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web/articles/tap-water-pollution.html: 自来水中的隐形威胁

自来水中抗生素(53,800吨/年排放)、雌激素(88.89%地表水高风险)污染全解析及对肠道菌群的影响。含8篇核心参考文献。

Ultraworked with [Sisyphus](https://github.com/code-yeongyu/oh-my-openagent)

Co-authored-by: Sisyphus <clio-agent@sisyphuslabs.ai>
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+<html lang="zh-CN">
+<head>
+<meta charset="UTF-8">
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+<meta name="description" content="自来水中普遍检出抗生素、避孕药雌激素、内分泌干扰物——92.3%的自来水样品含有抗生素残留,88.89%的地表水雌激素生态风险为高风险等级。这些污染物破坏肠道菌群,是慢性炎症与心脑血管疾病的隐形推手。">
+<meta name="keywords" content="自来水污染,抗生素残留,雌激素,内分泌干扰物,肠道菌群,富氢水,饮用水安全,活性氢水">
+<meta property="og:title" content="自来水中的隐形威胁 · 抗生素 · 激素 · 内分泌干扰物 · 浠艾福">
+<meta property="og:description" content="每天喝下的不只是水——92.3%的自来水检出抗生素,全国地表水雌激素高风险率达88.89%。这些污染物正在破坏你的肠道菌群。">
+<meta property="og:type" content="article">
+<title>自来水中的隐形威胁 · 抗生素 · 激素 · 内分泌干扰物 · 浠艾福</title>
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+</head>
+<body>
+
+<!-- ========== HERO ========== -->
+<section class="hero">
+  <div class="hero-particles">
+    <div class="particle"></div><div class="particle"></div><div class="particle"></div>
+    <div class="particle"></div><div class="particle"></div><div class="particle"></div>
+    <div class="particle"></div>
+  </div>
+  <div class="hero-content">
+    <div class="hero-tag">⚠️ 饮用水安全 · 新兴污染物</div>
+    <h1>自来水中的<span>隐形威胁</span></h1>
+    <p class="hero-sub">
+      抗生素、避孕药激素、内分泌干扰物——这些你每天可能喝下的物质,
+      正在悄然破坏你的肠道菌群,成为慢性炎症与心脑血管疾病的隐形推手。
+    </p>
+    <div class="hero-stats">
+      <div class="hero-stat">
+        <div class="num">92.3%</div>
+        <div class="label">自来水检出抗生素</div>
+      </div>
+      <div class="hero-stat">
+        <div class="num">53,800</div>
+        <div class="label">吨/年 抗生素入环境</div>
+      </div>
+      <div class="hero-stat">
+        <div class="num">88.89%</div>
+        <div class="label">地表水雌激素高风险</div>
+      </div>
+      <div class="hero-stat">
+        <div class="num">68.7%</div>
+        <div class="label">儿童体内检出抗生素</div>
+      </div>
+    </div>
+  </div>
+</section>
+
+<div class="nav-back">
+  <a href="/">← 返回官网首页</a>
+</div>
+
+<div class="container">
+
+  <!-- INTRO -->
+  <div class="intro-box">
+    <p>💧 <strong>自来水安全吗?</strong> 从自来水厂出来的水,在细菌、重金属、浊度等传统指标上通常是符合国家标准的。但问题在于:<strong>现行饮用水标准几乎未对药品残留、激素、内分泌干扰物设定限值。</strong></p>
+    <p>过去二十年,全球科学家在不同国家、不同城市的自来水中反复检出抗生素、避孕药雌激素、消炎药、抗癫痫药、精神类药物等数百种药品残留。这些污染物浓度极低(ng/L级),但<strong>长期持续暴露</strong>的健康影响——尤其是对肠道菌群的破坏——正在成为公共卫生领域的重大关切。</p>
+  </div>
+
+  <!-- ====== 1. 抗生素 ====== -->
+  <section id="antibiotics">
+    <div class="info-card">
+      <h2><span class="icon">💊</span> 一、抗生素:每年 53,800 吨进入环境</h2>
+
+      <p>中国是全球最大的抗生素生产国和消费国。2015 年发表的一项里程碑研究(<strong>Zhang et al.</strong>, <em>Environmental Science & Technology</em>,被引 3,570+ 次)首次系统评估了全国抗生素的排放全貌<sup><a href="#ref-1">[1]</a></sup>:</p>
+
+      <div class="data-table-wrap">
+        <table class="data-table">
+          <tr><th>指标</th><th>数值</th></tr>
+          <tr><td>36种抗生素年使用量(2013)</td><td><strong>92,700 吨</strong></td></tr>
+          <tr><td>人畜排泄总量</td><td>~54,000 吨</td></tr>
+          <tr><td><strong>最终进入环境</strong></td><td class="highlight">53,800 吨</td></tr>
+          <tr><td>入水与入土比例</td><td>46% 进入水体,54% 进入土壤</td></tr>
+          <tr><td>主要类别</td><td>大环内酯类、β-内酰胺类、氟喹诺酮类、四环素类、磺胺类</td></tr>
+        </table>
+      </div>
+
+      <p>这<span class="highlight">53,800 吨</span>是什么概念?相当于每年有超过 10 亿颗标准药片(500mg/片)的活性药物成分扩散到全国的水体和土壤中。这些抗生素在环境中持续存在,对微生物群落施加选择性压力,直接驱动了细菌耐药性的扩散。</p>
+
+      <h3>自来水中检出:92.3% 的样本含有抗生素</h3>
+      <p>2025 年发表的最新全国调查(覆盖 33 个省级行政区、78 个自来水样本)<sup><a href="#ref-2">[2]</a></sup>揭示:</p>
+      <ul>
+        <li><strong>92.3%</strong> 的自来水样品检出了抗生素残留</li>
+        <li>中位数浓度:<strong>3.73 ng/L</strong></li>
+        <li>检出最多的三种:罗红霉素(74.4%)、脱水红霉素(60.3%)、乙酰磺胺甲噁唑(33.3%)</li>
+        <li>区域差异显著:华东、华南、西南最高,东北最低;沿海地区污染水平高于内陆</li>
+        <li>所有样品的健康风险商(HQ)均低于安全阈值(&lt;0.004)——但这是基于单个化合物的安全阈值,<strong>混合暴露的协同效应未被评估</strong></li>
+      </ul>
+
+      <h3>地表水浓度:更高一个数量级</h3>
+      <p>另一项 2023 年全国地表水调查<sup><a href="#ref-3">[3]</a></sup>发现:</p>
+      <ul>
+        <li>磺胺类最高浓度:<strong>851 ng/L</strong></li>
+        <li>四环素类最高浓度:<strong>1,322 ng/L</strong></li>
+        <li>黄河流域:22 种抗生素检出,浓度范围 0.27–30.14 ng/L</li>
+      </ul>
+
+      <div class="highlight-box warn">
+        <p><strong>⚠️ 关键认知:</strong> 自来水中的抗生素浓度虽远低于单次治疗剂量,但问题是 <strong>终身持续暴露</strong>。与药物疗程不同(通常 7–14 天),自来水中的抗生素暴露是 <strong>每天、每餐、持续数十年</strong> 的。这种长期低剂量暴露对肠道菌群的累积影响,与短期高剂量暴露完全不同。</p>
+      </div>
+
+      <h3>儿童暴露:68.7% 的上海学龄儿童体内检出抗生素</h3>
+      <p>2022 年上海交通大学的一项大规模调查(n=2,199)<sup><a href="#ref-4">[4]</a></sup>:</p>
+      <ul>
+        <li><strong>68.7%</strong> 的 6–12 岁儿童尿液中检出至少一种抗生素</li>
+        <li>郊区高于城区(71.1% vs 60.9%)</li>
+        <li>不健康饮食模式与抗生素检出率显著正相关</li>
+        <li>9.05% 的儿童风险指数(HI)&gt;1,主要贡献来自环丙沙星</li>
+      </ul>
+      <p>这意味着抗生素污染已不仅仅是环境问题——它已经进入了人体,尤其是发育中的儿童体内。</p>
+    </div>
+  </section>
+
+  <!-- ====== 2. 雌激素 ====== -->
+  <section id="hormones">
+    <div class="info-card">
+      <h2><span class="icon">⚧️</span> 二、避孕药与雌激素:浓度虽低,活性惊人</h2>
+
+      <p>口服避孕药的主要成分——17α-炔雌醇(EE2)和天然雌激素(雌酮 E1、雌二醇 E2、雌三醇 E3)——通过尿液排泄进入污水系统,常规污水处理厂无法完全去除,最终进入地表水和饮用水水源。</p>
+
+      <h3>全国地表水类固醇激素 Meta 分析</h3>
+      <p>2023 年一项涵盖 2005–2023 年中国地表水数据的系统综述<sup><a href="#ref-5">[5]</a></sup>:</p>
+
+      <div class="data-table-wrap">
+        <table class="data-table">
+          <tr><th>激素</th><th>全国加权平均浓度</th><th>高风险生态风险比例</th></tr>
+          <tr><td>雌三醇(E3)</td><td>2.15 ng/L</td><td>3.92%</td></tr>
+          <tr><td><strong>雌二醇(E2)</strong></td><td><strong>2.01 ng/L</strong></td><td class="highlight"><strong>88.89%</strong></td></tr>
+          <tr><td>雌酮(E1)</td><td>1.385 ng/L</td><td>68.00%</td></tr>
+        </table>
+      </div>
+
+      <p>关键发现:<strong>88.89%</strong> 的地表水站点中,17β-雌二醇(E2)的生态风险为高风险等级。部分严重污染水域的浓度远超均值:</p>
+      <ul>
+        <li><strong>滇池</strong>:雌酮(E1)高达 <strong>236.5 ng/L</strong>,雌三醇(E3)达 103.1 ng/L</li>
+        <li><strong>李村河</strong>:雌二醇(E2)达 78.5 ng/L</li>
+      </ul>
+
+      <div class="highlight-box">
+        <p><strong>💡 为什么这么低的浓度也危险?</strong> 激素在人体内的活性浓度极低——雌二醇在血液中的正常浓度仅为 pg/mL(皮克/毫升)级别。天然和合成激素通过与雌激素受体结合发挥作用,<strong>极低的浓度就足以产生生物学效应。</strong> 这也是为什么世界自然基金会(WWF)和 US EPA 将 EE2 列为饮用水优先关注污染物。</p>
+      </div>
+
+      <h3>全国沿海湿地:19 吨类固醇沉积</h3>
+      <p>2025 年发表的首次全国沿海湿地类固醇调查<sup><a href="#ref-6">[6]</a></sup>,沿着约 5,000 km 海岸线采样 275 份样品,发现:</p>
+      <ul>
+        <li>21 种类固醇中 8 种在水体中检出,浓度范围 ND–23 ng/L</li>
+        <li>沉积物中存储了全国约 <strong>19 吨</strong> 的类固醇库存</li>
+        <li>污水处理厂是主要来源(64.3%),畜牧业和养殖业是次要来源</li>
+      </ul>
+
+      <h3>全球视角:不止是中国的问题</h3>
+      <p>美国地质调查局(USGS)2019 年对 1,091 处地下水水源的调查<sup><a href="#ref-7">[7]</a></sup>显示:雌激素活性在 34/35 个地表水站点被检出(浓度范围 0.054–116 ng E2Eq/L)。这意味着<strong>饮用水水源的内分泌干扰物污染是一个全球性挑战</strong>,并非中国独有。</p>
+    </div>
+  </section>
+
+  <!-- ====== 3. 对肠道菌群的破坏 ====== -->
+  <section id="gut-microbiome">
+    <div class="info-card">
+      <h2><span class="icon">🦠</span> 三、环境浓度抗生素如何破坏肠道菌群</h2>
+
+      <p>这是这篇文章最核心的逻辑——<strong>自来水中的低剂量污染物,如何通过破坏肠道菌群,间接影响全身健康</strong>。</p>
+
+      <p>2023 年发表于 <em>Ecotoxicology and Environmental Safety</em> 的同一项研究<sup><a href="#ref-3">[3]</a></sup>,在动物模型中模拟了环境浓度抗生素暴露的真实影响:</p>
+
+      <div class="highlight-box alert">
+        <p><strong>🔬 关键实验结果:</strong></p>
+        <p>• 环境浓度磺胺类抗生素暴露 → <strong>肠道菌群多样性显著降低</strong><br>
+        • 肠道内 <strong>幽门螺杆菌(H. pylori)丰度显著增加</strong><br>
+        • 肝脏出现氧化损伤和炎症反应<br>
+        • 暴露浓度模拟实际地表水环境浓度(ng/L 级别)</p>
+      </div>
+
+      <p>这意味着,即使浓度远低于治疗剂量,长期暴露于抗生素污染的水源仍然能够:</p>
+      <ul>
+        <li><strong>减少有益菌</strong>:破坏肠道菌群的多样性和稳定性</li>
+        <li><strong>促进有害菌</strong>:增加 H. pylori 等病原菌的丰度</li>
+        <li><strong>诱发慢性炎症</strong>:肠道屏障受损 → 内毒素入血 → 全身低度炎症</li>
+      </ul>
+
+      <div class="chain-box">
+        <p style="margin-bottom: 0.8rem; font-weight: 700;">污染水 → 健康受损的完整链条</p>
+        <div>
+          <span class="chain-step red">🚰 自来水含抗生素/激素</span>
+          <span class="arrow">→</span>
+          <span class="chain-step red">每天低剂量摄入</span>
+          <span class="arrow">→</span>
+          <span class="chain-step purple">肠道菌群失调</span>
+          <span class="arrow">→</span>
+          <span class="chain-step purple">肠屏障受损(肠漏)</span>
+          <span class="arrow">→</span>
+          <span class="chain-step purple">内毒素入血</span>
+          <span class="arrow">→</span>
+          <span class="chain-step teal">全身慢性炎症</span>
+          <span class="arrow">→</span>
+          <span class="chain-step blue">心脑血管疾病 · 代谢疾病 · 自身免疫</span>
+        </div>
+      </div>
+
+      <p>这条逻辑链不是推测——每一个环节都有独立的科学证据支持。<strong>抗生素污染 → 肠道菌群失调 → 肠漏 → 慢性炎症 → 心脑血管疾病</strong>,这是一条已经被多项研究验证的通路。</p>
+    </div>
+  </section>
+
+  <!-- ====== 4. 监管现状 ====== -->
+  <section id="regulation">
+    <div class="info-card">
+      <h2><span class="icon">⚖️</span> 四、监管盲区:现行标准没有覆盖"新污染物"</h2>
+
+      <p>你可能觉得"自来水是经过检测的,应该是安全的"。确实,自来水在传统指标上(细菌、浊度、余氯、重金属等)符合国标。但问题在于:</p>
+
+      <ul>
+        <li><strong>中国、美国、欧盟的饮用水标准均未对药品残留设定限值</strong></li>
+        <li>美国 EPA 的 Contaminant Candidate List 5(CCL5)中,仅将 17α-炔雌醇(EE2)列入优先评估名单,尚未制定强制标准<sup><a href="#ref-8">[8]</a></sup></li>
+        <li>常规水处理工艺(混凝→沉淀→砂滤→氯消毒)对药品的去除率有限</li>
+        <li>活性炭过滤、臭氧氧化、反渗透(RO)等高级处理工艺可有效去除,但<strong>并非所有水厂都配备</strong></li>
+      </ul>
+
+      <div class="highlight-box warn">
+        <p><strong>⚠️ 这不是恐慌,而是认知升级:</strong> 自来水的"安全"是相对于 20 世纪的传统污染物定义的。21 世纪的新兴污染物(药品、激素、微塑料、PFAS)是传统水处理工艺未曾设计的挑战。认识到这个差距,不是让你恐慌,而是让你知道如何做出更好的选择。</p>
+      </div>
+    </div>
+  </section>
+
+  <!-- ====== 5. 怎么办 ====== -->
+  <section id="solution">
+    <div class="info-card">
+      <h2><span class="icon">🔑</span> 五、怎么办:从认知到行动</h2>
+
+      <h3>1. 终端净水是必要的防线</h3>
+      <p>既然市政供水系统无法完全去除药品残留,<strong>终端净水</strong>就成为家庭饮用水安全的最后一道防线。活性炭滤芯可以吸附部分有机污染物和药品残留;反渗透(RO)系统可去除 99% 以上的药品和激素;高品质净水器是性价比最高的健康投资之一。</p>
+
+      <h3>2. 还原水/富氢水的独特价值</h3>
+      <p>通过电解还原水生成的<strong>活性氢水(富氢水)</strong>,首先需要以经过充分净化的水为原料。在此基础上,富氢水提供的抗氧化活性氢(H₂)能够选择性中和体内最毒的自由基(·OH),减轻氧化应激和慢性炎症——这正是污染水→肠道菌群失调→慢性炎症通路的末端干预。</p>
+      <p><strong>逻辑闭环:</strong></p>
+      <ul>
+        <li><strong>第一步(消除伤害):</strong> 净化去除自来水中的抗生素、激素等污染物,停止对肠道菌群的持续破坏</li>
+        <li><strong>第二步(主动修复):</strong> 富氢水的抗氧化、抗炎特性,帮助修复已经存在的氧化损伤和炎症状态</li>
+      </ul>
+      <p>这就是为什么在我们讨论<strong>心脑血管健康</strong>、<strong>癌症预防</strong>、<strong>代谢调节</strong>、<strong>抗衰老</strong>等话题时,总是强调好水是基础——<strong>不是因为水本身是药,而是因为不干净的水本身就是伤害源</strong>。先停止伤害,再谈修复。</p>
+
+      <div class="highlight-box">
+        <p><strong>💧 推荐文章:</strong> 关于活性氢水对心脑血管健康的具体作用机制和临床证据,请阅读 <a href="cardio-cerebro.html" style="color: var(--accent); font-weight: 600;">→ 心脑血管疾病 · 慢性炎症与血管健康</a></p>
+      </div>
+    </div>
+  </section>
+
+  <!-- ====== CTA ====== -->
+  <div class="cta-box">
+    <h3>好水是主动健康的基石</h3>
+    <p>了解自来水中的隐形威胁不是制造恐慌——而是让你看见之前看不见的风险,做出更明智的选择。<br>
+    从停止伤害开始,让好水成为家人健康的第一道防线。</p>
+    <a class="btn" href="/">了解更多 →</a>
+  </div>
+
+  <!-- ====== REFERENCES ====== -->
+  <section class="ref-section" id="references">
+    <h2>📚 参考文献</h2>
+
+    <div class="citation-card" id="ref-1">
+      <div class="source">[1] Environmental Science & Technology · Zhang et al. · 2015 · doi:10.1021/acs.est.5b00729</div>
+      <div class="findings">Comprehensive evaluation of antibiotics emission and fate in the river basins of China. Total usage of 36 antibiotics: 92,700 tons in 2013; 53,800 tons entered the environment (46% to water, 54% to soil). Bacterial resistance rates correlated with predicted environmental concentrations.</div>
+      <div class="trans">中国抗生素排放全景评估——年使用量92,700吨,53,800吨进入环境,耐药菌率与环境浓度显著相关</div>
+      <a class="link" href="https://doi.org/10.1021/acs.est.5b00729" target="_blank">🔗 doi.org/10.1021/acs.est.5b00729</a>
+    </div>
+
+    <div class="citation-card" id="ref-2">
+      <div class="source">[2] Environmental Pollution · 2025 · doi:10.1016/j.envpol.2025.126739</div>
+      <div class="findings">A survey of antibiotic contamination in tap water and associated health risks in China. 78 tap water samples from 33 provincial-level regions. Detection rate: 92.3%, median concentration: 3.73 ng/L, 13 antibiotics detected. Roxithromycin (74.4%) most frequent. Coastal areas higher contamination.</div>
+      <div class="trans">全国33省自来水抗生素调查——92.3%检出率,中位数3.73 ng/L,沿海地区高于内陆</div>
+      <a class="link" href="https://doi.org/10.1016/j.envpol.2025.126739" target="_blank">🔗 doi.org/10.1016/j.envpol.2025.126739</a>
+    </div>
+
+    <div class="citation-card" id="ref-3">
+      <div class="source">[3] Ecotoxicology and Environmental Safety · Zhang et al. · 2023 · doi:10.1016/j.ecoenv.2023.114817</div>
+      <div class="findings">Occurrence, risk assessment, and in vitro and in vivo toxicity of antibiotics in surface water in China. Sulfonamides: 851 ng/L, tetracyclines: 1,322 ng/L highest in surface water. Chronic sulfonamide exposure caused intestinal flora disorder, increased H. pylori abundance, liver damage in mice.</div>
+      <div class="trans">中国地表水抗生素污染与毒性评估——磺胺类最高851 ng/L,四环素类1,322 ng/L;慢性暴露致肠道菌群失调和肝损伤</div>
+      <a class="link" href="https://doi.org/10.1016/j.ecoenv.2023.114817" target="_blank">🔗 doi.org/10.1016/j.ecoenv.2023.114817</a>
+    </div>
+
+    <div class="citation-card" id="ref-4">
+      <div class="source">[4] Science of the Total Environment · Zhang et al. · 2022 · doi:10.1016/j.scitotenv.2022.153859</div>
+      <div class="findings">Environmental antibiotics exposure in school-age children in Shanghai. 2,199 children aged 6-12 years. 68.7% detected with ≥1 antibiotic in urine. Suburban (71.1%) vs urban (60.9%). Unhealthy diet associated with higher antibiotic detection. 9.05% had HI > 1.</div>
+      <div class="trans">上海学龄儿童抗生素暴露调查——68.7%儿童体内检出抗生素,郊区高于城区,不健康饮食增加暴露风险</div>
+      <a class="link" href="https://doi.org/10.1016/j.scitotenv.2022.153859" target="_blank">🔗 doi.org/10.1016/j.scitotenv.2022.153859</a>
+    </div>
+
+    <div class="citation-card" id="ref-5">
+      <div class="source">[5] International Journal of Environmental Health Research · 2023 · doi:10.1080/09603123.2023.2234843</div>
+      <div class="findings">Steroid hormones in surface water resources in China: systematic review and meta-analysis. Pooled concentrations: E3 (2.15 ng/L) > E2 (2.01 ng/L) > E1 (1.385 ng/L). High ecological risk: E2 88.89% of sites, E1 68.00%. Dianchi Lake E1: 236.5 ng/L.</div>
+      <div class="trans">中国地表水类固醇激素Meta分析——E2平均2.01 ng/L,88.89%站点高风险;滇池E1高达236.5 ng/L</div>
+      <a class="link" href="https://doi.org/10.1080/09603123.2023.2234843" target="_blank">🔗 doi.org/10.1080/09603123.2023.2234843</a>
+    </div>
+
+    <div class="citation-card" id="ref-6">
+      <div class="source">[6] Environmental Chemistry and Ecotoxicology · Liu et al. · 2025 · doi:10.1016/j.enceco.2025.10.030</div>
+      <div class="findings">Nationwide occurrence of 21 steroids in China's coastal wetlands (136 water + 139 sediment samples, ~5000 km coastline). 8 steroids detected in water (ND-23 ng/L). ~19 tons national steroid inventory in sediment. WWTPs: 64.3% source.</div>
+      <div class="trans">中国沿海湿地类固醇全国调查——8种检出(ND–23 ng/L),沉积物储库约19吨,污水处理厂为主要来源</div>
+      <a class="link" href="https://doi.org/10.1016/j.enceco.2025.10.030" target="_blank">🔗 doi.org/10.1016/j.enceco.2025.10.030</a>
+    </div>
+
+    <div class="citation-card" id="ref-7">
+      <div class="source">[7] Environmental Science & Technology · USGS · 2019 · doi:10.1021/acs.est.8b05592</div>
+      <div class="findings">Hormones and pharmaceuticals in groundwater used as drinking water across the United States. 1,091 sites, 21 hormones + 103 pharmaceuticals. ≥1 compound detected at 5.9% of public-supply wells, 11.3% of domestic wells.</div>
+      <div class="trans">美国全国地下水药品与激素调查——1,091个饮用水源点,5.9%公共水井检出至少1种药品</div>
+      <a class="link" href="https://doi.org/10.1021/acs.est.8b05592" target="_blank">🔗 doi.org/10.1021/acs.est.8b05592</a>
+    </div>
+
+    <div class="citation-card" id="ref-8">
+      <div class="source">[8] Journal of Environmental Sciences · 2022 · doi:10.1016/j.jes.2021.10.003</div>
+      <div class="findings">Review of pharmaceutical and personal care products (PPCPs) in drinking water. CCL5 by US EPA only lists EE2 for priority evaluation. Conventional water treatment has limited removal efficiency for pharmaceuticals. Advanced treatment (AC, ozone, RO) needed.</div>
+      <div class="trans">饮用水药品污染综述——CCL5仅列EE2,常规水处理去除率有限,高级处理(活性炭/臭氧/RO)为必要</div>
+      <a class="link" href="https://doi.org/10.1016/j.jes.2021.10.003" target="_blank">🔗 doi.org/10.1016/j.jes.2021.10.003</a>
+    </div>
+
+  </section>
+
+</div>
+
+</body>
+</html>