Risk of Adverse Reproductive Outcomes Associated with Proximity to Municipal Solid Waste Incinerators with High Dioxin Emission Levels in Japan

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概要

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• BACKGROUND: Great public concern about health effects of dioxins emitted from municipal solid waste incinerators has increased in Japan. This paper investigates the association of adverse reproductive outcomes with maternal residential proximity to municipal solid waste incinerators.METHODS: The association of adverse reproductive outcomes with mothers living within 10 km from 63 municipal solid waste incinerators with high dioxin emission levels (above 80 ng international toxic equivalents TEQ/m3) in Japan was examined. The numbers of observed cases were compared with the expected numbers calculated from national rates adjusted regionally. Observed/expected ratios were tested for decline in risk or peak-decline in risk with distance up to 10 km.RESULTS: In the study area within 10 km from the 63 municipal solid waste incinerators in 1997-1998, 225, 215 live births, 3, 387 fetal deaths, and 835 infant deaths were confirmed. None of the reproductive outcomes studied here showed statistically significant excess within 2 km from the incinerators. However, a statistically significant peak-decline in risk with distance from the incinerators up to 10 km was found for infant deaths (p=0.023) and infant deaths with all congenital malformations combined (p=0.047), where a “peak” is detected around 1-2 km.CONCLUSION: Our study shows a peak-decline in risk with distance from the municipal solid waste incinerators for infant of deaths and infant deaths with all congenital malformations combined. However, due to the lack of detailed exposure information to dioxins around the incinerators, the observed trend in risk should be interpreted cautiously and there is a need for further investigation to accumulate good evidence regarding the reproductive health effects of waste incinerator exposure.

• 日本疫学会の論文

著者

• FUJITA Toshiharu

  Department of Data Science, Institute of Statistical Mathematics

• MINOWA Masumi

  Department of Epidemiology, the Institute of Public Health

• Kato Noriko

  Department Of Pathology Yamagata University School Of Medicine

• DOI Yuriko

  Department of Epidemiology, National Institute of Public Health

• TANIHATA Takeo

  Department of Epidemiology, National Institute of Public Health

• Tanihata Takeo

  Department Of Epidemiology National Institute Of Public Health

• Minowa M

  Department Of Human Life And Culture Seitoku University

• Minowa Masumi

  Department Of Epidemiology Institute Of Public Health

• TANGO Toshiro

  Department of Epidemiology, The Institute of Public Health

• UCHIYAMA Iwao

  Department of Environmental Hygiene, School of Technology, Kyoto University

• KUNIKANE Shoichi

  Department of Water Supply Engineering, National Institute of Public Health

• TANAKA Masaru

  Graduate School of Natural Science and Technology, Okayama University

• UEHATA Tetsunojo

  Faculty of Humanities, Seitoku University

• Fujita Toshiharu

  Department Of Data Science Institute Of Statistical Mathematics

• Kato Noriko

  Department Of Health Promotion And Research National Institute Of Public Health

• Doi Yuriko

  Department Of Epidemiology National Institute Of Public Health

• Uchiyama I

  National Inst. Public Health Tokyo

• Uchiyama Iwao

  Department Of Environmental Engineering Graduate School Of Engineering Kyoto University

• Tango Toshiro

  Department Of Biostatistics And Technology Assessment National Institute Of Public Health

• Kato Noriko

  Department Of Education And Training Technology Development National Institute Of Public Health

• Doi Yuriko

  Dep. Of Epidemiology National Inst. Of Public Health.

• TANGO Toshiro

  Inst. Public Health

• Tango T

  National Inst. Public Health Saitama Jpn

• Uehata Tetsunojo

  Faculty Of Humanities Seitoku University

• Kunikane Shoichi

  Department Of Water Supply Engineering National Institute Of Public Health

• Uchiyama Iwao

  Department Of Community Environmental Sciences National Instite Of Public Health

• Tanaka Masaru

  Graduate School Of Natural Science And Technology Okayama University

• Tanaka Masaru

  Graduate School Of Agriculture Kyoto University

• Doi Yuriko

  Department Of Education And Training Technology National Institute Of Public Health

• KATO Noriko

  Department of Chemistry, College of Humanities and Sciences, Nihon University

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