﻿<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article
  PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "http://jats.nlm.nih.gov/publishing/1.0/JATS-journalpublishing1.dtd">
<article article-type="research-article" dtd-version="1.0" specific-use="sps-1.8" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
	<front>
		<journal-meta>
			<journal-id journal-id-type="publisher-id">rica</journal-id>
			<journal-title-group>
				<journal-title>Revista internacional de contaminación ambiental</journal-title>
				<abbrev-journal-title abbrev-type="publisher">Rev. Int. Contam.
					Ambient</abbrev-journal-title>
			</journal-title-group>
			<issn pub-type="ppub">0188-4999</issn>
			<publisher>
				<publisher-name>Universidad Nacional Autónoma de México, Centro de Ciencias de la Atmósfera</publisher-name>
			</publisher>
		</journal-meta>
		<article-meta>
			<article-id pub-id-type="doi">10.20937/RICA.53021</article-id>
			<article-id pub-id-type="publisher-id">00002</article-id>
			<article-categories>
				<subj-group subj-group-type="heading">
					<subject>Artículos</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>BIOMONITORING OF A POPULATION RESIDING NEAR TO MINE TAILINGS IN
					GUANAJUATO, MEXICO</article-title>
				<trans-title-group xml:lang="es">
					<trans-title>BIOMONITOREO DE UNA POBLACIÓN QUE RESIDE CERCA DE JALES MINEROS EN
						GUANAJUATO, MÉXICO</trans-title>
				</trans-title-group>
			</title-group>
			<contrib-group>
				<contrib contrib-type="author">
					<name>
						<surname>Costilla Salazar</surname>
						<given-names>Rogelio</given-names>
					</name>
					<xref ref-type="aff" rid="aff1b"><sup>1</sup></xref>
					<xref ref-type="corresp" rid="c1">*</xref>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Rocha Amador</surname>
						<given-names>Diana</given-names>
					</name>
					<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Ruiz Vera</surname>
						<given-names>Tania</given-names>
					</name>
					<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Cruz Jiménez</surname>
						<given-names>Gustavo</given-names>
					</name>
					<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Espinosa Reyes</surname>
						<given-names>Guillermo</given-names>
					</name>
					<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Morales López</surname>
						<given-names>Gladys</given-names>
					</name>
					<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>García Nieto</surname>
						<given-names>Edelmira</given-names>
					</name>
					<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Mejía Gómez</surname>
						<given-names>Juan Ángel</given-names>
					</name>
					<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
				</contrib>
			</contrib-group>
			<aff id="aff1">
				<label>1</label>
				<institution content-type="original">Universidad de Guanajuato, División de Ciencias
					de la Vida, Carretera Irapuato-Silao Km 9, Ex Hacienda El Copal, 36500,
					Irapuato, Guanajuato, México</institution>
				<institution content-type="normalized">Universidad de Guanajuato</institution>
				<institution content-type="orgname">Universidad de Guanajuato</institution>
				<institution content-type="orgdiv1">División de Ciencias de la Vida</institution>
				<addr-line>
					<named-content content-type="city">Irapuato</named-content>
          <named-content content-type="state">Guanajuato</named-content>
				</addr-line>
				<country country="MX">Mexico</country>
			</aff>
			<aff id="aff1b">
				<label>1</label>
				<institution content-type="original">Universidad de Guanajuato, División de Ciencias
					de la Vida, Carretera Irapuato-Silao Km 9, Ex Hacienda El Copal, 36500,
					Irapuato, Guanajuato, México</institution>
				<institution content-type="normalized">Universidad de Guanajuato</institution>
				<institution content-type="orgname">Universidad de Guanajuato</institution>
				<institution content-type="orgdiv1">División de Ciencias de la Vida</institution>
				<addr-line>
					<named-content content-type="city">Irapuato</named-content>
          <named-content content-type="state">Guanajuato</named-content>
				</addr-line>
				<country country="MX">Mexico</country>
				<email>roy1379@hotmail.com</email>
			</aff>
			<aff id="aff2">
				<label>2</label>
				<institution content-type="original">Universidad de Guanajuato, División de Ciencias
					Naturales y Exactas, Noria Alta s/n, 36050, Guanajuato, México</institution>
				<institution content-type="normalized">Universidad de Guanajuato</institution>
				<institution content-type="orgname">Universidad de Guanajuato</institution>
				<institution content-type="orgdiv1">División de Ciencias Naturales y
					Exactas</institution>
				<addr-line>
					<named-content content-type="city">Guanajuato</named-content>
				</addr-line>
				<country country="MX">Mexico</country>
			</aff>
			<aff id="aff3">
				<label>3</label>
				<institution content-type="original">Universidad Autónoma de San Luis Potosí, Sierra
					Leona 550, Lomas 2da Sección, 78210, San Luis Potosí, México</institution>
					<institution content-type="normalized">Universidad Autónoma de San Luis
					Potosí</institution>
				<institution content-type="orgname">Universidad Autónoma de San Luis
					Potosí</institution>
				<addr-line>
					<named-content content-type="city">San Luis
					Potosí</named-content>
				</addr-line>
				<country country="MX">Mexico</country>
			</aff>
			<aff id="aff4">
				<label>4</label>
				<institution content-type="original">Universidad Autónoma de Tlaxcala, Autopista San
					Martín-Tlaxcala Km 10.5, 90120, Ixtacuixtla, Tlaxcala, México</institution>
				<institution content-type="normalized">Universidad Autónoma de
					Tlaxcala</institution>
				<institution content-type="orgname">Universidad Autónoma de Tlaxcala</institution>
				<addr-line>
					<named-content content-type="city">Ixtacuixtla</named-content>
            <named-content content-type="state">Tlaxcala</named-content>
				</addr-line>
				<country country="MX">Mexico</country>
			</aff>
			<author-notes>
				<corresp id="c1">
					<label>*</label>Corresponding author: <email>roy1379@hotmail.com</email>
				</corresp>
			</author-notes>
			<!--<pub-date date-type="pub" publication-format="electronic">
				<day>04</day>
				<month>05</month>
				<year>2021</year>
			</pub-date>
			<pub-date date-type="collection" publication-format="electronic">-->
				<pub-date pub-type="epub-ppub">
				<month>05</month>
				<year>2020</year>
			</pub-date>
			<volume>36</volume>
			<issue>2</issue>
			<fpage>241</fpage>
			<lpage>248</lpage>
			<history>
				<date date-type="received">
					<day>01</day>
					<month>11</month>
					<year>2017</year>
				</date>
				<date date-type="accepted">
					<day>01</day>
					<month>01</month>
					<year>2020</year>
				</date>
			</history>
			<permissions>
				<license license-type="open-access"
					xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/" xml:lang="en">
					<license-p>This is an open-access article distributed under the terms of the
						Creative Commons Attribution License</license-p>
				</license>
			</permissions>
			<abstract>
				<title>ABSTRACT</title>
				<p>Some metals present in residues coming from mining activities can damage DNA. A
					preliminary evaluation was carried out to determine the genotoxic effects on a
					resident population from a mining area in Xichú, Guanajuato, Mexico. Blood lead
					levels (BLL), and arsenic levels in urine (AsU), were measured as biomarkers of
					exposure. Hematological damage was evaluated trough hematocrit, hemoglobin and
					activity of enzyme delta-aminolevulinic dehydratase (δ-ALAD). DNA damage in
					blood cells was evaluated by comet assay. BLL (7.5 ± 1.2 and 7.9 ± 3.3 μg/dL)
					and AsU (25.2 ± 15.8 and 18.3 ± 18.4 μg/g creatinine) were found in children and
					adults, respectively. Of the children and adults, 100 and 91.7 %, respectively
					had levels of enzyme activity below 20 U/L erythrocytes. Regarding DNA damage,
					the children showed an Olive tail moment of 5.0 ± 1.6 and a tail length of 40.9
					± 4.9 μm, of similar magnitude than adults (4.6 ± 1.0 and 41.8 ± 5.9 μm,
					respectively). In conclusion, this preliminary study describes the health risk
					scenario of population near the mine, nevertheless, more studies are needed in
					the area.</p>
			</abstract>
			<trans-abstract xml:lang="es">
				<title>RESUMEN</title>
				<p>Algunos metales presentes en residuos provenientes de actividades mineras pueden
					dañar al ADN. Se llevó a cabo una evaluación preliminar para determinar efectos
					genotóxicos en población residente de un área minera en Xichú, Guanajuato,
					México. Los niveles de plomo en sangre (PbS) y los niveles de Arsénico en orina
					(AsO) fueron medidos como biomarcadores de exposición. El daño hematológico se
					evaluó por medio del hematocrito, la hemoglobina y la actividad de la enzima
					acido delta-aminolevulínico dehidrasa (δ-ALAD). El daño al ADN fue evaluado a
					través del ensayo cometa. Niveles de PbS (7.5 ± 1.2 y 7.9 ± 3.3 μg/dL) y AsO
					(25.2 ± 15.8 y 18.3 ± 18.4 μg/g creatinina) fueron encontrados en niños y
					adultos, respectivamente. De éstos, el 100 % de los niños y el 91.7 % de los
					adultos tuvieron niveles de actividad de la enzima menor que 20 U/L eritrocitos.
					Respecto al daño en el ADN, los niños mostraron un momento de cola (5.0 ± 1.6) y
					una longitud de cola (40.9 ± 4.9 μm) de similar magnitud que los adultos (4.6 ±
					1.0 y 41.8 ± 5.9 μm). En conclusión, este estudio preliminar describe el
					escenario de riesgo en salud de la población cercana a la mina; sin embargo, se
					necesitan más estudios en el área.</p>
			</trans-abstract>
			<kwd-group xml:lang="en">
				<title>Key words:</title>
				<kwd>lead</kwd>
				<kwd>arsenic</kwd>
				<kwd>genotoxicity</kwd>
				<kwd>mine tailings</kwd>
			</kwd-group>
			<kwd-group xml:lang="es">
				<title>Palabras clave:</title>
				<kwd>plomo</kwd>
				<kwd>arsénico</kwd>
				<kwd>genotoxicidad</kwd>
				<kwd>jales mineros</kwd>
			</kwd-group>
			<counts>
				<fig-count count="2"/>
				<table-count count="2"/>
				<equation-count count="0"/>
				<ref-count count="29"/>
				<page-count count="8"/>
			</counts>
		</article-meta>
	</front>
	<body>
		<sec sec-type="intro">
			<title>INTRODUCTION</title>
			<p>The Xichú mining district is in the northeast of the state of Guanajuato, Mexico.
				Mining activity began in the colonial era and ended in the mid-twentieth century.
				The most important mine in this district is La Aurora, which profited from metals
				such as silver (Ag) and gold (Au) (<xref ref-type="bibr" rid="B15">Miranda-Gasca
					1978</xref>). Due to mining activity in the area, four tailings were disposed in
				the surroundings. </p>
			<p>One of the main problems arising from the improper disposal of mine tailings is the
				introduction of potentially toxic elements into the environment (<xref
					ref-type="bibr" rid="B18">Ramos-Arroyo et al. 2004</xref>, <xref ref-type="bibr"
					rid="B19">Ramos-Arroyo and Siebe-Grabach 2006</xref>). Previous geochemical
				studies in the zone indicated the presence of copper (Cu), zinc (Zn), silver (Ag),
				lead (Pb) and arsenic (As) in different environmental matrices (<xref
					ref-type="bibr" rid="B20">Salas-Megchún 2014</xref>, <xref ref-type="bibr"
					rid="B10">Loredo-Portales et al. 2015</xref>, <xref ref-type="bibr" rid="B11"
					>2017</xref>). </p>
			<p>The highest levels of Pb and As found in tailings and soils from the zone of La
				Aurora, could represent a risk for the surrounding populations. </p>
			<p>There have been numerous studies regarding exposure to metals in human population
				from mining zones (<xref ref-type="bibr" rid="B5">García-Vargas et al. 2001</xref>,
					<xref ref-type="bibr" rid="B16">Moreno et al. 2010</xref>). An effect reported
				in populations living in this risk scenery is DNA damage (<xref ref-type="bibr"
					rid="B29">Yáñez et al. 2003</xref>, <xref ref-type="bibr" rid="B8">Jasso-Pineda
					et al. 2012</xref>). The genotoxicity of As and Pb is well demonstrated both in
				animals (<xref ref-type="bibr" rid="B21">Saleha-Banu et al. 2001</xref>, <xref
					ref-type="bibr" rid="B12">Martínez-Alfaro et al. 2012</xref>) and in humans
					(<xref ref-type="bibr" rid="B14">Méndez-Gómez et al. 2008</xref>). </p>
			<p>A helpful tool used in the assessment of early biological effects like DNA damage in
				populations exposed to environmental pollution is the comet assay (<xref
					ref-type="bibr" rid="B9">Jasso-Pineda et al. 2015</xref>). Therefore, the aim of
				this work was to conduct biomonitoring of As and Pb, as well as to identify the
				potential genotoxic effects of these elements in a population of children and adults
				exposed to mine tailings in the vicinity of the Aurora mine in the mining district
				of Xichú, Mexico. </p>
		</sec>
		<sec sec-type="materials|methods">
			<title>MATERIALS AND METHODS</title>
			<p>The Aurora mine is located 6 km from the town of Xichú, Guanjuato, México. It is an
				abandoned mine site that has four tailing deposits exposed to the environment, so
				they are prone to incidents of leaching and suspension by wind and water. The waste
				was generated when there was no environmental regulation and may be considered as an
				environmental liability; it does not meet the requirements of the Mexican Official
				Standard NOM-141-SEMARNAT-2003 (<xref ref-type="bibr" rid="B22">SEMARNAT
				2005</xref>), which establishes the criteria for the construction, operation and
				post-operation of tailing dams. </p>
			<p>To confirm the presence of potentially toxic elements at the site such as Pb and As,
				a targeted soil sampling was performed (at a depth of 0-5 cm) in the tailing located
				between the communities Adjuntas and La Fundición (900 and 600 m away from the
				tailing, respectively). </p>
			<p>A total of five samples were selected, one directly in the tailing, one near the
				tailing and three around the tailing. Samples around the tailing (less than 20 m
				away from the tailing) were selected in areas able to be in direct contact with the
				people from surrounding communities. </p>
			<p>
				<xref ref-type="fig" rid="f1">Figure 1</xref> shows the area of the mining district
				(UTM 393231 N, 2359598 W), location of the tailings, localities, and sampled soil
				points.</p>
			<p>
				<fig id="f1">
					<label>Fig. 1</label>
					<caption>
						<title>Location of the study site (UTM 393231 N, 2359598 W), tailings and
							sampled points</title>
					</caption>
					<graphic xlink:href="0188-4999-rica-36-02-241-gf1.png"/>
				</fig>
			</p>
			<p>Samples of tailing and soils were sieved in particles smaller than 0.85 mm and
				digested according to the Environmental Protection Agency (EPA) method 3050B. </p>
			<p>The Pb analysis in the environmental samples was performed by an atomic absorption
				spectrophotometer (AAS) (Perkin-Elmer model AAnalyst 400) using the flame technique. </p>
			<p>For the analysis of As, special treatment was given to the digested samples, adding
				potassium iodide (KI) at 2 % for 30 min in the dark. Determination of As was
				performed by an AAS coupled to a continuous flow injection in a reaction with a 3 %
					NaBH<sub>4</sub> and 1% NaOH solution, using HCl at 1.5 % as a reaction
				medium.</p>
			<p>The detection limit (DL) was 0.15 mg/kg for Pb and 0.35 mg/kg for As. For quality
				control, we used the standard reference of the National Institute of Standards and
				Technology (NIST) using the Montana 2711a soil and the Montana Soil II, getting an
				accuracy of 91.7 % for Pb and 85 % for As.</p>
			<p>For biological monitoring, residents from Adjuntas and La Fundición were invited to
				participate in the study. </p>
			<p>The inclusion criteria for children were age between 6 to 12 years, having lived in
				the community since birth and the consent of the parent or guardian. For adults, the
				inclusion criteria were legal age, having lived in the community at least for 5
				years and a letter of consent signed by the participant. </p>
			<p>The research was approved by an ethical committee. The total population of both
				communities is 182 inhabitants. Fifty-two were children (younger than 12 years of
				age) and 96 adults (<xref ref-type="bibr" rid="B6">INEGI 2010</xref>).</p>
			<p>Only 20 children and 20 adults participated in the study, representing the 38 and 20
				%, respectively of the total population. </p>
			<p>Malnutrition was evaluated by anthropometric indices. Weight and height for age were
				used like indicators of acute and chronic malnutrition in children, respectively,
				and the Body Mass Index (BMI) was used like indicator of malnutrition in adults. All
				participants were weighed and measured with a scale and stadiometer (Seca). </p>
			<p>Hematocrit (Ht) was determined by centrifuging blood in heparinized capillary tubes
				(50 μL) at 7000 rpm for 10 min in a Ht centrifuge (Sol Bat M-08). Measurement was
				done with a Ht standard chart (Critops tube reader). The hemoglobin content (Hb) was
				measured using a diagnostic kit (HemoCueHb 201 Microcuvettes and HemoCueHb 201
				Analyzer). The test was performed according to the protocol of the instrument
				operation manual.</p>
			<p>The activity of enzyme delta-aminolevulinic dehydratase (δ-ALAD) was determined
				according to the standardized European method (<xref ref-type="bibr" rid="B2">Berlin
					and Schaller 1974</xref>). The enzyme activity was expressed as µmol/min per
				liter erythrocytes.</p>
			<p>The blood Pb samples were analyzed with an inductively coupled plasma mass
				spectrometry (ICP-MS) at the Centro de Innovación Aplicada en Tecnologías
				Competitivas (Center for Applied Innovation in Competitive Technologies, CIATEC),
				Mexico, while for the analysis of As, 5 mL of urine acid digestion were used
				following the <xref ref-type="bibr" rid="B4">Cox method (Cox 1980)</xref>. The As
				analysis was carried out with the AAS in the same manner as the soil samples. For
				quality control, the standard ClinChek Urine Control lyophilized for trace elements
				from IRIS Technologies was used obtaining an accuracy of 87 % for As. The As
				concentration in urine was corrected by the urine creatinine value, which was
				determined by the Jaffe colorimetric method (<xref ref-type="bibr" rid="B24">Singh
					et al. 1988</xref>), using a Randox kit for creatinine.</p>
			<p>Assessment of genotoxic damage was carried out in the study population following the
				comet assay protocol described by <xref ref-type="bibr" rid="B24">Singh et al.
					(1988</xref>). One hundred cells were counted per sample in a Nikon Eclipse E400
				epifluorescence microscope using the Komet 4.0 image analysis software (Kinetic
				Imaging, Liverpool, UK). Measurements of DNA damage were obtained with the Olive
				Tail Moment (OTM) and the Tail Length (TL).</p>
			<p>Descriptive and exploratory data analysis for continuous variables (Pb in soil, As in
				soil, age, z height by age, z weight by age, BMI, Pb in blood, As in urine, OTM, TL,
				Ht, Hb and δ-ALAD) and a descriptive analysis with respect to categorical variables
				(gender) were done. The results were presented for children and adults. OTM did not
				assume a normal distribution. The variable was log-transformed and reported as
				geometric mean and standard deviation. Bivariate analysis was made through the
				Pearson correlation. Correlations were worked in an independent way for children and
				adults. The statistical analyses were carried out using SPSS statistical software
				package v. 19.0.</p>
		</sec>
		<sec sec-type="results|discussion">
			<title>RESULTS AND DISCUSSION</title>
			<p>Pb levels in the tailing sample exceeded 9.2 times the reference concentration of 400
				mg/kg for residential/agricultural land (NOM-147-SEMARNAT/SSA1-2004) (<xref
					ref-type="bibr" rid="B23">SEMARNAT 2007</xref>), while in the soil samples taken
				from the surroundings of the mine tailing (1104 mg/kg) and from a nearby river (535
				mg/kg), the levels exceeded 2.8 and 1.3 times the reference value, respectively
					(<xref ref-type="bibr" rid="B6">Table I</xref>). </p>
			<p>
				<table-wrap id="t1">
					<label>TABLE I</label>
					<caption>
						<title>CONCENTRATIONS OF LEAD (mg/kg) AND ARSENIC (mg/kg) IN THE TAILINGS
							AND SOILS FROM THE AURORA MINE IN XICHÚ, GUANAJUATO*</title>
					</caption>
					<table frame="hsides" rules="groups">
						<colgroup>
							<col/>
							<col/>
							<col/>
						</colgroup>
						<tbody>
							<tr>
								<td align="justify">Zone</td>
								<td align="center">Pb (mg/kg)</td>
								<td align="center">As (mg/kg)</td>
							</tr>
							<tr>
								<td align="justify">Tailing</td>
								<td align="center">3699.1</td>
								<td align="center">307 338.4</td>
							</tr>
							<tr>
								<td align="justify">Soil near tailing</td>
								<td align="center">1104.0</td>
								<td align="center">1 473.0</td>
							</tr>
							<tr>
								<td align="justify">Soil 1</td>
								<td align="center">262.0</td>
								<td align="center">323.0</td>
							</tr>
							<tr>
								<td align="justify">Soil 2</td>
								<td align="center">535.0</td>
								<td align="center">204.0</td>
							</tr>
							<tr>
								<td align="justify">Soil 3</td>
								<td align="center">258.0</td>
								<td align="center">52.0</td>
							</tr>
						</tbody>
					</table>
					<table-wrap-foot>
						<fn id="TFN1">
							<p>*The Official Mexican Standard NOM-147-SEMARNAT/SSA1-2004 (<xref
									ref-type="bibr" rid="B23">SEMARNAT 2007</xref>) establishes
								limits of 800 mg/kg for Pb and 260 mg/kg for As in industrial lands,
								and 400 mg/kg for Pb and 22 mg/kg for As in residential/agricultural
								lands</p>
						</fn>
					</table-wrap-foot>
				</table-wrap>
			</p>
			<p>Regarding As, the mine tailing sample highly exceeded the limits set by Mexican
				regulations. Soil samples exceeded from 2.4 to 66.9 times the reference value of 22
				mg/kg, being the soil near the mine tailing (<xref ref-type="table" rid="t1">Table
					I</xref>) the one with the highest level. </p>
			<p>
				<xref ref-type="bibr" rid="B20">Salas-Megchún (2014)</xref> made a geochemical
				characterization of the tailings from La Aurora. The levels of Pb and As in tailing
				3 (the same one sampled in our study) were between 699-14945 and 2329-38631 mg/kg
				for Pb and As, respectively. Regarding the soil samples, levels were less than the
				DL for Pb and As (3379 and 4708 mg/kg, respectively). </p>
			<p>Similarly, in an earlier study, <xref ref-type="bibr" rid="B11">Loredo-Portales et
					al. (2017)</xref> evaluated the same tailing sampled in our study and reported
				As levels between 3290-12469 and 181-719 mg/kg in the mine tailing and nearby soils,
				respectively.Our results were similar to these reports. <xref ref-type="bibr"
					rid="B11">Loredo-Portales (2017)</xref> also reported the levels of
				bio-accessible As (As available to enter the human body). The percentage of
				bio-accessibility was less than 10 % for mine tailing samples, whereas for soil it
				was near to 20 %. Although the percentage of bio-accessibility is low, it represents
				a risk due to the high concentration of As in the sample. These data show the
				magnitude of contamination in this site. </p>
			<p>The possible routes of exposure to these metals in the impacted zone are the
				suspension of mine tailings by the wind and the resuspension of soil particles
				generated by activities on roads. The predominant winds in the region are trade
				winds from the northwest, supporting this exposure route (<xref ref-type="bibr"
					rid="B13">Martínez-Arredondo et al. 2013</xref>). The residents of Adjuntas and
				La Fundición travel on the main road (which is less than 20 m away from the
				tailings) for their everyday activities. It is important to mention that there are
				houses settled over the tailings.</p>
			<p>In Mexico, the recommended Pb values in blood for a non-occupational population were
				10 μg/dL in children and 25 μg/dL in adults (NOM-199-SSA1-2000) (<xref
					ref-type="bibr" rid="B25">SSA 2002</xref>). However, based on neurotoxicity
				studies in children (<xref ref-type="bibr" rid="B3">Canfield et al. 2003</xref>),
				the recommended value for children was reduced to 5 μg/dL (<xref ref-type="bibr"
					rid="B26">SSA 2017</xref>). </p>
			<p>In the present study, 100 % of the children presented values over 5 μg/dL (<xref
					ref-type="table" rid="t2">Table II</xref>). Regarding As in urine, a small
				percentage of children (12.5 %) and adults (12.5 %) exceeded the limits set by the
				CDC of 50 µg/g creatinine (<xref ref-type="table" rid="t2">Table II</xref>). </p>
			<p>
				<table-wrap id="t2">
					<label>TABLE II</label>
					<caption>
						<title>GENERAL CHARACTERISTICS, AND NUTRITIONAL, HEMATOLOGICAL AND
							CONTAMINANT LEVELS IN THE STUDY POPULATION</title>
					</caption>
					<table frame="hsides" rules="groups">
						<colgroup>
							<col/>
							<col/>
							<col/>
							<col/>
						</colgroup>
						<tbody>
							<tr>
								<td align="justify"> </td>
								<td align="center"> </td>
								<td align="center">Children (min-max)<sup>a</sup></td>
								<td align="center">Adults (min-max)<sup>a</sup></td>
							</tr>
							<tr>
								<td align="justify">Age (years)</td>
								<td align="center"> </td>
								<td align="center">10.8 ± 2.2 (6-12)</td>
								<td align="center">42.4 ± 17.9 (18-49)</td>
							</tr>
							<tr>
								<td align="justify" rowspan="2">Gender</td>
								<td align="center">male</td>
								<td align="center">58.8 %</td>
								<td align="center">56.3 %</td>
							</tr>
							<tr>
								<td align="center">female</td>
								<td align="center">41.2 %</td>
								<td align="center">43.8 %</td>
							</tr>
							<tr>
								<td align="justify">z height by age</td>
								<td align="center">&gt; -2 SD<sup>b</sup></td>
								<td align="center">0 %</td>
								<td align="center">NA</td>
							</tr>
							<tr>
								<td align="justify">z weight by age</td>
								<td align="center">&gt; -2 SD<sup>b</sup></td>
								<td align="center">6.3 %</td>
								<td align="center">NA</td>
							</tr>
							<tr>
								<td align="justify">Body Mass Index</td>
								<td align="center">&gt; 25 kg/cm<sup>2</sup></td>
								<td align="center">NA</td>
								<td align="center">90 %</td>
							</tr>
							<tr>
								<td align="justify" rowspan="3">Haemoglobin (g/dL)</td>
								<td align="center"> </td>
								<td align="center">14.3 ± 0.8 (13.2-15.9)</td>
								<td align="center">14.7 ± 1.4 (11.7 - 16.6)</td>
							</tr>
							<tr>
								<td align="center">&lt; 11.2<sup>c</sup></td>
								<td align="center">0 %</td>
								<td align="center">NA</td>
							</tr>
							<tr>
								<td align="center">&lt; 13.5 M, &lt; 12.5 F<sup>c</sup></td>
								<td align="center">NA</td>
								<td align="center">0 %</td>
							</tr>
							<tr>
								<td align="justify" rowspan="3">Hematocrit (% erythrocytes)</td>
								<td align="center"> </td>
								<td align="center">57.3 ± 3.9 (53-65)</td>
								<td align="center">58.6 ± 5.5 (50 - 69)</td>
							</tr>
							<tr>
								<td align="center">&lt; 35<sup>c</sup></td>
								<td align="center">0 %</td>
								<td align="center">NA</td>
							</tr>
							<tr>
								<td align="center">&lt; 40 M, &lt; 37 F<sup>c</sup></td>
								<td align="center">NA</td>
								<td align="center">12.5 %</td>
							</tr>
							<tr>
								<td align="left" rowspan="2">Delta-aminolevulinic acid
									dehydratase<break/>activity (µmol/min per liter
									erythrocytes)</td>
								<td align="center"> </td>
								<td align="center">14.1 ± 3.1 (7.2-19.5)</td>
								<td align="center">13.2 ± 4.2 (6.4 - 21.5)</td>
							</tr>
							<tr>
								<td align="center">&lt; 20<sup>d</sup></td>
								<td align="center">100 %</td>
								<td align="center">93.8 %</td>
							</tr>
							<tr>
								<td align="justify" rowspan="3">Lead in blood (µg/dL)</td>
								<td align="center"> </td>
								<td align="center">7.5 ± 1.2 (5.1-9.3)</td>
								<td align="center">7.9 ± 3.3 (4.8 -17.8)</td>
							</tr>
							<tr>
								<td align="center">&gt; 5<sup>e</sup></td>
								<td align="center">100 %</td>
								<td align="center">91.7 %</td>
							</tr>
							<tr>
								<td align="center">&gt; 10e</td>
								<td align="center">0 %</td>
								<td align="center">8.3 %</td>
							</tr>
							<tr>
								<td align="justify" rowspan="2">Arsenic in urine (µg/g
									creatinine)</td>
								<td align="center"> </td>
								<td align="center">25.2 ± 15.8 (7.5-65.2)</td>
								<td align="center">18.3 ± 18.4 (0.8 - 65.1)</td>
							</tr>
							<tr>
								<td align="center">&gt; 50<sup>f</sup></td>
								<td align="center">12.5 %</td>
								<td align="center">12.5 %</td>
							</tr>
						</tbody>
					</table>
					<table-wrap-foot>
						<fn id="TFN2">
							<p>NA: does not apply, <sup>a</sup>arithmetic mean ± standard deviation
								(SD) (minimum and maximum), <sup>b</sup>benchmark by WHO,
									<sup>c</sup> minimum reference values (M: male, F: female),
									<sup>d</sup>reference value to healthy people not exposed to Pb,
									<sup>e</sup>NOM-199-SSA1-2000, <sup>f</sup>CDC reference
								values</p>
						</fn>
					</table-wrap-foot>
				</table-wrap>
			</p>
			<p>
				<xref ref-type="bibr" rid="B27">Trejo-Acevedo et al. (2009)</xref> conducted a study
				in several polluted areas of Mexico. Children from two mining sites were monitored
				(Comarca Lagunera, Durango, and Zacatecana, Zacatecas), finding Pb blood levels of
				3.7 ± 1.49 and 6.0 ± 1.8 µg/dL, respectively, while the levels of As in urine were
				33.8 ± 13.7 and 26 ± 9.8 µg/g for creatinine. </p>
			<p>Our results were higher in terms of Pb in blood (children, 7.5 µg/dL; adults, 7.9
				µg/dL), but similar with respect to As in urine (25.2 and 18.3µg/g creatinine in
				children and adults, respectively). <xref ref-type="bibr" rid="B29">Yáñez et al.
					(2003)</xref> evaluated children living in Villa de la Paz, San Luis Potosí,
				Mexico (n = 20), a mine site contaminated with Pb and As (with marginalization
				status similar to La Aurora), and compared them with a population of lower exposure
				(Matehuala, San Luis Potosí, Mexico; n = 35). At the exposed site, blood Pb levels
				(11.6 µg/dL) and As in urine (136 µg/g creatinine) were higher than those found in
				Matehuala (Pb, 8.3 µg/dL; As, 34 µg/g creatinine). </p>
			<p>Four years later, <xref ref-type="bibr" rid="B7">Jasso-Pineda et al. (2007)</xref>
				conducted a risk assessment in the same site. They found a slight reduction in
				urinary As in children of Villa de la Paz (Pb, 13.8 ± 1.0 µg/dL; As, 52.1 ± 7.5 µg/g
				creatinine) and Matehuala (Pb, 7.3 ± 1.5 µg/dL; As, 16.8 ± 1.6 µg/g creatinine). </p>
			<p>In the present study, the blood Pb levels and As in urine are similar to those found
				in the population of lower exposure (Matehuala). In all the places studied,
				including the control site of Matehuala, Pb levels found are inconveniently high for
				children health and development.</p>
			<p>With respect to hematological parameters, Hb levels were found to be within ethe
				stablished clinical parameters for children (14.3 ± 0.8 g/dL) and adults (14.7 ± 1.4
				g/dL). The studied population had very high Ht values (children, 57.3 ± 3.9 %
				erythrocytes; adults, 58.6 ± 5.5 % erythrocytes), a disorder known as polycythemia
					(<xref ref-type="table" rid="t2">Table II</xref>). </p>
			<p>This parameter varies significantly in different populations according to several
				factors, one of them being altitude. Nevertheless, it has also been observed in
				animals as a response mechanism for secondary anemia caused by Pb. Concerning the
				activity of the δ-ALAD enzyme, several studies mention that Pb inhibits the activity
				of δ-ALAD at concentrations between 5 to 50 mg/dL. In the present study, 100 and
				91.7 % of the children and adults, respectively, had enzyme activity levels lower
				than 20 μmol/min per liter of erythrocytes (<xref ref-type="table" rid="t2">Table
					II</xref>). </p>
			<p>We did not find a relationship between Pb and δ-ALAD. This may be due to the fact
				that most children and adults presented elevated levels of Pb, more than 5 mg/dL
				(100 % and 93.8 % respectively). It is necessary to increase the sample size to
				record different exposure levels. </p>
			<p>The nutritional status is also a factor that can influence the biomarkers of exposure
				level and DNA damage (<xref ref-type="bibr" rid="B17">Peraza et al. 1998</xref>).
				The selected communities had a high degree of marginalization; however, both
				children and adults did not show malnutrition. Only 6.3 % of the children presented
				more than two standard deviations (SD) in the z score of weight by age, the
				benchmark for acute malnutrition marked by <xref ref-type="bibr" rid="B28">WHO
					(2017)</xref>. It is worth noting that most adults (90 %) had overweight or were
				obese (<xref ref-type="table" rid="t2">Table II</xref>).</p>
			<p>Regarding DNA damage (<xref ref-type="fig" rid="f2">Fig. 2</xref>), the average OTM
				was 5.0 ± 1.6 for children and 4.6 ± 1.0 for adults (<xref ref-type="fig" rid="f2"
					>Fig. 2a</xref>), while the average TL was 40.9 ± 4.9 and 41.8 ± 5.9 µm for
				children and adults, respectively (<xref ref-type="fig" rid="f2">Fig. 2b</xref>). </p>
			<p>
				<fig id="f2">
					<label>Fig. 2</label>
					<caption>
						<title>DNA damage assessed by the comet assay in children and adults
							residing near the Aurora Mine in Xichú, Guanajuato. Values are geometric
							mean ± standard deviation. (a) Olive tail moment, (b) tail
							length.</title>
					</caption>
					<graphic xlink:href="0188-4999-rica-36-02-241-gf2.png"/>
				</fig>
			</p>
			<p>
				<xref ref-type="bibr" rid="B1">Bajpayee et al. (2002)</xref> reported a reference
				value of 4 for OTM in adults, similar to the OTM of 3.2 and 3.9 observed by <xref
					ref-type="bibr" rid="B29">Yáñez et al. (2003)</xref> and <xref ref-type="bibr"
					rid="B7">Jasso-Pineda et al. (2007)</xref>, respectively, in children residing
				in Matehuala (control group). </p>
			<p>In our study, more than half of the population had OTM values greater than 4
				(children, 64.3 %; adults, 69.2 %). In the same control group from Matehuala, the
				average TL was 41.7, while the children and adults from the mine zone of La Aurora
				showed 40.9 and 41.8 µm, respectively. In the exposed group of Villa de la Paz,
				studied by <xref ref-type="bibr" rid="B29">Yáñez et al. (2003)</xref> and <xref
					ref-type="bibr" rid="B7">Jasso-Pineda et al. (2007)</xref>, OTM and TL values
				were 6.8 and 67.6 µm, respectively. In our population, only one child had a similar
				OTM value (7.1). </p>
			<p>
				<xref ref-type="bibr" rid="B9">Jasso-Pineda et al. (2015)</xref> used OTM as a
				biomarker for biological effects in child populations living in contaminated areas.
				Also, they observed that the highest OTM values in children living in those sites
				were found in subjects with As in urine levels higher than 50 µg/g creatinine, a
				result that is not observed in children with blood Pb levels higher than 5 µg/dL. </p>
			<p>In our study, only 12.5 % of the children and adults presents levels above 50 µg/g
				creatinine, which could be the reason that OTM values were lower in our population.
				We did not find a correlation between Pb in blood or As in urine with DNA damage
				variables. We only observed the tendency, but it was not significative, probably due
				to our small sample size or the low levels of As.</p>
			<p>A major limitation of our study was that we did not evaluate a reference population,
				since a risk assessment is usually carried out simultaneously in exposed and
				non-exposed populations under the same nutritional and socioeconomic conditions, in
				order to correlate the biological effects. </p>
			<p>The sample size was very small due to the fact that the population is small and the
				sampling was voluntary. The main reasons for refusing to participate in the study
				were the pain produced by the needle during the blood sampling, and the
				impossibility to participate in the study due to working reasons. In future studies
				it would be important to increase the sample size, a strategy could be to get
				involve more people from the region to give more confidence to the participant.</p>
		</sec>
		<sec sec-type="conclusions">
			<title>CONCLUSION</title>
			<p>This is the first study to describe the health risk scenario for the population of
				the mining town La Aurora. The results showed detectable levels of Pb and As in
				biological matrices from children and adults, indicating an environmental exposure
				to these elements due to the mine tailing deposits present in the area. </p>
			<p>The inactivation of δ-ALAD levels was supported by to Pb levels in blood. Pb exposure
				was higher than 5 μg/dL where previous studies report biological effects, affecting
				mainly child population. </p>
			<p>In the case of As, a small percentage of the study population presented levels higher
				than the reference values, probably because this element was determined in urine,
				which is not the better biomarker for the principal exposure route to As in the site
				(mine tailing and soil particles). Nevertheless, we found detectable levels
				indicating As exposure. In this case, other matrices to determine As exposure could
				be nails or hair, and they should be used in upcoming studies. </p>
			<p>The results obtained show the need to continue studying the area and creating risk
				communication programs in the site, in order to prevent contact with the tailing
				deposits and diminish the associated exposure. </p>
		</sec>
	</body>
	<back>
		<ref-list>
			<title>REFERENCES</title>
			<ref id="B1">
				<mixed-citation>Bajpayee M., Dhawan A., Parmar D., Pandey A.K., Mathur N. and Seth
					P.K. (2002). Gender-related differences in basal DNA damage in lymphocytes of a
					healthy Indian population using the alkaline Comet assay. Mutat. Res. 520 (1-2),
					83-91. DOI: 10.1016/S1383-5718(02)00175-4</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Bajpayee</surname>
							<given-names>M.</given-names>
						</name>
						<name>
							<surname>Dhawan</surname>
							<given-names>A.</given-names>
						</name>
						<name>
							<surname>Parmar</surname>
							<given-names>D.</given-names>
						</name>
						<name>
							<surname>Pandey</surname>
							<given-names>A.K.</given-names>
						</name>
						<name>
							<surname>Mathur</surname>
							<given-names>N.</given-names>
						</name>
						<name>
							<surname>Seth</surname>
							<given-names>P.K.</given-names>
						</name>
					</person-group>
					<year>2002</year>
					<article-title>Gender-related differences in basal DNA damage in lymphocytes of
						a healthy Indian population using the alkaline Comet assay</article-title>
					<source>Mutat. Res.</source>
					<volume>520</volume>
					<issue>1-2</issue>
					<fpage>83</fpage>
					<lpage>91</lpage>
					<pub-id pub-id-type="doi">10.1016/S1383-5718(02)00175-4</pub-id>
				</element-citation>
			</ref>
			<ref id="B2">
				<mixed-citation>Berlin A. and Schaller K.H. (1974). European standardized method for
					the determination of delta-aminolevulinic acid dehydratase activity in blood. Z.
					Klin. Chem. Klin. Biochem. 12 (8), 389-90. DOI:
					10.1007/BF00378728</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Berlin</surname>
							<given-names>A.</given-names>
						</name>
						<name>
							<surname>Schaller</surname>
							<given-names>K.H.</given-names>
						</name>
					</person-group>
					<year>1974</year>
					<article-title>European standardized method for the determination of
						delta-aminolevulinic acid dehydratase activity in blood</article-title>
					<source>Z. Klin. Chem. Klin. Biochem.</source>
					<volume>12</volume>
					<issue>8</issue>
					<fpage>389</fpage>
					<lpage>390</lpage>
					<pub-id pub-id-type="doi">10.1007/BF00378728</pub-id>
				</element-citation>
			</ref>
			<ref id="B3">
				<mixed-citation>Canfield R.L., Henderson C.R., Cory-Slechta D.A., Cox C., Jusko T.A.
					and Lanphear B.P. (2003). Intellectual impairment in children with blood lead
					concentrations below 10 micrograms per deciliter. N. Engl. J. Med. 348,
					1517-1526. DOI: 10.1056/NEJMoa022848</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Canfield</surname>
							<given-names>R.L.</given-names>
						</name>
						<name>
							<surname>Henderson</surname>
							<given-names>C.R.</given-names>
						</name>
						<name>
							<surname>Cory-Slechta</surname>
							<given-names>D.A.</given-names>
						</name>
						<name>
							<surname>Cox</surname>
							<given-names>C.</given-names>
						</name>
						<name>
							<surname>Jusko</surname>
							<given-names>T.A.</given-names>
						</name>
						<name>
							<surname>Lanphear</surname>
							<given-names>B.P.</given-names>
						</name>
					</person-group>
					<year>2003</year>
					<article-title>Intellectual impairment in children with blood lead
						concentrations below 10 micrograms per deciliter</article-title>
					<source>N. Engl. J. Med.</source>
					<volume>348</volume>
					<fpage>1517</fpage>
					<lpage>1526</lpage>
					<pub-id pub-id-type="doi">10.1056/NEJMoa022848</pub-id>
				</element-citation>
			</ref>
			<ref id="B4">
				<mixed-citation>Cox D.H. (1980). Arsine evolution-electrothermal atomic absorption
					method for the determination of nanogram levels of total arsenic in urine and
					water. J. Anal. Toxicol. 4 (4), 207-211. DOI:
					10.1093/jat/4.4.207</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Cox</surname>
							<given-names>D.H.</given-names>
						</name>
					</person-group>
					<year>1980</year>
					<article-title>Arsine evolution-electrothermal atomic absorption method for the
						determination of nanogram levels of total arsenic in urine and
						water</article-title>
					<source>J. Anal. Toxicol.</source>
					<volume>4</volume>
					<issue>4</issue>
					<fpage>207</fpage>
					<lpage>211</lpage>
					<pub-id pub-id-type="doi">10.1093/jat/4.4.207</pub-id>
				</element-citation>
			</ref>
			<ref id="B5">
				<mixed-citation>García-Vargas G.G., Rubio-Andrade M., del Razo L.M., Borja-Aburto
					V., Vera-Aguilar E. and Cebrián M.E. (2001). Lead exposure in children living in
					a smelter community in Región Lagunera, Mexico. J. Toxicol. Environ. Health 62
					(6), 417-429. DOI: 10.1080/00984100150501150</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>García-Vargas</surname>
							<given-names>G.G.</given-names>
						</name>
						<name>
							<surname>Rubio-Andrade</surname>
							<given-names>M.</given-names>
						</name>
						<name>
							<surname>del Razo</surname>
							<given-names>L.M.</given-names>
						</name>
						<name>
							<surname>Borja-Aburto</surname>
							<given-names>V.</given-names>
						</name>
						<name>
							<surname>Vera-Aguilar</surname>
							<given-names>E.</given-names>
						</name>
						<name>
							<surname>Cebrián</surname>
							<given-names>M.E.</given-names>
						</name>
					</person-group>
					<year>2001</year>
					<article-title>Lead exposure in children living in a smelter community in Región
						Lagunera, Mexico</article-title>
					<source>J. Toxicol. Environ. Health</source>
				</element-citation>
			</ref>
			<ref id="B6">
				<mixed-citation>INEGI (2010). Censo de población y vivienda 2010. Instituto Nacional
					de Estadística y Geografía. [online]. <comment>
						<ext-link ext-link-type="uri"
							xlink:href="https://www.inegi.org.mx/programas/ccpv/2010/default.html?init=2#Datos_abiertos"
							>https://www.inegi.org.mx/programas/ccpv/2010/default.html?init=2#Datos_abiertos</ext-link>
					</comment> 12/11/2018</mixed-citation>
				<element-citation publication-type="report">
					<person-group person-group-type="author">
						<collab>INEGI</collab>
					</person-group>
					<year>2010</year>
					<source>Censo de población y vivienda 2010</source>
					<publisher-name>Instituto Nacional de Estadística y Geografía</publisher-name>
					<comment>
						<ext-link ext-link-type="uri"
							xlink:href="https://www.inegi.org.mx/programas/ccpv/2010/default.html?init=2#Datos_abiertos"
							>https://www.inegi.org.mx/programas/ccpv/2010/default.html?init=2#Datos_abiertos</ext-link>
					</comment>
					<date-in-citation content-type="access-date" iso-8601-date="2018-11-12"
						>12/11/2018</date-in-citation>
				</element-citation>
			</ref>
			<ref id="B7">
				<mixed-citation>Jasso-Pineda Y., Espinosa-Reyes G., González-Mille D., Razo-Soto I.,
					Carrizales L., Torres-Dosal A., Mejía-Saavedra J., Monroy M., Ize A.I., Yarto M.
					and Díaz-Barriga F. (2007). An integrated health risk assessment approach to the
					study of mining sites contaminated with arsenic and lead. Integr. Environ.
					Assess. Manag. 3 (3), 344-350. DOI: 10.1007/s12011-011-9237-0</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Jasso-Pineda</surname>
							<given-names>Y.</given-names>
						</name>
						<name>
							<surname>Espinosa-Reyes</surname>
							<given-names>G.</given-names>
						</name>
						<name>
							<surname>González-Mille</surname>
							<given-names>D.</given-names>
						</name>
						<name>
							<surname>Razo-Soto</surname>
							<given-names>I.</given-names>
						</name>
						<name>
							<surname>Carrizales</surname>
							<given-names>L.</given-names>
						</name>
						<name>
							<surname>Torres-Dosal</surname>
							<given-names>A.</given-names>
						</name>
						<name>
							<surname>Mejía-Saavedra</surname>
							<given-names>J.</given-names>
						</name>
						<name>
							<surname>Monroy</surname>
							<given-names>M.</given-names>
						</name>
						<name>
							<surname>Ize</surname>
							<given-names>A.I.</given-names>
						</name>
						<name>
							<surname>Yarto</surname>
							<given-names>M.</given-names>
						</name>
						<name>
							<surname>Díaz-Barriga</surname>
							<given-names>F.</given-names>
						</name>
					</person-group>
					<year>2007</year>
					<article-title>An integrated health risk assessment approach to the study of
						mining sites contaminated with arsenic and lead</article-title>
					<source>Integr. Environ. Assess. Manag.</source>
					<volume>3</volume>
					<issue>3</issue>
					<fpage>344</fpage>
					<lpage>350</lpage>
					<pub-id pub-id-type="doi">10.1007/s12011-011-9237-0</pub-id>
				</element-citation>
			</ref>
			<ref id="B8">
				<mixed-citation>Jasso-Pineda Y., Díaz-Barriga F., Calderón J., Yáñez L., Carrizales
					L. and Pérez-Maldonado I.N. (2012). DNA damage and decreased DNA repair in
					peripheral blood mononuclear cells in individuals exposed to arsenic and lead in
					a mining site. Biol. Trace Elem. Res. 146 (2), 141-149. DOI:
					10.1007/s12011-011-9237-0</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Jasso-Pineda</surname>
							<given-names>Y.</given-names>
						</name>
						<name>
							<surname>Díaz-Barriga</surname>
							<given-names>F.</given-names>
						</name>
						<name>
							<surname>Calderón</surname>
							<given-names>J.</given-names>
						</name>
						<name>
							<surname>Yáñez</surname>
							<given-names>L.</given-names>
						</name>
						<name>
							<surname>Carrizales</surname>
							<given-names>L.</given-names>
						</name>
						<name>
							<surname>Pérez-Maldonado</surname>
							<given-names>I.N.</given-names>
						</name>
					</person-group>
					<year>2012</year>
					<article-title>DNA damage and decreased DNA repair in peripheral blood
						mononuclear cells in individuals exposed to arsenic and lead in a mining
						site</article-title>
					<source>Biol. Trace Elem. Res.</source>
					<volume>146</volume>
					<issue>2</issue>
					<fpage>141</fpage>
					<lpage>149</lpage>
					<pub-id pub-id-type="doi">10.1007/s12011-011-9237-0</pub-id>
				</element-citation>
			</ref>
			<ref id="B9">
				<mixed-citation>Jasso-Pineda Y., Díaz-Barriga F., Yáñez-Estrada L., Pérez-Vázquez
					F.J. and Pérez-Maldonado I.N. (2015). DNA damage in Mexican children living in
					high-risk contaminated scenarios. Sci. Total Environ. 15 (518-519), 38-48. DOI:
					10.1016/j.scitotenv.2015.02.073</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Jasso-Pineda</surname>
							<given-names>Y.</given-names>
						</name>
						<name>
							<surname>Díaz-Barriga</surname>
							<given-names>F.</given-names>
						</name>
						<name>
							<surname>Yáñez-Estrada</surname>
							<given-names>L.</given-names>
						</name>
						<name>
							<surname>Pérez-Vázquez</surname>
							<given-names>F.J.</given-names>
						</name>
						<name>
							<surname>Pérez-Maldonado</surname>
							<given-names>I.N.</given-names>
						</name>
					</person-group>
					<year>2015</year>
					<article-title>DNA damage in Mexican children living in high-risk contaminated
						scenarios</article-title>
					<source>Sci. Total Environ.</source>
					<volume>15</volume>
					<issue>518-519</issue>
					<fpage>38</fpage>
					<lpage>48</lpage>
					<pub-id pub-id-type="doi">10.1016/j.scitotenv.2015.02.073</pub-id>
				</element-citation>
			</ref>
			<ref id="B10">
				<mixed-citation>Loredo-Portales R., Cruz Jiménez G., Castillo Michel H., Rocha
					Amador D.O., Vogel Mikus K., Kump P. and de la Rosa G. (2015). Understanding
					copper speciation and mobilization in soils and mine tailings from “Mineral La
					Aurora” in central Mexico: Contributions from synchrotron techniques. Bol. Soc.
					Geol. Mex. 67 (3), 447-456. </mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Loredo-Portales</surname>
							<given-names>R.</given-names>
						</name>
						<name>
							<surname>Cruz Jiménez</surname>
							<given-names>G.</given-names>
						</name>
						<name>
							<surname>Castillo Michel</surname>
							<given-names>H.</given-names>
						</name>
						<name>
							<surname>Rocha Amador</surname>
							<given-names>D.O.</given-names>
						</name>
						<name>
							<surname>Vogel Mikus</surname>
							<given-names>K.</given-names>
						</name>
						<name>
							<surname>Kump</surname>
							<given-names>P.</given-names>
						</name>
						<name>
							<surname>de la Rosa</surname>
							<given-names>G.</given-names>
						</name>
					</person-group>
					<year>2015</year>
					<article-title>Understanding copper speciation and mobilization in soils and
						mine tailings from “Mineral La Aurora” in central Mexico: Contributions from
						synchrotron techniques</article-title>
					<source>Bol. Soc. Geol. Mex.</source>
					<volume>67</volume>
					<issue>3</issue>
					<fpage>447</fpage>
					<lpage>456</lpage>
				</element-citation>
			</ref>
			<ref id="B11">
				<mixed-citation>Loredo-Portales R., Castillo-Michel H., Aquilantic G., de La
					Rosa-Álvarez M.G., Rocha-Amador D.O., Vogel-Mikusef K., Kumpf P. and
					Cruz-Jiménez G. (2017). Synchrotron based study of As mobility and speciation in
					tailings from a mining site in Mexico. Journal of Environmental Chemical
					Engineering 5 (1), 1140-1149. DOI: 0.1016/j.jece.2017.01.019</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Loredo-Portales</surname>
							<given-names>R.</given-names>
						</name>
						<name>
							<surname>Castillo-Michel</surname>
							<given-names>H.</given-names>
						</name>
						<name>
							<surname>Aquilantic</surname>
							<given-names>G.</given-names>
						</name>
						<name>
							<surname>de La Rosa-Álvarez</surname>
							<given-names>M.G.</given-names>
						</name>
						<name>
							<surname>Rocha-Amador</surname>
							<given-names>D.O.</given-names>
						</name>
						<name>
							<surname>Vogel-Mikusef</surname>
							<given-names>K.</given-names>
						</name>
						<name>
							<surname>Kumpf</surname>
							<given-names>P.</given-names>
						</name>
						<name>
							<surname>Cruz-Jiménez</surname>
							<given-names>G.</given-names>
						</name>
					</person-group>
					<year>2017</year>
					<article-title>Synchrotron based study of As mobility and speciation in tailings
						from a mining site in Mexico</article-title>
					<source>Journal of Environmental Chemical Engineering</source>
					<volume>5</volume>
					<issue>1</issue>
					<fpage>1140</fpage>
					<lpage>1149</lpage>
					<pub-id pub-id-type="doi">0.1016/j.jece.2017.01.019</pub-id>
				</element-citation>
			</ref>
			<ref id="B12">
				<mixed-citation>Martínez-Alfaro M., Hernández-Cortés D., Wrobel K., Cruz-Jiménez G.,
					Rivera-Leyva J.C., Piña-Zentella R.M. and Cárabez Trejo A. (2012). Effect of
					melatonin administration on DNA damage and repair responses in lymphocytes of
					rats subchronically exposed to lead. Mutat. Res. 742 (1-2), 37-42. DOI:
					10.1016/j.mrgentox.2011.11.011 </mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Martínez-Alfaro</surname>
							<given-names>M.</given-names>
						</name>
						<name>
							<surname>Hernández-Cortés</surname>
							<given-names>D.</given-names>
						</name>
						<name>
							<surname>Wrobel</surname>
							<given-names>K.</given-names>
						</name>
						<name>
							<surname>Cruz-Jiménez</surname>
							<given-names>G.</given-names>
						</name>
						<name>
							<surname>Rivera-Leyva</surname>
							<given-names>J.C.</given-names>
						</name>
						<name>
							<surname>Piña-Zentella</surname>
							<given-names>R.M.</given-names>
						</name>
						<name>
							<surname>Cárabez Trejo</surname>
							<given-names>A.</given-names>
						</name>
					</person-group>
					<year>2012</year>
					<article-title>Effect of melatonin administration on DNA damage and repair
						responses in lymphocytes of rats subchronically exposed to
						lead</article-title>
					<source>Mutat. Res.</source>
					<volume>742</volume>
					<issue>1-2</issue>
					<fpage>37</fpage>
					<lpage>42</lpage>
					<pub-id pub-id-type="doi">10.1016/j.mrgentox.2011.11.011</pub-id>
				</element-citation>
			</ref>
			<ref id="B13">
				<mixed-citation>Martínez-Arredondo J.C., Ortega-Chávez V.M. and Ramos Arroyo Y.R.
					(2013). Índices climatológicos regionales para la Sierra Gorda de Guanajuato.
					Acta Universitaria 23 (6), 10-25. </mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Martínez-Arredondo</surname>
							<given-names>J.C.</given-names>
						</name>
						<name>
							<surname>Ortega-Chávez</surname>
							<given-names>V.M.</given-names>
						</name>
						<name>
							<surname>Ramos Arroyo</surname>
							<given-names>Y.R.</given-names>
						</name>
					</person-group>
					<year>2013</year>
					<article-title>Índices climatológicos regionales para la Sierra Gorda de
						Guanajuato</article-title>
					<source>Acta Universitaria</source>
					<volume>23</volume>
					<issue>6</issue>
					<fpage>10</fpage>
					<lpage>25</lpage>
				</element-citation>
			</ref>
			<ref id="B14">
				<mixed-citation>Méndez-Gómez J., García-Vargas G.G., López-Carrillo L.,
					Calderón-Aranda E.S., Gómez A., Vera E., Valverde M., Cebrián M.E. and Rojas E.
					(2008). Genotoxic effects of environmental exposure to arsenic and lead on
					children in Region Lagunera, Mexico. Ann. N. Y. Acad. Sci. 1140, 358-367. DOI:
					10.1196/annals.1454.027</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Méndez-Gómez</surname>
							<given-names>J.</given-names>
						</name>
						<name>
							<surname>García-Vargas</surname>
							<given-names>G.G.</given-names>
						</name>
						<name>
							<surname>López-Carrillo</surname>
							<given-names>L.</given-names>
						</name>
						<name>
							<surname>Calderón-Aranda</surname>
							<given-names>E.S.</given-names>
						</name>
						<name>
							<surname>Gómez</surname>
							<given-names>A.</given-names>
						</name>
						<name>
							<surname>Vera</surname>
							<given-names>E.</given-names>
						</name>
						<name>
							<surname>Valverde</surname>
							<given-names>M.</given-names>
						</name>
						<name>
							<surname>Cebrián</surname>
							<given-names>M.E.</given-names>
						</name>
						<name>
							<surname>Rojas</surname>
							<given-names>E.</given-names>
						</name>
					</person-group>
					<year>2008</year>
					<article-title>Genotoxic effects of environmental exposure to arsenic and lead
						on children in Region Lagunera, Mexico</article-title>
					<source>Ann. N. Y. Acad. Sci.</source>
					<volume>1140</volume>
					<fpage>358</fpage>
					<lpage>367</lpage>
					<pub-id pub-id-type="doi">10.1196/annals.1454.027</pub-id>
				</element-citation>
			</ref>
			<ref id="B15">
				<mixed-citation>Miranda-Gasca M.A. (1978). Regional geological and geochemical study
					area Xichú, Guanajuato. Bol. Soc. Geol. Mexicana. 39 (2), 101-106. </mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Miranda-Gasca</surname>
							<given-names>M.A.</given-names>
						</name>
					</person-group>
					<year>1978</year>
					<article-title>Regional geological and geochemical study area Xichú,
						Guanajuato</article-title>
					<source>Bol. Soc. Geol. Mexicana.</source>
					<volume>39</volume>
					<issue>2</issue>
					<fpage>101</fpage>
					<lpage>106</lpage>
				</element-citation>
			</ref>
			<ref id="B16">
				<mixed-citation>Moreno M.E., Acosta-Saavedra L.C., Meza-Figueroa D., Vera E.,
					Cebrián M.E., Ostrosky-Wegman P. and Calderón-Aranda E.S. (2010). Biomonitoring
					of metal in children living in a mine tailings zone in Southern Mexico: A pilot
					study. Int. J. Hyg. Environ. Health 213 (4), 252-258. DOI:
					10.1016/j.ijheh.2010.03.005</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Moreno</surname>
							<given-names>M.E.</given-names>
						</name>
						<name>
							<surname>Acosta-Saavedra</surname>
							<given-names>L.C.</given-names>
						</name>
						<name>
							<surname>Meza-Figueroa</surname>
							<given-names>D.</given-names>
						</name>
						<name>
							<surname>Vera</surname>
							<given-names>E.</given-names>
						</name>
						<name>
							<surname>Cebrián</surname>
							<given-names>M.E.</given-names>
						</name>
						<name>
							<surname>Ostrosky-Wegman</surname>
							<given-names>P.</given-names>
						</name>
						<name>
							<surname>Calderón-Aranda</surname>
							<given-names>E.S.</given-names>
						</name>
					</person-group>
					<year>2010</year>
					<article-title>Biomonitoring of metal in children living in a mine tailings zone
						in Southern Mexico: A pilot study</article-title>
					<source>Int. J. Hyg. Environ. Health</source>
					<volume>213</volume>
					<issue>4</issue>
					<fpage>252</fpage>
					<lpage>258</lpage>
					<pub-id pub-id-type="doi">10.1016/j.ijheh.2010.03.005</pub-id>
				</element-citation>
			</ref>
			<ref id="B17">
				<mixed-citation>Peraza M.A., Ayala-Fierro F., Barber DS., Casarez E. and Rael L.T.
					(1998). Effects of micronutrients on metal toxicity. Environ. Health Perspect.
					1, 203-216. DOI: 10.1289/ehp.98106s1203</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Peraza</surname>
							<given-names>M.A.</given-names>
						</name>
						<name>
							<surname>Ayala-Fierro</surname>
							<given-names>F.</given-names>
						</name>
						<name>
							<surname>Barber</surname>
							<given-names>DS.</given-names>
						</name>
						<name>
							<surname>Casarez</surname>
							<given-names>E.</given-names>
						</name>
						<name>
							<surname>Rael</surname>
							<given-names>L.T.</given-names>
						</name>
					</person-group>
					<year>1998</year>
					<article-title>Effects of micronutrients on metal toxicity</article-title>
					<source>Environ. Health Perspect.</source>
					<volume>1</volume>
					<fpage>203</fpage>
					<lpage>216</lpage>
					<pub-id pub-id-type="doi">10.1289/ehp.98106s1203</pub-id>
				</element-citation>
			</ref>
			<ref id="B18">
				<mixed-citation>Ramos-Arroyo Y.R., Prol-Ledesma R.M. and Siebe-Grabach C. (2004).
					Geological and mineralogical characteristics and history of an extraction
					district of Guanajuato, Mexico. Geochemical possible scenarios for mining waste.
					Rev. Mex. Cienc. Geol. 2, 268-284. </mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Ramos-Arroyo</surname>
							<given-names>Y.R.</given-names>
						</name>
						<name>
							<surname>Prol-Ledesma</surname>
							<given-names>R.M.</given-names>
						</name>
						<name>
							<surname>Siebe-Grabach</surname>
							<given-names>C.</given-names>
						</name>
					</person-group>
					<year>2004</year>
					<article-title>Geological and mineralogical characteristics and history of an
						extraction district of Guanajuato, Mexico. Geochemical possible scenarios
						for mining waste</article-title>
					<source>Rev. Mex. Cienc. Geol.</source>
					<volume>2</volume>
					<fpage>268</fpage>
					<lpage>284</lpage>
				</element-citation>
			</ref>
			<ref id="B19">
				<mixed-citation>Ramos-Arroyo Y.R. and Siebe-Grabach C. (2006). Strategy for the
					identification of tailings with environmental risk potential in a mining
					district: Case study in the Guanajuato district, Mexico. Rev. Mex. Cienc. Geol.
					23 (1), 54-74. </mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Ramos-Arroyo</surname>
							<given-names>Y.R.</given-names>
						</name>
						<name>
							<surname>Siebe-Grabach</surname>
							<given-names>C.</given-names>
						</name>
					</person-group>
					<year>2006</year>
					<article-title>Strategy for the identification of tailings with environmental
						risk potential in a mining district: Case study in the Guanajuato district,
						Mexico</article-title>
					<source>Rev. Mex. Cienc. Geol.</source>
					<volume>23</volume>
					<issue>1</issue>
					<fpage>54</fpage>
					<lpage>74</lpage>
				</element-citation>
			</ref>
			<ref id="B20">
				<mixed-citation>Salas-Megchún E.F. (2014). Geoquímica y mineralogía de jales en mina
					Aurora, Xichú, Guanajuato. Tesis de Maestría. Centro de Geociencias, Universidad
					Nacional Autónoma de México. Ciudad de México, México, 107 pp. </mixed-citation>
				<element-citation publication-type="thesis">
					<person-group person-group-type="author">
						<name>
							<surname>Salas-Megchún</surname>
							<given-names>E.F.</given-names>
						</name>
					</person-group>
					<year>2014</year>
					<source>Geoquímica y mineralogía de jales en mina Aurora, Xichú,
						Guanajuato</source>
					<comment content-type="degree">Maestría</comment>
					<publisher-name>Centro de Geociencias, Universidad Nacional Autónoma de
						México</publisher-name>
					<publisher-loc>Ciudad de México, México</publisher-loc>
					<publisher-loc>Ciudad de México, México</publisher-loc>
					<fpage>107</fpage>
					<lpage>107</lpage>
				</element-citation>
			</ref>
			<ref id="B21">
				<mixed-citation>Saleha-Banu B., Danadevi K., Jamil K., Ahuja Y.R., Visweswara-Rao K.
					and Ishaq M. (2001). In vivo genotoxic effect of arsenic trioxide in mice using
					comet assay. Toxicology 162 (3), 171-177. DOI:
					10.1016/S0300-483X(01)00359-6</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Saleha-Banu</surname>
							<given-names>B.</given-names>
						</name>
						<name>
							<surname>Danadevi</surname>
							<given-names>K.</given-names>
						</name>
						<name>
							<surname>Jamil</surname>
							<given-names>K.</given-names>
						</name>
						<name>
							<surname>Ahuja</surname>
							<given-names>Y.R.</given-names>
						</name>
						<name>
							<surname>Visweswara-Rao</surname>
							<given-names>K.</given-names>
						</name>
						<name>
							<surname>Ishaq</surname>
							<given-names>M.</given-names>
						</name>
					</person-group>
					<year>2001</year>
					<article-title>In vivo genotoxic effect of arsenic trioxide in mice using comet
						assay</article-title>
					<source>Toxicology</source>
					<volume>162</volume>
					<issue>3</issue>
					<fpage>171</fpage>
					<lpage>177</lpage>
					<pub-id pub-id-type="doi">10.1016/S0300-483X(01)00359-6</pub-id>
				</element-citation>
			</ref>
			<ref id="B22">
				<mixed-citation>SEMARNAT (2005). Norma Oficial Mexicana NOM-141-SEMARNAT-2003. Que
					establece el procedimiento para caracterizar los jales, así como las
					especificaciones y criterios para la caracterización y preparación del sitio,
					proyecto, construcción, operación y postoperación de presas de jales. Secretaría
					de Medio Ambiente y Recursos Naturales. Diario Oficial de la Federación.
					February 16.</mixed-citation>
				<element-citation publication-type="legal-doc">
					<person-group person-group-type="author">
						<collab>SEMARNAT</collab>
					</person-group>
					<year>2005</year>
					<article-title>Norma Oficial Mexicana NOM-141-SEMARNAT-2003. Que establece el
						procedimiento para caracterizar los jales, así como las especificaciones y
						criterios para la caracterización y preparación del sitio, proyecto,
						construcción, operación y postoperación de presas de jales</article-title>
					<source>Secretaría de Medio Ambiente y Recursos Naturales. Diario Oficial de la
						Federación. February 16</source>
				</element-citation>
			</ref>
			<ref id="B23">
				<mixed-citation>SEMARNAT (2007). Norma Oficial Mexicana NOM-147-SEMARNAT/SSA1-2004.
					Que establece los criterios para determinar las concentraciones de remediación
					de suelos contaminados por arsénico, bario, berilio, cadmio, cromo hexavalente,
					mercurio, níquel, plata, plomo, selenio, talio y/o vanadio. Secretaría de Medio
					Ambiente y Recursos Naturales. Diario Oficial de la Federación. March
					2.</mixed-citation>
				<element-citation publication-type="legal-doc">
					<person-group person-group-type="author">
						<collab>SEMARNAT</collab>
					</person-group>
					<year>2007</year>
					<article-title>Norma Oficial Mexicana NOM-147-SEMARNAT/SSA1-2004. Que establece
						los criterios para determinar las concentraciones de remediación de suelos
						contaminados por arsénico, bario, berilio, cadmio, cromo hexavalente,
						mercurio, níquel, plata, plomo, selenio, talio y/o vanadio</article-title>
					<source>Secretaría de Medio Ambiente y Recursos Naturales. Diario Oficial de la
						Federación. March 2</source>
				</element-citation>
			</ref>
			<ref id="B24">
				<mixed-citation>Singh N.P., McCoy M.T., Tice R.R. and Schneider E.L. (1988). A
					simple technique for quantitation of low levels of DNA damage in individual
					cells. Exp. Cell. Res. 175 (1), 184-191. DOI:
					10.1016/0014-4827(88)90265-0</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Singh</surname>
							<given-names>N.P.</given-names>
						</name>
						<name>
							<surname>McCoy</surname>
							<given-names>M.T.</given-names>
						</name>
						<name>
							<surname>Tice</surname>
							<given-names>R.R.</given-names>
						</name>
						<name>
							<surname>Schneider</surname>
							<given-names>E.L.</given-names>
						</name>
					</person-group>
					<year>1988</year>
					<article-title>A simple technique for quantitation of low levels of DNA damage
						in individual cells</article-title>
					<source>Exp. Cell. Res.</source>
					<volume>175</volume>
					<issue>1</issue>
					<fpage>184</fpage>
					<lpage>191</lpage>
					<pub-id pub-id-type="doi">10.1016/0014-4827(88)90265-0</pub-id>
				</element-citation>
			</ref>
			<ref id="B25">
				<mixed-citation>SSA (2002). Norma Oficial Mexicana NOM-199-SSA1-2000. Salud
					ambiental. Niveles de plomo en sangre y acciones como criterios para proteger la
					salud de la población expuesta no ocupacionalmente. Secretaría de Salud. Diario
					Oficial de la Federación, October 18.</mixed-citation>
				<element-citation publication-type="legal-doc">
					<person-group person-group-type="author">
						<collab>SSA</collab>
					</person-group>
					<year>2002</year>
					<article-title>Norma Oficial Mexicana NOM-199-SSA1-2000. Salud ambiental.
						Niveles de plomo en sangre y acciones como criterios para proteger la salud
						de la población expuesta no ocupacionalmente</article-title>
					<source>Secretaría de Salud. Diario Oficial de la Federación, October
						18.</source>
				</element-citation>
			</ref>
			<ref id="B26">
				<mixed-citation>SSA (2017). Modificación de los numerales 3, 6.1, tabla 1, así como
					los numerales 1 y 1.1.10, del Apéndice A, de la Norma Oficial Mexicana
					NOM-199-SSA1-2000. Salud ambiental. Niveles de plomo en sangre y acciones como
					criterios para proteger la salud de la población expuesta no ocupacionalmente,
					publicada el 18 de octubre de 2002. Secretaría de Salud. Diario Oficial de la
					Federación. August 30.</mixed-citation>
				<element-citation publication-type="legal-doc">
					<person-group person-group-type="author">
						<collab>SSA</collab>
					</person-group>
					<year>2017</year>
					<article-title>Modificación de los numerales 3, 6.1, tabla 1, así como los
						numerales 1 y 1.1.10, del Apéndice A, de la Norma Oficial Mexicana
						NOM-199-SSA1-2000. Salud ambiental. Niveles de plomo en sangre y acciones
						como criterios para proteger la salud de la población expuesta no
						ocupacionalmente, publicada el 18 de octubre de 2002</article-title>
					<source>Secretaría de Salud. Diario Oficial de la Federación. August 30</source>
				</element-citation>
			</ref>
			<ref id="B27">
				<mixed-citation>Trejo-Acevedo A., Díaz-Barriga F., Carrizales L., Domínguez G.,
					Costilla R., Ize-Lema I., Yarto-Ramírez M., Gavilán-García A., Mejía-Saavedra J.
					and Pérez-Maldonado I.N. (2009). Exposure assessment of persistent organic
					pollutants and metals in Mexican children. Chemosphere 74 (7), 974-980. DOI:
					10.1016/j.chemosphere.2008.10.030</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Trejo-Acevedo</surname>
							<given-names>A.</given-names>
						</name>
						<name>
							<surname>Díaz-Barriga</surname>
							<given-names>F.</given-names>
						</name>
						<name>
							<surname>Carrizales</surname>
							<given-names>L.</given-names>
						</name>
						<name>
							<surname>Domínguez</surname>
							<given-names>G.</given-names>
						</name>
						<name>
							<surname>Costilla</surname>
							<given-names>R.</given-names>
						</name>
						<name>
							<surname>Ize-Lema</surname>
							<given-names>I.</given-names>
						</name>
						<name>
							<surname>Yarto-Ramírez</surname>
							<given-names>M.</given-names>
						</name>
						<name>
							<surname>Gavilán-García</surname>
							<given-names>A.</given-names>
						</name>
						<name>
							<surname>Mejía-Saavedra</surname>
							<given-names>J.</given-names>
						</name>
						<name>
							<surname>Pérez-Maldonado</surname>
							<given-names>I.N.</given-names>
						</name>
					</person-group>
					<year>2009</year>
					<article-title>Exposure assessment of persistent organic pollutants and metals
						in Mexican children</article-title>
					<source>Chemosphere</source>
					<volume>74</volume>
					<issue>7</issue>
					<fpage>974</fpage>
					<lpage>980</lpage>
					<pub-id pub-id-type="doi">10.1016/j.chemosphere.2008.10.030</pub-id>
				</element-citation>
			</ref>
			<ref id="B28">
				<mixed-citation>WHO (2017). Global database on child growth and malnutrition. World
					Health Organization [online]. <comment>
						<ext-link ext-link-type="uri"
							xlink:href="http://www.who.int/nutgrowthdb/about/introduction/en/index5.html"
							>http://www.who.int/nutgrowthdb/about/introduction/en/index5.html</ext-link>
					</comment> 12/11/2018.</mixed-citation>
				<element-citation publication-type="report">
					<person-group person-group-type="author">
						<collab>WHO</collab>
					</person-group>
					<year>2017</year>
					<source>Global database on child growth and malnutrition</source>
					<publisher-name>World Health Organization</publisher-name>
					<comment>
						<ext-link ext-link-type="uri"
							xlink:href="http://www.who.int/nutgrowthdb/about/introduction/en/index5.html"
							>http://www.who.int/nutgrowthdb/about/introduction/en/index5.html</ext-link>
					</comment>
					<date-in-citation content-type="access-date" iso-8601-date="2018-11-12"
						>12/11/2018</date-in-citation>
				</element-citation>
			</ref>
			<ref id="B29">
				<mixed-citation>Yáñez L., García-Nieto E., Rojas E., Carrizales L., Mejía J.,
					Calderón J., Razo I. and Díaz-Barriga F. (2003). DNA damage in blood cells from
					children exposed to arsenic and lead in a mining area. Environ. Res. 93 (3),
					231-240. DOI: 10.1016/j.envres.2003.07.005</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Yáñez</surname>
							<given-names>L.</given-names>
						</name>
						<name>
							<surname>García-Nieto</surname>
							<given-names>E.</given-names>
						</name>
						<name>
							<surname>Rojas</surname>
							<given-names>E.</given-names>
						</name>
						<name>
							<surname>Carrizales</surname>
							<given-names>L.</given-names>
						</name>
						<name>
							<surname>Mejía</surname>
							<given-names>J.</given-names>
						</name>
						<name>
							<surname>Calderón</surname>
							<given-names>J.</given-names>
						</name>
						<name>
							<surname>Razo</surname>
							<given-names>I.</given-names>
						</name>
						<name>
							<surname>Díaz-Barriga</surname>
							<given-names>F.</given-names>
						</name>
					</person-group>
					<year>2003</year>
					<article-title>DNA damage in blood cells from children exposed to arsenic and
						lead in a mining area</article-title>
					<source>Environ. Res.</source>
					<volume>93</volume>
					<issue>3</issue>
					<fpage>231</fpage>
					<lpage>240</lpage>
					<pub-id pub-id-type="doi">10.1016/j.envres.2003.07.005</pub-id>
				</element-citation>
			</ref>
		</ref-list>
	</back>
</article>
