Suchergebnisse

In early 2020, the COVID-19 pandemic revealed a faceless, non-adversarial threat that endangered Israelis and Palestinians with the same ferocity. However, the capacities of the health systems to address it were not equal, with Israel more equipped for the outbreak with infrastructure, resources, manpower and later, vaccines. The pandemic demonstrated the life-saving benefits of cooperation and the self-defeating harms brought by non-cooperation. These trends are explored here by an international team of public health and environmental scholars, including those from different sides of the Israeli–Palestinian conflict. This article explores the importance of recognizing the Israeli and Palestinian jurisdictions as a single epidemiological unit, and illustrates how doing so is a pragmatic positioning that can serve self-interest. We demonstrate how despite political shocks precipitating non-cooperation, there has been a recurrent tendency towards limited cooperation. The paper concludes with lessons over the need for reframing public health as a potential bridge, the need for structural changes creating sustainable platforms for accelerated transboundary cooperation to enable the steady management of current and future public and environmental health crises regardless of dynamic political crises, and the importance of civil society and international organizations in forging collaboration in advance of governmental engagement.

Trace elements (TEs) may have toxic effects to plants and humans; thus, countries and organizations impose maximum allowable regulation limits of their concentrations in soils. Usually such limits are placed in different categories according to soil use, soil properties or based on both attributes. However, some countries have regulation limits irrespective of differentiation in soil properties. In this review, we aimed at collecting TE regulation limits in soils from major countries and organizations around the globe, and critiquing them by assessing potential human health risks in the case of soils attaining the maximum allowable values. We explored the soil-to-human pathway and differentiated among three major exposures from TEs, i.e., residential, industrial and agricultural. We observed the existence of problems concerning TE regulation limits, among which the fact that limits across countries do not regulate the same TEs, not even a minimum number of TEs. This indicates that countries do not seem to agree on which regulation limits of TEs pose a high risk. Also, these regulation limits do not take into account TE mobility to neighbouring environment interphases such as plant, especially edible, and water matrices. Moreover, limits for same TEs are vastly diverse across countries; this indicates that those countries have conflicting information concerning TE-related health risks. Subsequently, we addressed this problem of diversity by quantifying resultant risks; we did that by calculating human health risk indices, taking into consideration the cases in which the highest allowable TE limits are attained in soil. Arsenic limits were found to generate a relatively high hazard quotient (HQ i , accounting for human intake over the maximum allowable oral reference dose for that same TE), indicating that its risk tends to be underestimated. Other TE limits, such as those of Cd, Cu, Ni, Pb, and Zn typically result in low HQ i , meaning that limits in their cases are rather overprotective. Our approach reveals the need of reducing diversity in regulation limits by drafting soil legislations of worldwide validity, since risks are common across countries. We suggest that new directions should strategically tend to (a) reduce limits of TEs with underestimated contribution to health risk (such as As), (b) cautiously increase limits of TEs that currently cause minor health risks, (c) quantify TE risks associated with uptake to edible plants and potable water, and (d) consider multi-element contamination cases, where risks are cumulatively enhanced due to TE synergism.