Purpose of Review Many factors influence the health impact of exposure to metalliferous mine dusts and whilst the underpinning toxicology is pivotal, it is not the only driver of health outcomes following exposure. The purpose of this review is twofold: (i) to highlight recent advances in our understanding of the hazard posed by metalliferous mine dust and (ii) to broaden an often narrowly framed health risk perspective to consider the wider aetiology of the potential determinants of disease. Recent Findings The hazard posed by metalliferous dusts depends not only on their abundance and particle size but other properties such as chemical composition, solubility, shape, and surface area, which all play a role in the associated health effects. A better understanding of the mechanisms that lead to toxicity, such as recent advances in our understanding of the role played by reactive oxygen species (ROS), can help in the development of improved in vitro models to support risk assessments, whilst biomonitoring studies have the potential to guide risk management decisions for mining communities. Summary Environmental exposures are complex; complex geochemically and complex geographically. Research linking the environment to human health is starting to mature, highlighting the subtlety of multiple exposures, mixtures of substances, and the cumulative legacy effects of life in disrupted and stressed environments. We are evolving more refined biomarkers to identify these responses, which enhances our appreciation of the burden of effects on society and also directs us to more sophisticated risk assessment approaches to adequately address evolving regulatory and societal needs.

In the present study, trace elements (TE) levels were evaluated in scalp hair along the continuum from healthy subjects (HS) to patients suffering from subjective memory concerns (SMC), and/or mild cognitive impairment (MCI), and those with already installed dementia (DEM) in order to: (i) assess the effects of environmental and lifestyle factors on TE concentrations and (ii) evaluate the analyzed elements as possible diagnostic biomarkers for the disease. The study involved 79 mainly permanent residents, >55 years old, from the city of Estarreja (northern Portugal), a former industrial area. The health status of the participants was assessed by means of a complete socio-demographic questionnaire and through cognitive screening tests, namely the Mini-Mental State Examination (MMSE). The test scores were categorized and used in the statistical analysis. Hair samples were collected and analyzed by inductively coupled plasma-mass spectrometry (ICP-MS) ICP-MS for selected TE. Dementia appears to be associated with higher age, the female gender, lower education level, and longer residence time in the study area. In addition, most of the participants diagnosed with dementia frequently consume home-grown foodstuffs, some irrigated with contaminated well water. The calculation of the TE enrichment factors of soil samples collected in kitchen gardens/small farms in the vicinity of the Estarreja Chemical Complex (ECC) reinforces the degree of Hg soil contamination in the area, due to anthropogenic sources that can be a source for the population Hg exposure route among others. Mercury levels in hair differed significantly between the four individual groups (HS, SMC, MCI, and DEM), increasing from healthy to dementia participants. Improved diagnostic results can be obtained using hair TE signatures coupled with MMSE scores. This strategy may prove useful for predictive diagnosis in population screening for cognitive impairment.

For more than 30 years, sulfide gold ores were treated in metallurgic plants located in Nova Lima, Minas Gerais, Brazil, and accumulated in the Cocoruto tailings dam. Both flotation and leaching tailings from a deactivated circuit, as well as roasted and leaching tailings from an ongoing plant, were studied for their acid mine drainage potential and elements’ mobility. Detailed characterization of both tailings types indicates the presence of fine-grain size material hosting substantial amounts of sulfides that exhibit distinct geochemical and mineralogical characteristics. The samples from the ongoing plant show high grades of Fe in the form of oxides, cyanide, and sulfates. Differently, samples from the old circuit shave higher average concentrations of Al (0.88%), Ca (2.4%), Mg (0.96%), and Mn (0.17%), present as silicates and carbonates. These samples also show relics of preserved sulfides, such as pyrite and pyrrhotite. Concentrations of Zn, Cu, Au, and As are higher in the tailings of the ongoing circuit, while Cr and Hg stand out in the tailings of the deactivated circuit. Although the obtained results show that the sulfide wastes do not tend to generate acid mine drainage, leaching tests indicate the possibility of mobilization of toxic elements, namely As and Mn in the old circuit, and Sb, As, Fe, Ni, and Se in the tailings of the plant that still works. This work highlights the need for proper management and control of tailing dams even in alkaline drainage environments such as the one of the Cocoruto dam. Furthermore, strong knowledge of the tailings’ dynamics in terms of geochemistry and mineralogy would be pivotal to support long-term decisions on wastes management and disposal.