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加拿大安大略省工业使用和排放已知及疑似致癌物的最新趋势。

Recent trends in the industrial use and emission of known and suspected carcinogens in Ontario, Canada.

机构信息

Occupational Cancer Research Centre, Cancer Care Ontario, Toronto, ON, Canada.

Occupational Cancer Research Centre, Cancer Care Ontario, 525 University Avenue, Toronto, ON M5G 2L3, Canada, Phone: +1 (416) 217-1274.

出版信息

Rev Environ Health. 2018 Mar 28;33(1):99-107. doi: 10.1515/reveh-2017-0021.

Abstract

BACKGROUND

In 2010, Ontario, Canada's most populous province, implemented its Toxics Reduction Act, Ontario Regulation 455/09 (TRA), which requires four major manufacturing and mineral processing industry groups that already report releases of pollutants federally to the National Pollutant Release Inventory to additionally track, account and report their use and creation. The TRA was modeled after the Massachusetts Toxics Use Reduction Act of 1989, which has been very successful and reported significant reduction in toxic use and carcinogen release.

METHODS

Data from the TRA were retrieved, and the trends in the use and release of 17 known and suspected carcinogens associated with the seven most prevalent cancers diagnosed in Ontario and reported by industrial facilities in Ontario from 2011 to 2015 were examined using methodology adapted from (Jacobs MM, Massey RI, Tenney H, Harriman E. Reducing the use of carcinogens: the Massachusetts experience. Rev Environ Health 2014;29(4):319-40).

RESULTS

Carcinogens associated with lung cancers, leukemia and lymphomas were observed as the most used and released carcinogens in Ontario by amount. Overall, for 2011-2015, there was an observed reduction in the industrial use of carcinogens, except among breast carcinogens, which increased by 20%. An increase in the industrial releases of carcinogens was observed across all cancer sites, except among lung carcinogens, which decreased by 28%.

CONCLUSION

The results of this study highlight the potential for reducing the cancer burden by reducing the use and release of select carcinogens associated with particularly prevalent cancers. Toxics use reduction programs can support cancer prevention initiatives by promoting targeted reductions in exposures to industrial carcinogens.

摘要

背景

2010 年,加拿大人口最多的安大略省实施了《减毒法案》(Ontario Regulation 455/09,TRA),该法案要求四个主要的制造业和矿物加工业群体,在已经向国家污染物排放清单报告污染物排放的基础上,额外追踪、核算和报告其使用和产生情况。TRA 是仿效 1989 年马萨诸塞州《有毒物质使用削减法案》制定的,该法案非常成功,据报告有毒物质使用和致癌物排放有了显著减少。

方法

从 TRA 中检索数据,采用(Jacobs MM、Massey RI、Tenney H、Harriman E. 减少致癌物的使用:马萨诸塞州的经验。Rev Environ Health 2014;29(4):319-40)改编的方法,研究了从 2011 年至 2015 年安大略省工业设施报告的与该省最常见的七种癌症相关的 17 种已知和疑似致癌物的使用和释放趋势。

结果

按数量计,与肺癌、白血病和淋巴瘤相关的致癌物是安大略省使用和释放最多的致癌物。总体而言,2011-2015 年,除了乳腺癌致癌物增加 20%外,工业用致癌物的使用量呈下降趋势。所有癌症部位的工业致癌物排放量都有所增加,除了肺癌致癌物减少 28%外。

结论

这项研究的结果强调了通过减少与特定高发癌症相关的选定致癌物的使用和释放来降低癌症负担的潜力。减少有毒物质使用方案可通过促进针对工业致癌物的接触的有针对性减少,支持癌症预防倡议。

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