2008
DOI: 10.1136/oem.2007.037895
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Lung cancer and exposure to arsenic in rural Bangladesh

Abstract: Among Bangladeshis who smoke, those whose drinking water is contaminated with arsenic at concentrations >100 mug/l are at increased risk of lung cancer. With high levels of exposure misclassification and short latency of exposure, the study cannot estimate or exclude the likely long term risk in non-smokers and at lower arsenic concentrations.

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Cited by 71 publications
(65 citation statements)
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“…Possible reasons for this difference are that all cohort subjects had occupational radon and arsenic exposure history, and most were male and smokers. Lung cancer cases in other studies conducted in radon or arsenic exposed populations show a similar histological distribution [21,22]. Animal experimental studies have also shown that most lung cancer among rats which inhaled radon was squamous carcinoma [23].…”
Section: Discussionmentioning
confidence: 94%
“…Possible reasons for this difference are that all cohort subjects had occupational radon and arsenic exposure history, and most were male and smokers. Lung cancer cases in other studies conducted in radon or arsenic exposed populations show a similar histological distribution [21,22]. Animal experimental studies have also shown that most lung cancer among rats which inhaled radon was squamous carcinoma [23].…”
Section: Discussionmentioning
confidence: 94%
“…Increased exposure of arsenic concomitantly increased the susceptibility of lung cancer both in smokers and non-smokers (Järup and Pershagen, 1991). For the most part, smoking cigarettes prominently increased the risk of lung cancer (Chen et al, 2004;Mostafa et al, 2008). However, a recent study showed no such interaction between smoking and arsenic induced lung cancer (Heck et al, 2009).…”
Section: Lungsmentioning
confidence: 94%
“…Moreover, dose and duration of arsenic exposure critically influences growth retardation and fetal death (Golub et al, 1998;Tabocova et al, 1996). 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 (Cherry et al, 2008). In an arsenic endemic area at Northeastern Taiwan has shown an association between drinking well water with arsenic contamination (range 0.15−3585µg/L) and preterm delivery (although not significant) along with low birth weight (Yang et al, 2003).…”
Section: Effects Of Arsenic On Reproductive System and Developmentmentioning
confidence: 95%
“…Among patients referred for a lung biopsy in Bangladesh, those diagnosed with malignant lung tumors had higher well water arsenic concentrations than those diagnosed with benign conditions (e.g. inflammatory or tubular disease), but only among smokers (Mostafa et al, 2008), while the ORs were only statistically significant for arsenic above 100 μg/L compared to less than 10 μg/L (OR = 1.65; 95 % CI = 1.25-1.68 for smokers only), there was evidence of a dose-related increase. A limitation of this study is the reliance on patients with suspicious lung lesions on chest x-ray as controls (i.e.…”
Section: Lung Cancermentioning
confidence: 99%