Health risks of exposure to soil-borne dichlorodiphenyltrichloroethanes (DDTs): A preliminary probabilistic assessment and spatial visualization.

Residues of dichlorodiphenyltrichloroethane and its metabolites (DDTs) in soils continue to severely threaten and endanger human health. This present study comprehensively interprets the health risks associated with exposure to soil-borne DDTs and also identifies the spatial visualization of risks at a large regional scale in Fujian, China. There was significant spatial variability of human risk across the region, while levels of health risk displayed a significant positive correlation with population density (p < 0.05). High risk levels occurred mostly in the coastal areas in northeastern Fujian, with additional hotspots in inland areas. The highest total incremental lifetime cancer risks (ILCRs) occurred in Sanming, reaching up to 9.52 × 10-5, 3.27 × 10-5, and 1.76 × 10-4 for children, teens, and adults, respectively. Further, the highest hazard index (HI) value was observed in Fuzhou, reaching up to 6.09, 3.84, and 2.37, respectively. The 95% confidence interval of data regarding ILCRs exceeded the recognized safe threshold, whereas the HI has been deemed accepted. Adults were identified as the most susceptible population in terms of cancer risks, with o,p'-DDT being the primary contributor of ILCRs. Moreover, children were showed to be the most vulnerable in terms of non-cancer risks, with p,p'-DDD being the main contributor of HI. Food ingestion appeared to be the dominant exposure pathway, for both cancer and non-cancer risks. The concentration of DDTs (Csoil) and exposure duration (ED) also greatly influenced the risk, together contributing to over 99% of the ILCRs and HI.