Evidence map›Paper›PMID 25364052›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

Odors from sewage sludge and livestock: associations with self-reported health.

Steve Wing, Amy Lowman, Alex Keil, Stephen W Marshall

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Industrial odour pollution and human health: a systematic review and meta-analysis.Environmental health : a global access science source · 2021
    Pooled it
  2. Article
  3. Article
  4. "Ag-Gag" Laws: Evolution, Resurgence, and Public Health Implications.New solutions : a journal of environmental and occupational health policy : NS · 2019
    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

4 authors.

Steve WingUniversity of North Carolina, Department of Epidemiology, Chapel Hill, NC.
Amy LowmanUniversity of North Carolina, Department of Epidemiology, Chapel Hill, NC.
Alex KeilUniversity of North Carolina, Department of Epidemiology, Chapel Hill, NC.
Stephen W MarshallUniversity of North Carolina, Department of Epidemiology, Chapel Hill, NC.

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Local Health Impacts of Land Application of Sewage SludgeR01ES015469 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WING, STEVEN B · 2007 to 2011
$2.4M
NIEHS NIH HHS 5R01ES015469-02NIEHS NIH HHS P30 ES010126NIEHS NIH HHS R01 ES015469
6 · The paper itself

Abstract

objectivesClass B treated sewage sludge (TSS) contains microbes and toxicants and is applied to land in areas where livestock wastes may be present. We evaluated relationships of reports of TSS and livestock odors with acute symptoms and excessive flies.

methodsA total of 158 adults living near liquid TSS application sites, 85 living near cake TSS application sites, and 188 living in comparison areas responded to a household survey regarding odors, health, and demographics. We identified symptom groups using factor analysis. We used generalized estimating equations to fit linear models for associations between factor scores and odors, and Poisson models for associations with specific symptoms.

resultsMost factor scores were similar between exposure groups. Covariate-adjusted z-scores for lower respiratory symptoms were 0.28 (95% confidence interval [CI] -0.10, 0.65) higher among residents who reported moderate to very strong liquid TSS odor than among residents in comparison areas, and 0.28 (95% CI 0.05, 0.50) higher among residents who reported moderate to very strong livestock odor compared with residents reporting no or faint livestock odor. The factor score for dermatologic conditions was higher among residents who reported higher liquid sludge odor (0.27, 95% CI -0.13, 0.68), primarily due to skin rash (prevalence ratio = 2.21, 95% CI 1.13, 4.32). Excessive flies were reported twice as commonly among respondents who reported moderate to very strong TSS odor than among other residents.

conclusionsReported odors from TSS and livestock were associated with some acute symptoms. Health departments should monitor land applications of human and animal wastes and conduct surveillance of health problems reported by neighbors.

Indexed as

Health StatusLivestockOdorantsAdolescentAdultAgedAnimalsEnvironmental ExposureFemaleHealth SurveysHumansLinear ModelsMaleMiddle AgedNorth CarolinaRefuse DisposalSewage

Identifiers

PMID25364052
PMCPMC4187293

What OpenQuestion holds

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Registered trials

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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.