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International Journal of Environmental Health Research Volume 23, 2013 - Issue 1
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Leukemia in children and youths of the Azuay province, Ecuador: 2000–2010

Mariagrazia Zucca Department of Cytomorphology, University of Cagliari, Cittadella Universitaria, SS 554, km 4.500, Monserrato, 09042, Italy
,
Jorge Ugalde Instituto del Càncer de la Sociedad de Lucha Contra el Càncer (SOLCA), Cuenca, 101168, Ecuador
,
Francisco Salgado Arteaga Universitad del Azuay, Cuenca, 101168, Ecuador
,
Giuseppe Biggio Assessorato Enti Locali, Finanze ed Urbanistica della Regione Autonoma della Sardegna, Cagliari, 09100, Italy
,
Valeria Flore Department of Public Health, University of Cagliari, Occupational Health Section, Asse Didattico della Facoltà di Medicina, SS 554, km 4.500, Monserrato, 09042, Italy
,
Tinucia Nonne Department of Public Health, University of Cagliari, Occupational Health Section, Asse Didattico della Facoltà di Medicina, SS 554, km 4.500, Monserrato, 09042, Italy
,
Giannina Satta Department of Public Health, University of Cagliari, Occupational Health Section, Asse Didattico della Facoltà di Medicina, SS 554, km 4.500, Monserrato, 09042, Italy
,
Marta Blangiardo MRC-HPA Centre for Environment and Health, Department of Epidemiology and Biostatistics, Imperial College, London, SW7 2AZ, UK
,
Pierluigi Cocco Department of Public Health, University of Cagliari, Occupational Health Section, Asse Didattico della Facoltà di Medicina, SS 554, km 4.500, Monserrato, 09042, ItalyCorrespondence[email protected]
&
Maria Grazia Ennas Department of Cytomorphology, University of Cagliari, Cittadella Universitaria, SS 554, km 4.500, Monserrato, 09042, Italy
 show all
Pages 58-65 | Received 01 Jan 2012, Accepted 24 Apr 2012, Published online: 09 Jul 2012
 
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Abstract

We mapped leukemia risk among children and youths in the Azuay province, Rio Paute river basin, Ecuador, in 2000–2010, using a Bayesian disease mapping model. We assessed the comprehensiveness of the list of leukemia cases from the Sociedad de Lucha contra el Càncer en el Ecuador (SOLCA) Hospital in Cuenca, the only referral center for oncology in the whole Rio Paute area, by comparison to the Quito cancer registry. Risk of leukemia did not vary significantly by canton within the Azuay province. However, a moderate increase in risk of borderline statistical significance was observed in the city of Cuenca and particularly among males in a heavily industrialized parish, who had an almost eight-fold excess (95% CI 3.03, 20.39, p = 0.01) of AML. Analytical studies are warranted to properly address specific etiological factor of leukemia among children and youths of the Azuay province of Ecuador.

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