Biggeri Annibale, Catelan Dolores
UO Biostatistica, CSPO, Istituto scientifico Regione Toscana e Dipartimento di statistica G. Parenti, Università di Firenze.
Epidemiol Prev. 2005 May-Aug;29(3-4):156-9.
Aim of the study is to investigate mortality for lymphoematopoietic tumours and soft tissue sarcoma of people resident near an urban waste incinerator.
We have considered death certificates recorded by National Statistical Institute (ISTAT) for the period 1981-2001 of the residents in 277 municipalities included in a circle of 80 km of radius centered at Campi Bisenzio municipality. Mortality data have been analyzed by calendar period (1981-1985, 1986-1992, 1993-2001) and by specific causes of death. In particular we have considered mortality for soft tissue sarcoma and lymphoematopoietic tumours. Standardized mortality ratios (SMR) have been evaluated for each calendar period using the population of the circle as standard population.
Our findings point out that males resident in Campi Bisenzio municipality had a higher risk of non-Hodgkin lymphoma in the period 1986-1992, with 14 observed cases versus 7.6 expected (SMR 184.2 CI 90% 111-273). The excess risk is present also for all Lymphomas with 18 cases versus 9.07 expected. In the same period, in Campi Bisenzio, we observed 2 deaths for soft tissue Sarcoma.
The study shows the presence of a localized cluster of deaths for non-Hodgkin lymphoma, for males, in the calendar period 1986-1992. In the same municipality an urban waste incinerator was operating from 1973 to 1986, when it was closed following evidence of dioxin soil contamination.
本研究旨在调查居住在城市垃圾焚烧厂附近人群的淋巴造血肿瘤和软组织肉瘤的死亡率。
我们研究了国家统计局(ISTAT)记录的1981 - 2001年期间,以坎皮比森齐奥市为中心、半径80公里范围内277个市镇居民的死亡证明。按日历时间段(1981 - 1985年、1986 - 1992年、1993 - 2001年)和具体死因对死亡率数据进行了分析。特别关注了软组织肉瘤和淋巴造血肿瘤的死亡率。使用该区域人口作为标准人口,对每个日历时间段评估标准化死亡率(SMR)。
我们的研究结果表明,1986 - 1992年期间居住在坎皮比森齐奥市的男性患非霍奇金淋巴瘤的风险更高,观察到14例病例,而预期为7.6例(SMR 184.2,90%置信区间111 - 273)。所有淋巴瘤的超额风险也存在,观察到18例病例,而预期为9.07例。同一时期,在坎皮比森齐奥市,我们观察到2例软组织肉瘤死亡病例。
该研究表明,在1986 - 1992年日历时间段内,男性存在非霍奇金淋巴瘤死亡的局部聚集现象。在同一市镇,一座城市垃圾焚烧厂于1973年至1986年运营,在有二恶英土壤污染证据后于1986年关闭。