Signorelli C, Riccò M, Vinceti M
Dipartimento di Sanità Pubblica, Sezione di Igiene, Università degli Studi di Parma, Parma.
Ann Ig. 2008 May-Jun;20(3):251-77.
Emissions of municipal solid waste incinerator plants consist as a suspected risk factor for the human health. Scientific literature about this theme appears contradictory: main sanitary outcomes actually evaluated, stating on geographic- or occupational-based epidemiologic approaches, produced inconsistent results. Research procedures applied, and effective quality of analyzed data, are the likely causes of such dissimilarities. Up to date, respiratory, cardiovascular renal, and hormonal pathologies, and also neoplasia, and developmental/reproductive disorders have been related to this kind of exposures: otherwise, an objective review of available data suggests a consistent relation only between residential or occupational exposure and the latter outcomes, always as a topic of multifactorial models. Finally, rigorous public health surveillance programs on exposed subjects appear mandatory steps to be established by Institutional Authorities. Also more accurate epidemiologic studies should be designed, eventually associating the retrieval of data relative to biomarkers of exposure or early health effect.
城市固体垃圾焚烧厂的排放被视为对人类健康的一个潜在风险因素。关于这一主题的科学文献似乎相互矛盾：基于地理或职业的流行病学方法实际评估的主要卫生结果产生了不一致的结果。所应用的研究程序以及所分析数据的有效质量可能是造成这种差异的原因。迄今为止，呼吸道、心血管、肾脏和激素方面的病症，以及肿瘤和发育/生殖障碍都与这类接触有关：否则，对现有数据的客观审查表明，只有在居住或职业接触与后一类结果之间存在一致的关系，而且始终是多因素模型的一个主题。最后，针对接触人群建立严格的公共卫生监测计划似乎是机构当局必须采取的步骤。还应设计更精确的流行病学研究，最终将与接触生物标志物或早期健康影响相关的数据检索联系起来。
