To the best of our knowledge, a dose-response meta-analysis of the relationship between cardiovascular disease (CVD) and arsenic (As) exposure at drinking water As concentrations lower than the WHO provisional guideline value (10 µg/L) has not been published yet. We conducted a systematic review and meta-analyses to estimate the pooled association between the relative risk of each CVD endpoint and low-level As concentration in drinking water both linearly and non-linearly using a random effects dose-response model. In this study, a significant positive association was found between the risks of most CVD outcomes and drinking water As concentration for both linear and non-linear models (p-value for trend < 0.05). Using the preferred linear model, we found significant increased risks of coronary heart disease (CHD) mortality and CVD mortality as well as combined fatal and non-fatal CHD, CVD, carotid atherosclerosis disease and hypertension in those exposed to drinking water with an As concentration of 10 µg/L compared to the referent (drinking water As concentration of 1 µg/L) population. Notwithstanding limitations included, the observed significant increased risks of CVD endpoints arising from As concentrations in drinking water between 1 µg/L and the 10 µg/L suggests further lowering of this guideline value should be considered.

Phytoremediation is a promising technology for the remediation of sites co-contaminated with inorganic (heavy metal) and organic pollutants. A greenhouse experiment was conducted to investigate the independent and interactive effects of cadmium (Cd) and polycyclic aromatic hydrocarbons (PAHs) on the growth of the wetland plant Acorus calamus and its ability to uptake, accumulate, and remove pollutants from soils. Our results showed that growth and biomass of A. calamus were significantly influenced by the interaction of Cd and PAHs after 60 days of growth. The combined treatment of low Cd and low PAHs increased plant biomass and Cd accumulation in plant tissues, thus enhancing Cd removal. Dissipation of PAHs from soils was not significantly influenced by Cd addition or by the presence of plants. Correlation analysis also indicated a positive relationship between residual concentrations of phenantherene and pyrene (PAHs), whereas enzyme activities (dehydrogenase and polyphenol oxidase) were negatively correlated with each other. Cluster analysis was used to evaluate the similarity between different treatments during phytoremediation of Cd and PAHs. Our results suggest that A. calamus might be useful for phytoremediation of co-contaminated soil.

Cardiovascular diseases (CVDs) have been recognized as the most serious non-carcinogenic detrimental health outcome arising from chronic exposure to arsenic. Drinking arsenic contaminated groundwaters is a critical and common exposure pathway for arsenic, notably in India and other countries in the circum-Himalayan region. Notwithstanding this, there has hitherto been a dearth of data on the likely impacts of this exposure on CVD in India. In this study, CVD mortality risks arising from drinking groundwater with high arsenic (>10 μg/L) in India and its constituent states, territories, and districts were quantified using the population-attributable fraction (PAF) approach. Using a novel pseudo-contouring approach, we estimate that between 58 and 64 million people are exposed to arsenic exceeding 10 μg/L in groundwater-derived drinking water in India. On an all-India basis, we estimate that 0.3–0.6% of CVD mortality is attributable to exposure to high arsenic groundwaters, corresponding to annual avoidable premature CVD-related deaths attributable to chronic exposure to groundwater arsenic in India of between around 6500 and 13,000. Based on the reported reduction in life of 12 to 28 years per death due to heart disease, we calculate value of statistical life (VSL) based annual costs to India of arsenic-attributable CVD mortality of between USD 750 million and USD 3400 million.