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Document ID (ISN)111917
CIS number 11-0517
ISSN - Serial title 1351-0711 - Occupational and Environmental Medicine
Year 2009
Convention or series no.
Author(s) Martuzzi M., Mitis F., Bianchi F., Minichilli F., Comba P., Fazzo L.
Title Cancer mortality and congenital anomalies in a region of Italy with intense environmental pressure due to waste
Bibliographic information Nov. 2009, Vol.66, No.11, p.725-732. Illus. 39 ref.
Abstract Waste management in the Campania region has been characterised, since the 1980s, by widespread uncontrolled and illegal practices of waste dumping, generating concerns over the health implications. The objective of this study was to evaluate possible adverse health effects of such environmental pressure. The health effects of waste-related environmental exposures in Campania were assessed in 196 municipalities of the provinces of Naples and Caserta. Poisson regression was used to analyse the association between health outcomes and environmental contamination due to waste. Statistically significant excess relative risks (ERR) in high-index compared with low-index (unexposed) municipalities were found for all-cause mortality (9.2% in men and 12.4% in women) and liver cancer (19.3% in men and 29.1% in women). Increased risks were also found for all cancer mortality (both sexes), stomach and lung cancer (in men). Statistically significant ERRs were found for congenital anomalies of the internal urogenital system (82.7%) and of the central nervous system (83.5%). Implications of these findings are discussed.
Descriptors (primary) Campania; environmental pollution; mortality; cancer; embryotoxic effects; risk factors
Descriptors (secondary) Italy; statistical evaluation; waste disposal; geographical variables
Document type D - Periodical articles
Subject(s) Environmental pollution
Toxic and dangerous substances
Occupational pathology
Broad subject area(s) Occupational medicine, epidemiology
Chemical safety
Browse category(ies) Cancer and carcinogens
Antifertility and prenatal effects
Waste collection and disposal
Environmental pollution