Geological factors controlling occurrence and distribution of arsenic in groundwaters from the southern margin of the Duero Basin, Spain

Groundwater from springs and boreholes on the southern edge of the Cenozoic Duero Basin (DB) of Spain has concentrations of arsenic (As) which are commonly above the EC drinking-water limit of 10 μg/L and reach observed values up to 241 μg/L. Groundwater compositions within the sedimentary aquifer vary from Ca–HCO3 type, variably affected by evaporation and agricultural pollution at shallow levels, to Na–HCO3 compositions in deeper boreholes of the basin. Groundwater conditions are mainly oxidising, but reducing groundwaters exist in sub-basins within the aquifer, localised flow paths likely being influenced by basement structure. Arsenic concentrations are spatially variable, reaching up to 38 μg/L in springs of the Spanish Central System (SCS) basement aquifer and up to 62 μg/L in springs from the DB. Highest As concentrations are associated with the Na–HCO3 compositions in deep boreholes (200–450 m depth) within the DB. These have high pH values (up to 9.6) which can give rise to associated elevated concentrations of V and U (up to 64 and 30 μg/L, respectively). In the deep borehole waters of the DB, oxidising flows derived from the mineralised igneous–metamorphic basement and discharging via major faults, and are considered the origin of the higher concentrations. Compositions are consistent with desorption of As and other anionic species from metal oxyhydroxides in an oxic environment. Under locally reducing conditions prevalent in some low-flow parts of the DB, an absence of detectable dissolved As is coincident with low or undetectable SO4 concentrations, and consistent with loss via formation of authigenic sulphide minerals. Mitigation measures are needed urgently in this semi-arid region where provision of alternative sources of safe drinking water is logistically difficult and expensive

Molybdenum in natural waters: a review of occurrence, distributions and controls

Molybdenum is an essential trace element for human, animal and plant health and has played an important part in the evolution of life on earth. Nonetheless, exposure to the element can be harmful and although the evidence for symptoms in humans is sparse, it has been linked with a number of health conditions in animal models. Molybdenum is present in trace quantities (1–10 mg/kg) in most rocks and soils and at concentrations less than, and often orders of magnitude less than, 10 μg/L in most freshwaters. It is the most abundant transition metal in open seawater (10 μg Mo/L) owing to the dominance, and low chemical reactivity, of the molybdate ion (MoO42-). The 2011 WHO Guidelines for Drinking-Water Quality (fourth edition) advised a health-based value of 70 μg/L for Mo but this is no longer promulgated as a formal guideline value as WHO consider such concentrations to be rarely found in drinking water. This is indeed usually the case, but there are instances where currently-used drinking waters do exceed 70 μg Mo/L. We therefore recommend more routine measurement of Mo in water, at least on a reconnaissance scale, in order to improve knowledge on occurrence in water used for potable supply. Where multi-element analytical procedures are already used (e.g. ICP-MS), the marginal cost of adding Mo to the list of elements to be analysed should not be great. We have reviewed nine areas in the world where high concentrations of Mo in freshwater, and in some cases drinking water, have been found: Argentina, Jordan, Qatar, Ethiopia, UK, USA (three) and Chile. These represent a range of geochemical environments. A common theme of the high-Mo occurrences is (i) oxic, alkaline conditions where, as for seawater, the Mo occurs as the stable molybdate ion; groundwater in oxic, alkaline conditions within volcanogenic sediments can have exceptionally high Mo concentrations (up to hundreds of μg/L) where felsic volcanic ash is present; (ii) anoxic, non-sulphidic waters where Mo can be released to solution by reductive dissolution of Mn and Fe oxides or by release from degradation of organic matter, notably within high-Mo organic-rich muds, black shales or oil shales; or (iii) surface waters or groundwater impacted by metal sulphide mining and/or mineralisation, in particular occurrences of porphyry deposits. Under such conditions, Mo concentrations can reach several tens to several hundreds of μg/L and while not all are otherwise suitable for drinking water, some are. Much of the basic geochemistry of Mo in oxic natural environments is now quite well understood. Critically, its behaviour is redox-sensitive like its near neighbours in the Periodic Table, W and V. At the near-neutral pH values characteristic of most natural waters, Mo is rather weakly sorbed and formation of Mo minerals is either not indicated or is extremely slow. Molybdenum becomes less mobile when converted to thiomolybdates under the strongly reducing conditions found in some present-day ocean basins (e.g. the Black Sea), fjords, stratified lakes and confined aquifers. This leads to concentrations of around 100 mg Mo/kg or more in black shales and other organic-rich mudstones. However, despite the many studies of these water bodies and the importance of Mo as a palaeoredox indicator, the mechanism of the highly-efficient and diagnostic scavenging of Mo in euxinic (H2S-rich) waters remains uncertain. Possibilities include the formation of an as yet unidentified Mo-Fe-S mineral or solid solution, or the scavenging by some pre-existing solid such as a sulphide or oxide mineral, or organic matter. The possible role of dispersed and reduced natural organic matter has become more prominent in recent years but this has proven difficult to quantify and the mechanism of binding is poorly understood. Molybdenum isotope studies now play an important role in constraining reaction pathways. At a more fundamental level, there is a lack of up-to-date thermodynamic and kinetic data for many of the reactions of importance for Mo in the natural environment and this limits the ability of current geochemical models to predict its fate and transport. This is particularly true for the strongly reducing conditions where Mo partitions to the solid phase, leading to the formation of the Mo-rich shales. Even the existence of reduced aqueous Mo species (e.g. in the Mo(V) and Mo(III) oxidation states) in natural waters is uncertain. These uncertainties will only be resolved with focused laboratory experiments using the benefits of modern instrumentation, combined where necessary with supporting molecular dynamics calculations. The mobility of Mo in aqueous systems has to date received far more attention in the marine than the freshwater setting. The value of Mo speciation as an indicator of redox conditions and of stable-isotopic variations as a tracer, can have more value in the arena of environment and health, and studies of the element's mobility in aqueous systems can be useful for themes varying from radioactive waste disposal, sustainability of unconventional hydrocarbon exploitation and wider surficial pollution

Establishing the baseline in groundwater chemistry in connection with shale-gas exploration: Vale of Pickering, UK

The baseline chemistry of groundwater from two aquifers in the Vale of Pickering, North Yorkshire, has been investigated ahead of a proposal to explore for shale gas, planning permission for which has recently been granted. Groundwater in a shallow aquifer including Quaternary and/or Jurassic Kimmeridge Clay deposits shows compositions distinct from a Corallian (Jurassic) Limestone aquifer, reflecting different lithologies and hydrogeological conditions. Corallian groundwaters along the margins of the vale are controlled by reaction with carbonate, with redox conditions varying according to degree of aquifer confinement. Superficial aquifer groundwaters are confined and strongly reducing, with some observed high concentrations of dissolved CH4 (up to 37 mg/L; Feb 2016 data). This appears to be of mixed biogenic-thermogenic origin but further work is needed to determine whether the source includes a deeper hydrocarbon reservoir contributing via fractures, or a shallower source in the Quaternary or Kimmeridge sediments. The data show a shallow aquifer with a high-CH4 baseline which pre-dates any shale-gas activity

Site selection strategy for environmental monitoring in connection with shale-gas exploration: Vale of Pickering, Yorkshire and Fylde, Lancashire

This report outlines the strategies for site selection adopted as part of a baseline environmental monitoring investigation in connection with shale-gas exploration and development in the Vale of Pickering, North Yorkshire. The project forms an extension to an ongoing baseline investigation being carried out in the Fylde, Lancashire, and the current project incorporates an air-quality monitoring component that was not within the original remit of the Fylde study. The DECC-funded investigation is led by the British Geological Survey, and is being carried out as a collaboration with the Universities of Birmingham, Bristol, Liverpool, Manchester and York (National Centre for Atmospheric Science, NCAS) and Public Health England (PHE). The project incorporates work packages in monitoring of water quality, air quality and greenhouse gases, soil gas, ground motion and seismicity, and air radon and is being carried out over the period September 2015 to March 2016. Site selection is a critical consideration in setting up a monitoring programme as chosen sites need to be representative of conditions to be tested. While sites will necessarily be subject to practical constraints (land access agreements, existing infrastructure, geological conditions, cost implications etc), site selection has a large part to play in ensuring collection of quantifiable, unbiased data. This report sets out the rationale for site selection in each of the work packages and the steps taken to ensure defensible site-selection decisions and to minimise the impact of practical constraints

Hazard ranking method for populations exposed to arsenic in private water supplies: relation to bedrock geology

Approximately one million people in the UK are served by private water supplies (PWS) where main municipal water supply system connection is not practical or where PWS is the preferred option. Chronic exposure to contaminants in PWS may have adverse effects on health. South West England is an area with elevated arsenic concentrations in groundwater and over 9000 domestic dwellings here are supplied by PWS. There remains uncertainty as to the extent of the population exposed to arsenic (As), and the factors predicting such exposure. We describe a hazard assessment model based on simplified geology with the potential to predict exposure to As in PWS. Households with a recorded PWS in Cornwall were recruited to take part in a water sampling programme from 2011 to 2013. Bedrock geologies were aggregated and classified into nine Simplified Bedrock Geological Categories (SBGC), plus a cross-cutting “mineralized” area. PWS were sampled by random selection within SBGCs and some 508 households volunteered for the study. Transformations of the data were explored to estimate the distribution of As concentrations for PWS by SBGC. Using the distribution per SBGC, we predict the proportion of dwellings that would be affected by high concentrations and rank the geologies according to hazard. Within most SBGCs, As concentrations were found to have log-normal distributions. Across these areas, the proportion of dwellings predicted to have drinking water over the prescribed concentration value (PCV) for As ranged from 0% to 20%. From these results, a pilot predictive model was developed calculating the proportion of PWS above the PCV for As and hazard ranking supports local decision making and prioritization. With further development and testing, this can help local authorities predict the number of dwellings that might fail the PCV for As, based on bedrock geology. The model presented here for Cornwall could be applied in areas with similar geologies. Application of the method requires independent validation and further groundwater-derived PWS sampling on other geological formation

Monitoring of methane in groundwater from the Vale of Pickering, UK: temporal variability and source discrimination

Groundwater abstracted from aquifers in the Vale of Pickering, North Yorkshire, UK and monitored over the period 2015–2022, shows evidence of variable but commonly high concentrations of dissolved CH4. Sampled groundwater from the Jurassic organic-rich Kimmeridge Clay Formation (boreholes up to 180 m depth) has concentrations up to 57 mg/L, and concentrations up to 59 mg/L are found in groundwater from underlying confined Corallian Group limestone (borehole depths 50–227 m). The high concentrations are mainly from boreholes in the central parts of the vale. Small concentrations of ethane (C2H6, up to 800 μg/L) have been found in the Kimmeridge Clay and confined Corallian groundwaters, and of propane (C3H8, up to 160 μg/L) in deeper boreholes (110–180 m) from these formations. The concentrations are typically higher in groundwater from the deeper boreholes and vary with hydrostatic pressure, reflecting the pressure control on CH4 solubility. The occurrences contrast with groundwater from shallow Quaternary superficial deposits which have low CH4 concentrations (up to 0.39 mg/L), and with the unconfined and semi-confined sections of the Corallian aquifer (up to 0.7 mg/L) around the margins of the vale. Groundwater from the Quaternary, Kimmeridge Clay formations and to a small extent the confined Corallian aquifer, supports local private-water supplies, that from the peripheral unconfined sections of Corallian also supports public supply for towns and villages across the region. Dissolved methane/ethane (C1/C2) ratios and stable-isotopic compositions (δ13C-CH4, δ2H-CH4 and δ13C-CO2) suggest that the high-CH4 groundwater from both the Kimmeridge Clay and confined Corallian formations derives overwhelmingly from biogenic reactions, the methanogenesis pathway by CO2 reduction. A small minority of groundwater samples shows a more enriched δ13C-CH4 composition (−50 to −44 ‰) which has been interpreted as due to anaerobic or aerobic methylotrophic oxidation in situ or post-sampling oxidation, rather than derivation by a thermogenic route. Few of the existing groundwater sites are proximal to abandoned or disused conventional hydrocarbon wells that exist in the region, and little evidence has been found for an influence on groundwater dissolved gases from these sites. The Vale of Pickering has also been under recent consideration for development of an unconventional hydrocarbon (shale-gas) resource. In this context, the monitoring of dissolved gases has been an important step in establishing the high-CH4 baseline of groundwaters from Jurassic deposits in the region and in apportioning their sources and mechanisms of genesis

Professor W Mike Edmunds: a pioneer in applied hydrogeochemistry and champion of international collaboration

Mike Edmunds was a pioneer in modern applied hydrogeochemistry, helping to develop geochemical tools and their application to managing water resources. In a career span- ning almost 50 years, Mike made major contributions to water resource science as well as pro moting the role of chemistry in solving groundwater problems and championing the need to incorporate science into policy. There can be few hydrogeologists who travelled so extensively in order to study the vast range of groundwater environments of the world. Mike ’ s contribution to water scie nce was recognised through the many accolades he received including the Whitaker Medal in 1999, the O.E. Meinzer Award in 2009, and the Vernadsky Medal in 2010

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication