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环境污染与癌症。

Environmental pollution and cancer.

作者信息

Silva Denise Bousfield da, Pianovski Mara Albonei Dudeque, Carvalho Filho Neviçolino Pereira de

机构信息

Departamento de Pediatria, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.

Departamento de Pediatria, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.

出版信息

J Pediatr (Rio J). 2025 Mar-Apr;101 Suppl 1(Suppl 1):S18-S26. doi: 10.1016/j.jped.2024.09.004. Epub 2024 Oct 30.

Abstract

OBJECTIVE

To identify and describe pollutants with carcinogenic potential that contaminate indoor and outdoor air, food and soil.

DATA SOURCE

The descriptors environmental pollutants, occupational cancer, prevention and soil pollutants were used to conduct the research for literature review. Articles published from 2003 to 2024 in the electronic databases Pubmed Medline, Lilacs and Scielo, in Portuguese and English, were included.

SUMMARY OF FINDINGS

There are multiple sources of pollution in the external and internal environments, including motor vehicles, industrial facilities, smoke from tobacco products, agricultural activities, fires and domestic combustion devices. The most important pollutants related to chemical substances include all forms of asbestos, benzene, exhaust gases from gasoline engines, food and water contaminants, such as arsenic and inorganic arsenic compounds, in addition to persistent organic pollutants, such as dioxins. The use of fossil fuels and biomass for domestic heating are also important sources of pollution. The carcinogenic potential of pollutants varies according to the sources of pollution, climate conditions and the region's topography.

CONCLUSIONS

Global environmental pollution is an international public health problem with multiple health effects. Many environmental pollutants are proven to be carcinogenic to adults, while few causes have been scientifically established for children. Pollution is mainly caused by uncontrolled urbanization and industrialization. Preventing environmental exposure to carcinogenic pollutants requires both government regulation and community action and commitment.

摘要

目的

识别并描述污染室内外空气、食物和土壤且具有致癌潜力的污染物。

数据来源

使用环境污染物、职业性癌症、预防和土壤污染物等描述词进行文献综述研究。纳入了2003年至2024年在电子数据库PubMed Medline、Lilacs和Scielo上以葡萄牙语和英语发表的文章。

研究结果总结

外部和内部环境存在多种污染来源,包括机动车、工业设施、烟草制品烟雾、农业活动、火灾和家用燃烧设备。与化学物质相关的最重要污染物包括各种形式的石棉、苯、汽油发动机废气、食物和水污染物,如砷及无机砷化合物,此外还有持久性有机污染物,如二噁英。使用化石燃料和生物质进行家庭取暖也是重要的污染来源。污染物的致癌潜力因污染来源、气候条件和地区地形而异。

结论

全球环境污染是一个具有多种健康影响的国际公共卫生问题。许多环境污染物已被证明对成年人具有致癌性,而对儿童致癌的原因则鲜有科学定论。污染主要是由无节制的城市化和工业化造成的。预防环境暴露于致癌污染物既需要政府监管,也需要社区行动和承诺。

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