Assessment of Human Health Risk and Surface Soil Con- tamination by Some Toxic Elements in Arak City, Iran

Background: Population growth, numerous factories, and many vehicles are the primary sources of environmental pollution and toxic elements in the industrial city of Arak, Iran. Methods: In June 2016, a total of 30 toxic element samples were taken from surface soils to examine their contents of lead (Pb), Zinc (Zn), Copper (Cu), Nickel (Ni), Arsenic (As), Chromium (Cr), and Cadmium (Cd). The samples were collected from 0 to 20 cm depth and measured using Atomic Absorption Spectroscopy (AAS) (PG990 Model). Results: The results showed that the mean concentrations of all toxic elements except arsenic had a higher value than the background values in the world. The Top Enrichment Factor (TEF) of toxic elements of nickel, chromium, lead, and copper was higher than other elements. The Potential Ecological Risk (PER) index showed high and very high risk for the elements. For all elements, the Hazard Index (HI) values were higher for children than for adults. Moreover, the results of carcinogenic health risk assessment (Carcinogenicity Risk [CR]) of the toxic elements for Cr in children with an average value of 0.001 and adults with an average value of 3.81e-04 showed that the CR of chromium for children poses a serious threat to the health of children and adults. Conclusion: In general, the toxic element pollution for the surface soil of Arak is of concern, and significant measures should be taken to reduce the pollutants.


Introduction
n general, pollution sources of toxic elements in soil include geogenic (weathering of earth materials) and anthropogenic (accumulation of toxic elements from industrial areas, disposal of element waste, gasoline and lead, pesticides, chemical fertilizers, atmospheric sedimentation, coal combustion residues, etc.) [1]. These pollutants are transferred from fixed and mobile sources to water, soil, and air and then to plants, animals, and the human body. They can also accumulate in the urban, plant, soil, and building surfaces and then be transferred to various locations by natural and human forces [2]. Toxic element pollution in agricultural soils disrupts soil yield and plant growth and harms human health through food chain contamination. With the accumulation of toxic elements in living organisms and their concentrations when passing through the nutrientpoor organism, the nutrition content increases, leading to well-known phenomena like biological concentration [3]. A study conducted by Moghtaderi et al. [2] investigated the pollution assessment, health risk, and ecological risk index of potentially toxic elements in the soil surface of the central part of Bandar Abbas Port, Iran. The results showed that the mean ecological risk indicated a moderate and high risk for copper (Cu) and Cadmium (Cd) [4]. In another study, Dolezalova Weissmannova et al. [5] investigated the contamination of toxic elements of cadmium, lead (Pb), Zinc (Zn), copper, Manganese (Mn), Vanadium (Vi), and mercury (Hg) in urban soils in Ostrava, Czech Republic, and evaluated element pollution and principal component analysis. The results of the element pollution assessment showed that urban soils were moderate to strongly polluted. Zhuo et al. [6] also reviewed the source analysis and risk assessment of toxic elements in Rizhao, China. Their results showed that many toxic elements have accumulated in developing areas. Therefore, this study aimed to evaluate the pollution caused by the toxic elements of Pb, Zn, Cu, Nickel (Ni), Arsenic (As), Chromium (Cr), and Cd in the soil surface of Arak City, Iran, using the pollution indices of Muller geo-accumulation index (Igeo), Top Enrichment Factor (TEF), Pollution Index (PI), and Nemerow Integrated Pollution Index (NIPI). In addition, human health risk assessment was performed using the Carcinogenicity Risk (CR) and non-carcinogenicity risk (HI) indices. Soil pollution with toxic elements is one of the essential types of pollutants. They are classified as the most dangerous group in terms of toxicity and stability. Also, they are of great ecological and biological importance due to their soil pollution characteristics, toxicity, long residence time, and accumulation in the tissues of organisms. Toxic elements present in the soil are absorbed by plants and enter the food chain and endanger the health of living organisms by entering groundwater and surface water. Therefore, the irreversible effects of toxic element accumulation on human health and other living organisms should be considered. For this purpose, we examined the extent of soil pollution in Arak and the risk results on the extent of human health using various indicators that are the innovation of this study.

Sampling and sample analysis
Sampling sites were selected based on pollutant entry points (pollution hotspots) and their proximity to pollutant sources and industrial sites. A total of 30 sampling sites were established in the study area for soil sampling in June 2016 ( Figure 1). Soil sampling was performed using a plastic shovel from a depth of 6 cm at each station, except for the last station, which was at a depth of 20 cm. The collected soil samples were then placed in plastic containers and transferred to the laboratory. The reason for selecting 30 stations was to cover the entire area, including urban, industrial, and agricultural areas. The well-known manufacturing industries in this region include Iranian Aluminum Company, Train Center, Heavy Equipment Production Company, Azarab Industries Company, Arak Industrial hub, Wagon Pars Company, and Rolled Aluminum Group. The surface soil samples were collected from high-traffic areas, city squares, main streets, industrial and residential areas, sidewalks, and paved roads. To study the concentration of toxic element pollutants in the surface soils of Arak, we performed sampling and measurements with standard methods presented in the published papers [7,8]. Finally, the toxic element samples (including Zn, Cr, As, Cu, Cd, Pb, and Ni) were measured using Atomic Absorption Spectroscopy (AAS) (PG990 Model) in Islamic Azad University of Ahvaz. Statistical analysis of the data was performed in Excel and SPSS. Also, the calculation of indices and the preparation of distribution maps of the toxic elements studied were performed by the inverse distance weighting method in Excel and ArcGIS v. 10.7 software, respectively.

Evaluation of toxic element pollution
In this study, we used Igeo, TEF, and NIPI to evaluate toxic element pollution. The Igeo index determines the degree of soil pollution, calculated according to Equation 1 [9]. Bn: Concentration of element (element) studied in background value or Earth crust (average global shale). Also, 1.5 is the shale correction factor in removing the impact of lithology [10].
In this study, the concentrations of elements in the Earth crust are given in mg/kg, including Pb (14), Zn (70), Cu (60), Ni (84), As (1.8), Cr (102), and Cd (0.15) [11]. Table 1 presents the pollution intensity of Igeo. Equation 2 was used to estimate the percentage of geogenic resources from the anthropogenic form of toxic elements, especially for elements with a mixture of geogenic and anthropogenic sources [12].

PI= C n B N
Cn: Concentration of element or element measured in the soil sample.
Bn: Concentration of element or element measured in background value or Earth crust. This value is expressed for elements when calculating the Igeo index [13]. Table 2 presents the PI classification in four classes [14].
The NIPI index is calculated to determine pollution. The advantage of this index over other indicators is that this index determines the pollution risk for all elements studied in the region. The NIPI is calculated according to Equation 4 at each sampling point.
PI max is the maximum pollution index for each toxic element, and PI ave is the average pollution index for each toxic element [15]. Table 3 presents the classification of the NIPI index in five classes [16].
Hakanson presented the potential ecological risk index in 1980. By applying the toxicity of each element and its accumulation in the study area, this index gives a picture of the risk conditions in the region. According to this method, the potential ecological risk index of a single element (E r i ) and the comprehensive potential ecological Risk Index (RI) can be calculated by the Equations 5, 6 and 7: i is the contamination factor; C D i is the concentration of each toxic element in the sewage sludge ash; C R i is the background value of individual toxic elements and defined as Bn. E r i is the toxic response factor of each toxic element and T r i is the potential ecological risk index of the toxic element. RI is the comprehensive potential ecological risk index [17]. The toxicity factors of the studied elements are as follows: Cd=1, Cr=2, Pb=5, Zn=1, Cu=5, As=10, and Ni=5. Table 4 presents the classifica- tion presented for the RI index of potential ecological risk for the total elements.

Human health risk assessment
To investigate carcinogenic and non-carcinogenic risks, human exposure to elements by all three routes, namely ingestion, inhalation, and dermal absorption, was considered. The Average Daily Dose (ADD) was also calculated in mg/kg/day for adults and children by each route according to Equations 8,9,and 10 [18]. The C parameter is the concentration of elements in the soil in mg/kg.

BW×AT ADD dermal = C×SA×CF×AF×ABF×EF×ED
In this study, the non-carcinogenic and carcinogenic health risk of toxic elements in the soil is given by Equation 11:

HQ =∑ ADD RfD
Where HQ (hazard quotient) is the non-carcinogenic risk factor of elements by each route (exposure rate), ADD is the average daily dose of the element by each of the three mentioned routes (309 mg/kg/day), and RfD is the daily reference dose that estimates the maximum risk in the human population exposed daily to toxic elements, considering sensitive groups (adults and children) [19]. The RfD values were taken from the US Department of Energy's Risk Assessment Information System (RAIS). There are no adverse effects on human health, provided that the acceptable average daily intake (ADD) is less than the daily reference dose. Otherwise, if ADD is higher than RfD, it may adversely affect human health. If HQ<1, there is no adverse effect, but if HQ>1, there might be an adverse effect on human health [20]. By summing the HQ in each route, the HI can be obtained to estimate the risk of all polluted elements according to Equation 12:

HQ
Here, the HI calculated for all elements indicates the severity of undesirable effects by all routes of human exposure [21]. For HI≤1, there are no apparent adverse health effects from toxic elements. However, for HI>1, there are adverse health effects for the residential population [18]. The health risk assessment for carcinogenic toxic element exposures in adults and children was calculated for each of the three routes, namely ingestion, inhalation, and dermal contact, using Equation 13.  CR is the carcinogenic risk in the above Equation, and SF is the carcinogenic slope factor (mg/kg/day). SF captures the assessed daily dose of pollutants during exposure to a person's growing risk of developing cancer. In general, according to the US Environmental Protection Agency, if the Carcinogenic Risk (CR) is less than 1×10 6 (the probability that one person in a million will develop cancer), the risk can be neglected. However, if the CR value is above 1×10 4 , it is harmful and dangerous to human health. The CR value between 1×10 -6 and 1×10 -4 represents an acceptable risk that is under control [18]. Table 5 presents the descriptive statistics of toxic element concentration (mg/kg) in the studied stations of the soil surface of Arak. The skewness coefficient values of Ni, Cr, Zn, and Cd are close to 0, indicating the normal distribution of the elements. But, the skewness coefficient values of Pb, Cu, and As are exceptionally high, indicating the abnormal distribution of the elements. These findings are confirmed by the results obtained from the Kolmogorov-Smirnov test. Arsenic is less than 1, which shows its geogenic origin.

Results and Discussion
Other elements such as Ni, Cr, Pb, Zn, Cu, and Cd have variance values greater than 1, indicating the anthropogenic origin in the surface soils of Arak [22].
The high concentration of the elements is related to anthropogenic resources, such as several industries, machinery manufacturing, HEPCO (Heavy Equipment Production Company), urban traffic, car rubber wear, corrosion of the element parts of cars, and application of chemical fertilizers on agricultural lands. The descriptive statistics of the concentration of Potentially Toxic Elements (PTEs) in the collected surface soils of Arak are presented in Table 5. The range and average values of the studied PTEs were given as follows: Pb, 181-3740 mg/ kg (mean: 947.40); Zn, 48-586 mg/kg (mean: 290.50); Cu, 174-3950 mg/kg (mean: 2839.77); Ni, 105-1721 mg/ kg (mean: 792.87); As, 0.08-0.90 mg/kg (mean: 0.17); Cr, 114-1624 mg/kg (mean: 733.67); and Cd, 3.45-12.36 mg/kg (mean: 7.68). The results revealed that the mean concentration of all studied PTEs in the study area was higher than the local baseline, Upper Continental Crust (UCC), world soil, Canadian, Dutch, and Chinese soil quality guidelines. However, this finding suggests the   21.36 were greater than 0, indicating the non-normal distribution. Also, the mean value of the studied PTEs is higher than the median value. These findings also imply the existence of highly contaminated areas and polluted hotspots that extend throughout the study area. According to the coefficient of variance (CV), the studied PTEs indicate that the elements with CV values higher than 0.5 include Ni, Cr, Pb, Cu, As, and Cd (CV<0.5) [24]. The elements with a lower CV show the limited geogenic sources of the PTEs and the entry points of the elements in the soil. In addition, the elements with a higher CV indicate a mixture of geogenic and anthropogenic sources [8].  25), and Cd (1.75, 14) are lower than the corresponding values recommended. In contrast, the values of Zn and As in the sampled soils are lower than those in Ahvaz (Iran) [8] and Xiangyang (China) [24] respectively. The mean concentration of the studied PTEs in the surface soil of Arak is estimated to be higher than that Andhra Pradesh (India) [29] and in Ottawa (Canada) [30].
The spatial distribution pattern of toxic element concentration can help identify areas with low, medium, and high pollution sources and hotspots. As shown in Figure 2, the orange and red colors on the maps indicate the high concentration of the studied toxic elements located in the industrial zone of Arak, as classified in Figure 1. The distribution of As concentration was different from other toxic elements studied and was less polluted. The map of the spatial distribution of Pb concentration shows the high concentration of Pb in areas with high traffic, which is one of the main sources of gasoline combustion by vehicles. The spatial distribution of Cd concentration is higher in areas where industries are located, especially HEPCO and the aluminum industry. The spatial distribution of Cu and Zn concentrations shows that an increase in Cu and Zn concentrations was    Table 7 presents the Spearman correlation analyses between the toxic elements in the studied soil samples, which is significant. The correlation coefficient between the toxic elements showed that Ni had a positive and significant correlation at 0.01% level with Cr, Pb, and Cu and at 0.05% level with Zn and Cd. Also, Cr had a positive and significant correlation with Pb, Zn, Cu, and Cd at 0.01 level. The Pb-Zn and Zn-Cd have a positive and significant correlation at 0.01% level. The correlation between the elements indicates that the release of toxic elements in the surface soils of Arak is due to the same anthropogenic sources. In addition, Arsenic did not correlate with other toxic elements, Cd did not correlate with Cu, and Pb did not correlate with Zn, indicating different sources of toxic element release in the surface soils of Arak [8].  Table 1, the study area has moderate to strong pollution in terms of Ni. Chromium has moderate pollution, Pb is extremely polluted, Cu has strong pollution, and Cd is extremely polluted. Accordingly, the highest value of the Igeo index was for Pb and the lowest value for As. The pollution rate for toxic elements based on the Igeo index was in the order of Pb>Cd>Cu>Ni>Cr>Zn>As. Table 8 presents the calculation and investigation of pollution level for NIPI of toxic elements at 30 studied stations in terms of descriptive statistics and the number of samples for pollution index classification. The results of the NIPI index showed that 100% of surface soil samples in the study area had a high level of pollution. On the other hand, the high level of toxic element pollution in Arak indicates the presence of strong element pollution and the anthropogenic source of the toxic elements in the surface soils of Arak. These elements, especially lead, can affect the ecological performance at very high concentrations [2].
The Spearman correlation coefficient indicated a similar relationship among the toxic elements, namely, Pb, Cr, Cd, Ni, Cu, and Zn, with respect to pollution sources. The surface soils of Arak are free from pollution in terms of As and Zn based on the Igeo pollution index. Also, Ni shows a moderate to strong pollution level, Cr is moderately polluted, Cu shows strong pollution, and polluted) to 7.48 (extremely polluted) for Pb, -1.13 (unpolluted) to 82.82 0 (unpolluted to moderately polluted) for Zn, 0.95 (unpolluted to moderately polluted) to 8.56 (extremely polluted) for Cu, -5.08 (unpolluted) to -1.58 (unpolluted) for As, and 3.94 (strongly polluted) to 5.78 (extremely polluted) for Cd. Based on this index for the elements, As and Zn with mean values of -4.20 and 0.008, respectively, and their variations, the surface intensity presented in Table 1, the study area has moderate to strong pollution in terms of Ni. Chromium has moderate pollution, Pb is extremely polluted, Cu has strong pollution, and Cd is extremely polluted. Accordingly, the highest value of the Igeo index was for Pb and the lowest value for As. The pollution rate for toxic elements based on the Igeo index was in the order of Pb>Cd>Cu>Ni>Cr>Zn>As.  Pb and Cd are extremely polluted in terms of the Igeo. The NIPI index indicated that 100% of the surface soil samples had a high pollution level. The TEF values of toxic elements of Ni, Cr, Pb, and Cu were higher than other elements. This finding confirms that these elements have geochemical behavior and share the same anthropogenic sources in terms of pollution. This finding suggests that the anthropogenic sources of the elements are due to the presence of Iran Chemical Manufacturing Company, machine manufacturing industry, aluminum rolling, HEPCO, agricultural lands, and urban traffic. Thus, there is concern about contamination of the surface soils regarding the elements in the surface soils of Arak city. Therefore, according to Table 4, if Ei<40 and RI<150, the Potential Ecological Risk (PER) index is low; if 40≤Ei<80 and 150≤RI<300, the PER index is moderate; if 80≤Ei<160 and 300≤RI<600, the PER index is high, and if 160≤Ei<320 and RI≥600, the PER index is extremely high. The PER for the elements indicates a high and extremely high-risk level. The noncarcinogenic Health Assessment (HI) results of the toxic elements showed that Cr and Pb have non-carcinogenic effects on children. For all elements, the HI index values were higher for children than for adults. Also, the results of the toxic elements' carcinogenic health risk assessment (CR) showed that Cr's carcinogenic risk for children with an average value of 0.001 and for adults with an average value of 04-3.81E poses a serious health threat to both children and adults.

Conclusion
The results showed that the mean concentration values of all toxic elements except arsenic were higher than the world's soil and field values. Compared with other cities in the world, the mean concentrations of toxic elements of Ni, Cr, Pb, and Cu were higher than those in all the mentioned cities. Also, the concentration of As was lower than all the cities under study. Cadmium, with a value of 68.7, is higher in all the cities studied except Tehran, with a value of 7.10. Except for arsenic, the sources of PTEs, were mainly the industrial hubs and manufacturing industries located in the study area. Higher values of reducible binding for Pb, Cr, and Zn, and a considerable percentage of Ni, Cu and, Cd, demonstrated that the primary sources of the studied PTEs (except Arsenic) in the study area were both anthropogenic and geogenic.

Compliance with ethical guidelines
All ethical principles were considered in this article.

Funding
This research did not receive any grant from funding agencies in the public, commercial, or non-profit sectors.