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2. Road Traffic Pollution and Childhood Leukemia: A Nationwide Case-control Study in Italy

Author

Magnani, C, Ranucci, A, Badaloni, C, Cesaroni, G, Ferrante, D, Miligi, L, Mattioli, S, Rondelli, R, Bisanti, L, Zambon, P, Cannizzaro, S, Michelozzi, P, Cocco, P, Celentano, E, Assennato, G, Merlo, D, Mosciatti, P, Minelli, L, Cuttini, M, Torregrossa, M, Lagorio, S, Haupt, R, Forastiere, F, Farioli, A, Salvan, A, Masera, G, Rizzari, C, Greco Veneto, A, Gafa, L, Luzzatto, L, Benvenuti, A, Kirchmayer, U, Galassi, C, Guarino, E, de Nichilo, G, Bocchini, V, Chiavarini, M, Casotto, V, Valenti, R, Risica, S, Polichetti, A, Bochicchio, F, Nuccetelli, C, Biddau, P, Arico, M, Desalvo, G, Locatelli, F, Pession, A, Varotto, S, Poggi, V, Massaglia, P, Monetti, D, Targhetta, R, Bernini, G, Pannelli, F, Sampietro, G, Schiliro, G, Pulsoni, A, Parodi, S, Magnani C., Ranucci A., Badaloni C., Cesaroni G., Ferrante D., Miligi L., Mattioli S., Rondelli R., Bisanti L., Zambon P., Cannizzaro S., Michelozzi P., Cocco P., Celentano E., Assennato G., Merlo D. F., Mosciatti P., Minelli L., Cuttini M., Torregrossa M. V., Lagorio S., Haupt R., Forastiere F., Farioli A., Salvan A., Masera G., Rizzari C., Greco Veneto A., Gafa L., Luzzatto L. L., Benvenuti A., Kirchmayer U., Galassi C., Guarino E., de Nichilo G., Bocchini V., Chiavarini M., Casotto V., Valenti R. M., Risica S., Polichetti A., Bochicchio F., Nuccetelli C., Biddau P., Arico M., DeSalvo G. L., Locatelli F., Pession A., Varotto S., Poggi V., Massaglia P., Monetti D., Targhetta R., Bernini G., Pannelli F., Sampietro G., Schiliro G., Pulsoni A., Parodi S., Magnani, C, Ranucci, A, Badaloni, C, Cesaroni, G, Ferrante, D, Miligi, L, Mattioli, S, Rondelli, R, Bisanti, L, Zambon, P, Cannizzaro, S, Michelozzi, P, Cocco, P, Celentano, E, Assennato, G, Merlo, D, Mosciatti, P, Minelli, L, Cuttini, M, Torregrossa, M, Lagorio, S, Haupt, R, Forastiere, F, Farioli, A, Salvan, A, Masera, G, Rizzari, C, Greco Veneto, A, Gafa, L, Luzzatto, L, Benvenuti, A, Kirchmayer, U, Galassi, C, Guarino, E, de Nichilo, G, Bocchini, V, Chiavarini, M, Casotto, V, Valenti, R, Risica, S, Polichetti, A, Bochicchio, F, Nuccetelli, C, Biddau, P, Arico, M, Desalvo, G, Locatelli, F, Pession, A, Varotto, S, Poggi, V, Massaglia, P, Monetti, D, Targhetta, R, Bernini, G, Pannelli, F, Sampietro, G, Schiliro, G, Pulsoni, A, Parodi, S, Magnani C., Ranucci A., Badaloni C., Cesaroni G., Ferrante D., Miligi L., Mattioli S., Rondelli R., Bisanti L., Zambon P., Cannizzaro S., Michelozzi P., Cocco P., Celentano E., Assennato G., Merlo D. F., Mosciatti P., Minelli L., Cuttini M., Torregrossa M. V., Lagorio S., Haupt R., Forastiere F., Farioli A., Salvan A., Masera G., Rizzari C., Greco Veneto A., Gafa L., Luzzatto L. L., Benvenuti A., Kirchmayer U., Galassi C., Guarino E., de Nichilo G., Bocchini V., Chiavarini M., Casotto V., Valenti R. M., Risica S., Polichetti A., Bochicchio F., Nuccetelli C., Biddau P., Arico M., DeSalvo G. L., Locatelli F., Pession A., Varotto S., Poggi V., Massaglia P., Monetti D., Targhetta R., Bernini G., Pannelli F., Sampietro G., Schiliro G., Pulsoni A., and Parodi S.

Abstract

Background The association of childhood leukemia with traffic pollution was considered in a number of studies from 1989 onwards, with results not entirely consistent and little information regarding subtypes. Aim of the study We used the data of the Italian SETIL case-control on childhood leukemia to explore the risk by leukemia subtypes associated to exposure to vehicular traffic. Methods We included in the analyses 648 cases of childhood leukemia (565 Acute lymphoblastic–ALL and 80 Acute non lymphoblastic-AnLL) and 980 controls. Information on traffic exposure was collected from questionnaire interviews and from the geocoding of house addresses, for all periods of life of the children. Results We observed an increase in risk for AnLL, and at a lower extent for ALL, with indicators of exposure to traffic pollutants. In particular, the risk was associated to the report of closeness of the house to traffic lights and to the passage of trucks (OR: 1.76; 95% CI 1.03–3.01 for ALL and 6.35; 95% CI 2.59–15.6 for AnLL). The association was shown also in the analyses limited to AML and in the stratified analyses and in respect to the house in different period of life. Conclusions Results from the SETIL study provide some support to the association of traffic related exposure and risk for AnLL, but at a lesser extent for ALL. Our conclusion highlights the need for leukemia type specific analyses in future studies. Results support the need of controlling exposure from traffic pollution, even if knowledge is not complete.

Published
2016

3. Air pollution and childhood leukaemia: a nationwide case-control study in Italy

Author

Badaloni, C., Ranucci, A., Cesaroni, G., Zanini, G., Vienneau, D., Al Aidrous, F., De Hoogh, K., Magnani, C., Forastiere, F., Mattioli, Stefano, Miligi, L., Rondelli, R., Salvan, A., Masera, G., Rizzari, C., Bisanti, L., Zambon, P., Greco, A., Cannizzaro, S., Gafa, L., Luzzatto, L. L., Benvenuti, A., Michelozzi, P., Kirchmayer, U., Cocco, P., Galassi, C., Celentano, E., Guarino, E., Assennato, G., de Nichilo, G., Merlo, D. F., Bocchini, V., Mosciatti, P., Minelli, L., Chiavarini, M., Cuttini, M., Casotto, V., Torregrossa, M. V., Valenti, R. M., Haupt, R., Lagorio, S., Risica, S., Polichetti, A., Bochicchio, F., Nuccetelli, C., Biddau, P., Arico, M., De Salvo, G. L., Locatelli, F., Pession, Andrea, Varotto, S., Poggi, V., Massaglia, P., Monetti, D., Targhetta, R., Bernini, G., Pannelli, F., Sampietro, G., Schiliro, G., Pulsoni, A., Badaloni, C., Ranucci, A., Cesaroni, G., Zanini, G., Vienneau, D., Al-Aidrous, F., De Hoogh, K., Magnani, C., Forastiere, F., C. Badaloni, A. Ranucci, G. Cesaroni, G. Zanini, D. Vienneau, F. Al-Aidrou, K. De Hoogh, C. Magnani, F. Forastiere, S. Mattioli, L. Miligi, R. Rondelli, A. Salvan, G. Masera, C. Rizzari, L. Bisanti, P. Zambon, A. Greco, S. Cannizzaro, L. Gafa, L. L. Luzzatto, A. Benvenuti, P. Michelozzi, U. Kirchmayer, P. Cocco, C. Galassi, E. Celentano, E. Guarino, G. Assennato, G. de Nichilo, D. F. Merlo, V. Bocchini, P. Mosciatti, L. Minelli, M. Chiavarini, M. Cuttini, V. Casotto, M. V. Torregrossa, R. M. Valenti, R. Haupt, S. Lagorio, S. Risica, A. Polichetti, F. Bochicchio, C. Nuccetelli, P. Biddau, M. Arico, G. L. De Salvo, F. Locatelli, A. Pession, S. Varotto, V. Poggi, P. Massaglia, D. Monetti, R. Targhetta, G. Bernini, F. Pannelli, G. Sampietro, G. Schiliro, and A. Pulsoni

Subjects
Male, Pediatrics, Air pollution, NO2, Land use Regression Model, Logistic regression, medicine.disease_cause, Economica, Residence Characteristics, USE REGRESSION-MODELS, Medicine, Child, Children, Vehicle Emissions, General Environmental Science, USE REGRESSION-MODELS, RESIDENTIAL TRAFFIC DENSITY, MAGNETIC-FIELDS, POOLED ANALYSIS, RISK-FACTOR, CANCER, EXPOSURE, CHILDREN, NO2, ASSOCIATION, Leukemia, Incidence, Incidence (epidemiology), ASSOCIATION, CANCER, Childhood leukaemia, Italy, Child, Preschool, Female, Case-Control Studie, Human, medicine.medical_specialty, Socio-culturale, MAGNETIC-FIELDS, POOLED ANALYSIS, RISK-FACTOR, Air Pollution, Occupational Exposure, Environmental health, Traffic Indicator, Humans, EXPOSURE, RESIDENTIAL TRAFFIC DENSITY, Exposure assessment, Vehicle Emission, business.industry, Public Health, Environmental and Occupational Health, Case-control study, Ambientale, Infant, Carcinogens, Environmental, Automobile, Case-Control Studies, Residence Characteristic, Dispersion Model, Etiology, General Earth and Planetary Sciences, Particulate Matter, Residence, business, Automobiles
Abstract

Objectives Leukaemia is the most common cancer in children, but its aetiology is still poorly understood. We tested the hypothesis that traffic-related air pollution is associated with paediatric leukaemia because of chronic exposure to several potential carcinogens. Methods The Italian SETIL study (Study on the aetiology of lymphohematopoietic malignancies in children) was conducted in 14 Italian regions. All incident cases of leukaemia in children aged ≤10 years from these regions (period 1998–2001) were eligible for enrolment. Two controls per case, matched on birth date, gender and region of residence were randomly selected from the local population registries. Exposure assessment at birth residence included traffic indicators (distance to main roads and length of main roads within 100 m) and estimates of pollutants concentrations (particulate matter -PM 2.5 and PM 10 - and gases -NO 2 and O 3 -) from national dispersion model and land use regression models. The association between the exposure variables and leukaemia was assessed by logistic regression analyses. Results Participation rates were 91.4% among cases and 69.2% in controls; 620 cases (544 acute lymphocytic and 76 acute non-lymphocytic leukaemia) and 957 controls were included. Overall, when considering the residence at birth, 35.6% of cases and 42.4% of controls lived along busy roads, and the mean annual PM 10 levels were 33.3 (SD=6.3) and 33.4 µg/m 3 (SD=6.5), respectively. No association was found, and all ORs, independent of the method of assessment and the exposure windows, were close to the null value. Conclusions Using various exposure assessment strategies, air pollution appears not to affect the incidence of childhood leukaemia.

Published
2013

4. Risk of neuroblastoma, maternal characteristics and perinatal exposures: the SETIL study

Author

Parodi S, Merlo DF, Ranucci A, Miligi L, Benvenuti A, Rondelli R, Magnani C, Haupt R, Mattioli S, Salvan A, Masera G, Rizzari C, Bisanti L, Zambon P, Greco Veneto A, Cannizzaro S, Gafà L, Luzzatto LL, Michelozzi P, Kirchmayer U, Cocco P, Galassi C, Celentano E, Guarino E, Assennato G, de Nichilo G, Bocchini V, Mosciatti P, Pubblica S, Minelli L, Chiavarini M, Cuttini M, Casotto V, Torregrossa MV, Valenti RM, Forastiere F, Lagorio S, Risica S, Polichetti A, Bochicchio F, Nuccetelli C, Biddau P, Aricò M, DeSalvo GL, Locatelli F, Pession A, Varotto S, Poggi V, Massaglia P, Monetti D, Targhetta R, Bernini G, Lippi A, Nardi M, Acquaviva A, Pannelli F, Tumori R, Sampietro G, Schilirò G, Pulsoni A, Legittimo P, Barone Adesi F, Cavariani F, Belletti I, Troeschel L, Calisti R, Marche C, Silvestri S, Sommani L, Farioli A, Tozzi GA, Terracini B, Paolucci G, Andreuccetti D, Anglesio L, Bertolotti M, Bevitori P, Biancotto R, Biggeri A, Bucci S, Comba P, Crosignani P, d'Amore G, Duglio E, Erna M, Ferrante D, Gelli L, Gilardetti M, Guidotti P, Lombardi M, Loomis D, Magnoni M, Merletti F, Miceli G, Mozzo P, Poggi A, Pons O, Rasulo A, Roletti S, Rosa M, Mestre V, Ru O, Russo G, Sgorbati G, Simonato L, Sivo D, Stievano B, Tofani S, Troti F, Tumino R, Valle M, Vecchia P, Erminio G, Galleni B., PANICO, SALVATORE, Parodi, Stefano, Merlo, Domenico Franco, Ranucci, Alessandra, Miligi, Lucia, Benvenuti, Alessandra, Rondelli, Roberto, Magnani, Corrado, Haupt, Riccardo, [ .., Mattioli, Stefano, ], Parodi, S, Merlo, Df, Ranucci, A, Miligi, L, Benvenuti, A, Rondelli, R, Magnani, C, Haupt, R, Mattioli, S, Salvan, A, Masera, G, Rizzari, C, Bisanti, L, Zambon, P, Greco Veneto, A, Cannizzaro, S, Gafà, L, Luzzatto, Ll, Michelozzi, P, Kirchmayer, U, Cocco, P, Galassi, C, Celentano, E, Guarino, E, Assennato, G, de Nichilo, G, Bocchini, V, Mosciatti, P, Pubblica, S, Minelli, L, Chiavarini, M, Cuttini, M, Casotto, V, Torregrossa, Mv, Valenti, Rm, Forastiere, F, Lagorio, S, Risica, S, Polichetti, A, Bochicchio, F, Nuccetelli, C, Biddau, P, Aricò, M, Desalvo, Gl, Locatelli, F, Pession, A, Varotto, S, Poggi, V, Massaglia, P, Monetti, D, Targhetta, R, Bernini, G, Lippi, A, Nardi, M, Acquaviva, A, Pannelli, F, Tumori, R, Sampietro, G, Schilirò, G, Pulsoni, A, Legittimo, P, Barone Adesi, F, Cavariani, F, Belletti, I, Troeschel, L, Calisti, R, Marche, C, Silvestri, S, Sommani, L, Farioli, A, Tozzi, Ga, Terracini, B, Paolucci, G, Andreuccetti, D, Anglesio, L, Bertolotti, M, Bevitori, P, Biancotto, R, Biggeri, A, Bucci, S, Comba, P, Crosignani, P, D'Amore, G, Duglio, E, Erna, M, Ferrante, D, Gelli, L, Gilardetti, M, Guidotti, P, Lombardi, M, Loomis, D, Magnoni, M, Merletti, F, Miceli, G, Mozzo, P, Panico, Salvatore, Poggi, A, Pons, O, Rasulo, A, Roletti, S, Rosa, M, Mestre, V, Ru, O, Russo, G, Sgorbati, G, Simonato, L, Sivo, D, Stievano, B, Tofani, S, Troti, F, Tumino, R, Valle, M, Vecchia, P, Erminio, G, and Galleni, B.

Subjects
Cancer Research, Pediatrics, medicine.medical_specialty, Epidemiology, Socio-culturale, ELF magnetic fields, ELF magnetic field, Nervous System Malformation, Neuroblastoma, Economica, Work related exposure, parental occupation, male, Pregnancy, Risk Factors, maternal exposure, medicine, Parental occupation, Maternal characteristic, Neurofibromatosis, humans, Neurofibromatosi, neurofibromatosis, business.industry, Risk Factor, Incidence (epidemiology), case-control studies, Ambientale, Congenital malformations, nervous system malformations, Odds ratio, medicine.disease, Pregnancy Complication, Pregnancy Complications, female, Oncology, congenital malformations, maternal characteristics, neuroblastoma, incidence, Etiology, Congenital malformation, Case-Control Studie, business, Human
Abstract

Purpose: Neuroblastoma (NB) is the most common extra-cranial paediatric solid tumour. Incidence peaks in infancy, suggesting a role of in-utero and neonatal exposures but its aetiology is largely unknown. The aim of the present study is to evaluate the association between maternal characteristics and perinatal factors with the risk of NB, using data from the SETIL database. Methods: SETIL is a large Italian population-based case-control study established to evaluate several potential cancer risk factors in 0-10 year olds. Information about maternal characteristics, reproductive history, environmental and occupational exposures during pregnancy, as well as newborns' characteristics were obtained using a structured questionnaire. Extremely low frequency magnetic field (ELF-MF) home exposure was measured. The study included 1044 healthy controls and 153 NB cases, diagnosed between 1998 and 2001. Results: A twofold risk was associated to exposure in pregnancy to chemical products for domestic work and to hair dye. The risk associated with the latter was higher among 0-17 month old children (OR. =. 5.5, 95%CI: 1.0-29.3). Risk was increased for children whose mothers had suffered work related exposure in the preconception period to solvents (OR. =. 2.0 95%CI: 1.0-4.1) and in particular to aromatic hydrocarbons (OR. =. 9.2, 95%CI: 2.4-34.3). No association was observed with ELF-MF exposure. A higher risk was found among children with congenital malformations (OR. =. 4.9, 95%CI: 1.8-13.6) or neurofibromatosis (2 cases and 0 controls, p=. 0.016). Conclusions: Our study suggests maternal exposure to hair dyes and aromatic hydrocarbons plays a role and deserves further investigation. The association with congenital malformations might also be explained by over-diagnosis.External exposure, in particular during and before pregnancy might contribute to NB occurrence.

Published
2014

5. Road Traffic Pollution and Childhood Leukemia: A Nationwide Case-control Study in Italy

Author

Magnani, C., Ranucci, A., Badaloni, C., Cesaroni, G., Ferrante, D., Miligi, L., Mattioli, S., Rondelli, R., Bisanti, L., Zambon, P., Cannizzaro, S., Michelozzi, P., Cocco, P., Celentano, E., Assennato, G., Merlo, D. F., Mosciatti, P., Minelli, L., Cuttini, M., Torregrossa, M. V., Lagorio, S., Haupt, R., Forastiere, F., Farioli, A., Salvan, A., Masera, G., Rizzari, C., Greco Veneto, A., Gafa, L., Luzzatto, L. L., Benvenuti, A., Kirchmayer, U., Galassi, C., Guarino, E., de Nichilo, G., Bocchini, V., Chiavarini, M., Casotto, V., Valenti, R. M., Risica, S., Polichetti, A., Bochicchio, F., Nuccetelli, C., Biddau, P., Arico, M., Desalvo, G. L., Locatelli, Franco, Pession, A., Varotto, S., Poggi, V., Massaglia, P., Monetti, D., Targhetta, R., Bernini, G., Pannelli, F., Sampietro, G., Schiliro, G., Pulsoni, A., Parodi, S., Locatelli F. (ORCID:0000-0002-7976-3654), Magnani, C., Ranucci, A., Badaloni, C., Cesaroni, G., Ferrante, D., Miligi, L., Mattioli, S., Rondelli, R., Bisanti, L., Zambon, P., Cannizzaro, S., Michelozzi, P., Cocco, P., Celentano, E., Assennato, G., Merlo, D. F., Mosciatti, P., Minelli, L., Cuttini, M., Torregrossa, M. V., Lagorio, S., Haupt, R., Forastiere, F., Farioli, A., Salvan, A., Masera, G., Rizzari, C., Greco Veneto, A., Gafa, L., Luzzatto, L. L., Benvenuti, A., Kirchmayer, U., Galassi, C., Guarino, E., de Nichilo, G., Bocchini, V., Chiavarini, M., Casotto, V., Valenti, R. M., Risica, S., Polichetti, A., Bochicchio, F., Nuccetelli, C., Biddau, P., Arico, M., Desalvo, G. L., Locatelli, Franco, Pession, A., Varotto, S., Poggi, V., Massaglia, P., Monetti, D., Targhetta, R., Bernini, G., Pannelli, F., Sampietro, G., Schiliro, G., Pulsoni, A., Parodi, S., and Locatelli F. (ORCID:0000-0002-7976-3654)

Abstract

Background The association of childhood leukemia with traffic pollution was considered in a number of studies from 1989 onwards, with results not entirely consistent and little information regarding subtypes. Aim of the study We used the data of the Italian SETIL case-control on childhood leukemia to explore the risk by leukemia subtypes associated to exposure to vehicular traffic. Methods We included in the analyses 648 cases of childhood leukemia (565 Acute lymphoblastic–ALL and 80 Acute non lymphoblastic-AnLL) and 980 controls. Information on traffic exposure was collected from questionnaire interviews and from the geocoding of house addresses, for all periods of life of the children. Results We observed an increase in risk for AnLL, and at a lower extent for ALL, with indicators of exposure to traffic pollutants. In particular, the risk was associated to the report of closeness of the house to traffic lights and to the passage of trucks (OR: 1.76; 95% CI 1.03–3.01 for ALL and 6.35; 95% CI 2.59–15.6 for AnLL). The association was shown also in the analyses limited to AML and in the stratified analyses and in respect to the house in different period of life. Conclusions Results from the SETIL study provide some support to the association of traffic related exposure and risk for AnLL, but at a lesser extent for ALL. Our conclusion highlights the need for leukemia type specific analyses in future studies. Results support the need of controlling exposure from traffic pollution, even if knowledge is not complete.

Published
2016

6. Gene environment interactions

Author

Battie, M. C., primary, Videman, T., additional, Levalahti, E., additional, Kaprio, J., additional, Bisceglia, L., additional, de Nichilo, G., additional, Carrus, A., additional, Corsi, P., additional, Vimercati, L., additional, Assennato, G., additional, Fustinoni, S., additional, Campo, L., additional, Ashley-Martin, J., additional, Guernsey, J., additional, Cribb, A., additional, Van Leeuwen, J., additional, Andreou, P., additional, Schnatter, A. R., additional, Irons, R. D., additional, Ling, L., additional, Kerzic, P., additional, Bao, L., additional, Yang, Y., additional, Zou, H., additional, Fu, H., additional, Ye, X., additional, Gross, S., additional, Armstrong, T., additional, Burstyn, I., additional, Kim, H. M., additional, Cherry, N. M., additional, Li, S., additional, and Yasui, Y., additional

Published
2007
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7. Road Traffic Pollution and Childhood Leukemia: A Nationwide Case-control Study in Italy

Author

Corrado Magnani, Alessandra Ranucci, Chiara Badaloni, Giulia Cesaroni, Daniela Ferrante, Lucia Miligi, Stefano Mattioli, Roberto Rondelli, Luigi Bisanti, Paola Zambon, Santina Cannizzaro, Paola Michelozzi, Pierluigi Cocco, Egidio Celentano, Giorgio Assennato, Domenico Franco Merlo, Paola Mosciatti, Liliana Minelli, Marina Cuttini, Maria Valeria Torregrossa, Susanna Lagorio, Riccardo Haupt, Francesco Forastiere, Andrea Farioli, Alberto Salvan, Giuseppe Masera, Carmelo Rizzari, Alessandra Greco Veneto, Lorenzo Gafà, Lia Lidia Luzzatto, Alessandra Benvenuti, Ursula Kirchmayer, Claudia Galassi, Erni Guarino, Gigliola de Nichilo, Vittorio Bocchini, Manuela Chiavarini, Veronica Casotto, Rosaria Maria Valenti, Serena Risica, Alessandro Polichetti, Francesco Bochicchio, Cristina Nuccetelli, Pierfranco Biddau, Maurizio Aricò, Gian Luca DeSalvo, Franco Locatelli, Andrea Pession, Stefania Varotto, Vincenzo Poggi, Pia Massaglia, Daniele Monetti, Roberto Targhetta, Gabriella Bernini, Franco Pannelli, Giuseppe Sampietro, Gino Schilirò, Alessandro Pulsoni, Stefano Parodi, Magnani, Corrado, Ranucci, Alessandra, Badaloni, Chiara, Cesaroni, Giulia, Ferrante, Daniela, Miligi, Lucia, Mattioli, Stefano, Rondelli, Roberto, Bisanti, Luigi, Zambon, Paola, Cannizzaro, Santina, Michelozzi, Paola, Cocco, Pierluigi, Celentano, Egidio, Assennato, Giorgio, Merlo, Domenico Franco, Mosciatti, Paola, Minelli, Liliana, Cuttini, Marina, Torregrossa, Maria Valeria, Lagorio, Susanna, Haupt, Riccardo, Forastiere, Francesco, Magnani C, Ranucci A, Badaloni C, Cesaroni G, Ferrante D, Miligi L, Mattioli S, Rondelli R, Bisanti L, Zambon P, Cannizzaro S, Michelozzi P, Cocco P, Celentano E, Assennato G, Merlo DF, Mosciatti P, Minelli L, Cuttini M, Torregrossa MV, Lagorio S, Haupt R, Forastiere F, SETIL Working Group., Magnani, C, Ranucci, A, Badaloni, C, Cesaroni, G, Ferrante, D, Miligi, L, Mattioli, S, Rondelli, R, Bisanti, L, Zambon, P, Cannizzaro, S, Michelozzi, P, Cocco, P, Celentano, E, Assennato, G, Merlo, D, Mosciatti, P, Minelli, L, Cuttini, M, Torregrossa, M, Lagorio, S, Haupt, R, Forastiere, F, Farioli, A, Salvan, A, Masera, G, Rizzari, C, Greco Veneto, A, Gafa, L, Luzzatto, L, Benvenuti, A, Kirchmayer, U, Galassi, C, Guarino, E, de Nichilo, G, Bocchini, V, Chiavarini, M, Casotto, V, Valenti, R, Risica, S, Polichetti, A, Bochicchio, F, Nuccetelli, C, Biddau, P, Arico, M, Desalvo, G, Locatelli, F, Pession, A, Varotto, S, Poggi, V, Massaglia, P, Monetti, D, Targhetta, R, Bernini, G, Pannelli, F, Sampietro, G, Schiliro, G, Pulsoni, A, and Parodi, S

Subjects
Myeloid, Male, Future studies, 010501 environmental sciences, Settore MED/42 - Igiene Generale E Applicata, 01 natural sciences, 0302 clinical medicine, Economica, hemic and lymphatic diseases, Medicine, 030212 general & internal medicine, Child, Road traffic, acute non lymphoblastic leukemia, childhood, environment, leukemia, road traffic, air pollution, case-control studies, child, child, preschool, female, humans, infant, Italy, leukemia, myeloid, acute, male, precursor cell lymphoblastic leukemia-lymphoma, risk, motor vehicles, medicine (all), Leukemia, Traffic pollution, Medicine (all), General Medicine, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Motor Vehicles, Leukemia, Myeloid, Acute, Acute non Lymphoblastic Leukemia, Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA, Road Traffic, Child, Preschool, Female, Medical emergency, Case-Control Studie, Human, Risk, Childhood leukemia, Socio-culturale, Acute, Environment, Precursor Cell Lymphoblastic Leukemia Lymphoma, 03 medical and health sciences, Environmental health, Air Pollution, Humans, Preschool, 0105 earth and related environmental sciences, business.industry, Case-control study, Type specific, Ambientale, Infant, medicine.disease, Childhood, Case-Control Studies, Motor Vehicle, business
Abstract

Background The association of childhood leukemia with traffic pollution was considered in a number of studies from 1989 onwards, with results not entirely consistent and little information regarding subtypes. Aim of the study We used the data of the Italian SETIL case-control on childhood leukemia to explore the risk by leukemia subtypes associated to exposure to vehicular traffic. Methods We included in the analyses 648 cases of childhood leukemia (565 Acute lymphoblastic–ALL and 80 Acute non lymphoblastic-AnLL) and 980 controls. Information on traffic exposure was collected from questionnaire interviews and from the geocoding of house addresses, for all periods of life of the children. Results We observed an increase in risk for AnLL, and at a lower extent for ALL, with indicators of exposure to traffic pollutants. In particular, the risk was associated to the report of closeness of the house to traffic lights and to the passage of trucks (OR: 1.76; 95% CI 1.03–3.01 for ALL and 6.35; 95% CI 2.59–15.6 for AnLL). The association was shown also in the analyses limited to AML and in the stratified analyses and in respect to the house in different period of life. Conclusions Results from the SETIL study provide some support to the association of traffic related exposure and risk for AnLL, but at a lesser extent for ALL. Our conclusion highlights the need for leukemia type specific analyses in future studies. Results support the need of controlling exposure from traffic pollution, even if knowledge is not complete.

Published
2016

8. SETIL: Italian multicentric epidemiological case-control study on risk factors for childhood leukaemia, non hodgkin lymphoma and neuroblastoma: study population and prevalence of risk factors in Italy.

Author

Magnani C, Mattioli S, Miligi L, Ranucci A, Rondelli R, Salvan A, Bisanti L, Masera G, Rizzari C, Zambon P, Cannizzaro S, Gafà L, Luzzatto LL, Benvenuti A, Michelozzi P, Kirchmayer U, Cocco P, Biddau P, Galassi C, Celentano E, Guarino E, Assennato G, de Nichilo G, Merlo DF, Bocchini V, Pannelli F, Mosciatti P, Minelli L, Chiavarini M, Cuttini M, Casotto V, Torregrossa MV, Valenti RM, Forastiere F, Haupt R, Lagorio S, Risica S, and Polichetti A

Subjects
Child, Child, Preschool, Female, Humans, Incidence, Infant, Infant, Newborn, Italy epidemiology, Lymphoma, Non-Hodgkin etiology, Male, Neuroblastoma etiology, Prevalence, Risk Factors, Environmental Exposure adverse effects, Lymphoma, Non-Hodgkin epidemiology, Neuroblastoma epidemiology, Risk Assessment methods
Abstract

Background: Aetiology of childhood leukaemia and childhood neoplasm is poorly understood. Information on the prevalence of risk factors in the childhood population is limited. SETIL is a population based case-control study on childhood leukaemia, conducted with two companion studies on non-Hodgkin Lymphoma (NHL) and neuroblastoma. The study relies on questionnaire interviews and 50 Hz magnetic field (ELF-MF) indoor measurements. This paper discusses the SETIL study design and includes descriptive information., Methods: The study was carried out in 14 Italian regions (78.3% of Italian population aged 0-10). It included leukaemia, NHL and neuroblastoma cases incident in 0-10 year olds in 1998-2001, registered by the Italian Association of Paediatric Haematology and Oncology (AIEOP) (accrual over 95% of estimated incidence). Two controls for each leukaemia case were randomly sampled from the Local Health Authorities rolls, matched by gender, birthdate and residence. The same controls were used in NHL and neuroblastoma studies. Parents were interviewed at home on: physical agents (ELF-MF and ionizing radiation), chemicals (smoking, solvents, traffic, insecticides), occupation, medical and personal history of children and parents, infectious diseases, immunizations and associated factors. Occupational exposure was collected using job specific modules. ELF-MF was measured in the main rooms (spot measurement) and close to child's bed (48 hours measurement)., Results: The study included: 683 leukaemia cases (87% ALL, 13% AnLL), 97 NHL, 155 neuroblastomas, and 1044 controls., Conclusions: SETIL represents a data source on exposure of Italian children to a broad array of potential carcinogenic factors.

Published
2014
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9. A study of factors influencing urinary arsenic excretion in exposed workers.

Author

Vimercati L, Carrus A, Sciannamblo G, Caputo F, Minunni V, de Nichilo G, Bellotta MR, Gagliardi T, Bisceglia L, and Assennato G

Subjects
Adolescent, Adult, Age Factors, Aged, Environmental Monitoring methods, Fertilizers, Food Contamination, Humans, Male, Middle Aged, Occupational Exposure prevention & control, Seafood, Surveys and Questionnaires, Young Adult, Arsenic urine, Environmental Exposure analysis, Occupational Exposure analysis, Occupational Health
Abstract

This study was designed to evaluate the influence of occupational and non-occupational factors on urinary arsenic excretion in workers exposed to iAs (inorganic arsenic) in the dismantlement of a factory which once produced fertilisers. We measured iAs and its methylated metabolites in 108 urinary samples of workers exposed to iAs in July 2006. A total of 13.9% of the samples showed levels higher than the Biological Exposure Index (BEI) of 35 microg/l (mean value 23.9 microg/l). After the improvement of working conditions, in August-October 2006 we collected urinary samples from each of the 108 workers enrolled. We also administrated a questionnaire, in order to investigate the influence of occupational and non-occupational factors on the urinary arsenic excretion. A significant difference was observed in relation with seafood consumption and age stratification. We have found a significant reduction of urinary arsenic excretion between the two phases of biological monitoring, probably due to appropriate hygiene work-related interventions.

Published
2009
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10. [Statistical analysis of the incidence of some cancers in the province of Taranto 1999-2001].

Author

Graziano G, Bilancia M, Bisceglia L, de Nichilo G, Pollice A, and Assennato G

Subjects
Algorithms, Brain Neoplasms epidemiology, Female, Humans, Incidence, Italy epidemiology, Leukemia epidemiology, Lung Neoplasms epidemiology, Lymphoma, Non-Hodgkin epidemiology, Male, Medical Records, Mesothelioma epidemiology, Neoplasms chemically induced, Pleural Neoplasms epidemiology, Poisson Distribution, Retrospective Studies, Risk, Urinary Bladder Neoplasms epidemiology, Water Pollutants, Chemical toxicity, Carcinogens, Environmental toxicity, Neoplasms epidemiology
Abstract

Objective: to estimate the spatial distribution of risk, in order to assess its correlation to environmental pollution exposure around the large production facilities located in the Taranto area, and to identify high risk areas not previously reported., Setting: Italy, Taranto province (581,508 inhabitants)., Design: incidence data in 29 municipalities of the Taranto province were extracted from the Jonico Salentino Cancer Registry (RTJS) for the following cancer sites: lung (ICDX C33-C34); pleura, pleuric mesothelioma (ICDX C45.0); bladder, malignancies only (ICDX C67); brain (ICDX C70-72); non-Hodgkin lymphoma (ICDX C82-85, C96); leukaemia (ICDX C91-5). Age standardized incidence rates for the whole province were computed. High-level risk areas were classified using a Poisson model, computing area-specific p-values associated to the null hypothesis of no increased risk (i.e. relative risk equal to 1). A hierarchical spatial Bayesian model was estimated to strengthen results: specifically two additional variance components, accounting for relative risk spatial autocorrelation and excess heterogeneity respectively, were considered in the model specification. Bayesian mapping of disease incidence allows for the drawing of regularized (smoothed) maps. To adjust for the effect of socio-economic deprivation, a five-variable index was introduced into the model as an ecological covariate., Results: an increased risk of lung, pleura and bladder cancer was observed among male residents in the city of Taranto (respectively: SIR 1.24, p-value < 0.01; SIR: 2.21, p-value < 0.01; SIR 1.28, p-value < 0.01). For non-Hodgkin lymphoma, a significant value was observed in the city of Taranto for males (SIR 1.46, p-value < 0.01), as well as in the neighbouring area of Pulsano for females (SIR 3.88, p-value < 0.01). An unexpected increased risk of brain cancer was found in both sexe risk (especially among males) of lung, pleura and bladder cancer is likely related to the chemical pollutants and asbestos, due to the presence of many industries and shipyards in the city of Taranto.

Published
2009

11. [Biological monitoring in workers exposed to inorganic arsenic in a disused industrial plant in the area of Manfredonia].

Author

Vimercati L, Carrus A, Gagliardi T, Sciannamblo G, Caputo F, Minunni V, Bellotta MR, de Nichilo G, Bisceglia L, Corrado V, De Pasquale P, and Assennato G

Subjects
Biomarkers urine, Humans, Italy, Middle Aged, Population Surveillance, Arsenic urine, Environmental Monitoring, Industry, Occupational Exposure adverse effects, Occupational Health
Abstract

Inorganic arsenic and its methylated metabolities were measured in 108 spot urine samples obtained from the medical surveillance programme of workers exposed to inorganic Arsenic in July 2006. 15% of the samples showed levels higher than limit value of 35 microg/L (mean value 23,9 microg/L). After the improvement of the working conditions, in August-October 2006, we collected a urinary sample from each of the 108 workers enrolled. A questionnaire was also administrated, in order to investigate the influence of occupational and non occupational factors on the urinary arsenic excretion. The median value of urinary arsenic was 15,12 microg/L; among the 108 samples, 5% showed levels higher than limit value. A significant difference was observed in relation with sea-food consumption and aging stratification. In conclusion, we have described a significant reduction of urinary arsenic excretion between the two phases of biological monitoring, likely due to a proper hygienic work-related intervention.

Published
2007

12. [Job strain and blood pressure levels in health care workers].

Author

Lorusso A, Bruno S, Caputo F, de Nichilo G, Minunni V, Sciannamblo G, Vimercati L, Zefferino R, and L'Abbate N

Subjects
Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Occupational Diseases epidemiology, Stress, Psychological epidemiology, Blood Pressure, Health Personnel, Radiology
Abstract

Objective: The aim of this study was to investigate a possible association between job strain and blood pressure levels in a sample of X-ray technologists., Materials and Methods: A structured questionnaire S was administered to the participants, investigating individual factors and job characteristics. Job strain status was measured by means of questions derived from the Italian version of the Karasek Job Content Questionnaire. Systolic and diastolic blood pressure were then assessed during medical examination., Results: No significant association was found between job strain and blood pressure levels. In addition, no association was found between high job demans, low decision latitude and blood pressure levels., Conclusions: In this study job strain was not associated with high blood pressure levels in X-ray technologists.

Published
2007

13. [Assessment of occupational exposure to PAH in coke-oven workers of Taranto steel plant through biological monitoring].

Author

Bisceglia L, de Nichilo G, Elia G, Schiavulli N, Minerba A, Greco L, and Assennato G

Subjects
Coke, Cross-Sectional Studies, Humans, Italy, Occupational Exposure analysis, Polycyclic Aromatic Hydrocarbons analysis, Steel, Environmental Monitoring, Metallurgy, Occupational Exposure adverse effects, Polycyclic Aromatic Hydrocarbons adverse effects
Abstract

Objective: This study aims at evaluating the occupational exposure to polycyclic aromatic hydrocarbons (PAH) through biological monitoring and at investigating the influence of selected genetic polymorphisms on the levels of internal dose biomarker., Design: A cross-sectional study has been conducted on the basis of biological measurements in order to evaluate the levels of PAH exposure., Setting: PAH exposure assessment has been carried out in a coke-oven of one of the largest European steel plants (ILVA, Taranto), in the context of the program of medical surveillance carried in collaboration with the ILVA Occupational Health Service., Participants: 355 coke-oven workers exposed to PAH were enrolled from the 3 batteries of the coke oven plant. Maintenance workers and industrial cleaners were included., Main Outcome Measures: The measurement of urinary levels of 1-hydroxypyrene (1-OHP) as biomarker of internal dose has been carried out, as well as the evaluation of metabolic polymorphisms of the cytochrome P450 1A1 (CYP1A1), glutathione S-transferases mu (GSTM1) and theta (GSTT1) as biomarkers of susceptibility., Results: The median value of urinary 1-OHP was 1,05 microMol/Molcreat. The difference between the groups was statistically significant, with the highest value observed in the maintenance group (median 1,71, range 0,06-14,69 microMol/Molcreat). It is remarkable that 25% of the workers exceeded the proposed benchmark guideline value of2,3 microMol/Molcreat. No statistical difference was found in relation to smoking habits. Workers with GSTT1 null genotype had higher 1-OHP levels than those with wild type (p = 0,06)., Conclusions: The levels of biomarker of internal dose reflect a critical exposure to PAH in the coke-oven plant. Further observations are needed to better investigate the role of GSTT1 on the 1-OHP levels.

Published
2005

14. Late industrial development and occupational health in southern Italy.

Author

Assennato G, Bisceglia L, De Nichilo G, Grassi ME, and Lo Izzo A

Subjects
Asbestos adverse effects, Chemical Industry, History, 20th Century, Humans, Italy, Occupational Health history, Petroleum, Steel, Accidents, Occupational trends, Occupational Health statistics & numerical data
Abstract

The authors report the occupational medicine problems in the Apulia region, which are representative of those in Southern Italy. Late industrialization was associated with an early peak in injuries that was not associated with an increased workforce. Examples of operations adversely affecting worker and population health are presented.

Published
2005
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15. [Mortality among workers employed in the production of pulp and paper in Apulia].

Author

Sivo D, Bisceglia L, de Nichilo G, Bruno S, and Assennato G

Subjects
Female, Humans, Italy epidemiology, Male, Paper, Chemical Industry, Occupational Diseases mortality
Abstract

The authors studied a cohort of 2660 pulp and paper workers in Capitanata, Apulia (Italy). All workers with at least 1 year of employment on January 1 1965 or thereafter until march 30, 2000 where studied. Standardized Mortality Ratios (SMRs) were used to compare the mortality rates of the cohort with those of Apulian population. Ninetyfive percent confidence intervals (CIs) for SMRs were obtained. Cancer risks significantly associated with work where observed: all causes for males (SMR 112.09, 95% CI 104.91-119.77), brain cancer for males (SMR 206.04, 95% CI 103.04-412.01), digestive tract for males (SMR 126.78, CI 100.63-159.73). Association with other malignancies are suggested in this study for Laryngeal and Kidney. These malignancies have been associated with different exposures in the production cycle: biocides (Kidney), Formaldehyde (Kidney, Brain). Unclear is the risk factor for the excess showed in digestive tract cancer.

Published
2003

16. [Exposure to PAHs, urinary 1-pyrenol and DNA adducts in samples from a population living at different distances from a steel plant].

Author

Ferri GM, Gallo A, Sumerano M, De Nicoli MR, Izzotti A, Conversano M, Bailardi F, Antonelli G, Crescenzo R, Ricci V, Cassano F, DeMarinis G, Elia G, Corrado V, Lo Izzo A, De Nichilo G, Ferranini A, and Assennato G

Subjects
Female, Humans, Male, Surveys and Questionnaires, DNA Adducts analysis, Environmental Exposure adverse effects, Environmental Exposure analysis, Polycyclic Aromatic Hydrocarbons toxicity, Pyrenes analysis
Abstract

This study aims at measuring association between environmental exposure to PAHs and internal or biologically effective dose biomarkers among 212 individuals living at different distance from the industrial area of Taranto, Italy. Environmental PAH exposure was determined by area monitoring. PAH levels was measured by HPLC UV/FL. Urinary 1-hydroxypyrene levels were measured by HPLC/Fluorescence. The levels of DNA adducts were determined by 32P. post-labelling. A questionnaire was administered to gather personal data, residence, occupational history, alcohol, tobacco smoke, and diet, to control for other sources of exposure to PAH. Blood and urinary samples, drawn from the subjects studied were collected and analysed. A multivariate regression model was used to investigate the influence of several confounding factors. Housing was placed within 1 km from smokestacks in Taranto and Statte, whereas they were more far away in Locorotondo and in Alberobello. The prevalence of current smokers was 31.6%.

Published
2003

17. [Semiautomatic defibrillators at the workplace health service].

Author

de Nichilo G, Carucci MS, Bisceglia L, Gallo A, Di Candia O, and Assennato G

Subjects
Humans, Workplace, Electric Countershock instrumentation, Heart Arrest therapy, Occupational Health
Abstract

Implementation of automated external defibrillators (AEDs) in workplace can help to revive victims of sudden cardiac arrest. The American College of Occupational and Environmental Medicine, the American Heart Association have all issued guidelines for medical management of AED programs. The School of Occupational Health-University of Bari--is currently involved in a programme to be developed with the regional 118 emergency team and the Health Department of Region Apulia aiming at establishing a well controlled use of AED in the workplace.

Published
2003

18. [The experience of the Operative Unit SETIL in Puglia].

Author

L'Abbate N, Acquaviva M, de Nichilo G, Paolino E, Pranzo S, Sivo D, Varraso MG, Magnani C, and Assennato G

Subjects
Child, Child, Preschool, Female, Humans, Italy, Leukemia epidemiology, Male, Electromagnetic Fields adverse effects, Environmental Exposure adverse effects, Leukemia etiology
Abstract

(Epidemiological study on childhood tumors and leukaemia) study is an epidemiological case-control study, conducted in 15 Italian regions, including Apulia, to assess the possible risk of childhood cancer (leukaemia, LNH, and Neuroblastomes) resulting from exposures to electromagnetic fields (EMFs).

Published
2003

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