The epidemiology of amyotrophic lateral sclerosis in the Mount Etna region: a possible pathogenic role of volcanogenic metals.

BACKGROUND AND PURPOSE: Trace elements (TEs) may play a role in the pathogenesis of amyotrophic lateral sclerosis (ALS) and volcanic degassing is the major natural source of TEs. Mount Etna, in the province of Catania, is the largest active volcano in Europe. Our aim was to assess the incidence of ALS in the province of Catania during 2005-2010 and its spatial distribution with respect to volcanic gas deposition. METHODS: Cases from all neurological centres of the province of Catania and of the boundary provinces were retrospectively collected. Patients who had onset during 2005-2010 and fulfilled the El Escorial revised diagnostic criteria were included. The incidence of ALS was estimated for the entire province and separately for the population living on the eastern and western flank of Mount Etna, respectively, the most and least exposed areas to volcanogenic TEs, considered as a possible risk factor for ALS. RESULTS: One hundred and twenty-six (57 men) ALS patients were enrolled. The mean annual crude incidence rate was 2.0/100 000 person-years (95% confidence interval 1.7-2.4). A higher incidence rate was found in the population living on the eastern flank compared to the western flank (2.4/100 000 and 0.9/100 000 respectively) with a relative risk of 2.75 (95% confidence interval 1.64-4.89; P < 0.001). CONCLUSIONS: The incidence of ALS in the province of Catania is close to those reported worldwide. The incidence was higher amongst the population living on the eastern flank of Mount Etna, which could be interpreted as a possible role of volcanogenic TEs. Further research on TEs and genetic factors is necessary to support this assumption.

[Domestic injuries in childhood. Results of a survey carried out in a Sicilian area]. / Incidenti domestici nell'infanzia. Risultati di un'indagine condotta nell'area etnea.

A retrospective investigation was performed with an anonymous questionnaire administered to the mothers of 2208 children aged between 3 and 11 years, randomly selected from the residents of three target areas: a country town, a residential and a popular quarter of a chief town (Catania, Sicily). Of the 2208 mothers in the three areas, 1151 completed the questionnaire with an overall response rate of 52.12%. In the last 6 months a large number of children (17.29%) suffered at least one accident at home. Predominating injuries were falls (71.86%) followed by cutting or stab-wounds (13.57%). The more frequent lesions were contusions (42.13%), wounds (29.95%) and fractures (14.22%). Almost the half of children victims of injuries required hospital care (44.72%). The majority of domestic accidents occurred in the bathroom (17.10%), in the kitchen (15.10%) and in the bedroom (10.55%). Fractures and wounds were more frequent among children aged 6-11 and 3-5 years, respectively. The highest frequency of domestic accidents among children of all ages living in the popular quarter (20.89%) and in the country town (19.18%) compared with those living in the residential quarter (11.67%) (chi2= 12,768, P<0.01) could be related to their lower socio-economic condition.