Johnson B L
Agency for Toxic Substances and Disease Registry, Public Health Service, US Department of Health and Human Services, Atlanta, GA, USA.
Am J Obstet Gynecol. 1999 Jul;181(1):S12-6. doi: 10.1016/s0002-9378(99)70466-7.
Approximately 1 in 4 Americans lives within 4 miles of a hazardous waste site according to the Environmental Protection Agency. In light of this large proportion and the public's high level of concern that hazardous waste causes health problems, it is important for primary care physicians and other health care providers to know that residential proximity to some kinds of hazardous waste sites is associated with adverse reproductive effects. Findings from both state-based surveillance programs and studies of individual hazardous waste sites have shown increased risk of congenital malformations and reductions in birth weight among infants born to parents living near hazardous waste sites. This article summarizes salient literature on human health effects of hazardous waste and suggests actions for primary care providers to consider.
根据美国环境保护局的数据，大约四分之一的美国人居住在距离危险废物场地4英里范围内。鉴于这一较大比例以及公众对危险废物会引发健康问题的高度关注，对于初级保健医生和其他医疗服务提供者而言，了解居住在某些类型的危险废物场地附近与不良生殖影响相关这一点非常重要。基于州的监测项目以及对单个危险废物场地的研究结果均显示，居住在危险废物场地附近的父母所生育的婴儿出现先天性畸形的风险增加，出生体重降低。本文总结了关于危险废物对人类健康影响的重要文献，并提出了初级保健提供者可考虑采取的行动。
