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Environment and health in contaminated sites: the case of Taranto, Italy.
J Environ Public Health. 2013; 2013:753719.JE

Abstract

The National Environmental Remediation programme in Italy includes sites with documented contamination and associated potential health impacts (National Priority Contaminated Sites-NPCSs). SENTIERI Project, an extensive investigation of mortality in 44 NPCSs, considered the area of Taranto, a NPCS where a number of polluting sources are present. Health indicators available at municipality level were analyzed, that is, mortality (2003-2009), mortality time trend (1980-2008), and cancer incidence (2006-2007). In addition, the cohort of individuals living in the area was followed up to evaluate mortality (1998-2008) and morbidity (1998-2010) by district of residence. The results of the study consistently showed excess risks for a number of causes of death in both genders, among them: all causes, all cancers, lung cancer, and cardiovascular and respiratory diseases, both acute and chronic. An increased infant mortality was also observed from the time trends analysis. Mortality/morbidity excesses were detected in residents living in districts near the industrial area, for several disorders including cancer, cardiovascular, and respiratory diseases. These coherent findings from different epidemiological approaches corroborate the need to promptly proceed with environmental cleanup interventions. Most diseases showing an increase in Taranto NPCS have a multifactorial etiology, and preventive measures of proven efficacy (e.g., smoking cessation and cardiovascular risk reduction programs, breast cancer screening) should be planned. The study results and public health actions are to be communicated objectively and transparently so that a climate of confidence and trust between citizens and public institutions is maintained.

Authors+Show Affiliations

Department of Biology and Biotechnologies Charles Darwin, Sapienza Rome University, Piazzale Aldo Moro 5, 00185 Rome, Italy.Department of Environment and Primary Prevention, National Health Institute, Viale Regina Elena 299, 00161 Rome, Italy.Department of Environment and Primary Prevention, National Health Institute, Viale Regina Elena 299, 00161 Rome, Italy.Department of Environment and Primary Prevention, National Health Institute, Viale Regina Elena 299, 00161 Rome, Italy.Unit of Statistics of the National Health Institute, National Center for Epidemiology, Surveillance and Health Promotion, Viale Regina Elena 299, 00161 Rome, Italy.Unit of Statistics of the National Health Institute, National Center for Epidemiology, Surveillance and Health Promotion, Viale Regina Elena 299, 00161 Rome, Italy.Unit of Statistics of the National Health Institute, National Center for Epidemiology, Surveillance and Health Promotion, Viale Regina Elena 299, 00161 Rome, Italy.Taranto Local Health Unit, Epidemiological and Statistical Unit, Viale Virgilio 31, 74121 Taranto, Italy.Taranto Local Health Unit, Epidemiological and Statistical Unit, Viale Virgilio 31, 74121 Taranto, Italy.Department of Epidemiology, Lazio Regional Health Service, Via di Santa Costanza 53, 00198 Rome, Italy.Department of Epidemiology, Lazio Regional Health Service, Via di Santa Costanza 53, 00198 Rome, Italy.Biostatistics Unit, ISPO Cancer Research and Prevention Institute, Via Cosimo il Vecchio 2, 50139 Florence, Italy ; Annibale Biggeri Department of Statistics "G. Parenti", University of Florence, Viale Morgagni 59, 50134 Firenze, Italy.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

24454414

Citation

Pirastu, Roberta, et al. "Environment and Health in Contaminated Sites: the Case of Taranto, Italy." Journal of Environmental and Public Health, vol. 2013, 2013, p. 753719.
Pirastu R, Comba P, Iavarone I, et al. Environment and health in contaminated sites: the case of Taranto, Italy. J Environ Public Health. 2013;2013:753719.
Pirastu, R., Comba, P., Iavarone, I., Zona, A., Conti, S., Minelli, G., Manno, V., Mincuzzi, A., Minerba, S., Forastiere, F., Mataloni, F., & Biggeri, A. (2013). Environment and health in contaminated sites: the case of Taranto, Italy. Journal of Environmental and Public Health, 2013, 753719. https://doi.org/10.1155/2013/753719
Pirastu R, et al. Environment and Health in Contaminated Sites: the Case of Taranto, Italy. J Environ Public Health. 2013;2013:753719. PubMed PMID: 24454414.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Environment and health in contaminated sites: the case of Taranto, Italy. AU - Pirastu,Roberta, AU - Comba,Pietro, AU - Iavarone,Ivano, AU - Zona,Amerigo, AU - Conti,Susanna, AU - Minelli,Giada, AU - Manno,Valerio, AU - Mincuzzi,Antonia, AU - Minerba,Sante, AU - Forastiere,Francesco, AU - Mataloni,Francesca, AU - Biggeri,Annibale, Y1 - 2013/12/24/ PY - 2013/03/29/received PY - 2013/08/29/revised PY - 2013/09/02/accepted PY - 2014/1/24/entrez PY - 2014/1/24/pubmed PY - 2014/7/16/medline SP - 753719 EP - 753719 JF - Journal of environmental and public health JO - J Environ Public Health VL - 2013 N2 - The National Environmental Remediation programme in Italy includes sites with documented contamination and associated potential health impacts (National Priority Contaminated Sites-NPCSs). SENTIERI Project, an extensive investigation of mortality in 44 NPCSs, considered the area of Taranto, a NPCS where a number of polluting sources are present. Health indicators available at municipality level were analyzed, that is, mortality (2003-2009), mortality time trend (1980-2008), and cancer incidence (2006-2007). In addition, the cohort of individuals living in the area was followed up to evaluate mortality (1998-2008) and morbidity (1998-2010) by district of residence. The results of the study consistently showed excess risks for a number of causes of death in both genders, among them: all causes, all cancers, lung cancer, and cardiovascular and respiratory diseases, both acute and chronic. An increased infant mortality was also observed from the time trends analysis. Mortality/morbidity excesses were detected in residents living in districts near the industrial area, for several disorders including cancer, cardiovascular, and respiratory diseases. These coherent findings from different epidemiological approaches corroborate the need to promptly proceed with environmental cleanup interventions. Most diseases showing an increase in Taranto NPCS have a multifactorial etiology, and preventive measures of proven efficacy (e.g., smoking cessation and cardiovascular risk reduction programs, breast cancer screening) should be planned. The study results and public health actions are to be communicated objectively and transparently so that a climate of confidence and trust between citizens and public institutions is maintained. SN - 1687-9813 UR - https://www.unboundmedicine.com/medline/citation/24454414/Environment_and_health_in_contaminated_sites:_the_case_of_Taranto_Italy_ L2 - https://doi.org/10.1155/2013/753719 DB - PRIME DP - Unbound Medicine ER -