Quality assurance of biological monitoring in occupational and environmental medicine

Biological monitoring of chemical exposure in the workplace has become increasingly important in the assessment of health risk as an integral part of the overall occupational health and safety strategy. In environmental medicine biological monitoring plays also an important role in the assessment of excessive, acute or chronic exposure to chemical agents. To guarantee that the results obtained in biological monitoring are comparable with threshold limit values and results from other laboratories, the analysis must be carried out with tested and reliable analytical methods and accompanied by a quality assurance scheme. Confounding influences and interferences during the pre-analytical phase can be minimised by recommendations from experienced laboratories. For internal quality control commercially available control samples with an assigned concentration are used. External quality control programs for biological monitoring are offered by several institutions. The external quality control program of the German Society of Occupational and Environmental Medicine has been organised since 1982. In the meantime the 27th program has been carried out offering 96 analytes in urine, blood and plasma for 47 substances. This program covers most of the parameters relevant to occupational and environmental medicine. About 350 laboratories take part in these intercomparison programs. At present, ten German and 14 international laboratories are commissioned to determine the assigned values. The data evaluated from the results of the intercomparison programs give a good overview of the current quality of the determination of analytes assessed in occupational and environmental toxicological laboratories. For the analysis of inorganic substances in blood and urine the tolerable variation ranges from 7.5 to 43.5%. For organic substances in urine the tolerable variation ranges from 12 to 48%. The highest variations (36-60%) were found for the analysis of organochlorine compounds in plasma. The tolerable variations for the determination of solvents in blood by head space gas chromatography range from 26 to 57%. If the recommendations for the pre-analytical phase, the selection of reliable analytical methods by the laboratory and the carrying out of adequate quality control are observed, the pre-requisites for reliable findings during biological monitoring are fulfilled     

The implications of the precautionary principle for biological monitoring

Marine biological monitoring programmes frequently attempt to determine “safe” levels of contamination, based on assumptions about the assimilative capacity of the environment. This paper argues that such assumptions lack scientific rigour, and do not form the basis upon which a precautionary policy can be built. It notes the problems associated with assessing toxicological effects, but centres its attention on the crucial (yet far less discussed) weaknesses in theoretical ecology that make it extremely unlikely that biological monitoring can determine safe levels of contamination that leave ecosystems unaffected. It is argued that many marine biologists, if pressed, would concede these shortcomings but believe that, in the face of the technical difficulties and high costs of pollution prevention, we have no choice but to use such methods. This paper argues, with examples, that pollution prevention, often with considerable economic savings, is becoming a reality for even the most problematic substances. The difficulty is that the development of “clean production” methods lie outside the sphere of interest of those carrying out monitoring, so that measures that attempt to determine safe levels of contamination continue to be advocated. This gulf needs to be bridged so that the continuation of monitoring programmes that are part of dilute and disperse policies become regarded as inappropriate, indeed unethical. The paper concludes that this does not mean the end of marine monitoring. Instead, reliable methods for assessing physical levels of contamination will be required to determine whether the reduction targets set—as part of the introduction of clean production—are being met. Formidable difficulties will remain, requiring a precautious approach. Nevertheless, monitoring will no longer carry the burden of attempting to demonstrate that a particular level of environmental contamination is safe, which is currently destroying its scientific credibility.     

Bioindicators of changes in water quality on coral reefs: review and recommendations for monitoring programmes

Effective environmental management requires monitoring programmes that provide specific links between changes in environmental conditions and ecosystem health. This article reviews the suitability of a range of bioindicators for use in monitoring programmes that link changes in water quality to changes in the condition of coral-reef ecosystems. From the literature, 21 candidate bioindicators were identified, whose responses to changes in water quality varied spatially and temporally; responses ranged from rapid (hours) changes within individual corals to long-term (years) changes in community composition. From this list, the most suitable bioindicators were identified by determining whether responses were (i) specific, (ii) monotonic, (iii) variable, (iv) practical and (v) ecologically relevant to management goals. For long-term monitoring programmes that aim to quantify the effects of chronic changes in water quality, 11 bioindicators were selected: symbiont photophysiology, colony brightness, tissue thickness and surface rugosity of massive corals, skeletal elemental and isotopic composition, abundance of macro-bioeroders, micro- and meiobenthic organisms such as foraminifera, coral recruitment, macroalgal cover, taxonomic richness of corals and the maximal depth of coral-reef development. For short-term monitoring programmes, or environmental impact assessments that aim to quantify the effects of acute changes in water quality, a subset of seven of these bioindicators were selected, including partial mortality. Their choice will depend on the specific objectives and the timeframe available for each monitoring programme. An assessment framework is presented to assist in the selection of bioindicators to quantify the effects of changing water quality on coral-reef ecosystems.     

Role of biomarkers in monitoring exposures to chemicals: present position,future prospects

Biomarkers are becoming increasingly important in toxicology and human health. Many research groups are carrying out studies to develop biomarkers of exposure to chemicals and apply these for human monitoring. There is considerable interest in the use and application of biomarkers to identify the nature and amounts of chemical exposures in occupational and environmental situations. Major research goals are to develop and validate biomarkers that reflect specific exposures and permit the prediction of the risk of disease in individuals and groups. One important objective is to prevent human cancer. This review presents a commentary and consensus views about the major developments on biomarkers for monitoring human exposure to chemicals. A particular emphasis is on monitoring exposures to carcinogens. Significant developments in the areas of new and existing biomarkers, analytical methodologies, validation studies and field trials together with auditing and quality assessment of data are discussed. New developments in the relatively young field of toxicogenomics possibly leading to the identification of individual susceptibility to both cancer and non-cancer endpoints are also considered. The construction and development of reliable databases that integrate information from genomic and proteomic research programmes should offer a promising future for the application of these technologies in the prediction of risks and prevention of diseases related to chemical exposures. Currently adducts of chemicals with macromolecules are important and useful biomarkers especially for certain individual chemicals where there are incidences of occupational exposure. For monitoring exposure to genotoxic compounds protein adducts, such as those formed with haemoglobin, are considered effective biomarkers for determining individual exposure doses of reactive chemicals. For other organic chemicals, the excreted urinary metabolites can also give a useful and complementary indication of exposure for acute exposures. These methods have revealed ‘backgrounds’ in people not knowingly exposed to chemicals and the sources and significance of these need to be determined, particularly in the context of their contribution to background health risks.     

Role of biomarkers in monitoring exposures to chemicals: present position, future prospects

Biomarkers are becoming increasingly important in toxicology and human health. Many research groups are carrying out studies to develop biomarkers of exposure to chemicals and apply these for human monitoring. There is considerable interest in the use and application of biomarkers to identify the nature and amounts of chemical exposures in occupational and environmental situations. Major research goals are to develop and validate biomarkers that reflect specific exposures and permit the prediction of the risk of disease in individuals and groups. One important objective is to prevent human cancer. This review presents a commentary and consensus views about the major developments on biomarkers for monitoring human exposure to chemicals. A particular emphasis is on monitoring exposures to carcinogens. Significant developments in the areas of new and existing biomarkers, analytical methodologies, validation studies and field trials together with auditing and quality assessment of data are discussed. New developments in the relatively young field of toxicogenomics possibly leading to the identification of individual susceptibility to both cancer and non-cancer endpoints are also considered. The construction and development of reliable databases that integrate information from genomic and proteomic research programmes should offer a promising future for the application of these technologies in the prediction of risks and prevention of diseases related to chemical exposures. Currently adducts of chemicals with macromolecules are important and useful biomarkers especially for certain individual chemicals where there are incidences of occupational exposure. For monitoring exposure to genotoxic compounds protein adducts, such as those formed with haemoglobin, are considered effective biomarkers for determining individual exposure doses of reactive chemicals. For other organic chemicals, the excreted urinary metabolites can also give a useful and complementary indication of exposure for acute exposures. These methods have revealed 'backgrounds' in people not knowingly exposed to chemicals and the sources and significance of these need to be determined, particularly in the context of their contribution to background health risks.     

Bioseparation and bioanalytical techniques in environmental monitoring

The growing use of antibody-based separation methods has paralleled the expansion of immunochemical detection methods in moving beyond the clinical diagnostic field to applications in environmental monitoring. In recent years high-performance immunoaffinity chromatography, which began as a separation technique in biochemical and clinical research, has been adapted for separating and quantifying environmental pollutants. Bioaffinity offers a selective biological basis for separation that can be incorporated into a modular analytical process for more efficient environmental analysis. The use of immunoaffinity chromatography for separation complements the use of immunoassay for detection. A widely used immunochemical detection method for environmental analyses is enzyme immunoassay. The objective of this paper is to review the status of bioaffinity-based analytical procedures for environmental applications and human exposure assessment studies. Environmental methods based on bioaffinity range from mature immunoassays to emerging techniques such as immunosensors and immunoaffinity chromatography procedures for small molecules.     

Biosensors for environmental monitoring

Increasing environmental legislation which controls the release and the levels of certain chemicals in the environment has created a need for reliable monitoring of these substances in air, soil and especially water. Conventional analytical techniques, although highly precise, suffer from the disadvantages of high cost, the need for trained personnel and the fact that they are mostly laboratory bound. Biosensors because of their specificity, fast response times, low cost, portability, ease of use and a continuous real time signal, can present distinct advantages in certain cases. Their biological base makes them ideal for toxicological measurements which are suited for health and safety applications. Over the last 3-4 years there has been an increase in the number of publications concerning biosensors for environmental monitoring, especially in the field of pesticide measurements.This paper reviews some of the more important developments over the past 3-4 years.     

The use of fish in ecological assessments

Abstract Fish provide powerful tools for assessing aquatic environments. Three attributes are especially significant: the sensitivity of fish to most forms of human disturbance, their usefulness at all levels of biological organization and the favourable benefit-to-cost ratio offish assessment programmes. Fish can be used as indicators over wide temporal and spatial ranges. Because they cover all trophic levels of consumer ecology, fish can effectively integrate the whole range of ecological processes in waterways. Fish have been used in many different roles for assessing river health and monitoring responses to remedial management. Three of these applications appear to have particular value for management of Australian rivers: (i) automated systems monitoring fish ventilation can provide sensitive, broad-spectrum and continuous sensing of water quality to protect receiving waters or water-supply intakes; (ii) programmes collecting routine data on commercial or recreational fisheries can be designed and analysed so as to isolate confounding effects due to fishery-specific factors and, hence, used to detect and monitor environmental change on large scales; (iii) the Index of Biotic Integrity (IBI) can be modified to suit Australian conditions and fish communities to meet the important need for a predictive model of aquatic environmental quality. The IBI is a quantitative biological tool with a strong ecological foundation that integrates attributes from several levels of ecosystem organization. Examples of the use of IBI elsewhere suggest its robustness, flexibility and sensitivity can cope effectively with the low diversity of the Australian fish fauna and the dominance of ecological generalists. A provisional structure is suggested for a test of the IBI in four riverine regions of New South Wales.     

Biological monitoring of water quality in Australia: Workshop summary and future directions

Abstract Biological methods are widely accepted in water quality monitoring programmes worldwide; however, some concern remains over their effectiveness in predicting the effects of contaminants on aquatic ecosystems. While the so-called‘early warning’ approaches, such as bioassays and biomarkers, have been used in Australia to demonstrate mechanisms of toxic action and exposure to contaminants, as elsewhere, little attempt has been made to link observed effects at these lower levels of biological organization to real impacts on aquatic systems. The ecological consequences of exposure to contaminants is undoubtedly best studied at higher levels of biological organization (i. e. at the population or community level). However, monitoring aquatic communities is labour intensive and inadequate for the early detection of impacts. Research is needed to identify links between the bioassessment measures used, so that changes at the lowest biological level (e. g. using biomarkers and bioassays) can be translated into likely‘real’ impacts on the aquatic system, as measured at the population or community level. Monitoring the genetic structure of populations of aquatic organisms, particularly invertebrates, may provide a potential link between subtle effects observed in bioassay tests and subsequent changes in population density and/or community structure. A streamlined approach to monitoring changes at the community level needs to be developed to improve predictive ability and to make this approach more responsive to the early detection and prevention of unacceptable impacts. In addition, research on the use of ecosystem level parameters, such as production/respiration ratios or community metabolism, should be undertaken to determine their suitability for routine biomonitoring of water quality in Australian inland waters.     

Factors contributing to discrepancies in population monitoring studies

A review of the scientific literature on population monitoring studies (on non-accidentally exposed populations) frequently show that many of these studies using similarly exposed populations and the same laboratory techniques do not produce consistent results. To illustrate the problem, a brief review of studies using well validated techniques (chromosome aberrations and hprt gene mutation) to elucidate genotoxic effects of cigarette smoking is presented. Although many factors can contribute to the generation of discrepant results, two obvious factors are small sample sizes and inadequate experimental data. In addition, a new factor on genetic susceptibility should be considered in population studies whenever appropriate. The new factor is based on recent data showing the influence of polymorphic metabolizing genes on response to environmental mutagens towards biological effects and disease outcome. The common ones include the cytochrome P450 and the glutathione S-transferase genes. The inclusion of susceptibility factors in population monitoring may revolutionize the approach for health risk assessment and for environmental regulations.     

Fishes as indicators of environmental and ecological changes within estuaries: a review of progress and some suggestions for the future

Estuarine habitats, and the fish assemblages associated with them, are potentially impacted upon by many anthropogenic influences which can have a direct influence on the food resources, distribution, diversity, breeding, abundance, growth, survival and behaviour of both resident and migrant fish species. The direct and indirect coupling between ichthyofaunal communities and human impacts on estuaries reinforces the choice of this taxonomic group as a biological indicator that can assist in the formulation of environmental and ecological quality objectives, and in the setting of environmental and ecological quality standards for these systems. This review examines the rationale and value of selecting fishes as bio-indicators of human induced changes within estuaries, using examples from both the northern and southern hemispheres. The monitoring of estuarine 'health' using fish studies at the individual and community level is discussed, with an emphasis on the potential use of estuarine fishes and their monitoring and surveillance in national and international management programmes. In illustrating the above concept, examples are presented of the way in which fishes are threatened by anthropogenic impacts and of the way in which teleosts can contribute to a monitoring of estuarine ecosystem health.     

Analytical methods for biological monitoring of exposure to pesticides: a review

Synthetic pesticides have been used since in the early to mid twentieth century. In the US alone, over 800 pesticide active ingredients are formulated in about 21,000 different commercial products. Although many public health benefits have been realized by the use of pesticides, their potential impact on the environment and public health is substantial. For risk assessment studies, exposure assessment is an integral component, which has unfortunately, often been weak or missing. In the past several decades, researchers have proposed to fill these missing data gaps using biological monitoring of specific markers related to exposures. In this paper, we present a review of existing analytical methodology for the biological monitoring of exposure to pesticides. We also present a critical assessment of the existing methodology and explore areas in which more research is needed.     

Characteristics of Australia's rangelands and key design issues for monitoring biodiversity

Abstract We explored the key issues that are most likely to influence any set of guiding principles for developing biodiversity monitoring programmes in Australia's rangelands. We defined the Australian rangelands and came up with an overview of their climate extremes, land‐use pressures and biodiversity loss, and then focussed on issues underpinning the design phase of any monitoring programme. Using Noss's 1990 framework of compositional, structural and functional attributes of biodiversity and its new revisions by others, we showed how the elusive, abstract concept of biodiversity can be used to identify many measurable attributes that can form a minimum and necessary set of indicators for any biodiversity monitoring task. We then described the steps in the monitoring process, with a particular focus on the reasons for monitoring biodiversity as they strongly influence the selection of indicators. We concluded by compiling a table of key issues as background information for developing guiding principles (Table 4). The list is by no means an exhaustive list for the design phase but it does indicate that considerable attention needs to be given to this phase when developing monitoring programmes. We have intentionally not addressed the equally important issues associated with the planning and delivery phases of developing a monitoring programme, as Wallace et al. and Watson and Novelly cover these in their papers in the present issue of Austral Ecology.     

Integrating ongoing biodiversity monitoring: potential benefits and methods

Halting the loss of biodiversity comes along with the need to quantify biodiversity composition and dynamics at large spatial and temporal scales. Highly standardized, international monitoring networks would be ideal, but they do not exist yet. If we are to assess changes in biodiversity now, combining output available from ongoing monitoring initiatives is the only option. However, integration of biodiversity information across schemes is still very poorly developed. In this paper, we outline practical issues to be considered when planning to combine existing monitoring information. First, we provide an overview of avenues for integration along the four dimensions that characterize a monitoring design: sample size, biological coverage, spatial coverage and temporal coverage. We also emphasize that complementarity in monitoring targets across schemes enables to describe complex processes of biodiversity dynamics, e.g. through relating species traits to the impacts of environmental changes. Second, we review some methods to overcome differences in designs among monitoring schemes, such as site selection, post-stratification and measurement error. Finally, we point out some commonly used statistical methods that are at hand for combining data or parameter estimates. We especially emphasize the possible levels of data integration (raw data, parameter estimates, or effect size estimates), and the largely under-exploited potential of meta-analysis methods and weighted analyses. This contribution aims to bolster the practice and use of integration of ongoing monitoring initiatives for biodiversity assessment.     

Towards the global monitoring of biodiversity change

Governments have set the ambitious target of reducing biodiversity loss by the year 2010. The scientific community now faces the challenge of assessing the progress made towards this target and beyond. Here, we review current monitoring efforts and propose a global biodiversity monitoring network to complement and enhance these efforts. The network would develop a global sampling programme for indicator taxa (we suggest birds and vascular plants) and would integrate regional sampling programmes for taxa that are locally relevant to the monitoring of biodiversity change. The network would also promote the development of comparable maps of global land cover at regular time intervals. The extent and condition of specific habitat types, such as wetlands and coral reefs, would be monitored based on regional programmes. The data would then be integrated with other environmental and socioeconomic indicators to design responses to reduce biodiversity loss.     

The UK Environmental Change Network after twenty years of integrated ecosystem assessment: Key findings and future perspectives

The UK Environmental Change Network (ECN), the UK's Long-Term Ecosystem Research (LTER) network, has now been operating for over twenty years. It was established in 1992 as a set of terrestrial sites at which sustained observations relevant to a range of ecological indicators and environmental parameters could be made. An additional ECN freshwater network was launched in 1994. In this paper we provide a brief history of the network, and describe its current structure and role within a complementary wider range of UK environmental monitoring and observation programmes that are either more focussed on specific parameters or habitats, or operate at different temporal and spatial scales. We then provide a review of the other papers within this Special Issue, which exemplifies the broad range of environmental concerns that ECN data and sites are helping to address. These include network-wide summaries of environmental and biological trends over the first two decades of monitoring, more site-specific assessment of the ecological impacts of local pressures resulting from changes in management, biological and ecosystem service indicator development, and the testing of new monitoring technologies. We go on to consider: (i) future directions of network development and adaptation in light of recently emerging environmental concerns, dwindling financial resources and the consequent need for greater efficiency; (ii) the desire for tighter integration with other monitoring and observation programmes both nationally internationally; (iii) opportunities raised by recent technological developments; and (iv) the need to process and make available data more rapidly to increase the capacity of ECN sites as early warning systems. In its first two decades of operation the ECN has accumulated a robust set of baseline data that describe environmental and biological variability across a range of habitats in unprecedented detail. With appropriate, informed development, these should prove invaluable in discerning the causes and consequences of environmental change for decades to come.     

Modelling the policy and economic context for detection- based monitoring tools: the costs and benefits of detecting last survivors and first re-colonisers

Establishing and maintaining the success of pest or weed eradication programmes requires interpretation of failures to detect survivors and first re-colonisers. Recent developments provide statistical frameworks that allow sequences of such failures to be interpreted in a probabilistic context. For example, application of these methods allow managers of eradication programmes to decide a priori an acceptable risk of programme failure, and to use this decision to design monitoring regimes that deliver this level of certainty, given the detection characteristics of the search techniques at their disposal. Similar methods could be use to design monitoring regimes to detect an incursion by a previously eradicated species (i.e. an eradication breakdown), which have an acceptable risk of failure. However, the availability of these methods begs questions about how “acceptable” risks of eradication failure or breakdown should be specified, and the consequent effort that should be expended to locate last survivors and first re- colonisers. We use a risk-based bioeconomic framework to model and analyse these decisions. The analysis demonstrates critical trade-offs between the cost and efficacy of the detection techniques available, the “value” of the eradication programme, and the perceived risk that a breakdown can occur. While our focus is on island pest eradication, we suggest how the bioeconomic framework used could be usefully applied to the detection of rare, at risk species, and the management of sporadically frequent diseases.     

Forest ecosystem inventory and monitoring as a framework for terrestrial natural renewable resource survey programmes

ABSTRACT

The established practice of forest ecosystem inventory and monitoring is recognised as a main support for terrestrial natural renewable resource survey programmes. Inventory and monitoring programmes focused on an overall assessment of ecosystem attributes evolving into global environmental survey programmes have been devised, but implementation is still quite contradictory. The state-of-the-art is discussed here, with special reference to the European Union and Italy. Topical issues are reviewed, with selective concern to: remote sensing capability, probability sampling, forest type (habitat) classification and landscape ecology, sustainable management indicators. Benefits brought by information technology are highlighted. Its development and the implementation of approaches based on a sound “per habitat” landscape ecological perspective will bring unique benefits, thus leading to an effective integration among sector surveys aimed at global environmental inventory/monitoring.     

Recent advances in mass spectrometry: data independent analysis and hyper reaction monitoring

New mass spectrometry (MS) methods, collectively known as data independent analysis and hyper reaction monitoring, have recently emerged. These methods hold promises to address the shortcomings of data-dependent analysis and selected reaction monitoring (SRM) employed in shotgun and targeted proteomics, respectively. They allow MS analyses of all species in a complex sample indiscriminately, or permit SRM-like experiments conducted with full high-resolution product ion spectra, potentially leading to higher sequence coverage or analytical selectivity. These methods include MS^E, all-ion fragmentation, Fourier transform-all reaction monitoring, SWATH Acquisition, multiplexed MS/MS, pseudo-SRM (pSRM) and parallel reaction monitoring (PRM). In this review, the strengths and pitfalls of these methods are discussed and illustrated with examples. In essence, the suitability of the use of each method is contingent on the biological questions posed. Although these methods do not fundamentally change the shape of proteomics, they are useful additional tools that should expedite biological discoveries.     

Interpreting coral reef monitoring data: A guide for improved management decisions

Coral reef monitoring programmes exist in all regions of the world, recording reef attributes such as coral cover, fish biomass and macroalgal cover. Given the cost of such monitoring programs, and the degraded state of many of the world’s reefs, understanding how reef monitoring data can be used to shape management decisions for coral reefs is a high priority. However, there is no general guide to understanding the ecological implications of the data in a format that can trigger a management response. We attempt to provide such a guide for interpreting the temporal trends in 41 coral reef monitoring attributes, recorded by seven of the largest reef monitoring programmes. We show that only a small subset of these attributes is required to identify the stressors that have impacted a reef (i.e. provide a diagnosis), as well as to estimate the likely recovery potential (prognosis). Two of the most useful indicators, turf algal canopy height and coral colony growth rate are not commonly measured, and we strongly recommend their inclusion in reef monitoring. The diagnosis and prognosis system that we have developed may help guide management actions and provides a foundation for further development as biological and ecological insights continue to grow.