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Exposure assessment of selected pesticide residues using occurrence data in foods and serum samples in Pakistan

Abstract

Pesticides have emerged as a global threat to human health, especially in developing countries. In this study, we examined nine major types of pesticide residues in the food commodities (8 groups) and serum samples (n = 80) of people living in the region of Southern-Punjab, Pakistan. Pesticide residues quantification was performed using gas chromatograph coupled with electron capture detector (GC-ECD). The estimated daily intakes of the selected pesticide residues through consumption of food were also calculated. The concentration of analyzed pesticide residues in food was found below the EU maximum permissible limits except for α-HCH, and β-HCH. The highest risk of cancer was found to be associated with the consumption of HCHs contaminated cereals than other products. The incidence rate of pesticide residues in the serum samples of studied subjects was 96.25%. Pearson correlation test showed no significant correlation between thyroid hormone levels of the studied population group and the analyzed pesticide residues in the food commodities (p>0.05). Findings of this study indicate that people of Southern-Punjab, Pakistan are exposed to pesticides via food chain although non-significant health implications were recorded, the levels of a few pesticides need to be curtailed.

Keywords:
food; serum; pesticide; estimated daily intake; thyroid

1 Introduction

Pesticides are the group of heterogeneous chemicals, produced naturally or synthesized by man, widely used in agricultural production to control the harmful pests, to increase the yield as well as to eradicate various disease-causing agents (Li et al., 2018Li, J., Wang, P., Shi, S., & Xue, J. (2018). Background biomonitoring of residue levels of 137 pesticides in the blood plasma of the general population in Beijing. Environmental Monitoring and Assessment, 190(5), 315. http://dx.doi.org/10.1007/s10661-018-6694-3. PMid:29705822.
http://dx.doi.org/10.1007/s10661-018-669...
). The use of pesticides particularly in the developing world is consistently increasing due to the rapid growth of intensive agriculture and urbanization (Azandjeme et al., 2014Azandjeme, C. S., Delisle, H., Fayomi, B., Ayotte, P., Djrolo, F., Houinato, D., & Bouchard, M. (2014). High serum organochlorine pesticide concentrations in diabetics of a cotton producing area of the Benin Republic (West Africa). Environment International, 69, 1-8. http://dx.doi.org/10.1016/j.envint.2014.04.002. PMid:24769438.
http://dx.doi.org/10.1016/j.envint.2014....
). In the year 2017, the total global pesticide usage was more than 4 million tones with a major portion (52.8%) utilized in Asian countries (Food and Agriculture Organization, 2019Food and Agriculture Organization – FAO. (2019). Pesticide use. Retrieved from http://www.fao.org/faostat/en/#data/RP
http://www.fao.org/faostat/en/#data/RP...
). Among South Asian countries, Pakistan ranks second in the total pesticide consumption with major use in the agriculture sector (Khan et al., 2020Khan, M. I., Shoukat, M. A., Cheema, S. A., Arif, H. N., Niazi, N. K., Azam, M., Bashir, S., Ashraf, I., & Qadri, R. (2020). Use, contamination and exposure of pesticides in Pakistan: a review. Pakistan Journal of Agricultural Sciences, 57(1). http://dx.doi.org/10.21162/PAKJAS/20.7437.
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; Waheed et al., 2017Waheed, S., Halsall, C., Sweetman, A. J., Jones, K. C., & Malik, R. N. (2017). Pesticides contaminated dust exposure, risk diagnosis and exposure markers in occupational and residential settings of Lahore, Pakistan. Environmental Toxicology and Pharmacology, 56, 375-382. http://dx.doi.org/10.1016/j.etap.2017.11.003. PMid:29127912.
http://dx.doi.org/10.1016/j.etap.2017.11...
). Even though the usage of pesticides in Pakistan decreased dramatically from 0.99 million tons in the year 2012 to 0.92 thousand tons in 2017 (Food and Agriculture Organization, 2019Food and Agriculture Organization – FAO. (2019). Pesticide use. Retrieved from http://www.fao.org/faostat/en/#data/RP
http://www.fao.org/faostat/en/#data/RP...
), some persistent pesticides are still present in various environmental media including air, water, and soil (Ali et al., 2018Ali, N., Kalsoom, Khan, S., Ihsanullah, Rahman, I., & Muhammad, S. (2018). Human health risk assessment through consumption of organophosphate pesticide-contaminated water of Peshawar basin, Pakistan. Exposure and Health, 10(4), 259-272. http://dx.doi.org/10.1007/s12403-017-0259-5.
http://dx.doi.org/10.1007/s12403-017-025...
, 2019Ali, N., Khan, S., Khan, M. A., Waqas, M., & Yao, H. (2019). Endocrine disrupting pesticides in soil and their health risk through ingestion of vegetables grown in Pakistan. Environmental Science and Pollution Research International, 26(9), 8808-8820. http://dx.doi.org/10.1007/s11356-019-04287-y. PMid:30712208.
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; Nakano et al., 2016Nakano, V. E., Kussumi, T. A., Lemes, V. R. R., Kimura, I. A., Rocha, S. B., Alaburda, J., Oliveira, M. C. C., Ribeiro, R. A., Faria, A. L. R., & Waldhelm, K. C. (2016). Evaluation of pesticide residues in oranges from São Paulo, Brazil. Food Science and Technology, 36(1), 40-48. http://dx.doi.org/10.1590/1678-457X.6837.
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; Nawab et al., 2020Nawab, J., Wang, X., Khan, S., Tang, Y.-T., Rahman, Z., Ali, A., Dotel, J., & Li, G. (2020). New insights into the bioaccumulation of persistent organic pollutants in remote alpine lakes located in Himalayas, Pakistan. Environmental Pollution, 2020, 114952. http://dx.doi.org/10.1016/j.envpol.2020.114952. PMid:32933786.
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; Sohail, 2019Sohail, M. (2019). Distribution of Persistent Organic Pollutants (POPs) among different environmental media (air, soil, water, biota) from Indus River Flood-Plain, Pakistan (PhD thesis). COMSATS University, Islamabad. Retrieved from http://prr.hec.gov.pk/jspui/handle/123456789/10865
http://prr.hec.gov.pk/jspui/handle/12345...
; Sultan et al., 2019Sultan, M., Waheed, S., Ali, U., Sweetman, A. J., Jones, K. C., & Malik, R. N. (2019). Insight into occurrence, profile and spatial distribution of organochlorine pesticides in soils of solid waste dumping sites of Pakistan: Influence of soil properties and implications for environmental fate. Ecotoxicology and Environmental Safety, 170, 195-204. http://dx.doi.org/10.1016/j.ecoenv.2018.11.020. PMid:30529619.
http://dx.doi.org/10.1016/j.ecoenv.2018....
; Ullah et al., 2019Ullah, R., Asghar, R., Baqar, M., Mahmood, A., Ali, S. N., Sohail, M., Schäfer, R. B., & Eqani, S. A. M. A. S. (2019). Assessment of organochlorine pesticides in the Himalayan riverine ecosystems from Pakistan using passive sampling techniques. Environmental Science and Pollution Research International, 26(6), 6023-6037. http://dx.doi.org/10.1007/s11356-018-3987-6. PMid:30613874.
http://dx.doi.org/10.1007/s11356-018-398...
). The massive use of pesticides is practiced in Punjab Province (88.3%), followed by Sindh (8.20%), Khyber Pakhtunkhwa (2.8%) and Baluchistan Province (0.76%) (Saeed et al., 2017Saeed, M. F., Shaheen, M., Ahmad, I., Zakir, A., Nadeem, M., Chishti, A. A., Shahid, M., Bakhsh, K., & Damalas, C. A. (2017). Pesticide exposure in the local community of Vehari District in Pakistan: an assessment of knowledge and residues in human blood. The Science of the Total Environment, 587-588, 137-144. http://dx.doi.org/10.1016/j.scitotenv.2017.02.086. PMid:28237471.
http://dx.doi.org/10.1016/j.scitotenv.20...
).

The human exposure to pesticides mainly occurs through ingestion, skin contact, and inhalation. However, diet is believed to be the major route of human exposure to pesticide residues contributing more than 90% of the total exposure (Harmouche-Karaki et al., 2019Harmouche-Karaki, M., Mahfouz, Y., Salameh, P., Matta, J., Helou, K., & Narbonne, J.-F. (2019). Patterns of PCBs and OCPs exposure in a sample of Lebanese adults: the role of diet and physical activity. Environmental Research, 179(Pt B), 108789. http://dx.doi.org/10.1016/j.envres.2019.108789. PMid:31726307.
http://dx.doi.org/10.1016/j.envres.2019....
; Zhang et al., 2017Zhang, Q., Xia, Z., Wu, M., Wang, L., & Yang, H. (2017). Human health risk assessment of DDTs and HCHs through dietary exposure in Nanjing, China. Chemosphere, 177, 211-216. http://dx.doi.org/10.1016/j.chemosphere.2017.03.003. PMid:28288429.
http://dx.doi.org/10.1016/j.chemosphere....
). Several studies have reported the levels of pesticide residues in human serum samples from Pakistan (Hayat et al., 2018Hayat, K., Afzal, M., Aqueel, M. A., Ali, S., Khan, Q. M., & Ashfaq, U. (2018). Determination of insecticide residues and their adverse effects on blood profile of occupationally exposed individuals. Ecotoxicology and Environmental Safety, 163, 382-390. http://dx.doi.org/10.1016/j.ecoenv.2018.07.004. PMid:30059883.
http://dx.doi.org/10.1016/j.ecoenv.2018....
, 2019Hayat, K., Afzal, M., Aqueel, M. A., Ali, S., Saeed, M. F., Qureshi, A. K., Ullah, M. I., Khan, Q. M., Naseem, M. T., Ashfaq, U., & Damalas, C. A. (2019). Insecticide toxic effects and blood biochemical alterations in occupationally exposed individuals in Punjab, Pakistan. The Science of the Total Environment, 655, 102-111. http://dx.doi.org/10.1016/j.scitotenv.2018.11.175. PMid:30469056.
http://dx.doi.org/10.1016/j.scitotenv.20...
; Saeed et al., 2017Saeed, M. F., Shaheen, M., Ahmad, I., Zakir, A., Nadeem, M., Chishti, A. A., Shahid, M., Bakhsh, K., & Damalas, C. A. (2017). Pesticide exposure in the local community of Vehari District in Pakistan: an assessment of knowledge and residues in human blood. The Science of the Total Environment, 587-588, 137-144. http://dx.doi.org/10.1016/j.scitotenv.2017.02.086. PMid:28237471.
http://dx.doi.org/10.1016/j.scitotenv.20...
) with most of the studies focusing on occupational exposure. Analysis of various foodstuffs such as cereals (Ahmad et al., 2008Ahmad, S., Zia-Ul-Haq, M., Imran, M., Iqbal, S., Iqbal, J., & Ahmad, M. (2008). Determination of residual contents of pesticides in rice (Oryza sativa L.) crop from different regions of Pakistan. Pakistan Journal of Botany, 40(3), 1253-1257.; Mumtaz et al., 2015Mumtaz, M., Qadir, A., Mahmood, A., Mehmood, A., Malik, R. N., Li, J., Yousaf, Z., Jamil, N., Shaikh, I. A., Ali, H., & Zhang, G. (2015). Human health risk assessment, congener specific analysis and spatial distribution pattern of organochlorine pesticides (OCPs) through rice crop from selected districts of Punjab Province, Pakistan. The Science of the Total Environment, 511, 354-361. http://dx.doi.org/10.1016/j.scitotenv.2014.12.030. PMid:25553549.
http://dx.doi.org/10.1016/j.scitotenv.20...
), fruits and vegetables (Akhtar et al., 2018Akhtar, S., Yaqub, G., Hamid, A., Afzal, Z., & Asghar, S. (2018). Determination of pesticide residues in selected vegetables and fruits from a local market of Lahore, Pakistan. Current World Environment, 13(2), 242-250. http://dx.doi.org/10.12944/CWE.13.2.09.
http://dx.doi.org/10.12944/CWE.13.2.09...
; Munawar et al., 2013Munawar, A., Hameed, S. W., Sarwar, M., Wasim, M., Hashmi, A. S., & Imran, M. (2013). Identification of pesticide residues in different vegetables Collected from market of Lahore, Pakistan. Jornal of Agro Alimentary Processes and Technologies, 19, 392-398.), milk and milk products (Ishaq & Nawaz, 2018Ishaq, Z., & Nawaz, M. (2018). Analysis of contaminated milk with organochlorine pesticide residues using gas chromatography. International Journal of Food Properties, 21(1), 879-891. http://dx.doi.org/10.1080/10942912.2018.1460607.
http://dx.doi.org/10.1080/10942912.2018....
; Ul Hassan et al., 2014Ul Hassan, A., Tabinda, A. B., Abbas, M., & Khan, A. M. (2014). Organochlorine and pyrethroid pesticides analysis in dairy milk samples collected from cotton growing belt of Punjab, Pakistan. Pakistan Journal of Agricultural Sciences, 51(2), 331-335.), poultry and meat (Ahmad et al., 2018Ahmad, S., Rehman, R., Haider, S., Batool, Z., Ahmed, F., Ahmed, S. B., Perveen, T., Rafiq, S., Sadir, S., & Shahzad, S. (2018). Quantitative and qualitative assessment of additives present in broiler chicken feed and meat and their implications for human health. The Journal of the Pakistan Medical Association, 68(6), 876-881. PMid:30325904.; Hamid et al., 2017Hamid, A., Yaqub, G., Ahmed, S. R., & Aziz, N. (2017). Assessment of human health risk associated with the presence of pesticides in chicken eggs. Food Science and Technology, 37(3), 378-382. http://dx.doi.org/10.1590/1678-457x.11616.
http://dx.doi.org/10.1590/1678-457x.1161...
), and fish (Akhtar et al., 2014Akhtar, M., Mahboob, S., Sultana, S., Sultana, T., Alghanim, K. A., & Ahmed, Z. (2014). Assessment of pesticide residues in flesh of Catla catla from Ravi River, Pakistan. The Scientific World Journal, 2014, 708532. http://dx.doi.org/10.1155/2014/708532. PMid:25003148.
http://dx.doi.org/10.1155/2014/708532...
; Riaz et al., 2018Riaz, G., Tabinda, A. B., Baqar, M., Mahmood, A., Mumtaz, M., Qadir, A., Yasar, A., & Safaei Khorram, M. (2018). Human health risk surveillance through the determination of organochlorine pesticides by high-performance liquid chromatography in water, sediments, and fish from the Chenab River, Pakistan. Analytical Letters, 51(8), 1245-1263. http://dx.doi.org/10.1080/00032719.2017.1372467.
http://dx.doi.org/10.1080/00032719.2017....
) for the levels of pesticide residues have also been reported from various regions of the country. However, little information regarding the direct association between the dietary intake, the serum levels of pesticide residues and thyroid hormones levels in Pakistan has been reported.

Therefore, the objectives of the present study were (i) to analyze the serum levels of Organochlorine pesticides (OCs) including di-chloro-diphenyl-trichloroethanes (DDTs), hexachlorocyclohexanes (HCHs) and dieldrin, chlorpyrifos (the most widely used organophosphate pesticide) and cypermethrin (the most widely used pyrethroid) among urban and rural adults of Southern Punjab, Pakistan; (ii) to assess the mentioned pesticide residues in various food commodities commonly consumed by the studied population; (iii) to estimate the dietary exposure to the pesticides associated with consumption of the food commodities contaminated with pesticide residues and (iv) and to document the association between the serum levels of pesticide residues and thyroid hormones levels.

2 Materials and methods

2.1 Sampling procedures

A cross-sectional survey was conducted during June 2019-March 2020 to investigate the serum levels of pesticide residues among urban and rural residents of three districts, namely Multan, Bahawalpur, and Vehari, Southern Punjab, Pakistan. Intravenous blood samples (8-10 mL) from a total of 80 subjects (40 urban and 40 rural) of both genders aged between 24-55 years were randomly collected into a vacutainer. The collected blood samples were analyzed for pesticide residues and thyroid hormones according to the method of Lacasaña et al. (2010)Lacasaña, M., López-Flores, I., Rodríguez-Barranco, M., Aguilar-Garduño, C., Blanco-Muñoz, J., Pérez-Méndez, O., Gamboa, R., Bassol, S., & Cebrian, M. E. (2010). Association between organophosphate pesticides exposure and thyroid hormones in floriculture workers. Toxicology and Applied Pharmacology, 243(1), 19-26. http://dx.doi.org/10.1016/j.taap.2009.11.008. PMid:19914268.
http://dx.doi.org/10.1016/j.taap.2009.11...
.

Samples of food items (n = 141) commonly consumed by Pakistani population were purchased from five different areas of three districts (Multan, Bahawalpur, and Vehari) of Southern Punjab, Pakistan. All collected samples were transported to the laboratory under controlled environmental conditions and stored at -18 °C until the experimental analysis.

2.2 Preparation of blood and food samples

The extraction and purification of pesticides from blood were carried out by the procedure as described by Attaullah et al. (2018)Attaullah, M., Yousuf, M. J., Shaukat, S., Anjum, S. I., Ansari, M. J., Buneri, I. D., Tahir, M., Amin, M., Ahmad, N., & Khan, S. U. (2018). Serum organochlorine pesticides residues and risk of cancer: a case-control study. Saudi Journal of Biological Sciences, 25(7), 1284-1290. http://dx.doi.org/10.1016/j.sjbs.2017.10.023. PMid:30505171.
http://dx.doi.org/10.1016/j.sjbs.2017.10...
. For food samples, the extraction of pesticide residues was performed using QuEChERS method according to Association of Official Analytical Chemists (2011)Association of Official Analytical Chemists – AOAC. (2011), Pesticide residues in foods by acetonitrile extraction and partitioning with magnesium sulphate (Chap. 5, pp. 5-7). Arlington: AOAC..

2.3 Analysis of pesticide residues

The prepared samples of blood serum and food items were analyzed for the following pesticides: p,p′-dichlorodiphenyl dichloroethylene (p,p′-DDE), p,p′-dichlorodiphenyl dichloroethane (p,p′-DDD), p,p′-dichlorodiphenyl trichloroethane (p,p′-DDT), alpha-hexachlorocyclohexane (α-HCH), beta-hexachlorocyclohexane (β-HCH), delta-hexachlorocyclohexane (δ-HCH), gamma- hexachlorocyclohexane (γ-HCH), chlorpyrifos and cypermethrin using gas chromatograph (Shimadzu GC-17A, Japan) equipped with 63Ni Electron Capture Detector attached to a CBM-102 Chromatopak recorder system and ZB-5 capillary column (60 m × 0.53 mm×1.5 µm, J&W Scientific, USA) at HEJ Research Institute of Chemistry, University of Karachi, Pakistan. Nitrogen (N2) was used as the carrier gas at a flow rate of 40 cm/sec. The temperature of the injector port was maintained at 220 °C. The temperature of the column oven was programmed in between 50 °C to 295 °C ramping with a rate of 3 °C per minute. The column pressure was maintained at 87 Kpa with a flow rate of 11.8 mL per minute. Standard chromatograms were first obtained by injecting the standard mixtures (1μl each) of selected pesticides (0.1%) under split less injector mode. The same procedure was adopted for sample extracts (1μl each). The quantification of detected pesticide residues was carried out with their corresponding peak height and peak areas, while the detected pesticides were identified through their retention times and compared with the standard chromatograms.

2.4 Analytical quality control

Agilent MSD Productivity ChemStation Software was used for system maintenance and data acquirement. To reduce the matrix effect of the method, matrix- matched calibration curves were used. Stock solutions of each pesticide standard (100 mg/kg) were prepared in n-hexane and stored at -18 °C. A mixture of pesticide standard working solutions was also prepared by pipetting 1 mL of each stock solution into a 100 mL volumetric flask and diluting with diethyl ether. For the preparation of matrix-matched calibration standards, mixture of pesticide standard working solutions at 5 different concentrations i.e., 0.05, 0.5, 1.5, 5.0 and 10 mg/L were mixed with the blank sample extracts and the volume of 10μl of TPM in n-hexane was added as an internal standard. To assure the quality of the procedure, blanks were run separately.

The limits of detection (LOD) and the limits of quantification (LOQ) were ranged from 0.01-0.08 ng/g and 0.03-0.24 ng/g, respectively. The recovery percentages of the selected pesticides ranged from 70-98%. Results below the LOQ of the analytical method were taken as zero.

2.5 Thyroid hormone analysis

Levels of triiodothyronine (T3), thyroxine (T4) and thyroid-stimulating hormone (TSH) were measured using automatic chemistry analyzer (AU 480; Beckman Coulter) according to the instructions provided by the ELISA kit manufacturer (Helica Biosystems, Santa Ana, CA, USA) of diagnostic kits at the certified City Laboratory, Multan. Laboratory reference values for T3, T4, and TSH ranged from 0.8-1.8 ng/mL, 4.6-12 µg/dl, 0.2-6.0 mIU/l, respectively.

2.6 Exposure assessment

Data on volunteers’ age, gender, residence status, socioeconomic status, occupation, previous disease history and dietary habits were obtained through interview by trained interviewers. Validated food frequency questionnaire (FFQ) and a 24-hour dietary recall method were administered to obtain data on types and quantities of food consumed. Food items that are consumed on daily basis were categorized into eight groups, namely; i) cereals (wheat, rice, maize); ii) vegetables (green leafy vegetables, root and tuber vegetables, fruiting vegetables, brassica vegetables); iii) fruits (citrus and pome fruits); iv) pulses and legumes (mash, mung, beans. nuts); v) milk and milk products (whole milk, yogurt, cheese); vi) meat (chicken, mutton, beef); vii) fish, and viii) fat-containing foods (eggs, oil, butter, and ghee). The consumption rate (CR) of each food item was calculated by Equation 1.

CR = W × F (1)

where CR is the food consumption rate (kg/day), W is the weight of the food/serving and F is the meal frequency/day (Akoto et al., 2015Akoto, O., Oppong-Otoo, J., & Osei-Fosu, P. (2015). Carcinogenic and non-carcinogenic risk of organochlorine pesticide residues in processed cereal-based complementary foods for infants and young children in Ghana. Chemosphere, 132, 193-199. http://dx.doi.org/10.1016/j.chemosphere.2015.02.056. PMid:25889270.
http://dx.doi.org/10.1016/j.chemosphere....
).

The estimated dietary intake (EDI) of measured pesticide residues in food was calculated by Equation 2.

EDI = CR × C B w (2)

where EDI is the estimated dietary intake of pesticide (mg/kg bw/day), C is the average concentration of pesticide residue in a food item (mg/kg), CR is the food consumption rate (i.e. quantity of food consumed per day) (kg/day), and Bw is the average body weight of an adult individual (60 kg) (Akhtar et al., 2020Akhtar, S., Riaz, M., Naeem, I., Gong, Y. Y., Ismail, A., Hussain, M., & Akram, K. (2020). Risk assessment of aflatoxins and selected heavy metals through intake of branded and non-branded spices collected from the markets of Multan city of Pakistan. Food Control, 112, 107132. http://dx.doi.org/10.1016/j.foodcont.2020.107132.
http://dx.doi.org/10.1016/j.foodcont.202...
; Ismail et al., 2020Ismail, A., Akhtar, S., Riaz, M., Gong, Y. Y., Routledge, M. N., & Naeem, I. (2020). Prevalence and exposure assessment of aflatoxins through black tea consumption in the Multan City of Pakistan and the impact of tea making process on aflatoxins. Frontiers in Microbiology, 11, 446. http://dx.doi.org/10.3389/fmicb.2020.00446. PMid:32296399.
http://dx.doi.org/10.3389/fmicb.2020.004...
).

2.7 Statistical analysis

The statistical analyses including descriptive statistics, analysis of variance (ANOVA) and the Pearson Correlation test were performed using IBM SPSS version 26.0 (SPSS Inc., Chicago, Illinois, USA). A probability level of < 0.05 was considered as statistically significant.

3 Results and discussion

3.1 Occurrence of pesticide residues in food commodities

The concentration of analyzed pesticide residues in food items along with their maximum residual limit (MRLs) are summarized in Table 1. Out of the total 141 samples, 83.7% (n = 118) were found to be contaminated with at least one of the tested pesticides, whereas 20.6% (n = 29) samples were found to contain all types of pesticides including OCs, chlorpyrifos, and cypermethrin. There were no significant differences in the level of pesticides in various food commodities between urban and rural areas, therefore, the results are presented conjointly. Pesticide residues among different food items ranged from <LOD-1030 ng/g. The magnitude of levels of pesticides contamination in studied food groups was recorded in the order of meat > fish > vegetables > cereals > fat-containing foods > milk and milk products > fruits > pulses and legumes with the average pesticide levels of 28.54 ng/g, 23.83 ng/g, 23.32 ng/g, 15.50 ng/g, 13.06 ng/g, 11.55 ng/g, 9.0 ng/g, and 3.47 ng/g, respectively. The pesticide prevalence in foodstuff was recorded in the order of cypermethrin > chlorpyrifos > DDTs > HCHs > dieldrin with the average value of 96.70 ng/g, 29.01 ng/g, 20.90 ng/g, 13.39 ng/g, 1.22 ng/g, respectively (data not shown).

Table 1
Descriptive statistics of pesticide concentration (ng/g) in various food items.

The mean concentration of pesticide residues found in the present study was comparable with the studies from China 22.36 ng/g for DDTs (Zhou et al., 2012Zhou, P., Zhao, Y., Li, J., Wu, G., Zhang, L., Liu, Q., Fan, S., Yang, X., Li, X., & Wu, Y. (2012). Dietary exposure to persistent organochlorine pesticides in 2007 Chinese total diet study. Environment International, 42, 152-159. http://dx.doi.org/10.1016/j.envint.2011.05.018. PMid:21715010.
http://dx.doi.org/10.1016/j.envint.2011....
) and 1.5-674.1 ng/g (Xing et al., 2021Xing, L., Wang, Y., Luo, R., Li, X., & Zou, L. (2021). Determination of 31 pesticide residues in wolfberry by LC-MS/MS and dietary risk assessment of wolfberry consumption. Food Science and Technology, 41, 1-11. http://dx.doi.org/10.1590/fst.61921.
http://dx.doi.org/10.1590/fst.61921...
), Spain (0.07 ng/g for dieldrin) (Boada et al., 2014Boada, L. D., Sangil, M., Álvarez-León, E. E., Hernández-Rodríguez, G., Henríquez-Hernández, L. A., Camacho, M., Zumbado, M., Serra-Majem, L., & Luzardo, O. P. (2014). Consumption of foods of animal origin as determinant of contamination by organochlorine pesticides and polychlorobiphenyls: results from a population-based study in Spain. Chemosphere, 114, 121-128. http://dx.doi.org/10.1016/j.chemosphere.2014.03.126. PMid:25113192.
http://dx.doi.org/10.1016/j.chemosphere....
), and Tunisia (114.33 ng/g for cypermethrin) (Zarrouk et al., 2020Zarrouk, M. B., Gharbi, E., Maatouk, I., Leblanc, J.-C., & Landoulsi, A. (2020). Dietary exposure of Tunisian adult population aged from 19 to 65 years old to pesticides residues. Food Additives & Contaminants: Part A, 37(7), 1165-1179. http://dx.doi.org/10.1080/19440049.2020.1744065. PMid:32364019.
http://dx.doi.org/10.1080/19440049.2020....
) but higher than that reported earlier from the KPK-Pakistan (11.78 ng/g for DDTs) (Aamir et al., 2018Aamir, M., Khan, S., & Li, G. (2018). Dietary exposure to HCH and DDT congeners and their associated cancer risk based on Pakistani food consumption. Environmental Science and Pollution Research International, 25(9), 8465-8474. http://dx.doi.org/10.1007/s11356-017-1129-1. PMid:29307071.
http://dx.doi.org/10.1007/s11356-017-112...
), Romania (5.24 ng/g for HCHs) (Dirtu & Covaci, 2010Dirtu, A. C., & Covaci, A. (2010). Estimation of daily intake of organohalogenated contaminants from food consumption and indoor dust ingestion in Romania. Environmental Science & Technology, 44(16), 6297-6304. http://dx.doi.org/10.1021/es101233z. PMid:20704229.
http://dx.doi.org/10.1021/es101233z...
) and Maryland, USA (0.62 ng/g for chlorpyrifos) (MacIntosh et al., 2001MacIntosh, D. L., Kabiru, C., Echols, S. L., & Ryan, P. B. (2001). Dietary exposure to chlorpyrifos and levels of 3, 5, 6-trichloro-2-pyridinol in urine. Journal of Exposure Science & Environmental Epidemiology, 11(4), 279-285. http://dx.doi.org/10.1038/sj.jea.7500167. PMid:11571607.
http://dx.doi.org/10.1038/sj.jea.7500167...
). The presence of pesticide residues in the food commodities indicates the chances of their detection in the blood samples of the residents of Southern Punjab-Pakistan due to likelihood of dietary exposure and consequently the risk of pesticides associated health complications.

3.2 Occurrence of pesticide residues in human blood

The concentration of pesticide residues detected in the blood serum samples of studied subjects are presented in Table 2. Serum levels of chlorpyrifos and cypermethrin were found to be below the detection limit (data not shown). Out of the total 80 participants, 96.25% (n = 77) were found to contain at least one of the OCs in their blood serum. Ten percent (n = 08) of the participants were found to carry all the analyzed types of OCs in their blood serum of which one participant (12.5%) was from urban, while 7(87.5%) were from the rural area. DDTs were found at higher frequency (96.25%) followed by HCHs (82.5%) and then dieldrin (63.75%). Statistical analysis revealed significant differences in the concentration of different types of pesticide residues quantified in the serum samples of the studied population as well as based on residence area (rural/urban). Based on age and gender, non-significant differences were recorded in the serum levels of pesticide residues except for dieldrin (concerning age groups) and DDTs (concerning gender).

Table 2
Descriptive statistics of pesticides concentration (ng/mL) in blood.

It is pertinent to mention that despite the non-significant differences in the concentration of pesticide residues in the food samples of rural and urban areas, significant differences were recorded for the concentration of pesticide residues in the serum samples of both areas (higher in rural areas and much lower in urban areas). This might be due to the fact that the uncontrolled and excessive use of high quantities of pesticides due to the growth of cotton crop in rural areas further increases the chances of environmental contamination with pesticide residues. The serum concentration of total OCs analyzed in the present study ranged from <LOD-12.91 ng/mL. Among the detected OCs, the magnitude of concentrations was recorded in the order of HCHs > DDTs > dieldrin. The earlier data from Mexico (Orta-García et al., 2014Orta-García, S., Pérez-Vázquez, F., González-Vega, C., Varela-Silva, J. A., Hernández-González, L., & Pérez-Maldonado, I. (2014). Concentrations of persistent organic pollutants (POPs) in human blood samples from Mexico City, Mexico. The Science of the Total Environment, 472, 496-501. http://dx.doi.org/10.1016/j.scitotenv.2013.11.059. PMid:24300460.
http://dx.doi.org/10.1016/j.scitotenv.20...
), South Africa (Azandjeme et al., 2014Azandjeme, C. S., Delisle, H., Fayomi, B., Ayotte, P., Djrolo, F., Houinato, D., & Bouchard, M. (2014). High serum organochlorine pesticide concentrations in diabetics of a cotton producing area of the Benin Republic (West Africa). Environment International, 69, 1-8. http://dx.doi.org/10.1016/j.envint.2014.04.002. PMid:24769438.
http://dx.doi.org/10.1016/j.envint.2014....
), Lebanon (Harmouche-Karaki et al., 2018Harmouche-Karaki, M., Matta, J., Helou, K., Mahfouz, Y., Fakhoury-Sayegh, N., & Narbonne, J.-F. (2018). Serum concentrations of selected organochlorine pesticides in a Lebanese population and their associations to sociodemographic, anthropometric and dietary factors: ENASB study. Environmental Science and Pollution Research International, 25(15), 14350-14360. http://dx.doi.org/10.1007/s11356-017-9427-1. PMid:28616737.
http://dx.doi.org/10.1007/s11356-017-942...
), Tunisia (Hassine et al., 2014Hassine, S. B., Hammami, B., Ameur, W. B., El Megdiche, Y., Barhoumi, B., El Abidi, R., & Driss, M. R. (2014). Concentrations of organochlorine pesticides and polychlorinated biphenyls in human serum and their relation with age, gender, and BMI for the general population of Bizerte, Tunisia. Environmental Science and Pollution Research International, 21(10), 6303-6313. http://dx.doi.org/10.1007/s11356-013-1480-9. PMid:23338993.
http://dx.doi.org/10.1007/s11356-013-148...
) and Korea (Kim et al., 2018Kim, J.-T., Kang, J.-H., Chang, Y.-S., Lee, D.-H., & Choi, S.-D. (2018). Determinants of serum organochlorine pesticide and polychlorinated biphenyl levels in middle-aged Korean adults. Environmental Science and Pollution Research International, 25(1), 249-259. http://dx.doi.org/10.1007/s11356-017-0382-7. PMid:29032525.
http://dx.doi.org/10.1007/s11356-017-038...
) also have reported the abundance of p,p’ DDE, and β-HCH over other congeners of DDT and HCH (data not shown), that is in line with our study. The mean values of DDTs, HCHs and dieldrin found in the present study (Table 2) are comparable to the values reported from district Vehari Punjab, Pakistan (p,p’ DDT = 0.30 ng/mL; dieldrin = 0.14 ng/mL) (Saeed et al., 2017Saeed, M. F., Shaheen, M., Ahmad, I., Zakir, A., Nadeem, M., Chishti, A. A., Shahid, M., Bakhsh, K., & Damalas, C. A. (2017). Pesticide exposure in the local community of Vehari District in Pakistan: an assessment of knowledge and residues in human blood. The Science of the Total Environment, 587-588, 137-144. http://dx.doi.org/10.1016/j.scitotenv.2017.02.086. PMid:28237471.
http://dx.doi.org/10.1016/j.scitotenv.20...
), and Beijing, China (dieldrin = 0.52 ng/mL) (Li et al., 2018Li, J., Wang, P., Shi, S., & Xue, J. (2018). Background biomonitoring of residue levels of 137 pesticides in the blood plasma of the general population in Beijing. Environmental Monitoring and Assessment, 190(5), 315. http://dx.doi.org/10.1007/s10661-018-6694-3. PMid:29705822.
http://dx.doi.org/10.1007/s10661-018-669...
), lower than that from Mexico (geometric mean; DDTs = 113.3 ng/mL, HCHs = 24.8 ng/mL, dieldrin = 1.6 ng/mL) (Ruiz-Suárez et al., 2014Ruiz-Suárez, L. E., Castro-Chan, R. A., Rivero-Pérez, N. E., Trejo-Acevedo, A., Guillén-Navarro, G. K., Geissen, V., & Bello-Mendoza, R. (2014). Levels of organochlorine pesticides in blood plasma from residents of malaria-endemic communities in Chiapas, Mexico. International Journal of Environmental Research and Public Health, 11(10), 10444-10460. http://dx.doi.org/10.3390/ijerph111010444. PMid:25310541.
http://dx.doi.org/10.3390/ijerph11101044...
), Jiangsu, China (DDTs (p,p’ DDT, p,p’-DDD = 37.24 ng/mL) (Chang et al., 2017Chang, C., Chen, M., Gao, J., Luo, J., Wu, K., Dong, T., Zhou, K., He, X., Hu, W., Wu, W., Lu, C., Hang, B., Meeker, J. D., Wang, X., & Xia, Y. (2017). Current pesticide profiles in blood serum of adults in Jiangsu Province of China and a comparison with other countries. Environment International, 102, 213-222. http://dx.doi.org/10.1016/j.envint.2017.03.004. PMid:28284820.
http://dx.doi.org/10.1016/j.envint.2017....
) and Beijing, China (DDTs = 8.50 ng/mL; HCHs = 9.91 ng/mL) (Li et al., 2018Li, J., Wang, P., Shi, S., & Xue, J. (2018). Background biomonitoring of residue levels of 137 pesticides in the blood plasma of the general population in Beijing. Environmental Monitoring and Assessment, 190(5), 315. http://dx.doi.org/10.1007/s10661-018-6694-3. PMid:29705822.
http://dx.doi.org/10.1007/s10661-018-669...
) and higher than that from Jiangsu, China (HCHs = 5.41 ng/mL) (Chang et al., 2017Chang, C., Chen, M., Gao, J., Luo, J., Wu, K., Dong, T., Zhou, K., He, X., Hu, W., Wu, W., Lu, C., Hang, B., Meeker, J. D., Wang, X., & Xia, Y. (2017). Current pesticide profiles in blood serum of adults in Jiangsu Province of China and a comparison with other countries. Environment International, 102, 213-222. http://dx.doi.org/10.1016/j.envint.2017.03.004. PMid:28284820.
http://dx.doi.org/10.1016/j.envint.2017....
) and Bolivia (geometric mean; DDTs = 1.3 ng/mL) (Arrebola et al., 2013Arrebola, J. P., Fernández, M. F., Olea, N., Ramos, R., & Martin-Olmedo, P. (2013). Human exposure to p,p′-dichloro-diphenyl-dichloroethylene (p,p′-DDE) in urban and semi-rural areas in southeast Spain: A gender perspective. The Science of the Total Environment, 458-460, 209-216. http://dx.doi.org/10.1016/j.scitotenv.2013.04.001. PMid:23651776.
http://dx.doi.org/10.1016/j.scitotenv.20...
). Higher concentration of pesticide residues in the serum samples of the people of Southern Punjab – Pakistan is linked with prevalence of pesticide residues in the food commodities available in the region as indicated in Table 1.

3.3 Thyroid hormones levels

The mean levels of T3, T4, and TSH measured in the present study were 1.47 ng/mL, 9.82 µg/dl, and 3.93 mUl/mL, respectively (data not shown). Non-significant differences were recorded for the serum levels of thyroid hormones across both gender and residence area. The laboratory reference values of T3, T4 and TSH were 0.8-1.8 ng/mL, 4.6-12 µg/dl and 0.5-6.0 mUl/mL, respectively. The results of the study indicated that T4 and TSH levels in 12.5% (n = 10) participants and T3 levels in 8.75% (n = 7) of the participants were higher than their respective reference ranges. Thyroid hormone levels in all other participants were found within the reference ranges.

In this study, a very weak inverse correlation was found between serum levels of OCs and T3 (r = -0.005; p = 0.96), T4 (r = -0.06; p = 0.59), and TSH (r = -0.15; p = 0.19) levels. Several studies have investigated the association between OCs levels in the body and the levels of thyroid hormones (Alvarez-Pedrerol et al., 2009Alvarez-Pedrerol, M., Guxens, M., Ibarluzea, J., Rebagliato, M., Rodriguez, A., Espada, M., Goni, F., Basterrechea, M., & Sunyer, J. (2009). Organochlorine compounds, iodine intake, and thyroid hormone levels during pregnancy. Environmental Science & Technology, 43(20), 7909-7915. http://dx.doi.org/10.1021/es9007273. PMid:19921913.
http://dx.doi.org/10.1021/es9007273...
; Bloom et al., 2003Bloom, M. S., Weiner, J. M., Vena, J. E., & Beehler, G. P. (2003). Exploring associations between serum levels of select organochlorines and thyroxine in a sample of New York state sportsmen: the New York State Angler Cohort Study. Environmental Research, 93(1), 52-66. http://dx.doi.org/10.1016/S0013-9351(02)00085-3. PMid:12865048.
http://dx.doi.org/10.1016/S0013-9351(02)...
; Hagmar et al., 2001Hagmar, L., Björk, J., Sjödin, A., Bergman, Å., & Erfurth, E. M. (2001). Plasma levels of persistent organohalogens and hormone levels in adult male humans. Archives of Environmental Health: an International Journal, 56(2), 138-143. http://dx.doi.org/10.1080/00039890109604065. PMid:11339677.
http://dx.doi.org/10.1080/00039890109604...
; Kim et al., 2013Kim, S., Park, J., Kim, H.-J., Lee, J. J., Choi, G., Choi, S., Kim, S., Kim, S. Y., Moon, H.-B., Kim, S., & Choi, K. (2013). Association between several persistent organic pollutants and thyroid hormone levels in serum among the pregnant women of Korea. Environment International, 59, 442-448. http://dx.doi.org/10.1016/j.envint.2013.07.009. PMid:23928038.
http://dx.doi.org/10.1016/j.envint.2013....
; Meeker et al., 2007Meeker, J. D., Altshul, L., & Hauser, R. (2007). Serum PCBs, p, p′-DDE and HCB predict thyroid hormone levels in men. Environmental Research, 104(2), 296-304. http://dx.doi.org/10.1016/j.envres.2006.11.007. PMid:17189629.
http://dx.doi.org/10.1016/j.envres.2006....
; Schell et al., 2004Schell, L. M., Gallo, M. V., DeCaprio, A. P., Hubicki, L., Denham, M., & Ravenscroft, J. (2004). Thyroid function in relation to burden of PCBs, p, p′-DDE, HCB, mirex and lead among Akwesasne Mohawk youth: a preliminary study. Environmental Toxicology and Pharmacology, 18(2), 91-99. http://dx.doi.org/10.1016/j.etap.2004.01.010. PMid:21782738.
http://dx.doi.org/10.1016/j.etap.2004.01...
; Takser et al., 2005Takser, L., Mergler, D., Baldwin, M., De Grosbois, S., Smargiassi, A., & Lafond, J. (2005). Thyroid hormones in pregnancy in relation to environmental exposure to organochlorine compounds and mercury. Environmental Health Perspectives, 113(8), 1039-1045. http://dx.doi.org/10.1289/ehp.7685. PMid:16079076.
http://dx.doi.org/10.1289/ehp.7685...
; Teeyapant et al., 2014Teeyapant, P., Ramchiun, S., Polputpisatkul, D., Uttawichai, C., & Parnmen, S. (2014). Serum concentrations of organochlorine pesticides p,p´-DDE in adult Thai residents with background levels of exposure. The Journal of Toxicological Sciences, 39(1), 121-127. http://dx.doi.org/10.2131/jts.39.121. PMid:24418716.
http://dx.doi.org/10.2131/jts.39.121...
). Though, the results have not been consistent across the studies. The findings of our study are in agreement with the study of Teeyapant et al. (2014)Teeyapant, P., Ramchiun, S., Polputpisatkul, D., Uttawichai, C., & Parnmen, S. (2014). Serum concentrations of organochlorine pesticides p,p´-DDE in adult Thai residents with background levels of exposure. The Journal of Toxicological Sciences, 39(1), 121-127. http://dx.doi.org/10.2131/jts.39.121. PMid:24418716.
http://dx.doi.org/10.2131/jts.39.121...
who reported a non-significant association of thyroid hormones with serum levels of DDTs (p,p’-DDE, and p,p’-DDT) but inconsistent with Kim et al. (2013)Kim, S., Park, J., Kim, H.-J., Lee, J. J., Choi, G., Choi, S., Kim, S., Kim, S. Y., Moon, H.-B., Kim, S., & Choi, K. (2013). Association between several persistent organic pollutants and thyroid hormone levels in serum among the pregnant women of Korea. Environment International, 59, 442-448. http://dx.doi.org/10.1016/j.envint.2013.07.009. PMid:23928038.
http://dx.doi.org/10.1016/j.envint.2013....
who reported a negative association of DDTs with thyroid hormones (free T4 and total T3) and a positive association between DDTs and TSH. Alvarez-Pedrerol et al. (2009)Alvarez-Pedrerol, M., Guxens, M., Ibarluzea, J., Rebagliato, M., Rodriguez, A., Espada, M., Goni, F., Basterrechea, M., & Sunyer, J. (2009). Organochlorine compounds, iodine intake, and thyroid hormone levels during pregnancy. Environmental Science & Technology, 43(20), 7909-7915. http://dx.doi.org/10.1021/es9007273. PMid:19921913.
http://dx.doi.org/10.1021/es9007273...
also reported a positive association between TSH levels and levels of β-HCH. Though the associations in both studies were statistically non-significant (P>0.05).

3.4 Estimation of pesticide exposure

The estimated daily dietary intake (EDIs) values of pesticide residues from 8 different food groups are presented in Table 3. The daily dietary exposure of total pesticides from different food groups was in the order of cereals > vegetables > meat > milk and milk products > fruits > fat-containing foods > pulses and legumes > fish. With respect to the type of pesticides, the EDI was recorded in the order of cypermethrin > chlorpyrifos > DDTs > HCHs > dieldrin. DDTs exposure was found in milk and milk products (32.6%), meat (25.4%) and vegetables (17.4%), while in case of HCHs the major contributors were vegetables (21.5%), cereals (20.2%) and meat (16.08%). Dieldrin exposure was recorded due to milk and milk products (44.01%), fat-containing foods (28.02%), meat (19.56%) and fish (18.39%). For cypermethrin and chlorpyrifos, cereals (76.5% and 38.9%, respectively) and vegetables (13.3% and 31.5%, respectively) were the major contributors to dietary exposure.

Table 3
Estimated dietary intake (EDI) (mg/kg bw/day) of pesticide residues in food groups.

The EDI values of the pesticide residues obtained in this study are much lower than the reference values (Table 3). The findings of dietary exposure estimation obtained in this study are in line with the estimated exposure reported from the Russia (3.10 ×10-5 mg/kg bw/day for DDTs) (Polder et al., 2010Polder, A., Savinova, T., Tkachev, A., Løken, K., Odland, J., & Skaare, J. (2010). Levels and patterns of Persistent Organic Pollutants (POPS) in selected food items from Northwest Russia (1998-2002) and implications for dietary exposure. The Science of the Total Environment, 408(22), 5352-5361. http://dx.doi.org/10.1016/j.scitotenv.2010.07.036. PMid:20719362.
http://dx.doi.org/10.1016/j.scitotenv.20...
), India (6.2 ×10-6 mg/kg bw/day for dieldrin) (Betsy et al., 2014Betsy, A., Vemula, S. R., Sinha, S., Mendu, V. V. R., & Polasa, K. (2014). Assessment of dietary intakes of nineteen pesticide residues among five socioeconomic sections of Hyderabad: a total diet study approach. Environmental Monitoring and Assessment, 186(1), 217-228. http://dx.doi.org/10.1007/s10661-013-3367-0. PMid:23996645.
http://dx.doi.org/10.1007/s10661-013-336...
) and China (1.71×10-5 for HCHs) (Zhang et al., 2017Zhang, Q., Xia, Z., Wu, M., Wang, L., & Yang, H. (2017). Human health risk assessment of DDTs and HCHs through dietary exposure in Nanjing, China. Chemosphere, 177, 211-216. http://dx.doi.org/10.1016/j.chemosphere.2017.03.003. PMid:28288429.
http://dx.doi.org/10.1016/j.chemosphere....
). However, the levels are comparatively higher than that from KPK-Pakistan (2.0×10-5 mg/kg bw/day for DDTs) (Aamir et al., 2018Aamir, M., Khan, S., & Li, G. (2018). Dietary exposure to HCH and DDT congeners and their associated cancer risk based on Pakistani food consumption. Environmental Science and Pollution Research International, 25(9), 8465-8474. http://dx.doi.org/10.1007/s11356-017-1129-1. PMid:29307071.
http://dx.doi.org/10.1007/s11356-017-112...
), Cameron (2.7×10-5 to 1.2×10-5mg/kg bw/day for cypermethrin) (Gimou et al., 2008Gimou, M.-M., Charrondiere, U., Leblanc, J.-C., & Pouillot, R. (2008). Dietary exposure to pesticide residues in Yaoundé: the Cameroonian total diet study. Food Additives and Contaminants: Part A, 25(4), 458-471. http://dx.doi.org/10.1080/02652030701567475. PMid:18348045.
http://dx.doi.org/10.1080/02652030701567...
) and Indonesia (4.0×10-8 mg/kg bw/day for DDTs) (Shoiful et al., 2013Shoiful, A., Fujita, H., Watanabe, I., & Honda, K. (2013). Concentrations of organochlorine pesticides (OCPs) residues in foodstuffs collected from traditional markets in Indonesia. Chemosphere, 90(5), 1742-1750. http://dx.doi.org/10.1016/j.chemosphere.2012.10.022. PMid:23177005.
http://dx.doi.org/10.1016/j.chemosphere....
) indicating higher health risks associated with the consumption of pesticides contaminated food available in the markets of Southern-Punjab, Pakistan.

4 Conclusion

The concentration of pesticide residues in food items was found lower than the EU MRLs except for α-HCH, and β-HCH in certain food items. The dietary exposures to all the analyzed pesticides were below the toxicological reference values set by the regulatory authorities. However, this study had several limitations. Firstly, the study investigated only the serum level of pesticide residues including the level of organophosphates and pyrethroids that are excreted out through urine in the form of conjugates within 4-48 hrs of exposure and their minute concentration remains in the blood (Huen et al., 2012Huen, K., Bradman, A., Harley, K., Yousefi, P., Barr, D. B., Eskenazi, B., & Holland, N. (2012). Organophosphate pesticide levels in blood and urine of women and newborns living in an agricultural community. Environmental Research, 117, 8-16. http://dx.doi.org/10.1016/j.envres.2012.05.005. PMid:22683313.
http://dx.doi.org/10.1016/j.envres.2012....
; Li & Kannan, 2018Li, A. J., & Kannan, K. (2018). Urinary concentrations and profiles of organophosphate and pyrethroid pesticide metabolites and phenoxyacid herbicides in populations in eight countries. Environment International, 121(Pt 2), 1148-1154. http://dx.doi.org/10.1016/j.envint.2018.10.033. PMid:30808487.
http://dx.doi.org/10.1016/j.envint.2018....
). Therefore, further investigation based on urinary biomarker approach is recommended to assess the exposure of organophosphates and pyrethroids in general population of Pakistan. Secondly, the population group studied in the present investigation was only the adults (24-55 years). Thus, future total diet studies focusing on vulnerable population groups of Pakistan (children and elderly) are recommended. Additionally, dietary modifications, and implementation of good agricultural practices such as proper washing of foodstuff prior to use and the use of eco-friendly bio-pesticides and good manufacturing practices must be ensured to remarkably reduce the dietary exposure to pesticides and associated health risks (Hussnain et al., 2021Hussnain, A., Amir, R. M., Khan, M. A., Ahmad, A., Ali, S. W., Nadeem, M., Ameer, K., Khan, M. A., Mahmood, S., & Hayat, I. (2021). Mitigating the impact of organochlorine and pyrethroid residues in fresh and chemically washed spinach. Food Science and Technology, 41(1), 59-64. http://dx.doi.org/10.1590/fst.37019.
http://dx.doi.org/10.1590/fst.37019...
; Rembischevski & Caldas, 2020Rembischevski, P., & Caldas, E. D. (2020). Risk perception related to food. Food Science and Technology, 40(4), 779-785. http://dx.doi.org/10.1590/fst.28219.
http://dx.doi.org/10.1590/fst.28219...
).

Acknowledgements

The authors are grateful to the management of Center for Environmental Studies, Pakistan Council of Scientific and Industrial Research Laboratories Complex, Karachi, Pakistan for providing support to quantify pesticide residues in the analyzed samples.

  • Practical Application: Prevalence data on pesticide residues in food and serum samples and health risk assessment among Pakistani population.

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Publication Dates

  • Publication in this collection
    18 Mar 2022
  • Date of issue
    2022

History

  • Received
    02 Jan 2022
  • Accepted
    14 Jan 2022
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