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An assessment of the milk, soil and vegetation samples taken in the vicinity of the Hanson Cement plant between 2004 and 2009 Introduction In April 2010, Mrs Edwina Hart AM MBE, the then Minister for Health and Social Services, requested that Public Health Wales work with other interested parties and the local community to gain a better understanding of the health concerns associated with Hanson Cement (formerly Castle Cement). An investigation response team has been established to provide expert advice and support in response to the health concerns. This report forms one part of the overall response in relation to concerns over dioxins and heavy metals in the food chain as a result of the operation of the Hanson Cement plant. Aim There are many sources of dioxins and heavy metals in the environment and the information available does not allow the distinction between those generated by the Hanson Cement plant and those present from other sources. This report, therefore, aims to assess the implications (where possible) of available sample results for dioxins, dioxin-like PCBs and heavy metals from all sources on locally produced food and local consumers. The report also aims to address specific concerns raised by the local community as part of the investigation response. Sample sources Hanson Cement were required, as part of the kiln 4 pre-operating conditions issued by the Environment Agency (EA) (permit issued in the name of Castle Cement), to undertake soil, vegetation and milk monitoring to assess the levels of dioxins / furans, dioxin-like PCBs and heavy metals contamination in the vicinity of the site. This monitoring has continued by agreement since. In 2004, samples were taken from a number of locations in and around the local community. Following a baseline survey in 2005, it was agreed with the EA that samples would be collected from Dyke farm, which has land surrounding the site. A summary of the available samples is included in Table 1. The list of samples, locations and results is available at Annexe 1. 2004* 2005 2006 2007 2008** Soil metals Y Y Y Y Soil dioxins Y Y Y Y Vegetation metals Y Y Y Y Vegetation dioxins Y Y Y Milk metals Y Y Y Milk dioxins Y Y Y Table 1 – summary of sample results included in assessment 2009 2010*** Y Y Y Y * A 2004 milk sample was previously discounted by the Food Standards Agency due to flaws in the analysis1. This result has not been included in the assessment. **One soil sample was also taken from a Penyffordd residential property by Hanson Cement in 2008 following a complaint and this has been included. ***The 2010 results were not available for inclusion in the assessment at the time of preparation. Relevant food safety legislation and limits General Food Law (Commission Regulation (EC) No 178/2002) lays down the general principles and requirements of food law and procedures in the matter of food safety. Its provisions are enforced in the UK by the General Food Regulations 2004 (as amended). Article 14 of (EC) 178/2002 sets out that food shall not be placed on the market if it is unsafe. Food is deemed to be unsafe if it is considered to be: injurious to health; or, unfit for human consumption The article also indicates what factors need to be taken into account when determining whether food is injurious to health or unfit. Commission Regulation (EC) No. 1881/2006 (as amended) sets maximum levels for certain contaminants in foodstuffs. Article 1 states that the foodstuffs listed in the regulation shall not be placed on the market where they contain a listed contaminant exceeding the maximum level set out in the annexe. The relevant limits for contaminants in milk are In Table 2. 1 http://www.wales.nhs.uk/sites3/Documents/271/Castle%20Cement%20Advice%20Statement.pdf Contaminant Limit Dioxins (WHO-PCDD/F-TEQ) 3.0 picogram(pg)/g fat Dioxins and dioxin-like PCBs (WHO-PCDD/F-PCB-TEQ) 6.0 pg/g fat Lead 0.02 mg/kg wet weight Table 2 – maximum levels for contaminants in milk set in Regulation (EC) 1881/2006 (as amended) WHO-TEQ Dioxins and dioxin-like PCBs are chemicals with different degrees of dioxin-like toxicity. The use of Toxic Equivalency Factors (TEFs) allows concentrations of the less potent compounds to be expressed as an overall equivalent concentration of the most toxic dioxin, 2,3,7,8TCDD. These potency-weighted concentrations are then summed to give a single value expressed as a Toxic Equivalent (TEQ). The system of TEFs used in the UK and a number of other countries is that set by the World Health Organisation (WHO), and the resulting overall concentrations are referred to as WHO-TEQs. It is important to understand that limits are not safety limits. Although it would be unlawful for a food business to sell food exceeding a relevant limit, consuming a portion of food that does exceed a limit does not necessarily imply a risk to health. More information on food safety legislation (including full texts) is available at; http://www.food.gov.uk/foodindustry/regulation/foodlaw/foodlawguide/ Action levels In addition to the maximum levels for dioxins set in Regulation (EC) 1881/2006 (as amended), the UK also uses a lower action level above which investigative action may be undertaken to identify and mitigate the source of dioxins. The action level for raw milk is 2pg WHO-TEQ/g fat. Tolerable Daily Intake A Tolerable Daily Intake (TDI) is the amount of a substance that can be ingested daily over a lifetime without appreciable health risk. It is expressed in relation to the bodyweight (bw) in order to allow for different body size, such as for children of different ages. A daily intake of 1 pg/kg bw/day is 60 pg for an average 60 kg person. These values are used alongside maximum limits and normal dietary exposure when assessing the risk from certain contaminants such as dioxins. Occasionally consuming more than the TDI would not be expected to result in harmful effects, providing that the average intake over a prolonged period is within the TDI. The UK Committee on Toxicity (COT) set a tolerable daily intake (TDI) of 2pg WHO-TEQ/kg bw per day for dioxins and dioxin-like PCBs in 2001. This was reaffirmed by the COT in 2007. Upper bound high level dietary intakes of dioxins and dioxin-like PCBs in 2001 for adults in the UK were estimated to be 1.4 pg WHO-TEQ/kg bw/day. More information is available here; http://cot.food.gov.uk/cotstatements/cotstatementsyrs/cotstatements2007/cot200702 Tolerable Weekly Intake Tolerable weekly intakes are similar to TDIs in that they give a measure of the amount of substance that can be ingested weekly over a lifetime without any appreciable health risk. The European Food Safety Authority and the joint WHO/FAO expert committee for food additives (JECFA) have set provisional maximum tolerable daily and weekly intakes (PMTDI and PTWI) for certain heavy metals and these levels are used alongside maximum limits and normal dietary exposure (assessed using total diet studies - see Table 3) when assessing the risk from heavy metals. As above, occasionally consuming more than the PTWI would not be expected to result in harmful effects, providing that the average intake over a prolonged period is within the PTWI. Element Limit used Value Aluminium PTWI 1mg/kg body weight Cadmium EFSA TWI 2.5microgram (ug)/kg bw Copper PMTDI 500ug/kg bw Mercury PTWI 5ug/kg bw Nickel WHO TDI 5ug/kg bw Zinc PMTDI 1mg/kg bw Table 3 – limits used in evaluating exposure to certain metals in the diet ALARP Certain heavy metals and metalloids, such as lead and arsenic, have no relevant tolerable intakes or reference doses by which to assess their safety in the diet. Due to their harmful properties, and the uncertainty as to threshold levels for those harmful effects, exposure should be as low as reasonably practical (ALARP). Dietary exposure studies Dietary exposure to dioxins and PCBs in a variety of foods purchased at retail throughout the UK was studied in 2007 by the Food Standards Agency. The study found no samples exceeding regulatory limits and there were no concerns for human health. The full results are available here: http://www.food.gov.uk/multimedia/pdfs/fsis0407.pdf Dietary exposure to metals and other elements was estimated by the Agency using the results of the 2006 total diet study and evaluated by the Committee on Toxicity. The COT evaluated the results of this survey and did not identify specific concerns for the health of consumers, but noted a need for more information on aluminium and barium. The COT also stressed that efforts should continue to reduce dietary exposure to inorganic arsenic and to lead. The full results are available here: http://www.food.gov.uk/multimedia/pdfs/fsis0109metals.pdf The Agency has also completed a survey of heavy metals and other elements in allotment produce to determine concentrations of metals and other elements in fruits and vegetables from allotments in a variety of environments. Estimated dietary exposures to the elements measured in the survey did not pose a risk to consumer safety. The full results are available here: http://www.food.gov.uk/science/surveillance/fsisbranch2006/fsis0106 Description of results Milk Milk samples are taken from the bulk tank at Dyke farm. The most recent samples were in 2009 and gave results of 0.70nanogram (ng)/kg WHO-TEQ, below the regulatory limit of 3ng/kg and the action limit of 2ng/kg. This is lower than results in previous years. The highest recorded result was 1.85ng/kg in 2006. No results have exceeded the regulatory limit or action level. The results for heavy metals have been below the limit of detection for each analysis. Soil The 2006 results for dioxins were within the range 0.2 – 17.0ng/kg WHO-TEQ, within expected parameters for soils in rural areas and similar to the levels in 2005. There was little change in the heavy metal concentration except for an increase in zinc and a decrease in manganese levels. Samples were also taken from a Penyffordd residential property in 2008. The results were 22ng/kg WHO-TEQ for dioxins. Though this result is high, it is not outside the range of results expected from soils in rural Wales. The UK soil and herbage study conducted by the EA2 found levels in soils from rural Wales up to 27ng/kg. Vegetation Dioxin results for vegetation peaked during 2006 at 0.10-0.11ng/kg WHO-TEQ and have decreased since to between 0.02 and 0.03ng/kg WHO-TEQ. PCB results have remained at <0.03ng/kg WHO-TEQ on each sample. The concentrations of certain metals such as arsenic and lead have decreased between 2005 and 2009, whilst others such as copper and mercury have not changed. Assessment of exposure to dioxins from milk The following assessment is based on the highest dioxin result for milk from the Dyke farm bulk tank (1.85ng/kg fat weight) and assumes that a person’s entire milk supply comes from this one farm. It should be noted that; The results for 2007 and 2009 are below 1ng/kg Only the residents at Dyke farm consume their entire supply from this location. Consumers in the area purchase milk that has come from dairies. The upper bound concentration of dioxins in UK retail cows milk is 0.34ng/kg +/- 0.09ng/kg3 None of the results have been above the regulatory maximum limit or the action level 2 http://www.doeni.gov.uk/niea/txt/index/index/uk_soil_herbage_pollutant_survey_report10.pdf 3 http://www.food.gov.uk/multimedia/pdfs/fsis0407.pdf Assuming full fat milk is 4% fat (UK whole milk is normally 3.5), the dioxin concentration in whole milk is 0.074 pg of dioxins (WHO-TEQ) for every gram of milk (calculation below). 1.85ng/kg*4/100 = 0.074ng/kg milk or 0.074pg/g milk (WHO-TEQ) Consumption figures for milk from the National Diet and Nutrition Survey4 for high level (97.5%) consumers are: Adults Young persons (4-18 years old) 8.73 g of milk per kilogram of body weight per day 22.01 g/kg bw/d The consumption figures for young persons show a highly skewed distribution with a mean value of 6.58 g/kg bw/d. For adults the mean was 2.96 g/kg bw/d. We have excluded infants from our estimate as the consumption figures predate the advice against consumption of cows milk below 1 year of age and the figures for milk intake also include breast milk and formula. We have also excluded toddlers (1.5 – 4.5 years old) because Agency advice is that children should not drink raw milk due to the potential presence of pathogens. Assuming entire consumption is of full fat milk (4%) at the highest reported value for a high level consumer, the estimate exposure to dioxins is; Adults Young persons 0.64 pg WHO-TEQ/kg bw/d 1.63 pg WHO-TEQ/kg bw/d Based on the estimated dioxins exposure at the reported highest value for dioxins, an adult high level consumer of milk would not have an exposure at the TDI even when combined with upper bound high level dietary intakes of dioxins and dioxin-like PCBs from the rest of the diet. For a young high level consumer, exposure from milk alone at the highest measured level would be below the TDI although it would be greater than this when combined with upper bound high level dietary intakes of dioxins and dioxin-like PCBs from the rest of the diet. However, given the skewed distribution of milk intake, the variation in measured dioxin levels and the conservative nature of combining two upper level exposures, this is unlikely to be a significant risk. 4 http://tna.europarchive.org/20110116113217/http://www.food.gov.uk/science/dietarysurveys/ndnsdocuments/ In order to reach the TDI based on dioxin levels of 1.85ng WHO-TEQ/kg a young person would need to consume between 540 and 1080ml of full fat milk directly from Dyke farm every day. Likewise, an adult would need to consume between 1620 and 1890ml every day. For context, DEFRA estimated average liquid milk consumption in the UK at around 1.6 litres per person per week for 2007. Assessment of exposure to heavy metals from milk The concentrations of metals other than copper, zinc and manganese in the samples were below the limits of detection, so are not a cause for concern. The levels of copper, zinc and manganese are comparable to the levels reported in milk in the UK Total Diet Studies (used to estimate the general UK population’s exposure to contaminants) and are not a cause for concern. Assessment of potential exposure to dioxins from soil The dioxin results for some of the soil samples taken at Dyke farm are high but do not raise any concerns for the local food chain. The result for the Penyffordd property is high; however, this cannot be attributed to Hanson cement alone as there may be other sources of dioxins in the vicinity (such a level is likely to be from historical activities and the proximity to a road would contribute some component attributable to exhaust fumes). It is unlikely that this would have a significant impact on dioxin levels in the majority of edible crops because uptake of dioxins into plants via their roots is generally negligible. Washing and peeling would remove the vast majority of surface contamination from the soil. Research has indicated that plants from the cucurbitaceous family, including courgettes and pumpkin, may be an exception to the rule that uptake of dioxins by plants via their roots is negligible; therefore, as a precaution, the resident was advised not to grow these vegetables. The resident was also advised not to keep free range chickens for their eggs as a precautionary measure as the uptake of dioxins from soil ingested by hens into their eggs is very efficient. Assessment of potential exposure to metals from soil The results for the samples taken at Dyke farm and the residential property for 2008 are comparable with the levels found in soil during the 2006 allotment survey; therefore, they do not pose a risk to consumer safety. Standard Agency advice for consumers of allotment produce is to thoroughly wash and peel before consumption and to ensure a varied diet from a variety of sources. This advice is also applicable here. The 2004 results for Spon Green farm did show moderately elevated levels of arsenic and lead and a relatively high result for cadmium when compared with the results of the UK soil and herbage pollutant survey 20075. Given the levels found, washing and peeling would be sufficient to ensure that consumers are protected. Assessment of vegetation results The levels of dioxins, PCBs and heavy metals in the samples appear to be very low; however, as no control data are available it is not possible to extrapolate from these samples to uptake of contaminants into vegetation. Conclusions It should be remembered that only a few individuals consume raw drinking milk in the locality. The greatest source of risk from drinking raw milk is that of food poisoning. Agency advice is that children, people who are unwell, pregnant women and older people are particularly vulnerable to food poisoning and so should not have unpasteurised milk or cream. The results of contaminants in the milk from Dyke farm do not pose a significant additional risk to consumers. Advice issued by the Agency to all consumers of allotment produce is: to thoroughly wash your hands after gathering to thoroughly wash and peel all produce prior to consumption to consume products from different sources and not to source all of your produce from the same plot Based on the assessment of the sample results provided to the Agency, the Agency’s standard advice on allotment produce is sufficient to mitigate any risks to local consumers from contaminants in the soil. 5 http://www.environmentalresearch.info/search/DatabaseSearchBin.aspx?outputid=444644&type=pdf