Community pharmacy, Phosphate mining, Environmental hazards, Public Health, Pharmaceutical care.
AuthorsAbstractPhosphate mining is a source of fertilizer production; but particulate matter, silica, fluoride, heavy metals, radionuclides, and other contaminants can be released into the air, water, soil, and food-chain pathways during phosphate extraction, beneficiation, phosphoric acid manufacture, and phosphogypsum disposal. This narrative review outlines the community health impacts of phosphate mining and examines the potential contribution of community pharmacy to the protection of populations of those living near mining and processing sites. The literature was sorted out from PubMed, Scopus, Web of Science, and Google Scholar, primarily from 2015 to 2026, and some former basic works were also selected. Narrative synthesis was conducted on the routes of exposure, priority contaminants, health outcomes, vulnerable groups, and interventions to be offered by the pharmacy. Chronic low-level exposure can occur in communities around the phosphogypsum stacks, phosphogypsum processing plants, tailings, and phosphate mines via inhalation, ingestion, dermal contact, and the food chain. Respiratory disease, renal toxicity, skeletal effects, neurodevelopmental issues, cardiovascular risk, inflammation, oxidative stress, and potential long-term carcinogenic effects are the major health concerns. The young, pregnant women, the elderly, smokers, and those with chronic conditions are especially susceptible. Community pharmacists have the opportunity to assist with risk reduction in the following ways: health education, symptom screening, respiratory care, medication review, antimicrobial stewardship, referral, documentation, follow-up and linkage with primary care and public health services. To enhance surveillance, early detection and protection of communities around mines, the collaboration between pharmacies, primary care, public health authorities and environmental agencies needs to be integrated.
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