The nature and significance of public exposure to arsenic: a review of its relevance to South West England.

In South West England, more than two hundred years of intensive exploitation of metalliferous ore deposits, combined with the natural processes of pedogenesis from mineral-rich parent rocks, has resulted in the creation of a aignificant area of arsenic-contaminated wastes and soils. The scale of arsenic dispersion by natural and anthropogenic processes is such that 722 km(2) of land contains concentrations of arsenic in excess of 110 μg g(-1), more than twice the maximum that might be expected in a normal soil.The general rationale for the clean-up of derelict and contaminated mining sites often includes aesthetic factors and the desirability of preventing the dispersion of contaminants beyond the site boundaries. Only in extreme cases is public health directly invoked as justification for remediation. In South West England, if arsenic constitutes a genuine threat to the public, an increased rate of site remediation would be justified. The primary purpose of this review is to establish whether or not widespread arsenic contamination (principally of soils) has any measurable effects on public health in South West England, and how this might affect current contaminated site remediation policy. The review is based on data from previous research in the region, and other relevant international studies of mining and smelting communities, and other populations exposed to elevated arsenic concentrations. The literature reviewed also includes the determination of the extent and sources of contamination, and pathways between source and man.While the contamination of potable waters in some countries has led to measurable health effects, this scenario has not yet been identified in South West England, and there is little reason to believe that significantly contaminated potable water supplies would escape detection for extended periods of time under the current monitoring regime.In relative terms (based on both globaland local data), one of the most significant links between contaminated soils and humans appears to be contaminated food stuffs. In absolute terms, such exposure is low due to the natural constraints on arsenic uptake by herbage, cereal crops and vegetables, and the food chain does not appear to have been significantly compromised in South West England. Chronic health effects are unlikely as excessive arsenic concentrations in locally grown food crops remain rare.With the problems of confounding medical and social factors, it is not surprising that studies in South West England have failed to identify chronic exposure to arsenic at very low concentrations as a significant health risk. Those studies that indicate otherwise do not stand up to close scrutiny. It appears that the number of additional deaths arising from the widespread arsenic contamination in South West England is small. The relative benefits of a costly statistical study to actually determine the number of additional deaths might be considered minimal, but one major area could benefit from further studies: the sensitivity of certain population sub-groups to environmental arsenic exposure. Of particular interest are children, for whom significant exposure to arsenic via soil ingestion may be occurring.Based on available information, there appears to be no justification for a large programme of site remediation. Resources should, however, be expended on enlightening the general public, and private and governmental organisations as regards the gap between the perceived and actual significance of arsenic contamination in South West England.