|Document ID (ISN)||111917|
|ISSN - Serial title
||1351-0711 - Occupational and Environmental Medicine
|Convention or series no.
||Martuzzi M., Mitis F., Bianchi F., Minichilli F., Comba P., Fazzo L.
||Cancer mortality and congenital anomalies in a region of Italy with intense environmental pressure due to waste
||Nov. 2009, Vol.66, No.11, p.725-732. Illus. 39 ref.
||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.
||Campania; environmental pollution; mortality; cancer; embryotoxic effects; risk factors
||Italy; statistical evaluation; waste disposal; geographical variables
||D - Periodical articles
Toxic and dangerous substances
|Broad subject area(s)
||Occupational medicine, epidemiology
||Cancer and carcinogens
Antifertility and prenatal effects
Waste collection and disposal