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Review Open access Jul 2026

HEAVY METAL CONTAMINATION AND ASSOCIATED HUMAN HEALTH RISKS IN DRINKING WATER, SOIL, AND EDIBLE VEGETABLES IN NIGERIA: A SYSTEMATIC REVIEW

This systematic review examined heavy metal contamination in drinking water, soil, and edible vegetables in Nigeria, along with the associated human health risks. Heavy metal pollution from mining, oil exploration, and wastewater irrigation poses serious threats to food safety and public health; however, comprehensive synthesis of contamination levels and risk assessments across the country remains limited. This systematic review, guided by PRISMA 2020, assessed contamination patterns and health risks across Nigeria. Comprehensive searches were conducted in PubMed, Scopus, Web of Science, ScienceDirect, African Journals Online (AJOL), and Google Scholar for studies published between 1 January 2011 and 30 April 2026. From 1,248 records, 18 unique studies (derived from 21 references after duplicate removal) were included. These comprised cross-sectional surveys and contamination analyses reporting quantitative heavy metal concentrations in water, soil, and/or edible vegetables together with standard health risk indices (EDI, THQ, HI, TLCR, BAF, or TF).Findings revealed widespread exceedance of FAO/WHO permissible limits, particularly for cadmium and lead in leafy vegetables such as spinach, lettuce, cabbage, and amaranth. Hazard indices (HI) exceeded 1 in the majority of studies, while lifetime cancer risks (TLCR) for arsenic frequently surpassed the acceptable threshold of 10⁻⁴, especially in northern mining zones (Kano, Jos, Kaduna) and the Niger Delta. Nigerian studies showed higher exceedance rates (Pb: 83%, Cd: 78%) and elevated risk levels compared with some other West African contexts. Leafy vegetables consistently demonstrated the highest bioaccumulation. Interventions and monitoring efforts remain limited, and systemic challenges such as unregulated irrigation and weak enforcement of environmental standards continue to exacerbate exposure risks, particularly for children and frequent consumers of locally grown produce. Urgent, context-specific interventions are required, including stricter regulation of irrigation water and soil quality, targeted remediation in high-risk zones, safer agricultural practices, and enhanced public awareness. These measures are essential to reduce dietary heavy metal exposure, protect public health, and support sustainable food safety in Nigeria.

M. R. Madugu, H. Suleiman, A. Akyala et al. · 0 citations
Open access Jul 2026

Self-reported hepatitis B vaccination uptake and associated factors among adults in a tertiary hospital, Nasarawa State, Nigeria

Hepatitis B virus (HBV) infection remains a major public health challenge in sub-Saharan Africa despite the availability of a safe and effective vaccine. In Nigeria, adult vaccination coverage and completion rates are not well characterized within hospital-based populations. A hospital-based cross-sectional study was conducted among 1,200 adults attending Federal Medical Centre (FMC) Keffi, Nasarawa State, Nigeria. Data on socio-demographics, HBV-related knowledge, attitudes, perceived barriers, vaccination uptake, and completion were collected using a structured questionnaire. Knowledge and attitude scores were categorized into poor, fair, and good levels. Associations between socio-demographic characteristics and vaccination uptake were examined using chi-square and Fisher’s exact tests, with statistical significance set at p < 0.05. The mean age of respondents was predominantly 36–40 years (32.5%), with males constituting 72.3%. Most respondents had tertiary education (91.8%) and were civil servants (83.4%). Overall awareness of HBV was high (95.5%), with a mean knowledge score of 12.37 ± 1.42. Good knowledge was observed in 74.2% of respondents, while 57.2% demonstrated good attitudes toward HBV prevention. Vaccination uptake was high, with 93.5% reporting receipt of at least one vaccine dose. However, only 22.3% had completed the recommended three-dose schedule, while 48.2% and 23.1% had received one and two doses, respectively. Willingness to complete vaccination was reported by 81.6% of respondents. Perceived barriers included high vaccine cost (72.4%), inadequate access to health facilities (96.9%), fear of side effects (71.9%), and insufficient information (73.5%). No significant associations were found between socio-demographic variables and vaccination uptake (p > 0.05 for all). Despite high HBV vaccination initiation and knowledge levels, substantial gaps in vaccine completion persist. Addressing financial, informational, and access-related barriers is essential to improve full vaccination coverage among Nigerian adults.

S. Aremu, A. Akyala, Y. B. Ngwai et al. · 0 citations