• The concentration of heavy metals and metalloids in environment and children's blood are observed around the Chinese largest coking plant.• The health risk assessments of children are analyzed.• Foods from the coking plant are heavily contaminated by As, Cr and Se.• Food Ingestion pathway contributes most to children's average daily dose for most heavy metals and metalloids.• Higher potentially non-carcinogenic and carcinogenic risks happen to the local children. a b s t r a c t a r t i c l e i n f o Coking influences environmental quality and poses high risks to human health as large amounts of heavy metals and metalloids are emitted into the environment from coal during the coking process. Health risks depend heavily on multi-pathway and element-specific exposures, which have, unfortunately, been rarely studied. In this study, children's health risks and exposure levels to As, Se, and heavy metals (Pb, Cd, Cr, Ni, Co, Zn, Cu, Mn, V and Sb) in the water, soil, dust, air and locally produced food were studied based on field sampling and questionnaire-based surveys around the largest coking area in China. Human blood samples were collected and analyzed to indicate the exposure levels. The non-carcinogenic risks to children mainly resulted from Cr, Mn, Pb, As and Sb, the levels of which were 3 to 10 times higher than the acceptable levels (1.0 × 10 −6 ). The carcinogenic risks to children were 30 to 200 times higher than the safe level (1.0 × 10 −6 -1.0 × 10 −4 ), which could be attributed to Cr, As and Ni pollution. The estimated risks mainly came from the pathway involving the ingestion of locally produced food, accounting for more than 85% in total for most elements. For As, the food ingestion and air inhalation exposure pathways both contributed approximately 50%, respectively. The high risks in this study highlight the attention paid to the health of children who live in the vicinity of coking activities and the importance of site-specific multi-pathway health risk assessments and food safety to protect potentially exposed children.

h i g h l i g h t sThe first CEERHAPS survey obtained firsthand data on household fuel use in China. Solid fuel are widely used for cooking and heating, with large spatial variances. Statistically negative correlation between the income and solid fuel use fraction. Models for household fuel use estimation at national and provincial levels. The proportion of solid fuel use decreased during the last two decades. Household fuel-use (HFU) patterns are strongly associated with multiple effects, including air quality, human health, and regional climate change. This paper presents the results from the first Chinese Environmental Exposure-Related Human Activity Patterns Survey (CEERHAPS), carried out among 91,121 households located in 9108 villages, 636 towns, and 159 counties in 31 provinces. Face-to-face interviews were conducted with each participant to obtain information about the type of fuels used for cooking and heating. The main objectives of this paper were to investigate HFU for cooking and heating in China, to validate the World Health Organization (WHO) model, and to help inform local evaluation models. In China, gas and biomass fuels, the dominant energy fuels for cooking, are used by 44.8% and 32.1% of households, respectively. Approximately 34.1% of families have no household heating during the cold season, and 16.7%, 15.6% and 12.8% of households rely on coal, electricity, and biomass, respectively, for household heating when no central heating was available. The proportion of households using solid fuels has generally decreased during the last two decades. Considerable spatial variation was evident in the HFU patterns for both cooking and heating. The data revealed that the predominant fuel for cooking was biomass (47.6%) in rural populations, whereas urban households were more likely to cook with gas (65.8%). In terms of heating, coal (21.4%) and biomass (19.0%) were the main fuels used in rural households, while electricity (23.6%) and coal (10.5%) were more commonly used in urban areas. The overall HFU results for cooking from this study were comparable to those predicted using the WHO model. We also developed models at the provincial level to estimate HFU for cooking and heating in China; it is expected that the model, if confirmed by future studies, could be used for future research on household air pollution, domestic human exposure and burden of disease.