Little is known about exposure of infants to neonicotinoid
insecticides
(NEOs). In this study, concentrations of six parent NEOs (p-NEOs) and N-desmethyl-acetamiprid (N-dm-ACE) were measured in urine and whole blood samples
from infants, in addition to breast milk, infant formula, and tap
water collected in South China. The p-NEO with the
highest median concentration in urine (0.25 ng/mL) and blood (1.30)
samples was dinotefuran (DIN), while imidacloprid (IMI) was abundant
in breast milk (median: 0.27 ng/mL), infant formula (0.22), and tap
water (0.028). The older infants (181–360 days) might face
higher NEO and N-dm-ACE exposure than younger infants
(0–180 days). Blood samples contained a significantly (p < 0.01) higher median concentration of ∑6
p-NEOs (2.03 ng/mL) than that of urine samples
(0.41), similar to acetamiprid (ACE), IMI, thiacloprid (THD), DIN,
and N-dm-ACE, suggesting that NEOs readily partition
into blood. Furthermore, breast-fed infants tend to have higher exposure
levels than formula-fed infants. Infant formula prepared with tap
water augmented the daily intake of ∑NEOs. The external sources
contributed 80% of the total dose to IMI and clothianidin (CLO) exposure,
while other unknown sources contributed to ACE, THD, and DIN exposure
in infants. To the best of our knowledge, this is the first study
to assess levels and sources of infantile exposure to NEOs through
internal and external exposure assessment.