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

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  • Anna Maria Romanelli

    (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)

  • Fabrizio Bianchi

    (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)

  • Olivia Curzio

    (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)

  • Fabrizio Minichilli

    (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)

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 NO χ (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 NO χ 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.

Suggested Citation

  • Anna Maria Romanelli & Fabrizio Bianchi & Olivia Curzio & Fabrizio Minichilli, 2019. "Mortality and Morbidity in a Population Exposed to Emission from a Municipal Waste Incinerator. A Retrospective Cohort Study," IJERPH, MDPI, vol. 16(16), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2863-:d:256525
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    References listed on IDEAS

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    1. Amalia Mattiello & Paolo Chiodini & Elvira Bianco & Nunzia Forgione & Incoronata Flammia & Ciro Gallo & Renato Pizzuti & Salvatore Panico, 2013. "Health effects associated with the disposal of solid waste in landfills and incinerators in populations living in surrounding areas: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(5), pages 725-735, October.
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    Cited by:

    1. Elisa Bustaffa & Olivia Curzio & Gabriele Donzelli & Francesca Gorini & Nunzia Linzalone & Marco Redini & Fabrizio Bianchi & Fabrizio Minichilli, 2022. "Risk Associations between Vehicular Traffic Noise Exposure and Cardiovascular Diseases: A Residential Retrospective Cohort Study," IJERPH, MDPI, vol. 19(16), pages 1-19, August.

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