2018
DOI: 10.1016/j.envint.2017.10.014
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Estimating the risk of bladder and kidney cancer from exposure to low-levels of arsenic in drinking water, Nova Scotia, Canada

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Cited by 93 publications
(46 citation statements)
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“…For instance, most of the current frameworks used to regulate arsenic exposure in drinking water have been derived from studies performed in specific populations exposed to high levels of arsenic, such as Bangladesh, Chile, and China [9,133,134]. However, an increased risk of arsenic-related health effects (including cancer) has been documented at levels below current safety thresholds that are commonly found in water sources throughout North America and Europe [7]. Thus, characterizing the effects of these agents at the genomic/epigenomic level will not only aid in determining the oncogenes that are perturbed in environmentally-induced lung cancers, but may also uncover early molecular events that can be used as diagnostic and prognostic markers.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…For instance, most of the current frameworks used to regulate arsenic exposure in drinking water have been derived from studies performed in specific populations exposed to high levels of arsenic, such as Bangladesh, Chile, and China [9,133,134]. However, an increased risk of arsenic-related health effects (including cancer) has been documented at levels below current safety thresholds that are commonly found in water sources throughout North America and Europe [7]. Thus, characterizing the effects of these agents at the genomic/epigenomic level will not only aid in determining the oncogenes that are perturbed in environmentally-induced lung cancers, but may also uncover early molecular events that can be used as diagnostic and prognostic markers.…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, the molecular aberrations associated with these compounds and the onset of lung cancer in never-smokers follows a mechanism distinct from that of tobacco smoke [5]. While strict guidelines regarding exposure to these compounds have been implemented in some regions, mounting evidence suggests that carcinogenic effects may result from chronic exposure to environmental levels that are well below those currently deemed "safe" [6,7]. Additionally, individual differences may contribute to varying degrees of susceptibility to the carcinogenic effects of these compounds.…”
Section: Introductionmentioning
confidence: 99%
“…Association and risk of occupational exposure for KCa distribution Table 5shows socio demographic distribution as mean age from all studies was 56.45±17.6 and male were majority with average percentage of 95.3% and about 42.5% were smokers. Table 6 and Figure 4 shows association and risk of occupational exposure for renal cancer distribution.Peters et al 20 (OR 1.63, 95% CI: 1.33-1.96), Saint-Jacques et al 22 (OR 1.808, 95% CI: 1.34-2.43) and Michelek et al 23 (OR 1.842, 95% CI: 1.53-2.18) showed significant risk but Michelek et al 23 (OR 0.81, 95% CI: 0.71-1.15 ), Zaitsu et al 19 (OR 1.04,95% CI: 0.96-1.12) and Callahan et al 24 (0.95, 95% CI: 0.84-1.37 ) showed no significant risk or association. After analysis of multiple paper regarding the association between KCa and different occupational exposure we found no significant association (OR 1.04, 95% CI:0.94-1.34).…”
Section: Categorical Meta-analysis Findingsmentioning
confidence: 97%
“…For the studies that investigated the association of occupational exposure and risk of KCa; there were 4 case control studies, 17,20,21,24 3 cohort studies18, 19,23 and 1 ecological study 22 they were all population based studies. For the studies that investigated the association of occupational exposures and risk of bladder cancer; there were 5 case control studies, 26,30,31,34,35 3 cohort studies, 25,28,33 2 cross sectional studies, 27,29 and 1 social perspective.…”
Section: Quality Assessment Of Studiesmentioning
confidence: 99%
“…A rsenic contamination represents a growing public health concern in numerous countries across the globe (Mukherjee et al 2006; Uddin and Huda 2011; Alarcón‐Herrera et al 2013; Huang et al 2015; Ayotte et al 2017; Hsu et al 2017; Malloch et al 2017; Saint‐Jacques et al 2018; Zeng et al 2018). It has been responsible for some of the most devastating natural mass poisoning incidents in recent times, according to the World Health Organization (WHO) (Flanagan et al 2012), and represents a looming threat as concerns about water security and water shortages increase (IPCC 2013, 2014).…”
mentioning
confidence: 99%