is intended to provide data support and theoretical basis for the environmental safety risk research of the application of reclaimed water in arid areas to urban greening.

Can health technology assessments assist the global campaign against poverty?

Although a key tenant of the Sustainable Development Goals is to achieve universal health coverage,the global drug gap persists-cver a third of the global population lack access to essential medicines.Without access to affordable drugs,people have worse health outcomes,higher medical expenses,and productivity loss,pushing them into poverty.Health technology assessments(HTAs)offer an opportunity to decrease the global drug gap and increase access to essential medicines by overcoming barriers to medicine access.These barriers include drug procurement,drug affordability for payers and patients,a patienfs ability to obtain essential medicines,and health system capacity.Using HTAs can therefore close the global drug gap by increasing access to affordable essential medicines.In turn,people have better health outcomes,spend less money on medical care,and can have better productivity.Ultimately,use of HTAs can lift the population out of poverty and force fewer people into poverty by creating better health outcomes at affordable prices.