Artículos científicos

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A participatory assessment of ecosystem services and human wellbeing in Rural Costa Rica using Photo-Voice
(Springer, 2012-03-09) Berbes-Blazquez, Marta
Human well-being is intricately connected to ecosystem services. A keystone contribution to the ecosystem service literature has been the Millennium Ecosystem Assessment, MA, (Ecosystems and human well-being: a framework for assessment, Island Press, Washington, DC; 2003, 2005). Much of the work on ecosystem services to date has focused on the assessment and classification of environmental functions. The need for inclusion of community perspectives in ecosystem assessments has been widely recognized in order to better understand the distribution of impacts and benefits resulting from natural resource use. Communities can offer a direct route to understanding the complex relationships between ecosystems and human well-being and how environmental management affects their livelihoods. Photovoice has been made popular as a tool for participatory needs assessment but it has had limited use in ecosystem assessments to date. The purpose of this paper is twofold: (1) to present the results of a community-level assessment of environmental services in a watershed dominated by pineapple monoculture in Costa Rica; and (2) to evaluate the strengths and the limitations of photovoice as a tool for mapping the relationship between ecosystems and people. I argue that photovoice is an underutilized methodology that has the potential to complement biophysical ecosystem service assessments in the context of impoverished and resource-dependent communities, particularly, since assessing ecosystem services and acting upon that information requires integrating the knowledges of diverse stakeholders, recognizing power imbalances, and grappling with the complexity of social-ecological systems. Processes such as photovoice have the potential to catalyze community self-organization, which is a critical component for empowerment.
Acute health effects of organophosphorus pesticides on Tanzanian small-scale coffee growers
(Nature Publishing Group, 2001-07-01) Ngowi, Aiwerasia; Maeda, David; Partanen, Timo; Sanga, Michael
A cute health effects of organophosphorus (PP) pesticides on coffee farmworkers in 1991-1992 in Tanzania are reported to provide a basis for concern over farmworkers being overexposed during application. Workers exposed to OP pesticides (N = 133) were drawn from a population of about 240,000 coffee farmers. They were interviewed on symptoms and personal protection, and their erythrocyte acetylcholinesterase (ACHE) activity was determined during both spraying and nonspraying period. AChE activities during spraying and nonspraying period were comparable (mean 32.0, SD 7.8 vs. 33.0, SD 8.7 U/g HgB, P = 0.26). The prevalence of cough, headache, abdominal pain, excessive sweating, nausea, excessive salivation, diarrhea, and vomiting did not differ significantly between spraying and nonspraying periods. There was no suggestion of decreased AChE in exposed subjects who complained of OP-related symptoms compared to symptomless exposed subjects. Use of gloves, long boots, head cover, face cover, and coverall was not significantly associated with AChE activity. No marked AChE depression was found during spraying season, which may explain the lack of association between symptoms and ACHE. The fact that only moderately toxic OP pesticides were used may indicate that toxicity was not sufficiently high to cause depression. Experience, however, suggests that occupational poisoning remains a potential serious danger in coffee cultivation in Tanzania.
Acute, chronic and biochemical effects of chlorothalonil on Agalychnis callidryas, Isthmohyla pseudopuma and Smilisca baudinii tadpoles
(Springer, 2016-08-05) Méndez, Michael; Obando, Priscilla; Pinnock Branford, Margaret Verónica; Ruepert, Clemens; Castillo, Luisa E.; Mena, Freylan; Alvarado, Gilbert
Declines of amphibian populations have been a worldwide issue of concern for the scientific community during the last several decades. Efforts are being carried out to elucidate factors related to this phenomenon. Among these factors, pathogens, climate change, and environmental pollution have been suggested as possible causes. Regarding environmental pollutants, some pesticides are persistent in the environment and capable of being transported long distances from their release point. In Costa Rica, some pesticides have been detected in protected areas, at locations where amphibian populations have declined. Information about toxicity of pesticides used in Costa Rican agriculture to amphibians is still scarce, particularly for native species. Toxicity tests with chlorothalonil, a fungicide intensively used in Costa Rica, were carried out exposing tadpoles of three Costa Rican native species: Agalychnis callidryas, Isthmohyla pseudopuma, and Smilisca baudinii in order to evaluate acute and chronic toxicity as well as the biomarkers cholinesterase activity (ChE), glutathione-S transferase activity (GST), and lipid peroxidation (LPO). 96-h LC50: 26.6 (18.9–35.8) μg/L to A. callidryas, 25.5 (21.3–29.7) μg/L to I pseudopuma and 32.3 (26.3–39.7) μg/L to S. baudinii were determined for chlorothalonil. These three species of anurans are among the most sensitive to chlorothalonil according to the literature. Besides, GST was induced in S. baudinii after exposure to sub-lethal concentrations of chlorothalonil while evisceration occurred in S. baudinii and A. callidryas tadpoles exposed to lethal concentrations of the fungicide. Chronic exposure to sub-lethal concentrations accelerated development in S. baudinii and caused lesions in tail of S. baudinii and I. pseudopuma tadpoles. Our results demonstrate that chlorothalonil is highly toxic to native amphibian species and that low concentrations can cause biochemical responses related to phase II of biotransformation and effects on development.
Advanced Parental Age as Risk Factor for Childhood Acute Iymphoblastic Leukemia: Results From Studies of The Childhood Leukemia International Consortium
(Revista Europea de Epidemiología, 2018-08-01) Petridou, Eleni Th; Georgakis, Marios K; Magnani, Corrado; Metayer, Catherine; Roman, Eve; Mueller, Beth; Ma, Xiaomei; Erdmann, Friederike; Dockerty, John; Mora, Ana Maria; Scheurer, Michael; Ezzat, Sameera; Pombo-de-Oliveira, Maria S.; Hansen, Johnni; Rashed, Wafaa; Kane, Eleanor; Doody, David; Wang, Rong; Kang, Alice Y; Skalkidou, Alkistis; Infante Rivard, Claire; Schuz, Joachim; Dessypris, Nick; Mueller, Beth A; Spector, Logan G; Metayer, Catherine; Pombo-de-Oliveira, Maria S
Advanced parental age has been associated with adverse health effects in the offspring including childhood (0–14 years) acute lymphoblastic leukemia (ALL), as reported in our meta-analysis of published studies. We aimed to further explore the association using primary data from 16 studies participating in the Childhood Leukemia International Consortium. Data were contributed by 11 case-control (CC) studies (7919 cases and 12942 controls recruited via interviews) and five nested case-control (NCC) studies (8801 cases and 29690 controls identified through record linkage of population-based health registries) with variable enrollment periods (1968–2015). Five-year paternal and maternal age increments were introduced in two meta-analyses by study design using adjusted odds ratios (OR) derived from each study. Increased paternal age was associated with greater ALL risk in the offspring (ORCC:1.05, 95% CI:1.00–1.11; ORNCC:1.04, 95% CI:1.01–1.07). A similar positive association with advanced maternal age was observed only in the NCC results (ORCC:0.99, 95% CI:0.91–1.07, heterogeneity I2=58%, p=0.002; ORNCC:1.05, 95% CI:1.01–1.08). The positive association between parental age and risk of ALL was most marked among children aged 1–5 years and remained unchanged following mutual adjustment for the collinear effect of the paternal and maternal age variables; analyses of the relatively small numbers of discordant paternal-maternal age pairs were not fully enlightening. Our results strengthen the evidence that advanced parental age is associated with increased childhood ALL risk; collinearity of maternal with paternal age complicates causal interpretation. Employing datasets with cytogenetic information may further elucidate involvement of each parental component and clarify underlying mechanisms.
Aerial application of mancozeb and urinary ethylene thiourea (ETU) concentrations among pregnant women in Costa Rica: the Infants' Environmental Health Study (ISA)
(Environmental Health Perspectives, 2014-12-01) van Wendel de Joode, Berna; Mora, Ana Maria; Cordoba, Leonel; Cano, Juan Camilo; Quesada, Rosario; Faniband, Moosa; Wesseling, Catharina; Ruepert, Clemens; Öberg, Mattias; Eskenazi, Brenda; Mergler, Donna; Lindh, Christian
Background: Mancozeb and its main metabolite ethylene thiourea (ETU) may alter thyroid function; thyroid hormones are essential for fetal brain development. In Costa Rica, mancozeb is aerially sprayed at large-scale banana plantations on a weekly basis. Objectives: Our goals were to evaluate urinary ETU concentrations in pregnant women living near large-scale banana plantations, compare their estimated daily intake (EDI) with established reference doses (RfDs), and identify factors that predict their urinary ETU concentrations. Methods: We enrolled 451 pregnant women from Matina County, Costa Rica, which has large-scale banana production. We visited 445 women up to three times during pregnancy to obtain urine samples (n = 872) and information on factors that possibly influence exposure. We determined urinary ETU concentrations using liquid chromatography mass spectrometry. Results: Pregnant women’s median urinary ETU concentrations were more than five times higher than those reported for other general populations. Seventy-two percent of the women had EDIs above the RfD. Women who lived closest (1st quartile, < 48m) to banana plantations on average had a 45% (95% CI: 23, 72%) higher urinary ETU compared with women who lived farthest away (4th quartile, ≥ 565m). Compared with the other women, ETU was also higher in women who washed agricultural work clothes on the day before sampling (11%; 95% CI: 4.9, 17%), women who worked in agriculture during pregnancy (19%; 95% CI: 9.3, 29%), and immigrant women (6.2%; 95% CI: 1.0, 13%). Conclusions: The pregnant women’s urinary ETU concentrations are of concern, and the principal source of exposure is likely to be aerial spraying of mancozeb. The factors predicting ETU provide insight into possibilities for exposure reduction.
Age-, sex- and disease subtype–related foetal growth differentials in childhood acute myeloid leukaemia risk: A Childhood Leukemia International Consortium analysis
(ELSEVIER, 2020-03-09) Karalexi, Maria A.; Dessypris, Nick.; Ma, Xiaomei.; Spector, Logan G.; Marcotte, Erin.; Clavel, Jacqueline.; Pombo de Oliveira, Maria S.; Heck, Julia E.; Roman, Eve.; Mueller, Beth; Hansen, Johnni; Auvinen, Anssi; Lee, Pei-Chen; Joachim Schüz; Magnani, Corrado; Mora, Ana Maria; Dockerty, John; Scheurer, Michael; Wang, Rong; Bonaventure, Audrey; Petridou, Eleni Th
Evidence for an association of foetal growth with acute myeloid leukaemia (AML) is inconclusive. AML is a rare childhood cancer, relatively more frequent in girls, with distinct features in infancy. In the context of the Childhood Leukemia International Consortium (CLIC), we examined the hypothesis that the association may vary by age, sex and disease subtype using data from 22 studies and a total of 3564 AML cases. Pooled estimates by age, sex and overall for harmonised foetal growth markers in association with AML were calculated using the International Fetal and Newborn Growth Consortium for the 21st Century Project for 17 studies contributing individual-level data; meta-analyses were, thereafter, conducted with estimates provided ad hoc by five more studies because of administrative constraints. Subanalyses by AML subtype were also performed. A nearly 50% increased risk was observed among large-for-gestational-age infant boys (odds ratio [OR]: 1.49, 95% confidence interval [CI]: 1.03–2.14), reduced to 34% in boys aged <2 years (OR: 1.34, 95% CI: 1.05–1.71) and 25% in boys aged 0–14 years (OR: 1.25, 95% CI: 1.06–1.46). The association of large for gestational age became stronger in boys with M0/M1subtype (OR: 1.80, 95% CI: 1.15–2.83). Large birth length for gestational age was also positively associated with AML (OR: 1.38, 95% CI: 1.00–1.92) in boys. By contrast, there were null associations in girls, as well as with respect to associations of decelerated foetal growth markers. Accelerated foetal growth was associated with AML, especially in infant boys and those with minimally differentiated leukaemia. Further cytogenetic research would shed light into the underlying mechanisms.
Agricoh: A consortium of agricultural cohorts
(Multidisciplinary Digital Publishing Institute(MDPI), Switzerland., 2011-04-29) Leon, Maria; Beane Freeman, Laura; Douwes, Jeroen; Hoppin, Jane; Kromhout, Hans; Lebailly, Pierre; Christian Nordby, Karl; Schenker, Marc; Schüz, Joachim; Waring, Stephen; Alavanja, Michael; Annesi Maesano, Isabella; Baldi, Isabelle; Aqiel Dalvie, Mohamed; Ferro, Giles; Fervers, Beatris; Langseth, Hilde; London, Leslie; Lynch, Charles; McLaughlin, John; Merchant, James; Pahwa, Punam; Sigsgaard, Torben; Stayner, Leslie; Wesseling, Catharina; Keun-Young, Yoo; Zahm, Sheila; Straif, Kurt; Blair, Aaron
AGRICOH is a recently formed consortium of agricultural cohort studies involving 22 cohorts from nine countries in five continents: South Africa (1), Canada (3), Costa Rica (2), USA (6), Republic of Korea (1), New Zealand (2), Denmark (1), France (3) and Norway (3). The aim of AGRICOH, initiated by the US National Cancer Institute (NCI) and coordinated by the International Agency for Research on Cancer (IARC), is to promote and sustain collaboration and pooling of data to investigate the association between a wide range of agricultural exposures and a wide range of health outcomes, with a particular focus on associations that cannot easily be addressed in individual studies because of rare exposures (e.g., use of infrequently applied chemicals) or relatively rare outcomes (e.g., certain types of cancer, neurologic and auto-immune diseases). To facilitate future projects the need for data harmonization of selected variables is required and is underway. Altogether, AGRICOH provides excellent opportunities for studying cancer, respiratory, neurologic, and auto-immune diseases as well as reproductive and allergic disorders, injuries and overall mortality in association with a wide array of exposures, prominent among these the application of pesticides. © 2011 by the authors.
An ecosystem health approach and children's health living in the vicinity of banana plantations
(Wolters Kluwer Health, Inc., 2007-09) Van Wendel de Joode, B.; Barraza, D.; Mora, AM; Córdoba, L; De la Cruz, E
To study children's exposure to pesticides, their health effects, and their social consequences in agricultural communities. Materials and methods: The study population included three communities near banana plantations (multinationals) and plantain plantations (small-scale farmers) with extensive pesticide use, and two with low pesticide use (livestock farmers and organic farmers). Pesticide exposure pathways in children were studied both qualitatively and quantitatively within a social, cultural, and gender context. To study perceptions of pesticide risks, focus groups with parents and semi-structured interviews with key stakeholders were conducted. Exposure was quantitatively assessed by measuring pesticide metabolites in urine in 55 exposed children and 12 children aged 7 and 8 with low exposure. Dermal exposure was assessed in 14 of these children, and dust samples were collected from their homes. Environmental samples (air, surface and drinking water, and soil) were also collected. To study the children's development and health, a battery of neurobehavioral tests was administered to all 7- and 8-year-old children in the 5 communities.
Assessing habitat selection in the prawn Macrobrachium rosenbergii using the model toxicant copper and colonization as a test endpoint: Does prior exposure determine biochemical and behavioral responses?
(Universidad Nacional, Costa Rica, 2024-08-20) Mena, F; Echeverría-Sáenz, Silvia; Brenes-Bravo, Gabriel; Araújo, Cristiano VM; Moreira-Santos, Matilde
Habitat selection by aquatic organisms is dependent on the availability of adequate conditions to support life and the benefits that the habitat provides. Contaminated environments tend to be less attractive to organisms because reduced habitat quality leads to increased maintenance costs. Consequently, reduced colonization of such disturbed habitats is an expected response. However, colonization has been understudied as an ecotoxicological test endpoint, despite its proven ability to assess habitat selection by populations across various taxa. The aim of the present study was to investigate whether previous exposure to copper could alter the colonization behavior of the freshwater prawn Macrobrachium rosenbergii along a non-forced exposure gradient of interconnected copper- contaminated habitats (0 to 500 µg/L) due to physiological and behavioral impairments. To assess this, post- larvae of M. rosenbergii were pre-exposed to 0, 50, 250 and 500 µg/L copper for a maximum period of 48 h. The physiological status and motility of the organisms after pre-exposure to copper were evaluated using behavioral endpoints (swimming activity by video tracking) and biochemical biomarkers (biotransformation, oxidative stress and neurotoxicity). The results indicated that pre-exposure to copper (at concentrations of 0, 50 and 500 µg/L) significantly influenced the median colonization concentration (CC50), which decreased from 270 µg/L to 109 µg/L. None of the assessed swimming parameters (speed, motility rate, exploration rate, and total distance) were affected by the pre-exposure to copper (0, 50 and 250 µg/L). Biochemically, cholinesterase levels were only affected in the prawn population exposed to 250 µg/L of copper. The present study provides a better understanding of the relevance of colonization as an ecotoxicological endpoint for assessing the spatial distribution of populations, including both new inhabitants and previously exposed organisms, in recovering habitats.
Assessment of dermal exposure to bitumen condensate among road paving and mastic crews with an observational method
(Oxford University Press, 2011-05-19) Agostini, Michela; Wouter, Fransman; De Vocht, Frank; Van Wendel de Joode, Berna; Kromhout, Hans
Objective: To assess dermal exposure to bitumen condensate among road pavers and indoor mastic workers in multiple crews using a semi-quantitative observational method [DeRmal Exposure Assessment Method (DREAM)].Methods: Two skilled observers assessed dermal exposure to bitumen condensate among 85 asphalt workers from 12 crews from nine companies active within four European countries using the DREAM methodology, which produces an estimate of exposure expressed in dimensionless DREAM units. Both observers independently evaluated each crew member's job (N = 14 jobs) for road paving and mastic applications. Potential and actual dermal exposures were estimated for hands and for the rest of the body separately, taking into account the effect of protective clothing. To evaluate the reproducibility of the observational method intra-class correlation coefficients (ICCs) were estimated. The exposures in DREAM units were modelled using linear mixed models to estimate average relative scores for each job. Correlations between dermal exposure parameters were evaluated by estimating Pearson correlation coefficients.Results: A total of 170 observations were completed by two observers independently (n = 118 and n = 52 for 59 road pavers and 26 mastic workers, respectively) in 11 days. The mean ICCs (for potential and actual exposure in DREAM units) varied between 0.74 and 0.80 with values for actual units being slightly higher. Geometric mean potential dermal exposure units of mastic workers were higher than for road pavers (factor 3 for hands and factor 4 for rest of the body). Differences for actual dermal exposure units were smaller for hands (factor 2) and larger for actual exposure units of rest of the body (factor 5). Differences in dermal exposure at the hands between jobs within a paving crew were much larger than between jobs within a mastic crew. Within paving crews, a consistent pattern for all exposure units emerged with 'screed man' and 'raker' as the two highest exposed jobs. Within mastic crews, 'driver dumper truck' and 'spreader of mastic' were scored as the two jobs with the highest exposure units. Potential and actual exposure units were highly correlated. Hands were more profoundly exposed than the rest of the body, with transfer from contaminated surface to the hands as the most important route.Conclusions: DREAM observations were reproducible and showed a consistent dermal exposure pattern among the observed crews. The study provided a clear picture of dermal exposure among road pavers and indoor mastic workers, with the mastic workers being considerably more highly exposed. The most important route of exposure appeared to be transferred from contaminated surfaces to the hands. © The Author 2011.
Assessment of pesticide exposure in the agricultural population of Costa Rica
(British Occupational Hygiene Society, 2005) Monge, Patricia; Partanen, Timo; Wesseling, Catharina; Bravo, Viria; Ruepert, Clemens; Burstyn, Igor
We describe a model for the retrospective assessment of parental exposure to 26 pesticides, selected by toxicity-based prioritization, in a population-based case–control study of childhood leukaemia in Costa Rica (301 cases, 582 controls). The model was applied to a subset of 227 parents who had been employed or self-employed in agriculture or livestock breeding. It combines external data on pesticide use for 14 crops, 21 calendar years and 14 regions, and individual interview data on determinants (task and technology, personal protective equipment, field reentry, storing of pesticides, personal hygiene) of exposure. Recall was enhanced by use of checklists of pesticides in the interview. An external database provided information on the application rate (proxy for intensity of potential exposure) for each pesticide. The calendar time was individually converted to five time windows (year before conception, first, second and third trimester, and first year of the child). Time-windowed individual data on determinants of exposure and their expert-based general weights and their category-specific hazard values jointly provided an individual determinant score. This score was multiplied by the application rate to obtain an individual index of exposure intensity during application. Finally, average exposure intensity during entire time windows was estimated by incorporating in the model the individual time fraction of exposure during application. Estimates of exposure intensities were proxies assumed to be proportional to dermal exposure intensity, which represents the major pathway of occupational exposure to pesticides. A simulated sensitivity analysis resulted in a correlation coefficient of 0.91 between two sets of 10 000 values of individual exposure indices, based on two different but realistic sets expert-assigned weights. Lack of measurement data on concurrent exposures in comparable circumstances precluded direct validation of the model.
Basic questionnaire and methodological criteria for Surveys on Working Conditions, Employment, and Health in Latin America and the Caribbean
(Cadernos de Saúde Pública, Rio de Janeiro, 2016-09-01) Benavides, Fernando; Merino Salazar, Pamela; Cornelio, Cecilia; Avila Assunção, Ada; Agudelo Suárez, Andrés; Amable, Marcelo; Artazcoz, Lucía; Astete, Jonh; Berhó, Fabián; Carmenate Milián, Lino; Delclòs, George; Funcasta, Lorena; Gerke, Johanna; Gimeno, David; Itatí Iñiguez, María José; Lima, Eduardo de Paula; Martínez Iñigo, David; Medeiros, Adriane Mesquita de; Orta, Lida; Pinilla, Javier; Rodrigo, Fernando; Rojas, Marianela; Sabastizagal, Iselle; Vallebuona, Clelia; Vermeylen, Greet; Villalobos, Gloria; Vives, Alejandra; Barraza, Douglas
El objetivo de este trabajo es presentar un cuestionario básico y criterios metodológicos mínimos, para ser considerados en futuras Encuestas sobre Condiciones de Trabajo, Empleo y Salud (ECTES) en América Latina y el Caribe. Para ello, se llevó a cabo un proceso de consenso, tanto virtual co mo presencial, con la participación de un grupo internacional de expertos que, para definir la propuesta, partieron de las encuestas disponibles en la región hasta 2013. El cuestionario final incluyó 77 preguntas agrupadas en seis dimensiones: características sociodemográficas del trabajador y la empresa; condiciones de empleo; condiciones de trabajo; estado de salud; recursos y actividades preventivas; y características familiares. Entre los criterios metodológicos mínimos destacan el domicilio de la persona en trevistada como lugar de la entrevista y los relacionados con la calidad del trabajo de campo. Estos resultados pueden ayudar a mejorar la compara bilidad de las futuras ECTES en América Latina y el Caribe, lo que contri buiría a mejorar la información en salud laboral en la región
Biomarkers of manganese exposure in pregnant women and children living in an agricultural community in California
(American Chemical Society, 2014) Gunier, Robert; Mora, Ana María; Smith, Donald; Arora, Manish; Austin, Christine; Eskenazi, Brenda; Bradman, Asa
Manganese (Mn) is an essential nutrient but at high exposure levels is a neurotoxicant. There is no wellvalidated biomarker to assess perinatal Mn exposure. A total of 75 mother-child pairs provided blood, urine, and/or deciduous tooth samples. We analyzed Mn in dentin and enamel of shed teeth; maternal, cord, and child blood; and maternal and child urine and examined the interrelationships of Mn levels in all matrices. We observed higher Mn levels in prenatal than postnatal dentin (geometric mean (GM) = 0.51 vs 0.16 Mn:Ca, p < 0.001), maternal blood at delivery than 26 weeks gestation (GM = 20.7 vs. 14.6 μg/L, p = 0.001), and cord blood than child blood at 24 months of age (39.9 vs 25.0 μg/L, p = 0.005). There were no significant correlations between Mn in dentin and Mn concentrations in maternal blood or maternal or child urine. Levels of Mn in prenatal dentin, prenatal maternal blood, and 24 month urine were higher (p < 0.05) among mothers and children living with a farm worker. Prenatal Mn levels in dentin were correlated with Mn loadings and concentrations in prenatal house dust. Levels of Mn measured in tooth dentin constitute a promising biomarker of perinatal exposure.
Caesarean delivery and risk of childhood leukaemia: a pooled analysis from the Childhood Leukemia International Consortium (CLIC)
(The Lancet, 2016-04-07) Marcotte, Erin; Thomopoulos, Thomas P; Infante Rivard, Claire; Clavel, Jacqueline; Schuz, Joachim; Ezzat, Sameera; Dockerty, John; Metayer, Catherine; Magnani, Corrado; Scheurer, Michael; Mueller, Beth; Mora, Ana M; Wesseling, Catharina; Skalkidou, Alkistis; Rashed, Wafaa; Francis, Stephen; Ajrouche, Roula; Erdmann, Friederike; Orsi, Laurent; Spector, Logan G
Results from case-control studies have shown an increased risk of acute lymphoblastic leukaemia (ALL) in young children born by caesarean delivery, and prelabour caesarean delivery in particular; however, an association of method of delivery with childhood leukaemia subtypes has yet to be established. We therefore did a pooled analysis of data to investigate the association between childhood leukaemia and caesarean delivery. Methods: We pooled data from 13 case-control studies from the Childhood Leukemia International Consortium done in nine countries (Canada, Costa Rica, Egypt, France, Germany, Greece, Italy, New Zealand, and the USA) for births from 1970-2013. We analysed caesarean delivery overall and by indications that probably resulted in prelabour caesarean delivery or emergency caesarean delivery. We used multivariable logistic regression models, adjusted for child's birthweight, sex, age, ethnic origin, parental education, maternal age, and study, to estimate odds ratios (ORs) and 95% CIs for the risk of ALL and acute myeloid leukaemia (AML) in children aged 0-14 years at diagnosis. Findings: The studies provided data for 8780 ALL cases, 1332 AML cases, and 23 459 controls, of which the birth delivery method was known for 8655 (99%) ALL cases, 1292 (97%) AML cases, and 23 351 (>99%) controls. Indications for caesarean delivery were available in four studies (there were caesarean deliveries for 1061 of 4313 ALL cases, 138 of 664 AML cases, and 1401 of 5884 controls). The OR for all indications of caesarean delivery and ALL was 1Â·06 (95% CI 0Â·99-1Â·13), and was significant for prelabour caesarean delivery and ALL (1Â·23 [1Â·04-1Â·47]; p=0Â·018). Emergency caesarean delivery was not associated with ALL (OR 1Â·02 [95% CI 0Â·81-1Â·30]). AML was not associated with caesarean delivery (all indications OR 0Â·99 [95% CI 0Â·84-1Â·17]; prelabour caesarean delivery 0Â·83 [0Â·54-1Â·26]; and emergency caesarean delivery 1Â·05 [0Â·63-1Â·77]). Interpretation: Our results suggest an increased risk of childhood ALL after prelabour caesarean delivery. If this association is causal, maladaptive immune activation due to an absence of stress response before birth in children born by prelabour caesarean delivery could be considered as a potential mechanism. Funding: National Cancer Institute. Â© 2016 Elsevier Ltd.
Cambios en la superficie sembrada de palma aceitera en el cantón de Osa, Puntarenas. Período 2014-2018
(Universidad Nacional, Costa Rica, 2020-06-29) Salas González, Denis Mauricio
El cultivo de palma aceitera muestra un acelerado crecimiento a nivel mundial. Según datos oficia-les, solo en la región latinoamericana se evidencia un crecimiento del 150,8% en el área cultivada de palma de aceite al pasar de 443 000 hectáreas en 2001 a 1 111 000 hectáreas sembradas en 2014, de las cuales 818 000 se encontraban en etapa productiva aportando cerca del 6% del aceite de palma producido en el mundo (González, 2016). Estas plantaciones han impactado los paisajes tro-picales por la disminución de la vegetación natural, pastos o por el reemplazo de otros cultivos. La expansión del cultivo de palma de aceite aumentó en Costa Rica y de acuerdo con la tendencia de los últimos años, seguirá en aumento. En los últimos años se han realizado censos y encuestas agro-pecuarias que muestran el crecimiento general, pero no detallan las áreas geográficas donde se da ese crecimiento y el consecuente impacto a la dinámica natural de las áreas cultivadas, información clave para los procesos de ordenamiento territorial regional y local que tenemos en el país. Por tal motivo, los objetivos de esta investigación fueron: analizar el cambio en la superficie sembrada con palma aceitera en el cantón de Osa, provincia de Puntarenas en el periodo 2014-2018 y evaluar la expansión del cultivo de palma aceitera en los distritos del cantón. Para esto, se analizaron datos de instituciones gubernamentales y se identificaron y digitalizaron las plantaciones de palma aceitera de los seis distritos del cantón de Osa.
Can a mixture of agrochemicals (glyphosate, chlorpyrifos and chlorothalonil) mask the perception of an individual chemical? A hidden trap underlying ecological risk
(Elsevier, 2022-01) Mena, Freylan; Romero, Adarli; Blasco, Julián; Araújo, Cristiano VM
As aquatic environments associated with conventional agriculture are exposed to various pesticides, it is important to identify any possible interactions that modify their effects when in a mixture. We applied avoidance tests with Danio rerio, exposing juveniles to three relevant current use pesticides: chlorpyrifos (CPF), chlorothalonil (CTL) and glyphosate (Gly), individually and in binary mixtures (CPF-Gly and CTL-Gly). Our goal was to identify the potential of contaminants to trigger the avoidance response in fish and detect any changes to that response resulting from binary mixtures. Avoidance was assessed for three hours using an open gradient system with six levels of increasing concentrations. Fish avoided environmentally relevant concentrations of the three compounds. The avoidance of CPF [AC50 = 7.95 (3.3–36.3) μg/L] and CTL [AC50 = 3.41 (1.2–41.6) μg/L] was evident during the entire period of observation. In the case of Gly, the response changed throughout the experiment: initially (until 100 min) the fish tolerated higher concentrations of the herbicide [AC50 = 52.2 (12.1–2700) μg/L] while during the later period (after 100 min) a clearer avoidance [1.5 (0.8–4.2) μg/L] was observed. The avoidance recorded using CPF and CTL alone was attenuated by the presence of Gly. Applying an additive concentration model, Gly initially acted synergistically with the other two compounds, although this interaction was not observed during the later period. Avoidance gives us an idea of how the distribution of populations may be altered by contamination, our results suggest that in some mixtures this response may be inhibited, at least temporarily, thus masking the ecological risk of the exposure.
Caregiving and infants' neurodevelopment in rural Costa Rica: Results from the Infants’ Environmental Health Study (ISA)
(Elsevier, 2019-09) Till, Christine; Dudani, Ameeta; Cordoba, Leonel; Cano, Juan Camilo; Green, Rivka; Menezes-Filho, José; Schnaas, Lourdes; Smith, Donald R.; Lindh, Christian; van Wendel de Joode, Berna
Early caregiving is one of the strongest influences on children's development, and among the most significant modifiable environmental factor. The aim of this study was to explore the association between quality of caregiver-infant interactions and neurodevelopment of infants living in banana-growing communities in rural Costa Rica characterized as having environmental toxic exposures. Home visits were conducted with 94 caregiver-infant dyads from the Infants’ Environmental Health Study (ISA), living within Matina county, Limón province. One-year infant neurodevelopmental outcomes were assessed using the Bayley Scales of Infant and Toddler Development®, Third Edition (Bayley-III). Quality of caregiver-infant interaction was assessed with a standardized observational task: Nursing Child Assessment Satellite Training Teaching scale (NCATS) at around two years of age. Multiple regression analyses examined associations between components of caregiver-infant interactions and neurodevelopmental outcomes, adjusting for mancozeb and manganese exposure and other potential confounders. Compared to NCATS normative data for U.S. Hispanic mothers, 35% of the sample had overall caregiving interaction scores ≤10th percentile cut-off, indicating less than optimal interactions. Higher quality of caregiver-infant interaction was associated with higher expressive communication ability in infants [ß = 0.03 (95% CI: 0.01, 0.06)], controlling for pesticide exposure and confounders. Aspects of caregiving such as stimulation and growth-fostering of infants were most strongly associated with language outcomes. Results suggest an association between positive caregiving on language development for infants living in a rural agricultural area in Costa Rica, and highlight aspects of caregiving that could be targeted to improve resilience of these children who live in vulnerable conditions
Causas y prevención del cáncer ocupacional
(Colegio de Médicos y Cirujanos, Costa Rica, 2009-04-28) Partanen, Timo; Monge, Patricia; Wesseling, Catharina
Las neoplasias ocupacionales son altamente prevenibles. Esta comunicación resume los datos de los riesgos cancerígenos ocupacionales, destacando grupos importantes de trabajadores y la prevención. La Agencia Internacional para la Investigación del Cáncer (IARC) ha identificado en el Grupo 1 (causa cáncer en humanos), 29 agentes que pueden presentarse en el lugar de trabajo, 26 en el Grupo 2 A (probablemente cancerígeno) y 113 en el Grupo 2B (posiblemente cancerígeno). Los agentes frecuentes en Centroamérica incluyen la radiación solar (Grupo 1) y la radiación ultravioleta (2A), las emisiones diesel (2A), los hidrocarburos poliaromáticos (1 - 3), el humo de tabaco ambiental (1), los compuestos de cromo hexavalente (1) y el benceno (1). En cuanto a los cánceres de mujeres, estudios de cáncer de mama y ovarios sugieren asociaciones con agentes ocupacionales. Los datos en la economía informal son pocos. Peligros cancerígenos para agricultores y peones agrícolas contemplan la exposición a radiación ultravioleta solar, virus, zoonosis, polvos, aflatoxinas, emisiones de diesel, solventes y plaguicidas. Agentes cancerígenos potenciales presentes en el Sector Salud incluyen: óxido de etileno, formaldehído, humo de tabaco ambiental, tricloroetileno, tetracloroetileno, benceno, asbesto, drogas, hormonas, antibióticos, plaguicidas, virus y desechos y gases cancerígenos. Algunas exposiciones durante el desarrollo y la infancia someten a los niños a riesgos cancerígenos. Prevenir los riesgos para la salud en el lugar de trabajo es responsabilidad del empleador. Se debe actuar con precaución en respuesta a la limitada evidencia plausible y creíble, sobre un peligro probable, y establecer comisiones mixtas de salud y seguridad en lugares de trabajo.
Central nervous system tumours in children in Costa Rica: 1981–96
(Blackwell Science, 2002) Reutfors, Johan; Kramárová, Eva; Weiderpass, Elisabete; Monge, Patricia; Wesseling, Catharina; Ahlbom, Anders
Incidence rates of malignant central nervous system (CNS) tumours in children in Costa Rica are presented in an international perspective. For the 16-year period 1981–96, a total of 256 CNS tumours were registered in children below age 15 years by the National Tumour Registry of Costa Rica. The age-standardised incidence rate was 15.2 per million person–years, with a male-to-female ratio of 1.4. The median age-standardised incidence rates of selected registries in other Latin American countries were 19.3, in other developing countries 12.0 and in industrialised countries 29.6 per million person–years. The comparatively low incidence rates in Costa Rica were evident in all diagnostic subgroups, most notably in the youngest age group and for tumours in the brain stem. In the Central Valley, where the capital and the only specialised paediatric hospital are situated, the crude incidence rate was 18.1 [95% CI 15.1, 21.1] compared with 10.5 [95% CI 8.3, 12.8] per million person–years in the rest of the country (RR = 1.7, 95% CI 1.3, 2.3). There was no evidence of any increase over time. The data in this study cannot exclude under-diagnosis and, to a lesser degree, under-registration as a partial explanation of the low incidence rates of malignant CNS tumours in children in Costa Rica.
CKD of unknown origin in Central America: The case for a mesoamerican nephropathy
(National Kidney Foundation, 2014-01-13) Correa-Rotter, Ricardo; Wesseling, Catharina; Johnson, Richard
An epidemic of chronic kidney disease of unknown origin has emerged in the last decade in Central America and has been named Mesoamerican nephropathy. This form of chronic kidney disease is present primarily in young male agricultural workers from communities along the Pacific coast, especially workers in the sugarcane fields. In general, these men have a history of manual labor under very hot conditions in agricultural fields. Clinically, they usually present with normal or mildly elevated systemic blood pressure, asymptomatic yet progressive reduction in estimated glomerular filtration rate, low-grade non-nephrotic proteinuria, and often hyperuricemia and or hypokalemia. Diabetes is absent in this population. Kidney biopsies that have been performed show a chronic tubulointerstitial disease with associated secondary glomerulosclerosis and some signs of glomerular ischemia. The cause of the disease is unknown; this article discusses and analyzes some of the etiologic possibilities currently under consideration. It is relevant to highlight that recurrent dehydration is suggested in multiple studies, a condition that possibly could be exacerbated in some cases by other conditions, including the use of nonsteroidal anti-inflammatory agents. At present, Mesoamerican nephropathy is a medical enigma yet to be solved.

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