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Chen KC, Lee SF, Lin SW, Xie JS, Chang YH, Yiin LM, Hsieh CJ. Associations between residential proximity to agricultural land use as pesticides exposure and birth outcomes. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:33253-33263. [PMID: 36478559 DOI: 10.1007/s11356-022-24571-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 11/30/2022] [Indexed: 06/17/2023]
Abstract
Pesticides are widely used globally. Due to their widespread use, exposure to pesticides is of concern. In addition to occupational exposure, residential exposure during pesticide application is a concern for those living in or near agricultural areas. The objective of this study was to analyze the association between residential proximity to agricultural pesticide use and birth outcomes. The association between residential proximity to agricultural land use as pesticide exposure and birth outcomes was explored in a birth cohort including 283 pregnant women from a medical center in Hualien during 2013-2016. In the third trimester, we collected demographic information and the residential addresses of pregnant women via structured questionnaires. After delivery, newborn birth weight, gestational age, and head circumference were collected from medical records. Maternal residential address during pregnancy was collected for geospatial mapping. The percentages of farmland area within circular buffers of different sizes were applied to estimate pesticide exposure. Associations between residential proximity to agricultural land use as pesticide exposure and birth outcomes were analyzed by multiple linear regression analyses. A significantly smaller head circumference was associated with agricultural farmland located within 400 m (β = - 0.51 [95% CI, - 0.99, - 0.03], P = 0.037) and 500 m (β = - 0.67 [95% CI, - 1.14, - 0.19], P = 0.006) radii of residences in the tertile 2 group. A significantly smaller head circumference was also associated with dry farming area within 400 m (β = - 0.70 [95% CI, - 1.17, - 0.24], P = 0.003) and 500 m (β = - 0.81 [95% CI, - 1.27, - 0.34], P = 0.001) radii of residences in the tertile 2 group. The multivariate linear regression analyses did not show any significant association between residential farmland area and birth weight or gestational age. In conclusion, residential proximity to agricultural land use as pesticide exposure was associated with negative infant birth outcomes, especially a small head circumference. In the future, agricultural land use information could be combined with biological samples to more accurately assess exposure in pregnant women.
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Affiliation(s)
- Kuna-Chun Chen
- Department of Public Health, Tzu Chi University, No.701, Sec. 3, Zhongyang Rd, Hualien City, Hualien County, 970, Taiwan
| | - Shuo-Fang Lee
- Department of Public Health, Tzu Chi University, No.701, Sec. 3, Zhongyang Rd, Hualien City, Hualien County, 970, Taiwan
| | - Shyang-Woei Lin
- Department of Natural Resources and Environmental Studies, National Dong Hwa University, Hualien, Taiwan
| | - Jia-Shan Xie
- Department of Public Health, Tzu Chi University, No.701, Sec. 3, Zhongyang Rd, Hualien City, Hualien County, 970, Taiwan
| | - Yu-Hsun Chang
- Department of Pediatrics, Hualien Tzu Chi General Hospital, Hualien, Taiwan
- School of Medicine, Tzu Chi University, Hualien, Taiwan
- Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan
| | - Lih-Ming Yiin
- Department of Public Health, Tzu Chi University, No.701, Sec. 3, Zhongyang Rd, Hualien City, Hualien County, 970, Taiwan
- Institute of Medical Sciences, Tzu Chi University, No.701, Sec. 3, Zhongyang Rd, Hualien City, Hualien County, 970, Taiwan
| | - Chia-Jung Hsieh
- Department of Public Health, Tzu Chi University, No.701, Sec. 3, Zhongyang Rd, Hualien City, Hualien County, 970, Taiwan.
- Institute of Medical Sciences, Tzu Chi University, No.701, Sec. 3, Zhongyang Rd, Hualien City, Hualien County, 970, Taiwan.
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Burns CJ, LaKind JS. Elements to increase translation in pyrethroid epidemiology research: A review. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 813:152568. [PMID: 34954171 DOI: 10.1016/j.scitotenv.2021.152568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 12/15/2021] [Accepted: 12/16/2021] [Indexed: 06/14/2023]
Abstract
Pyrethroid insecticides have been the subject of numerous epidemiology studies in the past two decades. We examined the pyrethroids epidemiology literature published between 2016 and 2021. Our objective with this exercise was to inform interested readers regarding information on methodological elements that strengthen a study's use for translation (i.e., use in risk assessment) and to describe aspects of future research methods that could improve utility for decision-making. We focused on the following elements: (i) study design that provided evidence that pyrethroid exposure preceded the outcome, (ii) evidence that the method used for exposure characterization was reliable and sufficiently accurate for the intended purpose, and (iii) use of a robust approach for outcome ascertainment. For each of the 74 studies identified via the literature search, we categorized the methodological elements as Acceptable or Supplemental. A study with three Acceptable elements was considered Relevant for risk assessment purposes. Based on our evaluative approach, 18 (24%) of the 74 publications were considered to be Relevant. These publications were categorized as Acceptable for all three elements assessed: confirmed exposure (N = 24), confirmed outcome (N = 64), exposure preceded the outcome (N = 44). Three of these studies were birth cohorts. There were 15 Relevant publications of adults which included 10 Agricultural Health Study cohort publications of self-reported permethrin. Overall, the majority of the reviewed studies used methods that did not permit a determination that pyrethroid exposure preceded the outcome, and/or did not utilize robust methods for exposure assessment and outcome ascertainment. There is an opportunity for investigators and research sponsors to build on the studies reviewed here and to incorporate more translational approaches to studying exposure/outcome associations related to pesticides and other chemicals.
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Affiliation(s)
- Carol J Burns
- Burns Epidemiology Consulting, LLC, Sanford, MI 48657, USA.
| | - Judy S LaKind
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Catonsville, MD 21228, USA
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Nguyen A, Crespi CM, Vergara X, Chun N, Kheifets L. Residential proximity to plant nurseries and risk of childhood leukemia. ENVIRONMENTAL RESEARCH 2021; 200:111388. [PMID: 34058183 DOI: 10.1016/j.envres.2021.111388] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 05/10/2021] [Accepted: 05/20/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Pesticides are a potential risk factor for childhood leukemia. Studies evaluating the role of prenatal and/or early life exposure to pesticides in the development of childhood leukemia have produced a range of results. In addition to indoor use of pesticides, higher risks have been reported for children born near agricultural crops. No studies have looked at pesticide exposure based on proximity of birth residence to commercial plant nurseries, even though nurseries are located much closer to residences than agricultural crops and can potentially result in chronic year-round pesticide exposure. OBJECTIVES To evaluate whether risk of childhood leukemia is associated with pesticide use as determined by distance of residence at birth to commercial, outdoor plant nurseries. METHODS We conducted a large statewide, record-based case-control study of childhood leukemia in California, which included 5788 childhood leukemia cases and an equal number of controls. Pesticide exposure was based on a spatial proximity model, which combined geographic information system data with aerial satellite imagery. RESULTS Overall, the results supported an increased childhood leukemia risk only for birth residences very close to nurseries. For birth residences less than 75 m from plant nurseries, we found an increased risk of childhood leukemia (odds ratio (OR) 2.40, 95% confidence interval (CI) 0.99-5.82) that was stronger for acute lymphocytic leukemia (OR 3.09, 95% CI 1.14-8.34). DISCUSSION The association was robust to choices of reference group, cut points and data quality. Our findings suggest that close proximity to plant nurseries may be a risk factor for childhood leukemia and that this relationship should be further evaluated.
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Affiliation(s)
- Andrew Nguyen
- Department of Epidemiology, University of California Los Angeles Fielding School of Public Health, Los Angeles, CA, 90095-1772, USA
| | - Catherine M Crespi
- Department of Biostatistics, University of California Los Angeles Fielding School of Public Health, Los Angeles, CA, 90095-1772, USA
| | - Ximena Vergara
- Department of Epidemiology, University of California Los Angeles Fielding School of Public Health, Los Angeles, CA, 90095-1772, USA
| | - Nicholas Chun
- University of California Berkeley College of Letters & Science, Berkeley, CA, 94720-2930, USA
| | - Leeka Kheifets
- Department of Epidemiology, University of California Los Angeles Fielding School of Public Health, Los Angeles, CA, 90095-1772, USA.
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Roingeard C, Monnereau A, Goujon S, Orazio S, Bouvier G, Vacquier B. Passive environmental residential exposure to agricultural pesticides and hematological malignancies in the general population: a systematic review. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2021; 28:43190-43216. [PMID: 34165744 DOI: 10.1007/s11356-021-14789-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Accepted: 06/02/2021] [Indexed: 06/13/2023]
Abstract
Incidence rates of hematological malignancies have been constantly increasing over the past 40 years. In parallel, an expanding use of agricultural pesticides has been observed. Only a limited number of studies investigated the link between hematological malignancies risk and passive environmental residential exposure to agricultural pesticides in the general population. The purpose of our review was to summarize the current state of knowledge on that question. A systematic literature search was conducted using PubMed and Scopus databases. We built a scoring scale to appraise relevance of each selected articles. We included 23 publications: 13 ecological studies, 9 case-control studies and a cohort study. Positive associations were reported between hematological malignancies and individual pesticides, pesticide groups, all pesticides without distinction, or some crop types. Relevance score was highly various across studies regardless of their design. Children studies were the majority and had overall higher relevance scores. The effect of passive environmental residential exposure to agricultural pesticides on hematological malignancies risk is suggested by the literature. The main limitation of the literature available is the high heterogeneity across studies, especially in terms of exposure assessment approach. Further studies with high methodological relevance should be conducted.
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Affiliation(s)
- Camille Roingeard
- Gironde Register of Hematologic Malignancies, Institut Bergonié, 229 cours de l'Argonne, 33000, Bordeaux, France.
| | - Alain Monnereau
- Gironde Register of Hematologic Malignancies, Institut Bergonié, 229 cours de l'Argonne, 33000, Bordeaux, France
- INSERM U1219 EPICENE Team, Université de Bordeaux - ISPED case 11, 46 rue Léo-Saignat, 33076, Bordeaux cedex, France
- French Network of Cancer Registries (FRANCIM), 37 allées Jules-Guesde, C/o Université Paul Sabatier, Faculté de médecine, 31073, Toulouse cedex, France
| | - Stéphanie Goujon
- INSERM U1153 EPICEA Team, Université Paris Descartes, 16 avenue Paul Vaillant Couturier - Bat 15/16, 94807, Villejuif Cedex, France
| | - Sébastien Orazio
- Gironde Register of Hematologic Malignancies, Institut Bergonié, 229 cours de l'Argonne, 33000, Bordeaux, France
- INSERM U1219 EPICENE Team, Université de Bordeaux - ISPED case 11, 46 rue Léo-Saignat, 33076, Bordeaux cedex, France
| | - Ghislaine Bouvier
- INSERM U1219 EPICENE Team, Université de Bordeaux - ISPED case 11, 46 rue Léo-Saignat, 33076, Bordeaux cedex, France
| | - Blandine Vacquier
- Gironde Register of Hematologic Malignancies, Institut Bergonié, 229 cours de l'Argonne, 33000, Bordeaux, France
- INSERM U1219 EPICENE Team, Université de Bordeaux - ISPED case 11, 46 rue Léo-Saignat, 33076, Bordeaux cedex, France
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Piel FB, Fecht D, Hodgson S, Blangiardo M, Toledano M, Hansell AL, Elliott P. Small-area methods for investigation of environment and health. Int J Epidemiol 2020; 49:686-699. [PMID: 32182344 PMCID: PMC7266556 DOI: 10.1093/ije/dyaa006] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Accepted: 01/10/2020] [Indexed: 11/30/2022] Open
Abstract
Small-area studies offer a powerful epidemiological approach to study disease patterns at the population level and assess health risks posed by environmental pollutants. They involve a public health investigation on a geographical scale (e.g. neighbourhood) with overlay of health, environmental, demographic and potential confounder data. Recent methodological advances, including Bayesian approaches, combined with fast-growing computational capabilities, permit more informative analyses than previously possible, including the incorporation of data at different scales, from satellites to individual-level survey information. Better data availability has widened the scope and utility of small-area studies, but has also led to greater complexity, including choice of optimal study area size and extent, duration of study periods, range of covariates and confounders to be considered and dealing with uncertainty. The availability of data from large, well-phenotyped cohorts such as UK Biobank enables the use of mixed-level study designs and the triangulation of evidence on environmental risks from small-area and individual-level studies, therefore improving causal inference, including use of linked biomarker and -omics data. As a result, there are now improved opportunities to investigate the impacts of environmental risk factors on human health, particularly for the surveillance and prevention of non-communicable diseases.
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Affiliation(s)
- Frédéric B Piel
- UK Small Area Health Statistics Unit, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
- MRC-PHE Centre for Environment & Health, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
- National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Health Impact of Environmental Hazards, Imperial College London, UK
| | - Daniela Fecht
- UK Small Area Health Statistics Unit, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
- MRC-PHE Centre for Environment & Health, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
| | - Susan Hodgson
- UK Small Area Health Statistics Unit, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
- MRC-PHE Centre for Environment & Health, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
| | - Marta Blangiardo
- UK Small Area Health Statistics Unit, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
- MRC-PHE Centre for Environment & Health, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
| | - M Toledano
- MRC-PHE Centre for Environment & Health, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
| | - A L Hansell
- UK Small Area Health Statistics Unit, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
- Centre for Environmental Health and Sustainability, Medical School, University of Leicester, Leicester, UK
| | - Paul Elliott
- UK Small Area Health Statistics Unit, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
- MRC-PHE Centre for Environment & Health, Department of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
- National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Health Impact of Environmental Hazards, Imperial College London, UK
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Lipfert FW, Wyzga RE. Longitudinal relationships between lung cancer mortality rates, smoking, and ambient air quality: a comprehensive review and analysis. Crit Rev Toxicol 2020; 49:790-818. [DOI: 10.1080/10408444.2019.1700210] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Johnson AL, Gao CX, Dennekamp M, Williamson GJ, Brown D, Carroll MTC, Ikin JF, Del Monaco A, Abramson MJ, Guo Y. Associations between Respiratory Health Outcomes and Coal Mine Fire PM 2.5 Smoke Exposure: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16214262. [PMID: 31684042 PMCID: PMC6862448 DOI: 10.3390/ijerph16214262] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 10/17/2019] [Accepted: 10/31/2019] [Indexed: 12/26/2022]
Abstract
In 2014, wildfires ignited a fire in the Morwell open cut coal mine, Australia, which burned for six weeks. This study examined associations between self-reported respiratory outcomes in adults and mine fire-related PM2.5 smoke exposure. Self-reported data were collected as part of the Hazelwood Health Study Adult Survey. Eligible participants were adult residents of Morwell. Mine fire-related PM2.5 concentrations were provided by the Commonwealth Scientific and Industrial Research Organisation Oceans & Atmosphere Flagship. Personalised mean 24-h and peak 12-h mine fire-related PM2.5 exposures were estimated for each participant. Data were analysed by multivariate logistic regression. There was some evidence of an association between respiratory outcomes and mine fire PM2.5 exposure. Chronic cough was associated with an odds ratio (OR) of 1.13 (95% confidence interval 1.03 to 1.23) per 10 μg/m3 increment in mean PM2.5 and 1.07 (1.02 to 1.12) per 100 μg/m3 increment in peak PM2.5. Current wheeze was associated with peak PM2.5, OR = 1.06 (1.02 to 1.11) and chronic phlegm with mean PM2.5 OR = 1.10 (1.00 to 1.20). Coal mine PM2.5 smoke exposure was associated with increased odds of experiencing cough, phlegm and wheeze. Males, participants 18–64 years, and those residing in homes constructed from non-brick/concrete materials or homes with tin/metal roofs had higher estimated ORs. These findings contribute to the formation of public health policy responses.
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Affiliation(s)
- Amanda L Johnson
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
| | - Caroline X Gao
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
| | - Martine Dennekamp
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
| | - Grant J Williamson
- School of Natural Sciences, University of Tasmania, Hobart, Tasmania 7001, Australia.
| | - David Brown
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
| | - Matthew T C Carroll
- Monash Rural Health - Churchill, Monash University, Northways Rd, Churchill, VIC 3842, Australia.
| | - Jillian F Ikin
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
| | - Anthony Del Monaco
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
| | - Michael J Abramson
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
| | - Yuming Guo
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
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Brouwer M, Kromhout H, Vermeulen R, Duyzer J, Kramer H, Hazeu G, de Snoo G, Huss A. Assessment of residential environmental exposure to pesticides from agricultural fields in the Netherlands. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2018; 28:173-181. [PMID: 28327632 DOI: 10.1038/jes.2017.3] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Accepted: 02/12/2017] [Indexed: 06/06/2023]
Abstract
We developed a spatio-temporal model for the Netherlands to estimate environmental exposure to individual agricultural pesticides at the residential address for application in a national case-control study on Parkinson's disease (PD). Data on agricultural land use and pesticide use were combined to estimate environmental exposure to pesticides for the period 1961 onwards. Distance categories of 0-50 m, >50-100 m, >100-500 m and >500-1000 m around residences were considered. For illustration purposes, exposure was estimated for the control population (n=607) in the PD case-control study. In a small validation effort, model estimates were compared with pesticide measurements in air and precipitation collected at 17 stations in 2000-2001. Estimated exposure prevalence was higher for pesticides used on commonly cultivated (rotating) crops than for pesticides used on fruit and bulbs only. Prevalence increased with increasing distance considered. Moderate-to-high correlations were observed between model estimates (>100-500 m and >500-1000 m) and environmental pesticide concentrations measured in 2000-2001. Environmental exposure to individual pesticides can be estimated using relevant spatial and temporal data sets on agricultural land use and pesticide use. Our approach seems to result in accurate estimates of average environmental exposure, although it remains to be investigated to what extent this reflect personal exposure to agricultural pesticides.
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Affiliation(s)
- Maartje Brouwer
- Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | - Hans Kromhout
- Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | - Roel Vermeulen
- Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
- Julius Centre for Public Health Sciences and Primary Care, Utrecht University Medical Centre, Utrecht, The Netherlands
| | - Jan Duyzer
- Department Urban Environment, TNO Built Environment and Geosciences, Utrecht, The Netherlands
| | - Henk Kramer
- Earth Observation and Environmental Informatics, ALTERRA, Wageningen University & Research centre, Wageningen, The Netherlands
| | - Gerard Hazeu
- Spatial Knowledge Systems, ALTERRA, Wageningen University & Research Centre, Wageningen, The Netherlands
| | - Geert de Snoo
- Institute of Environmental Sciences, Leiden University, Leiden, The Netherlands
| | - Anke Huss
- Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
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Gomez-Barroso D, León-Gómez I, Delgado-Sanz C, Larrauri A. Climatic Factors and Influenza Transmission, Spain, 2010-2015. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14121469. [PMID: 29182525 PMCID: PMC5750888 DOI: 10.3390/ijerph14121469] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 11/23/2017] [Accepted: 11/24/2017] [Indexed: 11/16/2022]
Abstract
The spatio-temporal distribution of influenza is linked to variations in meteorological factors, like temperature, absolute humidity, or the amount of rainfall. The aim of this study was to analyse the association between influenza activity, and meteorological variables in Spain, across five influenza seasons: 2010–2011 through to 2014–2015 using generalized linear negative binomial mixed models that we calculated the weekly influenza proxies, defined as the weekly influenza-like illness rates, multiplied by the weekly proportion of respiratory specimens that tested positive for influenza. The results showed an association between influenza transmission and dew point and cumulative precipitation. In increase in the dew point temperature of 5 degrees produces a 7% decrease in the Weekly Influenza Proxy (RR 0.928, IC: 0.891–0.966), and while an increase of 10 mm in weekly rainfall equates to a 17% increase in the Weekly Influenza Proxy (RR 1.172, IC: 1.097–1.251). Influenza transmission in Spain is influenced by variations in meteorological variables as temperature, absolute humidity, or the amount of rainfall.
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Affiliation(s)
- Diana Gomez-Barroso
- National Centre for Epidemiology, Carlos III Institute of Health, Monforte de Lemos 5, 28029 Madrid, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Monforte de Lemos 5, 28029 Madrid, Spain.
| | - Inmaculada León-Gómez
- National Centre for Epidemiology, Carlos III Institute of Health, Monforte de Lemos 5, 28029 Madrid, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Monforte de Lemos 5, 28029 Madrid, Spain.
| | - Concepción Delgado-Sanz
- National Centre for Epidemiology, Carlos III Institute of Health, Monforte de Lemos 5, 28029 Madrid, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Monforte de Lemos 5, 28029 Madrid, Spain.
| | - Amparo Larrauri
- National Centre for Epidemiology, Carlos III Institute of Health, Monforte de Lemos 5, 28029 Madrid, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Monforte de Lemos 5, 28029 Madrid, Spain.
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10
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Brouwer M, Huss A, van der Mark M, Nijssen PCG, Mulleners WM, Sas AMG, van Laar T, de Snoo GR, Kromhout H, Vermeulen RCH. Environmental exposure to pesticides and the risk of Parkinson's disease in the Netherlands. ENVIRONMENT INTERNATIONAL 2017; 107:100-110. [PMID: 28704700 DOI: 10.1016/j.envint.2017.07.001] [Citation(s) in RCA: 83] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 07/01/2017] [Accepted: 07/03/2017] [Indexed: 05/13/2023]
Abstract
BACKGROUND Exposure to pesticides has been linked to Parkinson's disease (PD), although associations between specific pesticides and PD have not been well studied. Residents of rural areas can be exposed through environmental drift and volatilization of agricultural pesticides. OBJECTIVES Our aim was to investigate the association between lifetime environmental exposure to individual pesticides and the risk of PD, in a national case-control study. METHODS Environmental exposure to pesticides was estimated using a spatio-temporal model, based on agricultural crops around the residential address. Distance up to 100m from the residence was considered most relevant, considering pesticide drift potential of application methods used in the Netherlands. Exposure estimates were generated for 157 pesticides, used during the study period, of which four (i.e. paraquat, maneb, lindane, benomyl) were considered a priori relevant for PD. RESULTS A total of 352 PD cases and 607 hospital-based controls were included. No significant associations with PD were found for the a priori pesticides. In a hypothesis generating analysis, including 153 pesticides, increased risk of PD was found for 21 pesticides, mainly used on cereals and potatoes. Results were suggestive for an association between bulb cultivation and PD. CONCLUSIONS For paraquat, risk estimates for the highest cumulative exposure tertile were in line with previously reported elevated risks. Increased risk of PD was observed for exposure to (a cluster of) pesticides used on rotating crops. High correlations limited our ability to identify individual pesticides responsible for this association. This study provides some evidence for an association between environmental exposure to specific pesticides and the risk of PD, and generates new leads for further epidemiological and mechanistic research.
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Affiliation(s)
- Maartje Brouwer
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | - Anke Huss
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | - Marianne van der Mark
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | - Peter C G Nijssen
- Department of Neurology, St. Elisabeth Hospital, Tilburg, The Netherlands
| | - Wim M Mulleners
- Department of Neurology, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands
| | - Antonetta M G Sas
- Department of Neurology, Vlietland Hospital, Schiedam, The Netherlands
| | - Teus van Laar
- Department of Neurology, University Medical Center Groningen, Groningen, The Netherlands
| | - Geert R de Snoo
- Institute of Environmental Sciences, Leiden University, Leiden, The Netherlands
| | - Hans Kromhout
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands
| | - Roel C H Vermeulen
- Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands; Julius Centre for Public Health Sciences and Primary Care, Utrecht University Medical Centre, Utrecht, The Netherlands.
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Tomenson JA. Re: assessment of occupational exposure to pesticides in a pooled analysis of agricultural cohorts within the AGRICOH consortium. Occup Environ Med 2016; 74:80. [DOI: 10.1136/oemed-2016-103995] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Accepted: 08/10/2016] [Indexed: 11/04/2022]
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Zijlema WL, Smidt N, Klijs B, Morley DW, Gulliver J, de Hoogh K, Scholtens S, Rosmalen JGM, Stolk RP. The LifeLines Cohort Study: a resource providing new opportunities for environmental epidemiology. ACTA ACUST UNITED AC 2016; 74:32. [PMID: 27482379 PMCID: PMC4968004 DOI: 10.1186/s13690-016-0144-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 05/23/2016] [Indexed: 12/19/2022]
Abstract
BACKGROUND Lifelines is a prospective population-based cohort study investigating the biological, behavioral and environmental determinants of healthy ageing among 167,729 participants from the North East region of the Netherlands. The collection and geocoding of (history of) home and work addresses allows linkage of individual-level health data to detailed exposure data. We describe the reasons for choosing particular assessments of environmental exposures in LifeLines and consider the implications for future investigations. METHODS Exposure to ambient air pollution and road traffic noise was estimated using harmonized models. Data on noise annoyance, perceived exposure to electromagnetic fields, perceived living environment, and neighborhood characteristics were collected with questionnaires. A comprehensive medical assessment and questionnaires were completed in order to assess determinants of health and well-being. Blood and urine samples were collected from all participants and genome wide association data are available for a subsample of 15,638 participants. RESULTS Mean age was 45 years (standard deviation (SD) 13 years), and 59 % were female. Median levels of NO2 and PM10 were 15.7 (interquartile range (IQR) 4.9) μg/m(3) and 24.0 (IQR 0.6) μg/m(3) respectively. Median levels of daytime road traffic noise were 54.0 (IQR 4.2) dB(A). CONCLUSIONS The combination of harmonized environmental exposures and extensive assessment of health outcomes in LifeLines offers great opportunities for environmental epidemiology. LifeLines aims to be a resource for the international scientific community.
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Affiliation(s)
- Wilma L Zijlema
- Department of Epidemiology, University Medical Center Groningen, HPC CC72, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
| | - Nynke Smidt
- Department of Epidemiology, University Medical Center Groningen, HPC CC72, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
| | - Bart Klijs
- Department of Epidemiology, University Medical Center Groningen, HPC CC72, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
| | - David W Morley
- Department of Epidemiology and Biostatistics, MRC-PHE Centre for Environment and Health, Imperial College London, London, UK
| | - John Gulliver
- Department of Epidemiology and Biostatistics, MRC-PHE Centre for Environment and Health, Imperial College London, London, UK
| | - Kees de Hoogh
- Department of Epidemiology and Biostatistics, MRC-PHE Centre for Environment and Health, Imperial College London, London, UK ; Swiss Tropical and Public Health Institute, Basel, Switzerland ; University of Basel, Basel, Switzerland
| | | | - Judith G M Rosmalen
- Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Ronald P Stolk
- Department of Epidemiology, University Medical Center Groningen, HPC CC72, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands ; LifeLines Cohort Study, Groningen, The Netherlands
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Agricultural crop exposure and risk of childhood cancer: new findings from a case-control study in Spain. Int J Health Geogr 2016; 15:18. [PMID: 27240621 PMCID: PMC4886455 DOI: 10.1186/s12942-016-0047-7] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Accepted: 05/18/2016] [Indexed: 11/12/2022] Open
Abstract
Background Childhood cancer is the main cause of disease-related death in children in Spain. Although little is known about the etiology, environmental factors are potential explanations for a fraction of the cases. Previous studies have shown pesticides to be associated with childhood cancer. The difficulty of collecting personal environmental exposure data is an important limitation; this lack of information about pesticides motivates the development of new methods to subrogate this exposure. We developed a crop exposure index based on geographic information to study the relationship between exposure to different types of crops and risk of childhood tumors. Methods We conducted a population-based case–control study of childhood cancer covering 3350 cases and 20,365 controls in two Spanish regions. We used CORINE Land Cover to obtain data about agricultural land use. We created a 1 km buffer around every child and calculated the percentage of crop surface within the buffer (Global Crop Index) for total crops and for individual types of crops. We fitted mixed multiple unconditional logistic regression models by diagnostic group. Results We found excess of risk among children living in the proximity of crops. For total crops our results showed excesses of risk for almost all diagnostic groups and increasing risk with increasing crop index value. Analyses by region and individual type of crop also showed excess of risk. Conclusion The results suggest that living in the proximity of cultivated land could be a risk factor for several types of cancer in children.
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The Use of Carbonaceous Particle Exposure Metrics in Health Impact Calculations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13030249. [PMID: 26927139 PMCID: PMC4808912 DOI: 10.3390/ijerph13030249] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Revised: 02/12/2016] [Accepted: 02/15/2016] [Indexed: 11/16/2022]
Abstract
Combustion-related carbonaceous particles seem to be a better indicator of adverse health effects compared to PM2.5 and PM10. Historical studies are based on black smoke (BS), but more recent studies use absorbance (Abs), black carbon (BC) or elemental carbon (EC) as exposure indicators. To estimate health risks based on BS, we review the literature regarding the relationship between Abs, BS, BC and EC. We also discuss the uncertainties associated with the comparison of relative risks (RRs) based on these conversions. EC is reported to represent a proportion between 5.2% and 27% of BS with a mean value of 12%. Correlations of different metrics at one particular site are higher than when different sites are compared. Comparing all traffic, urban and rural sites, there is no systematic site dependence, indicating that other properties of the particles or errors affect the measurements and obscure the results. It is shown that the estimated daily mortality associated with short-term levels of EC is in the same range as PM10, but this is highly dependent on the EC to BS relationship that is used. RRs for all-cause mortality associated with short-term exposure to PM10 seem to be higher at sites with higher EC concentrations, but more data are needed to verify this.
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Lal A. Spatial Modelling Tools to Integrate Public Health and Environmental Science, Illustrated with Infectious Cryptosporidiosis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:186. [PMID: 26848669 PMCID: PMC4772206 DOI: 10.3390/ijerph13020186] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Revised: 01/11/2016] [Accepted: 01/26/2016] [Indexed: 01/12/2023]
Abstract
Contemporary spatial modelling tools can help examine how environmental exposures such as climate and land use together with socio-economic factors sustain infectious disease transmission in humans. Spatial methods can account for interactions across global and local scales, geographic clustering and continuity of the exposure surface, key characteristics of many environmental influences. Using cryptosporidiosis as an example, this review illustrates how, in resource rich settings, spatial tools have been used to inform targeted intervention strategies and forecast future disease risk with scenarios of environmental change. When used in conjunction with molecular studies, they have helped determine location-specific infection sources and environmental transmission pathways. There is considerable scope for such methods to be used to identify data/infrastructure gaps and establish a baseline of disease burden in resource-limited settings. Spatial methods can help integrate public health and environmental science by identifying the linkages between the physical and socio-economic environment and health outcomes. Understanding the environmental and social context for disease spread is important for assessing the public health implications of projected environmental change.
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Affiliation(s)
- Aparna Lal
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Acton, Canberra 2602, Australia.
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Corfiati M, Scarselli A, Binazzi A, Di Marzio D, Verardo M, Mirabelli D, Gennaro V, Mensi C, Schallemberg G, Merler E, Negro C, Romanelli A, Chellini E, Silvestri S, Cocchioni M, Pascucci C, Stracci F, Romeo E, Trafficante L, Angelillo I, Menegozzo S, Musti M, Cavone D, Cauzillo G, Tallarigo F, Tumino R, Melis M, Iavicoli S, Marinaccio A. Epidemiological patterns of asbestos exposure and spatial clusters of incident cases of malignant mesothelioma from the Italian national registry. BMC Cancer 2015; 15:286. [PMID: 25885893 PMCID: PMC4404011 DOI: 10.1186/s12885-015-1301-2] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Accepted: 03/31/2015] [Indexed: 11/10/2022] Open
Abstract
Background Previous ecological spatial studies of malignant mesothelioma cases, mostly based on mortality data, lack reliable data on individual exposure to asbestos, thus failing to assess the contribution of different occupational and environmental sources in the determination of risk excess in specific areas. This study aims to identify territorial clusters of malignant mesothelioma through a Bayesian spatial analysis and to characterize them by the integrated use of asbestos exposure information retrieved from the Italian national mesothelioma registry (ReNaM). Methods In the period 1993 to 2008, 15,322 incident cases of all-site malignant mesothelioma were recorded and 11,852 occupational, residential and familial histories were obtained by individual interviews. Observed cases were assigned to the municipality of residence at the time of diagnosis and compared to those expected based on the age-specific rates of the respective geographical area. A spatial cluster analysis was performed for each area applying a Bayesian hierarchical model. Information about modalities and economic sectors of asbestos exposure was analyzed for each cluster. Results Thirty-two clusters of malignant mesothelioma were identified and characterized using the exposure data. Asbestos cement manufacturing industries and shipbuilding and repair facilities represented the main sources of asbestos exposure, but a major contribution to asbestos exposure was also provided by sectors with no direct use of asbestos, such as non-asbestos textile industries, metal engineering and construction. A high proportion of cases with environmental exposure was found in clusters where asbestos cement plants were located or a natural source of asbestos (or asbestos-like) fibers was identifiable. Differences in type and sources of exposure can also explain the varying percentage of cases occurring in women among clusters. Conclusions Our study demonstrates shared exposure patterns in territorial clusters of malignant mesothelioma due to single or multiple industrial sources, with major implications for public health policies, health surveillance, compensation procedures and site remediation programs. Electronic supplementary material The online version of this article (doi:10.1186/s12885-015-1301-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Marisa Corfiati
- Epidemiology Unit, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Rome, Italy.
| | - Alberto Scarselli
- Epidemiology Unit, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Rome, Italy.
| | - Alessandra Binazzi
- Epidemiology Unit, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Rome, Italy.
| | - Davide Di Marzio
- Epidemiology Unit, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Rome, Italy.
| | - Marina Verardo
- Regional Operating Center of Valle d'Aosta (COR Valle d'Aosta), Valle d'Aosta Health Local Unit, Aosta, Italy.
| | - Dario Mirabelli
- COR Piedmont, Unit of Cancer Prevention, University of Turin and CPO-Piemonte, Torino, Italy.
| | - Valerio Gennaro
- COR Liguria, Epidemiology and Prevention Department, National Cancer Research Institute (IST), Genova, Italy.
| | - Carolina Mensi
- COR Lombardy, Department of Preventive Medicine, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico and University of Milan, Milano, Italy.
| | - Gert Schallemberg
- COR Province of Trento, Provincial Unit of Health, Hygiene and Occupational Medicine, Trento, Italy.
| | - Enzo Merler
- COR Veneto, Occupational Health Unit, Department of Prevention, Padua, Italy.
| | - Corrado Negro
- COR Friuli-Venezia Giulia, University of Trieste -Trieste General Hospitals, Clinical Unit of Occupational Medicine, Trieste, Italy.
| | - Antonio Romanelli
- COR Emilia-Romagna, Health Local Unit, Public Health Department, Reggio Emilia, Italy.
| | - Elisabetta Chellini
- COR Tuscany, Cancer Prevention and Research Institute, Unit of Environmental and Occupational Epidemiology, Firenze, Italy.
| | - Stefano Silvestri
- COR Tuscany, Cancer Prevention and Research Institute, Unit of Environmental and Occupational Epidemiology, Firenze, Italy.
| | - Mario Cocchioni
- COR Marche, Environmental and Health Sciences Department, University of Camerino, Hygienistic, Camerino, Italy.
| | - Cristiana Pascucci
- COR Marche, Environmental and Health Sciences Department, University of Camerino, Hygienistic, Camerino, Italy.
| | - Fabrizio Stracci
- COR Umbria, University of Perugia, Department of Hygiene and public health, Perugia, Italy.
| | - Elisa Romeo
- COR Lazio, Department of Experimental Medicine, University La Sapienza, Roma, Italy.
| | - Luana Trafficante
- COR Abruzzo, Health Local Unit, Occupational Medicine Unit, Pescara, Italy.
| | - Italo Angelillo
- COR Campania, Department of Experimental Medicine, Second University of Naples, Napoli, Italy.
| | - Simona Menegozzo
- COR Campania, Department of Experimental Medicine, Second University of Naples, Napoli, Italy.
| | - Marina Musti
- COR Puglia, Department of Internal Medicine and Public Medicine, University of Bari, Section of Occupational Medicine "B. Ramazzini", Bari, Italy.
| | - Domenica Cavone
- COR Puglia, Department of Internal Medicine and Public Medicine, University of Bari, Section of Occupational Medicine "B. Ramazzini", Bari, Italy.
| | | | | | - Rosario Tumino
- COR Sicily, "Civile - M.P. Arezzo" Hospital, Ragusa Cancer Register Unit, Ragusa, Italy.
| | - Massimo Melis
- COR Sardegna, Regional Epidemiological Center, Cagliari, Italy.
| | - Sergio Iavicoli
- Epidemiology Unit, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Rome, Italy.
| | - Alessandro Marinaccio
- Epidemiology Unit, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Rome, Italy.
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Burns CJ, Cohen SZ, Lunchick C. Neurodevelopmental disorders and agricultural pesticide exposures. ENVIRONMENTAL HEALTH PERSPECTIVES 2015; 123:A79. [PMID: 25831272 PMCID: PMC4384206 DOI: 10.1289/ehp.1409124] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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