On the road to personalised and precision geomedicine: medical geology and a renewed call for interdisciplinarity

Our health depends on where we currently live, as well as on where we have lived in the past and for how long in each place. An individual’s place history is particularly relevant in conditions with long latency between exposures and clinical manifestations, as is the case in many types of cancer and chronic conditions. A patient’s geographic history should routinely be considered by physicians when diagnosing and treating individual patients. It can provide useful contextual environmental information (and the corresponding health risks) about the patient, and should thus form an essential part of every electronic patient/health record. Medical geology investigations, in their attempt to document the complex relationships between the environment and human health, typically involve a multitude of disciplines and expertise. Arguably, the spatial component is the one factor that ties in all these disciplines together in medical geology studies. In a general sense, epidemiology, statistical genetics, geoscience, geomedical engineering and public and environmental health informatics tend to study data in terms of populations, whereas medicine (including personalised and precision geomedicine, and lifestyle medicine), genetics, genomics, toxicology and biomedical/health informatics more likely work on individuals or some individual mechanism describing disease. This article introduces with examples the core concepts of medical geology and geomedicine. The ultimate goals of prediction, prevention and personalised treatment in the case of geology-dependent disease can only be realised through an intensive multiple-disciplinary approach, where the various relevant disciplines collaborate together and complement each other in additive (multidisciplinary), interactive (interdisciplinary) and holistic (transdisciplinary and cross-disciplinary) manners

Weathering of the Ethiopian volcanic province: a new weathering index to characterize and compare soils

© Walter de Gruyter Berlin/Boston 2015.Soil formation occurs through numerous physical and chemical weathering processes acting to alter the parent rock on the Earths surface. Samples of surface soils were collected over a range of elevations (2000-3600 m) from profiles directly overlying basaltic to more felsic parent rocks, over a region in NW Ethiopia. The soils were investigated to determine their chemical composition and X-ray diffraction was used to identify and quantify individual mineral phases. The data set was analyzed using non-parametric statistics (Spearmans Rank and Mann-Whitney U tests) to compare the soils forming over the two parent rocks. Principal component analysis (PCA) was used to identify the mineral alteration assemblage and formation during pedogenesis. The extent of alteration was quantified using several chemical weathering indices (Chemical Index of Alteration = CIA; Chemical Index of Weathering = CIW), including an index calculated by multivariate analyses of the soil chemical composition data (weathering W index). Further to this we devised and tested a new weathering index (Wmin) using multivariate analysis of the soil mineralogy, to estimate the extent of weathering and physico-chemical proprieties of the parent rock from which the soil formed. The soils present a fair to advanced stage of alteration, with abundant iron (Fe) oxides (up to 40 wt%) and phyllosilicates (up to 57 wt%), including kaolinite-smectite (K-S) mixed-layer phases. The K-S was composed of either 30-50% kaolinite or 94-98% kaolinite layers. Discrete kaolinite was also present. The bimodal K-S mineralogical composition is likely due to two precursor phases: feldspar for the kaolinite-rich K-S and volcanic glass for the smectite-rich K-S. K-S with intermediate composition (50-94% kaolinite) was rare, due to its instability. Statistical analysis showed significant differences between the chemical compositions of the soils developed on the two different parent volcanic compositions. The soils overlying the more felsic parent rocks were less altered than those overlying the flood basalt. When comparing the weathering indices calculated in this study, we conclude that while the CIA and CIW may be more readily determined, the W and Wmin indices can elucidate information on the composition of the original rock from which they formed. The W index is more sensitive to certain variables when compared with the newly derived mineralogical Wmin index; however the Wmin index takes into account mineral phases within the sample, which provides a more detailed interpretation of weathering rates than chemistry alone. In addition the Wmin index correlated with meteorological variables, such as elevation (and consequently temperature and precipitation), known to influence the degree of pedogenesis. The Wmin index can be used to enhance our understanding of the processes that occur during weathering processes to supplement information gained from traditional chemical weathering indices

Cristobalite in a rhyolitic lava dome: Evolution of ash hazard

Prolonged and heavy exposure to particles of respirable, crystalline silica-rich volcanic ash could potentially cause chronic, fibrotic disease, such as silicosis, in individuals living in areas of frequent ash fall. Here, we show that the rhyolitic ash erupted from Chaitén volcano, Chile, in its dome-forming phase, contains increased levels of the silica polymorph cristobalite, compared to its initial plinian eruption. Ash erupted during the initial, explosive phase (2–5 May 2008) contained approximately 2 wt.% cristobalite, whereas ash generated after dome growth began (from 21 May 2008) contains 13–19 wt.%. The work suggests that active obsidian domes crystallise substantial quantities of cristobalite on time-scales of days to months, probably through vapour-phase crystallisation on the walls of degassing pathways, rather than through spherulitic growth in glassy obsidian. The ash is fine-grained (9.7–17.7 vol.% <4 µm in diameter, the respirable range) and the particles are mostly angular. Sparse, fibre-like particles were confirmed to be feldspar or glass

Production of potentially hazardous respirable silica airborne particulate from the burning of sugarcane

Sugarcane In some areas of the world where agricultural burning is practised, the airborne particles produced have been linked to respiratory disease in humans. Here, we investigate the abundance and form of silica (SiO2) minerals found within ash and aerosol produced by the experimental burning of sugarcane. Samples of sugarcane leaf were incinerated over a range of temperatures, time scales and airflow conditions, the latter to investigate the effects of wind and updrafts during natural fires. The silica content of the residual ash (from still air simulations) was measured using an improved wet chemical methodology, described here. This indicated that the release of silica from the plant material into the atmosphere increases with increasing temperature of combustion. Airborne particulate, sampled using air-pump-filter apparatus, was characterised using scanning electron microscopy (SEM) with automated image and elemental analysis. For airborne particulate formed at 1100 °C (with airflow), 17% of the particles are in the respirable size fraction (<4 [mu]m in diameter) and contain silica. From X-ray diffraction (XRD) analysis, a component of this silica is present as the potentially toxic polymorph cristobalite. For the residual ash, samples produced with no additional airflow were found to contain cristobalite, however none could be identified in ash formed with an airflow. It is considered likely that this is due to release of cristobalite to the atmosphere (as sampled on filters). This pilot study shows that potentially toxic particles could be released during sugarcane burning and reinforces the need for further study into the emissions and re-suspension of ash from the burning of biomass

The feasibility of vitrifying a sandstone enclosure in the British Iron Age

© 2015 Elsevier Ltd.Iron Age structures with evidence for having been subjected to high temperatures have been identified throughout Europe. The thermal conditions that must have yielded such evidence of alteration remain enigmatic, especially for the case of high-silica, quartz-rich building materials such as sandstones. Here, we conduct an experimental investigation of thermal treatment using the Wincobank Iron Age hill fort site in Sheffield, South Yorkshire (U.K.) as a test case. We have selected samples of the unaltered protolithic sandstone from which the fort was constructed as starting material as well as material from the vitrified wall core. An experimental suite of thermally treated protolith samples has been analysed using a combined approach involving X-ray diffraction and thermal analysis (simultaneous differential scanning calorimetry with thermogravimetric analysis). Comparison between our experimental products and the variably vitrified samples found in the wall of the Wincobank hill fort helps to constrain firing temperatures and timescales. For mineralogical markers, we employ the high-temperature conversion of quartz to cristobalite and the melting of feldspar to compare the relative abundance of these phases before and after thermal treatment. We find that the Iron Age wall samples have mineralogical abundances most consistent with a minimum firing temperature range . 10. h. These first quantitative constraints for a fort constructed of sandstone are consistent with those found for forts constructed of granitic material. Finally, we explore the reasons for thermal disequilibrium during firing and invoke this mechanism to explain the differential vitrification found at some Iron Age stone-built enclosures

A physico-chemical assessment of the health hazard of Mt. Vesuvius volcanic ash

Mt. Vesuvius, Italy, is regarded as one of the world's most dangerous volcanoes because of the potential for vast numbers of people to be affected by the renewal of volcanic activity; more than 600 000 people live within 10 km of the summit alone. Vesuvius has been quiescent since 1944 and with continued dormancy, the more likely it is that the next eruption will be explosive. At that point, wide-spread concern is likely over the potential health hazard of the ash, away from the zone of primary volcanic hazards. Analyses of the mineralogical and geochemical characteristics of ash provide us with critical information on the potential toxicity of the particles, for example, whether particles are sufficiently small to enter the lungs and whether the particles have reactive properties which could trigger disease. Rapid assessment of these characteristics allows real-time decision making on hazard mitigation issues (e.g. distribution of dust masks) and allows considered judgement on whether to embark on major medical/toxicological studies. The study presented here is the first time that the potential respiratory health hazard of ash from Vesuvius volcano has been considered and allows planning for future eruption scenarios. Twenty-one ash samples, representing the range of eruption styles at Vesuvius, were collected and analysed. The results demonstrate that the physical processes of fragmentation play an important role in determining the grain size and, therefore, hazard, of the ash. Here, the finest samples derive from the interaction of magma and water during the final, phreatomagmatic phases of plinian and subplinian eruptions ( 16 vol.% <4 µm material), while the low-intensity explosivity activity, associated with lava effusion, produces coarse ash posing a lesser hazard. The quantity of material found in the different health-pertinent fractions is strongly correlated, allowing prediction of these fractions where only coarser sieve data are available. Since Vesuvius produces silica under-saturated products, ‘free’ crystalline silica in the ash does not pose a significant health hazard (< 2 wt.% cristobalite and <3 wt.% quartz). Surface tests showed that the capability of the ash to generate the highly-reactive hydroxyl free radical varies considerably amongst samples, with available surface iron correlating well with reactivity potential