Abstract
BackgroundRecords kept as a result of the implementation of Integrated Pollution Prevention and Control (IPPC) and the European Pollutant Release and Transfer Register (E-PRTR) constitute a public inventory of industries, created by the European Commission, which is a valuable resource for monitoring industrial pollution. Our objective is to ascertain whether there might be excess colorectal cancer mortality among populations residing in the vicinity of Spanish industrial installations that are governed by the IPPC Directive and E-PRTR Regulation and report their emissions to air.MethodsAn ecological study was designed to examine colorectal cancer mortality at a municipal level (8098 Spanish towns), over the period 1997–2006. We conducted an exploratory "near vs. far" analysis to estimate the relative risks (RR) of towns situated at a distance of less than 2 km from industrial installations. The analysis was repeated for each of the 24 industrial groups. RR and their 95% credible/confidence intervals (95%CI) were estimated on the basis of Poisson regression models, using two types of modelling: a) the conditional autoregressive Bayesian model proposed by Besag, York and Mollié, with explanatory variables; and b) a mixed regression model. Integrated nested Laplace approximations were used as a Bayesian inference tool.ResultsStatistically significant RRs were detected in the vicinity of mining industry (RR 1.258; 95%CI 1.082 - 1.463), paper and wood production (RR 1.071; 95%CI 1.007 – 1.140), food and beverage sector (RR 1.069; 95%CI 1.029 - 1.111), metal production and processing installations (RR 1.065; 95% CI 1.011 – 1.123) and ceramics (RR 1.050 ; 95%CI 1.004 – 1.099).ConclusionsGiven the exploratory nature of this study, it would seem advisable to check in other countries or with other designs, if the proximity of industries that emit pollutants into the air could be an added risk factor for colorectal cancer mortality. Nevertheless, some of the differences between men and women observed in the analyses of the industrial groups suggest that there may be a component of occupational exposure, little-studied in the case of cancers of the digestive system.
Highlights
Records kept as a result of the implementation of Integrated Pollution Prevention and Control (IPPC) and the European Pollutant Release and Transfer Register (E-PRTR) constitute a public inventory of industries, created by the European Commission, which is a valuable resource for monitoring industrial pollution
Little attention has been paid to factors, such as occupational exposures and environmental and industrial pollution, exposures which have evolved in parallel to the incidence of these tumours, with publications on the topic being few and, in many cases, rather inconclusive
There is no scientific evidence to show that listed carcinogens are associated with colorectal neoplasms in humans, perhaps with the exception of dioxins, furans and polychlorinated biphenyls, regarded as multi-site carcinogens and a source of food contamination [26]
Summary
Records kept as a result of the implementation of Integrated Pollution Prevention and Control (IPPC) and the European Pollutant Release and Transfer Register (E-PRTR) constitute a public inventory of industries, created by the European Commission, which is a valuable resource for monitoring industrial pollution. In Spain [2] and other developed countries [3] there has been an increase in incidence due to this type of cancer, which has been attributed to changes in the dietary habits of the Spanish population, including higher consumption of sugar and red and processed meat, lower consumption of fibre [4], and less physical activity. This incidence trend is in sharp contrast to that of mortality, inasmuch as the latter changed in 1997–1998 and led to a subsequent decline in mortality rates across the sexes [2]. Little attention has been paid to factors, such as occupational exposures and environmental and industrial pollution, exposures which have evolved in parallel to the incidence of these tumours, with publications on the topic being few and, in many cases, rather inconclusive
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
