Oral ingestion of hexavalent chromium through drinking water and cancer mortality in an industrial area of Greece - An ecological study 英文参考文献.docVIP

Oral ingestion of hexavalent chromium through drinking water and cancer mortality in an industrial area of Greece - An ecological study 英文参考文献.doc

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Oral ingestion of hexavalent chromium through drinking water and cancer mortality in an industrial area of Greece - An ecological study 英文参考文献

Linosetal.EnvironmentalHealth2011,10:50 /content/10/1/50 RESEARCH OpenAccess Oralingestionofhexavalentchromiumthrough drinkingwaterandcancermortalityinan industrialareaofGreece-Anecologicalstudy AthenaLinos1,2*,AthanassiosPetralias1,2,3,CostasAChristophi4,5,6,EleniChristoforidou1,ParaskeviKouroutou1, MelinaStoltidis1,AfroditiVeloudaki1,2,EvangeliaTzala7,KonstantinosCMakris4,5 andMargaretRKaragas8 Abstract Background:Hexavalentchromiumisaknowncarcinogenwheninhaled,butitscarcinogenicpotentialwhen orallyingestedremainscontroversial.Watercontaminatedwithhexavalentchromiumisaworldwideproblem, makingthisaquestionofsignificantpublichealthimportance. Methods:WeconductedanecologicalmortalitystudywithintheOinofitaregionofGreece,wherewaterhasbeen contaminatedwithhexavalentchromium.Wecalculatedgender,age,andperiodstandardizedmortalityratios (SMRs)foralldeaths,cancerdeaths,andspecificcancertypesofOinofitaresidentsoveran11-yearperiod(1999- 2009),usingthegreaterprefectureofVoiotiaasthestandardpopulation. Results:Atotalof474deathswereobserved.TheSMRforallcausemortalitywas98(95%CI89-107)andforall cancermortality114(95%CI94-136).TheSMRforprimarylivercancerwas1104(95%CI405-2403,p-value 0.001).Furthermore,statisticallysignificantlyhigherSMRswereidentifiedforlungcancer(SMR=145,95%CI100- 203,p-value=0.047)andcancerofthekidneyandothergenitourinaryorgansamongwomen(SMR=368,95%CI 119-858,p-value=0.025).ElevatedSMRsforseveralothercancerswerealsonoted(lip,oralcavityandpharynx344, stomach121,femalebreast134,prostate128,andleukaemias168),butthesedidnotreachstatisticalsignificance. Conclusions:ElevatedcancermortalityintheOinofitaareaofGreecesupportsthehypothesisofhexavalent chromiumcarcinogenicityviatheoralingestionpathwayofexposure.Furtherstudiesareneededtodetermine whetherthisassociationiscausal,andtoestablishpreventiveguidelinesandpublichealthrecommendations. Background Atthecellularlevel,Cr(VI)isahighlyactivecarcino- Hexavalent chromium Cr(VI) is recognized by the gen [3,4]. A key is

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