Exposure to emissions from municipal solid waste incinerators and miscarriages: a multisite study of the MONITER Project

Environment International
Silvia CandelaFrancesco Forastiere

Abstract

Miscarriages are an important indicator of reproductive health but only few studies have analyzed their association with exposure to emissions from municipal solid waste incinerators. This study analyzed the occurrence of miscarriages in women aged 15-49years residing near seven incinerators of the Emilia-Romagna Region (Northern Italy) in the period 2002-2006. We considered all pregnancies occurring in women residing during the first trimester of pregnancy within a 4km radius of each incinerator. Addresses were geocoded and exposures were characterized by a dispersion model (ADMS Urban model) producing pollution maps for incinerators based on PM10 stack measurements and for other pollution sources based on NOx ground measurements. Information on pregnancies and their outcomes was obtained from the Hospital Discharge Database. Simplified True Abortion Risks (STAR)×100 estimated pregnancies were calculated. We ran logistic regressions adjusting for maternal characteristics, exposure to other sources of pollution, and sites, considering the whole population and stratifying by miscarriage history. The study analyzed 11,875 pregnancies with 1375 miscarriages. After adjusting for confounders, an increase of PM10 due to incinerator e...Continue Reading

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Citations

Jun 18, 2017·Environmental Science & Technology·Philippa DouglasAnna L Hansell
Sep 20, 2019·Australian and New Zealand Journal of Public Health·Peter W TaitDevin Bowles
Jan 1, 2019·Current Obstetrics and Gynecology Reports·Kaylon L Bruner-TranKevin G Osteen
Nov 27, 2020·Frontiers in Genetics·Ada MescoliAnnamaria Colacci
May 1, 2021·International Journal of Environmental Research and Public Health·Giovanni VintiMentore Vaccari

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