Abstract
Human health risk assessments of exposures to non-carcinogenic occupational and environmental toxicants have mostly been undertaken using the Hazard Quotient (HQ) approach, which largely ignores variabilities in both exposures and associated adverse health outcomes, unlike probabilistic approaches. Chlorpyrifos is a neurotoxic insecticide that is commonly applied by farmers in Ghana with limited research on associated health risks among applicators. The objective of this study was to assess health risks associated with chlorpyrifos exposure among applicators on rice farms in Ghana, using advanced probabilistic approaches that incorporate variability in both exposure doses and adverse response doses obtained from human epidemiological studies. Urine samples obtained from the applicators were analyzed for 3,5,6-trichloro-2-pyridinol (TCP)from which Absorbed Daily Dose (ADD) and Lifetime Average Daily Dose (LADD) levels of chlorpyrifos were estimated. The scientific literature was searched to identify human epidemiological data from studies that have reported chlorpyrifos adverse effects and their corresponding exposure levels. Equivalent ADD and LADD of chlorpyrifos were estimated from the human epidemiological data to obtain chlorpyrifos Toxicant Sensitivity Distributions (TSDs). Using the applicators’ chlorpyrifos dose distribution and TSDs, adverse health risks among the applicators were characterized using the probabilistic approaches, Overall Risk Probability (ORP) and Monte Carlo Simulation (MCS). The probabilities of chlorpyrifos adverse health effects occurring under the chronic exposure scenarios ranged from 1 to 8%, while those for acute exposure scenarios ranged from 31 to 34%. This study indicates that while the risks of chronic adverse health effects from chlorpyrifos exposure among the applicators were low, acute health risks were high.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-021-15354-8/MediaObjects/11356_2021_15354_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-021-15354-8/MediaObjects/11356_2021_15354_Fig2_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-021-15354-8/MediaObjects/11356_2021_15354_Fig3_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs11356-021-15354-8/MediaObjects/11356_2021_15354_Fig4_HTML.png)
Similar content being viewed by others
References
Albers JW, Garabrant DH, Schweitzer SJ, Garrison RP, Richardson RJ, Berent S (2004) The effects of occupational exposure to chlorpyrifos on the peripheral nervous system: a prospective cohort study. Occup. Environ. Med. 61:201–211
Albers JW, Garabrant DH, Mattsson JL, Burns CJ, Cohen SS, Sima C, Garrison RP, Richardson RJ, Berent S (2007) Dose-effect analyses of occupational chlorpyrifos exposure and peripheral nerve electrophysiology. Toxicol. Sci. 97:196–204
Amoah P, Drechsel P, Abaidoo RC, Ntow WJ (2006) Pesticide and pathogen contamination of vegetables in Ghana's urban markets. Arch. Environ. Contam. Toxicol. 50:1–6
Atabila A, Phung DT, Hogarh JN, Osei-Fosu P, Sadler R, Connell D, Chu C (2017) Dermal exposure of applicators to chlorpyrifos on rice farms in Ghana. Chemosphere 178:350–358
Atabila A, Phung DT, Hogarh JN, Sadler R, Connell D, Chu C (2018a) Health Risk assessment of dermal exposure to chlorpyrifos among applicators on rice farms in Ghana. Chemosphere 203:83–89
Atabila A, Sadler R, Phung DT, Hogarh JN, Carswell S, Turner S, Patel R, Connell D, Chu C (2018b) Biomonitoring of chlorpyrifos exposure and health risk assessment among applicators on rice farms in Ghana. Environ. Sci. Pollut. Res. Int. 25:20854–20867. https://doi.org/10.1007/s11356-018-2259-9
Barr DB, Wilder LC, Caudill SP, Gonzalez AJ, Needham LL, Pirkle JL (2005) Urinary creatinine concentrations in the U.S. population: implications for urinary biologic monitoring measurements. Environ. Health Perspect. 113:192–200
Berkowitz GS, Wetmur JG, Birman-Deych E, Obel J, Lapinski RH, Godbold JH, Holzman IR, Wolff MS (2004) In utero pesticide exposure, maternal paraoxonase activity, and head circumference. Environ. Health Perspect. 112:388–391
Bogen KT, Cullen AC, Frey HC, Price PS (2009) Probabilistic exposure analysis for chemical risk characterization. Toxicological sciences : an official journal of the Society of Toxicology 109:4–17
Calderon RL (2000) Measuring risks in humans: the promise and practice of epidemiology. Food Chem. Toxicol. 38:S59–S63
Cao Q, Yu Q, Connell DW (2011) Health risk characterisation for environmental pollutants with a new concept of overall risk probability. J. Hazard. Mater. 187:480–487
Cocker J, Mason HJ, Warren ND, Cotton RJ (2011) Creatinine adjustment of biological monitoring results. Occup. Med. (Lond.) 61:349–353
Connell D (2005) Basic Concepts of Environmental Chemistry. CRC Press Taylor and Francis Group, Boca Raton
Das GP, Jamil K, Rahman MF (2006) Effect of four organophosphorus compounds on human blood acetylcholinesterase: in Vitro Studies. Toxicol. Mech. Methods 16:455–459
Daston GP (1993) Do thresholds exist for developmental toxicants? In: Kalter H (ed) Issues and Reviews in Teratology: Volume 6. Boston, Springer
Dick RB, Steenland K, Krieg EF, Hines CJ (2001) Evaluation of acute sensory—motor effects and test sensitivity using termiticide workers exposed to chlorpyrifos. Neurotoxicol. Teratol. 23:381–393
Edokpolo B, Yu QJ, Connell D (2015) Health risk characterization for exposure to benzene in service stations and petroleum refineries environments using human adverse response data. Toxicology Reports 2:917–927
Edokpolo B, Yu QJ, Connell D (2019) Use of Toxicant Sensitivity Distributions (Tsd) for development of exposure guidelines for risk to human health from benzene. Environ. Pollut. 250:386–396
Farahat FM, Ellison CA, Bonner MR, Mcgarrigle BP, Crane AL, Fenske RA, Lasarev MR, Rohlman DS, Anger WK, Lein PJ, Olson JR (2011) Biomarkers of chlorpyrifos exposure and effect in egyptian cotton field workers. Environ. Health Perspect. 119:801–806
Fenske RA, Farahat FM, Galvin K, Fenske EK, Olson JR (2012) Contributions of inhalation and dermal exposure to chlorpyrifos dose in egyptian cotton field workers. Int. J. Occup. Environ. Health 18:198–209
Garabrant DH, Aylward LL, Berent S, Chen Q, Timchalk C, Burns CJ, Hays SM, Albers JW (2009) Cholinesterase inhibition in chlorpyrifos workers: characterization of biomarkers of exposure and response in relation to urinary Tcpy. J. Expo. Sci. Environ. Epidemiol. 19:634–642
Hamidin N, Yu QJ, Connell DW (2008) Human health risk assessment of chlorinated disinfection by-products in drinking water using a probabilistic approach. Water Research 42:3263–3274
Khan K, Ismail AA, Abdel Rasoul G, Bonner MR, Lasarev MR, Hendy O, Al-Batanony M, Crane AL, Singleton ST, Olson JR, Rohlman DS (2014) Longitudinal assessment of chlorpyrifos exposure and self-reported neurological symptoms in adolescent pesticide applicators. BMJ Open 4:e004177
Lunchick C (2001) Probabilistic exposure assessment of operator and residential non-dietary exposure. The Annals of Occupational Hygiene 45:S29–S42
Marasinghe J, Yu Q, Connell D (2014) Assessment of health risk in human populations due to chlorpyrifos. Toxics 2:92–114
Mcdaniel M, Snell TW (1999) Probability distributions of toxicant sensitivity for freshwater rotifer species. Environ. Toxicol. 14:361–366
Meeker JD, Barr DB, Hauser R (2006) Thyroid hormones in relation to urinary metabolites of non-persistent insecticides in men of reproductive age. Reprod. Toxicol. 22:437–442
Meeker JD, Ravi SR, Barr DB, Hauser R (2008) Circulating estradiol in men is inversely related to urinary metabolites of nonpersistent insecticides. Reprod. Toxicol. 25:184–191
Mohabbati-Kalejahi E, Azimirad V, Bahrami M, Ganbari A (2012) A review on creatinine measurement techniques. Talanta 97:1–8
Mohammed S, Lamoree M, Ansa-Asare OD, de Boer J (2019) Review of the analysis of insecticide residues and their levels in different matrices in Ghana. Ecotoxicology and Environmental Safety 171:361–372
Nachman K, Fox M, Sheehan M, Burke T, Rodricks V, J. & Woodruff, T. (2011) Leveraging epidemiology to improve risk assessment. The Open Epidemiology Journal 4:3–29
Nimoh F, Tham-Agyekum EK, Nyarko PK (2012) Resource use efficiency in rice production: the case of Kpong irrigation project in the Dangme west district of Ghana. International Journal of Agriculture and Forestry 2:35–40
Nolan RJ, Rick DL, Freshour NL, Saunders JH (1984) Chlorpyrifos: pharmacokinetics in human volunteers. Toxicol. Appl. Pharmacol. 73:8–15
NRC - National Research Council (2006) Toxicity testing for assessment of environmental agents: interim report. Washington D.C, National Research Council
Phung DT, Connell D, Miller G, Chu C (2012a) Probabilistic assessment of chlorpyrifos exposure to rice farmers in Vietnam. J. Expo. Sci. Environ. Epidemiol. 22:417–423
Phung DT, Connell D, Miller G, Hodge M, Patel R, Cheng R, Abeyewardene M, Chu C (2012b) Biological monitoring of chlorpyrifos exposure to rice farmers in Vietnam. Chemosphere 87:294–300
Phung DT, Connell D, Yu Q, Chu C (2013) Health risk characterization of chlorpyrifos using epidemiological dose-response data and probabilistic techniques: a case study with rice farmers in Vietnam. Risk Anal. 33:1596–1607
Phung DT, Connell D, Chu C (2015) A new method for setting guidelines to protect human health from agricultural exposure by using chlorpyrifos as an example. Ann. Agric. Environ. Med. 22:275–280
Phung D, Connell D, Rutherford S, Chu C (2017) Cardiovascular risk from water arsenic exposure in Vietnam: application of systematic review and meta-regression analysis in chemical health risk assessment. Chemosphere 177:167–175
Pouzou JG, Cullen AC, Yost MG, Kissel JC, Fenske RA (2018) Comparative probabilistic assessment of occupational pesticide exposures based on regulatory assessments. Risk Anal. 38:1223–1238
Solomon KR, Baker DB, Richards RP, Dixon KR, Klaine SJ, La Point TW, Kendall RJ, Weisskopf CP, Giddings JM, Giesy JP, Hall LW, Williams WM (1996) Ecological risk assessment of atrazine in North American surface waters. Environ. Toxicol. Chem. 15:31–76
Solomon K, Giesy J, Jones P (2000) Probabilistic risk assessment of agrochemicals in the environment. Crop Protection 19:649–655
Steenland K, Dick RB, Howell RJ, Chrislip DW, Hines CJ, Reid TM, Lehman E, Laber P, Krieg EF Jr, Knott C (2000) Neurologic function among termiticide applicators exposed to chlorpyrifos. Environ. Health Perspect. 108:293–300
USEPA (1992) Guidelines for Exposure Assessment. U.S. Environmental Protection Agency, Risk Assessment Forum, Washington D.C.
Wang L, Liu Z, Zhang J, Wu Y, Sun H (2016) Chlorpyrifos exposure in farmers and urban adults: metabolic characteristic, exposure estimation, and potential effect of oxidative damage. Environ. Res. 149:164–170
WHO - World Health Organization (2010) The Who recommended classification of pesticides by hazard and guidelines to classification 2009. World Health Organization, Geneva
Yu QJ, Cao Q, Connell DW (2011) An overall risk probability-based method for quantification of synergistic and antagonistic effects in health risk assessment for mixtures: theoretical concepts. Environ. Sci. Pollut. Res. Int. 19:2627–2633
Acknowledgements
The authors are grateful to the rice farmers of Asutsuare and Akuse (Ghana), as well as the staff of Kpong Irrigation Scheme (Asutsuare, Ghana), particularly Albert F. Swatson, Raphael Edifor, Samuel Kwakye, and Moses Kodjotse, for their tremendous support during the field work. Also, the authors would like to thank Mrs. Benedicta Adewuti, Martin Amega-Yevu, and Ishmael Sumaila Narteh of Osukoku Health Centre (Asutsuare, Ghana) for their assistance during the fieldwork. Moreover, the in-kind support offered by the Management and Staff of the Organic Chemistry Department of Queensland Health Forensic and Scientific Service (Brisbane, Australia) during the laboratory analytical work, is much appreciated.
Funding
This study was supported with funding from Griffith University (Griffith University International Postgraduate Research Scholarship, Griffith University Postgraduate Research
Scholarship), Griffith School of Environment and Science, Griffith School of Engineering, Organic Chemistry Department of Queensland Health Forensic and Scientific Services and Dr. Ross Sadler.
Author information
Authors and Affiliations
Contributions
AA, DTP, JNH, RS, DC, and CC contributed to the study conception and design. Data collection and analysis were performed by AA with supervision from DTP, JNH, RS, DC, and CC. The first draft of the manuscript was written by AA and all authors provided significant comments on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Ethics approval and consent to participate
Ethical clearance for this study was sought from Ghana Health Service Ethical Review Committee (GHS-ERC: 10/07/15) and Griffith University Human Ethics Committee (ENV/24/15/HREC).
Consent for publication
The research participants gave approval for publication of their de-identified data.
Availability of data and materials
The sources of data used in this study have been indicated in the “The levels of chlorpyrifos absorbed dose found with the applicators” and “Chlorpyrifos Toxicant Sensitivity Distributions (TSDs)” sections above.
Competing interests
The authors declare no competing interests.
Additional information
Responsible Editor: Lotfi Aleya
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
ESM 1
(JPG 62 kb)
Rights and permissions
About this article
Cite this article
Atabila, A., Phung, D.T., Hogarh, J.N. et al. Probabilistic health risk assessment of chlorpyrifos exposure among applicators on rice farms in Ghana. Environ Sci Pollut Res 28, 67555–67564 (2021). https://doi.org/10.1007/s11356-021-15354-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11356-021-15354-8