Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1998-1-15
pubmed:abstractText
Dioxin (2,3,7,8-tetrachlorodibenzo-para-dioxin, or TCDD) is a powerful carcinogen in experimental animals, whereas the evidence in humans is limited. We examined cancer mortality from 1976 to 1991 among residents of Seveso, Italy, which was highly contaminated after an industrial accident. The area was divided into zones with decreasing exposure to dioxin (A = highest, B = lower, R = lowest). The population of a surrounding noncontaminated area was used as a reference group. Zone A was small (11,516 person-years); in that zone, we saw a moderate increase in mortality from digestive cancer among women [relative risk (RR) = 1.5; 95% confidence interval (CI) = 0.5-3.5]. In zone B, we also saw excesses at digestive sites (83,610 person-years), 10 years after the accident. Women had an increased mortality from stomach cancer (RR = 2.4; 95% CI = 0.8-5.7), and men had increased mortality from rectal cancer (RR = 6.2; 95% CI = 1.7-15.9). Hematologic neoplasms were increased. The highest risks were seen in zone B for leukemia in men (RR = 3.1; 95% CI = 1.3-6.4), multiple myeloma in women (RR = 6.6; 95% CI = 1.8-16.8), and Hodgkin's disease in both genders (RR = 3.3; 95% CI = 0.4-11.9 in men; and RR = 6.5; 95% CI = 0.7-23.5 in women). Soft tissue sarcoma was elevated only among zone R males (256,408 person-years; RR = 2.1; 95% CI = 0.6-5.4). We found no increase for all-cancer mortality or major specific sites (for example, respiratory among males, breast among females). The specific excesses that we observed were not explained by bias or confounding, and their association with dioxin exposure is plausible. The follow-up is continuing.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1044-3983
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
646-52
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:9345664-Accidents, pubmed-meshheading:9345664-Adolescent, pubmed-meshheading:9345664-Adult, pubmed-meshheading:9345664-Age Distribution, pubmed-meshheading:9345664-Aged, pubmed-meshheading:9345664-Carcinogens, pubmed-meshheading:9345664-Cause of Death, pubmed-meshheading:9345664-Chemical Industry, pubmed-meshheading:9345664-Child, pubmed-meshheading:9345664-Child, Preschool, pubmed-meshheading:9345664-Confidence Intervals, pubmed-meshheading:9345664-Cross-Sectional Studies, pubmed-meshheading:9345664-Environmental Exposure, pubmed-meshheading:9345664-Female, pubmed-meshheading:9345664-Follow-Up Studies, pubmed-meshheading:9345664-Gastrointestinal Neoplasms, pubmed-meshheading:9345664-Hematologic Neoplasms, pubmed-meshheading:9345664-Humans, pubmed-meshheading:9345664-Italy, pubmed-meshheading:9345664-Male, pubmed-meshheading:9345664-Middle Aged, pubmed-meshheading:9345664-Neoplasms, pubmed-meshheading:9345664-Regression Analysis, pubmed-meshheading:9345664-Risk, pubmed-meshheading:9345664-Sex Distribution, pubmed-meshheading:9345664-Single-Blind Method, pubmed-meshheading:9345664-Tetrachlorodibenzodioxin, pubmed-meshheading:9345664-Time Factors
pubmed:year
1997
pubmed:articleTitle
Dioxin exposure and cancer risk: a 15-year mortality study after the "Seveso accident".
pubmed:affiliation
EPOCA Epidemiology Research Center, University of Milan, Italy.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't