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- Occupational exposure to aflatoxin (AFB1) in poultry productionPublication . Viegas, Susana; Veiga, Luísa; Malta-Vacas, Joana; Sabino, Raquel; Figueiredo, Paula; Almeida, Ana; Viegas, Carla; Carolino, ElisabeteAflatoxin B1 (AFB1) has been recognized to produce cancer in human liver. In addition, epidemiological and laboratory studies demonstrated that the respiratory system was a target for AFB1. Exposure occurs predominantly through the food chain, but inhalation represents an additional route of exposure. The present study aimed to examine AFB1 exposure among poultry workers in Portugal. Blood samples were collected from a total of 31 poultry workers from six poultry farms. In addition, a control group (n = 30) was included comprised of workers who undertook administrative tasks. Measurement of AFB1 in serum was performed by enzyme-linked immunosorbent assay (ELISA). For examining fungi contamination, air samples were collected through an impaction method. Air sampling was obtained in pavilion interior and outside the premises, since this was the place regarded as the reference location. Using molecular methods, toxicogenic strains (aflatoxin-producing) were investigated within the group of species belonging to Aspergillus flavus complex. Eighteen poultry workers (59%) had detectable levels of AFB1 with values ranging from <1 ng/ml to4.23 ng/ml and with a mean value of 2 ± 0.98ng/ml. AFB1 was not detected in the serum sampled from any of the controls. Aspergillus flavus was the fungal species third most frequently found in the indoor air samples analyzed (7.2%) and was the most frequently isolated species in air samples containing only Aspergillus genus (74.5%). The presence of aflatoxigenic strains was only confirmed in outdoor air samples from one of the units, indicating the presence of a source inside the building in at least one case. Data indicate that AFB1 inhalation represents an additional risk in this occupational setting that needs to be recognized, assessed, and prevented.
- Prevalence of fungi in indoor air with reference to gymnasiums with swimming poolsPublication . Viegas, Carla; Alves, Célia; Carolino, Elisabete; Rosado, Laura; Santos, Carlos SilvaFungal contamination of air in 10 gymnasiums with swimming pools was monitored. Fifty air samples of 200 L each were collected, using a Millipore air tester, from the area surrounding the pool, in training studios, in showers and changing rooms for both sexes, and also, outside premises, since these are the places regarded as reference. Simultaneously, environmental parameters – temperature and humidity – were also monitored. Some 25 different species of fungi were identified. The six most commonly isolated genera were the following: Cladosporium sp. (36.6%), Penicillium sp. (19.0%), Aspergillus sp. (10.2%), Mucor sp. (7%), Phoma sp. and Chrysonilia sp. (3.3%). For yeasts, three different genera were identified, namely, Rhodotorula sp. (70%), Trichosporon mucoides and Cryptococcus uniguttulattus (10%).
- Micronutrients intake associated with DNA damage assessed by in a human biomonitoring studyPublication . Ladeira, Carina; Viegas, Susana; Carolino, Elisabete; Gomes, Manuel C.; Brito, MiguelNutrition science has evolved into a multidisciplinary field that applies molecular biology and integrates individual health with the epidemiologic investigation of population health. Nutritional genomics studies the functional interaction of food and its components, macro and micronutrients, with the genome at the molecular, cellular, and systemic level. Diet can influence cancer development in several ways, namely direct action of carcinogens in food that can damage DNA, diet components (macro or micronutrients) that can block or induce enzymes involved in activation or deactivation of carcinogenic substances. Moreover, inadequate intake of some molecules involved in DNA synthesis, repair or methylation can influence mutation rate or changes in gene expression. Several studies support the idea that diet can influence the risk of cancer; however information concerning the precise dietary factor that determines human cancer is an ongoing debate. A lot of epidemiological studies, involving food frequency questionnaires, have been developed providing important information concerning diet and cancer, however, diet is a complex composite of various nutrients (macro and micronutrients) and non-nutritive food constituents that makes the search for specific factors almost limitless.
- Portuguese cork industry: filling the knowledge gap regarding occupational exposure to fungi and related health effectsPublication . Viegas, Carla; Dias, Marta; Pacífico, Cátia; Faria, Tiago; Clérigo, Anália Matos; Dias, Hermínia Brites; Caetano, Liliana Aranha; Carolino, Elisabete; Gomes, Anita Q.; Viegas, SusanaIntroduction: The presence of the Penicillium section Aspergilloides (formerly known as Penicillium glabrum) in the cork industry involves the risk of respiratory diseases such as suberosis. Methods: This study aimed to corroborate the predominant fungi presents in this occupational environment by performing a mycological analysis of 360 workers’ nasal exudates collected by nasal swabs. Additionally, evaluation of respiratory disorders among the cork workers was also performed by spirometry. Results: Penicillium section Aspergilloides was detected by qPCR in 37 out of the 360 nasal swabs collected from workers’ samples. From those, 25 remained negative for Penicillium sp. when using culture-based methods. A significant association was found between ventilatory defects and years of work in the cork industry, with those people working for 10 or more years in this industry having an approximately two-fold increased risk of having ventilatory defects compared to those working less time in this setting. Among the workers who detected the presence of Penicillium section Aspergilloides, those with symptoms presented slightly higher average values of CFU. Discussion: Overall, the results obtained in this study show that working in the cork industry may have adverse effects on worker’s respiratory health. Nevertheless, more studies are needed (e.g., using serological assays) to clarify the impact of each risk factor (fungi and dust) on disease etiology.
- Evaluation of employees fruit consumption and its relation with Body Mass IndexPublication . Duarte, J.; Costa, Vânia; Calixto, C.; Carolino, Elisabete; Mendes, LinoThe fruit intake in Portugal is below recommended levels despite evidence of the health benefits of regular consumption. Research indicates that there is an inverse relationship between fruit consumption and excessive weight. The workplace may be an ideal location for nutrition and health interventions, for example, in the context of occupational health, because of the potential health benefits for employees and associated decreases in absenteeism and sick leave. Employees spend a lot of their time at work which can represent a good setting for interventions to promote fruit consumption and weight control. The purpose of the present study was to evaluate the fruit intake status of employees and to examine the relationship between fruit intake and Body Mass Index (BMI).
- Culture media and sampling collection method for Aspergillus spp. assessment: tackling the gap between recommendations and the scientific evidencePublication . Viegas, Carla; Dias, Marta; Carolino, Elisabete; Sabino, RaquelCulturing is still the most widely used method for determining fungal growth. Thus, is important to identify the most suitable culture media to assess Aspergillus spp. The aim of this study was to analyze data obtained from previous studies, aiming at identifying the most suitable culture media (malt extract agar (MEA) or dichloran-glycerol agar (DG18) to assess Aspergillus spp. isolation and growth. This study was conducted by using environmental samples (n = 1153). Most of the active sampling methods (air samples) were impacted directly onto both culture media. As for passive sampling methods, fungi were extracted from environmental matrices inoculated onto both media. Overall, total Aspergillus counts were higher in MEA (n = 617, 53.5%) than in DG18 (n = 536, 46.5%). Regarding Aspergillus sections, significant associations were detected with the media (χ2 (7) = 241.118, p < 0.001), the sampling approach (p < 0.001, 95% CI = (0.3 × 10−4), and the indoor environment (p < 0.001, 95% CI = (0.3 × 10−4)). As such, the sampling approach and the culture media should be accurately selected when dealing with Aspergillus spp. exposure assessment.
- Sampling protocol to assess occupational exposure to bioburden in clinical facilitiesPublication . Viegas, Carla; Almeida, B.; Monteiro, Ana; Paciência, I.; Rufo, J.; Carolino, Elisabete; Viegas, SusanaBioburden (comprising fungi and bacteria) is associated with a wide range of adverse health effects and besides patients, clinical staff is also at risk to be exposed. Most of the studies worldwide focusing on bioburden for Indoor Air Quality (IAQ) studies or for occupational exposure assessments purposes rely mostly on air sampling (active methods). In Portugal, occupational health concern has been increasing, and efforts have been made to standardize exposure assessment procedures in occupational environments. However, these are currently not adapted to health care facilities. Therefore, a national and international network - EXPOSE Project - of academic institutions, in direct collaboration with public health institutions, developed a project aiming to propose a sampling protocol to access occupational exposure to bioburden in clinical facilities.
- Tea contamination by mycotoxins and azole-resistant mycobiota: the need of a One Health approach to tackle exposuresPublication . Viegas, Carla; Simões, Ana Beatriz; Faria, Mariana; Gomes, Bianca; Cervantes, Renata; Dias, Marta; Carolino, Elisabete; Twaruzek, Magdalena; Kosicki, Robert; Viegas, Susana; Caetano, Liliana AranhaDespite tea beneficial health effects, there is a substantial risk of tea contamination by harmful pathogens and mycotoxins. A total of 40 tea samples (17 green (raw) tea; 13 black (fermented) tea; 10 herbal infusions or white tea) were purchased from different markets located in the Lisbon district in 2020. All products were directly available to consumers either in bulk (13) and or in individual packages (27). Bacterial analysis was performed by inoculating 150 μL of samples extracts in tryptic soy agar (TSA) supplemented with 0.2 % nystatin medium for mesophilic bacteria, and in Violet Red bile agar (VRBA) medium for coliforms (Gram-negative bacteria). Fungal research was performed by spreading 150 μL of samples in malt extract agar (MEA) supplemented with 0.05 % chloramphenicol and in dichloran-glycerol agar (DG18) media. The molecular detection of the Aspergillus sections Fumigati, Nidulantes, Circumdati, and Flavi was carried out by Real-Time PCR (qPCR). Detection of mycotoxins was performed using a high-performance liquid chromatograph (HPLC) with a mass spectrometry detector. Azole resistance screening was achieved following the EUCAST guidelines. The highest counts of total bacteria (TSA) were obtained in green raw tea (81.6 %), while coliform counts (VRBA) were found in samples from black raw tea (96.2 %). The highest fungal counts were obtained in green raw tea (87.7 % MEA; 69.6 % DG18). Aspergillus sp. was the most prevalent genus in all samples on MEA (54.3 %) and on DG18 (56.2 %). In the raw tea 23 of the samples (57.5 %) presented contamination by one to five mycotoxins in the same sample. One Aspergillus section Fumigati isolate from a green tea beverage recovered from itraconazole-Sabouraud dextrose agar (SDA) medium, presented itraconazole and posaconazole E-test MICs above MIC90 values. Our findings open further discussion regarding the One-Health approach and the necessary investment in researching biological hazards and azole resistance associated with the production and consumption of tea (in particular green tea).
- Spatial and multivariate statistics in assessing water quality in the North SeaPublication . Ody, Christopher; Ramos, M. Rosário; Carolino, ElisabeteThe Southern North Sea region plays a vital role in both the economy and society of the surrounding countries. Analyzing the quality of your water is a critical process that involves an assessment of physical, chemical, and biological parameters, essential to guarantee environmental sustainability and the health of local communities and marine ecosystems. Using Multivariate and Spatial Statistics methods, this study seeks to identify spatial patterns and autocorrelations to assess water quality in that region. The data set used was taken on a scientific cruise carried out in December 2020 aboard the RV Meteor vessel, led by a team of German researchers. The raw data went through pretreatment guided by the Data Quality Control protocol of SeaDataNet, an international oceanography project aimed at making European maritime data available. Spike and gradient tests were performed, in addition to data standardization and imputation through inverse distance weighting interpolation. For a better understanding of the scientific area, the data were aggregated by zones for certain analyses and were sometimes considered globally. An exploratory spatial data analysis (ESDA) was carried out to summarize its main characteristics. A reduction in the dimensionality of the original data was carried out through principal component analysis as an auxiliary tool for spatial analysis. The Spatial autocorrelation is analyzed by calculating global and local Moran’s I Statistics. The outcomes indicate a significant spatial autocorrelation for all variables considered in the freshwater areas and a notable range flattening of the variables in the open sea areas, which possibly caused the lack of significant spatial autocorrelation in those areas.
- Occupational exposure to aflatoxin B1: new (old) occupational risk!Publication . Viegas, Susana; Veiga, Luísa; Almeida, Ana; Carolino, Elisabete; Figueiredo, Paula; Viegas, CarlaContrary to fungi, exposure to mycotoxins is not usually identified as a risk factor present in occupational settings. This is probably due to the inexistence of limits regarding concentration of airborne mycotoxins, and also due to the fact that these compounds are rarely monitored in occupational environments. Aflatoxin B1 (AFB1) is the most prevalent aflatoxin and is associated with carcinogenicity, teratogenicity, genotoxicity and immunotoxicity but only a few studies examined exposure in occupational settings. Workers can be exposed to high airborne levels during certain operations in specific occupational settings. Aim of study: The study aimed to assess exposure to AFB1 in three settings: poultry, swine production and waste management.