Associations of cancer mortality with halomethanes in drinking water.

Associations between site- and sex-specific county cancer mortality rates and levels of trihalomethanes (THM's) in drinking water were examined after adjustment of rates for the influence of multiple socioeconomic, industrial, and demographic factors. U.S. counties with sampled supplies were grouped by percent of the county population receiving water from the supply, as well as by region of the country. For two sites (bladder and lung), county rates were also adjusted for the activity level in specific high-risk industries. Positive correlations with THM levels were observed for several cancers, including bladder and brain cancers in both sexes, and non-Hodgkin's lymphoma and kidney cancer in males. Stomach cancer in females showed a negative association. Bladder cancer mortality rates showed the strongest and most consistent association with a THM exposure index, after control for differences in social class, ethnic group, urban versus rural residence, region of the United States, and industrialization of the county. These ecologic associations suggested that further evaluation in analytic investigations is warranted.

The need to control asbestos fibers in potable water supply systems.

Occupational studies have shown that asbestos is a human carcinogen. Because many inhaled asbestos fibers deposited in the lung are cleared and swallowed, workers are also exposed through ingestion. Of the millions of current and former workers who have been heavily exposed to asbestos, one in ten will die from cancer of the gastrointestinal tract. A number on the order of 1 in 1,000 ingested asbestos fibers penetrate the digestive tract and ingested fibers have been recovered in such tissues as kidney, intestine, liver, and urine. One animal study showed tumor production related to ingestion of asbestos-containing material but, in general, the results of seven animal feeding studies have been inconclusive. A statistically significant relationship between male lung and stomach cancer and female peritoneal, gall bladder, and esophageal cancer and asbestos counts in drinking water was determined in one epidemiology study. Increased rates for male stomach and lung, and female pancreatic cancer related to asbestos in drinking water were reported in another study but possible occupational exposure made it difficult to draw conclusions. Data on excess gastrointestinal cancer among occupational groups has been used to estimate that drinking water containing 300,000 asbestos fibers per liter over a lifetime will result in one additional cancer among 100,000 people.

Swimming-associated gastroenteritis and water quality.

A direct, linear relationship between swimming-associated gastrointestinal illness and the quality of the bathing water was obtained from a multi-year, multiple-location prospective epidemiologic-microbiologic research program conducted in New York City, 1973-1975, Lake Pontchartrain, Louisiana, 1977-1978, and Boston, Massachusetts, 1978. Several microbial indicators were used in attempting to define the quality of the water; and, of those examined, enterococci showed the best correlation to total and "highly credible" gastrointestinal symptoms. The frequency of gastrointestinal symptoms also had a high degree of association with distance from known sources of municipal wastewater. A striking feature of the relationship was the very low enterococcus and Escherichia coli densities in the water (10/100 ml) associated with appreciable attack rates (about 10/1000 persons) for "highly credible" gastrointestinal symptoms. Moreover, the ratio of the swimmer to nonswimmer symptom rates indicated that swimming in even marginally polluted marine bathing water is a significant route of transmission for the observed gastroenteritis.

Isolated canine mastocytoma cells: propagation and characterization of two cell lines.

Five different dog mastocytoma tumors were successfully transplanted and propagated in BALB/c nude mice. Cells from two of these tumors were passaged serially through at least four generations of mice without morphological or functional change. The average yield from a 2-cm tumor harvested from a mouse was 1.2 +/- 2.8 X 10(9) mast cells with greater than 90% viability. Cells of one line were larger and more heavily granulated than the other, and contained 1.29 +/- 0.74 pg histamine/cell (mean +/- SD). Calcium ionophore A23187 and compound 48/80 caused dose dependent histamine release with no significant difference in release from generation to generation. The smaller cells contained 0.06 +/- 0.06 pg histamine/cell. Histamine release after calcium ionophore or compound 48/80 was dose dependent and unchanged through serial passages. Following passive sensitization antigen caused dose-dependent histamine release confirming the presence of IgE receptors on these cells. In both cell lines histamine release was inhibited by terbutaline, dibutyryl adenosine 3',5'-cyclic monophosphate, or isobutylmethylxanthine. These methods provide a morphologically and functionally stable population of nearly pure canine mast cells for biochemical and physiological studies.

Effects of mast cell-derived mediators on epithelial cells in canine trachea.

We examined the interaction between mast cell-derived mediators and the electrical and ion transport properties of canine tracheal epithelium. We compared the effect of mediators released by immunologic challenge of sensitized lung parenchyma with that of mediators released from canine mastocytoma cells challenged with calcium ionophore A23187. Short-circuit current (Isc) increased by 19.2 +/- 3.0 microA/cm2 in response to mediators released from sensitized lung fragments challenged with ragweed antigen. This effect was not due to histamine. When the epithelial tissues were pretreated with indomethacin, the same mediator supernatant increased Isc by only 3.8 +/- 4.3 microA/cm2. The mediators released from 10(7) mastocytoma cells challenged with calcium ionophore increased Isc by 25.1 +/- 13.6 microA/cm2. In the presence of indomethacin, the Isc increased by 2.0 +/- 0.4 microA/cm2. Mastocytoma-derived mediators produced an increase in net chloride secretion without a significant effect on net sodium absorption. This study provides direct evidence that mast cell-derived mediators can stimulate epithelial ion transport in canine trachea and suggests that the effect is indirect and dependent on intact cyclooxygenase pathways in the tracheal epithelium.

Relationship of microbial indicators to health effects at marine bathing beaches.

Findings are described from the second year of an epidemiological-microbiological study conducted at New York City beaches as part of the U.S. Environmental Protection Agency program to develop health effects-recreational water quality criteria. Symptomatology rates among swimmers (defined as immersion of the head in the water) relative to nonswimming but beach-going controls at a "barely acceptable" (BA) beach and a "relatively unpolluted" (RU) beach were examined. Data were collected by contacting family groups at the beach on weekends, obtaining information on bathing activity, and then questioning them by phone some 8--10 days later. In addition measurements were made for a number of potential water quality indicators. It was observed that the symptom rates, categorized as gastrointestinal (GI), respiratory, "other", and "disabling" (stayed home, stayed in bed, consulted a physician), were higher among swimmers than nonswimmers. As in the pretest conducted the previous year, the rate of GI symptoms was significantly higher among swimmers relative to nonswimmers at the BA but not the RU beach. Children, Hispanic Americans, and the low-middle socioeconomic groups were identified as the most susceptible portions of the population.