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                <text>Staff  Publications</text>
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          <name>Title</name>
          <description>A name given to the resource</description>
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              <text>EMERGING ORGANIC CONTAMINANTS IN DRINKING WATER SYSTEMS: HUMAN INTAKE, EMERGING HEALTH RISKS, AND FUTURE RESEARCH DIRECTIONS&#13;
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              <text>JERIKIAS MARUMURE&#13;
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              <text>TINOZIVA  T. SIMBANEGAVI &#13;
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              <text>ZAKIO MAKUVARA &#13;
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              <text>RANGARIRAYI KARIDZAGUNDI &#13;
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              <text>RICHWELL ALUFASI &#13;
&#13;
&#13;
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              <text>DARIUSZ HALABOWSKI &#13;
 &#13;
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              <text> CLAUDIOUS GUFE &#13;
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              <text>WILLIS GWENZI</text>
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              <text>NHAMO CHAUKURA </text>
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              <text> MARVELOUS GOREDEMA </text>
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              <text>Few earlier reviews on emerging organic contaminants (EOCs) in drinking water systems (DWS) focused on their&#13;
detection, behaviour, removal and fate. Reviews on multiple exposure pathways, human intake estimates, and&#13;
health risks including toxicokinetics, and toxicodynamics of EOCs in DWS are scarce. This review presents recent&#13;
advances in human intake and health risks of EOCs in DWS. First, an overview of the evidence showing that DWS&#13;
harbours a wide range of EOCs is presented. Multiple human exposure to EOCs occurs via ingestion of drinking&#13;
water and beverages, inhalation and dermal pathways are discussed. A potential novel exposure may occur via&#13;
the intravenous route in dialysis fluids. Analysis of global data on pharmaceutical pollution in rivers showed that&#13;
the cumulative concentrations (μg L-1) of pharmaceuticals (mean ± standard error of the mean) were statistically&#13;
more than two times significantly higher (p = 0.011) in South America (11.68 ± 5.29), Asia (9.97 ± 3.33), Africa&#13;
(9.48 ± 2.81) and East Europe (8.09 ± 4.35) than in high-income regions (2.58 ± 0.48). Maximum cumulative&#13;
concentrations of pharmaceuticals (μg L-1) decreased in the order; Asia (70.7) had the highest value followed by&#13;
South America (68.8), Africa (51.3), East Europe (32.0) and high-income regions (17.1) had the least concen-&#13;
tration. The corresponding human intake via ingestion of untreated river water was also significantly higher in&#13;
low- and middle-income regions than in their high-income counterparts. For each region, the daily intake of&#13;
pharmaceuticals was highest in infants, followed by children and then adults. A critique of the human health&#13;
hazards, including toxicokinetics and toxicodynamics of EOCs is presented. Emerging health hazards of EOCs in&#13;
DWS include; (1) long-term latent and intergenerational effects, (2) the interactive health effects of EOC mixtures&#13;
and the challenges of multifinality and equifinality, and (3) the Developmental Origins of Health and Disease&#13;
hypothesis. Finally, research needs on human health hazards of EOCs in DWS are presented.</text>
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          <name>Publisher</name>
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              <text>Elsevier</text>
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          <name>Date</name>
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              <text>2024</text>
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      <name>Exposure risk factors</name>
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      <name>Human intake</name>
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      <name>Intergenerational effects</name>
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      <name>Multiple exposure routes</name>
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      <name>Toxicodynamics</name>
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      <name>Toxicokinetics</name>
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