Next Article in Journal
Dermatologic Vasculature Diseases as a Risk Factor of Subconjunctival Hemorrhage
Previous Article in Journal
Changes in Undergraduate Students’ Psychological Well-Being as They Experience University Life
Article Menu
Issue 16 (August-2) cover image

Export Article

Open AccessArticle

Mortality and Morbidity in a Population Exposed to Emission from a Municipal Waste Incinerator. A Retrospective Cohort Study

Unit of Environmental Epidemiology and Disease Registries, Institute of Clinical Physiology-IFC, National Research Council of Italy-CNR, Via G. Moruzzi, 1-56124 Pisa, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(16), 2863; https://doi.org/10.3390/ijerph16162863
Received: 5 July 2019 / Revised: 2 August 2019 / Accepted: 7 August 2019 / Published: 10 August 2019
(This article belongs to the Section Environmental Health)
  |  
PDF [1349 KB, uploaded 10 August 2019]
  |  

Abstract

In the present research, we evaluated the health effects of exposure to the municipal waste incinerator (MWI) in Pisa, Italy, through a population-based cohort design. The individual exposure pattern in the area was estimated through CALPUFF dispersion models of NOχ (developed by Atmospheric Studies Group Earth Tech, Lowell, Massachusetts), used as pollution proxies of the MWI and the relevant industrial plant, and through land-use regression for NOχ due to traffic pollution. Using Cox regression analysis, hazard ratios (HR) were estimated adjusting for exposure to other sources of pollution, age, and socioeconomic deprivation. An adjusted linear trend of HR (HRt) over the categories of exposure, with the relative 95% CI and p-value, was also calculated. Mortality and hospital discharge were studied as impact outcomes. Mortality analysis on males showed increased trends of mortality due to natural causes (HRt p < 0.05), the tumor of the lymphohematopoietic system (HRt p = 0.01), cardiovascular diseases (HRt p < 0.01); in females, increased trends for acute respiratory diseases (HRt p = 0.04). Morbidity analysis showed a HRt for lymphohematopoietic system tumor in males (HRt p = 0.04). Some of the excesses are in agreement with previous evidence on the health effects of MWIs, although the observation in males but not in females, suggests a cautious interpretation. Confounding due to other sources of exposure cannot be ruled out. The evidence was considered important in the decision-making process of the waste cycle. View Full-Text
Keywords: residential cohort study; waste; incinerator; mortality; hospitalization residential cohort study; waste; incinerator; mortality; hospitalization
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Romanelli, A.M.; Bianchi, F.; Curzio, O.; Minichilli, F. Mortality and Morbidity in a Population Exposed to Emission from a Municipal Waste Incinerator. A Retrospective Cohort Study. Int. J. Environ. Res. Public Health 2019, 16, 2863.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top