ABSTRACT
BACKGROUND: The largest radiological accident to occur in any urban area happened in Goiânia, Brazil, in 1987. OBJECTIVE: To evaluate the association between breast cancer incidence and ionizing radiation levels. DESIGN AND SETTING: Ecological study among residents of the city of Goiânia, Brazil. METHODS: The central region of Goiânia, with seven major sources of contamination from cesium-137, was defined as the study area. The addresses of women diagnosed with breast cancer were identified between 2001 and 2010. The data were geographically referenced and, using census data, the annual averages of crude incidence rates were estimated. The existence of clusters of new cases was ascertained by means of the Moran index. Correlations of radiometric measurements with the incidence were assessed using unconditional linear regression. RESULTS: A total of 4,105 new cases were identified, of which 2,233 were in the study area, and of these, 1,286 (57.59%) were georeferenced. The gross rates of total and referenced cases were 102.91 and 71.86/100,000 women, respectively. These were close to the average for Brazilian state capitals, which is 79.37/100,000 women. The cluster analysis showed slight correlations in three small sets of census tracts, but these were far from the sources of contamination. The scatter plot of points and the R2 value close to zero indicated that there was no association between the variables. CONCLUSION: This study reinforces the hypothesis that the ionizing radiation levels to which women living in Goiânia are now exposed to are not associated with the onset of new cases of breast cancer.
Subject(s)
Air Pollution, Radioactive/adverse effects , Breast Neoplasms/epidemiology , Breast/radiation effects , Cesium Radioisotopes/adverse effects , Neoplasms, Radiation-Induced/epidemiology , Radiation, Ionizing , Radioactive Hazard Release , Adult , Brazil/epidemiology , Breast Neoplasms/etiology , Female , Humans , Incidence , Risk Assessment , Risk Factors , Time FactorsABSTRACT
ABSTRACT BACKGROUND: The largest radiological accident to occur in any urban area happened in Goiânia, Brazil, in 1987. OBJECTIVE: To evaluate the association between breast cancer incidence and ionizing radiation levels. DESIGN AND SETTING: Ecological study among residents of the city of Goiânia, Brazil. METHODS: The central region of Goiânia, with seven major sources of contamination from cesium-137, was defined as the study area. The addresses of women diagnosed with breast cancer were identified between 2001 and 2010. The data were geographically referenced and, using census data, the annual averages of crude incidence rates were estimated. The existence of clusters of new cases was ascertained by means of the Moran index. Correlations of radiometric measurements with the incidence were assessed using unconditional linear regression. RESULTS: A total of 4,105 new cases were identified, of which 2,233 were in the study area, and of these, 1,286 (57.59%) were georeferenced. The gross rates of total and referenced cases were 102.91 and 71.86/100,000 women, respectively. These were close to the average for Brazilian state capitals, which is 79.37/100,000 women. The cluster analysis showed slight correlations in three small sets of census tracts, but these were far from the sources of contamination. The scatter plot of points and the R2 value close to zero indicated that there was no association between the variables. CONCLUSION: This study reinforces the hypothesis that the ionizing radiation levels to which women living in Goiânia are now exposed to are not associated with the onset of new cases of breast cancer.
Subject(s)
Humans , Female , Adult , Radiation, Ionizing , Breast/radiation effects , Breast Neoplasms/epidemiology , Cesium Radioisotopes/adverse effects , Air Pollution, Radioactive/adverse effects , Neoplasms, Radiation-Induced/epidemiology , Time Factors , Brazil/epidemiology , Breast Neoplasms/etiology , Incidence , Risk Factors , Risk Assessment , Radioactive Hazard ReleaseABSTRACT
Total mercury content was evaluated in water and suspended sediment samples of the Moji-Guaçu river and in water and bottom sediment of its 3 marginal lagoons (Catingueiro, Barrinha, and Rio das Pedras), located downstream of the sampling point in the main channel. In all situations, low Hg concentrations were found in suspended and bottom sediments. Aluminum was used as a geochemical tracer to normalize the Hg concentrations in the sediment cores from the Rio das Pedras lagoon (r = 0.92). It was estimated that the Moji-Guaçu river transports up to 19 kg Hg yr(-1), 65% in the dissolved form and 35% adsorbed onto particulate matter. Following an acute toxic stage observed in the years 1970-1980, the basin has been restored to its original conditions mainly by natural recovery and a general reduction in Hg input to the ecosystem.
