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Social sexual inequality and sex difference in cancer incidence.

Socioeconomic factors play many roles in influencing health including overall health status, lifestyle and occupational exposures, and access to preventive, diagnostic and treatment services. This paper reviews evidence on the geographical distribution of the sex differences in cancer incidence and life expectancy. The analyses reported are at the regional (Italy), continental (Europe), and world-wide scales. In agreement with other contributions on the social epidemiology of cancer, these results indicate that there is a close link between the health of the populations, and socioeconomic and cultural factors, and support the notion that environment contributes strongly to total cancer incidence. Thus, the emphasis for reducing cancer incidence needs to focus more on reducing environmental contributions. In order to improve the health status of the populations, not only applications of the present etiologic knowledge are necessary (for example, it is estimated that around up to 50% of cancers are nowadays technically preventable), but also further research on environmental topics should be stimulated. Within this perspective the indicators of health differences between genders-which are demonstrated to be very sensitive to socioeconomic and cultural factors--can play a very useful role for monitoring environmental factors, and for health planning by agencies and governments.

Demography↗

Earth life support for aquatic organisms, system and technical aspects.

The importance of the research on Bioregenerative Life Support has increased dramatically in the last decade not only with regard to possible space flight application but also as a way to obtain a better understanding of our Earth's ecology. A major goal was to reach long-term stability of artificial model systems. Preliminary data are presented on the development of an improved aquatic system, currently dedicated for ground-based research. Closed aquatic ecosystems require reliability of the key parameters of pH, O2 and CO2 concentration and stability of sensors for monitoring. Besides the integration of an artificial lung (holofiber system and air pump with valves, allowing controlled oxygen uptake of air), in parallel to the oxygen producing water plants. Our new approach is to implement opto-chemical sensors, for such environmental monitoring. One major advantage of the new sensor technique is their better long-term reliability as compared to the electrochemical sensors. Our experiment with the new sensor technique has demonstrated satisfactory performance in closed aquatic ecosystems.

Animals↗

Hazard surveillance in occupational disease.

We have reviewed existing data sources available for conducting hazard surveillance. Both the NIOSH NOHS/NOES and the OSHA IMIS can have significant value for hazard surveillance that is designed both to establish priorities for various preventive strategies--including intervention, research, and planning--and to complement disease surveillance. These systems also have certain limitations that affect their overall value in these regards. We have proposed alternative hazard surveillance systems that would expand the database on actual exposures in the workplace by requiring that industry systematically conduct environmental monitoring for defined substances and then provide the data to OSHA and NIOSH for use in hazard surveillance.

Environmental Monitoring↗

[The prevention of occupational exposure to anesthetics: the standards aspects].

Prevention of damage of occupational exposure to anaesthetic gases and vapors consists in limitation of pollution and in biological and environmental monitoring. Reduction of polluting concentrations can be obtained only by using both ventilation of the operating room and active scavenging; proper behaviour in accordance with prevention rules and psychologic involvement of personnel is also needed. Biological and environmental measurements are useful in order to evaluate the efficiency of prevention and to early detected overexposures. Acts and regulations in force at present in Italy and technical specifications concerning this problem are than reviewed. The author notices that in many cases, standards dealing with requirements to be satisfied should be established before performance standards; at any rate, regulations should also be more compulsive.

Air Pollutants, Occupational↗

Environmental genotoxicity assessment of an urban stream using freshwater planarians.

Pollution is a major concern in urban areas. Due to its biological significance, genotoxicity should be a main focus for pollution biomonitoring, due mainly to the increasing complexity of the chemical environment in which organisms are exposed. Diluvio's Basin (Porto Alegre, RS, Brazil) is a heavily polluted urban ecosystem impacted by urban wastewater. Planarians are useful organism for evaluating environmental genotoxicity because of their high sensitivity, low cost, high proliferative rate and also because of their basal evolutionary position in relation to complex metazoans. Comet assay is a powerful and highly sensitive method of evaluating primary DNA lesions. Based on the unique features of planarians and the current environmental state of Diluvio's Basin, the aim of this work was to evaluate the genotoxic potential of this body of water using comet assay in planarians. Planarians were exposed to the water for 13 days in a laboratory and comet assay was performed in order to screen possible DNA damages. The results indicated an increasing gradient of damage towards basin's mouth. Such a gradient could be related to the gradual increase of pollutants among the different sample sites. Moreover, there seems to be a correlation between the urbanization gradient that exists within the watershed and the genotoxicity. Historical physical-chemical data was also gathered and examined for possible correlations with genotoxicity. Comet assay in planarians is a very promising test for environmental monitoring studies. Its application should be expanded.

Animals↗

Induction of glutathione-S-transferases in primary cultured digestive gland acini from the mollusk bivalve Pecten maximus (L.): application of a new cellular model in biomonitoring studies.

In the last three decades, marine invertebrates have been used to monitor environmental health conditions and potential pollution, e.g. in the Mussel Watch Program. The whole animal or specific organs are used to determine contamination levels and disturbances. In the present study, a new in vitro cell culture model was validated for pollution monitoring. A commercial species, the scallop Pecten maximus, was tested for the presence and induction of phase II glutathione-S-transferase (GST) enzymes. These activities were monitored for a year, and the results were found to be consistent with those in the literature. Tributyltin, ethylmethane sulfonate and the water-soluble fraction of crude oil were assayed in, in vitro induction studies. A rapid increase of GST activities was observed within 24 h with all compounds tested, and a time- as well as a dose-response was established. This in vitro cell culture model seems suitable for routine use to predict the effects of pollutants on whole organisms within an ecosystem and in fisheries.

Animals↗

A survey of urinary hippuric acid and subjective symptoms among occupational low toluene exposed workers.

Biological monitoring of toluene exposure by urinary hippuric acid determination and a subjective symptom survey by self-administered questionnaire were performed in 20 workers at low toluene exposure in factories to evaluate the health hazard including dysfunction of nervous system. Environmental monitoring was carried out using toluene gas detection tubes. Urine samples were collected three times a day in order to measure hippuric acid: first before the commencement of work, then at the end of forenoon work, and lastly at the end of afternoon work. Toluene vapor concentrations of throughout the workday ranged from 15.3 to 31.4 ppm. The urinary hippuric acid concentrations correlated with the toluene concentrations of ambient air (r = 0.58, p = 0.01). The subjective symptoms increased in close association with the exposure to toluene; the prevalence rate of subjective symptoms "during work" in the exposed group was 15 times higher than the rate of the non-exposed group (p < 0.0001). The prevalence rate of subjective symptoms "off-work" in the exposed group was 2.4 times higher than the rate of the non-exposed group (p < 0.0001), and also the prevalence rate of "nineteen symptoms off-work which are apparently related to central nervous system (CNS) and autonomic nervous system (ANS)" in the exposed group was 1.8 times higher than the rate of the non-exposed group (p < 0.05). From these results, these subjective symptoms, which have been believed to be complained in high organic solvent exposure should be reassessed and reconsidered in evaluating the nervous system dysfunction and local irritation in relatively low toluene exposed workers.

Adult↗

Estimating environmental exposures to sulfur dioxide from multiple industrial sources for a case-control study.

This paper first discusses how population exposures to environmental pollutants are estimated from environmental monitoring data and the problems that are encountered in estimating risk from pollutants on the basis of ecologic studies. We then present a technique of estimating individualized exposures to an atmospheric pollutant, sulfur dioxide (SO2), through atmospheric transport modeling for a case-control study. The transport model uses the quantities of SO2 released from 30 geographically identified industrial facilities and meteorological data (wind speed and direction) to predict the downwind ground-level concentrations of SO2 at geographically identified residences, receptors, of 797 study subjects. A distribution of facility SO2 emissions, uncertainties in effective stack height, and model uncertainty are incorporated to examine the uncertainty in the predicted versus ambient monitoring SO2 levels, and to generate an exposure uncertainty distribution for both the cases and controls. The transport model's accuracy is evaluated by comparing recorded ambient measurements of SO2 with the model's predicted SO2 estimates at geographically identified ambient monitoring stations.

Air Pollutants↗

Collaborative study to improve the quality control of rare earth element determinations in environmental matrices.

In order to control the quality of rare earth determinations in environmental matrices, the Standards, Measurements and Testing Programme (formerly Community Bureau of Reference, BCR) of the European Commission has started a project, the final aim of which is to certify four types of matrices (tuna muscle, mussel tissue, aquatic plant and estuarine sediment) for their contents of a range of rare earth elements (Sc, Y and the lanthanides: La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm, Yb and Lu). The elements U and Th were added to the study. The first part of this project consisted of an interlaboratory study which aimed to test the feasibility of preparation of environmental reference materials and to detect and remove most of the pitfalls observed in rare earth determinations. This paper presents the preparation of the four matrices for the intercomparison study and for the candidate reference material. The main results are presented of the interlaboratory study that was carried out prior to the certification campaign. This collaborative trial is the first attempt ever carried out at this scale to evaluate the state-of-the-art of rare earth determinations in the environment. Its impact on the improvement of chemical measurements will have positive effects on the comparability of data necessary for environmental monitoring.

Chemistry Techniques, Analytical↗

Simulation and trend analysis of the water quality monitoring daily data in Nestos River Delta. Contribution to the sustainable management and results for the years 2000-2002.

The transboundary River Nestos in the Balkan Peninsula is a surface water resource shared by Hellas and Bulgaria. The Public Power Corporation of Hellas (DEH) proceeded to the dams' construction of Thesaurus in 1997 and Platanovrissi in 2000, to satisfy the increased needs for power production and irrigation in the Regions of Eastern Macedonia and Thrace in the Hellenic Territory. DEH following the Ministerial Agreement of the Hellenic Parliament ';KYA 18492/19-09-1996'' funded a series of Research Projects concerned on the monitoring of the water quantity and quality data of Nestos from the Hellenic-Bulgarian borders to its estuaries in the Thracian sea. ';PERSEAS'' Research Group from Aristotle University of Thessaloniki, carried out the research, design, construction, installation, operation and maintenance of the ';R.E.MO.S.'' (Remote Environmental MOnitoring System) networks. Three REMOS networks have been installed in the areas of (a) the River Nestos deltaic channel, (b) Thesaurus dam-lake in the intramountainous valley and (c) Potamoi (Despat) and Pagoneri (Nestos) villages close to the borders between Hellas and Bulgaria. They record water level (H), water and air temperature (T), water conductivity (ECw), Redox potential (RP) and dissolved oxygen (DO) on a 24h basis, since the beginning of the year 2000. The research carried out in this paper, is focused on the REMOS station in the final course of Nestos in the deltaic area. The continuous monitoring and the data analysis yield useful results for the quality and quantity of the hydrologic regime of Nestos after the dams' construction, as well as for the trends detected of the quality parameters (ECw, RP and DO) and the water level, using the nonparametric Spearman's criterion. The best fitted model of time trend, for each variable, was chosen. The statistical sample of each one of the quality variables consisted of about 1000 values based on daily measures on a three years monitoring program (1/1/2000-31/12/2002). Further research and analysis for the other network stations of REMOS should provide useful results for the sustainable management of the transboundary River Nestos.

Air↗

Biomarkers of human exposure to pesticides.

For centuries, several hundred pesticides have been used to control insects. These pesticides differ greatly in their mode of action, uptake by the body, metabolism, elimination from the body, and toxicity to humans. Potential exposure from the environment can be estimated by environmental monitoring. Actual exposure (uptake) is measured by the biological monitoring of human tissues and body fluids. Biomarkers are used to detect the effects of pesticides before adverse clinical health effects occur. Pesticides and their metabolites are measured in biological samples, serum, fat, urine, blood, or breast milk by the usual analytical techniques. Biochemical responses to environmental chemicals provide a measure of toxic effect. A widely used biochemical biomarker, cholinesterase depression, measures exposure to organophosphorus insecticides. Techniques that measure DNA damage (e.g., detection of DNA adducts) provide a powerful tool in measuring environmental effects. Adducts to hemoglobin have been detected with several pesticides. Determination of chromosomal aberration rates in cultured lymphocytes is an established method of monitoring populations occupationally or environmentally exposed to known or suspected mutagenic-carcinogenic agents. There are several studies on the cytogenetic effects of work with pesticide formulations. The majority of these studies report increases in the frequency of chromosomal aberrations and/or sister chromatid exchanges among the exposed workers. Biomarkers will have a major impact on the study of environmental risk factors. The basic aim of scientists exploring these issues is to determine the nature and consequences of genetic change or variation, with the ultimate purpose of predicting or preventing disease.

Biomarkers↗

Trace metal concentrations and susceptibility to oxidative stress in the polychaete Sabella spallanzanii (Gmelin) (Sabellidae): potential role of antioxidants in revealing stressful environmental conditions in the Mediterranean.

The polychaete Sabella spallanzanii (Gmelin) (Sabellidae) is a widely distributed species throughout the Mediterranean where it is commonly found in sheltered shallow areas and up to 30 m depth in more exposed waters. The sedentary habit, the filter-feeding behavior and its capability to colonize disturbed environments such as harbors, suggest the potential utility of this organism as a bioindicator in environmental monitoring programs. The aim of this work was a preliminary characterization of S. spallanzanii, integrating chemical data on trace metal concentrations with the biochemical analysis of antioxidant defenses which play an important role in mediating responses and adaptation to stressful environmental conditions. Organisms were collected in four locations of the Adriatic and Tyrrhenian Sea, characterized by a moderate impact or influenced by organic enrichment or sulphuric emissions. Trace metal concentrations (Cd, Cr, Cu, Fe, Mn, Ni, Pb, Zn) were comparable to those of other invertebrate species and quite typical for unpolluted environments. Analyses of individual antioxidants (superoxide dismutase, catalase, glutathione peroxidases, glutathione S-transferases, glutathione reductase) were integrated with measurement of the total oxyradical scavenging capacity toward specific forms of ROS; the TOSC assay, quantifying the overall capability of a tissue to neutralize specific reactive oxygen species provide a more integrated picture of the balance between prooxidant factors and antioxidant defenses, with important indications about the role of different ROS in appearance of oxidative disease. The antioxidant profile was influenced by the different physiological functions of the analyzed tissues, namely the branchial crown, involved in filtration of large volumes of seawater, and the thorax where digestive processes occur. The analysis of antioxidant defenses revealed significant variations in polychaetes from various sampling sites suggesting the influence of specific environmental conditions like those limiting oxygen availability. Our results confirm the role of antioxidants in adaptation to stressful environmental conditions and their importance in ecotoxicological studies for the sensitivity in revealing the occurrence of biological disturbance.

Animals↗

Exhaled nitric oxide: a novel biomarker of adverse respiratory health effects in epidemiological studies.

The sampling of exhaled breath is a noninvasive procedure that can be performed easily in adults, children, and patients with respiratory disease. Several studies have demonstrated increased exhaled nitric oxide in patients with pulmonary disease, including asthma. In addition, exhaled nitric oxide may be an elegant tool for monitoring of environmental health effects of air pollution and the prevalence of atopy in epidemiological surveys. Recent literature about exhaled nitric oxide is presented in this article. Technical, physiological, and behavioral confounding factors of exhaled nitric oxide measurement are outlined.

Biomarkers↗

[Devices for the reduction of N2O pollution during conscious sedation in dentistry].

We considered data of environmental monitoring during three working days in a dentist's office who habitually employs nitrous oxide (N2O): conscious sedation is used to alleviate anxiety and to diminish or eliminate dental pain. Three different nose masks were tested to determine influence on environmental pollution by N2O. The study shows that the levels of N2O always remains low with the use of proper dental procedures, although the chose of the type of nose mask can further diminish air pollution and the exposure of dental personnel.

Air Pollution, Indoor↗

An inventory of human exposure-related data bases.

An inventory of Federally-sponsored data bases, which either have been or could be used to estimate human exposures to environmental agents, was compiled through a joint effort by the Environmental Protection Agency (EPA), the National Center for Health Statistics (CDC-NCHS), and the Agency for Toxic Substances and Disease Registry (ATSDR). The inventory includes sixty-seven exposure-related data systems that meet the following criteria: cover a relatively large geographical area (e.g., national, state); provide reasonable access to information; and are supported, at least in part, by Federal funds. Findings allow for comparison of data bases according to 1) exposure estimators (e.g., emission estimates, environmental measurements), 2) sample types (e.g., air, water soil, food, human tissue), 3) measured/observed parameters (e.g., pesticides, PCBs, microorganisms), 4) geographic scope (e.g., national, regional, state), 5) sample collection frequency (e.g., yearly, quarterly, daily), and 6) sample location identifiers (e.g., latitude/longitude, zip code, county). Results indicate that existing data bases were established for a variety of reasons (e.g., regulatory compliance, research, monitor environmental conditions, legal requirements) and contain information which varies widely in terms of quality, relevance, and availability. Although the inventory identifies many potential sources of information, it also highlights significant shortcomings in the available systems, including an almost complete absence of data on contact between people and environmental agents (human exposure) and on the amount of the agent that is absorbed into the body (dose).

Data Collection↗

Environmental cancer in the Indian context--an overview.

Problems related to environmental carcinogenesis have begun to surface with increased industrial activity and diffusion of hazardous chemicals. Cancer Registries maintained in some of our cities can help in retrospectively analysing incidence and related aetiology. Even a casual analysis of the existing data related aetiology. Even a casual analysis of the existing data belies the oversimplicity of the WHO model used in developing countries to asign lower priority to cancer prevention and control than to communicable diseases. Exposure data to environmental inducers of cancer, radiations, chemicals and other stresses is urgently needed. Prevention strategy should be more and more on a scientific base for an early detection and risk estimates of chemical exposures. Sustained environmental monitoring for inducers and cofactors are required. The Factory Act must make provision for appropriate health surveillance of workers over a long period.

Carcinogens, Environmental↗

Proof of safety vs proof of hazard.

This paper refines and extends the work of Bross (1985, Biometrics 41, 785-793). One method to determine whether an environment is safe or hazardous is to frame the problem in the context of hypothesis testing. Any "proof" of safety or hazard will depend on the size of both the Type I and Type II errors associated with the test. Many past environmental monitoring programs, however, have ignored the power of the design, regardless of whether the objective was proof of safety or hazard.

Accident Prevention↗

[New biomarkers of exposure].

In this paper we have defined the new biomarkers of exposure (NBE) as those biomarkers discovered in the last five years and, among previously validated biomarkers, also those applied in different ranges of doses or those determined in biological matrices which differ from matrices originally considered. We examined the results from the surveys carried out by the main Italian research units involved in biological monitoring, i.e. those from the Universities of Brescia, Milan, Naples, Padua, Parma, Pavia, Turin and Verona. The data were collected using a standardized model and included the following: type of element or organic compound, type of biomarker, analytical technique and method, their relationship with environmental monitoring data, their relationship with effect indicators or effects in general, improvement with respect to old biomarkers, reference values. Twenty two NBEs were identified: 14 elements and chemical compounds as such or as metabolites, 4 examples of mixtures, 3 of new matrices, one of speciation. Among the others, aspects such as interest in requiring NBE, quality assurance, availability, cost-benefit ratio were discussed. We conclude that development of this specific field of research appears to be a crucial point for future improvement in risk assessment and health surveillance procedures.

Animals↗