水土质量调查评价与人群健康关系的融合路径研究Integration path research of water and soil quality investigation and evaluation and human health relationship
王新峰,龚磊,刘元晴,宋绵,张梦南,吕琳,魏建朋,马学军,孟顺祥
摘要(Abstract):
为有效支撑健康中国行动,我国正在探索开展健康地质调查,但受制于对健康地质概念的理解,统一的工作思路和技术方法还未形成,制约了此项工作在全国的推广。采用文献研究、定性分析及对比分析等方法,综述了国内外水土质量调查评价与地方病防治的最新研究成果,特别关注了在中国分布较广、影响较大的氟中毒、砷中毒、甲状腺肿(包括克汀病)、大骨节病和克山病等地方病的研究思路与最新进展。研究认为:健康地质调查与传统地质调查的最大区别是以影响人群健康的水土质量为核心指标,加强水岩相互作用研究方法和地下水流系统的运用,强化分析元素物质在岩-土-水-气-生地球表层圈层的迁移转化及暴露途径,坚持地球系统科学和生命科学相结合、岩水土气生等多要素系统监测与单因素优势观测相结合、地质环境与人群健康指标调查监测相结合、区域全面调查与典型案列分析相结合的工作思路,有序推进健康地质调查、监测、评价、区划、智慧服务等工作任务,部署开展保障安全供水、提供健康饮水、开发优质水和圈定劣质地块、开发优质耕地、规划有益元素产业园等核心内容,按照区域面上控制、流域精细刻画、村镇监测重点解剖、点上工程示范探索4个尺度,系统开展水土质量本底调查、资源属性分析和社会价值评估,构建水土质量与人群健康关系概念框架,筛选人群健康关键因素的管控阈值,从而满足人群对安全、公平、幸福、文化、可持续等健康需求。研究成果明确了当前健康地质调查的核心任务与主要方向,可为这一尚处于探索阶段工作的推广部署提供决策参考。
关键词(KeyWords): 人群健康;水土质量调查;地方病;健康地质调查
基金项目(Foundation): 河北省水资源可持续利用与产业结构优化协同创新中心开放基金(XTZX202106);; 中国地质调查局典型水化学环境异常区健康地质调查课题(DD2022175403);中国地质调查局地质调查项目(DD20221754)
作者(Author): 王新峰,龚磊,刘元晴,宋绵,张梦南,吕琳,魏建朋,马学军,孟顺祥
DOI: 10.19509/j.cnki.dzkq.2022.0260
参考文献(References):
- [1] 唐跃刚,郑宝山.医学地质学及其发展前景[J].中国科学基金,2003,17(5):270-272.Tang Y G,Zheng B S.Medical geology and its development prospects[J].China Science Foundation,2003,17(5):270-272(in Chinese with English abstract).
- [2] 张福存,文冬光,郭建强,等.中国主要地方病区地质环境研究进展与展望[J].中国地质,2010,37(3):551-562.Zhang F C,Wen D G,Guo J Q,et al.Research progress and prospect of geological environment in main endemic disease area[J].Geology in China,2010,37(3):551-562(in Chinese with English abstract).
- [3] Wen D G,Zhang F C,Zhang E Y,et al.Arsenic,fluoride and iodine in groundwater of China[J].Journal of Geochemical Exploration,2013,135:1-21.
- [4] Wen D G,Zhang F C,An Y H.Support service of geological technology in lifting residents of endemic disease area out of poverty[J].China Geology,2020,3(4):656-660.
- [5] 中国地质调查局水文地质环境地质调查中心.中国主要平原(盆地)地下水砷氟等分布与质量区划图集[M].北京:地质出版社,2021.Center for Hydrogeology and Environmental Geology,CGS.Atlas of distribution and quality zoning of arsenic and fluorine in groundwater of main plains(basins) in China[M].Beijing:Geological Publishing House,2021(in Chinese).
- [6] Mohammad H,Adrian B.Medical hydrogeology of Asian deltas:Status of groundwater toxicants and nutrients,and implications for human health[J].International Journal of Environmental Research and Public Health,2016,13(1):81.
- [7] 郭建强.地方病与地质环境关系研究的方法浅析[J].南水北调与水利科技,2008,6(6):58-60.Guo J Q.Methods analysis of research on relationship between endemic diseases and geological environment[J].South to North Water Transfers and Water Science & Technology,2008,6(6):58-60(in Chinese with English abstract).
- [8] 冯翠娥,周建伟,周爱国.当前世界环境地质学发展特点趋向及我国主要环境地质学问题分析[J].中国地质灾害与防治学报,2004,15(2):9-15.Feng C E,Zhou J W,Zhou A G.Current development characteristic and tendency of environmental geology in the world and analysis of environmental geology problems in our country[J].The Chinese Journal of Geological Hazard and Control,2004,15(2):9-15(in Chinese with English abstract).
- [9] 梁杏,张人权,牛宏,等.地下水流系统理论与研究方法的发展[J].地质科技情报,2012,31(5):143-151.Liang X,Zhang R Q,Niu H,et al.Development of the theory and research method of groundwater flow system[J].Geological Science and Technology Information,2012,31(5):143-151(in Chinese with English abstract).
- [10] 梁杏,张婧玮,蓝坤,等.江汉平原地下水化学特征及水流系统分析[J].地质科技通报,2020,39(1):21-23.Liang X,Zhang J W,Lan K,et al.Hydrochemical characteristics of groundwater and analysis of groundwater flow systems in Jianghan Plain[J].Bulletin of Geological Science and Technology,2020,39(1):21-23(in Chinese with English abstract).
- [11] 中国科学院.地下水科学[M].北京:科学出版社,2018.Chinese Academy of Sciences.Groundwater science[M].Beijing:Science Press,2018(in Chinese).
- [12] 林年丰.医学环境地球化学[M].长春:吉林科学技术出版社,1991.Lin N F.Medical environmental geochemistry[M].Changchun:Jilin Science and Technology Press,1991(in Chinese).
- [13] Selinus O,Alloway B,Centeno J A,et al.Essentials of medical geology[M].[S.l.]:Springer,2016.
- [14] Long J,Luo K L.Elements in surface and well water from the central North China Plain:Enrichment patterns,origins,and health risk assessment[J].Environmental Pollution,2020,258:113725.
- [15] Kubicz J,Lochynski P,Pawetczyk A,et al.Effects of drought on environmental health risk posed by groundwater contamination[J].Chemosphere,2021,263:128145.
- [16] Sharma V K,McDonald T J,Sohn M,et al.Assessment of toxicity of selenium and cadmium selenium quantumdots :A review[J].Chemosphere ,2017,188:403-413.
- [17] 熊咏民,杨晓莉,张丹丹,等.硒的生物学效应与环境相关性疾病的研究进展[J].土壤,2018,50(6):1105-1112.Xiong Y M,Yang X L,Zhang D D,et al.Research progress in biological function of selenium and environmentally associated diseases[J].Soils,2018,50(6):1105-1112(in Chinese with English abstract).
- [18] Smits J E,Krohn R M,Akhtar E,et al.Food as medicine:Selenium enriched lentils offer relief against chronic arsenic poisoning in Bangladesh[J].Environmental Research,2019,176:108561.
- [19] Jones G D,Droz B,Greve P,et al.Selenium deficiency risk predicted to increase under future climate change[J].Proceedings of the National Academy of Sciences of the United States of America,2017,114(11):2848-2853.
- [20] 周国华.富硒土地资源研究进展与评价方法[J].岩矿测试,2020,39(3):319-336.Zhou G H.Research progress of elenium-enriched land resources and evaluation methods[J].Rock and Mineral Analysis,2020,39(3):319-336(in Chinese with English abstract).
- [21] 杨妍萍,刘晓端,刘久臣,等.川西高原地区岩石中硒的地球化学特征和影响因素[J].岩矿测试,2020,39(1):115-126.Yang Y P,Liu X D,Liu J C,et al.Geochemical characteristics of elenium in rocks from the western Sichuan plateau[J].Rock and Mineral Analysis,2020,39(1):115-126(in Chinese with English abstract).
- [22] 徐春燕,丁晓英,闫加力.湖北省富硒资源的地质特征及利用区划[J].世界地质,2018,37(1):340-347.Xu C Y,Ding X Y,Yan J L.Geological characteristics and usage regionalization of Se-enriched resources in Hubei[J].Global Geology,2018,37(1):340-347(in Chinese with English abstract).
- [23] 李杰,刘久臣,汤奇峰,等.川西高原地区水体中硒含量及分布特征研究[J].岩矿测试,2018,37(2):183-192.Li J,Liu J C,Tang Q F,et al.Study of the contents and distribution of selenium in water samples from the western Sichuan plateau and the incidence of kaschin beck disease[J].Rock and Mineral Analysis,2018,37(2):183-192(in Chinese with English abstract).
- [24] Du X,Jiang S,Liang B,et al.Effects of vitamin E and ω-3 fatty acids on protecting ambient PM_(2.5)-induced cardiovascular injury[J].Journal of Hygiene Research,2017,46(4):517-537.
- [25] 崔茹.山东省生活饮用水水碘和重点人群碘营养分布状况研究[D].济南:山东大学,2020.Cui R.Distribution of todine in drinking water and iodine nutrition in key populations in Shandong Province[D].Jinan:Shandong University,2020(in Chinese with English abstract).
- [26] Lazarus J H.The importance of iodine in public health[J].Environ.,Geochem.,Health,2015,37:605-618.
- [27] 徐朋,申红梅.国外碘缺乏病流行与防治现状[J].中华地方病学杂志,2015,34(5):387-390.Xu P,Shen H M.Current situation of IDD prevalence and prevention abroad[J].Chinese Journal of Endemiology,2015,34 (5):387-390(in Chinese with English abstract).
- [28] 申红梅.中国饮水碘分布与病区划分标准[J].中华地方病学杂志,2016,35(3):157-160.Shen H M.The distribution of drinking water iodine and delimitation standard for the endemic areas of iodine in China[J].Chinese Jouranl of Endemiology,2016,35(3):157-160(in Chinese with English abstract).
- [29] 张二勇,张福存,钱永,等.中国典型地区高碘地下水分布特征及启示[J].中国地质,2010,37(3):797-802.Zhang E Y,Zhang F C,Qian Y,et al.The distribution of high iodine groundwater in typical areas of China and its inspiration[J].Geology in China,2010,37(3):797-802(in Chinese with English abstract).
- [30] Zhang E Y,Wang Y Y,Qian Y,et al.Iodine in groundwater of the North China Plain:Spatial patterns and hydrogeochemical processes of enrichment[J].Journal of Geochemical Exploration,2013,135:40-53.
- [31] 侯国强,孙宁,李小烽,等.河南省淮河流域深水井高碘高氟流行状况调查[J].中国地方病防治杂志,2021,36(1):30-31.Hou G Q,Sun N,Li X F,et al.Investigation on the prevalence of high iodine and fluoride in deep-water wells in Huaihe River basin,Henan Province[J].Chinese Jouranl of Endemiology,2021,36(1):30-31(in Chinese with English abstract).
- [32] Xue X,Li J,Xie X,et al.Impacts of sediment compaction on iodine enrichment in deep aquifers of the North China Plain[J].Water Research,2019,159:480-489.
- [33] 王焰新.“同一健康”视角下医学地质学的创新发展[J].地球科学,2020,45(4):1093-1102.Wang Y X.Innovative development of medical geology:A one health perspective[J].Earth Science,2020,45(4):1093-1102(in Chinese with English abstract).
- [34] Chouhan S,Flora S J S.Arsenic and fluoride:Two major ground water pollutants[J].Indian Journal of Experimental Biology,2010,48:666-678.
- [35] Hakami O,Al-Rajab,et al.Risk assessment of fluoride exposure in drinking water of Tunisia[J].Chemosphere:Environmental Toxicology and Risk Assessment,2017,177:102-108.
- [36] Srivastava S,lora S.Fluoride in drinking water and skeletal fluorosis:A review of the global impact[J].Current Environmental Health Reports,2020,7(2):140-146.
- [37] Brahman K D,Kazi T G,Baig J A,et al.Fluoride and arsenic exposure through water and grain crops in Nagarparkar,Pakistan[J].Chemosphere,2014,100:182-189.
- [38] 宋晓光,芦岩,梁仕凯,等.张家口坝下地区高氟地下水成因分析与健康风险评价[J].地质科技通报,2022,41(1):240-250.Song X G,Lu Y,Liang S K,et al.Analysis of high-fluoride groundwater formation mechanisms and assessment of health risk in Baxia region,Zhangjiakou[J].Bulletin of Geological Science and Technology,2022,41(1):240-250(in Chinese with English abstract).
- [39] Chen J,Wu H,Qian H,et al.Assessing nitrate and fluoride contaminants in drinking water and their health risk of rural residents living in a semiarid region of Northwest China[J].Exposure & Health,2016:1-13.
- [40] Liu T,Gao X B,Zhang X B,et al.Distribution and assessment of hydrogeochemical processes of F-rich groundwater using PCA model:A case study in the Yuncheng Basin,China[J].Acta Geochim.,2020,39(2):58-67.
- [41] 苏映平.《中华人民共和国地方病与环境图集》即将出版[J].地理研究,1989,8(1):113-114.Su Y P.Atlas of endemic diseases and environment of the People’s Republic of China will be published soon[J].Geographical Research,1989,8(1):113-114(in Chinese).
- [42] Li C,Gao X,Li S,et al.A review of the distribution,sources,genesis,and environmental concerns of salinity in groundwater[J].Environmental Science and Pollution Research,2020,27(8):41157-41174.
- [43] Liu J H,Wang X F,Xu W D,et al.Hydrogeochemistry of fluorine in groundwater in humid mountainous areas:A case study at Xingguo County,southern China[J].Journal of Chemistry,2021:115567353.
- [44] 张爱华,曾奇兵.新形势下地方性砷中毒科学防治的新机遇与挑战[J].中华地方病学杂志,2019,38(2):87-90.Zhang A H,Zeng Q B.New opportunities and challenges for scientific prevention and control of endemic arsenic poisoning under new circumstances[J].Chinese Jouranl of Endemiology,2019,38(2):87-90(in Chinese with English abstract).
- [45] Amen R,Bashir H,Bibi I,et al.A critical review on arsenic removal from water using biochar-based sorbents:The significance of modification and redox reactions[J].Chemical Engineering Journal,2020,396:125195.
- [46] Agency for Toxic Substances and Disease Registry.The ATSDR 2019 substance priority list[M/OL].Agency for Toxic Substances and Disease Registry,2019.https://www.atsdr.cdc.gov/spl/index.html#2019spl.
- [47] Weerasundara L,Ok Y S,Bundschuh J.Selective removal of arsenic in water:A critical review[J].Environmental Pollution,2020,268:115668.
- [48] Kobya M,Soltani R D C,Omwene P L,et al.A review on decontamination of arsenic-contained water by electrocoagulation:Reactor configurations and operating cost along with removal mechanisms[J].Environmental Technology & Innovation,2020,17:100519.
- [49] 韩双宝,张福存,张徽,等.中国北方高砷地下水分布特征及成因分析[J].中国地质,2010,37(3):747-753.Han S B,Zhang F C,Zhang H,et al.An analysis of the distribution and formation of high arsenic groundwater in northern China[J].Geology in China,2010,37(3):747-753(in Chinese with English abstract).
- [50] Zhang Y L,Cao W G,Wang W Z,et al.Distribution of groundwater arsenic and hydraulic gradient along the shallow groundwater flow-path in the Hetao Plain,northern China[J].Journal of Geochemical Exploration,2013,135:31-39.
- [51] 林年丰,汤洁.我国砷中毒病区的环境特征研究[J].地理科学,1999,19(2):135-139.Lin N F,Tang J.The study on environmental characteristics in arseniasis areas in China[J].Scientia Geographica Sinica,1999,19(2):135-139(in Chinese with English abstract).
- [52] 杨文蕾,沈亚婷.水稻对砷吸收的机理及控制砷吸收的农艺途径研究进展[J].岩矿测试,2020,39(4):475-492.Yang W L,Shen Y T.A review of research progress on the absorption mechanism of arsenic and agronomic pathways to control arsenic absorption[J].Rock and Mineral Analysis,2020,39(4):475-492(in Chinese with English abstract).
- [53] 中国营养学会.中国居民膳食营养素参考摄入量[M].北京:中国轻工业出版社,2013.Chinese Nutrition Society.Reference intake of dietary nutrients for Chinese residents[M].Beijing:China Light Industry Press,2013(in Chinese).
- [54] Mahmood Y,Mahboobeh G,Amir H M.Health risk assessment to fluoride in drinking water of rural residents living in the Poldasht City,Northwest of Iran[J].Ecotoxicology & Environmental Safety,2018,148:426-430.
- [55] 林年丰,汤洁.大骨节病与环境地质因素的相关分析[J].长春地质学院学报,1983(1):81-89.Lin N F,Tang J.The correlation analysis between the Kaschin-Beck disease and the factors of the geological environment[J].Journal of Changchun Institute of Geology,1983(1):81-89(in Chinese with English abstract).
- [56] 郭华明,倪萍,贾永锋,等.原生高砷地下水的类型、化学特征及成因[J].地学前缘,2014,21(4):1-12.Guo H M,Ni P,Jia Y F,et al.Types,chemical characteristics and genesis of geogenic high-arsenic groundwater in the world[J].Earth Science Frontiers,2014,21(4):1-12(in Chinese with English abstract).
- [57] Wang Y X,Wang Q R,Deng Y M,et al.Assessment of the impact of geogenic and climatic factors on global risk of urinary stone disease[J].Science of the Total Enoironment,2020,721:1-8.
- [58] Sulaiman S K,Enakshee J,Traxer O,et al.Which type of water is recommended for patients with stone disease (hard or soft water,tap or bottled water):Evidence from a systematic review over the last 3 decade[J].Current Urology Reports,2020,21:6.
- [59] Hopps H C,Feder G L.Chemical qualities of water that contribute to human health in a positive way[J].Science of the Total Environment,1986,54:207-216.
- [60] Pu H,Luo K,Zhang S,et al.Relationship between lifespan indicators and elemental background values:A case study in Guangdong Province,China[J].Science of the Total Environment,2018,624:1658.
- [61] 闭向阳,马振东.某冶炼厂附近农田镉污染调查与对策[J].地质科技情报,2003,22(2):87-90.Bi X Y,Ma Z D.Survey and strategies of cadmium pollution in the farmland near a copper smeltery[J].Geological Science and Technology Information,2003,22(2):87-90(in Chinese with English abstract).
- [62] 陈诚,林晨.苏南地区耕地质量评价与分区保护研究[J].长江流域资源与环境,2016,25(12):1860-1869.Chen C,Lin C.Cultivated land quality assessment and protection zoning in southern Jiangsu Province[J].Resources and Environment in the Yangtze Basin,2016,25(12):1860-1869(in Chinese with English abstract).
- [63] Deng Q C,Chen L J,Wei Y P,et al.Understanding the association between environmental factors and longevity in Hechi,China:A drinking water and soil quality perspective[J].International Journal of Environmental Research and Public Health,2018,15:2272.
- [64] Cai J S,Chen S Y,Yu G Q,et al.Comparations of major and trace elements in soil,water and residents' hair between longevity and non-longevity areas in Bama,China[J].International Journal of Environmental Health Research,2019,31(5):581-594.