Landfills and preterm birth in the Guadeloupe archipelago (French West Indies): a spatial cluster analysis.
Environmental exposure
French West Indies
Landfill
Preterm birth
Spatial clustering
Journal
Tropical medicine and health
ISSN: 1348-8945
Titre abrégé: Trop Med Health
Pays: Japan
ID NLM: 101215093
Informations de publication
Date de publication:
2019
2019
Historique:
received:
06
11
2018
accepted:
18
12
2018
entrez:
18
1
2019
pubmed:
18
1
2019
medline:
18
1
2019
Statut:
epublish
Résumé
A high rate of preterm birth is observed in the Guadeloupe archipelago (French West Indies), raising the hypothesis of harmful environmental exposures, including landfilling. Our aim was to evaluate whether preterm births cluster around the three main open landfills located in this area. The study population consisted of 911 women enrolled in the Timoun mother-child cohort (2004-2007). Home addresses during pregnancy and locations of landfills were geocoded. To test for the presence of preterm birth clusters around each dumpsite, we used a focused cluster test specifically designed to detect spatial clustering around point sources. A total of 144 (15.8%) preterm births were observed among 911 births. Using the term births ( The paucity of data available on open landfill sites regarding waste quantities, composition, and changes over time precludes any site-specific interpretation because of the variable degree of possible emissions. This result has to be confirmed in other tropical island environments where waste management has become a major concern with the potential to negatively impact the environment and public health.
Sections du résumé
BACKGROUND
BACKGROUND
A high rate of preterm birth is observed in the Guadeloupe archipelago (French West Indies), raising the hypothesis of harmful environmental exposures, including landfilling. Our aim was to evaluate whether preterm births cluster around the three main open landfills located in this area.
METHODS
METHODS
The study population consisted of 911 women enrolled in the Timoun mother-child cohort (2004-2007). Home addresses during pregnancy and locations of landfills were geocoded. To test for the presence of preterm birth clusters around each dumpsite, we used a focused cluster test specifically designed to detect spatial clustering around point sources.
RESULTS
RESULTS
A total of 144 (15.8%) preterm births were observed among 911 births. Using the term births (
CONCLUSION
CONCLUSIONS
The paucity of data available on open landfill sites regarding waste quantities, composition, and changes over time precludes any site-specific interpretation because of the variable degree of possible emissions. This result has to be confirmed in other tropical island environments where waste management has become a major concern with the potential to negatively impact the environment and public health.
Identifiants
pubmed: 30651715
doi: 10.1186/s41182-018-0130-9
pii: 130
pmc: PMC6327536
doi:
Types de publication
Journal Article
Langues
eng
Pagination
4Déclaration de conflit d'intérêts
The Guadeloupian Ethics committee for studies involving human subjects approved the study. Written informed consent was provided by each participant.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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