Human Health Risk Assessment with Heavy Metal Exposure from in locations around Power Generation Using Dust, Hair, and Blood Biomonitoring
DOI:
https://doi.org/10.24086/cuesj.v10n1y2026.pp87-99Keywords:
Heavy metal exposure, Health risk assessment, Power generation, Human biomonitoring, Geo-accumulation indexAbstract
Unreliable grid electricity in rapidly developing cities such as Erbil, Iraq, has led to heavy reliance on diesel power generators. However, the occupational health risks of chronic heavy metal exposure for workers at these facilities remain poorly quantified. This study, therefore, assessed contamination levels and human uptake of lead (Pb), mercury, arsenic, nickel, zinc, copper, and cobalt using an integrated environmental–biological monitoring approach. Dust, scalp hair, and blood samples were collected from 60 workers at 20 local power plants and from 15 rural residents (controls). Metal concentrations were measured by an X-ray fluorescence device, and pollution was evaluated using the Geo‑accumulation Index (Igeo) and Pollution Load Index (PLI). Power plant dust showed extreme Zn contamination (Igeo = 5.20) and heavy Cu contamination (Igeo = 3.70), with a PLI of 5.03 versus 0.65 in controls. Workers had significantly higher metal levels in hair and blood than controls (P ≤ 0.001). Strong positive correlations between dust and biological samples (e.g., Pb hair–dust: r = 0.878) confirmed that airborne dust is a major exposure pathway. Workers with >11 years of service accumulated substantially higher metal burdens than those with 1–5 years. These findings demonstrate that occupational exposure to power generators poses a serious, cumulative health risk. We recommend installing dust suppression and ventilation systems, providing personal protective equipment, and implementing routine biomonitoring of blood and hair to detect early bioaccumulation and prevent long‑term toxicity.
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1. S. R. Shakya, I. Bajracharya, R. A. Vaidya, P. Bhave, A. Sharma, M. Rupakheti and T. R. Bajracharya. Estimation of air pollutant emissions from captive diesel generators and its mitigation potential through microgrid and solar energy. Energy Reports, vol. 8, no. 5, pp. 3251-3262, 2022. DOI: https://doi.org/10.1016/j.egyr.2022.02.084
2. S. J. Aweez, Z. R. Salih and A. M. Asaad. Effects of the brand of electrical generator on the concentration of heavy metals in soil and plants. Zanco Journal of Pure and Applied Sciences, vol. 35, no. 3, pp. 187-196, 2023. DOI: https://doi.org/10.21271/ZJPAS.35.3.17
3. S. S. Rassol, A. M. Mahmood and J. O. Abdullah. Air quality assessment in Erbil, Iraq: Analysis of major pollutants and meteorological influences. Health Innovation Reports, vol. 1, no. 3, pp. 27-39, 2025. DOI: https://doi.org/10.64048/hir.v1n3.004
4. O. P. Bansal. The concentration of the potentially toxic metals in human hair, nails, urine, blood, and air, and their impact on human health: A review. European Journal of Theoretical and Applied Sciences, vol. 1, no. 2, pp. 185-216, 2023. DOI: https://doi.org/10.59324/ejtas.2023.1(2).18
5. S. A. Yasin and Z. R. Salih. Assessing air quality impacts of gas stations through heavy metal analysis in dust and employees’ scalp hair in Erbil City. Environmental Monitoring and Assessment, vol. 197, no. 4, p. 410, 2025. DOI: https://doi.org/10.1007/s10661-025-13864-3
6. S. A. Yasin and Z. R. Salih. Occupational health risk assessment of heavy metal exposure `among gas station workers in Erbil city. Journal of Applied Toxicology, vol. 45, no. 10, pp. 2095-2107, 2025. DOI: https://doi.org/10.1002/jat.4827
7. M. Scimeca, V. Palumbo, E. Giacobbi, F. Servadei, S. Casciardi, E. Cornella, F. Cerbara, G. Rotondaro, C. Seghetti, M. P. Scioli, M. Montanaro, F. Barillà, R. Sisto, G. Melino, A. Mauriello and R. Bonfiglio. Impact of the environmental pollution on cardiovascular diseases: From epidemiological to molecular evidence. Heliyon, vol. 10, no. 18, p. e38047, 2024. DOI: https://doi.org/10.1016/j.heliyon.2024.e38047
8. A. Gonzalez-Villalva, M. Rojas-Lemus, N. López-Valdez, M. E. Cervantes-Valencia, G. Guerrero-Palomo, B. Casarrubias-Tabarez, P. Bizarro-Nevares, G. Morales-Ricardes, I. García-Peláez, M. Ustarroz-Cano, J. A. Salgado-Hernández, P. R. Ramírez, N. V. Guillén, L. Cevallos, M. Teniza and T. I. Fortoul. Metal pollution in the air and its effects on vulnerable populations: A narrative review. International Journal of Molecular Sciences, vol. 27, no. 2, p. 720, 2026. DOI: https://doi.org/10.3390/ijms27020720
9. A. A. Fadhel and B. F. Alfarhani. Assessment of some biochemical blood abnormalities for labors of diesel electric generators. Biochemical and Cellular Archives, vol. 18, no. 2, pp. 1909-1913, 2018.
10. M. Balali-Mood, K. Naseri, Z. Tahergorabi, M. R. Khazdair and M. Sadeghi. Toxic mechanisms of five heavy metals: Mercury, lead, chromium, cadmium, and arsenic. Frontiers in Pharmacology, vol. 12, p. 643972, 2021. DOI: https://doi.org/10.3389/fphar.2021.643972
11. Z. Salih and F. Aziz. Heavy metal accumulation in dust and workers’ scalp hair as a bioindicator for air pollution from a steel factory. Polish Journal of Environmental Studies, vol. 29, no. 2, pp. 1805-1813, 2020. DOI: https://doi.org/10.15244/pjoes/109724
12. E. Ameen. Oxidative stress, erythropoietin, and some physiological parameters of workers exposed to heavy metals pollution. Polish Journal of Environmental Studies, vol. 33, no. 2, pp. 1531-1541, 2024. DOI: https://doi.org/10.15244/pjoes/174480
13. S. A. Yasin and Z. R. Salih. Oxidative stress biomarkers in gasoline station workers chronically exposed to heavy metals in Erbil city. Journal of Applied Toxicology, vol. 45, no. 11, pp. 2400-2411, 2025. DOI: https://doi.org/10.1002/jat.4853
14. Y. El Hassani, I. El Ghazi, C. Ahouangninou, J. Ade, Z. Rais and F. Laziri. Assessment of heavy metal contamination in wastewater irrigated farms in Meknes, morocco. Applied Ecology and Environmental Research, vol. 22, no. 6, pp. 5045-5064, 2024. DOI: https://doi.org/10.15666/aeer/2206_50455064
15. S. A. Yasin and Z. R. Salih. Physiological indicators of cardiovascular and respiratory stress associated with airborne heavy metal exposure in gasoline stations in Erbil city. Journal of Applied Toxicology, vol. 46, no. 1, pp. 329-341, 2026. DOI: https://doi.org/10.1002/jat.4896
16. S. M. Khudhur and N. S. Khudhur. Soil pollution assessment from industrial area of Erbil city. Journal of Zankoi Sulaimani, vol. 17, no. 4, pp. 227-240, 2015. DOI: https://doi.org/10.17656/jzs.10440
17. X. Han, X. Lu, Qinggeletu and Y. Wu. Health risks and contamination levels of heavy metals in dusts from parks and squares of an industrial city in semi-arid area of China. International Journal of Environmental Research and Public Health, vol. 14, no. 8, p. 886, 2017. DOI: https://doi.org/10.3390/ijerph14080886
18. C. T. Forshaw. The Occurrence and Spatial Dynamics of Trace Metals in the Topsoil of a Drained Meres and Mosses Habitat Area. Ph.D., Liverpool John Moores University, United Kingdom, 2025. Available from: https://researchonline.ljmu.ac.uk/id/eprint/26496 [Last accessed on 2026 Jan 10].
19. M. Usman, A. Naseer, Y. Baig, T. Jamshaid, M. Shahwar and S. Khurshuid. Forensic toxicological analysis of hair: A review. Egyptian Journal of Forensic Sciences, vol. 9, no. 1, p. 17, 2019. DOI: https://doi.org/10.1186/s41935-019-0119-5
20. N. A. F. Al-Easawi, B. A. Mahdii and H. J. A. Rahman. Use of scalp hair as a biomarker to determine airborne heavy metal concentrations for the academic laboratory employees. Iraqi Journal of Science, vol. 65, no. 9, pp. 4930-4940, 2024. DOI: https://doi.org/10.24996/ijs.2024.65.9.10
21. E. M. Nell, J. Bailly, D. Oelofse, M. Linström, J. Opie, Z. C. Chapanduka, H. Vreede and M. Korf. Multicentre verification of haematology laboratory blood collection tubes during a global blood collection tube shortage. International Journal of Laboratory Hematology, vol. 45, no. 5, pp. 707-716, 2023. DOI: https://doi.org/10.1111/ijlh.14129
22. S. Shin, J. Oh and H. D. Park. Comparison of three blood collection tubes for 35 biochemical analytes: The Becton Dickinson Barricor tube, serum separating tube, and plasma separating tube. Annals of Laboratory Medicine, vol. 41, no. 1, pp. 114-119, 2021. DOI: https://doi.org/10.3343/alm.2021.41.1.114
23. G. Dimeski, P. P. Masci, M. Trabi, M. F. Lavin and J. De Jersey. Evaluation of the Becton-Dickinson rapid serum tube: Does it provide a suitable alternative to lithium heparin plasma tubes? Clinical Chemistry and Laboratory Medicine, vol. 48, no. 5, pp. 651-657, 2010. DOI: https://doi.org/10.1515/CCLM.2010.141
24. L. A. Hutton, G. D. O’Neil, T. L. Read, Z. J. Ayres, M. E. Newton and J. V. Macpherson. Electrochemical X-ray fluorescence spectroscopy for trace heavy metal analysis: Enhancing X-ray fluorescence detection capabilities by four orders of magnitude. Analytical Chemistry, vol. 86, no. 9, pp. 4566-4572, 2014. DOI: https://doi.org/10.1021/ac500608d
25. R. J. Haynes and Y. F. Zhou. Retention of heavy metals by dredged sediments and their management following land application. In: Advances in Agronomy. Vol. 171. Elsevier, Netherlands, pp. 191-254, 2022. DOI: https://doi.org/10.1016/bs.agron.2021.08.004
26. D. S. Ismael, M. Y. Mohammed and T. W. Sadeq. Heavy metal toxicity and its effect on living organisms: A review in toxicology study. Pharmacy and Applied Health Sciences, vol. 1, no. 2, pp. 11-17, 2022. DOI: https://doi.org/10.59480/phahs.v1i2.8
27. S. Tanaka. Blowin’ in the wind: Long-term downwind exposure to air pollution from power plants and adult mortality. Journal of Environmental Economics and Management, vol. 128, p. 103072, 2024. DOI: https://doi.org/10.1016/j.jeem.2024.103072
28. J. Briffa, E. Sinagra and R. Blundell. Heavy metal pollution in the environment and their toxicological effects on humans. Heliyon, vol. 6, no. 9, p. e04691, 2020. DOI: https://doi.org/10.1016/j.heliyon.2020.e04691
29. S. S. Shetty, D. Deepthi, S. Harshitha, S. Sonkusare, P. B. Naik and H. Madhyastha. Environmental pollutants and their effects on human health. Heliyon, vol. 9, no. 9, p. e19496, 2023. DOI: https://doi.org/10.1016/j.heliyon.2023.e19496
30. H. K. Okoro, M. M. Orosun, A. F. Agboola, E. C. Emenike, S. Nanduri, N. Kedia, M. Kariem, A. Priya and S. O. Rab. Health risk assessments of heavy metals in dust samples collected from classrooms in Ilorin, Nigeria and its impact on public health.
Heliyon, vol. 11, no. 4, p. e42769, 2025. DOI: https://doi.org/10.1016/j.heliyon.2025.e42769
31. B. S. Meena, C. Meena, P. S. Hada, U. Chandrawat and M. Meena. Determination of heavy metals in indoor dust in the vicinity of Kota thermal power plant under meteorological influence at an industrial city. Current World Environment, vol. 19, no. 1, pp. 283-294, 2024. DOI: https://doi.org/10.12944/CWE.19.1.24
32. L. T. Bambara, K. Kabore, M. Derra, M. Zoungrana, F. Zougmoré and O. Cisse. Assessment of heavy metals in irrigation water and vegetables in selected farms at Loumbila and Paspanga, Burkina Faso. IOSR Journal of Environmental Science, Toxicology and Food Technology, vol. 9, no. 4, pp. 99-103, 2015.
33. WHO. Compendium of WHO and Other UN Guidance in Health and Environment. World Health Organization, Geneva, 2024.
34. F. A. Mohammed, S. Q. Smail and Y. A. Kettanah. Environmental significance of major and trace elements in the soils of selected areas in Erbil City, Kurdistan Region, Northern Iraq. Iraqi National Journal of Earth Science, vol. 13, no. 2, pp. 15-32, 2013. DOI: https://doi.org/10.33899/earth.2013.79658
35. Z. R. Salih, N. S. Khudhur and M. Q. Muhammad. Bioaccumulation of different heavy metals and toxicity assessment using different indices in grape plants and soil around power generators in Erbil province. Environmental Monitoring and Assessment, vol. 197, no. 7, p. 757, 2025. DOI: https://doi.org/10.1007/s10661-025-14211-2
36. E. Solgi and S. Mahmoudi. Arsenic and heavy metal concentrations in human hair from urban areas. Environmental Health Engineering and Management Journal, vol. 9, no. 3, pp. 247-253, 2022. DOI: https://doi.org/10.34172/EHEM.2022.25
37. V. A. Florou, A. Manaprasertsak, M. Slyusarenko, S. R. Amend, J. U. Kazi, E. U. Hammarlund and K. J. Pienta. Human hair as a diagnostic tool in medicine. Biochemistry and Biophysics Reports, vol. 43, p. 102129, 2025. DOI: https://doi.org/10.1016/j.bbrep.2025.102129
38. H. N. A. Lotah, A. K. Agarwal and R. Khanam. Heavy metals in hair and nails as markers of occupational hazard among welders working in United Arab Emirates. Toxicological Research, vol. 38, no. 1, pp. 63-68, 2022. DOI: https://doi.org/10.1007/s43188-021-00091-4
39. K. Jomova, S. Y. Alomar, E. Nepovimova, K. Kuca and M. Valko. Heavy metals: Toxicity and human health effects. Archives of Toxicology, vol. 99, no. 1, pp. 153-209, 2025. DOI: https://doi.org/10.1007/s00204-024-03903-2
40. A. B. Radhi and N. I. Hammdi. Estimation of lead and cadmium in the hair and nails of petrol station workers. An-Najah University Journal for Research-A (Natural Sciences), vol. 39, no. 2, pp. 189-196, 2025. DOI: https://doi.org/10.35552/anujr.a.39.2.2372
41. A. K. Palmer and M. D. Jensen. Metabolic changes in aging humans: Current evidence and therapeutic strategies. The Journal of Clinical Investigation, vol. 132, no. 16, p. e158451, 2022. DOI: https://doi.org/10.1172/JCI158451
42. L. Dai, L. Deng, W. Wang, Y. Li, L. Wang, T. Liang, X. Liao, J. Cho, C. Sonne, S. S. Lam and J. Rinklebe. Potentially toxic elements in human scalp hair around China’s largest polymetallic rare earth ore mining and smelting area. Environment International, vol. 172, p. 107775, 2023. DOI: https://doi.org/10.1016/j.envint.2023.107775
43. M. Tefera, M. Alemu, B. Destaw, W. Wubet, Y. Abebe, S. Mohammed, A. Guadie, M. Mulu, A. Wendu, M. Ayalew and M. Tiruneh. Occupational exposure assessment of heavy metals in human scalp hair among tannery workers in Bahir Dar, ethiopia: Indication of pollution. Journal of Hazardous Materials Advances, vol. 16, no. 4, p. 100505, 2024. DOI: https://doi.org/10.1016/j.hazadv.2024.100505
44. M. Al Saadi, F. Al-Fartusie and M. Thani. Evaluation of lead, cadmium, copper and zinc levels and studying their toxic effect in sera of private electrical generator workers. Journal of Physics: Conference Series, vol. 1853, no. 1, p. 012044, 2021. DOI: https://doi.org/10.1088/1742-6596/1853/1/012044
45. M. S. Memon, I. U. Ujjan, M. Shaikh, S. Q. Arain, A. Naz and H. Abbasi. Analysis of serum lead, copper, iron, and zinc and hematological parameters in battery smelting workers: Assessing lead toxicity. BioMetals, vol. 37, no. 6, pp. 1529-1535, 2024. DOI: https://doi.org/10.1007/s10534-024-00623-z
46. D. E. Jacobs and M. J. Brown. Childhood lead poisoning 1970-2022: Charting progress and needed reforms. Journal of Public Health Management and Practice, vol. 29, no. 2, pp. 230-240, 2023. DOI: https://doi.org/10.1097/PHH.0000000000001664
47. A. F. Pennington, M. R. Smith, S. O. Chuke, C. R. Cornwell, P. B. Allwood and J. G. Courtney. Effects of blood lead levels <10 μg/dL in school-age children and adolescents: A scoping review. Pediatrics, vol. 154, Suppl no. 2, p. e2024067808F, 2024. DOI: https://doi.org/10.1542/peds.2024-067808F
48. F. Barrozo, G. A. D. Almeida, M. S. Luz and K. P. K. Olympio. A low-cost method shows potentially toxic element levels in dust correlated with elevated blood levels of these chemicals in children exposed to an informal home-based production environment. International Journal of Environmental Research and Public Health, vol. 19, no. 23, p. 16236, 2022. DOI: https://doi.org/10.3390/ijerph192316236
49. C. A. Bakr and Z. A. Hussein. Determination of toxic element concentrations in human blood samples using X-ray fluorescence spectroscopy. International Journal of Environmental Analytical Chemistry, 105, pp. 1-17, 2025. DOI: https://doi.org/10.1080/03067319.2025.2565656
50. A. S. Abd Al-Ameer and E. J. Abdullah. Health risk assessment of heavy metals on workers at the Doura Oil Refinery, Baghdad. Iraqi Journal of Science, vol. 66, no. 6, pp. 2350-2358, 2025. DOI: https://doi.org/10.24996/ijs.2025.66.6.13
51. A. Abid Maktoof, S. R. Zaki, S. H. Enayah and Z. AbidAun. Measuring the concentration of heavy elements in blood of workers in fuel stations in Dhi Qar Governorate. Journal of Physics: Conference Series, vol. 1294, no. 6, pp. 062017, 2019. DOI: https://doi.org/10.1088/1742-6596/1294/6/062017
52. S. A. M. Noor, N. Salman and K. Al-Naimi. Determination the concentrations of heavy metals in the blood of cement plant workers in kufa and compared with the other workers: An impact on biological processes in the human body. Annals of Tropical Medicine and Public Health, vol. 24, pp. 382-393, 2021. DOI: https://doi.org/10.36295/ASRO.2021.24443
53. L. Wen, L. Zhou, X. Zhu and Y. Mei. Epidemiological profile and determinants of whole blood heavy metal levels in occupationally exposed populations: A cross-sectional study in Hunan Province, China. Frontiers in Public Health, vol. 13, p. 1635236, 2025.` DOI: https://doi.org/10.3389/fpubh.2025.1635236
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