Risk of cancer in the vicinity of municipal solid waste incinerators: importance of using a flexible modelling strategy

Goria, Sarah; Daniau, Côme; Crouy-Chanel, Perrine de; Empereur‐Bissonnet, Pascal; Fabre, Pascal; Colonna, Marc; Duboudin, Cédric; Viel, Jean-François; Richardson, Sylvia

doi:10.1186/1476-072x-8-31

Cited by 19 publications

(15 citation statements)

References 25 publications

(17 reference statements)

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“…Generally models were used to estimate long-term average atmospheric concentrations at ground level, although one study used cumulated depositions [44]. Two studies [29, 45] used also heavy metals as indicator of exposure, while all the others used dioxins.…”

Section: Resultsmentioning

confidence: 99%

A Review of Exposure Assessment Methods in Epidemiological Studies on Incinerators

Cordioli

Ranzi

Leo³

et al. 2013

Journal of Environmental and Public Health

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Incineration is a common technology for waste disposal, and there is public concern for the health impact deriving from incinerators. Poor exposure assessment has been claimed as one of the main causes of inconsistency in the epidemiological literature. We reviewed 41 studies on incinerators published between 1984 and January 2013 and classified them on the basis of exposure assessment approach. Moreover, we performed a simulation study to explore how the different exposure metrics may influence the exposure levels used in epidemiological studies. 19 studies used linear distance as a measure of exposure to incinerators, 11 studies atmospheric dispersion models, and the remaining 11 studies a qualitative variable such as presence/absence of the source. All reviewed studies utilized residence as a proxy for population exposure, although residence location was evaluated with different precision (e.g., municipality, census block, or exact address). Only one study reconstructed temporal variability in exposure. Our simulation study showed a notable degree of exposure misclassification caused by the use of distance compared to dispersion modelling. We suggest that future studies (i) make full use of pollution dispersion models; (ii) localize population on a fine-scale; and (iii) explicitly account for the presence of potential environmental and socioeconomic confounding.

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Section: Resultsmentioning

confidence: 99%

A Review of Exposure Assessment Methods in Epidemiological Studies on Incinerators

Cordioli

Ranzi

Leo³

et al. 2013

Journal of Environmental and Public Health

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“…The study is important as there is paucity of literature addressing the stress that cancer patients face despite its high prevalence [106,107] Goria [45] To use advanced GIS and statistical techniques to better assess weak associations between the risk of cancer and past environmental exposures…”

Section: Geospatial Methodological Findingsmentioning

confidence: 99%

“…Various GIS methods also explored cancer patterns and outcome among immigrant populations [18,34]. Spatial and/or temporal clustering for incidence and mortality for some cancer sites was also explored in several studies [20,21,23,25,32,45,46,52,55].…”

Section: Clinico-epidemiological Findings and Implicationsmentioning

confidence: 99%

“…Goria et al [45] conducted an ecological study in four French administrative departments and highlighted an excess risk in cancer morbidity for residents around municipal solid waste incinerators. Their research showed the importance of advanced GIS tools and statistical techniques to better assess weak associations between the risk of cancer and past environmental exposures.…”

Section: Spatial and Aspatial Statistics In Geospatial Cancer Researchmentioning

confidence: 99%

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An eight-year snapshot of geospatial cancer research (2002–2009): clinico-epidemiological and methodological findings and trends

et al. 2010

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Geographic information systems (GIS) offer a very rich toolbox of methods and technologies, and powerful research tools that extend far beyond the mere production of maps, making it possible to cross-link and study the complex interaction of disease data and factors originating from a wide range of disparate sources. Despite their potential indispensable role in cancer prevention and control programmes, GIS are underrepresented in specialised oncology literature. The latter has provided an impetus for the current review. The review provides an eight-year snapshot of geospatial cancer research in peer-reviewed literature (2002-2009), presenting the clinico-epidemiological and methodological findings and trends in the covered corpus (93 papers). The authors concluded that understanding the relationship between location and cancer/cancer care services can play a crucial role in disease control and prevention, and in better service planning, and appropriate resource utilisation. Nevertheless, there are still barriers that hinder the wide-scale adoption of GIS and related technologies in everyday oncology practice.

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“…Many different sources of air pollution have been investigated as causes of adverse health effects. These include, among others, municipal waste incinerators (Goria et al, 2009), residential heating (Junninen et al, 2009) and especially wood smoke (Karr et al, 2009;Naeher et al, 2007), local point sources (Karr et al, 2009) and even desert sand (Perez et al, 2008;Sandstrom & Forsberg, 2008;Shinn et al, 2003). But more than any other sources road transport has been linked to adverse health effects (Adar and Kaufman, 2007;Fan et al, 2009;Brunekreef et al, 2009;Rosenlund et al, 2009;Migliore et al, 2009;Hart et al, 2009;Delfino et al, 2009;Aguilera et al, 2009;Perez et al, 2009a;Perez et al, 2009b;Kramer et al, 2009;Kunzli et al, 2009;Tonne et al, 2009;Ranft et al, 2009;Pedersen et al, 2009;Ryan et al, 2009;Eisner et al, 2009;Gent et al, 2009;Ho et al, 2010).…”

Section: Source Specific Effectsmentioning

confidence: 99%

Communicating Health Impact of Air Pollution

Moshammer¹

2010

Air Pollution

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Risk of cancer in the vicinity of municipal solid waste incinerators: importance of using a flexible modelling strategy

Cited by 19 publications

References 25 publications

A Review of Exposure Assessment Methods in Epidemiological Studies on Incinerators

A Review of Exposure Assessment Methods in Epidemiological Studies on Incinerators

An eight-year snapshot of geospatial cancer research (2002–2009): clinico-epidemiological and methodological findings and trends

Communicating Health Impact of Air Pollution

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