Evidence map›Paper›PMID 23649493›Full record

ArticleEnvironmental health perspectives2013

Burden of disease from toxic waste sites in India, Indonesia, and the Philippines in 2010.

Kevin Chatham-Stephens, Jack Caravanos, Bret Ericson, Jennifer Sunga-Amparo, Budi Susilorini, Promila Sharma, Philip J Landrigan, Richard Fuller

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Hazardous waste and health impact: a systematic review of the scientific literature.Environmental health : a global access science source · 2017
    Pooled it
  2. Article
  3. Re-assessing global municipal solid waste generation.Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. International Federation of Gynecology and Obstetrics opinion on reproductive health impacts of exposure to toxic environmental chemicals.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2015
    Article
  14. Spatial Associations Between Contaminated Land and Socio Demographics in Ghana.International journal of environmental research and public health · 2015
    Article
  15. Article
  16. Review
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Kevin Chatham-StephensDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, New York 10029 , USA. kevin.chatham-stephens@mssm.edu
Jack Caravanos
Bret Ericson
Jennifer Sunga-Amparo
Budi Susilorini
Promila Sharma
Philip J Landrigan
Richard Fuller
University of the Philippines Los Baños · PHIcahn School of Medicine at Mount Sinai · USPure Earth · USCity University of New York · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrior calculations of the burden of disease from toxic exposures have not included estimates of the burden from toxic waste sites due to the absence of exposure data.

objectiveWe developed a disability-adjusted life year (DALY)-based estimate of the disease burden attributable to toxic waste sites. We focused on three low- and middle-income countries (LMICs): India, Indonesia, and the Philippines.

methodsSites were identified through the Blacksmith Institute's Toxic Sites Identification Program, a global effort to identify waste sites in LMICs. At least one of eight toxic chemicals was sampled in environmental media at each site, and the population at risk estimated. By combining estimates of disease incidence from these exposures with population data, we calculated the DALYs attributable to exposures at each site.

resultsWe estimated that in 2010, 8,629,750 persons were at risk of exposure to industrial pollutants at 373 toxic waste sites in the three countries, and that these exposures resulted in 828,722 DALYs, with a range of 814,934-1,557,121 DALYs, depending on the weighting factor used. This disease burden is comparable to estimated burdens for outdoor air pollution (1,448,612 DALYs) and malaria (725,000 DALYs) in these countries. Lead and hexavalent chromium collectively accounted for 99.2% of the total DALYs for the chemicals evaluated.

conclusionsToxic waste sites are responsible for a significant burden of disease in LMICs. Although some factors, such as unidentified and unscreened sites, may cause our estimate to be an underestimate of the actual burden of disease, other factors, such as extrapolation of environmental sampling to the entire exposed population, may result in an overestimate of the burden of disease attributable to these sites. Toxic waste sites are a major, and heretofore underrecognized, global health problem.

Indexed as

Cost of IllnessEnvironmental ExposureHazardous Waste SitesMortalityQuality-Adjusted Life YearsEnvironmental MonitoringEnvironmental PollutantsHumansIndiaIndonesiaPhilippinesEnvironmental Pollutants

Identifiers

PMID23649493
PMCPMC3702002
OpenAlexW1990788704

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.