A novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy

Abstract While associations between exposure to air pollutants and increased morbidity and mortality are well established, few rigorous studies on this issue are available. The aim of the current study is to implement a new approach to the spatial analysis of mortality and morbidity, based on testin...

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Autores principales:	Andrea Duggento, Nicola Toschi, Antonio Pietroiusti, Loredana Musmeci, Ersilia Buonomo, Stefania Moramarco, Francesca Lucaroni, Paolo Boffetta, Leonardo Palombi
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2019
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/757f51edb2314b9facace532563c75b8
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spelling	oai:doaj.org-article:757f51edb2314b9facace532563c75b82021-12-02T15:09:52ZA novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy10.1038/s41598-019-46479-z2045-2322https://doaj.org/article/757f51edb2314b9facace532563c75b82019-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-46479-zhttps://doaj.org/toc/2045-2322Abstract While associations between exposure to air pollutants and increased morbidity and mortality are well established, few rigorous studies on this issue are available. The aim of the current study is to implement a new approach to the spatial analysis of mortality and morbidity, based on testing for the presence of the same association in other areas of similar size. Additionally, we perform a case study in Val d’Agri (VA), an area of Basilicata Region, Southern Italy, where oil and natural gas extraction began in 1998. In order to examine the spatial distribution of morbidity and mortality in the region of interest, Hospital discharge (2001–2013) and mortality (2003–2014) rates for the main environment-related diseases were calculated. In addition, a comparison between the period 1980–1998 and the period 1999–2014 was performed for cardiovascular disease mortality. For the period under study, a neutral scenario emerged for cancer and respiratory diseases, where we found no differences in morbidity and mortality as compared to the national benchmark. In some cases significantly lower values (as compared to the nation-wide benchmark) were found. Conversely, a slight excess in morbidity and mortality (as compared to the nation-wide benchmark) emerged for cardiovascular diseases. Still, this excess was common to a number of municipalities in the surroundings of VA, and appeared to be already present in 1980. Higher rates of cardiovascular diseases, lower rates of neoplastic disorders no differences in mortality for respiratory causes (as compared to the nation-wide benchmark) were found in multiple areas of the region, and were therefore not specific to VA. In summary, our data do not support the hypothesis of a role of industrial activities related to oil extraction in VA in determining mortality and morbidity patterns and trends.Andrea DuggentoNicola ToschiAntonio PietroiustiLoredana MusmeciErsilia BuonomoStefania MoramarcoFrancesca LucaroniPaolo BoffettaLeonardo PalombiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-12 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Andrea Duggento Nicola Toschi Antonio Pietroiusti Loredana Musmeci Ersilia Buonomo Stefania Moramarco Francesca Lucaroni Paolo Boffetta Leonardo Palombi A novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy
description	Abstract While associations between exposure to air pollutants and increased morbidity and mortality are well established, few rigorous studies on this issue are available. The aim of the current study is to implement a new approach to the spatial analysis of mortality and morbidity, based on testing for the presence of the same association in other areas of similar size. Additionally, we perform a case study in Val d’Agri (VA), an area of Basilicata Region, Southern Italy, where oil and natural gas extraction began in 1998. In order to examine the spatial distribution of morbidity and mortality in the region of interest, Hospital discharge (2001–2013) and mortality (2003–2014) rates for the main environment-related diseases were calculated. In addition, a comparison between the period 1980–1998 and the period 1999–2014 was performed for cardiovascular disease mortality. For the period under study, a neutral scenario emerged for cancer and respiratory diseases, where we found no differences in morbidity and mortality as compared to the national benchmark. In some cases significantly lower values (as compared to the nation-wide benchmark) were found. Conversely, a slight excess in morbidity and mortality (as compared to the nation-wide benchmark) emerged for cardiovascular diseases. Still, this excess was common to a number of municipalities in the surroundings of VA, and appeared to be already present in 1980. Higher rates of cardiovascular diseases, lower rates of neoplastic disorders no differences in mortality for respiratory causes (as compared to the nation-wide benchmark) were found in multiple areas of the region, and were therefore not specific to VA. In summary, our data do not support the hypothesis of a role of industrial activities related to oil extraction in VA in determining mortality and morbidity patterns and trends.
format	article
author	Andrea Duggento Nicola Toschi Antonio Pietroiusti Loredana Musmeci Ersilia Buonomo Stefania Moramarco Francesca Lucaroni Paolo Boffetta Leonardo Palombi
author_facet	Andrea Duggento Nicola Toschi Antonio Pietroiusti Loredana Musmeci Ersilia Buonomo Stefania Moramarco Francesca Lucaroni Paolo Boffetta Leonardo Palombi
author_sort	Andrea Duggento
title	A novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy
title_short	A novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy
title_full	A novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy
title_fullStr	A novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy
title_full_unstemmed	A novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy
title_sort	novel approach for geographical risk mapping of morbidity and mortality rates: the case of val d’agri, italy
publisher	Nature Portfolio
publishDate	2019
url	https://doaj.org/article/757f51edb2314b9facace532563c75b8
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A novel approach for geographical risk mapping of morbidity and mortality rates: the case of Val D’Agri, Italy

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