Environmental Engineering Reference
In-Depth Information
CONCLUSION
In this study setting, maternal exposure to the emissions of a MSWI, as estimated
through a dispersion model, was not associated with excess risk of congenital anoma-
lies in the offspring. These results might not apply to incinerators emitting higher
amounts of pollutants such as dioxins and heavy metals.
KEYWORDS
•
Foetuses
•
Geographical information system
•
Logistic regression model
•
Odds ratio
•
Teratogenic effects
•
Teratogens
AUTHORS' CONTRIBUTIONS
Marco Vinceti and Carlotta Malagoli designed the study protocol, collected informa-
tion about cases and controls, carried out data analysis, and drafted the manuscript.
Sara Fabbi and Sergio Teggi modeled the incinerator emissions and run the GIS data-
base. Rossella Rodolfi selected potential case mothers through the Emilia-Romagna
Region Hospital Discharge Registry and did the matching and sampling of control
mothers. Livia Garavelli, Francesca Rivieri, and Gianni Astolfi identified the case
mothers eligible for the study from the Emilia-Romagna Region birth defect registry
“IMER” and reviewed the cases retrieved through the Hospital Discharge Registry. All
authors discussed study results, and read and approved the final manuscript.
ACKNOWLEDGMENTS
We acknowledge the cooperation of Elisa Calzolari of the IMER Registry of the Emil-
ia-Romagna region, of Elena Infante, Simona Maggi, and Simona Poli of the Mu-
nicipality of Reggio Emilia, and of Vincenzo Aronica and Paolo Felisetti of the Santa
Maria Nuova Hospital of Reggio Emilia. The study was supported by the Office of
the Environment of the Reggio Emilia Municipality, Italy, and by the Pietro Manodori
Foundation of Reggio Emilia.
COMPETING INTERESTS
One of the authors (Marco Vinceti) has worked as a consultant of the municipal Gas,
Waste, and Water Agency of Reggio Emilia (currently named “ENIA,” formerly
“AGAC,” mainly owned by the Reggio Emilia Province municipalities) for the for
health risk assessment of the city incinerator, of a landfill and of drinking water.
However, this Agency has not taken any part in designing, carrying out or funding the
present study.
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