Do emissions from landfill fires affect pregnancy outcomes? A retrospective study after arson at a solid waste facility in Sicily

Claudio Costantino, Maria Antonietta Cernigliaro, Walter Mazzucco, Francesco Vitale, Salvatore Scondotto, Achille Cernigliaro, Rosario Grammauta, Elisa Tavormina, Maurizio Macaluso, Claudia Marotta, Davide Alba, Rosario Grammauta

Risultato della ricerca: Article

Abstract

Objectives In response to public health concern about effects of arson at solid waste management plants in July 2012, we analysed vital statistics data to evaluate any potential effect on pregnancies at different gestational ages of pollutants emitted from the landfill on fire. setting A community living near the largest landfill plant in Sicily. Participants The study group comprised 551 births, live births and stillbirths from pregnancies of mothers residing in the extra-urban exposed area, conceived during a 40 week period during which the highest fire's peak might have influenced pregnancy. Primary and secondary outcome measures Birth outcomes (gestational age <37 and <32 weeks, low birth weight, very low birth weight and small for gestational age) in the study group were compared with the ones of a reference group of women residing in areas of Sicily with similarly low population density and industrial development. results Among singleton live births we observed a three-fold increase in risk of very preterm birth between the extra-urban area and the remaining low inhabitants density and unindustrialised areas for births whose pregnancies were in the third trimester (OR adjusted for maternal age and infant gender=3.41; 95% CI 1.04 to 11.16). There was an excess of very low birth weight singleton infants in the study group as compared with the reference group, which was limited to births to mothers exposed during periconception period (OR adjusted for maternal age and infant gender=4.64; 95% CI 1.04 to 20.6) and first trimester (OR adjusted for maternal age and infant gender=3.66; 95% CI 1.11 to 12.1). The association estimates were imprecise due to the small number of outcomes recorded. Conclusions The study documented an excess of very preterm and very low birth weight among infants born to mothers exposed to the landfill fire emissions during conception or early pregnancy.
Lingua originaleEnglish
Numero di pagine0
RivistaBMJ Open
Volume9
Stato di pubblicazionePublished - 2019

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Firesetting Behavior
Sicily
Waste Disposal Facilities
Solid Waste
Pregnancy Outcome
Retrospective Studies
Very Low Birth Weight Infant
Maternal Age
Pregnancy
Parturition
Gestational Age
Mothers
Live Birth
Waste Management
Vital Statistics
Stillbirth
Premature Birth
Third Pregnancy Trimester
Low Birth Weight Infant
First Pregnancy Trimester

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Do emissions from landfill fires affect pregnancy outcomes? A retrospective study after arson at a solid waste facility in Sicily. / Costantino, Claudio; Cernigliaro, Maria Antonietta; Mazzucco, Walter; Vitale, Francesco; Scondotto, Salvatore; Cernigliaro, Achille; Grammauta, Rosario; Tavormina, Elisa; Macaluso, Maurizio; Marotta, Claudia; Alba, Davide; Grammauta, Rosario.

In: BMJ Open, Vol. 9, 2019.

Risultato della ricerca: Article

Costantino, Claudio ; Cernigliaro, Maria Antonietta ; Mazzucco, Walter ; Vitale, Francesco ; Scondotto, Salvatore ; Cernigliaro, Achille ; Grammauta, Rosario ; Tavormina, Elisa ; Macaluso, Maurizio ; Marotta, Claudia ; Alba, Davide ; Grammauta, Rosario. / Do emissions from landfill fires affect pregnancy outcomes? A retrospective study after arson at a solid waste facility in Sicily. In: BMJ Open. 2019 ; Vol. 9.
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abstract = "Objectives In response to public health concern about effects of arson at solid waste management plants in July 2012, we analysed vital statistics data to evaluate any potential effect on pregnancies at different gestational ages of pollutants emitted from the landfill on fire. setting A community living near the largest landfill plant in Sicily. Participants The study group comprised 551 births, live births and stillbirths from pregnancies of mothers residing in the extra-urban exposed area, conceived during a 40 week period during which the highest fire's peak might have influenced pregnancy. Primary and secondary outcome measures Birth outcomes (gestational age <37 and <32 weeks, low birth weight, very low birth weight and small for gestational age) in the study group were compared with the ones of a reference group of women residing in areas of Sicily with similarly low population density and industrial development. results Among singleton live births we observed a three-fold increase in risk of very preterm birth between the extra-urban area and the remaining low inhabitants density and unindustrialised areas for births whose pregnancies were in the third trimester (OR adjusted for maternal age and infant gender=3.41; 95{\%} CI 1.04 to 11.16). There was an excess of very low birth weight singleton infants in the study group as compared with the reference group, which was limited to births to mothers exposed during periconception period (OR adjusted for maternal age and infant gender=4.64; 95{\%} CI 1.04 to 20.6) and first trimester (OR adjusted for maternal age and infant gender=3.66; 95{\%} CI 1.11 to 12.1). The association estimates were imprecise due to the small number of outcomes recorded. Conclusions The study documented an excess of very preterm and very low birth weight among infants born to mothers exposed to the landfill fire emissions during conception or early pregnancy.",
author = "Claudio Costantino and Cernigliaro, {Maria Antonietta} and Walter Mazzucco and Francesco Vitale and Salvatore Scondotto and Achille Cernigliaro and Rosario Grammauta and Elisa Tavormina and Maurizio Macaluso and Claudia Marotta and Davide Alba and Rosario Grammauta",
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T1 - Do emissions from landfill fires affect pregnancy outcomes? A retrospective study after arson at a solid waste facility in Sicily

AU - Costantino, Claudio

AU - Cernigliaro, Maria Antonietta

AU - Mazzucco, Walter

AU - Vitale, Francesco

AU - Scondotto, Salvatore

AU - Cernigliaro, Achille

AU - Grammauta, Rosario

AU - Tavormina, Elisa

AU - Macaluso, Maurizio

AU - Marotta, Claudia

AU - Alba, Davide

AU - Grammauta, Rosario

PY - 2019

Y1 - 2019

N2 - Objectives In response to public health concern about effects of arson at solid waste management plants in July 2012, we analysed vital statistics data to evaluate any potential effect on pregnancies at different gestational ages of pollutants emitted from the landfill on fire. setting A community living near the largest landfill plant in Sicily. Participants The study group comprised 551 births, live births and stillbirths from pregnancies of mothers residing in the extra-urban exposed area, conceived during a 40 week period during which the highest fire's peak might have influenced pregnancy. Primary and secondary outcome measures Birth outcomes (gestational age <37 and <32 weeks, low birth weight, very low birth weight and small for gestational age) in the study group were compared with the ones of a reference group of women residing in areas of Sicily with similarly low population density and industrial development. results Among singleton live births we observed a three-fold increase in risk of very preterm birth between the extra-urban area and the remaining low inhabitants density and unindustrialised areas for births whose pregnancies were in the third trimester (OR adjusted for maternal age and infant gender=3.41; 95% CI 1.04 to 11.16). There was an excess of very low birth weight singleton infants in the study group as compared with the reference group, which was limited to births to mothers exposed during periconception period (OR adjusted for maternal age and infant gender=4.64; 95% CI 1.04 to 20.6) and first trimester (OR adjusted for maternal age and infant gender=3.66; 95% CI 1.11 to 12.1). The association estimates were imprecise due to the small number of outcomes recorded. Conclusions The study documented an excess of very preterm and very low birth weight among infants born to mothers exposed to the landfill fire emissions during conception or early pregnancy.

AB - Objectives In response to public health concern about effects of arson at solid waste management plants in July 2012, we analysed vital statistics data to evaluate any potential effect on pregnancies at different gestational ages of pollutants emitted from the landfill on fire. setting A community living near the largest landfill plant in Sicily. Participants The study group comprised 551 births, live births and stillbirths from pregnancies of mothers residing in the extra-urban exposed area, conceived during a 40 week period during which the highest fire's peak might have influenced pregnancy. Primary and secondary outcome measures Birth outcomes (gestational age <37 and <32 weeks, low birth weight, very low birth weight and small for gestational age) in the study group were compared with the ones of a reference group of women residing in areas of Sicily with similarly low population density and industrial development. results Among singleton live births we observed a three-fold increase in risk of very preterm birth between the extra-urban area and the remaining low inhabitants density and unindustrialised areas for births whose pregnancies were in the third trimester (OR adjusted for maternal age and infant gender=3.41; 95% CI 1.04 to 11.16). There was an excess of very low birth weight singleton infants in the study group as compared with the reference group, which was limited to births to mothers exposed during periconception period (OR adjusted for maternal age and infant gender=4.64; 95% CI 1.04 to 20.6) and first trimester (OR adjusted for maternal age and infant gender=3.66; 95% CI 1.11 to 12.1). The association estimates were imprecise due to the small number of outcomes recorded. Conclusions The study documented an excess of very preterm and very low birth weight among infants born to mothers exposed to the landfill fire emissions during conception or early pregnancy.

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M3 - Article

VL - 9

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

ER -