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Persistent Organic
Pollutants (POPs) in Eggs:
Report from Africa
APRIL, 2019
AUTHORS:
Jindřich Petrlik – Sam Adu-Kumi – Jonathan Hogarh – Eric Akortia
– Gilbert Kuepouo – Peter Behnisch – Lee Bell – Joseph DiGangi
Aliation of the authors:
1Arnika – Toxics and Waste Programme, Prague, Czech Republic
2IPEN, Gothenburg, Sweden
3Chemicals Control and Management Centre, Environmental Protection
Agency, Accra, Ghana.
4Department of Theoretical and Applied Biology, Kwame Nkrumah
University of Science and Technology, Kumasi, Ghana
5Ghana Atomic Energy Commission, National Nuclear Research Institute,
Accra, Ghana
6CREPD - Centre de Recherche et d‘Education pour le Développement,
Yaoundé, Cameroon
7BDS – BioDetection Systems, Amsterdam, Netherlands
8NTN – National Toxics Network, Australia
Jindřich Petrlik1,2 – Sam Adu-Kumi3 – Jonathan Hogarh4
– Eric Akortia5 – Gilbert Kuepouo6
– Peter Behnisch7– Lee Bell2,8– Joseph DiGangi2
ACCRA – YAOUNDÉ – GOTHENBURG - PRAGUE
APRIL, 2019
Persistent Organic
Pollutants (POPs) in Eggs:
Africa
Report from
4
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
5
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
Photos from Agbogbloshie by Marn Holzknecht,
Arnika Associaon.
Execuve Summary �������������������������������������������������������������������������������������������������������������6
1� Introducon ���������������������������������������������������������������������������������������������������������������������7
2� Sampling and analycal methods ����������������������������������������������������������������������������������� 8
3� Descripon of hot spots ������������������������������������������������������������������������������������������������10
3�1 Ghana ������������������������������������������������������������������������������������������������������������������������10
3�1�1 Accra - Agbogbloshie, e-waste scrap yard �����������������������������������������������������������10
3�1�2 Accra – medical waste incinerator ���������������������������������������������������������������������12
3�1�3 Kumasi – medical waste incinerator ��������������������������������������������������������������������14
3�2 Cameroon ������������������������������������������������������������������������������������������������������������������ 14
3�2�1 Yaoundé, medical waste incinerator �������������������������������������������������������������������14
3�2�2 Yaounde – waste dumpsites ��������������������������������������������������������������������������������14
4� Results and discussion ��������������������������������������������������������������������������������������������������� 15
4�1 Free-range chicken eggs ��������������������������������������������������������������������������������������������15
4�1�1 Dioxins (PCDD/Fs) and other unintenonally produced POPs ����������������������������16
4�1�1�1 Dioxin-like acvity of eggs measured by using bioassay analyses ������������������18
4�1�1�2 PCDD/Fs and dl-PCBs ��������������������������������������������������������������������������������������20
4�1�1�3 Hexachlorobenzene, pentachlorobenzene and hexachlorobutadiene �����������23
4�1�2 Non-dioxin-like PCBs �������������������������������������������������������������������������������������������23
4�1�3 PBDD/Fs and BFRs in eggs ����������������������������������������������������������������������������������� 23
4�1�4 Short chain chlorinated parans (SCCPs) ����������������������������������������������������������� 25
4�1�5 Background levels of POPs in eggs ���������������������������������������������������������������������� 25
4�2 E-waste scrap yard ���������������������������������������������������������������������������������������������������� 25
4�3 Dump sites ����������������������������������������������������������������������������������������������������������������� 28
4�4 Waste incinerators �����������������������������������������������������������������������������������������������������29
5� Conclusions �������������������������������������������������������������������������������������������������������������������34
6� Discussion & Policy Implicaons: ����������������������������������������������������������������������������������34
6�1 POPs waste and e-waste ��������������������������������������������������������������������������������������������34
6�2 Healthcare waste management ��������������������������������������������������������������������������������35
6�3 Environmental, food and human monitoring ������������������������������������������������������������36
7� Aknowledgements ��������������������������������������������������������������������������������������������������������� 36
8� Abbreviaons ����������������������������������������������������������������������������������������������������������������36
9� References ��������������������������������������������������������������������������������������������������������������������� 38
Content
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Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
Executive Summary
Incineraon of medical waste and open burning of waste – including electronic waste – are potenally large
sources of toxic chemicals known as persistent organic pollutants (POPs)� These substances are slated for
global reducon and eliminaon under the Stockholm Convenon�
Medical waste incineraon and open burning are common in developing countries and both are listed in the
Stockholm Convenon as source categories for unintenonally-produced POPs such as hexachlorobenzene
(HCB), hexachlorobutadiene (HCBD), pentachlorobenzene (PeCB), PCBs, chlorinated dioxins/furans (PCDD/F),
and polychlorinated naphthalenes� Municipal and electronic waste is also known to contain other chemicals
listed in the Stockholm Convenon such as short chain chlorinated parans (SCCPs), polybrominated diphenyl
ethers (PBDEs) and hexabromocyclododecane (HBCD)�
This study invesgated POPs contaminaon at a total of six sites: the world’s largest e-waste scrap yard in
Agbogbloshie (Ghana); medical waste incinerators in Accra (Ghana), Kumasi (Ghana) and Yaoundé (Cameroon);
and two open-burning waste dump sites in Yaoundé (Cameroon)� The study measured POPs in eggs because
free-range chickens are “acve samplers” of materials on the ground� Eggs also represent an important
human exposure pathway through consumpon� To our knowledge, this is the rst study to measure POPs
in free-range chicken eggs from hens foraging at the Agbogbloshie e-waste scrap yard, as well as in Yaoundé�
The key ndings of this study are:
High levels of POPs were found at all six sites
The sampling revealed very high levels of chlorinated dioxins, brominated dioxins, PCBs, PBDEs, and SCCPs in
the eggs of chickens that had foraged in areas at the e-waste scrap yard, open burning dump sites and medical
waste incinerators�
Some of the highest levels of POPs ever measured in eggs were found in
samples collected at the Agbogbloshie e-waste scrap yard in Ghana
Eggs sampled at the Agbogbloshie scrap yard in Ghana contained the highest level of brominated dioxins ever
measured in eggs and one of the highest ever measured levels of the ame retardant chemical, HBCD� These
eggs also contained the second highest level of chlorinated dioxins ever measured in poultry eggs� An adult
eang just one egg from a free-range chicken foraging in Agbogbloshie area would exceed the European Food
Safety Authority (EFSA) tolerable daily intake (TDI) for chlorinated dioxins by 220-fold� Indicator PCBs in these
eggs were four-fold higher than the EU standard and dioxins and dioxin-like PCBs were 171-fold higher than
the standard� These eggs also contained very high levels of SCCPs and PBDEs and relavely high levels of other
POPs such as PeCB and HCB�
Eggs sampled near medical waste incinerators exceeded EU dioxin standards
Eggs near the medical waste incinerator in Accra, Ghana exceeded the EU dioxin limit by 13-fold and eggs
sampled near the facility in Yaoundé exceeded the limit by more than two-fold� PCBs did not exceed limits,
but signicant levels were also found� High levels of HBCD were also found in eggs from the vicinity of the
Yaoundé waste incinerator and one of the dumpsites�
Stockholm and Basel Convenon provisions need strengthening
Hazardous waste limits in the Stockholm Convenon should prevent the export of POPs waste, including
e-waste� Currently the exisng and proposed limits for POPs found in e-waste and generated by its ‘recycling’
in Africa and other developing regions is far too weak and allows the trade to connue� This includes limits for
chlorinated dioxins/furans, ame retardant chemicals such as PBDEs and HBCD, and short chain chlorinated
parans� These stricter limits (dened as Low POP Content in the Stockholm Convenon) should be 50 mg/
kg for PBDEs, 100 mg/kg for HBCD and SCCPs and 1 μg TEQ/kg for PCDD/Fs at a maximum� The Stockholm
Convenon could be further strengthened by lisng brominated dioxins�
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Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
The current provisional e-waste guidelines under the Basel Convenon contain a loophole that allows for
e-waste export under the guise of ‘export for repair’� This industry-promoted loophole makes the guidelines
contradictory to the Convenon because electronic products at end-of-life are hazardous waste� This loophole
should be closed to preserve the integrity of the treaty�
Greater aenon is needed to fully implement sustainable healthcare
waste management
The data obtained from egg samples near medical waste incinerators in this study reinforce concerns over the
inadequate healthcare waste management including the use of small incinerators� None of the medical waste
incinerators in this study could be considered to employ Best Available Techniques / Best Environmental
Pracces due to their design, operaon, lack of polluon control and lack of waste management for the
waste incineraon residues� Changing the hospital waste stream by moving away from PVC products, source
reducon, segregaon, recycling, training, and use of autoclaves and other non-combuson methods should
be priorized� A hospital facility designed for healing should not pollute the food chain or cause adverse
impacts on human health and the environment�
1. Introduction
POPs contaminaon in developing countries can include both domesc and foreign sources� Two potenally
large sources are incineraon of domesc medical waste and open burning of waste – including electronic
waste (e-waste) that comes from developed countries� Both types of sources are listed in the Stockholm
Convenon as source categories for unintenonally-produced POPs� In addion, electronic waste is known to
contain short chain chlorinated parans (SCCPs) and ame retardant chemicals listed in the treaty�
Medical waste incineraon is a major dioxin source, primarily due to combuson of PVC plasc which is
a dominant source of organically bound chlorine [1]� The health sector is also a source of mercury polluon
due to improper disposal of mercury-containing thermometers and sphygmomanometers� The Stockholm
Convenon Guidelines on Best Available Techniques and Guidance on Best Environmental Pracces note
concerns over small hospital incinerators and that, “Due to the poor design, operaon, equipment and
monitoring of many exisng small hospital incinerators these installaons cannot be regarded as employing
best available techniques” [2]� In developing countries, medical waste is oen not segregated by type and
pollung open pit and single chamber incinerators are common� Succesful implementaon of medical waste
management and non-combuson techniques has been demonstrated in developing countries [3-6]�
Global esmates of annual e-waste producon exceed 40 million tons with an annual growth rate of 4 to 5
percent [7]� The export of electronic waste from developed countries to developing countries [8], under the
guise of ‘recycling’, ‘repair’ and/or ‘reuse’, has eecvely become a form of hazardous waste dumping that
internaonal agreements such as the Basel Convenon or Stockholm Convenon were created to prevent�
In this study, free-range chicken eggs were used to invesgate POPs contaminaon in Cameroon and Ghana
near medical waste incinerators and open burning dumpsites – including a large e-waste site� Free-range
chicken eggs are sensive indicators of POP contaminaon in soils/dust and represent an important human
exposure pathway [9-11]� As “acve samplers” they can be used to reveal POPs contaminaon, parcularly in
areas impacted by dioxins (PCDD/Fs) and PCBs [12-17]�
This study invesgated POPs contaminaon at the Agbogbloshie e-waste scrap yard (Ghana), medical waste
incinerators in Accra (Ghana), Kumasi (Ghana) and Yaoundé (Cameroon), and two open-burning waste dump
sites in Yaoundé (Cameroon)� To our knowledge, this is the rst study to measure POPs in free-range chicken
eggs from hens foraging at the Agbogbloshie e-waste scrap yard, and in Yaoundé as well�
8
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
2. Sampling and analytical methods
The samples of free-range chicken eggs, soil and waste incineraon residues discussed in this report were
sampled during second half of 2018� Their analyses were conducted in European laboratories in the period
between October 2018 and February 2019�
Six pooled samples of free-range chicken eggs were collected in three African cies: Yaoundé, the capital of
Cameroon; Accra, the capital of Ghana; and Kumasi, Ghana� Samples of soil, ash or soot were also sampled
at sampling sites in Ghana� As performed in other studies, a sample of eggs purchased in a supermarket
(in Accra) served as a background sample as it was from not free-range chickens [14]� Six localies in three
cies were expected to be contaminated by POPs and parculary unintenonally produced POPs (UPOPs) to
a certain level� A basic descripon of these six localies can be found later in this report (see chapter 3)�
Pooled samples of more individual egg samples were collected at each of the selected sampling sites in order
to obtain more representave samples� Table 1 summarizes the basic data about the size of samples and the
measured levels of fat content in each of the pooled samples� All samples were taken in 2018�
Free-range chicken eggs from the four pooled samples (one sample from Yaoundé and three samples
from Ghana) and one pooled sample of commercial eggs (non free-range) from Accra were analyzed for
polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs)1 and dioxin-like polychlorinated biphenyls (dl-
PCBs) using the DR CALUX® method� These were sent to a Dutch ISO 17025 cered laboratory (BioDetecon
Systems B�V�, Amsterdam) performing the cell-based screening analysis DR CALUX® according to the European
Standard EC/644/2017� The procedure for the BDS DR CALUX® bioassay has previously been described in detail
[18]� Briey, rat liver H4IIE cells stably transfected with an AhR-controlled luciferase reporter gene construct
were cultured in an α-MEM culture medium supplemented with 10% (v/v) FCS under standard condions
(37ºC, 5% CO2, 100% humidity)� Cells were exposed in triplicate on 96-well microter plates containing the
standard 2,3,7,8-TCDD calibraon range, a reference egg sample (analysed by HRGC-HRMS; for the bioassay
apparent recovery), a procedure blank, a DMSO blank and the sample extracts in DMSO� Following a 24-hour
incubaon period, cells were lysed� A luciferin containing soluon was added and the luminescence was
measured by using a luminometer (Mithras, Berthold Centro XS3)�
Table 1: Overview of samples of chicken eggs, soil and waste incineraon residues from selected sites in Cameroon and Ghana.
No� Sample Locality Matrix Month/Year
of sampling
Eggs in pooled samples;
No� of points sampled
(soil/ash)
Fat
content
(%)
1YA- 1 Yaoundé - TCK Quart� Eggs 08/2018 619�6
2YA- 1 Yaoundé - hospital Eggs 08/2018 514�6
3YA- 1 Yaoundé - Etetak Quart� Eggs 08/2018 614�3
4ACC-M-E Accra (supermarket) Eggs 12/2018 68�8
5AGB-E Accra - Agbogbloshie Eggs 12/2018 414�7
6AGB-S-1 Accra - Agbogbloshie Soil 12/2018 4-
7KBI-E Accra - hospital Eggs 12/2018 612�3
8KBI-A-1 Accra - hospital Ash/soil 12/2018 5-
9KU-E Kumasi - hospital Eggs 12/2018 514�7
10 KU-A-1 Kumasi - hospital Soot 12/2018 NA -
The DR CALUX® bioassay method has been shown to be a cost-ecient semi-quantave eect-based toxicity
screening analyses for all kinds of stable dioxin-like compounds (PCDD/Fs, dl-PCBs, PBDD/Fs, PBBs, chlorinated
and brominated polycyclic aromac hydrocarbons, N-dioxins)2 ; however, for conrmaon it is recommended
1 Synonym „dioxins“ is used for this group of chemicals as well, while „brominated dioxins“ applies for PBDD/Fs, another group of
polyhalogenated dibenzo-p-dioxins and dibenzofurans� We use both these shorter synonyms in this report�
2 ‘‘Bioanalycal methods‘‘ means methods based on the use of biological principles like cell-based assays, receptorassays or
immunoassays� They do not give results at the congener level but merely an indicaon of the TEQ level, expressed in Bioanalycal
9
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
to go for more specic PCDD/Fs and dl-PCBs congener specic analyses, which also allows examinaon of
nger prints of dioxins (PCDD/F congener paerns), specic for dierent sources of polluon� One sample
from a Yaoundé representave site was potenally inuenced by both waste incineraon and open burning
of medical waste� All pooled egg samples from Ghana as well as samples of soil, ash and soot were analyzed
for content of individual PCDD/Fs and an extended list of PCB congeners by HRGC-HRMS at the accredited
laboratory of the State Veterinary Instute in Prague, Czech Republic�
All samples were also analyzed for content of non-dioxin-like (indicator) PCBs (i-PCBd), DDT and its
metabolites, hexachlorocyclohexanes (HCHs), hexachlorobutadiene (HCBD), pentachlorobenzene (PeCB) and
hexachlorobenzene (HCB) in a Czech cered laboratory (University of Chemistry and Technology in Prague,
Department of Food Chemistry and Analysis)� The analytes were extracted by a mixture of organic solvents
hexane: dichloromethane (1:1)� The extracts were cleaned by means of gel permeaon chromatography
(GPC)� The idencaon and quancaon of the analyte was conducted by gas chromatography coupled
with tandem mass spectrometry detecon in electron ionizaon mode�
The eggs from Yaoundé, Agbogbloshie and the Accra supermarket as well as soil/ash samples from Agbogbloshie
were also analyzed for PBDEs and HBCD� Three samples (eggs from Agbogbloshie, Accra supermarket and
soil/ash from Agbogbloshie) were also analyzed for novel BFRs3 (nBFRs), tetrabromobisphenol A (TBBPA) and
short chain chlorinated parans (SCCPs)� All of these analyses were conducted in a Czech cered laboratory
(Instute of Chemical Technology, Department of Food Chemistry and Analysis)�
Idencaon and quancaon of PBDEs and nBFRs were performed using gas chromatography coupled with
mass spectrometry in negave ion chemical ionizaon mode (GC-MS-NICI)� Idencaon and quancaon
of HBCD isomers were performed by liquid chromatography interfaced with tandem mass spectrometry with
electrospray ionizaon in negave mode (UHPLC-MS/MS-ESI)�
The extract which was prepared same way as for the other analyses was transferred into cyclohexane and
diluted� Idencaon and quancaon of SCCPs was accessed via gas chromatography/me-of-ight high
resoluon mass spectrometry (GC/TOF-HRMS) in the mode of negave chemical ionizaon (NCI)� The free-
range chicken egg samples from the Agbogbloshie scrap yard, the control group chicken egg sample from
supermarket in Accra and mixed soil/ash samples from Agbogbloshie, were also analysed for polybrominated
dibenzo-p-dioxins and dibenzofurans (PBDD/Fs) in MAS laboratory, Muenster, Germany� Accredited method
MAS_PA002, ISO/IEC 17025:2005 was used to determine PBDD/Fs� The basic steps of the analyses can be
summarized as follows:
»Addion of 13C12-labelled PBDD/F internal standards to the sample extract
»Mul-step chromatographic clean-up of the extract
» Addion of 13C12-labelled PBDD/F - recovery standards
» HRGC/HRMS analysis
» Quancaon via the internal labelled PBDD/F-standards (isotope diluon technique and internal standard
technique)�
Equivalents (BEQ) to acknowledge the fact that not all compounds present in a sample extract that produce a response in the test
may obey all requirements of the TEQ-principle [19]� European Commission, Commission Regulaon (EU) No 252/2012 of 21 March
2012 laying down methods of sampling and analysis for the ocial control of levels of dioxins, dioxin-like PCBs and non-dioxin-like
PCBs in certain foodstus and repealing Regulaon (EC) No 1883/2006 Text with EEA relevance European Commission, Editor� 2012:
Ocial Journal of the European Communies� p� L 84, 23�3�2012, p� 1–22�
3 This group of chemicals is represented by following chemicals: 1,2-bis(2,4,6-tribromophenoxy) ethane (BTBPE),
decabromodiphenyl ethane (DBDPE), hexabromobenzene (HBB), octabromo-1,3,3-trimethylpheny-1-indan (OBIND),
2,3,4,5,6-pentabromoethylbenzene (PBEB), and pentabromotoluene (PBT)�
10
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
3. Description of hot spots
Localies chosen for sampling in Ghana and Cameroon were sites where higher exposure to unintenonally
produced POPs, such as dioxins were expected due to the acvies on or near the sites� Those sites were
of two categories: 1) sites with open burning of waste, and electronic waste in parcular (dumpsites and
e-waste scrap yards), and 2) medical waste incinerators� Most of them were located in capitals of these two
African countries� One site in Ghana was located in Kumasi which is the second largest city in the country�
Each site is described more detailed in the following text�
3.1 Ghana
3.1.1 Accra - Agbogbloshie, e-waste scrap yard
Agbogbloshie is part of Ghana’s capital city Accra� It is the nickname of a commercial district on the Korle
Lagoon of the Odaw River, near the city center� It became known as a desnaon for automobile and electronic
scrap collected from Accra, but also from many other locaons� Roughly 40,000 Ghanaians inhabited the area
of Agbogbloshie according the esmates made between years 2009 - 2011, most of whom are migrants from
rural areas [20]� In 2018, the populaon is esmated to be even higher� Oteng-Ababio et al� [21] claim that
this selement now serves over 80,000 people�
The Agbogbloshie market and scrap yard is situated on at ground alongside the Densu River� During periods
of heavy rainfall much of the site becomes ooded and, during these mes, it is likely that surface dusts
and soils, along with any chemical contaminant that may contain, are carried into the adjacent, lower-lying
lagoons and the Densu river which ulmately ows into the ocean� For more details about the locaon, see
Figure 1�
The Basel Acon Network (BAN) has referred to Agbogbloshie as a “digital dumping ground”� Its recent report
conrmed Ghana as one of the desnaons for used electronics (in fact e-waste) exported from European
Union� „There have been numerous stories in the press over the years about Agbogbloshie, and with it much
denial by some that the locaon is really a signicant global dumpsite for imported electronic waste,” states
BAN in its recent report [8]� Prior studies have shown that Agbogbloshie recycling site received approximately
171,000 tonnes of e-waste in 2009, which were exclusively processed through informal pracces [22]�
11
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
At Agbogbloshie, the main electronic wastes being processed are obsolete computers, monitors and televisions�
These are manually dismantled at numerous small workshops within the market� Certain materials, mainly
plasc coated wires and cables, are subsequently taken to sites on the edge of the market where they are
burned to enable the separaon of metals from plascs� This work is commonly done by children or very
young men�
Concerns remain over methods of waste processing at Agbogbloshie scrap yard, especially burning eming
toxic chemicals into the air, land and water� Exposure is especially hazardous to children, as toxic chemicals
released due to acvies at the site are known to inhibit the development of the reproducve system, the
nervous system, and development of the brain� Concerns about human health and the environment of
Agbogbloshie connue to be raised as the area remains heavily polluted [20]�
Figure 1: Map of the Agbogbloshie market and scrap yard area. Source: [23],
12
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
A number of studies have focused on various consequences of this e-waste and car scrap yard in Accra as
it raises not only concerns regarding the environmental polluon but also its social aspects [23-26] such as
poverty of the community living at this site and related economic perspecves [27]�
Previous studies found serious contaminaon of the air, soil, sediments or water by various contaminants
including heavy metals [28, 29], polybrominated diphenyl ethers (PBDEs) [28, 30], polychlorinated biphenyls
(PCBs) [31, 32], polychlorinated naphthalenes (PCNs) [33], chlorinated and brominated polycyclic aromac
hydrocarbons [34], and polychlorinated as well as polybrominated dibenzo-p-dioxins and dibenzofurans
(PCDD/Fs, PBDD/Fs) [31, 35, 36]�
Other studies focused on levels of PCDD/Fs [37] and/or lead [38] in blood, PCBs in breast milk [39], and PAHs
[40] or heavy metals in urine [41, 42] of workers at the Agbogbloshie scrap yard� Health aspects of living
and working at Agbogbloshie was a topic discussed in separate studies [43-45]� Huang et al� [46] focused on
eects of contaminaon on water organisms in Korle Lagoon�
Some reports looked at the situaon in the Agbogbloshie scrap yard from broader perspecve [24, 26, 47-51]�
In addion to this major site in Accra itself, smaller e-waste recycling and disposal operaons can be found
in other cies� For example, a scrap yard in Koforidua, a smaller city to the north of Accra, is thought to be
typical of these numerous small e-waste recycling operaons within Ghana, engaged in similar acvies to
those at Agbogbloshie, but on a far smaller scale [47]�
3.1.2 Accra – medical waste incinerator
A small medical waste incinerator in Accra was second site chosen for sampling�
The chosen hospital used a locally built small-scale DeMonort type of medical waste incinerator� It had
„…an in-built drier that could dry wet waste very fast and a burning chamber for ve tons of waste which could
burn completely within three hours“ [52]� Adjacent to the incinerator is the ash dump site where the boom
ash and some y ash was disposed of aer incineraon� This waste incinerator started operaon in 2004 and
stopped working several years ago� However, the ash dumpsite was le next to the waste incinerator� There
is family living in a house next to the waste incinerator and raising chickens which have access to whole area
including the ash dumpsite�
This waste incinerator was studied by Adama et al� [52]� Their study has focused on heavy metals in ash and
soil in the area surrounding the waste incinerator� They ancipated: „ … that connuous exposure to heavy
metals in ash and soil may pose direct health risk to waste workers at the incinerator site and unauthorized
persons who come to the waste incineraon area and remotely through the consumpon of exposed plants
and animals that may have accumulated heavy metals in their ssues and water sources contaminated with
heavy metals or by the inhalaon of heavy metal laden dust from polluted soils or ash“ [52]�
The Stockholm Convenon has idened waste incineraon as a sector “for comparavely high formaon
and release” of persistent organic pollutants such as dioxins, furans, PCBs, hexachlorobenzene and
pentachlorobenzene [53]�
13
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
Figure 2: Sampling of ash next to the
medical waste ininerator in Accra.
Photo: Marn Holzknecht, Arnika.
14
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
3.1.3 Kumasi – medical waste incinerator
In Kumasi we have chosen one of the small medical waste incinerators and its neighborhood as the sampling
site� The waste incinerator burns waste only from the hospital once per week� This waste incinerator does
not store ash in the area of the hospital but it is collected by a waste management company for disposal
elsewhere� The waste incinerator does not have any air polluon abatement� It has a chimney approximately
10 m high� It has operated for 8 years now�
3.2 Cameroon
3.2.1 Yaoundé, medical waste incinerator
In order to address the negave impacts of improper disposal of medical wastes, especially contaminated
sharps from the Cameroonian health care facilies, low-cost small-scale incinerators with very short chimenies
are constructed and used in urban and rural hospitals� For this study, we choose the Mimboman health care
centre located in the Eastern of the City of Yaoundé, the polical capital of Cameroon� This healthcare centre
is located in a densely populated residenal area� The low cost incinerator operates with gasoline a couple
of days in a week or so� Categories of wastes incinerated include plascs and other materials containing
polyvinyl chloride, syringes and needles, and biological residues� Ashes from the incinerators are buried in
open pits close to the incinerator� Both the incinerator and the open pits are within the hospital premises, less
than 100 m to the nearby homes�
3.2.2 Yaounde – waste dumpsites
Based on the criteria of close proximity with homes where free-range chicken are raised, the composite
nature of the waste dumped (organic maer, cardboard, plascs, electronics, cables, tyres, etc…); two waste
dumpsites subjected to regular open burning as way to reduce the waste stockpile volume were selected in
the city of Yaoundé, the polical capital of Cameroon� The two sites are located in the Etetak and TCK quarters
in Yaoundé�
Figure 3: Small medical waste incinerator in Kumasi chosen for
sampling in this second largest city of Ghana.
Photo: Marn Holzknecht, Arnika.
Figure 4: Photo shows small medical waste incinerator in
Yaoundé, in which surrounding the eggs were sampled.
Photo by CREPD.
15
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
4. Results and discussion
4.1 Free-range chicken eggs
Results of chemical analyses of six free-range chicken eggs samples from Yaoundé, Accra and Kumasi for
various POPs are summarized in Table 2� Details about sampling and sampled localies are in chapters 2 and
3� Their evaluaon is discussed further in separate subchapters according the natural groups of POPs� There is
no special subchapter dedicated to organochlorine pescides in these eggs, DDT and metabolites and HCHs as
they were not found in very high levels in our samples in comparison with samples from some other locaons
in Africa, e�g� eggs from Vikuge, Tanzania sampled in 2005 with observed level of DDT at 7041 ng g-1 fat [54]�
Table 2: Overview of results of chemical analyses for POPs in six free-range chicken egg samples, and one egg sample from
a commercial farm from two African countries, Cameroon and Ghana. Samples were taken in 2018. Levels of POPs are in ng g-1 fat
if not specied otherwise.
Locality
Yaoundé-
TCK
Quart�
Yaoundé
-hospital
Yaoundé-Ete-
tak Quart�
Accra –
Agbogbl�
Accra -
hospital
Kumasi
- hospi-
tal
Accra-su-
per-market
EU
stand�/
limits
Sample YA- 1 YA- 2 YA- 3 AGB-E KBI-E KU-E ACC-M-E
Fat content
(%) 19�6 14�6 14�3 14�7 12�3 14�7 8�8
PCDD/Fs (pg
TEQ g-1 fat) NA 4�6 NA 661 49 1�7 0�39 2�50
DL PCBs (pg
TEQ g-1 fat) NA 6�8 NA 195 14 0�86 0�17
Total PCDD/F
+ DL PCBs (pg
TEQ g-1 fat)
NA 11�4 NA 856 63 2�6 0�56 5�00
PCDD/Fs DR
CALUX (pg
BEQ g-1 fat)
NA 4�5 NA NA NA NA NA
Total PCDD/
Fs + DL PCBs -
DR CALUX (pg
BEQ g-1 fat)
NA 9�6 NA 840 56 5�2 1�2
PBDD/Fs (pg
TEQ g-1 fat) NA NA NA 300 NA NA < 8�5
HCB 1�5 1�4 7�1 25�1 3�63 0�76 < 0�2 -
PeCB 0�56 0�35 4�7 22�4 2�88 < 0�2 < 0�2
HCBD < 0�1 < 0�1 < 0�1 < 0�2 < 0�2 < 0�2 < 0�2
7 PCB 28 32 36 286 7�8 < 1�4 < 1�4 -
6 PCB 27 30 34 168 7�8 < 1�2 < 1�2 40�00
PCNs * NA NA NA < 1�4 NA NA < 1�4 -
SCCPs NA NA 149 2067 NA NA 62
sum HCH 4�5 2�5 7�6 < 0�6 < 0�6 < 0�6 < 0�6
sum DDT 39 22 36 9�7 79 0�82 < 1�2
*Seven PCN congeners were measured: PCN 52, 56, 66, 70, 73, 74 and 75.
Measured levels of POPs in chicken eggs were compared with legislave limits established in the European
Union, although not all measured chemicals in this study have dened limits� For example, the European Union
does not currently have a limit for brominated ame retardants or PBDD/Fs in chicken eggs� Limit values for
eggs are summarized in Table 3� These limits are used for comparison with levels measured in food in many
other studies, mainly in developing countries which do not have limits for dioxins and other POPs in food�
16
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
Table 3: Limit concentraon values for OCPs, PCBs and PCDD/Fs-TEQs in chicken eggs.
Hen eggs
EU ML1EU MRL2
Unit pg g-1 fat ng g-1 fresh weight
WHO-PCDD/Fs TEQ 2�5 -
WHO-PCDD/Fs-dl-PCB TEQ 5�0 -
PCBs340 -
HCB -20
DDT total4-50
γ-HCH (lindane) -10
α-, β-HCH* -20, 10
Notes to the Table:
1EU Regulaon (EC) N°1259/2011� Maximum level (ML) – food with PCDD/Fs and dl-PCBs concentraons
above this level is considered to be contaminated and is not suggested for consumpon�
2Regulaon (EC) N°149/2008� Maximum residue level (MRL) means the upper legal level of a concentraon
for a pescide residue in or on food or feed set in accordance with the Regulaon, based on good agricultural
pracce and the lowest consumer exposure necessary to protect vulnerable consumers�
3sum of PCB28, PCB52, PCB101, PCB138, PCB153 and PCB180
4sum of p,p´-DDT, o,p´-DDT, p,p´-DDE and p,p´-DDD
*MRL is set separately for each isomer
4.1.1 Dioxins (PCDD/Fs) and other unintentionally produced POPs
Annex C of the Stockholm Convenon lists six unintenonally-produced POPs: HCB, hexachlorobutadiene
(HCBD), pentachlorobenzene (PeCB), PCBs, PCDD/F, and polychlorinated naphthalenes� Eggs measured in
this study contained HCB, HCBD, PeCB, PCBs, and PCDD/Fs� Polychlorinated naphthalenes were not measured
only in two egg samples and one soil sample (see chapter 4�2)� They were below LOQ in egg samples�
PCDD/Fs and dl-PCBs
Dioxins belong to a group of 75 polychlorinated dibenzo-p-dioxin (PCDD) congeners and 135 polychlorinated
dibenzofuran (PCDF) congeners, of which 17 are of toxicological concern� Polychlorinated biphenyls (PCBs)
are a group of 209 dierent congeners that can be divided into two groups according to their toxicological
properes: 12 congeners exhibit toxicological properes similar to dioxins and are therefore oen referred
to as ‘dioxin-like PCBs’ (dl-PCBs)� The other PCBs do not exhibit dioxin-like toxicity, but have a dierent
toxicological prole and are referred to as ‘non dioxin-like PCBs’ (ndl-PCBs) [55]� Technical mixtures of PCBs
are characterized by 6, somemes also 7 indicator PCB congeners (i-PCBs)� Levels of PCDD/Fs and dl-PCBs are
expressed in total WHO-TEQ calculated according to toxic equivalency factors (TEFs) set by a WHO experts
panel in 2005 [56]� These new TEFs were used to evaluate dioxin-like toxicity in pooled samples of chicken
eggs from two African countries as well as in sampled soil and waste incineraon residues from Ghana (see
Tables 2 and 8)�
Chlorinated dioxins (PCDD/Fs) are known to be extremely toxic� Numerous epidemiologic studies have
revealed a variety of human health eects linked to chlorinated dioxin exposure including cardiovascular
disease, diabetes, cancer, porphyria, endometriosis, early menopause, alteraon of testosterone and thyroid
hormones, and altered immune system response among others [57, 58]� Laboratory animals given dioxins
suered a variety of eects, including an increase in birth defects and sllbirths� Fish exposed to these
substances died shortly aer the exposure ended� Food (parcularly from animals) is the major source of
exposure for humans [59]�
17
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
Chlorinated dioxins became known to the public in the 1970s as a result of their contaminaon of Agent
Orange, a defoliant pescide mixture sprayed by the US during the Vietnam war�4 The producon of 2,4,5 T
pescide as basic ingredient for Agent Orange le one of the most seriously contaminated sites in Europe
[61-63] and sick workers with many symptoms of exposure to most toxic of dioxin congeners 2,3,7,8-TCDD
[64, 65]�
PeCB and HCB
PeCB and HCB are primarily produced unintenonally during combuson, as well as thermal and industrial
processes� In the past, they were produced intenonally as pescides or technical substances and present
as impuries in products such as solvents or pescides� PeCB was used as a component in PCB products, in
dyestu carriers, as a fungicide, a ame retardant and as a chemical intermediate for the producon of the
pescide, quintozene [66]� In high doses, HCB is lethal to some animals and, at lower levels, adversely aects
their reproducve success� HCB has been found in food of all types [59]� Pentachlorobenzene is very toxic to
aquac organisms and may cause long-term adverse eects in the aquac environment [67]�
HCBD
HCBD occurs as a by-product during the the producon of chlorinated hydrocarbons such as perchloroethylene,
trichloroethylene and carbon tetrachloride� It is also formed unintenonally during incineraon processes
including incineraon processes of acetylene and incineraon of chlorine residues� Perchloroethylene is
widely used in dry cleaning and trichloroethylene and carbone tetrachloride have been used extensively
as degreasing agents and as a solvents for other chlorine-containing compounds� HCBD is very toxic to
aquac organisms and causes kidney damage and cancer in animal studies and chromosomal aberraons in
occupaonally-exposed humans [68]� Systemic toxicity following exposure via oral, inhalaon, and dermal
routes� Other eects may include fay liver degeneraon, epithelial necrozing nephris, central nervous
system depression and cyanosis [59]�
PBDD/Fs
There are also other unintenonally produced POPs that are not yet listed in the Stockholm Convenon�
The most relevant groups of unintenonally produced POPs to the sampled site in Agbogbloshie, Ghana are
polybrominated dibenzo-p-dioxins and dibenzofurans (PBDD/Fs),5 which were analyzed in samples from this
site� Results for brominated dioxins are discussed in one subchapter together with BFRs (see 4�1�3) as they
have been known to be potenal by-products of commercial PBDE mixtures since 1986 [69]� This is similar to
the chlorinated dioxins which have been observed as impuries in PCBs, and other chlorinated chemicals�
PBDFs have also found to be formed by sunlight exposure during normal use, as well as during disposal/
recycling processes of ame-retarded consumer products [70]� PBDD/Fs are similar to the PCDD/Fs however
they have been studied less extensively than their chlorinated analogues�
PBDDs/F have been found to exhibit similar toxicity and health eects as their chlorinated analogues (PCDD/
Fs) [71-75]� They can for example aect brain development, damage the immune system and fetus or induce
carcinogenesis [75]�
“Both groups of compounds show similar eects, such as inducon of aryl hydrocarbon hydroxylase (AHH)/
EROD acvity, and toxicity, such as inducon of wasng syndrome, thymic atrophy, and liver toxicity” [73].
4 According to esmates provided by the Government of Vietnam, 400,000 people were killed or maimed by the pescide; 500,000
children were born with birth defects ranging from retardaon to spina bida; and a further two million people have suered
cancers or other illnesses, which can be also related to dioxins as impuries in the Agent Orange mixture� It is esmated that in
total, the equivalent of at least 366 kilograms of pure dioxin were dropped� 60� York, G� and H� Mick� Last ghost‘ of the Vietnam
War� 2008 April 27, 2018 [cited 2018 19-11-2018]; Available from: hps://www�theglobeandmail�com/incoming/last-ghost-of-the-
vietnam-war/arcle1057457/?page=all�
5 Synonym „brominated dioxins“ is used for this group of chemicals as well, while „dioxins“ applies for PCDD/Fs� We use both these
shorter synonyms in this report�
18
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
In general, brominated dioxins are less regulated than chlorinated dioxins� For example, PBDD/Fs are not
currently listed under the Stockholm Convenon [53], although there is clear evidence that they contain very
similar properes to PCDD/Fs, which have been listed in Annex C of the Convenon since its origin in 2001�
In 2010, the Stockholm Convenon POPs Review Commiee recommended further assessment of PBDD/
Fs including, “releases from smelters and other thermal recovery technologies, including secondary metal
industries, cement kilns and feedstock recycling technologies” [76].
Because brominated dioxins tend to be less regulated, there is less data about their presence in the
environment� There is also very lile informaon about their presence in consumer products and food, where
they can have direct impacts on human health, including in vulnerable groups such as children and women
of childbearing age�
4.1.1.1 Dioxin-like activity of eggs measured by using bioassay analyses
Several bioanalycal tools tools are accepted by internaonal standards6 for measuring dioxin-like acvity
of environmental and food the samples� These methods are an easier and more cost-ecient opon for
screening larger quanes of environmental, food or human samples, and many studies use it to evaluate
such contaminaons by dioxins and dioxin-like substances, e�g� for food [77-80]� Five pooled egg samples in
this study were analyzed by the DR CALUX® method� The highest level in BEQs was measured in the sample
from Agbogbloshie (840 pg BEQ g-1 fat) followed by a sample from the medical waste incinerator in Accra (56
pg BEQ g-1 fat)� Also samples from the Yaoundé hospital site and the Kumasi hospital were suspected not to
meet the EU limit for PCDD/Fs + dl-PCBs (5 pg TEQ g-1 fat)�
All sample results measured by DR CALUX® method (see Table 2; total PCDD/F + dl-PCBs – DR CALUX in pg BEQ
g-1 fat) were also in the same order of magnitude in the chemical HRGC/HRMS analysis for PCDD/F + dl-PCBs
-TEQ (see Table 2; total PCDD/F + dl-PCBs in pg TEQ g-1 fat):
»Yaoundé - hospital (DR CALUX 9,6 vs chemical analysis 11,4; therefore non-compliant according EU
guidelines);
»Agbogbloshie (DR CALUX 840 vs chemical analysis 856; therefore non-compliant according EU guidelines);
» Accra - hospital (DR CALUX 56 vs chemical analysis 63; therefore non-compliant according EU guidelines);
» Kumasi - hospital (DR CALUX 5,2 vs chemical analysis 2,6; therefore above acon levels from EU guidelines)
and nally the only in the EU compliant egg samples from the
» Accra - supermarket (DR CALUX 1,2 vs chemical analysis 0,56)�
Another study conducted in Arusha, Tanzania found several composite egg samples suspected of exceeding
the EU standard of 5 pg TEQ g-1 fat with the highest BEQ concentraon found in a sample from Kwamrefu of
20�4 pg BEQ g-1 fat [77], which is higher than that measured in eggs from Yaoundé but lower than eggs from
Accra - hospital, most likely inuenced by waste incinerator ash le in the area where hens forage�
Posive DR CALUX® acvies were measured in 82% of the twenty seven egg samples from Arusha in a study
carried out in 2012 [77]� There are several small industries in Arusha and two large regional referral hospitals
[1]� Emission from these and uncontrolled burning of waste close to or within the backyards where chickens
are scavenging may be the main pathways of dioxin contaminaon for the chicken in Arusha [77]� This
situaon is similar to the places sampled in Yaoundé�
Bioassay analyses of eggs and other environmental samples could be a pathway to broader monitoring of
dioxin contaminaon in African countries�
6 Those standards are such as EC/644/2017, EPA 4435/2008, JIS 463/2009, Dutch Specie 07/2005 and the Chinese standard for Solid
waste—Screening of PCDD/Fs—Chemical acvated luciferase expression, 2018�
19
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
20
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
4.1.1.2 PCDD/Fs and dl-PCBs
Three out of four free-range chicken egg samples in this study analyzed for PCDD/Fs and dl-PCBs by instrumental
analysis exceeded the EU maximum level (ML) of PCDD/Fs and sum of PCDD/Fs and dl-PCBs, expressed as
WHO-TEQ (see Table 5) [55]� The background levels for PCDD/Fs and dl-PCBs measured in chicken eggs from
a supermarket in Accra were 0�39 and 0�17 pg WHO-TEQ g-1 fat, respecvely� The highest level of dioxins
(661 pg WHO-TEQ g-1 fat) and dl-PCBs (195 pg WHO-TEQ g-1 fat), respecvely, were measured in eggs from
Agbogbloshie scrap yard, sampled in a slum close to Korle lagoon in the middle of the area�
The second highest levels of PCDD/Fs and dl-PCBs in this study, 49 and 14 WHO-TEQ g-1 fat respecvely,
were measured in eggs sampled from the area close to the closed down medical waste incinerator in Accra�
There is waste incineraon ash le in that area accessible to foraging hens� However, the dioxin paern in
the eggs shows that other contaminaon sources might also be contribung dioxins (see graph at Figure
8)� The intake of dierent dioxin congeners and their bioavailability and transfer into eggs may also dier
according a recent study: “The data indicate that the bioaccumulaon rate depended on the congener; that
is, the lower chlorinated PCDDs/PCDFs congeners showed higher bioaccumulaon than the higher chlorinated
PCDDs/PCDFs congeners“ [81]�
The only sample from Yaoundé analyzed for PCDD/Fs + dl-PCBs from the vicinity of the small medical waste
incinerator and open re pit had levels of PCDD/Fs and total WHO-TEQ levels of 4�6 and 11�4 pg WHO-TEQ g-1
fat respecvely� Both levels exceeded the EU ML, by approximately two-fold� It is necessary to note that the
scenario of the sampling in this case was a bit dierent from other samples as it is a pooled sample from six
dierent households in radius of 0�3 km in all direcons from the hospital� So, it reects the overall situaon
in the area�
All samples were above the background level of WHO-TEQ measured in eggs from the supermarket by almost
5-fold (Kumasi - hospital) to 1528-fold (Agbogbloshie sample)� Dioxin levels in samples from Agbogbloshie
and Accra - hospital are among 15 egg samples with the highest ever measured levels of PCDD/Fs (see graph
at Figure 5)� Sample of eggs from Agbogbloshie with 661 pg WHO-TEQ g-1 fat of PCDD/Fs is the second highest
ever measured level of these chemicals in eggs globally� The highest level was found only in samples of
poultry eggs during the dioxin scandal in Belgium in 1999 [82]� It is a level almost six-mes higher than the
highest concentraon of PCDD/Fs measured in free range chicken eggs in IPEN study from 2005 in eggs
sampled in Helwan, Egypt – a site with metallurgical plants and a coal-based chemical and cement industry
(125 pg WHO-TEQ g-1 fat) [14]�
Almost 50 pg WHO-TEQ g-1 fat of PCDD/Fs in eggs from the Accra hospital site is comparable with levels in
another sample (unpublished data) from a site inuenced by a secondary aluminium smelter in Indonesia (see
Table 4), and also comparable to the highest level of PCDD/Fs in free-range eggs from Newcastle alotments
in the area where the incineraon ash from the Byker waste incinerator was used to pave the path between
alotments in 2000 [16]� It is also close to the highest level of PCDD/Fs and dl-PCBs measured in BEQs in pooled
egg samples from another site with impact from waste incineraon y ash in an UK farm in Bishops Cleeve
[83] (see Table 9 in this report)�
Dioxin-like PCBs were lower in comparison with PCDD/Fs in most of samples but Yaoundé – hospital sample,
where dl-PCBs were prevailing, and contributed by almost 60% to total WHO-TEQ in eggs� In all other egg
samples dl-PCBs contributed by ¼ to 1/3 of the to total WHO-TEQ value� Highest level of dl-PCBs of 195 pg
WHO-TEQ g-1 fat was measured in eggs from Agbogbloshie� The lowest dl-PCBs in free range eggs had sample
from Kumasi – hospital site, 0�86 pg WHO-TEQ g-1 fat, which exceeded the background level in eggs from the
supermarket by 5-fold�
21
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
0
25
50
75
100
125
150
175
200
225
250
Belgium (2007)
Mexico, Coatzacoalcos (2005)
Uruguay, Minas (2009)
Kenya, Dandora (2004)
Ukraine, Krivyi Ryh (2018)
Czechia, Libis (2002)
Germany (1993)
Poland (2011)
Taiwan (2005)
Uzbekistan, Chimbay (2001)
Senegal, Mbeubeuss (2005)
Germany (1993-96)
Italy - Piedmont (2012)
Russia, Igumnovo (2005)
USA, Saginaw River (2002)
Ghana - Accra - hospital (2018)
Indonesia - Kendalsari (2018)
UK - Newcastle (2002)
Portugal (2008)
Bulgaria, Kovachevo (2005)
Thailand - Samut Sakhon (2015)
France - Maincy (2004)
Egypt, Helwan (2005)
Vietnam - Bien Hoa (2011)
Germany - Rheinfelden (1992)
Ghana - Agbogbloshie (2018)
Belgium (1999)
514
661
713
450
475
500
525
550
575
600
625
650
675
700
725
Measured level in pg WHO-TEQ g-1 of fat
Figure 5: Graph showing selecon of maximum levels of PCDD/Fs measured in chicken eggs in dierent countries. Samples before
2006 are in WHO-TEQ 1998. Sources of informaon are listed in Table 4.
Country - locality
22
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
Table 4: Overview of egg samples with highest measured levels of PCDD/Fs since 1990s.
Country Year Locality PCDD/Fs pg WHO-TEQ g-1 fat Source Comments (potenal source of contaminaon)
Belgium 2007 Not specied 20 [82] -
Mexico, 2005 Coatzacoalcos 22 [14] Petrochemical complex; hazardous waste incinerator
Uruguay 2009 Minas 23 [84, 85] Cement kiln co-incinerang PCBs
Kenya 2004 Nairobi - Dandora 23 [14] Open burning at dumpsite
Ukraine 2018 Krivyi Ryh 23 [86] Metallurgical and coke plants
Czechia 2002 Libis 23 [87] Chlor-alkali plant, dioxin contaminated site
Germany 1993 Not specied 23 [88] Either PVC burning or PCP - not clear from [88]
Poland 2011 Not specied 29 [89] PCP treated wood
Taiwan 2005 Changhua county 33 [90] Metallurgical plants (steelworks); (duck eggs)
Senegal 2005 Mbeubeuss 35 [14] Mixed waste dumpsite, potenal PCP contaminaon
Germany 1993-96 Not specied 35 [91] Not specied (free range chicken eggs)
Italy 2012-13 Piedmont region 38 [92] Secondary aluminium smelter
Russia 2005 Igumnovo 45 [14] Chlorine chemical industry area; HWI
Ghana 2018 Accra - hospital WI 49 this study Medical waste incinerator ash
Indonesia 2018 Kendalsari 49 [93] Secondary aluminium smelter
United Kingdom 2000 Newcastle 56 [16] Waste incineraon ash
Portugal 2008 Not specied 61 [144] PCP treated wood
Bulgaria 2005 Kovachevo 65 [14] Industrial area with coal burning power plants
Thailand 2015 Samut Sakhon 84 [94] Arsanal e-waste and general waste recycling; open burning
France 2004 Maincy (near Melun) 122 [15] Old waste incinerator operang between 1974-2002
Egypt 2005 Helwan 126 [14] Metallurgical workshops
Vietnam 2011 Bien Hoa 248 [95] Former US military base, dioxin contaminated site
Germany 1992 Rheinfelden 514 [96] Waste from chlor-alkali chemical plant
Ghana 2018 Agbogbloshie 661 this study E-waste and automobile scrap yard
Belgium (1999) 1999 Not specied 713 [97] Dioxin contaminaon of feed
23
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
4.1.1.3 Hexachlorobenzene, pentachlorobenzene and hexachlorobutadiene
Among the six free-range egg samples in this study, the highest levels of PeCB and HCB were measured in eggs
from Agbogbloshie� None of the samples were above LOQ for HCBD�
The highest level of HCB observed in this study in Agbogbloshie (25 ng g-1 fat) is equal to the level found in
Kwamrefu, Tanzania with a mean value of HCB (23 ng g-1 fat) [77]� However, the study in Arusha found a much
higher maximum level of 167 ng g-1 fat in the pooled eggs sample from Kwamrefu� Lower levels of HCB in eggs
from Yaoundé – TCK and Yaoundé - hospital are comparable to those measured in Mbeubeuss, Senegal, and
the highest from Yaoundé – Etetak was comparable to levels observed in Eloor, India in an IPEN study from
2005 [14]� In general none of the observed levels was extremely high nor exceeded EU limit values� The same
applies to PeCB in eggs from this study�
4.1.2 Non-dioxin-like PCBs
Levels of 6 or 7 indicator PCB congeners represent a potenal inuence of technical mixtures of PCBs, which
is likely not the outcome of unintenonal generaon, but intenonal producon and use� The EU limit for 6
i-PCB congeners in eggs is set at 40 ng g-1 fat� The egg samples from Agbogbloshie were more than 4-mes this
limit value for i-PCBs� The reason might be that technical PCBs are present in oils from car wrecks and other
WEEE which end up at the scrap yard�
All remaining eggs samples in this study were below 40 ng g-1 fat� Levels of i-PCBs in eggs from Yaoundé were
above half of the limit set in the EU�
4.1.3 PBDD/Fs and BFRs in eggs
With the broad use of brominated ame retardants, the queson of the presence of polybrominated dibenzo-
p-dioxins and dibenzofurans in the food chain has arisen, as they are found in dierent environmental
compartments [75]� The WHO expert panel has concluded that polybrominated dibenzo-p-dioxins (PBDDs),
dibenzofurans (PBDFs) and some dioxin-like polybrominated biphenyls (dl-PBBs) may contribute signicantly
to daily human background exposure to the total dioxin toxic equivalencies (TEQs) [98]�
PBDD/Fs are not measured very oen in the environment yet, although there are some studies focused
on their presence in the African environment� Several studies have focused on PBDD/Fs in environmental
compartments at the Agbogbloshie scrap yard [31, 35, 36, 99]� This type of contaminaon is discussed in
a more detailed way in subchapter 4�2 below� Other studies focused on the presence of PBDD/Fs in e-waste
and plasc wastes in Nigeria [100, 101]� IPEN and Arnika recently found PBDD/Fs in toys from recycled e-waste
plasc sold in Nigeria [102]�
The e–waste dismantling process is a signicant source of PBDD/Fs releases into the environment as
demonstrated in several studies from e-waste dismantling sites in China [103, 104], Vietnam [105] and
Thailand [106]�
The results of analyses of free-range eggs from Cameroon and Ghana for BFRs and PBDD/Fs are summarized
in Table 5� For comparison there are also results in eggs from Wuhan, China and Samut Sakhon, Thailand from
which PBDD/Fs were found in high levels previously� The sample from Wuhan had highest ever measured
level of PBDD/Fs unl this study and analysis of eggs from Agbogbloshie�
Decabromodiphenyl ethane (DBDPE), octabromo-1,3,3-trimethylpheny-1-indan (OBIND), 2,3,4,5,6-
pentabromoethylbenzene (PBEB), and pentabromotoluene (PBT) from the group of nBFRs and
tetrabromobisphenol A (TBBPA) were measured below LOQ in all samples, and therefore they were not
included in the Table 5� This nding is in agreement with measured levels in eggs from Arusha, where these
nBFRs were not detected [77]�
24
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
Table 5: Summarized results of analyses for dierent BFRs in free-range chicken eggs samples from Cameroon and Ghana (this
study) in comparison with samples from Wuhan (China) and Samut Sakhon (Thailand). Also results for eggs from supermarkets
(background) in Accra and Beijing respecvely are included. The table also contains results of analyses for PBDD/Fs in addion to
BFRs. Sources of data from China and Thailand: [94, 107, 108]
Chemicals SPBDE SHBCD HBB BTBPE PBDD/Fs
Units ng g-1 fat pg TEQ g-1 fat
Yaoundé - TCK Quart� 0�5 124 NA NA NA
Yaoundé - hospital 2�3 379 NA NA NA
Yaoundé - Etetak Quart� 2�8 25 NA NA NA
Agbogbloshie 1258 1961 1�1 38 300
Wuhan 1054 NA < 0�1* 51 27
Samut Sakhon - SMS E 3�1 NA < 0�1* < 0�5* 16
Samut Sakhon - SMS 2-13 1�3 159 NA NA NA
Accra (supermarket) 11 < 12�6* < 0�2* < 0�3* < 8�5*
Beijing (supermarket) 0�2 NA 3�7 < 0�5* < 1�8*
*below LOQ
We have found only one study assessing PBDD/Fs in chicken eggs in countries other than China and Thailand
from which data are incorporated in the Table 5� A report from Ireland showed levels of 0�244 – 0�415 pg TEQ
g-1 fat [109]� It is two orders of magnitude lower than the level measured in free -range chicken eggs samples
from Wuhan or Samut Sakhon, and three orders of magnitude lower than in samples from Agbogbloshie�
In the egg samples from Agbogbloshie, high levels of PBDEs and HBCD were also measured (1258 and 1961
ng g-1 fat respecvely)� The level of PBDEs is comparable to e-waste dismantling sites studied by Labunska et
al� [110] as well as the municipal waste incinerator site in Wuhan (see Table 4)� A signicantly increased level
of 51 ng g-1 fat was also measured in a sample from Wuhan for BTBPE7, which is comparable to the ndings in
eggs from Agbogbloshie in this study (38 ng g-1 fat)� They exceeded the background samples by at least two
orders magnitude (see Table 4)� A similar study from Tanzania found 4-mes lower levels of BTBPE in eggs
from Arusha area� Relavely low levels of HBB were observed in eggs from Agbogbloshie and Arusha [77]�
The level of HBCD in eggs from Agbogbloshie is one of the highest ever measured, comparable to very high
levels measured in Germany (2000 ng g-1 fat) [111]� However, in eggs from Shetpe in Kazakhstan the level of
HBCD in samples was one order of magnitude higher than that measured in samples from Agbogbloshie� It
was speculated that the source of contaminaon of eggs in Shetpe were chickens feeding among car wrecks
and/or were picked by hens directly ingesng parcles of brominated materials from the deteriorated car
interiors that had entered the soil [112, 113]�This exposure pathway is somewhat similar for the eggs from
Agbogbloshie� Another potenal source of contaminaon might also be polystyrene foam used in obsolete
electronic devices or in their packaging [114]�
In two samples from Yaoundé (from TCK Quarter and from the area close to the medical waste incinerator)
relavely high levels of HBCD exceeding background levels by 10 to 30-fold were measured� They are much
lower in comparison with Agbogbloshie but comparable to levels in eggs from Samut Sakhon (Thailand),
Balkhash (Kazakhstan) or Koh Samui (Thailand) [112]� All these sites had some waste related acvies as well�
HBCD in eggs from two sites in Yaoundé also exceeded levels found in Arusha [77]� HBCD in the third sample
from Etetak Quarter is lower than highest levels found in Arusha� PBDEs were low in samples from Yaoundé,
lower than some samples measured in Arusha, and close to the minimum levels there [77]�
What is remarkable is the level of PBDEs found in pooled sample from the supermarket in Accra which
exceeded levels found in several samples of free-range chicken eggs presented in Table 5 including those
from Yaoundé�
7 BTBPE stands for 1,2-bis(2,4,6-tribromo-fenoxy)ethane� It is one from the family of novel brominated ame retardants used e�g�
in electronics where replaced PBDEs� Its accumulaon in the eggs highlights the need of more detailed screening of new retardants
used as alternaves replacing PBDEs for their potenal properes similar to POPs, otherwise we will connue to repeat the same
mistake and will use new POPs to replace other POPs which is not intenon of the Stockholm Convenon�
25
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
4.1.4Shortchainchlorinatedparafns(SCCPs)
Egg samples from Agbogbloshie and Accra - supermarket, are, to our knowledge, the rst egg samples from Africa
which have been analyzed for SCCPs� Measured levels in these samples were 2067, 149 and 62 ng g-1 fat in eggs from
Agbogbloshie, Yaoundé – Etetak Q� and Accra – supermarket respecvely (see also Table 2)� By way of comparison, the
EU limit for SCCPs in water is 0�4 μg l-1 (~ng g-1) [115]�
The total concentraons of SCCPs in eggs ranged from 477 to 111000 ng g-1 fat from an e-waste- polluted area in South
China [116]� Level of SCCPs in eggs from Agbogbloshie (2067 ng g-1 fat) is higher than minimum level but it is also much
lower than maximum level from the South China site�
4.1.5 Background levels of POPs in eggs
The approach to establishing background levels of POPs in eggs diers in dierent studies� It is dicult in the
current world to nd remote sites without any substanal inuence of human acvity, which is why it was
established to use supermarket eggs from large covered chicken farms (somemes called ‘baery farms’)
where poultry do not have access to contaminated soil, as background level samples [97, 118]� We sampled
chicken eggs from a supermarket in Accra from chickens raised on a farm without access to open air space in
order to obtain informaon about background levels of POPs in chicken eggs� The results of the analyses for
this sample are in Tables 2 and 5� The levels of POPs in this sample were similar for PCDD/Fs, PCBs [14, 95]
or slightly higher (e�g� for PBDEs) [108] compared to those observed in the background samples from other
studies of POPs in chicken eggs�
4.2 E-waste scrap yard
Agbogbloshie scrap yard was the focus of numerous previous studies regarding its contaminaon by POPs
and heavy metals� Most of them focused either on soil or human ssue contaminaon by dierent POPs, and
various groups of these chemicals, polyhalogenated dibenzo-p-dioxins and dibenzofurans in parcular� Our
study is focused on free-range chicken eggs as part of the diet for people living on the scrap yard as well as
part of local food chain� This is rst me to our knowledge where POPs were analyzed in free-range chicken
eggs from hens foraging in the area of Agbogbloshie scrap yard� We also analyzed one pooled soil sample
from the closest area to the locaon where the chicken eggs were sampled�
The results of analyses for PCDD/Fs, PCBs, HCB, PeCB, HCBD, PBDD/Fs, SCCPs, some OCPs, PBDEs, HBCD,
TBBPA and nBFRs are summarized in Table 6�
Table 6: Summarized results of analyses for various POPs in two samples from Agbogbloshie scrap yard (analyzed for this study)
compared with three samples from a small arsanal e-waste and other wastes recycling site in Samuth Sakhon, Thailand; source
[108, 118].
Locality Accra - Agbogbloshie Samut Sakhon (Thailand)
Sample ID AGB-E AGB-S-1 SMS-E A2 - soil SMS1-14
Matrix Eggs Soil Eggs Soil Sediment
Units (ng g-1 fat) (ng g-1 dw) (ng g-1 fat) (ng g-1 dw) (ng g-1 dw)
PCDD/Fs (pg TEQ g-1 fat) 661 4524 84 13 12
dl-PCBs (pg TEQ g-1 fat) 195 399 12 0�001 1�5
Total PCDD/F + dl-PCBs (pg TEQ g-1 fat) 856 4924 96 13 13�5
PBDD/Fs (pg TEQ g-1)300 62 16 NA NA
HCB 25 91 4�2 1�4 <LOD
PeCB 22 181 NA 0�35 NA
HCBD < 0�2 0�15 NA NA NA
7 i-PCB 286 618 13 1�1 <LOD
6 i-PCB (EU) 168 452 11 1�1 <LOD
PCNs* < 1�4 4�3 NA NA NA
SCCPs 2067 311 NA NA NA
sum HCH < 0�6 0�10 0�31 NA <LOD
26
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
sum DDT 9�7 0�79 2�9 NA <LOD
PBDEs 1258 765 3�1 NA NA
sum HBCD 1961 9�8 NA NA NA
BTBPE 38 20 <0�5 NA NA
DBDPE <3�3 35 NA NA NA
HBB 1�1 1�6 <0�1 NA NA
PBT <0�2 0�15 <0�1 NA NA
TBBPA <4�2 149 NA NA NA
dw = dry weight
*Seven PCN congeners were measured: PCN 52, 56, 66, 70, 73, 74 and 75�
The most recent study by Tue et al� [99] summarized potenal health eects of high contaminaon of soils
by PCDD/Fs, PBDD/Fs and other dioxin-like chemicals: “The elevated TEQ concentraons in surface soils of
the dismantling area suggest high risk of exposure to dioxin-like chemicals and potenal dioxin-related health
eects for e-waste dismantling workers and other people frequenng the area, especially for children who may
accidentally ingest more soils and are subjected to higher per-weight exposure doses than adults. Considering
the dioxin exposure threshold of 1 pg TEQ/kg/day [119] and an average soil ingeson rate of 30 mg/day for
12 year old children [120] with an average body weight of 40 kg, TEQ concentraons in soils exceeding 1300
pg g-1 can be considered as posing risk for children exposure. Chronic exposure to PCDD/Fs resulted in high
concentraons in blood of workers in Agbogbloshie [37]. Meanwhile, despite the high contaminaon levels
of PBDFs in Agbogbloshie, the contribuon of these brominated dioxins to the total dioxin exposure risk is sll
unclear considering the potenally lower bioaccessibility and shorter half-life [121, 122]. Nevertheless, as
signicant dioxin-like acvies were detected in the brominated dioxin fracon (rather than in the chlorinated
dioxin fracon) of several randomly selected serum samples from Agbogbloshie e-waste workers, further
studies on potenal health eects of brominated dioxins in e-waste workers are warranted“ [99].
Figure 6: All the me ongoing open burning of e-waste scrap or plascs in Agbogbloshie adds dioxin
contaminaon to the levels already contained in waste imported to this site.
Photo: Marn Holzknecht, Arnika.
27
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
PBDD/Fs measured in soil in this study are much lower than those found in samples from 2013 by Tue et
al� [99]� However, PCDD/Fs in our sample are comparably high to the maximum level of 5�2 ng TEQ g-1 dw
found by Tue et al� [99]� This study did not focus on mapping dierent soil levels, but on free-range chicken
eggs from dierent locaons in Ghana and Cameroon, so we denitely cannot say that our soil sample is
representave for Agbogbloshie� We wanted to obtain a beer characterisaon of the closest soil environment
for chickens laying eggs for the household which provided us with a sample� Tue et al� [99] also highlighted
„The concentraons of PCDD/Fs, PBDD/Fs and PBDEs in surface soil samples from the Agbogbloshie e-waste
site varied widely, ranging over one to two orders of magnitude even within the same area (Table 1). The
contaminaon levels of PCDD/Fs and PBDD/Fs were not signicantly dierent between the open burning
areas and the dismantling area (Wilcoxon’s rank sum test, p > 0.05). However, the highest concentraons
of total PCDD/Fs were found in the open burning areas (1.3–380, median 33 ng/g as opposed to 5.6–230,
median 16 ng/g), whereas the highest concentraons of total PBDD/Fs were found in the dismantling area …“.
The dioxin congener paern in the egg samples is dierent than that in the mixed soil sample� It appears that
the hens, from which we obtained the eggs, forage in a much broader area (see Figure 7)� In addion, the
balance between PBDD/Fs and PCDD/Fs, expressed in WHO-TEQs, is quite dierent in the pooled eggs (1 : 99)
compared to the composite soil sample (3 : 7)�
Figure 7: Dioxin prole of eggs and soil sample from Accra – Agbogbloshie.
0,00%
5,00%
10,00%
15,00%
20,00%
25,00%
30,00%
35,00%
Accra - Agbogbloshie (eggs)
Accra - Agbogbloshie (soil)
The POPs levels in free-range chicken eggs sampled in this study indicate that producon of food at the scrap
yard in Agbogbloshie might have serious health implicaons� Based on the results of analyses demonstrated
in Table 6 and discussed in chapter 4�1, we can say that: An adult eang just one egg from Agbogbloshie
would exceed the tolerable daily intake (TDI) as set by the European Food Safety Authority (EFSA) in 2018 for
dioxins and dioxin-like PCBs by 220-fold [123]� One egg from Agbogbloshie would exceed the TDI suggested
by the World Health Organizaon (WHO) by thirty-fold [124]� The typical daily egg consumpon per person in
Ghana is less than one egg a day, but even eang 2�5 grams of egg a day would exceed the EFSA TDI by more
than 15-fold�
28
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
4.3 Dump sites
CREPD took samples of free-range chicken eggs at two dump sites in Yaoundé, the capital city of Cameroon�
These samples were analyzed for unintenonally produced POPs: HCB, PeCB and HCBD� We were not able to
analyse them for dioxins due to the nancial constrains of our project, however there are older egg samples
from two dumpsites in African countries from previous studies, and another sample from Yaoundé which was
taken in the surroundings of a small medical waste incinerator combined with an open ring pit for wastes�
So, the sample taken near the medical waste incinerator can be considered to reect potenal levels from
open burning of wastes in Yaoundé� The total levels of PCDD/Fs and dl-PCBs in the medical waste incinerator
sample was 11 pg TEQ g-1 fat, which is lower in comparison with samples from two sampled dumpsites in
Nairobi, (Dandora) and Dakar (Mbeubeuss) in 2005 where levels of 27 and 40 pg TEQ g-1 fat respecvely were
found in free-range chicken eggs [14, 125, 126]�
Table 7: Summarized results of analyses for various POPs in two samples from Yaoundé dumpsites (analyzed for this study)
compared with two samples from earlier studies of chicken egg samples from two other African locaons in Nairobi, Kenya and
Dakar, Senegal and a more recent sample from a landll site in Praeksa, Thailand. Sources [125-127].
Locality
Yaoundé-TCK
Quart�
Yaoundé-
Etetak
Quart�
Nairobi –
Dandora
(2005)
Dakar –
Mbeubeuss
(2005)
Praeksa
(Thailand)
Sample YA- 1 YA- 3 Dandora Malika PKS-EGG
Units (ng g-1 fat) (ng g-1 fat) (ng g-1 fat) (ng g-1 fat) (ng g-1 fat)
PCDD/Fs (pg TEQ g-1 fat) NA NA 20 36 6�5
dl-PCBs (pg TEQ g-1 fat) NA NA 7�2 3�1 2�2
Total PCDD/F + dlPCBs (pg
TEQ g-1 fat) NA NA 27 40 8�7
HCB 1�5 7�1 4�4 1�7 NA
PeCB 0�56 4�7 NA NA NA
HCBD < 0�1 < 0�1 NA NA NA
7 i-PCB 28 36 31 29 NA
6 i-PCB (EU) 27 34 25 28 NA
sum HCH 4�5 7�6 2�5 6�0 NA
sum DDT 39 36 83 23 NA
PBDEs 0�50 2�8 29 NA NA
sum HBCD 124 25 160 NA NA
Indicator PCBs, HBCD and DDT seem to be major POPs contaminants in samples of eggs from the two
dumpsites in Yaoundé� Similar levels of PCBs in eggs were observed at all the African dumpsites� Eggs near all
four African dumpsites contained DDT and three of the sites contained HBCD and PBDEs�
Signicant contaminaon by HBCD can be found in free-range chicken egg samples from the vicinity of
dumpsites in general as observed in much higher levels at the Agbogbloshie scrap yard� This is most likely
due to polystyrene or upholstery waste present at the dumpsites� Similar levels of HBCD to those found in
eggs from dumpsites in Yaoundé were found in eggs from some places in Kazakhstan from sites near rather
uncontrolled landlls or dumpsites (e�g� egg samples from Baskuduk or Balkhash – Rembaza [112])� Levels
of PBDEs are lower in comparison with HBCD and also much lower than that observed at the scrap yard
in Agbogbloshie where e-waste is major source of contaminaon by PBDEs� E-waste is not present in high
quanes at general dumpsites like those sampled in Yaoundé�
29
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
4.4 Waste incinerators
The surroundings of three small medical waste incinerators were sampled for this report� We took samples of
free-range chicken eggs in close vicinity of all three of them and we also sampled waste incineraon residues
from two Ghana waste incinerators, ash in one case and soot in another hospital waste incinerator� All were
pooled samples as described in chapter 2�
The results of analyses for PCDD/Fs, PCBs, HCB, PeCB, HCBD, PBDD/Fs, SCCPs, some OCPs (DDT and HCHs),
PBDEs, and HBCD in samples from three waste incineraon sites in Yaoundé, Accra and Kumasi are summarized
in Table 8�
Table 8: Summarized results of analyses for various POPs in samples from medical waste incinerators areas and surrounding in
Youndé, Accra and Kumasi in eggs, ash and soot.
Locality
Yaoundé-
hospital
Accra -
hospital
Kumasi -
hospital
Accra -
hospital
Kumasi -
hospital
Sample YA- 2 KBI-E KU-E KBI-A-1 KU-A-1
Matrix Eggs Eggs Eggs Ash Soot
Units (ng g-1 fat) (ng g-1 fat) (ng g-1 fat) (ng g-1 dw) (ng g-1 dw)
PCDD/Fs (pg TEQ g-1) 4�6 49 1�7 551 2315
dl-PCBs (pg TEQ g-1) 6�8 14 0�86 28 99�5
Total PCDD/F + dl-PCBs (pg TEQ g-1) 11�4 63�1 2�60 579 2414
HCB 1�43 3�63 0�76 4�09 NA
PeCB 0�35 2�88 < 0�2 3�49 0�774
HCBD < 0�1 < 0�2 < 0�2 < 0�02 < 0�02
7 i-PCB 32�0 7�8 < 1�4 0�29 NA
6 i-PCB (EU) 30�4 7�8 < 1�2 0�29 NA
sum HCH 2�50 < 0�6 < 0�6 0�10 NA
sum DDT 22�23 79�43 0�82 0�79 NA
PBDEs 2�31 NA NA NA NA
sum HBCD 379�41 NA NA NA NA
Figure 8: Dioxin congeners paerns in eggs and ash from Accra – hospital site.
0,00%
5,00%
10,00%
15,00%
20,00%
25,00%
30,00%
35,00%
40,00%
45,00%
Accra - hospital (eggs)
Accra - hospital (ash)
30
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
31
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
32
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
Table 9 summarizes results of analyses for dioxins in free-range chicken eggs from places inuenced by ash
from waste incinerators or other wastes containing PCDD/Fs in dierent locaons around the world� The table
is constructed to show the potenal pathway of polluon by dioxins from wastes to soil (as career) and then
to free-range chicken eggs as the receptor� They are also compared with background levels (reference) of
PCDD/Fs in eggs from countries, mostly levels in eggs from larger farms where chickens are kept inside and
do not have access to dioxin contaminaon sources�
Table 9. Summary of levels of PCDD/Fs (in TEQs and/or BEQs) observed at dierent sites inuenced by y ash and other waste
contaminated by PCDD/Fs described in this study or in the literature.
Year(s) of
sampling
Fly ashes
(waste)
Soil/sediment
direct impact
Soil/sed�
reference Eggs
Eggs –
reference1)
Units pg TEQ g-1 dw pg TEQ g-1 fat
Thailand (WI Phuket)
2010 -
2011
3,200 -
8,000 2,700** na 6�1* 0�08[106]
China (WI Wuhan)
2014 -
2015 779 na na 12�2 0�2 [112]
UK (Bishops Cleeve)
2010 -
2011 2,500 6�5 – 11* 0�05 - 1�2
1�8; 21;
55* 0�2[5]
UK (Newcastle) [5,
113] 2000 20 - 9,500 7 – 292 na 0�4 – 56 0�2 [5]
Peru (Zapallal) [114] 2010 50 - 12,000 5 – 11 0�05 - 1�2 3�4 - 4�4 0�12 [114]
Taiwan (eggs event)
[115] 2005 na na na 32�6 0�274 [116]
Poland (henhouse)
[80] 2015 3,922 16 – 47 0�1 - 0�8 12�5 - 29�3 0�44 [80]
Ghana (Accra,
hospital) 2018 551 na 2*** [31] 49 0�39
Notes: *BEQs (total dioxin-like toxicity), ** sediment, na – not available, *** dl-PCBs + PCDD/Fs (site in Accra)”
In previous studies, processing/disposal of waste containing PCDD/Fs between 20 and 12,000 pg TEQ g-1 led
to contaminaon of the food chain (eggs or poultry meat) up to levels >20-mes higher than the suggested
EU limit for PCDD/Fs in food (2�5 pg TEQ g-1 fat)19� Levels from reference sites (background levels) in free-
range chicken eggs were exceeded up to 280-fold�
In Accra, hens have access to a site with stored ash, but also forage in a larger area which is probably not
contaminated with such high levels of dioxins� However, like other studies, the results show that incinerator
y ash with a level of dioxins (551 pg TEQ g-1 dw) well below the current internaonally set provisional limit
value for PCDD/Fs in wastes (15,000 pg TEQ g-1) leads to contaminaon of eggs at a level (49 pg TEQ g-1 fat)
exceeding EU limit by almost 20-fold�
A Swedish EPA study demonstrated that PCDD/Fs levels of 30 pg TEQ g-1 fat in an egg will be exceeded at
soil concentraons of approximately 4 to 75 ng TEQ kg-1 dw� Therefore, the European maximum level of 2�5
pg TEQ g-1 PCDD/F in fat [132] can be exceeded at levels that are ten mes lower (i�e� 0�4 and 7 ng TEQ kg-1
dw)� Based on the upper level of the range given in the Swedish EPA study and examples of a scenario with
contaminated wood waste [130], it can be concluded that applicaon of y ash and other wastes containing
levels of dioxin over 0�05 ppb in land-based applicaons can lead to unacceptable contaminaon of the local
food chain� In some other studies, even lower levels of dioxins in soils led to contaminaon of free-range
chicken eggs exceeding the EU standard for food [14, 15]� Free-range eggs can be impacted at crical levels,
and in some cases revealing a more than 20-fold exceedance of current EU limits� Locally produced food is of
great importance in developing countries and rural locaons in developed countries therefore this exposure
scenario is of parcular concern�
Free-range chicken eggs from the Accra – hospital site also exceeded the EU suggested limit for PCDD/Fs for
PCDD/Fs + dl-PCBs by more than almost 13-fold� This is most likely a consequence of access to untreated
waste incineraon residues� The waste incinerator has not been in operaon for several years but discarded
ash was found to sll be contaminated with high levels of PCDD/Fs + dl-PCBs (see photo in Figure 9)�
33
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
The level of PCDD/Fs in waste incineraon ash from the Accra hospital was 551 pg WHO-TEQ g-1dw� This level
is higher than what was measured in ash from a medical waste incinerator in Mozambique (346 pg WHO-TEQ
g-1 dw) for which the dioxin prole is presented in the graph at Figure 10 and compared with the prole from
Accra hospital� Also, data for ash from an open re pit in the Mozambique hospital were included� The dioxin
congener paern in ash from Accra is somewhat dierent from those observed in ashes from Mozambique�
Figure 10: Comparison of PCDD/Fs congener paerns in samples of ash from Mozambique and hospital waste incinerator ash from
Accra, Ghana. In order to get equal comparison, the levels for each congener are in relave percentage from total PCDD/Fs value (in
absolute real amount). Source of informaon about PCDD/Fs in ashes from Mozambique is Peter I. K. Mochungong’s thesis [133].
0,00%
10,00%
20,00%
30,00%
40,00%
50,00%
60,00%
70,00%
80,00%
Mozambique - WI
Mozambique - open fire pit
Accra - hospital WI
In comparison with observed levels of PCDD/Fs in ashes from similar waste incinerators in Pakistan [134] or
Thailand [135] the dioxin content in ash from Accra – hospital is 2 – 4 mes lower� However, it can be caused
by the age of ash at this site as some PCDD/Fs could be already diluted and released to the environment�
Figure 9: Waste incineraon ash on the ground at the closed medical waste incinerator area
in Accra most likely contaminates free range chicken by PCDD/Fs as it sll contains 551 pg
WHO-TEQ g-1 dw of these chemicals.
34
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
5. Conclusions
Eggs sampled at the Agbogbloshie scrap yard in Ghana contained the highest level of brominated dioxins ever
measured in eggs and one of the highest ever measured levels of the ame retardant chemical, HBCD� These
eggs also contained the second highest level of chlorinated dioxins ever measured in eggs� An adult eang
just one egg from a free-range chicken foraging in Agbogbloshie area would exceed the European Food Safety
Authority (EFSA) tolerable daily intake (TDI) for chlorinated dioxins by 220-fold� Indicator PCBs in these eggs
were four-fold higher than the EU standard and dioxins and dioxin-like PCBs were 171-fold higher than the
standard� These eggs also contained very high levels of SCCPs and PBDEs and relavely high levels of other
POPs such as PeCB and HCB� These ndings raise further concerns about e-waste ‘recycling’ at Agbogbloshie
and add further informaon to already published results of high levels of POPs measured in soil, sediments,
water and human ssues�
Eggs near the medical waste incinerator in Accra, Ghana exceeded the EU dioxin limit by 13-fold and eggs
sampled near the facility in Yaoundé exceeded the limit by more than two-fold� PCBs did not exceed limits,
but signicant levels were also found� High levels of HBCD were also found in eggs from the vicinity of the
Yaoundé waste incinerator and one of the dumpsites
6. Discussion & Policy Implications:
6.1 POPs waste and e-waste
There is a clear link between current global policy that allows uncontrolled movement of e-waste and the
health and environmental crisis in areas where dumping occurs, such as Agbogbloshie� A recent report by
Basel Acon Network conrmed that Ghana is on the list of desnaons for old, used electronic devices from
Europe—devices that contain high levels of PBDEs in the plasc casings and wire insulaon [8]�
Recent research has demonstrated that brominated dioxins show up in products made from recycled e-waste
plascs� A recent study conducted by IPEN, Arnika and HEAL [102], in cooperaon with NGOs from dierent
countries, found worrying levels of brominated dioxins in toys made of recycled plascs that originated
in e-waste� Brominated dioxins, which are similarly toxic to chlorinated dioxins—one of the Stockholm
Convenon’s original “dirty-dozen”—occur with some brominated ame retardants and are also formed
when brominated ame retardants are burned� The ndings of high levels of brominated dioxins in eggs in
Agbogbloshie, the desnaon of vast amounts of used electronic products, is especially concerning, as it
illustrates a pathway for some of the most dangerous chemicals into food sources�
Dioxins and dioxin-like PCBs have previously been found in high levels in egg samples from Egypt, Senegal,
Kenya, and Tanzania connected to polluon hot spots in Africa, mostly related to waste [14]� This underscores
the ndings of this current study and highlights the need to improve waste management and to control dioxin
ow in wastes�
To prevent further contaminaon of hot spots such as Agbogbloshie or the creaon of new ones in Africa,
governments must change internaonal rules to:
»Set strict limits for POPs in waste� Banned chemicals should be kept out of waste streams and recycling�
Materials that are dened as POPs waste must not be transported internaonally and must be sequestered
and destroyed according to strict protocol� The seng of strict hazardous waste limits for POPs waste
is a crical tool for prevenng their free movement across borders to developing countries, which are
lacking technologies to destroy POPs in waste in an environmentally and health protecve manner� These
stricter limits (dened as Low POP Content in the Stockholm Convenon) should be 50 mg/kg for PBDEs,
100 mg/kg for HBCD and SCCPs and 1 ug TEQ/kg for PCDD/Fs at maximum�
» Transfer cleaner technologies for destrucon of POPs and help to introduce environmentally sound
management of electronic waste in developing countries�
» Repair loopholes in e-waste technical guidelines under the Basel Convenon�
35
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
» List brominated dioxins (PBDD/Fs) under the Stockholm Convenon�
» Connuous monitoring by governments and taking appropriate measures to deal with releases e�g�
through legislaon and seng naonal standards�
Improvements to waste management that include technical assistance are needed� Such improvements will
help establish sustainable sorng and recycling of waste and not move polluon back into the environment
where it harms workers and communies around waste sites� Non-combuson technologies used for medical
waste treatment, accompanied with sorng of waste, would prevent contaminaon of chicken eggs at
hospitals such as the sites examined in this study� Addionally, the introducon of stricter limits for dioxins in
wastes allowed to be used on surfaces without pre-treatment (at level 50 pg TEQ g-1= 0�05 ppb) will prevent
cases such as those documented in places where waste incineraon residues are not handled properly�
6.2 Healthcare waste management
The data presented in this study verify long-standing concerns over the use of small medical waste incinerators
in developing countries� The Stockholm Convenon Guidelines on Best Available Techniques and Guidance
on Best Environmental Pracces (BAT/BEP) note concerns over small hospital incinerators, stang that,
“Due to the poor design, operaon, equipment and monitoring of many exisng small hospital incinerators
these installaons cannot be regarded as employing best available techniques” [2]� None of the medical
waste incinerators in this study could be considered to employ BAT/BEP due to their design, operaon, lack
of polluon control, and lack of waste management for the ash� The high POPs levels in eggs reveal the
consequences of inadequate healthcare waste management� A hospital facility designed for healing should
not pollute the food chain or cause adverse impacts on human health and the environment�
The high levels of POPs near medical waste incinerators are consistent with observaons in other developing
countries� A survey of small healthcare facilies in Tanzania showed only 30 – 40% of the incinerators were
in good operang condions and half of them had missing chimneys, ash pits, and other problems [136]�
In Iran, 6 of 9 private hospitals that had incinerators had operaonal problems [145]� A study in Bangladesh
of occupaonal health of waste workers did not nd a single properly operang medical waste incinerator�
[145]�
Dioxin emissions from medical waste incineraon have also raised concerns in developed countries� In the US
EPA reassessment of dioxin sources in the 1990s, medical waste incinerators in the US were idened as one
of the largest dioxin sources in the country [1]� Medical waste incineraon is a major dioxin source, primarily
due to combuson of PVC plasc which is a dominant source of organically bound chlorine� The links between
medical waste incineraon and dioxin formaon in the US smulated a resoluon from the American Public
Health Asssociaon which, “Urges all health care facilies to explore ways to reduce or eliminate their use of
PVC plascs“ [ 137]�
Instead of trying to improve dioxin-producing technologies such as small medical waste incinerators, a strategy
that prevents dioxin formaon is more cost eecve and consistent with Stockholm Convenon objecves�
This includes changing the hospital waste stream by moving away from PVC products, implemenng robust
waste segregaon since most hospital waste is not infecous, and implemenng use of non-combuson
methods such as autoclaves for infecous waste� The Stockholm Convenon Guidelines on Best Available
Techniques and Guidance on Best Environmental Pracces describes use of source reducon, segregaon,
recycling, training, and use of autoclaves and other non-combuson methods [2]� The Guidelines note that
non-combuson techniques such as autoclaving, “do not result in the formaon and release of chemicals
listed in Annex C and should therefore be given priority consideraon for their ulmate eliminaon.” These
methods have been implemented as described by WHO, Health Care Without Harm and others [4, 138, 139]�
Work to implement sustainable healthcare waste management has been underway for some me in
developing and transion countries� In Africa, this includes sustainable procurement (Tanzania, Zambia)
[140], non-combuson waste treatment pilot project (Tanzania)[6], and non-incineraon healthcare waste
management and mercury-free medical devices (Ghana, Madagascar, Tanzania, Zimbabwe) among others�
36
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
6.3 Environmental, food and human monitoring
This and previous studies also show on gaps in monitoring of POPs and/or EDCs in environmental, food, and
wildlife/human in general� This leads us to following suggesons:
»Use internaonal standards for monitoring of dioxins in food (e�g� eggs) and mandatory number of analysis
per year per crical food items�
»Use internaonal accepted standards (such as as EC/644/2017); [141] for the analysis of dioxins/PCBs in food/
feed using high-throughput screening tests (such as DR CALUX) as well as chemical conrmave analysis�
» Use screening tests (such as DR CALUX) which allows an easier, cost-ecient and high capacity tesng
of not only polychlorinated dioxins, but also here for polybrominated dioxins which are high relevant to
e-waste�
» Recommend using high-through-put and cost ecient screening tests (such as DR CALUX® method) for
blood and human milk for polyhalogenated (chlorinated and brominated) dioxins/furans for wildlife and
humans [142, 143]�8
»It is immediately necessary to evaluate also the most toxic mode of acons such as the well described
eets of endocrine disrupng chemicals, “hormone-like” of e�g� PBDEs (female hormone estrogen-like,
inhibion male hormone-like), TBBPA (thyroid transport competor) and therefor related risks of such
e-waste dismantling sites for wildlife and humans�
7. Aknowledgements
IPEN, Arnika and CREPD gratefully acknowledge the nancial support provided by the Government Sweden,
Global Greengrants Fund and oher donors that made the producon of this document possible�
The expressed views and interpretaons herein shall not necessarily be taken to reect the ocial opinion
of any of the instuons providing nancial support� Responsibility for the content lies enrely with IPEN,
Arnika and CREPD�
8. Abbreviations
BDS – BioDetecon Systems (laboratory in Netherlands)
BEQ – bioanalycal equivalent
CALUX - chemically acvated luciferase gene expression
BTBPE - 1,2-bis(2,4,6-tribromo-fenoxy) ethane
DDD – dichlorodiphenyldichloroethane (a metabolite of DDT)
DDE - dichlorodiphenyldichloroethylene (a chemical compound formed by the loss of hydrogen chloride from
DDT)
DDT – dichlorodiphenyltricholoroethane (pescide)
dl-PCBs – dioxin-like PCBs
dw – dry weight
EDCs – endocrine disrupng chemicals
EPA – Environmental Protecon Agency
EU – European Union
GC – gas chromatography
8 It is important to noce that the DR CALUX method also includes already the brominated dioxins and biphenyls (PBDD/Fs and
PBBs) without any further costs, while the chemical analyses needs here an additonal expensive analysis� Globally, at the moment
only a handfull chemical laboratories are available to perform this addional chemical analysis in roune for brominated dioxins
and biphenyls (PBDD/Fs and PBBs), while many laboratories already perform the DR CALUX® method� Such easy, low cost and high-
capacity analysis tools are urgently needed in such cases with a wide-spread contaminaon of brominated dioxins/biphenyls (PBDD/
Fs/PBBs) in e-waste, products from recycled e-waste plasc, soil, feed/food and human biomonitoring (blood, mother milk)�
37
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
GPC - gel permeaon chromatography
GPS - global posioning system
HBB - hexabromobenzene
HBCD - hexabromocyclododecane
HCB – hexachlorobenzene
HCBD - hexachlorobutadiene
HCHs – hexachlorocyclohexanes (pescides and their metabolites)
HRGC-HRMS – high resoluon gas chromatography – high resoluon mass spectroscopy
IARC - Internaonal Agency for Research on Cancer
i-PCBs – indicator PCB congeners
IPEN – Internaonal POPs Eliminaon Network
LOD – limit of detecon
LOQ – limit of quancaon
MAC – maximum acceptable (allowable) concentraon
ML – maximum level
MRL – maximum residue level
NA – not analyzed
na - not available
nBFRs – novel brominated ame retardants
ndl-PCBs – non-dioxin-like PCBs
NGO – non-govermental organizaon (civil society organizaon)
NIP – Naonal Implementaon Plan
NOAEL - no observed adverse eect level
OBIND – octabromotrimethylfenylindane
OCPs – organochlorinated pescides
PBDD/Fs – polybrominated dibenzo-p-dioxins and dibenzofurans
PBDEs – polybrominated diphenyl ethers
PBEB – pentabromoethylbenzene
PBT – pentabromotoluene
PCBs – polychlorinated biphenyls
PCDD/Fs – polychlorinated dibenzo-p-dioxins and dibenzofurans
PCDDs – polychlorinated dibenzo-p-dioxins
PCDFs – polychlorinated furans
PeCB - pentachlorobenzene
POPs – persistent organic pollutants
SC – Stockholm Convenon on Persistent Organic Pollutants
SCCPs – short chain chlorinated parans
SOP - standard operang procedures
38
Persistent Organic Pollutants (POPs) in Eggs: Report from Africa
TBBPA – tetrabromobisphenol A
TEF – toxic equivalency factor(-s)
TEQ – toxic equivalent
UNDP – United Naons Development Programme
UNEP – United Naons Environment Programme
UPOPs – unintenonally produced POPs
US EPA – United States Environmental Protecon Agency
WHO-TEQ – toxic equivalent dened by WHO experts panel in 2005
WI – waste incinerator and/or waste incineraon
ww – wet weight
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