Water ingestion during water recreation

Quantitative risk assessments have estimated health risks of water recreation. One input to risk assessment models is the rate of water ingestion. One published study estimated rates of water ingestion during swimming, but estimates of water ingestion are not available for common limited contact water recreation activities such as canoeing, fishing, kayaking, motor boating, and rowing. In the summer of 2009 two related studies were conducted to estimate water ingestion during these activities. First, at Chicago area surface waters, survey research methods were utilized to characterize self-reported estimates of water ingestion during canoeing, kayaking, and fishing among 2705 people. Second, at outdoor swimming pools, survey research methods and the analysis of cyanuric acid, a tracer of swimming pool water, were used to characterize water ingestion among 662 people who engaged in a variety of full-contact and limited-contact recreational activities. Data from the swimming study was used to derive translation factors that quantify the volume of self-reported estimates. At surface waters, less than 2% of canoers and kayakers reported swallowing a teaspoon or more and 0.5% reported swallowing a mouthful or more. Swimmers in a pool were about 25-50 times more likely to report swallowing a teaspoon of water compared to those who participate in limited-contact recreational activities on surface waters. Mean and upper confidence estimates of water ingestion during limited-contact recreation on surface waters are about 3-4 mL and 10-15 mL, respectively. These estimates of water ingestion rates may be useful in modeling the health risks of water recreation.     

Environmental concerns related to high thallium levels in soils and thallium uptake by plants in southwest Guizhou, China

Thallium (Tl) contamination in soils poses a significant threat to human health due to the high toxicity of Tl and its ready assimilation by crops. This study is focused on high concentrations of Tl in soils in the Lanmuchang area of southwest Guizhou, China, which is related to natural processes of Tl-rich sulfide mineralization. Thallium contents range from 40 to 124 mg/kg in soils originating from the mining area, from 20 to 28 mg/kg in slope wash materials, from 14 to 62 mg/kg in alluvial deposits downstream, from 1.5 to 6.9 mg/kg in undisturbed natural soils and <0.2 to 0.5 mg/kg Tl in soils from the background area. These values indicate that both the erosion of natural soils from the Tl mineralized area and the mining activity are responsible for the distribution of high Tl concentrations in soils. Two other important toxic metals of interest, mercury and arsenic, also show high contents in soils, and are generally higher than Tl concentrations. Thallium concentration in plants exhibit species-dependent preferences. Thus, the enrichment of Tl in the edible parts of crop species decreases in the following order: green cabbage>carrot>chili>Chinese cabbage>rice>corn. The highest level of Tl in green cabbage is up to 500 mg/kg as dry wt., surpassing the values of Tl in the soils in which the green cabbages grow. In contrast, Hg and As are relatively less concentrated in local plants. The average daily uptake of Tl by the villagers of the Lanmuchang area through consumption of locally planted crops has been estimated to be 1.9 mg/person, which is 50 times the daily ingestion of individuals from the Tl-free background area. The daily ingestion of As and Hg from the study area are 0.03 and 0.01 mg, respectively. This indicates that Tl in the contaminated soils related to the natural Tl mineralization is being readily transferred to the human body through the food chain, and poses a significant threat to the health of the local villagers. Arsenic may pose a lesser health hazard, but mercury has an insignificant health risk. This study illustrates a real environmental concern related to land use and human health in areas containing high contents of Tl in soils associated with the natural occurrence of Tl-rich sulfides and coals, with or without mining activities. Thallium contamination in soils should be a critical parameter for proper land use and health related environmental planning and regulations.     

Soils: their implications to human health

This paper reviews how the health of humans is affected by the world's soils, an association that to date has been under appreciated and under reported. Soils significantly influence a variety of functions (e.g. as a plant growth medium; its importance on the cycling of water; as a foundation for buildings) that sustains the human population. Through ingestion (either deliberate or involuntary), inhalation and dermal absorption, the mineral, chemical and biological components of soils can either be directly beneficial or detrimental to human health. Specific examples include: geohelminth infection and the supply of mineral nutrients and potentially harmful elements (PHEs) via soil ingestion; cancers caused by the inhalation of fibrous minerals or Rn gas derived from the radioactive decay of U and Th in soil minerals; and tetanus, hookworm disease and podoconiosis caused by skin contact and dermal absorption of appropriate soil constituents. Human health can also be influenced in more indirect ways as soils interact with the atmosphere, biosphere and hydrosphere. Examples include: the volatilisation of persistent organic pollutants (POPs) from soils and their subsequent global redistribution that has health implications to the Aboriginal people of the Arctic; the frequent detrimental chemical and biological quality of drinking and recreational waters that are influenced by processes of soil erosion, surface runoff, interflow and leaching; and the transfer of mineral nutrients and PHEs from soils into the plants and animals that constitute the human food chain. The scale and magnitude of soil/health interactions are variable, but at times a considerable number of people can be affected as demonstrated by the extent of hookworm infection or the number of people at risk because they live in an I-deficient environment. Nevertheless, it can often be difficult to establish definite links between soils and human health. This, together with the emergence of new risks, knowledge, or discoveries, means that there is considerable scope for research in the future. Such investigations should involve a multidisciplinary approach that both acquires knowledge and ensures its dissemination to people in an understandable way. This requires an infrastructure and finance that governments need to be responsive to.     

Landslides qualitative hazard and risk assessment method and its reliability

Landslide hazard and risk assessment methods can be broadly characterised as site specific or area specific. Site specific assessments may be qualitative (denoted Type I) or quantitative—based on detailed investigation and data (Type III). Area specific assessments are denoted as Type II.This paper describes the University of Wollongong Type I method which analyses hazard and risk assessment for four different conditions: natural slopes, embankments and side fills, rock slopes and cuttings and soil cuttings. Field sheets have been developed for each type of slope to enable scoring of the factors contributing to hazard and to consequence and therefore to risk. These have been tested at 23 sites in New South Wales, Australia, by two independent professionals to establish consistency levels. Some Type III assessments have been made against which the Type I assessments were compared. In the three areas reported, the comparisons indicate that the qualitative approach is conservative.     

What do we know about effects of desert dust on air quality and human health in West Africa compared to other regions?

This study aims to compare, on the one hand, the geographical distribution of the desert dust source areas, their contribution to quantities emitted into the atmosphere, the trajectories and the quantities deposited, with on the other hand the areas of research interest focused on the desert dust impacts on air quality and/or human health. Based on a systematic review of the literature using the ISI Web of Knowledge database, we found 231 articles published over the last decade on the desert dust impacts on air quality. Of these, 48% concerned Asian dust and 39% Saharan dust, with the remaining 13% divided between the other dust source areas. However, only one of these studies addressed the worsening air pollution in West Africa, even though it is very close to the Sahara, the greatest contributor to the global dust budget. Moreover, there have been very few studies (41) looking at the direct links between desert dust and human health; in this context too, no interest has been shown in West Africa. Yet this region is also among the areas in which morbidity rates have been noted to be far higher than those found in other regions of the world, and where respiratory infections alone account for more than 20% of the causes of infant mortality. This survey highlights a clear imbalance between those areas most exposed to dust and the most studied areas in terms of dust impacts. Given these findings and the often alarming results published about other regions of the world, we advocate a revival of interest in research on West Africa in order to achieve a better understanding of the desert dust impacts on air quality and health among the populations of this region.     

Integrated tool for risk assessment in agricultural management of soil erosion and losses of phosphorus and nitrogen

In recent years, increased attention has been focused on models for risk assessment of source areas in agricultural landscapes. Among the simplest of such models are index tools, which have been developed particularly for phosphorus (P) and to some extent nitrogen (N). However, only a few studies have considered the development of an integrated management strategy that includes erosion and losses of both P and N. Accordingly, the major objective of this study was to initiate the development of an integrated risk assessment tool, consisting of indices for erosion, P and N. The strategy used to create the integrated tool was based on the assumption that all input data at field scale should be readily available either from ordinary agricultural statistics or from the farmer. The results from using the indices in a pilot case study catchment illustrated that losses of P and N had often different critical source areas. The P index was highest for fields with manure application and/or high soil P status or with autumn ploughing, and the N index was highest for fields with excessive N application. The integrated risk was greatest for areas with manure application and some areas with a high erosion risk in combination with high nutrient application rate. Additionally, four different management options were assessed: (1) reduced fertilisation, (2) catch crops, (3) autumn ploughing, and (4) no autumn ploughing. The results verified that reduced nutrient application and stubble during autumn and winter led to the largest decrease in index values, and it was also apparent that management changes in high-risk areas had the greatest impact on the indices. Overall, our findings indicate that the present integrated risk assessment tool with readily available input data can be used to rank farm fields according to risk of soil erosion and losses of P and N.     

From one species to another: A review on the interaction between chemistry and microbiology in relation to cleaning in the built environment

Since the advent of soap, personal hygiene practices have revolved around removal, sterilization, and disinfection—both of visible soil and microscopic organisms—for a myriad of cultural, aesthetic, or health‐related reasons. Cleaning methods and products vary widely in their recommended use, effectiveness, risk to users or building occupants, environmental sustainability, and ecological impact. Advancements in science and technology have facilitated in‐depth analyses of the indoor microbiome, and studies in this field suggest that the traditional “scorched‐earth cleaning” mentality—that surfaces must be completely sterilized and prevent microbial establishment—may contribute to long‐term human health consequences. Moreover, the materials, products, activities, and microbial communities indoors all contribute to, or remove, chemical species to the indoor environment. This review examines the effects of cleaning with respect to the interaction of chemistry, indoor microbiology, and human health.     

Arsenic biogeochemistry and human health risk assessment in organo-arsenical pesticide-applied acidic and alkaline soils: an incubation study

Organo-arsenical compounds are considered non-carcinogenic, and hence, are still allowed by the regulatory agencies for use in agriculture as pesticides. Due to rapid encroachment of suburban areas into former agricultural lands, the potential for human exposure to soil-arsenic has increased tremendously in recent years. However, insufficient data is available on the stability of organo-arsenicals in soils; as to whether they remain in an organic form, or are converted over time to potentially carcinogenic inorganic forms. A static incubation study was conducted to estimate soil speciation and in-vitro bioavailability (i.e., bioaccessibility) of arsenic as a function of soil properties. Two chemically variant soil types were chosen, based on their potential differences with respect to arsenic reactivity: an acid sand with minimal arsenic retention capacity and an alkaline clay loam with relatively high concentrations of Fe/Al and Ca/Mg. The soils were amended with dimethylarsenic acid (DMA) at three rates, 45, 225 and 450 mg/kg, and incubated for 1 year. A sequential extraction scheme was employed to identify the geochemical forms of arsenic in soils, which were correlated with the in-vitro bioavailable fractions of arsenic. Human health risk calculated in terms of excess cancer risk (ECR) showed that risk assessment based on bioaccessible arsenic concentrations instead of the traditional total soil arsenic is a more realistic approach. Results showed that soil properties (such as pH, Fe/Al content and soil texture) of the two soils dictated the geochemical speciation, and hence, bioaccessibility of arsenic from DMA, indicating that the use of organic arsenicals as pesticides in mineral soils may not be a safe practice from a human health risk perspective.     

Environmental contamination at Finnish shooting ranges--the scope of the problem and management options

In Finland, shooting ranges are among the most common activities causing soil contamination. According to our study based on questionnaires and previous regional surveys, the total number of Finnish outdoor shooting ranges is between 2000 and 2500. Most of the ranges are small and only ca. 5% exceed 20 ha. Almost a third of the ranges can cause a groundwater pollution risk, while only few cause an immediate health risk. In the first instance, 50-60 shooting ranges identified as being high-risk areas should be investigated in detail. At present, the risk management options at Finnish shooting ranges are very limited. Hence, soil excavation combined with disposal is the most common remediation technique. Some of the remediation methods used in other countries have been proven unsuitable in Finnish conditions. Therefore, new, feasible, cost-effective and economical remediation technologies are needed. To exclude future contamination, a total ban of lead shot would be the most effective way.     

Introducing a method of human health risk evaluation for planning and soil quality management of heavy metal-polluted soils—An example from Grugliasco (Italy)

European governmental institutions, as well as local communities, have recently become aware of the threats arising from soil pollution for the welfare of the population. Humans contact with soils is more likely in urban than in rural areas, and is strongly dependent on land use. Spatial planning and land management may have important impacts on the potential transfer of pollutants from contaminated soils to humans. In the present study, we propose a land use-based method for the evaluation of human health risks arising from heavy metal-contaminated urban soils, addressing in particular the influence of planning measures and land use changes on such risks. The method accounts for the role of the bioavailability of soil metals as a key factor in health risk assessment. In order to increase method applicability, a step-by-step procedure and a calculation tool were elaborated. The method can be used to identify areas in which the current or planned land use is associated with unacceptable health risks and to optimise the allocation of a certain land use to areas that are well suited and where the risks are minimal. A risk index is calculated for the area, taking the land use into consideration, as the sum of the risks from different exposure pathways and different heavy metals. For those areas where risk is identified as unacceptable, alternative planning or management options should be defined to achieve a maximal risk reduction in a cost-effective way. The method is illustrated using the Italian municipality, Grugliasco.     

Introducing a method of human health risk evaluation for planning and soil quality management of heavy metal-polluted soils—An example from Grugliasco (Italy)

European governmental institutions, as well as local communities, have recently become aware of the threats arising from soil pollution for the welfare of the population. Humans contact with soils is more likely in urban than in rural areas, and is strongly dependent on land use. Spatial planning and land management may have important impacts on the potential transfer of pollutants from contaminated soils to humans. In the present study, we propose a land use-based method for the evaluation of human health risks arising from heavy metal-contaminated urban soils, addressing in particular the influence of planning measures and land use changes on such risks. The method accounts for the role of the bioavailability of soil metals as a key factor in health risk assessment. In order to increase method applicability, a step-by-step procedure and a calculation tool were elaborated. The method can be used to identify areas in which the current or planned land use is associated with unacceptable health risks and to optimise the allocation of a certain land use to areas that are well suited and where the risks are minimal. A risk index is calculated for the area, taking the land use into consideration, as the sum of the risks from different exposure pathways and different heavy metals. For those areas where risk is identified as unacceptable, alternative planning or management options should be defined to achieve a maximal risk reduction in a cost-effective way. The method is illustrated using the Italian municipality, Grugliasco.     

Groundwater Contamination from Rural Pit Latrines: Examples from Siberia and Kosova

New hydrogeochemical data from Kosova and southern Siberia agree with previous studies from Botswana and Moldova in suggesting that high densities of pit latrines (and other domestic pollution sources) in rural villages can result in contamination of potable groundwater supplies by microbes and nitrate. Concentrations in excess of 100 mg/l nitrate have been recorded in each of these areas, at which levels small children may be endangered by methaemoglobinaemia. The sanitation and water-supply conditions are believed to be typical of large areas of Eastern Europe and the former Soviet Union. It is likely that poor sanitation and conflict with potable-water supplies are among the main sources of environmental risk to populations in these areas, rather than the industrial and military contamination upon which so many international collaborative programmes have focused.     

国内外住区空间环境对居民健康影响研究综述

住区作为城市基本单元,良好的规划建设在改善人居环境和引导居民的健康生活习惯上具有基石作用,为深入解析住区外部空间环境对居民的健康影响,促进公众健康,追踪梳理了国内外相关主题文献,辨析了住区空间对居民健康影响的要素系统和影响路径,归纳了用地与设施、空间形态、交通与街道、绿色空间四类空间要素对居民健康的影响,发现相关健康影响并非仅是简单的正负线性相关,还存在显著的地域差异、多因素影响特征和阈值非线性相关性,进而探讨了相关研究的结论与方法在住区规划建设过程中的运用。     

Indoor residential chemical emissions as risk factors for respiratory and allergic effects in children: a review

Most research into effects of residential exposures on respiratory health has focused on allergens, moisture/mold, endotoxin, or combustion products. A growing body of research from outside the US; however, has associated chemical emissions from common indoor materials with risk of asthma, allergies, and pulmonary infections. This review summarizes 21 studies in the epidemiologic literature on associations between indoor residential chemical emissions, or emission-related materials or activities, and respiratory health or allergy in infants or children. Associations, some strong, were reported between many risk factors and respiratory or allergic effects. Risk factors identified most frequently included formaldehyde or particleboard, phthalates or plastic materials, and recent painting. Findings for other risk factors, such as aromatic and aliphatic chemical compounds, were limited but suggestive. Elevated risks were also reported for renovation and cleaning activities, new furniture, and carpets or textile wallpaper. Reviewed studies were entirely observational, limited in size, and variable in quality, and specific risk factors identified may only be indicators for correlated, truly causal exposures. Nevertheless, overall evidence suggests a new class of residential risk factors for adverse respiratory effects, ubiquitous in modern residences, and distinct from those currently recognized. It is important to confirm and quantify any risks, to motivate and guide necessary preventive actions. PRACTICAL IMPLICATIONS: Composite wood materials that emit formaldehyde, flexible plastics that emit plasticizers, and new paint have all been associated with increased risks of respiratory and allergic health effects in children. Although causal links have not been documented, and other correlated indoor-related exposures may ultimately be implicated, these findings nevertheless point to a new class of little recognized indoor risk factors for allergic and respiratory disease, distinct from the current set of indoor risk factors. The available evidence thus raises initial questions about many common residential practices: for instance, using pressed wood furnishings in children's bedrooms, repainting infant nurseries, and encasing mattresses and pillows with vinyl for asthmatic children. The findings summarized here suggest a need for substantially increased research to replicate these findings, identify causal factors, and validate preventive strategies.     

城市树木致伤风险可视化评估：以武汉市 中山公园为例

城市中的树木能提供多种生态系统服务，但树木倒 伏、树枝坠落也可能致人伤害，评估城市树木风险能有效地预 防伤害发生、保障人身安全。但当前研究的评估维度多聚焦于 树木自身，对城市人群致伤可能性的考量较少。建构了风险严 重性、风险可能性和致伤潜力3个维度的城市树木致伤风险指 数(I UTIR)评估方法，以武汉市中山公园为例展开树木致伤风险 评估，并分析了树木自身风险、致伤潜力与致伤风险之间的空 间关系。研究发现：68.7%的区域中，树木自身风险与致伤潜 力之间的空间关系呈现正相关性，25.1%的区域呈现负相关 性。在此基础上，提出了预防树木致伤风险的管理建议。为公 园规划设计和树木风险管理策略提供参考，从而减弱树木致伤 风险对人体健康的影响。     

Response to Buchanan et al.'s comment on Urban et al. “Assessment of human health risks posed by consumption of fish from the Lower Passaic River (LPR), New Jersey” (2009, doi:10.1016/jscitotenv.2009.03.004)

Buchanan et al. assert that our recent fish ingestion risk assessment for a section of the Lower Passaic River (LPR) (Urban et al., 2009) utilizes inappropriate ingestion rates and is inconsistent with state and USEPA guidelines and risk assessment procedures, and therefore underestimates the human health risks associated with angler exposure along this stretch of the river. However, they fail to support these assertions with evidence; indeed, in a recent response to similar allegations, we demonstrated that the utilized ingestion rates are, in fact, the most appropriate for this parameter (Urban et al., 2010). Our reliance on data from a comprehensive, independently validated, peer-reviewed, and site-specific creel angler survey (CAS) in order to define fish and crab ingestion rates for this region of the LPR is fully compliant with USEPA guidelines. In fact, the crab ingestion survey and risk assessment cited by Buchanan et al. as evidence of crabbing activity and crab ingestion for this region was less comprehensive than the CAS in question, was not overseen by an independent panel, has yet to be peer-reviewed, and does not provide any activity or consumption data for this section of the LPR. Contrary to the implications of Buchanan et al., our effort provides a transparent, comprehensive, and scientifically legitimate human health risk assessment of fish ingestion for the lowest 6 miles of the LPR. Thus we adamantly disagree with the characterization and assertions put forth by Buchanan et al., and stand by the conclusions presented in Urban et al. (2009) and defended in Urban et al. (2010).     

The effects of human activities on natural radiation exposure: Health and regulatory implications

A decade ago, interest in “enhanced” natural radiation was focused primarily on localized industrial activities, e.g., uranium, radium, thorium and phosphate production. Recognition that all human activities influence natural radiation exposure, and that indoor radon exposure is particularly sensitive to such activities (building construction practice, occupant life-styles) has added a new dimension to the problem. Public health assessments must address the problem of high individual risks of lung cancer as well as substantial population risks that are only minimally ameliorated by reduction of high exposures. In the United States, Federal, State, and local government agencies are collaborating with the private sector in developing the information needed for public guidance. Voluntary standards relating to building construction practices are likely to be developed.     

Risk-based ecological soil quality criteria for the characterization of contaminated soils. Combination of chemical and biological tools

This paper describes the development of soil quality criteria for the characterization of soils focused on the potential risk to the ecosystem. The approach combines both Generic Soil Quality standards (GSQs) for individual chemicals and direct ecotoxicity assays on soil samples taken from the site. Criteria establish three main risk levels with their corresponding trigger values. The trigger values to determine high risk or "polluted" soils are exclusively based on direct toxicity assessments. The trigger values for the other categories are established by a combination of the application of GSQs and the results of bioassays. Low-risk is assumed when no toxicity is observed and GSQs based on precautionary ecotoxicity thresholds are not exceeded; high-risk must be considered if acute toxicity above the proposed trigger value is observed in soil or leachate samples. In between these levels, the risk cannot be elucidated and a site-specific assessment is required. The GSQs take into account the current or future land use, thus defining three categories: industrial soils, urban/residential soils and natural/agricultural/forest soils, each of them with different ecological requirements. The GSQ values are established following an inverse risk assessment methodology, integrating ecotoxicity and exposure models and setting the soil levels associated to pre-established criteria for the assumption of low risk. The proposed methodology covers all relevant ecological receptors and processes, soil organisms, potential contamination of ground and surface waters, and exposure of terrestrial vertebrates due to bioaccumulation and biomagnification. Exposure routes and protection criteria are defined in each protection goal. The relevance of each receptor and route is established according to the land use.     

Assessment of human health risks posed by consumption of fish from the Lower Passaic River, New Jersey

The Lower Passaic River (LPR) in New Jersey has been impacted by variety of human activities over the course of the last two centuries. In this risk assessment, we assessed potential human health risks associated with consumption of fish from the LPR, the human exposure pathway of greatest concern when addressing contaminated sediments. Our risk assessment incorporates fish consumption information gathered during a year-long, intercept-style creel angler survey and representative fish tissue concentrations for 156 chemicals of potential concern (COPCs) obtained from USEPA's public database (OurPassaic website: http://www.ourpassaic.org/projectsites/premis_public/index.cfm?fuseaction=contaminants). Due to the large number of COPCs investigated, this risk assessment was divided into two phases: (1) identification of COPCs that contribute to the majority of overall excess cancer risk and hazard estimates using deterministic and probabilistic methods, and (2) probabilistic characterization of risk using distributions of chemical concentration and cooking loss for those compounds identified in Phase 1. Phase 1 relied on point estimates of COPC concentrations and demonstrated that PCDD/Fs and PCBs (dioxin-like and non-dioxin-like) are the greatest contributors to cancer risk, while non-dioxin-like PCBs are the primary contributors to non-cancer hazard estimates. Total excess cancer risks for adult and child and receptors estimated in Phase 1 were within USEPA's acceptable excess cancer risk range, with the exception of RME child (3.0 × 10^− 4 and 1.3 × 10^− 4 for deterministic and probabilistic approaches, respectively). Phase 2 focused on PCDD, PCDF, and PCBs and used distributions of chemical concentrations in fish. The results showed that all excess cancer risk estimates were within the acceptable risk range, although non-cancer hazard estimates for PCBs slightly exceeded a Hazard Index of 1. This HHRA of LPR fish ingestion represents the most comprehensive evaluation conducted to date, and demonstrates that measured concentrations of COPCs are not likely to pose a health risk to people who currently consume fish from the LPR.     

Heavy metals in wheat grain: assessment of potential health risk for inhabitants in Kunshan, China

Heavy metals (HMs) may cause deleterious effects on human health due to the ingestion of food grain grown in contaminated soils. Concentrations of HMs (Hg, As, Cr, Cu, Ni, Pb, Zn and Cd) in wheat grains were investigated in different areas of a developed industry city in Southeast China (Kunshan city), and their potential risk to health of inhabitants was estimated. The results showed that concentrations of HMs in the top soil (0-15 cm) were in this order: Zn>Cr>Ni>Pb>Cu>As>Hg>Cd. The Zn, Cr, Ni Cd and Hg concentrations of several soil samples exceeded the permissible limits of China standard. In addition, concentrations of HMs in wheat grain decreased in the order of Zn>Cu>Pb>Cr>Ni>Cd>As>Hg. There were 1, 6 and 10 wheat samples whose Zn, Pb and Cd concentrations were above the permissible limits of China standard, respectively. In relation to non-carcinogenic risks, Hazard Quotient (HQ) of individual metal presented values inside the safe interval. However, health risk due to the added effects of eight HMs was significant for rural children and rural adults, but not for urban adults and urban children. HQ (individual risk) and HI (Hazard Index of aggregate risk) to different inhabitants due to HMs followed the same sequence of: country children>country adults>urban children>urban adults. Amongst the HMs, potential health hazards due to As, Cu, Cd and Pb were great, and that due to Cr was the minimum. It was suggested to pay more attention on the potential added threat of HMs to the health of country inhabitants (both children and adults) through consumption of wheat in Kunshan.