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Content of the lecture
• Soil content and its properties
• Geochemical and toxicological role of soil
• Soil contamination
• Soil borne infectious and non-infectious
diseases
• Self-purification of soil
• Epidemiological role of wastes
• References
Soil
Soil content and its properties
Soil is superficial layer of
ground with 2 cm-2 m of
thickness.
Soil consists of mineral
and organic part, humus,
live organisms, air and
water
Properties of soil
• Air permeability
– Increases biochemical oxidation processes in soil
• Water permeability
– Effects on formation of soil water and ground water
• Water capacity
– Conditions air permeability and wetness of soil and
possibility of constructions of building on it
• Capillarity of soil
– Causes wetness of buildings
The Macronutrients of soil
Element Symbol Chemical Form in Soil
Calcium Ca Ca2+
Carbon C HCO3
-, CO3
2-
Hydrogen H H+
Magnesium Mg Mg2+
Nitrogen N NO3
-, NH4
+
Oxygen O HO-
Phosphorous P H2PO4-, HPO4
2-
Potassium K K+
Sodium Na Na+
The Micronutrients of soil
Micronutrients are classified as
"essential" and "non-essential." An
essential plant nutrient is one that is
required for life, whereas a non-essential
plant nutrient (present in soil a very low
levels) will increase crop yield. But its
absence will not cause the organism to
die.
The essential micronutrients
• Provision of our body by microelements is conditioned by
their contents in soil, water and food. We receive the most of
microelements with vegetable food.
• 99% of our body is 12 chemical elements included in the first
20 elements of the periodical table.
• 9 microelements, such Fe, I, Cu, Cr, Co, Mo, Mg, Zn, Se, are
essential or vitally needed. Surplus and insufficiency of them
can cause diseases. Less essential microelements are F, Ni, V,
As, Si, Li, B and Br. In the group of toxic elements Al, Cd, Pb,
Hg, Be, Ba, V and Tl are included.
• Indifferent and inert elements are Tn, Pl, Au and Ag used
often as surgical implants. Some elements have therapeutic
effect. Hg substances are used in treatment against parasites,
Li – maniac depression.
Biogeoendemic diseases
Goitre, fluorosis, caries, molybdenosis,
Hondro- and osteodistrophia (Sr), Encephalitis
(Pl), Selenium toxicosis
Geochemical and toxicological role of
soil
9 essential microelements: Fe, I, Cu, Cr, Co, Mo,
Mg, Zn, Se
Less essential microelements: F, Ni, V, As, Si, Li,
B and Br
Toxic elements: Al, Cd, Pb, Hg, Be, Ba, V and Tl
Indifferent and inert elements: Tn, Pl, Au and
Ag
Surplus and insufficiency of them can cause
diseases
Molybdenum
• Antagonist of Cu in biological tissues
• Activates a few of enzymes
• 15 enzymes (aldehydroxidase, xanthinoxidase &
sulphitoxidase), consist Mo
• Xanthinoxidase catalyzes formation of urine acid (defect
in Purina exchange → Ksantinuria, Xanthin stones in renal
canals)
• Sulphitoxidase makes sulphates from sulphites in our
body (Defect in sulphiteoxidase → brain anomaly,
idiotism, ectopia of the eye crystalline lens, increased
excretion of sulphites, tiosulphates by urine)
• Surplus of Mo → Mo-gout, accumulation of urine acid in
Boron
Regulates activity of parathyroid hormone, and
therefore, Ca, P and cholecalciferoli exchange. In
our body, there is ≈ 20 mg of B
Surplus of Boron in soil → Boron enteritis,
increase of anaemia and respiratory diseases
Boron acid is cumulated in our brain, liver and
adipose tissue (acute boron intoxication →
involvement CNS)
Bromine
Distributed in all tissues equally, but mostly it is
concentrated in thyroid and kidneys
Selectively influences on braking processes in neurones
of the cerebral cortex
Increase in Br intake of chlorides → increase of bromine
excretion
Chronic increased intake of Br → allergic or measles-like
rash, brown colouration of mouth mucous membrane,
conjunctivitis and bronchospasms
Soil contamination
Technogenic biogeoendemic provinces
High concentration of Pb, As, F, Hg, Cd, Mn, Ni and other
elements, benz(a)pyren, pesticides, etc
If transport load of the road is up to 10 000 cars per day,
concentration of iron is 1000 mg/kg in superficial soil layer,
Zn – 20 mg/kg, Pb - 10 mg/kg and 0.2 mg/kg of Cd
They present real danger of direct and indirect impact on
a body through food chain
Soil Pollution:
The introduction of substances,
biological organisms, or energy
into the soil, resulting in a change
of the soil quality, which is likely
to affect the normal use of the
soil or endangering public health
and the living environment.
Soil contaminants are
spilled onto the surface
through many different
activities.
Most of these are the
result of accidents
involving the vehicles
that are transporting
waste material from the
site at which it
originated to the site at
which it is to be
disposed.
Others involve
accidents involving
vehicles
(automobiles, trucks
and airplanes) not
transporting wastes,
but carrying
materials, including
fuel, that when
spilled contaminate
the soil.
Still other spills are the
direct action of humans
pouring potentially toxic
materials (solvents,
paints, household
cleaning agents, etc.) onto
the ground surface rather
than disposing these
materials by more
appropriate means
Agricultural practices including the use of
agricultural chemicals are another primary
source of pollution on or near the ground
surface
Most agricultural chemicals are water-soluble
nitrates and phosphates that are applied to
fields, lawns and gardens to stimulate the
growth of crops, grass and flowers
When not used by the plants
the nutrients can enter
streams & lakes during the
run-off or leaching events.
Once in a body of water,
these chemicals continue to
promote the growth of
plants, the resulting plant
detritus is food for micro-
organisms, and as the
population of such organisms
grows, the supply of oxygen
in the water is depleted
"Biochemical Oxygen
Demand", or "BOD".
This means that the
water is capable of
supporting a large
population of bacteria
that will have a high
demand for oxygen
Information needed to clean up
materials added to soil include:
• Kind of material - organic or inorganic - is the
material biodegradable, is the material
dangerous to animals and humans,
• how much material was added to the soil,
will it overload the organisms in the soil;
• C:N ratio of the material, are additional
nutrients needed ( N & P)
Soil Pollution
• Kind of Soil - will the soil be able to handle the
material before groundwater is contaminated,
• Growing conditions for the soil organisms - is it
too cold, too wet etc.
• How long has the material been on the site - is
there evidence of environmental problems, is it
undergoing decomposition.
• Immediate danger to people and the
environment - Urgency of the situation.
Soil borne human diseases
A human diseases resulting from any pathogen or
parasite, transmission of which can occur from the soil,
even in the absence of other infectious individuals
Euedaphic pathogenic organisms (EPOs), being potential
pathogens which are true soil organisms, i.e. their usual
habitat is the soil
Soil transmitted pathogens (STPs) are organisms which,
while they may be able to survive in soil for extended
periods of time, are not true soil organisms, but rather
are obligate pathogens who must infect a host in order to
complete their life cycles
Soil borne infectious diseases
Euedaphic pathogenic organisms Euedaphic pathogenic organisms
Actinomycetoma: (e.g. Actinomyces
israelii
Aspergillosis: Aspergillus sp.
Anthrax: Bacillus anthracis Blastomycosis: e.g. Blastomyces
dermatitidis
Botulism: Clostridium botulinium Coccidioidomycosis: e.g. Coccidiodes
immitis
Campylobacteriosis: e.g.
Campylobacter jejuni
Histoplasmosis: Histoplasma capsulatum
Leptospirosis: e.g. Leptospira
interrogans
Sporotrichosis: Sporothrix schenckii
Listeriosis: Listeria monocytogenes Mucormycosis: e.g. Rhizopus sp.
Tetanus: Clostridium tetani Mycetoma: e.g Nocardia sp.
Tularemia: Francisella tularensis Strongyloidiasis: e.g. Strongyloides
stercoralis
Gas Gangrene: Clostridium
perferingens
Yersiniosis: Yersinia enterocolitica
Soil Transmitted Pathogens Soil Transmitted Pathogens
Poliovirus Trichinellosis: Trichinella spiralis
Hantavirus Amoebiasis: Entamoeba histolytica
Q Fever: Coxiella burnetii Balantidiasis Balantidium coli
Lyme disease: Borrelia sp. Cryptosporidiosis: e.g Cryptosporidium
parvum
Ascariasis: Ascaris lumbricoides Cyclosporiasis: Cyclospora
cayetanensis
Hookworm: e.g. Ancylostoma
duodenale
Giardiasis: Giardia lambila
Enterobiasis (Pinworm) Isosporiasis: Isospora belli
Strongyloidiasis: e.g. Strongyloides
stercoralis
Toxoplasmosis: Toxoplasma gondii
Trichuriasis (Whipworm): Trichuris
trichiura
Shigellosis: e.g. Shigella dyseneriae
Pseudomonas aeruginosa
Echinococcosis: e.g. Echinococcus
multicularis
Eschericia coli, Salmonellosis: e.g.
Salmonella enterica
Virulence of some pathogenic
microbes
Bacteria
Duration of preservation,
months
Average Maximal
Salmonella Typhi 0.5 12
Shigella Sonne 1 2
Vibrio Cholera 0.5 4
Mycobacterium tuberculosis 3 7
Brucellas 0.5 2
Yersinia pestis 0.1 1
Francisella tularensis 0.5 2.5
Soil-transmitted helminth infections
Soil-transmitted helminth infections are caused by
different species of parasitic worms. They are
transmitted by eggs present in human faeces, which
contaminate the soil in area with poor sanitation
Approximately 2 billion people are infected with soil-
transmitted helminths worldwide
Infected children are physically, nutritionally &
cognitively impaired
The main species that infect people are the roundworm
(Ascaris lumbricoides), the whipworm (Trichuris
trichiura) and hookworms (Necator americanus and
Ancylostoma duodnale)
Soil-transmitted helminth infections
Control is based on:
periodical deworming to eliminate infecting worms
health education to prevent re-infection
improved sanitation to reduce soil contamination
with infective eggs
Safe and effective medicines are available to control
infection
WHO strategy for control of soil-
transmitted diseases
WHO recommends periodic medicinal
treatment (deworming) without previous
individual diagnosis to all at-risk people living
in endemic areas. Treatment should be given
once a year when the prevalence of soil-
transmitted helminth infections in the
community is over 20%, and twice a year when
the prevalence of soil-transmitted helminth
infections in the community is over 50%.
Global target
The global target is to eliminate morbidity due
to soil-transmitted helminthiases in children by
2020. This will be obtained by regularly treating
at least 75% of the children in endemic areas
(an estimated 873 million).
Other non-infectious soil associated
diseases
• Silicosis
• Geophagia (pica associations)
Bioremediation of soil
Organic
substances
Filtration of bacteria,
viruses & helmints’ eggs
Decrease/elimination of
smell, stink, toxicity, etc
Inorganic
substances
Restored Health Status
of Soil
Conditions that favor Bioremediation
Temperature favorable for organisms
Water available (near field capacity)
Nutrients (N, P, K) in adequate supply
C:N ratio of material < 30:1
Material added is similar to naturally occurring
organic material
Oxygen in sufficient quantity
Sanitary evaluation of soil
Rate of
danger
Soil
characteri
stics
Number
of larvae
per 25 m2
of soil
Number
of
helmints’
eggs
Titre of E.
Coli
Titre of Cl.
perfringen
s
Sanitary
index
(Khlebnik
ov)
Safe Pure 0 0 > 1.0 > 0.1 0.98-1.0
Relatively
safe
Rather
contamin
ated
1-10 < 10 1.0-0.01 0.1-0.001 0.85-0.98
Dangerou
s
Contamin
ated
10-100 11-100 0.01-0.001 < 0.001 0.7-0.85
Extremely
dangerous
Extremely
contamin
ated
> 100 > 100 < 0.001 < 0.0001 < 0.7
Epidemiological role of wastes
Infection agent
Duration, days
In
excrements
In
sewage
In
cesspool
In kitchen
garbage
In room
dust
Vibrio cholera 210 12 15 - -
Salmonella typhi 100 6 150 4 42
Salmonella
paratyphi
- - - 24 107
Shigella Sonne - - - 24 107
Bacillum Antracis - - - - 80
Mycobacterium
tuberculosis
- - - - 200
Reference
• S. Jeffery, W.H. van der Putten. Soil Borne Diseases of
Humans (2011). Luxembourg: Publications Office of the
European Union. doi:10.2788/37199
• Communicable diseases. Control of schistosomiasis and
soil-transmitted helminth infections. WHO 54th WHA.
30/03/2001
• Baumgardner DJ. Soil-Related Bacterial and Fungal
Infections. J Am Board Fam Med. 2012;25(5):734-744
• Park’s Textbook of Preventive and Social Medicine.
Chapter 13

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Hygiene of soil

  • 1.
  • 2. Content of the lecture • Soil content and its properties • Geochemical and toxicological role of soil • Soil contamination • Soil borne infectious and non-infectious diseases • Self-purification of soil • Epidemiological role of wastes • References
  • 4. Soil content and its properties Soil is superficial layer of ground with 2 cm-2 m of thickness. Soil consists of mineral and organic part, humus, live organisms, air and water
  • 5.
  • 6. Properties of soil • Air permeability – Increases biochemical oxidation processes in soil • Water permeability – Effects on formation of soil water and ground water • Water capacity – Conditions air permeability and wetness of soil and possibility of constructions of building on it • Capillarity of soil – Causes wetness of buildings
  • 7. The Macronutrients of soil Element Symbol Chemical Form in Soil Calcium Ca Ca2+ Carbon C HCO3 -, CO3 2- Hydrogen H H+ Magnesium Mg Mg2+ Nitrogen N NO3 -, NH4 + Oxygen O HO- Phosphorous P H2PO4-, HPO4 2- Potassium K K+ Sodium Na Na+
  • 8. The Micronutrients of soil Micronutrients are classified as "essential" and "non-essential." An essential plant nutrient is one that is required for life, whereas a non-essential plant nutrient (present in soil a very low levels) will increase crop yield. But its absence will not cause the organism to die.
  • 9. The essential micronutrients • Provision of our body by microelements is conditioned by their contents in soil, water and food. We receive the most of microelements with vegetable food. • 99% of our body is 12 chemical elements included in the first 20 elements of the periodical table. • 9 microelements, such Fe, I, Cu, Cr, Co, Mo, Mg, Zn, Se, are essential or vitally needed. Surplus and insufficiency of them can cause diseases. Less essential microelements are F, Ni, V, As, Si, Li, B and Br. In the group of toxic elements Al, Cd, Pb, Hg, Be, Ba, V and Tl are included. • Indifferent and inert elements are Tn, Pl, Au and Ag used often as surgical implants. Some elements have therapeutic effect. Hg substances are used in treatment against parasites, Li – maniac depression.
  • 10. Biogeoendemic diseases Goitre, fluorosis, caries, molybdenosis, Hondro- and osteodistrophia (Sr), Encephalitis (Pl), Selenium toxicosis
  • 11. Geochemical and toxicological role of soil 9 essential microelements: Fe, I, Cu, Cr, Co, Mo, Mg, Zn, Se Less essential microelements: F, Ni, V, As, Si, Li, B and Br Toxic elements: Al, Cd, Pb, Hg, Be, Ba, V and Tl Indifferent and inert elements: Tn, Pl, Au and Ag Surplus and insufficiency of them can cause diseases
  • 12. Molybdenum • Antagonist of Cu in biological tissues • Activates a few of enzymes • 15 enzymes (aldehydroxidase, xanthinoxidase & sulphitoxidase), consist Mo • Xanthinoxidase catalyzes formation of urine acid (defect in Purina exchange → Ksantinuria, Xanthin stones in renal canals) • Sulphitoxidase makes sulphates from sulphites in our body (Defect in sulphiteoxidase → brain anomaly, idiotism, ectopia of the eye crystalline lens, increased excretion of sulphites, tiosulphates by urine) • Surplus of Mo → Mo-gout, accumulation of urine acid in
  • 13. Boron Regulates activity of parathyroid hormone, and therefore, Ca, P and cholecalciferoli exchange. In our body, there is ≈ 20 mg of B Surplus of Boron in soil → Boron enteritis, increase of anaemia and respiratory diseases Boron acid is cumulated in our brain, liver and adipose tissue (acute boron intoxication → involvement CNS)
  • 14. Bromine Distributed in all tissues equally, but mostly it is concentrated in thyroid and kidneys Selectively influences on braking processes in neurones of the cerebral cortex Increase in Br intake of chlorides → increase of bromine excretion Chronic increased intake of Br → allergic or measles-like rash, brown colouration of mouth mucous membrane, conjunctivitis and bronchospasms
  • 15. Soil contamination Technogenic biogeoendemic provinces High concentration of Pb, As, F, Hg, Cd, Mn, Ni and other elements, benz(a)pyren, pesticides, etc If transport load of the road is up to 10 000 cars per day, concentration of iron is 1000 mg/kg in superficial soil layer, Zn – 20 mg/kg, Pb - 10 mg/kg and 0.2 mg/kg of Cd They present real danger of direct and indirect impact on a body through food chain
  • 16. Soil Pollution: The introduction of substances, biological organisms, or energy into the soil, resulting in a change of the soil quality, which is likely to affect the normal use of the soil or endangering public health and the living environment.
  • 17. Soil contaminants are spilled onto the surface through many different activities. Most of these are the result of accidents involving the vehicles that are transporting waste material from the site at which it originated to the site at which it is to be disposed.
  • 18. Others involve accidents involving vehicles (automobiles, trucks and airplanes) not transporting wastes, but carrying materials, including fuel, that when spilled contaminate the soil.
  • 19. Still other spills are the direct action of humans pouring potentially toxic materials (solvents, paints, household cleaning agents, etc.) onto the ground surface rather than disposing these materials by more appropriate means
  • 20. Agricultural practices including the use of agricultural chemicals are another primary source of pollution on or near the ground surface Most agricultural chemicals are water-soluble nitrates and phosphates that are applied to fields, lawns and gardens to stimulate the growth of crops, grass and flowers
  • 21. When not used by the plants the nutrients can enter streams & lakes during the run-off or leaching events. Once in a body of water, these chemicals continue to promote the growth of plants, the resulting plant detritus is food for micro- organisms, and as the population of such organisms grows, the supply of oxygen in the water is depleted
  • 22. "Biochemical Oxygen Demand", or "BOD". This means that the water is capable of supporting a large population of bacteria that will have a high demand for oxygen
  • 23. Information needed to clean up materials added to soil include: • Kind of material - organic or inorganic - is the material biodegradable, is the material dangerous to animals and humans, • how much material was added to the soil, will it overload the organisms in the soil; • C:N ratio of the material, are additional nutrients needed ( N & P)
  • 24. Soil Pollution • Kind of Soil - will the soil be able to handle the material before groundwater is contaminated, • Growing conditions for the soil organisms - is it too cold, too wet etc. • How long has the material been on the site - is there evidence of environmental problems, is it undergoing decomposition. • Immediate danger to people and the environment - Urgency of the situation.
  • 25. Soil borne human diseases A human diseases resulting from any pathogen or parasite, transmission of which can occur from the soil, even in the absence of other infectious individuals Euedaphic pathogenic organisms (EPOs), being potential pathogens which are true soil organisms, i.e. their usual habitat is the soil Soil transmitted pathogens (STPs) are organisms which, while they may be able to survive in soil for extended periods of time, are not true soil organisms, but rather are obligate pathogens who must infect a host in order to complete their life cycles
  • 26. Soil borne infectious diseases Euedaphic pathogenic organisms Euedaphic pathogenic organisms Actinomycetoma: (e.g. Actinomyces israelii Aspergillosis: Aspergillus sp. Anthrax: Bacillus anthracis Blastomycosis: e.g. Blastomyces dermatitidis Botulism: Clostridium botulinium Coccidioidomycosis: e.g. Coccidiodes immitis Campylobacteriosis: e.g. Campylobacter jejuni Histoplasmosis: Histoplasma capsulatum Leptospirosis: e.g. Leptospira interrogans Sporotrichosis: Sporothrix schenckii Listeriosis: Listeria monocytogenes Mucormycosis: e.g. Rhizopus sp. Tetanus: Clostridium tetani Mycetoma: e.g Nocardia sp. Tularemia: Francisella tularensis Strongyloidiasis: e.g. Strongyloides stercoralis Gas Gangrene: Clostridium perferingens Yersiniosis: Yersinia enterocolitica
  • 27. Soil Transmitted Pathogens Soil Transmitted Pathogens Poliovirus Trichinellosis: Trichinella spiralis Hantavirus Amoebiasis: Entamoeba histolytica Q Fever: Coxiella burnetii Balantidiasis Balantidium coli Lyme disease: Borrelia sp. Cryptosporidiosis: e.g Cryptosporidium parvum Ascariasis: Ascaris lumbricoides Cyclosporiasis: Cyclospora cayetanensis Hookworm: e.g. Ancylostoma duodenale Giardiasis: Giardia lambila Enterobiasis (Pinworm) Isosporiasis: Isospora belli Strongyloidiasis: e.g. Strongyloides stercoralis Toxoplasmosis: Toxoplasma gondii Trichuriasis (Whipworm): Trichuris trichiura Shigellosis: e.g. Shigella dyseneriae Pseudomonas aeruginosa Echinococcosis: e.g. Echinococcus multicularis Eschericia coli, Salmonellosis: e.g. Salmonella enterica
  • 28. Virulence of some pathogenic microbes Bacteria Duration of preservation, months Average Maximal Salmonella Typhi 0.5 12 Shigella Sonne 1 2 Vibrio Cholera 0.5 4 Mycobacterium tuberculosis 3 7 Brucellas 0.5 2 Yersinia pestis 0.1 1 Francisella tularensis 0.5 2.5
  • 29. Soil-transmitted helminth infections Soil-transmitted helminth infections are caused by different species of parasitic worms. They are transmitted by eggs present in human faeces, which contaminate the soil in area with poor sanitation Approximately 2 billion people are infected with soil- transmitted helminths worldwide Infected children are physically, nutritionally & cognitively impaired The main species that infect people are the roundworm (Ascaris lumbricoides), the whipworm (Trichuris trichiura) and hookworms (Necator americanus and Ancylostoma duodnale)
  • 30. Soil-transmitted helminth infections Control is based on: periodical deworming to eliminate infecting worms health education to prevent re-infection improved sanitation to reduce soil contamination with infective eggs Safe and effective medicines are available to control infection
  • 31. WHO strategy for control of soil- transmitted diseases WHO recommends periodic medicinal treatment (deworming) without previous individual diagnosis to all at-risk people living in endemic areas. Treatment should be given once a year when the prevalence of soil- transmitted helminth infections in the community is over 20%, and twice a year when the prevalence of soil-transmitted helminth infections in the community is over 50%.
  • 32. Global target The global target is to eliminate morbidity due to soil-transmitted helminthiases in children by 2020. This will be obtained by regularly treating at least 75% of the children in endemic areas (an estimated 873 million).
  • 33. Other non-infectious soil associated diseases • Silicosis • Geophagia (pica associations)
  • 34. Bioremediation of soil Organic substances Filtration of bacteria, viruses & helmints’ eggs Decrease/elimination of smell, stink, toxicity, etc Inorganic substances Restored Health Status of Soil
  • 35. Conditions that favor Bioremediation Temperature favorable for organisms Water available (near field capacity) Nutrients (N, P, K) in adequate supply C:N ratio of material < 30:1 Material added is similar to naturally occurring organic material Oxygen in sufficient quantity
  • 36. Sanitary evaluation of soil Rate of danger Soil characteri stics Number of larvae per 25 m2 of soil Number of helmints’ eggs Titre of E. Coli Titre of Cl. perfringen s Sanitary index (Khlebnik ov) Safe Pure 0 0 > 1.0 > 0.1 0.98-1.0 Relatively safe Rather contamin ated 1-10 < 10 1.0-0.01 0.1-0.001 0.85-0.98 Dangerou s Contamin ated 10-100 11-100 0.01-0.001 < 0.001 0.7-0.85 Extremely dangerous Extremely contamin ated > 100 > 100 < 0.001 < 0.0001 < 0.7
  • 37. Epidemiological role of wastes Infection agent Duration, days In excrements In sewage In cesspool In kitchen garbage In room dust Vibrio cholera 210 12 15 - - Salmonella typhi 100 6 150 4 42 Salmonella paratyphi - - - 24 107 Shigella Sonne - - - 24 107 Bacillum Antracis - - - - 80 Mycobacterium tuberculosis - - - - 200
  • 38. Reference • S. Jeffery, W.H. van der Putten. Soil Borne Diseases of Humans (2011). Luxembourg: Publications Office of the European Union. doi:10.2788/37199 • Communicable diseases. Control of schistosomiasis and soil-transmitted helminth infections. WHO 54th WHA. 30/03/2001 • Baumgardner DJ. Soil-Related Bacterial and Fungal Infections. J Am Board Fam Med. 2012;25(5):734-744 • Park’s Textbook of Preventive and Social Medicine. Chapter 13

Editor's Notes

  1. Soil is a part of our ecological system and human environment. Soil plays a leading role in substance circulation in the nature. It is a great natural laboratory where many different and complex processes of synthesis and decomposition of organic and inorganic substances and photochemical reaction take place. In soil many pathogenic microbes live and die. It is one of the main transmission ways of infection and non-infection diseases. Soil may have directly and indirectly toxic, allergic, carcinogenic, and mutagenic and other effect on our body. Insufficiency and surplus of microelements can cause endemic diseases. Quality and quantity of our food is strictly connected to soil. Soil has great impact on local climate. All mentioned above shows that medical doctors should know processes taken place in soil, their features. It is to plan and take preventive measures against harmful impact of soil on people’s health.
  2. Chemical content of soil is very complex. 90-99% of soil is minerals (Si, Ca, Mg, Al, etc.). They are sand, clay and calcium hydrocarbonate. Almost all elements of Mendeleyev’s periodical table are presented in soil.
  3. Soil water has great impact on properties and content of ground and surface water. Soil air is exchanged with atmospheric air constantly. It consists 8% of CO2, 14% of O2. It can have many stink gases like NH3, H2S, HF, indole, skatole, which is toxic for us. There were some cases of death when people got contact with soil toxic gases. Air permeability of soil plays hygienic role because it increases biochemical oxidation processes in soil. Water permeability effects on formation of soil water and ground water. Water capacity of soil conditions air permeability and wetness of soil and buildings on it. Soil with big water capacity is unhealthy, wet and cold. Capillarity of soil depends on porosity of soil. Big capillarity of soil can cause wetness of buildings.
  4. Unequal distribution of microelements in soil around the planet causes biogeoendemic diseases. Fluorosis, caries, molybdenosis, Hondro and osteodistrophia (Sr), Encephalitis (Pl). Fluorosis: India, Kazakhstan, China, Tanzania, and Uzbekistan Insufficient Se: Finland, New Zeland, China Surplus of Se: South Dacota, Nebraska (USA), China (Hubei province). Selenium toxicosis: alopecia, inflammation of epidermis, dermatitis, teeth enamel destruction, anaemia, decrease of intake of Ca, F and nervous dysfunction. We will not talk about fluorosis, goitre, caries, ect. You know them well enough. We will talk about other diseases caused by such elements as Mo, B, Br, etc.
  5. Provision of our body by microelements is conditioned by their contents in soil, water and food. We receive the most of microelements with vegetable food. 99% of our body is 12 chemical elements included in the first 20 elements of the periodical table. 9 microelements, such Fe, I, Cu, Cr, Co, Mo, Mg, Zn, Se, are essential or vitally needed. Surplus and insufficiency of them can cause diseases. Less essential microelements are F, Ni, V, As, Si, Li, B and Br. In the group of toxic elements Al, Cd, Pb, Hg, Be, Ba, V and Tl are included. Indifferent and inert elements are Tn, Pl, Au and Ag used often as surgical implants. Some elements have therapeutic effect. Hg substances are used in treatment against parasites, Li – maniac depression.
  6. Molybdenum is antagonist of Cu in biological tissues. Mo activates a few of enzymes. Zn and H2S increase action of Mo. At present, 15 enzymes known consist Mo. Three of them are in our body: aldehydroxidase, xanthinoxidase and sulphitoxidase. Xanthinoxidase is an important enzyme in Purina exchange: it catalyzes reaction of formation of urine acid. If there is a genetic defect in ksantinoxidase and xanthine isn’t re-absorbed in renal canals there a ksantinuria will be developed lead to formation of Xanthin stones in renal canals. Sulphitoxidase makes sulphates from sulphites in our body. If there is a genetic defect in sulphite-oxidase very hard consequences happen: brain anomaly, idiotism, ectopia of the eye crystalline lens, increased excretion of sulphites, tiosulphates by urine. Surplus of Mo leads to development of the gout, accumulation of urine acid in joints. It is Mo-gout, which is revealed in Armenia.
  7. Physiological role of boron consists of regulation of activity of parathyroid hormone and therefore Ca, P and cholecalciferoli exchange. In our body, there is 20 mg of B. In regions with surplus of Boron in soil there boron enteritis can happen. It is met often in West Siberia, Omsk, Novosibirsk area and Altai. Except of enteritis there anaemia and respiratory diseases can be developed. Boron acid, which we use often, is cumulated in our brain, liver and adipose tissue. Acute boron intoxication, particularly by deboran, decaboran or pentaboran, can be developed. It is dangerous by involvement of CNS
  8. Beans are rich by bromine (peas, beans). It is distributed in all tissues equally, but mostly it is concentrated in thyroid and kidneys. Excretion of bromine from our body depends on intake of chlorides. If we have taken many chlorides with food, bromine excretion will increase. Physiological role of bromine is connected to its selective influence on braking processes in neurones of the cerebral cortex. By chronic intake of bromine people have allergic or measles-like rash, brown colouration of mouth mucous membrane, conjunctivitis and bronchospasms.
  9. Around industrially developed areas, technogenic biogeoendemic provinces are formed. They are characterised by high concentration of lead, arsenic, fluoride, mercury, cadmium, manganese, nickel and other elements that present real danger of direct and indirect impacts on a body. Many studies show toxic effect of soil contaminants. They can act through food chain, e.g. plants grown at polluted soil, milk and meat of animals fed by polluted forage. For example, lead of exhausted gases of cars in Bishkek contaminated soil in the city very intensive, so 30-40 times higher than limit thresholds. And in vegetables and fruits in Bishkek lead concentration is high, especially in plants growing at streets. People who use vegetables and fruits grown in Bishkek receive lead with them. Lead accumulates in the body. It can lead to development of neuralgia, cephalgia, polyneuritis, liver and skin pathologies. Crucial problem is high concentration of benz(a)pyren in soil around gas stations and along streets. It is carcinogen. To assess impact of exhausted gases of autos to soil usually ecologists carry out chemical analysis of soil samples taken at different distances up to 100 m from both sides of a road. If transport load of the road is up to 10 000 cars per day concentration of iron is 1000 mg/kg in superficial soil layer, zinc – 20 mg/kg, lead - 10 mg/kg and 0.2 mg/kg of cadmium. Pesticide use in agriculture has been increased for last decades. Hygienic importance of pesticides increases proportionally by its resistance to outer impact. Pests with high resistance accumulate in soil, water, air and vegetable and animal food, human body. The famous example is DDT – dichloro-diphenyl-trichloroethane. At present in the body of all living animal and human some concentration of DDT is present.
  10. Many infection agents that can be transmitted directly and indirectly to people are located in soil. Pathogenic microbes contaminate soil with excrements of animals and human, cadavers, sewage, and etc. Healthy soil is unfavourable for pathogenic non-spores bacteria. In soil contaminated with organic substances bacteria keeps its virulence for longer time. For example, bacteria of typhus-para-typhus group can be live for 400 days, Shigella dysenteriae – up to 100 days, polioviruses, ECHO, Kocksaki – 150 days, ascarid eggs – for 1 year. Duration of virulence preservation of some pathogenic microbes is presented in the table in the next slide. Infective agents can be transmitted by direct contacts with soil (especially children), by drinking contaminated water, eating contaminated vegetables and by insects, mainly flies. Soil plays big role in transmission of helmints (ascarids, etc). From the human intestine, eggs of helmints can get soil where they live the most of their life cycle and mature to invasion stage. One female ascarid can have more than 240 000 eggs. ….. Eggs can get with forage into bodies of cows and pigs. There they are changed into larva that are located mainly in muscles. These helmints’ larva infects people eating this meat. Pathogenic bacilli with spore (gas gangrene, anthrax, tetanus, actinomycosis and botulism) are permanent residents of soil. Their spores keep virulence tens of year. Rats living in soil infect water by leptosira.
  11. Organic substances in soil decompose to inorganic parts. They are processes of mineralization and nitrification and humification. As results of these processes, soil restore its healthy status. Organic substances, bacteria, viruses and helmints’ eggs are filtered by soil, detained there. Mechanical, physical and chemical, biological and biochemical absorbability of soil decrease or move away stink, toxicity and other negative properties of soil, and some microbes. Mainly, self-purification of soil is connected to disinfection of non-spores bacteria because of saprophytes, the sun’s UVL, mechanical factor and superficial energy of electrochemical relations in soil. Carbohydrates decompose in soil into carbon acid and water in anaerobic conditions, into fat acids and further into hydrogen, carbon acid, methane and other gases. Fats decompose in soil very slowly. They decompose into glicin and fat acids. Proteins decompose into aminoacids and then to ammonia, water and carbon acid. Ammonia is utilised by Nitrosomonas bacteria with formation of nitrites. Nitrites are oxidised into nitrates by B. Nitrobacter. Extreme contamination of soil is harmful and all useful bacteria can die. In this case, soil is not able to self-purification. It is always need to assess sanitary condition of soil. For assessment of the sanitary conditions of soil we use some indices (table 2).
  12. At present billions of tons of pesticides are used in the world. They decrease biological potential of soil and contaminate it by heavy metals. The main objectives of protection of soil are: Rational waste management: collection, treatment (rendering harmless) of communal sewage and waste utilization. To keep natural properties of soil. Prevention of applying toxic and carcinogenic substances into soil.
  13. Wastes are good environment for pathogenic agents (table 3) to grow and reservoir of more than 100 toxic substances like Hg, Cd, Pb, As, Tl, Zn and their compounds, salts, colours, pesticides, medicines, and etc.