A two-decade review of human exposure to legacy and emerging organic pollutants in Sub-Saharan Africa: Current status, exposure pathways, challenges and recommendations

dc.contributor.authorSsebugere, Patrick
dc.contributor.authorMiiro, Ashirafu
dc.contributor.authorOdongo, Silver
dc.contributor.authorMuhwezi, Godfrey
dc.contributor.authorNabuuma, Josephine
dc.contributor.authorAbayi, Juma John Moses
dc.contributor.authorMatovu, Henry
dc.date.accessioned2026-06-12T13:26:40Z
dc.date.available2026-06-12T13:26:40Z
dc.date.issued2026-06
dc.descriptionThis research advances SDG 3 (Good Health and Well-being), Target 3.9, by providing evidence on human exposure to hazardous organic pollutants and their associated health effects. It further contributes to SDG 6 (Clean Water and Sanitation), Target 6.3, by addressing chemical contamination reduction, and SDG 12 (Responsible Consumption and Production), Target 12.4, by informing the management of chemicals and hazardous wastes. The study is consistent with Uganda’s National Development Plan IV, particularly the Human Capital Development and Natural Resources, Environment, Climate Change, Land and Water Management Programmes, which emphasize public health, pollution control, and environmental sustainability. By identifying exposure pathways, vulnerable populations, and emerging contaminants such as PFAS, the research enhances environmental health surveillance, chemical risk management, and the implementation of the Stockholm and Basel Conventions. Collectively, these initiatives support sustainable development and evidence-based policymaking in Uganda and Sub-Saharan Africa.
dc.description.abstractRapid urbanization, industrialization, and continued pesticide use have intensified human exposure to persistent organic pollutants (POPs) in Sub-Saharan Africa (SSA). POPs are highly stable, bioaccumulative, and toxic, posing chronic reproductive, endocrine, and developmental risks. This review synthesized studies (2005–2025) that assessed legacy and emerging POPs—including organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), and per- and polyfluoroalkyl substances (PFAS)—in human fluids and tissues across SSA. Blood and serum (⁓48%) and breast milk (⁓38%) were the most analyzed matrices, followed by urine, placenta, and cord blood (<10%). Total dichlorodiphenyltrichloroethane (∑DDT) in milk samples from South African mothers were in the range of 9500–140,000 ng/g lw—the highest globally—linked to malaria vector control. Mean total PCBs reached 160 ng/g lw in Ghanaian and Nigerian mothers, while ∑PBDEs were up to 786 ng/g lw in exposed Tanzanian populations. Dioxin toxic equivalents in Ghanaian serum (4.2 pg WHO 2005-TEQ/g lw) and South African milk (1.6–9.1 pg TEQ/g lw) were within global mid-range values. PFAS levels in South African and Ethiopian serum (0.6–2.5 ng/mL) confirmed emerging fluorinated exposure. Although health risk assessments were limited, some exceeded FAO/WHO thresholds, suggesting potential endocrine and developmental effects. Median POP levels in SSA populations were lower than the global averages but exhibited localized exceedances. Strengthened biomonitoring, harmonized QA/QC, and inclusion of short-chain PFAS, novel brominated flame retardants (NBFRs), and bisphenol analogues are essential to implement the Stockholm and Basel Conventions.
dc.identifier.citationSsebugere, P., Miiro, A., Odongo, S., Muhwezi, G., Nabuuma, J., Abayi, J. J. M., & Matovu, H. (2026). A two-decade review of human exposure to legacy and emerging organic pollutants in Sub-Saharan Africa: Current status, exposure pathways, challenges and recommendations. Journal of Hazardous Materials Advances, 101248.
dc.identifier.issn2772-4166
dc.identifier.urihttps://dir.muni.ac.ug/handle/20.500.12260/992
dc.language.isoen
dc.publisherElsevier
dc.subjectHuman biomonitoring
dc.subjectOrganic pollutants
dc.subjectHealth implications
dc.subjectAnalytical techniques
dc.subjectAfrica
dc.subjectFuture perspectives
dc.titleA two-decade review of human exposure to legacy and emerging organic pollutants in Sub-Saharan Africa: Current status, exposure pathways, challenges and recommendations
dc.typeArticle

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