Reviews on Environmental Health

Our medical research library holds 13 studies published in Reviews on Environmental Health (1991–2021). Each entry links to the study's record on PubMed and, where there is one, to the publisher's page and a free full text. 13 have an abstract, the authors' own summary as PubMed records it: open "Abstract" to read it.

About the journal

• Publisher: Walter de Gruyter
• Published: 1972 to the present, Germany
• Language: English
• ISSN: 0048-7554 (print), 2191-0308 (electronic)
• Its record in the NLM Catalog

2020s

• Evaluation of potential gastrointestinal carcinogenicity associated with the ingestion of asbestos. T.J. Cheng, S.L. More, M.A. Maddaloni, et al. 2021;36(1):15-26. Review PubMed · Publisher

  Abstract

  The inhalation of asbestos, depending on the fiber type and dose, may be associated with the development of mesothelioma and other asbestos-related diseases. However, little is known about the potential adverse effects associated with the ingestion of asbestos. Evidence of asbestos fibers released from asbestos-cement pipes used in water distribution systems has led to concerns of potentially contaminated drinking water. The purpose of this study is to determine whether ingestion of asbestos fibers may lead to cancerous effects on the gastrointestinal (GI) tract. Data from animal and human studies were analyzed using a weight-of-evidence approach to evaluate the potential risk of GI cancers associated with asbestos ingestion. Seventeen human and 23 animal studies were identified and evaluated in this study. Animal studies were conducted in multiple species with inconsistent dosing protocols. Overall, animal studies reported that the asbestos fibers, irrespective of fiber type and dose, failed to produce any definitive GI carcinogenic effect. The 17 identified human epidemiological studies reported the ingestion of asbestos-contaminated water with concentrations from 1 to 71,350 million fibers per liter (MFL). A majority of the epidemiology studies reported statistically significant increases in multiple GI-specific cancers. However, these findings are confounded due to several critical study limitations including flawed study design, small sample size, selection bias, lack of individual exposure history, lack of adequate latency, and the inability to account for confounders including occupational history, diet, and smoking history. Based on our weight-of-evidence assessment, there is insufficient evidence of causality between the ingestion of asbestos and an increased incidence of GI cancers.

  © 2020 Walter de Gruyter GmbH, Berlin/Boston.

• Environmental and ecological factors of stomach cancer incidence and mortality: a systematic review study on ecological studies. S. Khazaei, A. Mohammadbeigi, E. Jenabi, et al. 2020;35(4):443-452. Systematic review PubMed · Publisher

  Abstract

  Objectives: Stomach cancer (SC) is one of the most common and deadly types of cancer. It is the third leading cause of cancer deaths worldwide. The effect of environmental and ecological factors in SC have been assessed in some studies. Thus, we aimed to synthesize the environmental and ecological factors of SC incidence and mortality.

  Content: In this systematic review study, the scientific databases, including Web of Science, Scopus and PubMed, were searched from inception to November 2019 for all primary articles written in English by using relevant Medical Subject Heading (Mesh) terms. Two independent authors conducted the screening process to decide on the eligibility and inclusion of the articles in the study. The third author acted as an arbiter to resolve any disagreements.

  Summary And Outlook: A total of 157 potentially relevant articles were identified from the initial search 38 of which met the eligibility criteria; finally, 34 articles were included in the systematic review. The results revealed that soil arsenic exposure, coal and other opencast mining installations, living near incinerators and installations for the recovery or disposal of hazardous waste, installations for the production of cement, lime, plaster, and magnesium oxide, proximity to a metal industry sources, dietary iron, ingested asbestos, farming, arsenic in soil, altitude, organochlorines and environmental exposure to cadmium and lead have positive associations with SC incidence or death. Most of the ecological and environmental factors such as living near the mineral industries, the disposal of hazardous waste, metal industry sources and environmental exposure to cadmium and lead are positively related to SC mortality and incidence. However, solar UV-B, heat index and dietary zinc can be taken into account as protective factors against SC mortality and incidence.

  © 2020 Walter de Gruyter GmbH, Berlin/Boston.

• Sri Lanka: report on its children's environmental health. H. Galappaththi. 2020;35(1):65-70. Review PubMed · Publisher

  Abstract

  Sri Lanka is an island country located in the Indian Ocean, characterized by tropical weather, with an estimated population of 21.4 million in 2017, one third of them being children. Advancing and rapidly changing technology, novel industries, consumer goods and equipment have introduced new health hazards of a chemical, biological and physical nature to future generations. The infant mortality rate has declined to around 8-9 per 100,000 since 2015. Congenital malformations were the most significant cause of neonatal death. Thus, there might be unproven environmental factors which affect infant mortality rates despite robust field and hospital services. Air pollution is a major environmental health hazard to children, largely due to hazardous industries, vehicular emissions and traditional cooking stoves. The health of children living in urban households and attending schools in cities is adversely affected by air pollution. Usage of polythene and plastic for toys, utensils, bags, lunch sheets and other daily essentials leads to overusage and improper waste management and open burning. This emits dioxins, which are carcinogens, hormone disruptors, and which can be transferred to the fetus via the placenta. In rural areas, the burning of agricultural waste and certain agro-forestry activities have also led to air pollution. Indoor air pollution (IAP) remains a large threat as 66% of the population use biomass for cooking. Use of inefficient stoves and biomass, poor ventilation and absence of chimneys, contribute to IAP. Other indoor air pollutants such as tobacco smoke, volatile organic compounds, asbestos, pesticides, kerosene, mercury, mosquito coils and biological pollutants also prevail. Biological pollutants, such as dust mites, droppings and urine from pets, insects and rodents, pollen from indoor plants and outdoor air, and fungi, including moulds in poorly maintained buildings, can trigger asthma or cause allergic reactions and infections among children inhabiting these environments. In rural areas, chemicals were accountable for 30.2% of acute poisonings, with kerosene oil being the most common cause, followed by paracetamol. More than 80% of agricultural workers in the country work in the informal sector with limited personal protective equipment use, while pesticide usage is increasing. Children who engage in agriculture-related work and hazardous industries are at risk of developing health consequences at early stages. Dengue remains a major environmental health problem as the reduction of mosquito breeding sites has been a challenging task for many years. It is essential to gain more evidence of existing environmental risk factors and their associations with the health of children. Information dissemination among local and international experts on Children's Environmental Health (CEH) issues needs to be enhanced and properly established. Training programs should be conducted for healthcare workers to update their knowledge. Pediatricians are needed for remote hospitals and primary healthcare centers. Environmental parameters and biological parameters are not routinely monitored in most of the hazardous environments.

2010s

• Asbestos exposure and mesothelioma incidence and mortality in Bulgaria. K. Vangelova, I. Dimitrova. 2016;31(2):203-9. PubMed · Publisher

  Abstract

  Bulgaria totally banned the import, production and use of asbestos in 2005, but produced and used asbestos products during the last 3-4 decades of the 20th century. The aim of this study was to follow the incidence and mortality of mesothelioma in Bulgaria in relation to past occupational exposures. A literature search between 1960 and 2014 was conducted to obtain information on asbestos consumption, occupational exposure and asbestos-related diseases (ARDs). Data on registered mesotheliomas were provided by the National Cancer Register and data for recognized occupational ARDs were provided by the National Social Security Institute. An increase in the incidence of mesothelioma from 5 to 58 from 1993 to 2013, with 666 cases in the 21-year period, was registered. Incidence, mortality rates, deaths and male-to-female ratios and were lower in comparison to industrialized countries. The increase in mesothelioma incidence is considered as a consequence of more recent production and use of asbestos and asbestos products and the high occupational exposure between 1977 and 1989, while the lower rate of mesothelioma deaths and male-to-female ratio need to be investigated further.

• Chemicals: friends and foes. K. Singh. 2014;29(1-2):43-4. PubMed · Publisher

  Abstract

  There are many chemicals used in and around homes and workplaces that can result in accidents. Can it be said that the insecticides, drugs, polychlorinated biphenyls, DDT, asbestos, cleansers, cosmetics, and other chemicals are worth the price paid in terms of accidental poisonings? That is for the consumer to decide. Generally, it is the misuse of these chemicals that often leads to tragedy. Chemicals can be dangerous, but they can be advantageous when used with care.

2000s

• Lung cancer and mesothelioma among male automobile mechanics: a review. F. Laden, M.J. Stampfer, A.M. Walker. 2004;19(1):39-61. Review PubMed · Publisher

  Abstract

  Background: Extensive, overt asbestos exposure clearly causes lung cancer and mesothelioma. Elevated cancer risk has also been documented for short term or low levels of asbestos exposure. Automobile mechanics are potentially exposed to asbestos through brake repair work. Few studies have specifically examined the risk of lung cancer and mesothelioma associated with exposure to asbestos in brakes, but automobile mechanics are included in many studies of occupation and cancer.

  Methods: We critically reviewed all epidemiologic studies of lung cancer and mesothelioma risk among male automobile mechanics identified through a broadly based Medline search and scrutiny of references in primary and review articles. We discuss the studies grouped by study design and control for smoking, the major risk factor for lung cancer.

  Results/Conclusions: We reviewed all individual analytical studies meeting our criteria, plus all available case series and case reports. When examined in aggregate, the evidence did not support an increase in risk of either lung cancer or mesothelioma among male automobile mechanics occupationally exposed to asbestos from brake repair.

• Occupation and lung cancer in nonsmokers. J.S. Neuberger, R.W. Field. 2003;18(4):251-67. Review PubMed · Publisher

  Abstract

  Lung cancer remains a significant burden on society, with approximately 157,200 deaths from this disease in 2003 occurring in the United States alone. Smoking causes the vast majority of cases (and deaths) from lung cancer, occupation may account for as many as 16,700 of such deaths. To examine the influence of occupation independent of smoking, we reviewed the literature on occupational lung cancer in nonsmokers. We found that most individual studies and summaries of occupational lung cancer are based on data having a heavy preponderance of male smokers. Relatively little data are available concerning females and nonsmokers. Specific dose-response information is often lacking. Although many studies have been adjusted for smoking, there remains a significant potential for residual confounding because of the overwhelming importance of smoking in the etiology of this disease. Our review has found some evidence that asbestos, environmental tobacco smoke, and radon decay products (progeny) are occupational carcinogens in nonsmokers. Increased risk for lung cancer might also occur in nonsmokers from occupational exposure to arsenic. Nevertheless, for many agents and occupations occupations or industries listed in the database of the International Agency for Research on Cancer (IARC), we could not locate any study that found them to be occupational risk factors for lung cancer in nonsmokers. Thus, considerable uncertainty exists about their ability to cause lung cancer in the nonsmoking working population. We discuss problems with the original occupational studies and the IARC list of carcinogens. Besides the absence of information on nonsmokers, these problems include lack of sufficient detail on exposure to the primary agent of concern and to other occupational lung carcinogens. Further research on occupational causes of lung cancer in nonsmokers should be given high priority.

• Far-reaching consequences of high level air pollution on the developing immune system. T. Turnovska, I. Sirakova, T. Tzvetkova. 2001;16(4):281-9. PubMed · Publisher

  Abstract

  The town of Dimitrovgrad in Bulgaria has a highly industrialized region with a developing chemical industry, cement and asbestos-cement production, as well as energy production. For over four decades, the main ecological problem was air pollution, but after 1989 a great economic crisis led to an abrupt decline in the level of air pollutants. The aim of the present study was to investigate the present state of humoral immunity in teenage children from Dimitrovgrad who lived under conditions of massive air pollution during their intrauterine development and first few years of childhood. Immunoglobulins IgA, IgM, and IgG were measured in 106 clinically healthy children (average age 12.68 +/- 0.56 y) from 3 schools in Dimitrovgrad and in 41 control subjects (average age 12.35 +/- 0.22 y) from the town of Nova Mahala, an area lacking massive sources of air pollution. Immunoglobulin concentration was determined by turbidimetry using an Optima (KONE) chemical analyzer. The average IgA, IgM, and IgG levels in children from Dimitrovgrad did not differ significantly from those of the control group.

• A review of health-based comparative risk assessments in the United States. B.L. Johnson. 2000;15(3):273-87. Review PubMed · Publisher

  Abstract

  Comparing the risks posed by specific environmental hazards has become attractive to policy makers and legislative bodies as an aid to budgeting and other policy decisions. This paper reviews the human health-based findings from the first federal comparative risk assessment project and subsequent reviews conducted by 15 states and local government agencies in the United States. Methods are described on conducting comparative risk assessments that include substantive involvement of the public and special interest organizations. A consolidation of the comparative risk assessments of 15 states revealed good agreement with federal health-based environmental hazard priorities and partial agreement with local-government health departments. In descending order of priority, indoor air pollutants (excluding radon), criteria air pollutants, hazardous air pollutants, indoor radon, lead contamination, inactive hazardous waste sites, and drinking water at the tap are the highest ranked environmental hazards to human health.

1990s

• Asbestos toxicity: an immunologic perspective. G.J. Rosenthal, P. Simeonova, E. Corsini. 1999;14(1):11-20. Review PubMed · Publisher

  Abstract

  Asbestos has long been associated with a number of life threatening pulmonary diseases, including asbestosis and mesothelioma. While the lung is the primary target organ for asbestos toxicity, a number of clinical and experimental studies over the past 30 years have shown that the immune system may also be altered by exposure to asbestos at occupationally relevant concentrations. Whereas early clinical studies generally focused on systemic observations of immune alteration, more recent studies have assessed the immunological changes occurring in the lung, the primary target organ of asbestos. This review will focus on the investigations that examine the influence of asbestos on systemic and local immunity, as well as the role that the immune system may play in asbestos-related disease.

• Environmental exposure to tremolite asbestos: pleural mesothelioma in two Turkish workers in Germany. J. Schneider, K. Rödelsperger, B. Brückel, et al. 1998;13(4):213-20. Case report PubMed · Publisher

  Abstract

  This report concerns two Turkish immigrant workers, aged 50 and 59, who developed histologically confirmed diffuse malignant mesothelioma in the absence of obvious occupational exposure to asbestos in Germany. Both patients had spent their childhood in central Anatolia, Turkey, where the presence of tremolite asbestos in the environment has been described. In both patients, the lung-dust burden showed a high concentration of amphibole fibers (186 x 10(6) resp. 59 x 10(6) per gram dry tissue), mainly classified as actionolite/tremolite fibers in scanning transmission electron microscopy. In both patients, the disease was thus attributed to early environmental exposure to tremolite asbestos.

• Pleural mesothelioma and household asbestos exposure. J. Schneider, K. Straif, H.J. Woitowitz. 1996;11(1-2):65-70. Review PubMed · Publisher

  Abstract

  This article discusses the development of asbestos-induced malignant mesotheliomas after non-occupational environmental exposure to asbestos through contact with occupationally exposed household members. In our policlinic, we have seen six fatal pleural mesothelioma cases (five wives and one son of asbestos-industry workers) with no history of occupational asbestos exposure. In five women, a causal relation was established between the fatal disease and inhalation of asbestos fibers while cleaning the contaminated work-clothes and shoes of their husbands at home. The son had also been exposed to asbestos throughout his childhood during daily visits with his father at the workplace.

• Indoor air pollutants. A literature review. T.F. Cooke. 1991;9(3):137-60. Review PubMed · Publisher

  Abstract

  The literature on the important indoor air pollutants, their sources, their effect on human welfare, and methods for controlling their presence is reviewed. The review is chiefly concerned with the air in homes, offices, schools, and public buildings, rather than in industrial facilities.

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