Environmental factors in cancer: radon

Evaluation of radiation dose from radon ingestion and inhalation in groundwater of a small tropical river basin, Kerala, India

A comprehensive study was conducted to understand the radon (²²²Rn) distribution and associated radiation doses to the public in a small tropical river basin partly set in the western slope of the Southern Western Ghats of Kerala, India. Radon, though detected in all the 71 monitored wells (0.17-68.3 Bq L^-1), exceeded the maximum contamination level (MCL) of 11.1 Bq L^-1 for drinking water recommended by United States Environmental Protection Agency (USEPA) in eight samples from isolated pockets of highland, midland and lowland of the Karamana River Basin (KRB) and found to be well within 100 Bq L^-1, the parametric value suggested by the World Health Organization (WHO) and the European Union (EU). The age-wise total annual effective doses (AEDs) of groundwater radon activity ranged from 0.5-208.4 μSv a^-1 for infants, 0.4-172.2 for children and 0.5-189.7 μSv a^-1 for adults. The results reveal that effective doses due to groundwater radon pose no potential public health risk in the study region. Since there is no previous background information on radon-induced radiation dose in the KRB, this work is a newfangled attempt from a public health point of view.

Lung Cancer Risk and Low (≤50 μg/L) Drinking Water Arsenic Levels for US Counties (2009⁻2013)-A Negative Association

While epidemiologic studies clearly demonstrate drinking water with high levels of arsenic as a significant risk factor for lung cancer, the evidence at low levels (≤50 μg/L) is uncertain. Therefore, we have conducted an ecological analysis of recent lung cancer incidence for US counties with a groundwater supply of <50 μg/L, the historical limit for both the EPA and WHO. Data sources used included USGS for arsenic exposure, NCI for lung cancer outcome, and CDC and US Census Bureau forcovariates. Poisson log-linear models were conducted for male, female, and total populations using for exposure median county arsenic level, maximum arsenic level ≤50 μg/L, and ≥80% population groundwater dependency. Statistically significant negative associations were found in each of the six models in which the exposure was limited to those who had major exposure (≥80% dependency) to low-levels of arsenic (≤50 μg/L). This is the first large ecological study of lung cancer risk from drinking water arsenic levels that specifically examined the dose-response slope for populations whose exposure was below the historical limit of ≤50 μg/L. The models for each of the three populations (total; male; female) demonstrated an association that is both negative and statistically significant.

Lung and stomach cancer associations with groundwater radon in North Carolina, USA

Background

The risk of indoor air radon for lung cancer is well studied, but the risks of groundwater radon for both lung and stomach cancer are much less studied, and with mixed results.

Methods

Geomasked and geocoded stomach and lung cancer cases in North Carolina from 1999 to 2009 were obtained from the North Carolina Central Cancer Registry. Models for the association with groundwater radon and multiple confounders were implemented at two scales: (i) an ecological model estimating cancer incidence rates at the census tract level; and (ii) a case-only logistic model estimating the odds that individual cancer cases are members of local cancer clusters.

Results

For the lung cancer incidence rate model, groundwater radon is associated with an incidence rate ratio of 1.03 [95% confidence interval (CI) = 1.01, 1.06] for every 100 Bq/l increase in census tract averaged concentration. For the cluster membership models, groundwater radon exposure results in an odds ratio for lung cancer of 1.13 (95% CI = 1.04, 1.23) and for stomach cancer of 1.24 (95% CI = 1.03, 1.49), which means groundwater radon, after controlling for multiple confounders and spatial auto-correlation, increases the odds that lung and stomach cancer cases are members of their respective cancer clusters.

Conclusion

Our study provides epidemiological evidence of a positive association between groundwater radon exposure and lung cancer incidence rates. The cluster membership model results find groundwater radon increases the odds that both lung and stomach cancer cases occur within their respective cancer clusters. The results corroborate previous biokinetic and mortality studies that groundwater radon is associated with increased risk for lung and stomach cancer.

Estimation of Groundwater Radon in North Carolina Using Land Use Regression and Bayesian Maximum Entropy

Radon ((222)Rn) is a naturally occurring chemically inert, colorless, and odorless radioactive gas produced from the decay of uranium ((238)U), which is ubiquitous in rocks and soils worldwide. Exposure to (222)Rn is likely the second leading cause of lung cancer after cigarette smoking via inhalation; however, exposure through untreated groundwater is also a contributing factor to both inhalation and ingestion routes. A land use regression (LUR) model for groundwater (222)Rn with anisotropic geological and (238)U based explanatory variables is developed, which helps elucidate the factors contributing to elevated (222)Rn across North Carolina. The LUR is also integrated into the Bayesian Maximum Entropy (BME) geostatistical framework to increase accuracy and produce a point-level LUR-BME model of groundwater (222)Rn across North Carolina including prediction uncertainty. The LUR-BME model of groundwater (222)Rn results in a leave-one out cross-validation r(2) of 0.46 (Pearson correlation coefficient = 0.68), effectively predicting within the spatial covariance range. Modeled results of (222)Rn concentrations show variability among intrusive felsic geological formations likely due to average bedrock (238)U defined on the basis of overlying stream-sediment (238)U concentrations that is a widely distributed consistently analyzed point-source data.

Chemicals policy in the 2008-2009 President's Cancer Panel Report

The President's Cancer Panel 2008-2009 report, Reducing Environmental Cancer Risk: What We Can Do Now, was a watershed event in the U.S. chemicals policy process. The report, which was released after two years of public meetings and input from a variety of scientists and organizations, concluded that the national cancer program has not adequately addressed "grievous harm" from chemical carcinogens. Consistent with public health principles, it recommended that a prevention-oriented approach to regulating chemicals should replace the current "reactionary" approach. Various responses of cancer organizations and spokespeople in the aftermath of the release of the report are described. The report explicitly supports the type of policy reform contemplated in the Toxic Chemicals Safety Act of 2010, which failed to pass in the 111th Congressional session. In the absence of meaningful action at the federal level, the report will still provide strong support for state and local policy initiatives in coming years.