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Estimates of the Lung Cancer Cases Attributable to Radon in Municipalities of Two Apulia Provinces (Italy) and Assessment of Main Exposure Determinants

Author

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  • Giovanni Maria Ferri

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Graziana Intranuovo

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Domenica Cavone

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Vincenzo Corrado

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Francesco Birtolo

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Paolo Tricase

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Raffaele Fuso

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Valeria Vilardi

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Marilena Sumerano

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Nicola L’abbate

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

  • Luigi Vimercati

    (Unit of Occupational Medicine, Regional University Hospital “Policlinico-Giovanni XXIII”, Section “B. Ramazzini”, Interdisciplinary Department of Medicine, University of Bari, Piazza G, Cesare, 11, 70124 Bari, Italy)

Abstract

Indoor radon exposure is responsible for increased incidence of lung cancer in communities. Building construction characteristics, materials, and environmental determinants are associated with increased radon concentration at specific sites. In this study, routine data related to radon measurements available from the Apulia (Italy) Regional Environmental Protection Agency (ARPA) were combined with building and ground characteristics data. An algorithm was created based on the experience of miners and it was able to produce estimates of lung cancer cases attributable to radon in different municipalities with the combined data. In the province of Lecce, the sites with a higher risk of lung cancer are Campi Salentina and Minervino, with 1.18 WLM (working level months) and 1.38 WLM, respectively, corresponding to lung cancer incidence rates of 3.34 and 3.89 per 10 × 10 3 inhabitants. The sites in the province of Bari with higher risks of lung cancer are Gravina di Puglia and Locorotondo, measuring 1.89 WLM and 1.22 WLM, respectively, which correspond to an incidence rate of lung cancer of 5.36 and 3.44 per 10 × 10 3 inhabitants. The main determinants of radon exposure are whether the buildings were built between 1999 and 2001, were one-room buildings with porous masonry, and were built on soil consisting of pelvis, clayey sand, gravel and conglomerates, calcarenites, and permeable lithotypes.

Suggested Citation

  • Giovanni Maria Ferri & Graziana Intranuovo & Domenica Cavone & Vincenzo Corrado & Francesco Birtolo & Paolo Tricase & Raffaele Fuso & Valeria Vilardi & Marilena Sumerano & Nicola L’abbate & Luigi Vime, 2018. "Estimates of the Lung Cancer Cases Attributable to Radon in Municipalities of Two Apulia Provinces (Italy) and Assessment of Main Exposure Determinants," IJERPH, MDPI, vol. 15(6), pages 1-18, June.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1294-:d:153525
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    References listed on IDEAS

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    1. Maria Quarto & Mariagabriella Pugliese & Giuseppe La Verde & Filomena Loffredo & Vincenzo Roca, 2015. "Radon Exposure Assessment and Relative Effective Dose Estimation to Inhabitants of Puglia Region, South Italy," IJERPH, MDPI, vol. 12(11), pages 1-10, November.
    2. Luigi Vimercati & Fulvio Fucilli & Domenica Cavone & Luigi De Maria & Francesco Birtolo & Giovanni Maria Ferri & Leonardo Soleo & Piero Lovreglio, 2018. "Radon Levels in Indoor Environments of the University Hospital in Bari-Apulia Region Southern Italy," IJERPH, MDPI, vol. 15(4), pages 1-9, April.
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    1. Fabrizio Minichilli & Francesca Gorini & Giovanni De Filippis & Elisa Bustaffa & Anna Maria Raho & Anna Melcarne & Fabrizio Quarta & Giuseppe Maggiore & Adele Idolo & Francesca Serio & Tiziana Grassi , 2022. "Risk Factors for Lung Cancer in the Province of Lecce: Results from the PROTOS Case–Control Study in Salento (Southern Italy)," IJERPH, MDPI, vol. 19(14), pages 1-22, July.

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