Cancer incidence in Priolo, Sicily: a spatial approach for estimation of industrial air pollution impact

  • Lucia Fazzo | lucia.fazzo@iss.it Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.
  • Mario Carere Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.
  • Francesco Tisano Cancer Registry of Syracuse Province, Health Unit of Syracuse Province, Syracuse, Italy.
  • Caterina Bruno Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.
  • Achille Cernigliaro Department of Health Services and Epidemiological Observatory, Regional Health Authority, Sicilian Region, Palermo, Italy.
  • Maria Rita Cicero Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.
  • Pietro Comba Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.
  • Maria Luisa Contrino Cancer Registry of Syracuse Province, Health Unit of Syracuse Province, Syracuse, Italy.
  • Marco De Santis Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.
  • Fabrizio Falleni Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.
  • Vincenzo Ingallinella Health Unit of Syracuse Province, Augusta, Italy.
  • Anselmo Madeddu Cancer Registry of Syracuse Province, Health Unit of Syracuse Province, Syracuse, Italy.
  • Ida Marcello National Centre for Chemical Substances, National Institute of Health, Rome, Italy.
  • Carlo Regalbuto Regional Environmental Protection Agency, Sicilian Region, Palermo, Italy.
  • Giovanna Sciacca Cancer Registry of Syracuse Province, Health Unit of Syracuse Province, Syracuse, Italy.
  • Maria Eleonora Soggiu Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.
  • Amerigo Zona Department of Environment and Primary Prevention, National Institute of Health, Rome, Italy.

Abstract

The territory around the industrial Sicilian area of Priolo, Italy, has been defined as a contaminated site (CS) of national priority for remediation because of diffuse environmental contamination caused by large industrial settlements. The present study investigates the spatial distribution of cancer into the CS territory (period 1999-2006). Different geographical methods used for the evaluation of the impact of industrial air pollutants were adopted. Using the database of Syracuse Province Cancer Registry, gender-specific standardised incidence ratios were calculated for 35 tumour sites for the CS overall and for each municipality included in the CS. A cluster analysis for 17 selected neoplasms was performed at micro-geographical level. The identification of the priority index contaminants (PICs) present in environmental matrices and a review of their carcinogenicity have been performed and applied in the interpretation of the findings. The area has a higher cancer incidence with respect to the provincial population, in particular excess is registered among both genders of lung, bladder and breast cancers as well as skin melanoma and pleural mesothelioma and there is an a priori evidence of association with the exposure to PICs. The study highlights the need to provide different approaches in CSs where several exposure pathways might be relevant for the population. The presence of potential sources of asbestos exposure deserves specific concern.

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Author Biographies

Mario Carere, Department of Environment and Primary Prevention, National Institute of Health, Rome
Dept of Environment and Primary Prevention
Caterina Bruno, Department of Environment and Primary Prevention, National Institute of Health, Rome
Dept of Environment and Primary Prevention
Achille Cernigliaro, Department of Health Services and Epidemiological Observatory, Regional Health Authority, Sicilian Region, Palermo
Regional Health Authority, Dept of Health Services and Epidemiological Observatory
Maria Rita Cicero, Department of Environment and Primary Prevention, National Institute of Health, Rome
Dept of Environment and Primary Prevention
Pietro Comba, Department of Environment and Primary Prevention, National Institute of Health, Rome
Dept of Environment and Primary Prevention
Marco De Santis, Department of Environment and Primary Prevention, National Institute of Health, Rome
Dept of Environment and Primary Prevention
Fabrizio Falleni, Department of Environment and Primary Prevention, National Institute of Health, Rome
Dept of Environment and Primary Prevention
Carlo Regalbuto, Regional Environmental Protection Agency, Sicilian Region, Palermo
Regional Environmental Agency
Maria Eleonora Soggiu, Department of Environment and Primary Prevention, National Institute of Health, Rome
Dept of Environment and Primay Prevention
Amerigo Zona, Department of Environment and Primary Prevention, National Institute of Health, Rome
Dept of Environment and Primary Prevention
Published
2016-04-18
Section
Original Articles
Keywords:
Contaminated site, Cancer incidence, Petrochemical, Geographical analysis, Sicily
Statistics
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How to Cite
Fazzo, L., Carere, M., Tisano, F., Bruno, C., Cernigliaro, A., Cicero, M. R., Comba, P., Contrino, M. L., De Santis, M., Falleni, F., Ingallinella, V., Madeddu, A., Marcello, I., Regalbuto, C., Sciacca, G., Soggiu, M. E., & Zona, A. (2016). Cancer incidence in Priolo, Sicily: a spatial approach for estimation of industrial air pollution impact. Geospatial Health, 11(1). https://doi.org/10.4081/gh.2016.320