The utility of stable isotopes as tracers of the water molecule has a long pedigree. The study reported here is part of an attempt to establish a comprehensive isotopic 'baseline' for the British Isles as background data for a range of applications. Part 1 of this study (Darling and Talbot, 2003) considered the isotopic composition of rainfall in Britain and Ireland. The present paper is concerned with the composition of surface waters and groundwater. In isotopic terms, surface waters (other than some upland streams) are poorly characterised in the British Isles; their potential variability has yet to be widely used as an aid in hydrological research. In what may be the first study of a major British river, a monthly isotopic record of the upper River Thames during 1998 was obtained. This shows high damping of the isotopic variation compared to that in rainfall over most of the year, though significant fluctuations were seen for the autumn months. Smaller rivers such as the Stour and Darent show a more subdued response to the balance between runoff and baseflow. The relationship between the isotopic composition of rainfall and groundwater is also considered. From a limited database, it appears that whereas Chalk groundwater is a representative mixture of weighted average annual rainfall, for Triassic sandstone groundwater there is a seasonal selection of rainfall biased towards isotopically-depleted winter recharge. This may be primarily the result of physical differences between the infiltration characteristics of rock types, though other factors (vegetation, glacial history) could be involved. In the main, however, groundwaters appear to be representative of bulk rainfall within an error band of 0.5‰ δ 18 O. Contour maps of the δ 18 O and δ 2 H content of recent groundwaters in the British Isles show a fundamental SW-NE depletion effect modified by topography. The range of measured values, while much smaller than those for rainfall, still covers some 4‰ for δ 18 O and 30‰ for δ 2 H. Over lowland areas the 'altitude effect' is of little significance, but in upland areas is consistent with a range of -0.2 to -0.3‰ per 100 m increase in altitude. Groundwaters dating from the late Pleistocene are usually modified in δ 18 O and δ 2 H owing to the effects of climate change on the isotopic composition of rainfall and thus of recharge. Contour maps of isotopic variability prior to 10 ka BP, based on the relatively limited information available from the British Isles, allow a first comparison between groundwaters now and at the end of the last Ice Age. The position of the British Isles in the context of the stable isotope systematics of NW Europe is reviewed briefly.
An understanding of the hydrological cycle in stable isotopic terms requires the characterisation of rainfall. This paper reviews existing and new data for the British Isles. Rainfall at the Wallingford (Oxfordshire) collection station was collected daily from November 1979 to October 1980. Large variations in isotopic content were noted, sometimes from day to day. Winter rainfall was similar to summer in amount, and only slightly depleted isotopically. Amount and temperature correlations with δ 18 O were generally low, only the autumn and winter temperature relationships being significant. A 20-year monthly dataset from 1982 to 2001 for Wallingford gives the following regression: δ 2 H = 7.0δ 18 O + 1.2, a slope somewhat below the world meteoric line but consistent with the those from other long-term stations in NW Europe. The data showed uncorrelated maxima and minima for each year, but rather more consistent amount-weighted averages. Although there is only a small difference in gradient between summer and winter rainfall values, when plotted against the month of the year there are clear changes in the values of both isotopes, and the δ 2 H-δ 18 O relationship as demonstrated by the d-excess parameter. The isotope-amount correlation is low but significant, with summer months appearing to be well-correlated when considered in terms of month of the year. On this same seasonal basis temperature has a strong correlation throughout the year, giving a positive δ 18 O-temperature relationship of 0.25 ‰ per°C change. The Wallingford monthly record is compared with data from Keyworth (Nottinghamshire) and the Valentia station of the GNIP (IAEA-WMO Global Network for Isotopes in Precipitation) in SW Ireland. While not large, differences between the stations are broadly attributable to the balance between maritime and continental influences. Over the period September 1981 to August 1982 the maximum number of monthly collection stations was operating across the British Isles. While a comparison of the sites serves mostly to illustrate the variability of British weather in space and time, there is clear isotopic evidence for the predominance of frontal rainfall in winter and convective rainfall in summer. The effect of altitude on isotopic content was measured within a high-relief stream catchment in Scotland. The best correlations occurred during winter, when an average relationship of approximately -0.30 ‰ δ 18 O per 100 m increase in altitude was observed. It is well established that rainfall isotopic composition changes in response to alterations in climate. However these changes are difficult to detect isotopically in the short term, even when the changes are indexed, e.g. in the form of the NAO (North Atlantic Oscillation). The brief duration of rainfall isotope records is a further hindrance; for the British Isles proxies such as tree-ring cellulose may have some value in extending the record back.
Since the introduction in 1979 of intravenous acetylcysteine (Parvolex) as an antidote for overdosage of paracetamol the National Poisons Information Service and the manufacturer have been notified of 38 adverse reactions that were anaphylactoid in nature and 19 accidental overdoses. The most common feature of the anaphylactoid reaction to normal dosage was rash; other features reported included angioedema, hypotension, and bronchospasm; all the patients recovered. The features associated with an overdose of acetylcysteine were similar but more severe; two patients died, but the extent to which the overdose of acetylcysteine may have been implicated was not clear in either case.
Ecopharmacovigilance (EPV) is a developing science and it is currently very unclear what it might mean in practice. We have performed a comparison between pharmacovigilance (PV) and EPV and have identified that there are similarities, but also some important differences that must be considered before any practical implementation of EPV. The biggest difference and greatest challenge concerns signal detection in the environment and the difficulty of identifying cause and effect. We reflect on the dramatic vulture decline in Asia, which was caused by the veterinary use of diclofenac, versus the relative difficulty in identifying the specific causes of intersex fish in European rivers. We explore what EPV might mean in practice and have identified that there are some practical measures that can be taken to assess environmental risks across product life cycle, particularly after launch of a new drug, to ensure that our risk assessments and scientific understanding of pharmaceuticals in the environment remain scientifically and ecologically relevant. These include:Tracking environmental risks after launch of the product, via literature monitoring for emerging data on exposure and effectsUsing Environmental Risk Management Plans (ERMPs) as a centralized resource to assess and manage the risks of a drug throughout its life cycleFurther research, testing or monitoring in the environment when a risk is identifiedKeeping a global EPV perspectiveIncreasing transparency and availability of environmental data for medicinal products.These measures will help to ensure that any significant environmental issues associated with pharmaceuticals in the environment (PIE) are identified in a timely way, and can be managed appropriately.
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