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Arsenic and Cadmium and Associated Risk in Farm Soils of the Dry Zone Sri Lanka where Chronic Kidney Disease of Unknown Etiology (CKDu) is Endemic

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Abstract

This study reports on a wide-scale, systematic sampling program over two consecutive years investigating As and Cd and associated implications for human health in farming areas of the dry zone, Sri Lanka, where chronic kidney disease with unknown etiology (CKDu) is endemic. Surface soil (0–15 cm), fertilizer and rice seed samples were collected in 2017 and 2018 from three CKDu affected areas [Medawachchiya (M), Padaviya (P) and Giradurukotte (G)], and a non-affected control site [Hambanthota (H)]. All inorganic fertilizer samples showed low As (< 30 mg kg−1) and Cd (< 1.25 mg kg−1) concentrations, less than European Union guideline values, and no correlation with soil concentrations. Arsenic (≤ 3.8 mg kg−1) and Cd (≤ 3.0 mg kg−1) in the 400 soil samples analyzed were low at all four locations, and soils were considered suitable for sensitive and agricultural use. A human health risk assessment demonstrated the As and Cd concentrations in surface soil provided no concern for non-carcinogenic risk, and negligible or acceptable carcinogenic risk for all locations sampled. The As and Cd in rice seeds harvested were also less than detection limits (< 0.1 mg kg−1). This work provides clarity around As and Cd baseline values in certain farm soils of the dry zone Sri Lanka, and no substantive evidence that the levels of As and Cd in the surface soils contribute to CKDu in local agricultural populations. Additional sampling of subsurface soil and water resources would satisfy some uncertainties with the risk assessment described.

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References

  • Alloway BJ (2013) Sources of heavy metals and metalloids in soils. In: Alloway BJ (ed) Heavy metals in soils. Springer, Dordrecht, pp 11–50

    Chapter  Google Scholar 

  • ASC NEPM (2013). National Environment Protection Council (Assessment of Site Contamination) Protection Measure 1999 (amended 2013). Office of Parliamentary Counsel, Canberra

  • Balasooriya S, Munasinghe H, Herath A, Diyabalanage S, Ileperuma O, Manthrithilake H, Daniel C, Amann K, Zwiener C, Barth JA (2019) Possible links between groundwater geochemistry and chronic kidney disease of unknown etiology (CKDu): an investigation from the Ginnoruwa region in Sri Lanka. Expos Health 12:823–834. https://doi.org/10.1007/s12403-019-00340-w

    Article  CAS  Google Scholar 

  • Bandara J, Senevirathna D, Dasanayake D, Herath V, Bandara J, Abeysekara T, Rajapaksha K (2008) Chronic renal failure among farm families in cascade irrigation systems in Sri Lanka associated with elevated dietary cadmium levels in rice and freshwater fish (Tilapia). Environ Geochem Hlth 30:465–478. https://doi.org/10.1007/s10653-007-9129-6

    Article  CAS  Google Scholar 

  • Bandara JMRS, Wijewardena HVP, Liyanege J, Upul MA, Bandara JMUA (2010) Chronic renal failure in Sri Lanka caused by elevated dietary cadmium: Trojan horse of the green revolution. Toxicol Lett 198:33–39. https://doi.org/10.1016/j.toxlet.2010.04.016

    Article  CAS  Google Scholar 

  • Bolan N, Mahimairaja S, Kunhikrishnan A, Choppala G (2013) Phosphorus–arsenic interactions in variable-charge soils in relation to arsenic mobility and bioavailability. Sci Total Environ 463:1154–1162. https://doi.org/10.1016/j.scitotenv.2013.04.016

    Article  CAS  Google Scholar 

  • Cai L, Xu Z, Bao P, He M, Dou L, Chen L, Zhou Y, Zhu Y-G (2015) Multivariate and geostatistical analyses of the spatial distribution and source of arsenic and heavy metals in the agricultural soils in Shunde. Southeast China J Geochem Explor 148:189–195. https://doi.org/10.1016/j.gexplo.2014.09.010

    Article  CAS  Google Scholar 

  • CCME (2021) Canadian Council of Ministers of the Environment. Soil Quality Guidelines for the Protection of Environmental and Human Health Agricultural, Residential/Parkland, Commercial, Industrial. https://ccme.ca/en/summary-table. Accessed 15 Aug 2021

  • Chakraborty S, Alam MO, Bhattacharya T, Singh YN (2014) Arsenic accumulation in food crops: a potential threat in Bengal delta plain. Water Qual Expo Health 6:233–246. https://doi.org/10.1007/s12403-014-0122-x

    Article  CAS  Google Scholar 

  • Chandrajith R, Dissanayake CB, Tobschall HJ (2005) The abundances of rarer trace elements in paddy (rice) soils of Sri Lanka. Chemsophere 58:1415–1420. https://doi.org/10.1016/j.chemosphere.2004.09.090

    Article  CAS  Google Scholar 

  • Chandrajith R, Seneviratna S, Wickramaarachchi K, Attanayake T, Aturaliya TNC, Dissanayake CB (2010) Natural radionuclides and trace elements in rice field soils in relation to fertilizer application: study of a chronic kidney disease area in Sri Lanka. Environ Earth Sci 60:193–201. https://doi.org/10.1007/s12665-009-0179-1

    Article  CAS  Google Scholar 

  • Chandrajith R, Nanayakkara S, Itai K, Aturaliya TNC, Dissanayake CB, Abeysekera T, Harada K, Watanabe T, Koizumi A (2011) Chronic kidney diseases of uncertain etiology (CKDu) in Sri Lanka: geographic distribution and environmental implications. Environ Geochem Hlth 33:267–278. https://doi.org/10.1007/s10653-010-9339-1

    Article  CAS  Google Scholar 

  • Chandrapala L, Wimalasuriya M (2003) Satellite measurements supplemented with meteorological data to operationally estimate evaporation in Sri Lanka. Agric Water Manag 58:89–107. https://doi.org/10.1016/S0378-3774(02)00127-0

    Article  Google Scholar 

  • Codex Alimentarius Commission (2014) Report of the 37th Session of Joint FAO/WHO Food, Standards Programme, Codex Circular Letter CL 2014/11-CF, Codex Alimentarius Commission, 42–87. Codex Alimentarius Commission, Geneva, Switzerland, 14–18 July 2014

  • Day PR (1965) Particle fractionation and particle-size analysis. American Society of Agronomy, Soil Science Society of America, Madison

    Book  Google Scholar 

  • De Miguel E, Izquierdo M, Gómez A, Mingot J, Barrio-Parra F (2017) Risk assessment from exposure to arsenic, antimony, and selenium in urban gardens (Madrid, Spain). Environ Toxicol Chem 36(2):544–550

    Article  Google Scholar 

  • Department of Census and Statistics (2018) Population. Department of Census and Statistics, Sri Lanka. http://www.statistics.gov.lk/. Accessed 20 Aug 2020

  • Diyabalanage S, Navarathna T, Abeysundara HT, Rajapakse S, Chandrajith R (2016) Trace elements in native and improved paddy rice from different climatic regions of Sri Lanka: implications for public health. Springerplus 5:1864. https://doi.org/10.1186/s40064-016-3547-9

    Article  CAS  Google Scholar 

  • DOA (2015) Department of Agriculture, Government of Sri Lanka. In: Crop Technology. Department of Agriculture, Peradeniya

    Google Scholar 

  • ESRI (2011) ArcGIS desktop: release 10. Environmental Systems Research Institute, CA

    Google Scholar 

  • European Parliament and Council (2019) Regulation (EU) 2019/1009 of the European Parliament and of the Council of 5 June 2019 Laying down rules on the making available on the market of EU fertilising products and amending regulations(EC) No 1069/2009 and (EC) No 1107/2009 and repealing regulation (EC) No2003/2003 (Text with EEA Relevance)

  • Fernando W, Kitagawa R, Roser B, Hayasaka Y, Takahashi Y (2001) Composition of charnockite weathering products in three climatic zones. Water-rock interaction. Swets and Zeitlinger, Lisse

    Google Scholar 

  • Fonseka S, Jayasumana C, Jayalath K, Amarasinghe M, Senanayake K, Wijewardhane C, Samarasinghe D, Dahanayake K, Mahamithawa P, Paranagama P (2012) Arsenic and hardness in ground water from chronic kidney disease of unknown etiology (CKDu) prevalent areas and non-CKDu prevalent areas in Sri Lanka

  • Google Earth (2008). http://www.google.com/earth/index.html. Vol. 2017

  • Herath S, Kawakami T, Nagasawa S, Serikawa Y, Motoyama A, Chaminda G, Weragoda S, Yatigammana S, Amarasooriya A (2018) Arsenic, cadmium, lead, and chromium in well water, rice, and human urine in Sri Lanka in relation to chronic kidney disease of unknown etiology. J Water Health 16:212–222. https://doi.org/10.2166/wh.2018.070

    Article  Google Scholar 

  • Honma T, Ohba H, Kaneko-Kadokura A, Makino T, Nakamura K, Katou H (2016) Optimal soil Eh, pH, and water management for simultaneously minimizing arsenic and cadmium concentrations in rice grains. Environ Sci Technol 50:4178–4185. https://doi.org/10.1021/acs.est.5b05424

    Article  CAS  Google Scholar 

  • IARC (2021) IARC Monographs on the identification of carcinogenic hazards to humans. Agents classified by the IARC Monographs, vol. 1–129. International Agency for Research on Cancer https://monographs.iarc.who.int/list-of-classifications. Accessed 6 May 2021

  • Jayasekara J, Dissanayake D, Adhikari S, Bandara P (2013) Geographical distribution of chronic kidney disease of unknown origin in North Central Region of Sri Lanka. Ceylon Med J 58:6–10. https://doi.org/10.4038/cmj.v58i1.5356

    Article  CAS  Google Scholar 

  • Jayasumana M, Paranagama P, Amarasinghe M, Wijewardane K, Dahanayake K, Fonseka S, Rajakaruna K, Mahamithawa A, Samarasinghe U, Senanayake V (2013) Possible link of chronic arsenic toxicity with chronic kidney disease of unknown etiology in Sri Lanka. J Nat Sci Res 3:64–73

    Google Scholar 

  • Jayasumana C, Fonseka S, Fernando A, Jayalath K, Amarasinghe M, Siribaddana S, Gunatilake S, Paranagama P (2015) Phosphate fertilizer is a main source of arsenic in areas affected with chronic kidney disease of unknown etiology in Sri Lanka. Springerplus 4:90. https://doi.org/10.1186/s40064-015-0868-z

    Article  CAS  Google Scholar 

  • Jayasumana C, Gajanayake R, Siribaddana S (2014) Importance of arsenic and pesticides in epidemic chronic kidney disease in Sri Lanka. BMC nephrol 15:1–5. http://www.biomedcentral.com/1471-2369/15/124

  • Jayatilake N, Mendis S, Maheepala P, Mehta FR (2013) Chronic kidney disease of uncertain aetiology: prevalence and causative factors in a developing country. BMC nephrol 14:180. http://www.biomedcentral.com/1471-2369/14/180

  • Jayawardana D, Pitawala H, Ishiga H (2014) Assessment of soil geochemistry around some selected agricultural sites of Sri Lanka. Environ Earth Sci 71:4097–4106. https://doi.org/10.1007/s12665-013-2798-9

    Article  CAS  Google Scholar 

  • Johri N, Jacquillet G, Unwin R (2010) Heavy metal poisoning: the effects of cadmium on the kidney. Biometals 23:783–792. https://doi.org/10.1007/s10534-010-9328-y

    Article  CAS  Google Scholar 

  • Jusop S, Salleh R, Hanif M, Husni A, Awang K (1995) The mineralogy and chemical properties of soils on granite gneiss in three climatic zones in Sri Lanka. Pertanika J Trop Agric Sci 18:45–56

    Google Scholar 

  • Kubier A, Wilkin RT, Pichler T (2019) Cadmium in soils and groundwater: a review. J Appl Geochem 108:104388. https://doi.org/10.1016/j.apgeochem.2019.104388

    Article  CAS  Google Scholar 

  • Kulathunga M, Wijayawardena MA, Naidu R, Wijeratne A (2019) Chronic kidney disease of unknown aetiology in Sri Lanka and the exposure to environmental chemicals: a review of literature. Environ Geochem Hlth 41:2329–2338. https://doi.org/10.1007/s10653-019-00264-z

    Article  CAS  Google Scholar 

  • Kupper T, Bürge D, Bachmann HJ, Güsewell S, Mayer J (2014) Heavy metals in source-separated compost and digestates. J Waste Manag 34(5):867–874. https://doi.org/10.1016/j.wasman.2014.02.007

    Article  CAS  Google Scholar 

  • LECO (2005) Organic application note: carbon and nitrogen in soil and sediment. LECO, Corporation, St. Joseph

    Google Scholar 

  • Levine KE, Redmon JH, Elledge MF, Wanigasuriya KP, Smith K, Munoz B, Waduge VA, Periris-John RJ, Sathiakumar N, Harrington JM (2016) Quest to identify geochemical risk factors associated with chronic kidney disease of unknown etiology (CKDu) in an endemic region of Sri Lanka—a multimedia laboratory analysis of biological, food, and environmental samples. Environ Monit Assess 188:548. https://doi.org/10.1007/s10661-016-5524-8

    Article  CAS  Google Scholar 

  • Li N, Kang Y, Pan W, Zeng L, Zhang Q, Luo J (2015) Concentration and transportation of heavy metals in vegetables and risk assessment of human exposure to bioaccessible heavy metals in soil near a waste-incinerator site, South China. Sci Total Environ 521:144–151

    Article  Google Scholar 

  • Li Y, Ye F, Wang A, Wang D, Yang B, Zheng Q, Sun G, Gao X (2016) Chronic arsenic poisoning probably caused by arsenic-based pesticides: findings from an investigation study of a household. Int J Environ Res Public Health 13(1):133. https://doi.org/10.3390/ijerph13010133

    Article  CAS  Google Scholar 

  • Li JS, Beiyuan J, Tsang DC, Wang L, Poon CS, Li XD, Fendorf S (2017) Arsenic-containing soil from geogenic source in Hong Kong: leaching characteristics and stabilization/ solidification. Chemosphere 182:31. https://doi.org/10.1016/j.chemosphere.2017.05.019

    Article  CAS  Google Scholar 

  • Liao G, Wu Q, Feng R, Guo J, Wang R, Xu Y, Ding Y, Fan Z, Mo L (2016) Efficiency evaluation for remediating paddy soil contaminated with cadmium and arsenic using water management, variety screening and foliage dressing technologies. J Environ Manage 170:116–122. https://doi.org/10.1016/j.jenvman.2016.01.008

    Article  CAS  Google Scholar 

  • Loganathan P, Vigneswaran S, Kandasamy J, Naidu R (2012) Cadmium sorption and desorption in soils: a review. Crit Rev Env Sci Tech 42:489–533. https://doi.org/10.1080/10643389.2010.520234

    Article  CAS  Google Scholar 

  • Luo L, Ma Y, Zhang S, Wei D, Zhu Y-G (2009) An inventory of trace element inputs to agricultural soils in China. J Environ Manage 90:2524–2530. https://doi.org/10.1016/j.jenvman.2009.01.011

    Article  CAS  Google Scholar 

  • Mapa R, Somasiri S, Dassanayake A (2010a) Soils of the dry zone of Sri Lanka. Soil Science Society of Sri Lanka, Soils of the Dry Zone of Sri Lanka, Peradeniya

    Google Scholar 

  • Mapa R, Somasiri S, Dassanayake A (2010b) Soils of dry zone of Sri Lanka: morphology, charecterization, and classification. Soil Science Society of Sri Lanka, Sri Lanka

    Google Scholar 

  • Matejovic I (1993) Determination of carbon, hydrogen, and nitrogen in soils by automated elemental analysis (dry combustion method). Commun Soil Sci Plant Anal 24:2213–2222. https://doi.org/10.1080/00103629309368950

    Article  CAS  Google Scholar 

  • Milestone (2000). Milestone Application Note 031, Application Field Environment, Soil—Ethos Plus. Online: Milestone

  • Nanayakkara S, Senevirathna S, Harada KH, Chandrajith R, Hitomi T, Abeysekera T, Muso E, Watanabe T, Koizumi A (2019) Systematic evaluation of exposure to trace elements and minerals in patients with chronic kidney disease of uncertain etiology (CKDu) in Sri Lanka. J Trace Elem Med Biol 54:206–213. https://doi.org/10.1016/j.jtemb.2019.04.019

    Article  CAS  Google Scholar 

  • Noble A, Amerasinghe P, Manthrithilake H, Arasalingam S (2014) Review of literature on chronic kidney disease of unknown etiology (CKDu) in Sri Lanka, IWMI working paper

  • Northcote KH (1976) A factual key for the recognition of Australian soils, 4th edn. Rellim Technical Publications, Adelaide

    Google Scholar 

  • NSW EPA (1995). Contaminated sites: sampling design guidelines. NSW Environment Protection Agency. New South Wales

  • Premarathna H (2006) Soil and crop contamination by toxic trace elements, Doctoral dissertation, University of Peradeniya

  • R Core Team (2017). R: a language and environment for statistical computing. R version 3.4. 2 (2017-09-28)–Short Summer, R Foundation for Statistical Computing, Vienna

  • R Studio Team (2016). RStudio: Integrated development environment for R. Boston, MA.

  • RAIS (2021) US Department of Energy. Risk assessment information system. Available from: http://rais.ornl.gov. Accessed 16 Aug 2021

  • Rayment GE, Lyons DJ (2011) Soil chemical methods: australasia. CSIRO publishing, Clayton

    Google Scholar 

  • RRDI (2020) Rice research and development institute. Batalagoda, Sri Lanka

    Google Scholar 

  • Saengwilai P, Meeinkuirt W, Phusantisampan T, Pichtel J (2020) Immobilization of cadmium in contaminated soil using organic amendments and its effects on rice growth performance. Expos Health 12:295–306. https://doi.org/10.1007/s12403-019-00312-0

    Article  CAS  Google Scholar 

  • Sanjeevani U, Indraratne S, Weerasooriya S, Vitharana W (2013) Characterization of an alfisol collected from dry zone of Sri Lanka to elucidate the retention mechanisms of pollutants. Trop Agric Res 24: 258–269. http://192.248.43.136/bitstream/1/2254/2/PGIATAR

  • Seshadri B, Bolan NS, Wijesekara H, Kunhikrishnan A, Thangarajan R, Qi F, Matheyarasu R, Rocco C, Mbene K, Naidu R (2016) Phosphorus–cadmium interactions in paddy soils. Geoderma 270:43–59. https://doi.org/10.1016/j.geoderma.2015.11.029

    Article  CAS  Google Scholar 

  • Smolders E, Mertens J (2013) Cadmium. In: Alloway BJ (ed) Heavy metals in soils, trace metals and metalloids in soils and their bioavailability, vol 22. Springer, Dordrecht, pp 283–312

    Google Scholar 

  • Sun Y, Li Z, Guo B, Chu G, Wei C, Liang Y (2008) Arsenic mitigates cadmium toxicity in rice seedlings. Environ Exp Bot 64:264–270. https://doi.org/10.1016/j.envexpbot.2008.05.009

    Article  CAS  Google Scholar 

  • Sun Y-B, Zhou Q-X, Liu W-T, An J, Xu Z-Q, Wang L (2009) Joint effects of arsenic and cadmium on plant growth and metal bioaccumulation: a potential Cd-hyperaccumulator and As-excluder Bidens pilosa L. J Hazard Mater 165:1023–1028. https://doi.org/10.1016/j.jhazmat.2008.10.097

    Article  CAS  Google Scholar 

  • Sungur A, Soylak M, Ozcan H (2014) Investigation of heavy metal mobility and availability by the BCR sequential extraction procedure: relationship between soil properties and heavy metals availability. Chem Speciat Bioavailab 26:219–230. https://doi.org/10.3184/095422914X14147781158674

    Article  CAS  Google Scholar 

  • Survey Department of Sri Lanka (1988) The national atlas of Sri Lanka. Survey Department of Sri Lanka, Sri Lanka

    Google Scholar 

  • Tao XQ, Shen DS, Shentu JL, Long YY, Feng YJ, Shen CC (2015) Bioaccessibility and health risk of heavy metals in ash from the incineration of different e-waste residues. Environ Sci and Pollut Res 22(5):3558–3569. https://doi.org/10.1007/s11356-014-3562-8

    Article  CAS  Google Scholar 

  • Tighe M, Lockwood P, Wilson S, Lisle L (2004) Comparison of digestion methods for ICP-OES analysis of a wide range of analytes in heavy metal contaminated soil samples with specific reference to arsenic and antimony. Commun Soil Sci Plan 35:1369–1385. https://doi.org/10.1081/CSS-120037552

    Article  CAS  Google Scholar 

  • USDA (2010) Keys to soil taxonomy. In: Staff S (ed) United States department of agriculture. Soil Conservation Service, Washington

    Google Scholar 

  • USEPA (1994). Method 200.2: Sample preparation procedure for spectrochemical determination of total recoverable elements. US Environmental Protection Agency, Waghington, US Gov Print Office

  • USEPA (2001). Risk assessment guidance for superfund: Volume III—Part A, process for conducting probabilistic risk assessment. US Environmental Protection Agency, Washington

  • USEPA (2011a) Risk assessment guidance for superfund. In: Part A: Human Health Evaluation Manual; Part E, Supplemental Guidance for Dermal Risk Assessment; Part F, Supplemental Guidance for Inhalation Risk Assessment

  • USEPA (2011b) Exposure factors handbook; EPA/600/R-090/052F; US Environmental Protection Agency, Office of Research and Development, National Center for Environmental Assessment, Washington

  • Wasana HM, Aluthpatabendi D, Kularatne W, Wijekoon P, Weerasooriya R, Bandara J (2016) Drinking water quality and chronic kidney disease of unknown etiology (CKDu): synergic effects of fluoride, cadmium and hardness of water. Environ Geochem Hlth 38:157–168. https://doi.org/10.1007/s10653-015-9699-7

    Article  CAS  Google Scholar 

  • Wenzel WW (2013) Arsenic. In: Alloway BJ (ed) Heavy metals in soils, trace metals and metalloids in soils and their bioavailability, vol 22. Springer, Dordrecht, pp 241–282

    Google Scholar 

  • WHO (2016) International expert consultation on chronic kidney disease of unknown etiology. World Health Organization, Country office for Sri Lanka, Colombo

    Google Scholar 

  • Wickremashinghe R, Peiris-John RJ, Wanigasuriya KP (2011) Chronic kidney disease of unknown aetiology in Sri Lanka: is cadmium a likely cause?. BMC Nephrol 12:32. http://www.biomedcentral.com/1471-2369/12/32

  • Wilson SC, Lockwood PV, Ashley PM, Tighe M (2010) The chemistry and behaviour of antimony in the soil environment with comparisons to arsenic: a critical review. Environ Pollut 158:1169–1181. https://doi.org/10.1016/j.envpol.2009.10.045

    Article  CAS  Google Scholar 

  • World Bank ( 2015). CIAT. Climate-smart agriculture in Sri Lanka. CSA country profiles for Africa, Asia, and Latin America and the Caribbean Series, Washington DC

  • Yamaguchi N, Nakamura T, Dong D, Takahashi Y, Amachi S, Makino T (2011) Arsenic release from flooded paddy soils is influenced by speciation, Eh, pH, and iron dissolution. Chemosphere 83:925–932. https://doi.org/10.1016/j.chemosphere.2011.02.044

    Article  CAS  Google Scholar 

  • Young SD (2013) Chemistry of heavy metals and metalloids in soils. In: Alloway BJ (ed) Heavy metals in soils, trace metals and metalloids in soils and their bioavailability, vol 22. Springer, Dordrecht, pp 51–95

    Google Scholar 

Download references

Funding

This project was supported by the University of New England. Sajanee Gunadasa was funded by an Australian Government Endeavour Postgraduate Scholarship.

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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by SG. The first draft of the manuscript was written by SG and all authors commented and contributed to subsequent versions of the manuscript. All authors read and approved the final manuscript.

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Gunadasa, S.G., Tighe, M.K. & Wilson, S.C. Arsenic and Cadmium and Associated Risk in Farm Soils of the Dry Zone Sri Lanka where Chronic Kidney Disease of Unknown Etiology (CKDu) is Endemic. Expo Health 14, 543–556 (2022). https://doi.org/10.1007/s12403-021-00433-5

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