Bustaffa Elisa, Minichilli Fabrizio, Nuvolone Daniela, Voller Fabio, Cipriani Francesco, Bianchi Fabrizio
Unità di Epidemiologia Ambientale e Registri di Patologia, Istituto di Fisiologia Clinica, Consiglio Nazionale delle Ricerche, Pisa, Italy.
Osservatorio di Epidemiologia, Agenzia Regionale di Sanità della Toscana, Florence, Italy.
Ann Ist Super Sanita. 2017 Apr-Jun;53(2):108-117. doi: 10.4415/ANN_17_02_06.
The limited scientific knowledge on the relationship between exposure and health effects in relation to geothermal activity motivated an epidemiologic investigation of Tuscan geothermal area.
This study aims at describing mortality of populations living in Tuscan municipalities in the period 2003-2012.
Sixteen municipalities were included in the study area: eight in the northern and eight in the southern area. Mortality data come from the Regional Mortality Registry of Tuscany. Fifty-four causes of death, considered of interest for population health status or consistent with "Project SENTIERI" criteria, are analyzed.
Results show a worse mortality profile in the southern area, especially in males, for whom excesses of all cancers and some causes of cancer emerge, while in the northern area an excess of cerebrovascular diseases among females merits attention. Further and more appropriate studies are needed to clarify the etiology of some diseases and to better assess a potential cause-effect relationship.
关于地热活动中暴露与健康影响之间关系的科学知识有限，这促使对托斯卡纳地热区进行了一项流行病学调查。
本研究旨在描述2003年至2012年期间居住在托斯卡纳各市镇的人口死亡率。
研究区域包括16个市镇：北部8个，南部8个。死亡率数据来自托斯卡纳地区死亡率登记处。分析了54种被认为与人群健康状况相关或符合“健康步道项目”标准的死因。
结果显示，南部地区的死亡率状况更差，尤其是男性，所有癌症和某些癌症病因的死亡率都有所上升，而在北部地区，女性脑血管疾病死亡率过高值得关注。需要进一步开展更恰当的研究，以阐明某些疾病的病因，并更好地评估潜在的因果关系。
