2020
DOI: 10.1016/j.envpol.2020.114630
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Levels of a mixture of heavy metals in blood and urine and all-cause, cardiovascular disease and cancer mortality: A population-based cohort study

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Cited by 122 publications
(55 citation statements)
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“…In recent years, with the rapid development of industries and cities in China, harmful heavy metals such as nickel, cadmium, and lead ions have been discharged into the groundwater, along with mining, metallurgy, chemical, electronics, electroplating and other industries [ 1 , 2 , 3 , 4 ], causing serious pollution to the water environment. Since heavy metal ions are not degradable in the water environment, they will pose a serious threat to human health through the enrichment of the food chain [ 5 , 6 , 7 , 8 ]. Among them, lead ion cannot be easily removed once they enter the environment.…”
Section: Introductionmentioning
confidence: 99%
“…In recent years, with the rapid development of industries and cities in China, harmful heavy metals such as nickel, cadmium, and lead ions have been discharged into the groundwater, along with mining, metallurgy, chemical, electronics, electroplating and other industries [ 1 , 2 , 3 , 4 ], causing serious pollution to the water environment. Since heavy metal ions are not degradable in the water environment, they will pose a serious threat to human health through the enrichment of the food chain [ 5 , 6 , 7 , 8 ]. Among them, lead ion cannot be easily removed once they enter the environment.…”
Section: Introductionmentioning
confidence: 99%
“…To illustrate, a recent study found that exposure to a mixture of heavy metals is positively associated with cancer mortality, as well as all-cause mortality. In fact, this study implicated cadmium as having the highest contribution to this, which is highly relevant given cadmium was identified as a pollutant of concern on Staten Island [34]. Furthermore, a study in Italy highlighted that patients with head and neck cancer, including thyroid cancer, were more likely to have both elevated levels of heavy metal ions, such as cadmium and arsenic, and PCBs compared to their healthy counterparts [35].…”
Section: Discussionmentioning
confidence: 79%
“…PAHs (Schober et al, 2007) and VOCs such as toluene and benzene (Jiménez- Garza et al, 2017) are also known to elicit an inflammatory response individually and in combination (Kuang et al, 2020). Heavy metals have been recently linked to cardiovascular disease (Duan et al, 2020). Tobacco exposures have been causal factors in several noncancer effects such as respiratory problems (Anderson & Ferris Jr, 1962), heart disease (Lakier, 1992), infections (Arcavi & Benowitz, 2004), and fertility problems (Stillman et al, 1986).…”
Section: Discussionmentioning
confidence: 99%