title: Risk of human exposure to arsenic and other toxic elements from geophagy: trace element analysis of baked clay using inductively coupled plasma mass spectrometry.
abstract: BACKGROUND
  Geophagy or earth-eating is common amongst some Bangladeshi women, especially those who are pregnant, both in Bangladesh and in the United Kingdom. A large proportion of the population in Bangladesh is already exposed to high concentrations of arsenic (As) and other toxic elements from drinking contaminated groundwater. Additional exposure to As and other toxic elements from non-food sources has not been adequately addressed and here we present the first study to monitor As levels in baked clay (known as sikor).
  
  
  METHODS
  Sikor samples originating from Bangladesh were digested using a microwave digester and analysed for their As, Pb, Cd, Mn, Fe and Zn levels using ICP-MS. Detailed As speciation analysis was performed using HPLC-ICP-MS.
  
  
  RESULTS
  Of particular concern were the levels of As (3.8-13.1 mg kg(-1)), Cd (0.09-0.4 mg kg(-1)) and Pb (21-26.7 mg kg(-1)) present in the sikor samples and their possible impact on human health. Speciation analysis revealed that sikor samples contained mainly inorganic As. Modest consumption of 50 g of sikor is equivalent to ingesting 370 μg of As and 1235 μg of Pb per day, based on median concentration values. This level of sikor consumption exceeds the permitted maximum tolerable daily intake (PMTDI) of inorganic As by almost 2-fold.
  
  
  CONCLUSIONS
  We conclude that sikor can be a significant source of As, Cd and Pb exposure for the Bangladeshi population consuming large quantities of this material. Of particular concern in this regard is geophagy practiced by pregnant women concurrently exposed to As contaminated drinking water. Future studies needs to evaluate the bioavailability of As and other elements from sikor and their impact on human health.
authors.affiliation: Faculty of Health and Life sciences, De Montfort University, The Gateway, Leicester LE1 9BH, UK.
authors.forename: Shaban W
authors.initials: SW
authors.lastname: Al-Rmalli
authors.forename: Richard O
authors.initials: RO
authors.lastname: Jenkins
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Watts
authors.forename: Parvez I
authors.initials: PI
authors.lastname: Haris
mesh_terms: D000538:Aluminum Silicates / Q000737:chemistry* / Q000633:toxicity; D001151:Arsenic / Q000032:analysis / Q000633:toxicity; D001459:Bangladesh; D002104:Cadmium / Q000032:analysis / Q000633:toxicity; D000077215:Clay; D004739:England; D005260:Female; D006801:Humans; D007854:Lead / Q000032:analysis / Q000633:toxicity; D013058:Mass Spectrometry; D058955:Metalloids / Q000032:analysis* / Q000633:toxicity*; D019216:Metals, Heavy / Q000032:analysis* / Q000633:toxicity*; D010842:Pica / Q000208:ethnology*; D011247:Pregnancy
chemical_list: D000538:Aluminum Silicates; D058955:Metalloids; D019216:Metals, Heavy; D002104:Cadmium; D007854:Lead; D001151:Arsenic; D000077215:Clay