Optimising beached litter monitoring protocols through aerial imagery.

The monitoring of beached litter along the coast is an onerous obligation enshrined within a number of legislative frameworks (e.g. the MSFD) and which requires substantial human resources in the field. Through this study, we have optimised the protocol for the monitoring of the same litter along coastal stretches within an MPA in the Maltese Islands through aerial drones, with the aim of generating density maps for the beached litter, of assisting in the identification of the same litter and of mainstreaming this type of methodology within national and regional monitoring programmes for marine litter. Concurrent and concomitant in situ monitoring of beached litter enabled us to ground truth the aerial imagery results. Results were finally discussed within the context of current and future MSFD monitoring obligations, with considerations made on possible future policy implications.

Determinants of mobile phone output power in a multinational study: implications for exposure assessment.

OBJECTIVES: The output power of a mobile phone is directly related to its radiofrequency (RF) electromagnetic field strength, and may theoretically vary substantially in different networks and phone use circumstances due to power control technologies. To improve indices of RF exposure for epidemiological studies, we assessed determinants of mobile phone output power in a multinational study. METHODS: More than 500 volunteers in 12 countries used Global System for Mobile communications software-modified phones (GSM SMPs) for approximately 1 month each. The SMPs recorded date, time, and duration of each call, and the frequency band and output power at fixed sampling intervals throughout each call. Questionnaires provided information on the typical circumstances of an individual's phone use. Linear regression models were used to analyse the influence of possible explanatory variables on the average output power and the percentage call time at maximum power for each call. RESULTS: Measurements of over 60,000 phone calls showed that the average output power was approximately 50% of the maximum, and that output power varied by a factor of up to 2 to 3 between study centres and network operators. Maximum power was used during a considerable proportion of call time (39% on average). Output power decreased with increasing call duration, but showed little variation in relation to reported frequency of use while in a moving vehicle or inside buildings. Higher output powers for rural compared with urban use of the SMP were observed principally in Sweden where the study covered very sparsely populated areas. CONCLUSIONS: Average power levels are substantially higher than the minimum levels theoretically achievable in GSM networks. Exposure indices could be improved by accounting for average power levels of different telecommunications systems. There appears to be little value in gathering information on circumstances of phone use other than use in very sparsely populated regions.

Synthesis and antimicrobial activity of pyranobenzoquinones related to the pyranonaphthoquinone antibiotics.

The synthesis and antimicrobial activity of isochromane-type analogs of the pyranonaphthoquinone antibiotics are reported. Isochromane derivatives with (17a, b) and without (22a, b) a C-4 hydroxyl moiety and their corresponding quinones (19a and 23), were prepared. Both quinones exhibited antimicrobial activity against Staphylococcus aureus, Bacillus atrophaeus and Streptococcus agalactiae, while the related isochromanes were inactive. The results suggest that the quinone moiety is important for biological activity while the C-4 hydroxyl may not be essential.

Validation of short term recall of mobile phone use for the Interphone study.

AIM: To validate short term recall of mobile phone use within Interphone, an international collaborative case control study of tumours of the brain, acoustic nerve, and salivary glands related to mobile telephone use. METHODS: Mobile phone use of 672 volunteers in 11 countries was recorded by operators or through the use of software modified phones, and compared to use recalled six months later using the Interphone study questionnaire. Agreement between recalled and actual phone use was analysed using both categorical and continuous measures of number and duration of phone calls. RESULTS: Correlations between recalled and actual phone use were moderate to high (ranging from 0.5 to 0.8 across countries) and of the same order for number and duration of calls. The kappa statistic demonstrated fair to moderate agreement for both number and duration of calls (weighted kappa ranging from 0.20 to 0.60 across countries). On average, subjects underestimated the number of calls per month (geometric mean ratio of recalled to actual = 0.92, 95% CI 0.85 to 0.99), whereas duration of calls was overestimated (geometric mean ratio = 1.42, 95% CI 1.29 to 1.56). The ratio of recalled to actual use increased with level of use, showing underestimation in light users and overestimation in heavy users. There was substantial heterogeneity in this ratio between countries. Inter-individual variation was also large, and increased with level of use. CONCLUSIONS: Volunteer subjects recalled their recent phone use with moderate systematic error and substantial random error. This large random error can be expected to reduce the power of the Interphone study to detect an increase in risk of brain, acoustic nerve, and parotid gland tumours with increasing mobile phone use, if one exists.

[Open questions in the interpretation of daily time-series studies on air pollution and health. Part I: estimate of exposure]. / Problemi interpretativi delle analisi di serie temporali su inquinamento atmosferico e salute. Parte I: le stime di esposizione.

This paper is a commentary to the MISA study (Meta-analysis of the Italian studies on short-term effects of air pollution). The interpretation of the relationships observed in the time-series analyses is not straightforward. I will review a number of open questions: the exposure estimates; the meaning of the daily mortality and hospitalisation rates, in terms of impact on life expectancy, incidence of specific diseases, exacerbation of pre-existing chronic diseases; the pattern of the estimated dose-response curves; the role of possible effect modifiers; the hypotheses about the underlying mechanisms. These interpretative problems often present overlapping aspects. Some of the pending answers are relevant for policy making. For editorial reasons this review is divided into two parts. This first paper focuses on the exposure estimates. The second part, to be published in the next issue of this journal, will deal with the meaning of the outcome variable, the shape of the dose-response curves, possible effect modifiers and underlying mechanisms.

[Infantile leukemia and exposure to 50/60 Hz magnetic fields: review of epidemiologic evidence in 2000]. / Leucemia infantile ed esposizione a campi magnetici a 50/60 Hz: una rassegna delle evidenze epidemiologiche al 2000.

We review the epidemiological evidence on childhood leukemia and residential exposure to 50/60 Hz magnetic fields. The possibility of carcinogenic effects of power frequency magnetic fields (ELF-EMF), at levels below units of micro tesla (microT), was first raised in 1979 by a case-control study on childhood cancer carried out in Denver, USA. In that study, excess risks of total cancer and leukemia were observed among children living in homes with "high or very high current configuration", as categorised on the basis of proximity to electric lines and transformers. Many other epidemiological studies have been published since then, characterised by improved--although still not optimal--methods of exposure assessment. At the end of 2000, the epidemiological evidence to support the association between exposure to extremely-low-frequency magnetic fields and the risk of childhood leukemia is less consistent than what was observed in the mid 90s. At the same time, a growing body of experimental evidence has accumulated against both a direct and a promoting carcinogenic effect of ELF-EMF. Such "negative" experimental evidence hampers a causal interpretation of the "positive" epidemiological studies.

[Interpretation problems in the analysis of temporal series of air pollution and health. Part II: significance of outcome variables, relations forms, effect modifiers, and mechanisms of action]. / Problemi interpretativi delle analisi di serie temporali su inquinamento atmosferico e salute. Parte II: Significato delle variabili di outcome, forma delle relazioni, modificatori d'effetto e meccanismi d'azione.

This paper is a commentary to the MISA study (Meta-analysis of Italian studies on short-term effects of air pollution). The interpretation of the relationships observed in the time-series analyses is not straightforward. I will review a number of open questions: the exposure estimates; the meaning of the daily mortality and hospitalisation rates, in terms of impact on life expectancy, incidence of specific diseases, exacerbation of preexisting chronic diseases; the pattern of the estimated dose-response curves; the role of possible effect modifiers; the hypotheses about the underlying mechanisms. These interpretative problems often present overlapping aspects. Some of the pending answers are relevant for policy making. For editorial reasons this review is divided in two parts. A first paper, focusing on the exposure estimates, has been published on the previous issue of this journal. This second part deals with the meaning of the outcome variable, the shape of the dose-response curves, possible effect modifiers and underlying mechanisms.

Cancer incidence and mortality among flight personnel: a meta-analysis.

BACKGROUND: Increased cancer risk among flight personnel have previously been noted, including breast cancer among flight attendants and acute myeloid leukemia among pilots. HYPOTHESIS: Exposure to cosmic radiation and other physical or chemical agents may pose health risks for flight personnel. METHODS: We performed an exhaustive search for published and unpublished cohort studies of flight personnel from 1986-98. We combined relative risks (RR) for selected causes from four mortality and/or incidence studies of pilots and two incidence studies of flight attendants, using standard meta-analytic methods. Heterogeneity among the combined studies was explored and adjustments were made for possible confounding by socioeconomic status (SES), where indicated, using correction factors from published studies. RESULTS: SES-adjusted combined RRs were elevated (>1.2) among male pilots for mortality from melanoma 11.97 (95%, CI: 1.02-3.82)] and brain cancer [1.49 (0.89-2.20)], and for cancer incidence of the prostate [1.65 (1.19-2.29)] and the brain [1.74 (0.87-3.30)]. Among female flight attendants, increases were seen for incidence of all cancers [1.29 (0.98-1.70)], melanoma [11.54 (0.83-2.87)], and breast cancer [1.35 (1.00-1.83)]. CONCLUSIONS: Flight personnel appear to be at increased risk for several types of cancer. Both occupational exposures and well-established non-occupational risk factors may contribute to this increased risk. To better control for confounding factors and to identify exposures potentially amenable to preventive measures, future studies should compare risks within cohorts by flight routes, work history, and exposure to cosmic and UV radiation, electromagnetic fields, and chemical substances.

[Air pollution from traffic and the risk of tumors]. / Inquinamento atmosferico da traffico e rischio di tumori.

This paper describes the epidemiological evidence on lung cancer and childhood leukemia in relation to traffic-related air pollution, with particular reference to diesel exhausts, polycyclic aromatic hydrocarbons (PAH) and benzene. Recent epidemiological studies strengthen the hypothesis of an increased lung cancer risk related to residential exposure to air pollution and to occupational exposure to diesel exhausts. The evidence on the carcinogenicity of several PAH mixtures comes from occupational studies, while the risk incurred by the general population is difficult to estimate. A few papers suggest that traffic-related air pollution may be associated with an increased risk of childhood leukemia. The observed relative risks are small but the exposure is widespread. Therefore, the overall impact of exposure to current levels of urban air pollution may be substantial.

Health and work among women in Italy: an overview of the epidemiological literature.

The objective of this paper is to give an overview of the epidemiological studies completed in Italy during the past 25 years, about the role of occupational exposures on the development of adverse health effects on women. The implications for research developments are also discussed. The epidemiological investigations of selected categories of work-related health effects published in Italy in the years 1970-1995 were identified from the medical literature databases. The total number of studies is 142, including cohort mortality studies (n = 12), case-control studies of different neoplasms (n = 14), investigations of adverse reproductive effects (n = 8) and studies of occupational diseases different from the above (n = 94). In most investigations, women workers were not the main study objective and hence the number of females under study was small. The conclusions is that in Italy, given the dearth of studies of female workers and the preponderance of women in many economic sectors, i.e. the textile and shoe industry, health care, personal services and schools, there is a need to identify women workers in the above industries and occupations as priorities for epidemiological research and surveillance.

[Synthesis of the epidemiological evidence concerning childhood leukemia in relation to exposure to 50 Hz. electric and magnetic fields]. / Sintesi delle evidenze epidemiologiche sulla leucemia infantile in relazione all'esposizione a campi elettrici e magnetici a 50 Hz.

A review of epidemiologic evidence concerning the association between childhood leukaemia and exposure to 50 Hz electric and magnetic fields is presented, with special reference to fourteen studies published between 1979 and 1997 that utilised different systems of exposure assessment. While spot measurements of indoor magnetic fields were not associated with childhood leukaemia, combined relative risks from studies using 24 hour measurements range from 1.3 to 1.6 with lower confidence limits > or = 1.0. Thus, epidemiologic studies support an association between exposure to 50 Hz magnetic fields and childhood leukaemia. However, the causal nature of the association does not appear conclusively demonstrated because of limitations in study design and lack of a plausible biologic mechanism. In this framework, it seems justified to recommend the adoption of preventive measures aimed at reducing exposure to magnetic fields in dwellings, particularly in those featuring relatively high exposure levels.

Methodological issues in biomonitoring of low level exposure to benzene.

Data from a pilot study on unmetabolized benzene and trans,trans muconic acid (t,t-MA) excretion in filling station attendants and unexposed controls were used to afford methodological issues in the biomonitoring of low benzene exposures (around 0.1 ppm). Urinary concentrations of benzene and t,t-MA were measured by dynamic head-space capillary GC/FID and HPLC, respectively. The accuracy of the HPLC determination of t,t-MA was assessed in terms of inter- and intra-method reliability. The adequacy of urinary t,t-MA and benzene as biological markers of low benzene exposure was evaluated by analysing the relationship between personal exposure to benzene and biomarker excretion. Filling station attendants excreted significantly higher amounts of benzene, but not of t,t-MA, than controls. Adjusting for occupational benzene exposure, smokers excreted significantly higher amounts of t,t-MA, but not of unmetabolized benzene, than nonsmokers. A comparative analysis of the present and previously published biomonitoring surveys showed a good inter-study agreement regarding the amount of t,t-MA and unmetabolized benzene excreted (about 0.1-0.2 mg/l and 1-2 micrograms/l, respectively) per unit of exposure (0.1 ppm). For each biomarker, based on the distribution of parameters observed in the pilot study, we calculated the minimum sample size required to estimate the population mean with given confidence and precision.

Mortality of plastic-ware workers exposed to radiofrequencies.

The mortality experience of a cohort of Italian plastic-ware workers exposed to radiofrequency (RF)-electromagnetic fields generated by dielectric heat sealers was investigated. Follow-up extended from 1962 to 1992. The standardised mortality ratio (SMR) analysis was restricted to 481 women workers, representing 78% of the total person-years at risk. Mortality from malignant neoplasms was slightly elevated, and increased risks of leukemia and accidents were detected. The all-cancer SMR was higher among women employed in the sealing department, where exposure to RF occurred, than in the whole cohort. This study raises interest in a possible association between exposure to RF radiation and cancer risk. However, the study power was very small, and the possible confounding effects of exposure to solvents and vinyl chloride monomer (VCM) could not be ruled out. The hypothesis of an increased risk of cancer after radiofrequency exposure should be further explored by means of analytical studies characterised by adequate power and more accurate exposure assessment.

Genetic effects of petroleum fuels: cytogenetic monitoring of gasoline station attendants.

Workers in the petroleum distribution trades experience relatively high-level exposures to fuel vapours whose consequences have not been fully elucidated. In this study, the possible relationship between occupational exposure to petroleum fuels and cytogenetic damages in peripheral lymphocytes was investigated. Twenty-three male, non-smoking workers from the area of Rome were enrolled in the study, together with age-paired controls with no occupational exposure to fuels. Peripheral lymphocyte cultures were set up for the analysis of structural chromosome aberrations (CAs), sister chromatid exchanges (SCEs) and micronuclei (MN) in cytokinesis-blocked lymphocytes. Frequencies of CAs, SCEs and MN were compared between exposed and control groups, and evaluated in relation to blood lead level (as an indicator of engine exhausts exposure) for the whole group under study, and to yearly averaged exposure to benzene (8-h time weighted averages, as determined by repeated personal sampling) for fillingstation attendants only. Both CAs and SCEs were slightly increased in station attendants: 1.97 versus 1.46 aberrations per 100 cells, and 4.73 +/- 0.15 versus 4.48 +/- 0.11 SCEs/cell in exposed and control individuals, respectively. The difference between cumulative CA rates in the exposed and control populations was of borderline statistical significance (p = 0.066). However, when the exposed population was dichotomized for benzene exposure, a significant (p = 0.018) correlation of CAs with benzene exposure was found. The analysis of SCE data highlighted a significant increase of cells with more than 6 exchanges (HFCs), corresponding to the 75 degrees percentile of the overall distribution, in fillingstation attendants (relative risk (RR) = 1.3, 95% CI = 1.1-1.5) in comparison with controls. In the pooled population, the frequency of HFCs showed a statistically significant upward trend at increasing blood lead levels (chi 2 for trend = 27.8, p < 0.0001). A complex relationship between SCEs and benzene exposure was observed, with an increased frequency of HFCs in the medium exposure intensity class (RR = 1.5, 95% CI = 1.2-1.7), and no difference for exposure to higher benzene levels (RR = 1.0, 95% CI = 0.9-1.2), compared to reference subjects. Finally, the analysis of MN in both phytohemagglutinin- and pokeweed-stimulated cell cultures did not show significant excess of MN in binucleated lymphocytes of exposed workers with respect to the age-paired controls.

[Economic and occupational activities at an increased risk of mortality for lung tumors in Turin (1981-89) and in Italy (1981-82)]. / Attività economiche e professioni ad elevato rischio di mortalità per tumore polmonare a Torino (1981-89) e in Italia (1981-82).

In the framework of occupational disease surveillance program, based on integration of current information systems, the first Italian occupational mortality study was carried out. This paper reports on excess lung cancer risk by industry and occupation. The study population consists of subjects included in the Italian Cross-Sectional Study (STI) and in the Turin Longitudinal Study (SLT), both of which are surveys based on record-linkage procedures between census records and death certificates. The STI is a six-month follow-up of Italian residents at the 1981 census. The SLT is a prospective study of Turin residents at the 1981 census, followed for mortality up to 1989. Only persons aged 18-64 years at entry, and economically active, were eligible for the occupational mortality analysis (i.e. 15,734 deceased individuals out of 13 million subjects in the STI, and 435,608 individuals, among whom 10,789 deaths occurred, in the SLT). Information about job and economic activity recorded at census consisted of the Italian standard 1981 industry and occupation codes. Lung cancer relative risks by category of industry and job were estimated as mortality odds ratios (MOR) in the STI, and as observed to expected death ratios (SMR) in the SLT. Only excess risks based on > or = 3 observed cases and with p < 0.1, were included in the present report. Lung cancer mortality was increased in different industries and jobs. The excess risks found in the mechanic and transport industries are of particular interest in a public health perspective, due to the high number of Italian workers employed in these sectors. From an etiologic point of view, however, careful attention should be paid to the excess lung cancer risks among workers in the wood manufacturing industry, in meat preparation, and in nursing occupations, where detailed analytical studies of exposure profile and cancer risk are warranted.