Long-term exposure to atmospheric metals assessed by mosses and mortality in France. (August 2019)

• Record Type: Journal Article
• Authors: Lequy, Emeline; Siemiatycki, Jack; Leblond, Sébastien; Meyer, Caroline; Zhivin, Sergey; Vienneau, Danielle; de Hoogh, Kees; Goldberg, Marcel; Zins, Marie; Jacquemin, Bénédicte
• Is Part Of: Environment international. Volume 129(2019)
• Page Start: 145
• Page End: 153
• Publication Date: 2019-08
• Subjects: Environmental protection -- Periodicals; Environmental health -- Periodicals; Environmental monitoring -- Periodicals; Environmental Monitoring -- Periodicals; Environnement -- Protection -- Périodiques; Hygiène du milieu -- Périodiques; Environnement -- Surveillance -- Périodiques; Environmental health; Environmental monitoring; Environmental protection; Periodicals; 333.705
• DOI: 10.1016/j.envint.2019.05.004
• Languages: English
• ISSNs: 0160-4120

Abstract

Abstract: Background: Long-term exposure to air pollution affects health, but little is known about exposure to atmospheric metals. Estimating exposure to atmospheric metals across large spatial areas remains challenging. Metal concentrations in mosses could constitute a useful proxy. Here, we linked moss biomonitoring and epidemiological data to investigate the associations between long-term exposure to metals and mortality. Methods: We modelled and mapped 13 atmospheric metals from a 20-year national moss biomonitoring program to derive exposure estimates across France. In the population-based Gazel cohort, we included 11, 382 participants from low to intermediate population density areas and assigned modelled metals to their residential addresses. We distinguished between airborne metals that are primarily of natural origin and those primarily of anthropogenic origin. Associations were estimated between exposure to metals and mortality (natural-cause, cardiovascular and respiratory), using Cox models, with confounder adjustment at individual level. Findings: Between 1996 and 2017, there were 1313 deaths in the cohort (including 181 cardiovascular and 33 respiratory). Exposure to the anthropogenic metals was associated with an increased risk of natural-cause mortality (hazard ratio of 1.16 [1.08–1.24] per interquartile range of exposure), while metals from natural sources were not. Interpretation: Some atmospheric anthropogenic metals may be associated with excess mortality – even in areas with relatively low levels of exposure to air pollution. Consistent with the previous literature, our findings support the use of moss biomonitoring as a tool to assess health effects of air pollution exposure at individual level. Highlights: Health effects of atmospheric metals remain poorly investigated. Assessment of human exposure to atmospheric metals is a challenge. We assessed population exposure to atmospheric metals using moss biomonitoring. This proof-of-principle study linked such exposure with individual epidemiological data. Anthropogenic atmospheric metal exposure was associated with natural-cause mortality.