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Goldfinger E, Stoler J, Goel N. A Multiscale Spatiotemporal Epidemiological Analysis of Neighborhood Correlates of Triple-Negative Breast Cancer. Cancer Epidemiol Biomarkers Prev 2024; 33:279-287. [PMID: 37971370 DOI: 10.1158/1055-9965.epi-22-1255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 02/18/2023] [Accepted: 11/15/2023] [Indexed: 11/19/2023] Open
Abstract
BACKGROUND Women living in disadvantaged neighborhoods present with increased prevalence rates of triple-negative breast cancer (TNBC). This study takes a spatiotemporal epidemiological approach to understand the impact of socioenvironmental contextual factors on TNBC prevalence rates. METHODS We analyzed 935 TNBC cases from a major cancer center registry, between 2005 and 2017, to explore spatial and space-time clusters of TNBC prevalence rates at the census tract and neighborhood scales. Spatial regression analysis was performed to examine relationships between nine socioenvironmental factors and TNBC prevalence rates at both ecological scales. RESULTS We observed spatial clustering of high TNBC prevalence rates along a north-south corridor of Miami-Dade County along Interstate 95, a region containing several majority non-Hispanic Black neighborhoods. Among the ecologic measures, the percent of a region designated as a brownfield was associated with TNBC prevalence rates at the tract-level (β = 4.27; SE = 1.08; P < 0.001) and neighborhood-level (β = 8.61; SE = 2.20; P < 0.001). CONCLUSIONS Our spatiotemporal analysis identified robust patterns of hot spots of TNBC prevalence rates in a corridor of several disadvantaged neighborhoods in the northern half of the county. These patterns of TNBC align with the literature regarding at-risk groups and neighborhood-level effects on TNBC; however, remain to be validated in a population-based sample. IMPACT Spatial epidemiological approaches can help public health officials and cancer care providers improve place-specific screening, patient care, and understanding of socioenvironmental factors that may shape breast cancer subtype through gene-environment and epigenetic interactions.
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Affiliation(s)
- Erica Goldfinger
- Department of Geography and Sustainable Development, University of Miami, Coral Gables, Florida
- Abess Center for Ecosystem Science and Policy, University of Miami, Coral Gables, Florida
| | - Justin Stoler
- Department of Geography and Sustainable Development, University of Miami, Coral Gables, Florida
- Abess Center for Ecosystem Science and Policy, University of Miami, Coral Gables, Florida
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
| | - Neha Goel
- Department of Surgery, Division of Surgical Oncology, University of Miami Miller School of Medicine, Coral Gables, Florida
- Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Coral Gables, Florida
- Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts
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Zwirowicz-Rutkowska A, Nowak Da Costa J, Muczyński A. Managing Health Concerns Related to Post-Industrial Sites Redevelopment: A Warsaw, Poland Case Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6362. [PMID: 37510594 PMCID: PMC10379291 DOI: 10.3390/ijerph20146362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 06/29/2023] [Accepted: 07/12/2023] [Indexed: 07/30/2023]
Abstract
An important issue in the redevelopment of post-industrial sites, e.g., into housing, is the resolution of contaminated land issues, including health risks and environmental protection. The purpose of this article is to examine awareness of this aspect from the perspective of city or such site residents, using Warsaw as an example. Using a survey-style form data collection technique, a total of 55 fully completed survey questionnaires were collected and analysed using cross-tabulation. Furthermore, a desk research methodology was used to study the availability of sources on industrial areas and their transformation from the perspective of different stakeholder groups involved in the development of such areas in Poland. Similarly, information management was assessed from the viewpoint of information communities participating or being affected by redevelopment processes. The survey results evidenced that respondents are aware that post-industrial sites may be contaminated, but do not associate the possibility of potential health risks when residing on or near such sites. The analysis of the management of information on the reurbanisation of post-industrial sites in urban areas in Poland, including the availability of data on location and contamination, revealed a problematic data flow between central and local level authorities and mootable consistency of legal acts. Public awareness of negative phenomena, such as contamination and the consequent health risks associated with dwelling in such sites, can positively influence, as an input to monitoring and enforcement, the actions taken by other stakeholders in the clean-up processes of contaminated sites and force improvements in the management of such information. The flow of information, the activities forming the information function, and the decision-making process can be improved by technologies, such as spatial information systems and their infrastructures, by facilitating the integration of data from multiple sources and consequently enabling the analysis to be extended to include further relevant data.
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Affiliation(s)
- Agnieszka Zwirowicz-Rutkowska
- Faculty of Civil Engineering and Geodesy, Military University of Technology in Warsaw, Kaliskiego 2, 00-908 Warsaw, Poland
| | - Joanna Nowak Da Costa
- Faculty of Civil Engineering and Geodesy, Military University of Technology in Warsaw, Kaliskiego 2, 00-908 Warsaw, Poland
| | - Andrzej Muczyński
- Faculty of Geoengineering, University of Warmia and Mazury in Olsztyn, Prawocheńskiego 15, 10-720 Olsztyn, Poland
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Lin JJY, Tehrani MW, Chen R, Heaney CD, Rule AM. Characterizing spatiotemporal variability in airborne heavy metal concentration: Changes after 18 Years in Baltimore, MD. ENVIRONMENTAL RESEARCH 2022; 209:112878. [PMID: 35131327 DOI: 10.1016/j.envres.2022.112878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 01/31/2022] [Indexed: 06/14/2023]
Abstract
INTRODUCTION This study investigates the impact of changes in local industry, urban development, and proximity to suspected emission sources on airborne metal concentration in Baltimore, Maryland between 2001 and 2019 with particular focus on the urban industrial community of Curtis Bay in South Baltimore. METHODS Integrated PM2.5 and PM10 Harvard Impactors were set up at six locations in the Baltimore City metropolitan area in weeklong sampling sessions from January-July 2019 to assess variation in airborne metal concentration by proximity to suspected metal emission sources. PM2.5 and PM10 were collected on Teflo filters and analyzed for a panel of 12 metals and metalloids (As, Cd, Co, Cr, Cu, Fe, Mn, Mo, Ni, Pb, Sb, and Zn) using inductively coupled plasma mass spectrometry. The findings were compared against airborne metal concentrations reported by the Baltimore Supersite in 2001 and 2003 to assess changes over the 18-year period. RESULTS PM2.5 concentrations reported from this study ranged from 3.27 μg/m3 to 36.0 μg/m3 and PM10 concentrations ranged from 9.00 μg/m3 to 30.1 μg/m3 across all sampling sites. Metal concentrations ranged from 1.4 times (Cd) to 4.8 times (Cr) higher in PM10 compared to PM2.5. Compared to the study reference site, median PM2.5 concentrations of Co and Fe were roughly 1.8 times and 2.1 times higher, respectively, at near-road sampling sites indicating significant variability in airborne metal concentration by proximity to local traffic emissions. PM2.5 and PM10 Sb concentrations were 3.4 times and 6.7 times higher at a near incinerator site compared to the reference, consistent with existing evidence of Sb sourcing from municipal incinerators in Baltimore City. Decreases in Cr (-40%), Ni (-73%), Pb (-55%), and Zn (-36%) concentrations were observed over the 18-year period while concentrations of Cu, Fe, and Mn were not statistically significantly different. CONCLUSION Declines in airborne Cr, Ni, Pb, and Zn concentration since 2001 appear to coincide with industrial decline highlighting the success of remediation and redevelopment efforts. Remaining spatial variability is related to vehicular traffic and proximity to a municipal incinerator which should be focal areas for future intervention to reduce metal exposure disparities in Baltimore City.
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Affiliation(s)
- Joyce J Y Lin
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
| | - Mina W Tehrani
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
| | - Rui Chen
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
| | - Christopher D Heaney
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
| | - Ana M Rule
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
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New Homogeneous Spatial Areas Identified Using Case-Crossover Spatial Lag Grid Differences between Aerosol Optical Depth-PM2.5 and Respiratory-Cardiovascular Emergency Department Visits and Hospitalizations. ATMOSPHERE 2022; 13:1-33. [PMID: 36003277 PMCID: PMC9393882 DOI: 10.3390/atmos13050719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Optimal use of Hierarchical Bayesian Model (HBM)-assembled aerosol optical depth (AOD)-PM2.5 fused surfaces in epidemiologic studies requires homogeneous temporal and spatial fused surfaces. No analytical method is available to evaluate spatial heterogeneity. The temporal case-crossover design was modified to assess the spatial association between four experimental AOD-PM2.5 fused surfaces and four respiratory–cardiovascular hospital events in 12 km2 grids. The maximum number of adjacent lag grids with significant odds ratios (ORs) identified homogeneous spatial areas (HOSAs). The largest HOSA included five grids (lag grids 04; 720 km2) and the smallest HOSA contained two grids (lag grids 01; 288 km2). Emergency department asthma and inpatient asthma, myocardial infarction, and heart failure ORs were significantly higher in rural grids without air monitors than in urban grids with air monitors at lag grids 0, 1, and 01. Rural grids had higher AOD-PM2.5 concentration levels, population density, and poverty percentages than urban grids. Warm season ORs were significantly higher than cold season ORs for all health outcomes at lag grids 0, 1, 01, and 04. The possibility of elevated fine and ultrafine PM and other demographic and environmental risk factors synergistically contributing to elevated respiratory–cardiovascular chronic diseases in persons residing in rural areas was discussed.
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Lodge EK, Engel LS, Ferrando-Martínez S, Wildman D, Uddin M, Galea S, Aiello AE. The association between residential proximity to brownfield sites and high-traffic areas and measures of immunity. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2020; 30:824-834. [PMID: 32398779 PMCID: PMC7483819 DOI: 10.1038/s41370-020-0226-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 04/22/2020] [Accepted: 04/27/2020] [Indexed: 06/11/2023]
Abstract
The mechanisms by which neighborhood environmental exposures influence health are poorly understood, although immune system dysregulation represents a potential biological pathway. While many neighborhood exposures have been investigated, there is little research on residential proximity to brownfield waste. Using biomarker data from 262 participants in the Detroit Neighborhood Health Study, we estimated the association between proximity to brownfields and heavy traffic and signal joint T-cell receptor excision circles (sjTRECs, a measure of naive T-cell production), C-reactive protein (CRP, a measure of systemic inflammation), and interleukin-6 (IL-6, a pro-inflammatory cytokine). We assessed residential proximity ≤200 m from brownfields and highways on all three biomarkers using multivariate regression. We demonstrated that living ≤200 m from a brownfield site was associated with a 0.30 (95% CI = 0.59, 0.02, p = 0.04) loge-unit decrease in sjTRECs per million whole blood cells, as well as non-significantly elevated levels of CRP and IL-6. Heavy traffic was not associated with any biomarker. Persons living in close proximity to brownfield sites had significantly lower naive T-cell production, suggesting accelerated immune aging. Decreased T-cell production associated with brownfield proximity may be caused by toxicant exposure in brownfield sites, or may serve as a marker of other neighborhood stressors.
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Affiliation(s)
- Evans K Lodge
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Lawrence S Engel
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | | | - Derek Wildman
- College of Public Health, University of South Florida, Tampa, FL, USA
| | - Monica Uddin
- College of Public Health, University of South Florida, Tampa, FL, USA
| | - Sandro Galea
- School of Public Health, Boston University, Boston, MA, USA
| | - Allison E Aiello
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
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Understanding Cumulative Hazards in a Rustbelt City: Integrating GIS, Archaeology, and Spatial History. URBAN SCIENCE 2019. [DOI: 10.3390/urbansci3030083] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We combine the Historical Spatial Data Infrastructure (HSDI) concept developed within spatial history with elements of archaeological predictive modeling to demonstrate a novel GIS-based landscape model for identifying the persistence of historically-generated industrial hazards in postindustrial cities. This historical big data approach draws on over a century of both historical and modern spatial big data to project the presence of specific persistent historical hazards across a city. This research improves on previous attempts to understand the origins and persistence of historical pollution hazards, and our final model augments traditional archaeological approaches to site prospection and analysis. This study also demonstrates how models based on the historical record, such as the HSDI, complement existing approaches to identifying postindustrial sites that require remediation. Our approach links the work of archaeologists more closely to other researchers and to municipal decision makers, permitting closer cooperation between those involved in archaeology, heritage, urban redevelopment, and environmental sustainability activities in postindustrial cities.
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Brownfields to Greenfields: Environmental Justice Versus Environmental Gentrification. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15102233. [PMID: 30321998 PMCID: PMC6210586 DOI: 10.3390/ijerph15102233] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Revised: 10/01/2018] [Accepted: 10/09/2018] [Indexed: 11/17/2022]
Abstract
Gentrification is a growing concern in many urban areas, due to the potential for displacement of lower-income and other vulnerable populations. This process can be accelerated when neighborhood "greening" projects are undertaken via governmental or private investor efforts, resulting in a phenomenon termed environmental or "green" gentrification. Vacant land in lower-income areas is often improved by the existing community through the creation of community gardens, but this contributes to these greening efforts and paradoxically may spur gentrification and subsequent displacement of the gardens' stewards and neighbors. "Is proximity to community gardens in less affluent neighborhoods associated with an increased likelihood of gentrification?" Using Brooklyn, New York as a case study, we examined this question using Geographic Information Systems and two spatial methods: a census block group proximity analysis, and a hot spot analysis, to determine the potential impact of proximity to community gardens in lower-income areas. The results of the analyses suggest that proximity to community gardens is associated with significant increases in per capita income over the five years study period, which is indicative of areas undergoing gentrification. This has implications for environmental justice because existing lower-income residents are likely to be displaced after their community is improved environmentally.
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Lange JH, Chang YF, LaPorte RE, Mastrangelo G. Hazardous waste site frequency: use of the capture-recapture method. Toxicol Ind Health 2016; 19:109-13. [PMID: 15697180 DOI: 10.1191/0748233703th179oa] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
This investigation used a two-source capture-recapture method (CRM) for determining ascertainment and undercounts of non-national priority listed hazardous waste sites in the states of Arizona, Maine and Pennsylvania. These findings suggest that ascertainment of hazardous waste sites vary greatly, with some more accurate (i.e., Maine) than others (i.e., Pennsylvania). These data suggest that nontraditional manufacturing states (e.g., Maine) have a higher ascertainment rate than traditional manufacturing states (e.g., Pennsylvania). These results indicate that resources for locating hazardous waste sites should be more heavily allotted to industrialized areas. We suggest that the CRM is a convenient, low cost and effective method for determining (1) the accuracy of previous estimates, and (2) the number of sites in a locale with 95% confidence intervals along with an estimate of the undercount. Findings suggest that estimates of hazardous waste sites should use the CRM to determine and improve accuracy.
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Affiliation(s)
- J H Lange
- Envirosafe Training and Consultants, Pittsburgh, PA 15239, USA.
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Elliott JR, Frickel S. Urbanization as Socioenvironmental Succession: The Case of Hazardous Industrial Site Accumulation. AJS; AMERICAN JOURNAL OF SOCIOLOGY 2015; 120:1736-1777. [PMID: 26478941 DOI: 10.1086/681715] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This study rehabilitates concepts from classical human ecology and synthesizes them with contemporary urban and environmental sociology to advance a theory of urbanization as socioenvironmental succession. The theory illuminates how social and biophysical phenomena interact endogenously at the local level to situate urban land use patterns recursively and reciprocally in place. To demonstrate this theory we conduct a historical-comparative analysis of hazardous industrial site accumulation in four U.S. cities, using a relational database that was assembled for more than 11,000 facilities that operated during the past half century--most of which remain unacknowledged in government reports. Results show how three iterative processes--hazardous industrial churning, residential churning, and risk containment--intersect to produce successive socioenvironmental changes that are highly relevant to but often missed by research on urban growth machines, environmental inequality, and systemic risk.
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Manion NC, Campbell L, Rutter A. Historic brownfields and industrial activity in Kingston, Ontario: assessing potential contributions to mercury contamination in sediment of the Cataraqui River. THE SCIENCE OF THE TOTAL ENVIRONMENT 2010; 408:2060-2067. [PMID: 20172591 DOI: 10.1016/j.scitotenv.2010.01.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2009] [Revised: 01/25/2010] [Accepted: 01/26/2010] [Indexed: 05/28/2023]
Abstract
The waterfront of historic Kingston, Ontario (pop: 113,000) has been used for industrial activities for over a century. More than 40 industries have existed within the inner harbour, and while many of these industries are no longer present, the properties that they operated on remain as potential sources of persistent contamination to the present day, including mercury. To assess the extent and distribution of total mercury (THg) contamination, 21 sediment cores as well as pore water samples were collected within the inner harbour of Kingston. The spatial distribution of THg in the surface sediment is not homogenous; with concentrations in the surface sediment along the southwestern shoreline, adjacent to the former industrial properties, are significantly greater (p<0.01) than the rest of the inner harbour, and were above the Federal severe effect limit (>2000 microg/kg;) guideline for sediment. MeHg was detected in some sediment cores, and was found to have a significant, positive correlation with [THg] in the surface sediment (0-5 cm). THg was not found in storm sewer discharges, but was detected in terrestrial soil near the Kingston Rowing Club at a concentration of more than 4000 microg/kg. Significant [THg] was detected in runoff draining from contaminated shoreline soils, indicating that erosion from terrestrial sources may be an ongoing source of Hg to the sediment. It can be concluded that there is an increased risk over time to surrounding ecosystems where properties with historical contamination are not remediated until they are developed.
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Affiliation(s)
- N C Manion
- Department of Biology, Queen's University, 116 Barrie St. Kingston, Ontario, Canada.
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Cohen A. Achieving healthy school siting and planning policies: understanding shared concerns of environmental planners, public health professionals, and educators. New Solut 2010; 20:49-72. [PMID: 20359991 PMCID: PMC3622719 DOI: 10.2190/ns.20.1.d] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Policy decisions regarding the quality of the physical school environment-both, school siting and school facility planning policies-are often considered through the lens of environmental planning, public health, or education policy, but rarely through all three. Environmental planners consider environmental justice issues on a local level and/or consider the regional impact of a school. Public health professionals focus on toxic exposures and populations particularly vulnerable to negative health outcomes. Educators and education policymakers emphasize investing in human capital of both students and staff. By understanding these respective angles and combining these efforts around the common goals of achieving adequacy and excellence, we can work toward a regulatory system for school facilities that recognizes children as a uniquely vulnerable population and seeks to create healthier school environments in which children can learn and adults can work.
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Affiliation(s)
- Alison Cohen
- Brown University, Dept. of Education, Providence, RI 02912, USA.
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Karakis I, Bolotin A, Kordysh E, Belmaker I, Sarov B. Mortality in the bedouin population and proximity to a regional industrial complex. ENVIRONMENTAL HEALTH INSIGHTS 2008; 1:21-29. [PMID: 21572844 PMCID: PMC3091347 DOI: 10.4137/ehi.s891] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND The study was initiated by public concern about exposure to an industrial park (IP) emission. The study examined whether mortality in the Bedouin population in the southern part of Israel is associated with the residential distance to the IP. MATERIAL AND METHODS Ecological study during 1995-2001 included the entire Bedouin population. Mortality data was obtained from the Central Bureau of Statistics. As an indirect measurement of exposure we used residential distance to the IP (with 20 km radius as a cut-of-point) based on residents' complaints about odor related to the IP. Differences in mortality rates by distance were assessed by the Mantel-Haenszel relative risk (M-H RR) within the 95% CI. The country Arab population served as a reference for calculation of the age-adjusted standardized mortality ratio (SMR). RESULTS Increased mortality rates due to symptoms/ill-defined conditions and non-external causes were observed in the Bedouin population of both sexes, residing up to 20 km from the IP, compared to those living in more remote areas. Corresponding M-H RR (plus 95% CI) were 1.66 (1.17-2.36), 1.24 (1.06-1.44) in females, and 1.55 (1.15-2.10), 1.32 (1.15-1.52) in males. CONCLUSIONS The study results suggest an association between residential proximity to the regional IP and increased mortality rates in the Negev Bedouin population. These findings have been accepted by the authorities as an issue for community health protection.
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Affiliation(s)
- Isabella Karakis
- Department of Epidemiology and Health Services Evaluation, Ben-Gurion University of the Negev, Beersheba, Israel
- School of Public Health, Haifa University, Haifa, Israel
| | - Arkady Bolotin
- Department of Epidemiology and Health Services Evaluation, Ben-Gurion University of the Negev, Beersheba, Israel
| | - Ella Kordysh
- Department of Epidemiology and Health Services Evaluation, Ben-Gurion University of the Negev, Beersheba, Israel
| | - Ilana Belmaker
- Southern Regional Health Department of the Israeli Ministry of Health, Beersheba, Israel
| | - Batia Sarov
- Department of Epidemiology and Health Services Evaluation, Ben-Gurion University of the Negev, Beersheba, Israel
- Department of Epidemiology, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, U.S.A
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Clapp RW, Howe GK, Jacobs MM. Environmental and occupational causes of cancer: A call to act on what we know. Biomed Pharmacother 2007; 61:631-9. [PMID: 17905564 DOI: 10.1016/j.biopha.2007.08.001] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2007] [Revised: 05/25/2007] [Accepted: 08/02/2007] [Indexed: 11/26/2022] Open
Abstract
The discussion of the scientific evidence linking cancer to environmental and occupational exposures has been an area of contention for atleast the past three decades, since the assertion in 1977 by Higginson and Muir that 80% of all cancers were due to environmental exposures. Over the past three decades, there have been additional efforts to estimate the proportion of cancer due to these involuntary exposures, including the 1981 monograph by Doll and Peto and the more recent reports by the Harvard Center for Cancer Prevention. In this paper, we review the evidence that Doll and Peto and other authors have summarized, provide an alternative interpretation of the evidence, and caution against the very idea of attributing specific fractions or proportions of cancer to particular factors. We also review the scientific evidence, particularly epidemiologic evidence, regarding the contribution of environmental and occupational exposures to the overall cancer burden in the US. We conclude with a call for action to prevent exposures to environmental and occupational carcinogens.
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Affiliation(s)
- Richard W Clapp
- Department of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA.
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