Associations of the 2018 World Cancer Research Fund/American Institute of Cancer Research (WCRF/AICR) cancer prevention recommendations with stages of colorectal carcinogenesis

Background: While adherence to cancer prevention recommendations is linked to lower risk of colorectal cancer (CRC), few have studied associations across the entire spectrum of colorectal carcinogenesis. Here, we studied the relationship of the standardized 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Score for cancer prevention recommendations with detection of colorectal lesions in a screening setting. As a secondary objective, we examined to what extent the recommendations were being followed in an external cohort of CRC patients. Methods: Adherence to the seven-point 2018 WCRF/AICR Score was measured in screening participants receiving a positive fecal immunochemical test and in CRC patients participating in an intervention study. Dietary intake, body fatness and physical activity were assessed using self-administered questionnaires. Multinomial logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for screen-detected lesions. Results: Of 1486 screening participants, 548 were free from adenomas, 524 had non-advanced adenomas, 349 had advanced lesions and 65 had CRC. Adherence to the 2018 WCRF/AICR Score was inversely associated with advanced lesions; OR 0.82 (95% CI 0.71, 0.94) per score point, but not with CRC. Of the seven individual components included in the score, alcohol, and BMI seemed to be the most influential. Of the 430 CRC patients included in the external cohort, the greatest potential for lifestyle improvement was seen for the recommendations concerning alcohol and red and processed meat, where 10% and 2% fully adhered, respectively. Conclusions: Adherence to the 2018 WCRF/AICR Score was associated with lower probability of screen-detected advanced precancerous lesions, but not CRC. Although some components of the score seemed to be more influential than others (i.e., alcohol and BMI), taking a holistic approach to cancer prevention is likely the best way to prevent the occurrence of precancerous colorectal lesions

Full scale evaluation of combined sewer overflows disinfection using performic acid in a sea-outfall pipe

Pollution of surface waters with pathogens from combined sewer overflows limits recreational use of surface waters. Large retention basins are a satisfactory solution but they are rarely sufficient for economic or space reasons. Fast disinfection during the overflow is an alternative, but few methods are known and each has problems. This work evaluated for the first time the full-scale disinfection using performic acid by the removal of the two currently regulated indicator bacteria for bathing water quality, E. coli and Enterococcus. Experiments were performed at a sewage bypass through a sea-outfall pipe with a minimum hydraulic retention time of 24 min. The disinfection efficiency in the field was measured by analyzing samples taken before and after the treatment. Samples were also treated with performic acid in the laboratory to measure the disinfection effectiveness and kinetic of degradation of performic acid. Doses of 1-8 ppm of performic acid achieved 1.0-3.5 log removal of E coli and 1.0-2.44 log removal of Enterococcus in the field, but were somewhat higher in laboratory conditions at 1.69-4.38 and 1.0-4.27 log units, respectively. Studies of the degradation of performic acid in collected real samples showed more than 50 % was degraded in 20 min, and mostly degraded by 120 min. Comparison of field and laboratory dosed samples detected that performic acid synthesis didn’t start in one event and clogging of the sampler in another event. Overall the tests showed that the treatment was successful but it is indicated that online control could benefit treatments efficiency