Evidence map›Paper›PMID 41969540›Full record

ReviewEcancermedicalscience2026

Water pollution and childhood leukaemia risk: a systematic review.

Juan Carlos Nuñez-Enriquez, Daniela Medina-León, Diana Tinoco-Montejano, Karen Jacuinde-Trejo, Janet Flores-Lujano, Lissette Gómez-Rivera, Omar Chávez-Martínez, Francisco J García-Alvarado, Patricia Blanco-Padilla, Rosana Pelayo

Abstract readReview
In one paragraph

Review in Ecancermedicalscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Juan Carlos Nuñez-EnriquezDivisión de Investigación en Salud, Unidad Médica de Alta Especialidad Hospital de Pediatría 'Dr. Silvestre Frenk Freund', Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City 06720, Mexico.
Daniela Medina-LeónFacultad Mexicana de Medicina, Universidad La Salle, Mexico City 14000, Mexico.
Diana Tinoco-MontejanoDepartamento de Medicina, Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, Mexico City 09230, Mexico.
Karen Jacuinde-TrejoEscuela Nacional de Medicina y Homeopatía, Instituto Politécnico Nacional, Mexico City 07320, Mexico.
Janet Flores-LujanoUnidad de Investigación Médica en Epidemiología Clínica, Unidad Médica de Alta Especialidad Hospital de Pediatría 'Dr. Silvestre Frenk Freund', Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City 06720, Mexico.
Lissette Gómez-RiveraCentro de Documentación en Salud, Dirección de Educación e Investigación en Salud, Unidad Médica de Alta Especialidad Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City 06720, Mexico.
Omar Chávez-MartínezCoordinación de Investigación en Salud, Unidad de Educación e Investigación, Instituto Mexicano del Seguro Social, Mexico City 06720, Mexico.
Francisco J García-AlvaradoDepartamento de Investigación en Salud, Unidad Médica de Alta Especialidad No. 71, Instituto Mexicano del Seguro Social, Torreón 27000, Mexico.
Patricia Blanco-PadillaJefatura de Laboratorios de la División Ciencias de la Salud. Instituto de Estudios Superiores de Tamaulipas, IEST - ANÁHUAC, Tamaulipas 89605, Mexico.
Rosana PelayoLaboratorio de Citómica del Cáncer Infantil, Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla 74360, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Water pollution represents a major global health concern, especially in low- and middle-income countries where toxic metals (TMs) and pesticides can contaminate drinking water through industrial, agricultural and urban activities. Children are particularly susceptible due to their developing physiology and higher water intake relative to body weight. This review aims to explore the association between exposure to TMs and pesticides in drinking water and the risk of childhood leukaemia (CL), highlighting the broader significance for environmental health and child safety. A structured search in PubMed, Scopus and Google Scholar (2001-2024) identified studies on acute lymphoblastic leukaemia or acute myeloid leukaemia in individuals under 20 years of age, assessing exposure to trace metals or pesticides via drinking water. Observational designs were included, excluding studies unrelated to water exposure or lacking paediatric data. Records were screened and reviewed independently by four authors. Findings were heterogeneous, with several studies suggesting potential links between specific contaminants like arsenic, hexavalent chromium, pentachlorophenol and certain pesticides and an increased risk of leukaemia in children, while others found no significant associations and noted methodological challenges such as small sample sizes and difficulties in exposure measurement. Although current evidence remains inconclusive regarding a direct causal relationship, this review underscores the need for rigorous, long-term research to clarify the role of waterborne pollutants in CL and to guide public health strategies.

Indexed as

childhood leukaemiapesticidessystematic reviewtoxic metalswater pollution

Identifiers

PMID41969540
PMCPMC13068373

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.