Adverse pregnancy outcomes around incinerators and crematoriums in Cumbria, north west England, 1956-93

Dummer, Trevor J.B.; Dickinson, Heather O; Parker, Louise

doi:10.1136/jech.57.6.456

Cited by 72 publications

(55 citation statements)

References 29 publications

(33 reference statements)

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“…Two of these studies reported increased risk of congenital anomalies 19,20 and the remainder found little or no excess risk for such populations. 15,[21][22][23] On the positive, all of these studies 15,[19][20][21][22][23] were multi-centre studies and some used a larger reference group. 19,20 Notably, results from multi-centre studies unlike those from single-centre studies have wider application.…”

Section: Congenital Malformationsmentioning

confidence: 99%

“…15,[21][22][23] On the positive, all of these studies 15,[19][20][21][22][23] were multi-centre studies and some used a larger reference group. 19,20 Notably, results from multi-centre studies unlike those from single-centre studies have wider application. Regrettably, none of the studies 15,[19][20][21][22][23] had mechanisms to address biases arising from possible exposure misclassification.…”

Section: Congenital Malformationsmentioning

confidence: 99%

“…19,20 Notably, results from multi-centre studies unlike those from single-centre studies have wider application. Regrettably, none of the studies 15,[19][20][21][22][23] had mechanisms to address biases arising from possible exposure misclassification. Additionally, a few studies adjusted for age as a potential confounder 19,20 but regrettably negated measuring effect of potential confounders like socio-economic factors.…”

Section: Congenital Malformationsmentioning

confidence: 99%

“…Regrettably, none of the studies 15,[19][20][21][22][23] had mechanisms to address biases arising from possible exposure misclassification. Additionally, a few studies adjusted for age as a potential confounder 19,20 but regrettably negated measuring effect of potential confounders like socio-economic factors. Also, none of these studies pushes back our boundaries of ignorance with regard to the types and quantities of toxic chemicals in the various hazardous landfills studied.…”

Section: Congenital Malformationsmentioning

confidence: 99%

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A systematic critical review of epidemiological studies on public health concerns of municipal solid waste handling

Ncube

Voyi

2016

Perspect Public Health

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Aims:The ultimate aim of this review was to summarise the epidemiological evidence on the association between municipal solid waste management operations and health risks to populations residing near landfills and incinerators, waste workers and recyclers. To accomplish this, the sub-aims of this review article were to (1) examine the health risks posed by municipal solid waste management activities, (2) determine the strengths and gaps of available literature on health risks from municipal waste management operations and (3) suggest possible research needs for future studies. Methods:The article reviewed epidemiological literature on public health concerns of municipal solid waste handling published in the period 1995-2014. The PubMed and MEDLINE computerised literature searches were employed to identify the relevant papers using the keywords solid waste, waste management, health risks, recycling, landfills and incinerators. Additionally, all references of potential papers were examined to determine more articles that met the inclusion criteria. Results:A total of 379 papers were identified, but after intensive screening only 72 met the inclusion criteria and were reviewed. Of these studies, 33 were on adverse health effects in communities living near waste dumpsites or incinerators, 24 on municipal solid waste workers and 15 on informal waste recyclers. Reviewed studies were unable to demonstrate a causal or non-causal relationship due to various limitations. Conclusion:In light of the above findings, our review concludes that overall epidemiological evidence in reviewed articles is inadequate mainly due to methodological limitations and future research needs to develop tools capable of demonstrating causal or non-causal relationships between specific waste management operations and adverse health endpoints.

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Section: Congenital Malformationsmentioning

confidence: 99%

Section: Congenital Malformationsmentioning

confidence: 99%

Section: Congenital Malformationsmentioning

confidence: 99%

Section: Congenital Malformationsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic critical review of epidemiological studies on public health concerns of municipal solid waste handling

Ncube

Voyi

2016

Perspect Public Health

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“…In the north of England, Rankin et al (2009) described a weak positive association between airborne particles measured as black smoke and nervous system abnormalities, and a negative association between exposure to black smoke and SO 2 during the first trimester of pregnancy and cardiac abnormalities. Also in England, Dummer et al (2003) found an increased risk of lethal congenital anomalies (spina bifida and heart defects) in relation to living near incinerators, and an increased risk of fetal death and anencephaly in relation to living near incinerators and crematoriums. Exposure to air pollutants from combustion (SO 2 , NO 2 and PM 10 ) has been associated with tetralogy of Fallot (Dolk et al, 2010).…”

Section: Congenital Malformationsmentioning

confidence: 99%