Global, Environmental, and Occupational Health Theses and Dissertations
Permanent URI for this collectionhttp://hdl.handle.net/1903/10071
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Item EXAMINATION OF THE ASSOCIATIONS BETWEEN SELECTED PERFLUOROALKYL SUBSTANCES AND THEIR ISOMERS WITH BODY WEIGHT IN ADOLESCENTS USING NHANES 2013-2018(2023) Snyder, Jessica A; Payne-Sturges, Devon; Maryland Institute for Applied Environmental Health; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)0ABSTRACT Title of thesis: EXAMINATION OF THE ASSOCIATIONS BETWEEN SELECTED PERFLUOROALKYL SUBSTANCES AND THEIR ISOMERS WITH BODY WEIGHT IN ADOLESCENTS USING NHANES 2013-2018 Jessica Snyder, Master of Science, 2023 Thesis Directed by: Professor Devon Payne-Sturges Maryland Institute for Applied Environmental Health Perfluoroalkyl substances (PFAS), a class of environmentally persistent chemicals, are suspected of having obesogenic properties, with studies thus far being inconclusive. Few past studies of PFAS toxicity have distinguished between isomer types of each PFAS group during analysis, however. In this thesis, data for non-smoking 14-19 year-olds from three cycles of the National Health and Nutrition Examination Survey was analyzed to identify potential associations in adolescents between bodyweight and two major families of PFAS: perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS) and to additionally determine if differentiating between linear and branched isomeric groups of two major PFAS families could better elucidate any associations found. In unadjusted models, weighted linear regression of body mass index (BMI) and serum concentrations of branched, linear, and total PFAS isomer groups, all returned positive associations ranging from β (95% confidence interval) of 4.06 (3.44, 4.68) for total PFOS to 12.33 (10.39,14.28) for linear PFOA. When models were adjusted for sex, age, race/ethnic origin and income level, however, only a negative association between BMI and branched PFOS (bPFOS) was found, with β= -1.24 (-2.10, -0.39). Unadjusted weighted logistic regression models of both overweight and obese status resulted in positive associations between obesity and both branched PFOS and total PFOS with odds ratios (95% confidence intervals) of 0.45 (0.27, 0.74) and 0.86 (0.75, 0.99) respectively. After adjusting for potential confounders, the only statistically significant relationship was between branched bPFOS and obesity, with a 56% decrease in the odds of obesity for every unit increase in serum concentration of bPFOS [β =-1.06, adjusted odds ratio= 0.44 (0.26,0.76)]. There was no significant difference between the sexes in any results. The apparent protective effect that bPFOS has against obesity and elevated BMI, notable as a health outcome association in itself, also illustrates that isomeric differentiation is important in studying PFAS, as nPFOS had no statistically significant 1 association by itself while ΣPFOS, used by many studies, did. Thus, the lack of differentiation could mask which PFAS type contributes to any associations discovered.Item COUPLING DNA LABELING AND NEXT-GENERATION SEQUENCING TECHNIQUES TO CHARACTERIZE METABOLICALLY-ACTIVE BACTERIA IN NONTRADITIONAL IRRIGATION WATER(2019) Malayil, Leena; Sapkota, Amy R; Maryland Institute for Applied Environmental Health; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Bacteria are ubiquitous in irrigation water resources and can include pathogens that may compromise food safety and public health. However, only a small fraction of total bacterial community members in water can be identified through standard culture-based laboratory methods. 16S rRNA and shotgun sequencing techniques have improved the identification of non-culturable bacteria in water resources. Nevertheless, because sequencing approaches are nucleic-acid based, they are unable to differentiate between the proportion of bacterial communities identified that are live and metabolically-active versus those that are represented by free, relic DNA, not present in viable cells. To bridge this knowledge gap, my dissertation research coupled DNA-labeling (using 5-bromo-2’- deoxyuridine (BrdU) and propidium monazide (PMA)) with next-generation sequencing approaches to identify and comprehensively characterize metabolically-active bacteria in multiple nontraditional irrigation water sources in the Mid-Atlantic region. My aims were as follows: 1) To characterize the metabolically-active fraction of bacterial communities, as well as antibiotic resistance genes and virulence gene profiles in nontraditional irrigation water sources; 2) To evaluate culture-dependent and -independent methods in the detection of metabolically-active pathogenic and non-pathogenic Vibrio species in four nontraditional irrigational water sources; and 3) To track metabolically-active bacterial communities from rooftop-harvested rainwater to irrigated produce in Maryland. Overall, we identified diverse metabolically-active bacterial communities in all nontraditional water sources. Notably, we observed the presence of viable bacteria of importance to both human and/or animal health (Actinobacterium spp., Flavobacterium spp., Aeromonas spp. Pseudomonas spp. and Vibrio spp.). Interestingly, diverse antimicrobial resistance and virulence genes were predominantly found in non-BrdU-treated samples, indicating that these genes can persist in relic DNA and could be transferred to other environmental bacteria through transformation events. We also source-tracked viable bacteria, including Sphingomonas spp., Enterobacter spp., Enterococcus spp, and Citrobacter spp. from rooftop-harvested irrigation water to produce. In summary, this work provides the first description of total, viable, and metabolically-active bacterial communities in different nontraditional irrigation water sources. These data can be used to improve risk characterization of these water sources, and ultimately inform the selection of appropriate cost-effective remediation methods to treat these waters prior to irrigation activities in order to prevent foodborne outbreaks.Item The Impact of Private Drinking Water Wells and Animal Feeding Operations on the Incidence of Acute Gastroenteritis in Maryland: A Mixed Methods Approach(2019) Murray, Rianna Teresa Frederika; Wilson, Sacoby M; Maryland Institute for Applied Environmental Health; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)More than 44.5 million people in the United States (approximately 14% of the population) rely on private domestic wells as their primary source of drinking water. The water quality of private wells is not regulated at the state or federal level, leaving homeowners with wells responsible for the safety of their water. Meanwhile, each year, an estimated 48 million people in the U.S. are sickened, 128,000 are hospitalized, and 3,000 die of gastrointestinal (GI) illnesses caused by microorganisms that are typically transmitted through contaminated food. Given that the potential of private wells as a non-foodborne transmission pathway for these microorganisms is not well understood, my dissertation evaluated these relationships, as well as characterized the quality of private well water in Maryland. My objectives were to: 1.) Investigate the water quality of private wells in Maryland and the effect of animal feeding operations on this water quality using fecal indicator bacteria; 2.) Investigate associations between the prevalence of private wells and the incidence of campylobacteriosis in Maryland at the zip code level using data from the FoodNet active surveillance System; and 3.) Investigate associations between the prevalence of private wells and the incidence of salmonellosis in Maryland at the zip code level using FoodNet data. My findings demonstrated that 43.2% of private wells tested in Maryland did not meet at least one federal health-based drinking water standard. Additionally, my data showed that the prevalence of private wells in Maryland is a risk factor for the incidence of campylobacteriosis and salmonellosis in the coastal counties of the state. The presence of broiler chicken operations in a zip code is also a risk factor for campylobacteriosis and salmonellosis in coastal counties. These findings provide evidence for the strengthening of private well water regulations and for improving education and outreach to private well owners on proper maintenance and testing for their wells.Item LUNG CANCER IN NEPAL: THE ROLE OF TRADITIONAL TOBACCO PRODUCTS AND COMBUSTION RELATED HOUSEHOLD AIR POLLUTION(2016) Raspanti, Greg Anthony; Sapkota, Amir; Maryland Institute for Applied Environmental Health; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The burden of chronic diseases such as cancer is increasing in low and middle income countries around the globe. Nepal, one of the world’s poorest countries, is no exception to this trend, with lung cancer as the leading causes of cancer deaths. Despite this, limited data is available on the environmental and behavioral risk factors that contribute to the lung cancer etiology in Nepal. The objectives of this dissertation are to: 1) investigate the ethnic differences in consumption of local tobacco products and their role in lung cancer risk in Nepal; 2) evaluate urinary metabolite of 1,3-butadiene as a biomarker of exposure to combustion related household air pollution (CRHAP); 3) investigate the association between CRHAP exposure and lung cancer risk using urinary metabolite of 1,3-butadiene as a biomarker of exposure; 4) investigate the association between CRHAP exposure and lung cancer risk using questionnaire based measure of exposure. Lung cancer cases (n=606) and frequency matched controls (N=606) were recruited from B.P. Koirala Memorial Cancer Hospital. We obtained biological samples and information on lifestyles including cooking habits and type of fuels used. We used liquid chromatograph tandem mass spectrometer (LC-MS/MS) to quantify urinary metabolites of 1,3-butadiene in urine samples. We employed a combination of logistic and linear regression models to detect any exposure-disease associations while controlling for known confounding variables. Overall, we found that ethnic groups in Nepal use different tobacco products that have different differing cancer potency -we observed the highest odds ratios for the traditional tobacco products. The biomarker analysis showed strong evidence that monohydroxybutyl mercapturic acid is associated with biomass fuel use among participants. However, we did not find significant association between urinary MHMBA and lung cancer risk. When we used questionnaire based measure of exposure to household air pollution, we observed significant, dose-response associations between CRHAP exposure and lung cancer risk, particularly among never-smokers. Our results show that important role of local tobacco products in lung cancer risk in Nepal. Furthermore, we demonstrate that CRHAP exposure is a risk factor for lung cancer risk, independent of tobacco smoking.