Taranto’s Long Shadow? Cancer Mortality Is Higher for People Living Closer to One of the Most Polluted City of Italy

A national-scale study in Italy showed an incidence of cancer higher in the territories indicated as highly polluted compared to the regional average. One of them, the city of Taranto in Apulia (Italy), which is considered one of the most polluted cities in Europe, has numerous industrial activities that impact population health. We studied the epidemiological effects of a high level of pollution produced by the industrial area of Taranto in increasing the mortality rate for some specific cancer types in the city and towns of the two provinces located downwind. We analysed 10-year mortality rates for 15 major types of tumours reported among the residents of Taranto, of eight surrounding towns, randomly placed within an imaginary cone in the main wind direction from the vertex of the industrial zone of Taranto, and of the two related provinces (Bari and Taranto’s metropolitan areas). Our results confirm our hypothesis that the mortality rate for some specific types of cancer is higher than the norm in the municipality of Taranto. We also found strong evidence that, for 12 out of 15 tumour types, mortality decreases with the distance of the other towns from Taranto’s industrial site. However, we have reasons to believe that other local causes may be implicated in the excess of mortality in some specific municipalities besides the potential dispersal of pollutants from the industrial area of Taranto. The proximity to Taranto cannot, in fact, explain all the anomalies detected in some populations. It is likely that other site-specific sources of heavy pollution are playing a role in worsening the death toll of these towns and this must be taken into serious consideration by environmental policymakers and local authorities

Clarifying the smokescreen of Russian protected areas

Although in strictly protected areas no forest management and logging activities should be evident, a preliminary study detected that, even in the 200 areas with the highest protection of Russia, more than 2 Mha of trees have been lost between 2001 and 2018. Nonetheless, a relevant percentage of the actual drivers of tree loss in Russian strictly protected areas was surrounded by uncertainties due to several factors. Here, in an attempt to “clarify the smokescreen of Russian protected areas”, by validating previous remotely sensed data with new high-resolution satellite imagery and aerial images of land-use change, we shed more light on what has happened during the last 20 years. We used the same layer of tree loss from 2001 to 2020 but, instead of intersecting it with the MODIS data that could have been a source of underestimation of burned surfaces, we overlapped it to the layer of tree cover loss by dominant driver. We analysed the main drivers of tree loss in almost 200 strictly protected areas of Russia. We found that although fire is responsible for 75% of the loss in all strictly protected areas, forestry activities still account for 16%, and 9% is due to undefined causes. Therefore, uncontrolled wildfires (including those started before or after logging) and forestry activities are the main causes of 91% of the total tree loss. The combination of wildfires (often started intentionally) and forestry activities (illegally or barely legally put in place) caused a loss of an astonishing 3 million hectares. The fact that ≈10% of Russian tree cover was lost in two decades since 2001 only in strictly protected areas requires high attention by policymakers and important conservation actions to avoid losing other fundamental habitats and species during the next years when climate change and population growth can represent an additional trigger of an already dramatic situation. We call for an urgent response by national and local authorities that should start actively fighting wildfires, arsonists, and loggers even in inhabited remote areas and particularly in those included in strictly protected areas

The spatial association between environmental pollution and long-term cancer mortality in Italy

Tumours are nowadays the second world-leading cause of death after cardiovascular diseases. During the last decades of cancer research, lifestyle and random/genetic factors have been blamed for cancer mortality, with obesity, seden-tary habits, alcoholism, and smoking contributing as supposed major causes. However, there is an emerging consensus that environmental pollution should be considered one of the main triggers. Unfortunately, all this preliminary scien-tific evidence has not always been followed by governments and institutions, which still fail to pursue research on can-cer's environmental connections. In this unprecedented national-scale detailed study, we analyzed the links between cancer mortality, socio-economic factors, and sources of environmental pollution in Italy, both at wider regional and finer provincial scales, with an artificial intelligence approach. Overall, we found that cancer mortality does not have a random or spatial distribution and exceeds the national average mainly when environmental pollution is also higher, despite healthier lifestyle habits. Our machine learning analysis of 35 environmental sources of pollution showed that air quality ranks first for importance concerning the average cancer mortality rate, followed by sites to be reclaimed, urban areas, and motor vehicle density. Moreover, other environmental sources of pollution proved to be relevant for the mortality of some specific cancer types. Given these alarming results, we call for a rearrangement of the priority of cancer research and care that sees the reduction and prevention of environmental contamination as a priority action to put in place in the tough struggle against cancer

A ten-year (2009–2018) database of cancer mortality rates in Italy

In Italy, approximately 400.000 new cases of malignant tumors are recorded every year. The average of annual deaths caused by tumors, according to the Italian Cancer Registers, is about 3.5 deaths and about 2.5 per 1,000 men and women respectively, for a total of about 3 deaths every 1,000 people. Long-term (at least a decade) and spatially detailed data (up to the municipality scale) are neither easily accessible nor fully available for public consultation by the citizens, scientists, research groups, and associations. Therefore, here we present a ten-year (2009–2018) database on cancer mortality rates (in the form of Standardized Mortality Ratios, SMR) for 23 cancer macro-types in Italy on municipal, provincial, and regional scales. We aim to make easily accessible a comprehensive, ready-to-use, and openly accessible source of data on the most updated status of cancer mortality in Italy for local and national stakeholders, researchers, and policymakers and to provide researchers with ready-to-use data to perform specific studies

Does degradation from selective logging and illegal activities differently impact forest resources? A case study in Ghana

Degradation, a reduction of the ecosystem’s capacity to supply goods and services, is widespread in tropical forests and mainly caused by human disturbance. To maintain the full range of forest ecosystem services and support the development of effective conservation policies, we must understand the overall impact of degradation on different forest resources. This research investigates the response to disturbance of forest structure using several indicators: soil carbon content, arboreal richness and biodiversity, functional composition (guild and wood density), and productivity. We drew upon large field and remote sensing datasets from different forest types in Ghana, characterized by varied protection status, to investigate impacts of selective logging, and of illegal land use and resources extraction, which are the main disturbance causes in West Africa. Results indicate that functional composition and the overall number of species are less affected by degradation, while forest structure, soil carbon content and species abundance are seriously impacted, with resources distribution reflecting the protection level of the areas. Remote sensing analysis showed an increase in productivity in the last three decades, with higher resiliency to change in drier forest types, and stronger productivity correlation with solar radiation in the short dry season. The study region is affected by growing anthropogenic pressure on natural resources and by an increased climate variability: possible interactions of disturbance with climate are also discussed, together with the urgency to reduce degradation in order to preserve the full range of ecosystem functions

Focus on the cariogenic process: microbial and biochemical interactions with teeth and oral environment

This paper aims to describe the biochemical interactions between teeth and the oral environment that occur during the caries process, hence it covers all the steps related to physico-chemical reactions, including the most up-to-date theoretical basis in the clinical application for the prevention and treatment of caries. The terms 'demineralization' and 'remineralization' that characterise this process were analysed, as well as the role of the microbiota in its interaction with the hard surface of the teeth. The biochemical mechanisms that lead to the onset of carious lesions and those that occur during the healing and repair of such lesions are listed

Accelerating upward treeline shift in the Altai Mountains under last-century climate change

Treeline shift and tree growth often respond to climatic changes and it is critical to identify and quantify their dynamics. Some regions are particularly sensitive to climate change and the Altai Mountains, located in Central and East Asia, are showing unequivocal signs. The mean annual temperature in the area has increased by 1.3–1.7 °C in the last century. As this mountain range has ancient and protected forests on alpine slopes, we focus on determining the treeline structure and dynamics. We integrated in situ fine-scale allometric data with analyses from dendrochronological samples, high-resolution 3D drone photos and new satellite images to study the dynamics and underlying causal mechanisms of any treeline movement and growth changes in a remote preserved forest at the Aktru Research Station in the Altai Mountain. We show that temperature increase has a negative effect on mountain tree growth. In contrast, only younger trees grow at higher altitudes and we document a relatively fast upward shift of the treeline. During the last 52 years, treeline moved about 150 m upward and the rate of movement accelerated until recently. Before the 1950s, it never shifted over 2150–2200 m a.s.l. We suggest that a continuous upward expansion of the treeline would be at the expense of meadow and shrub species and radically change this high-mountain ecosystem with its endemic flora. This documented treeline shift represents clear evidence of the increased velocity of climate change during the last century

Efficacy of a Non-addictive Nasal Irrigation Based on Sea Salt Enriched with Natural Enzymes among Patients with Sinusitis: An In Vivo, Randomized, Controlled Trial

BACKGROUND: Chronic rhinosinusitis (CRS) is a common condition that is defined as inflammation of the nose and paranasal sinuses. Nasal irrigation plays an important role in the treatment of CRS. Evidence from basic research favors hypertonic saline over isotonic saline for mucociliary clearance, but evidence from clinical studies is controversial. AIM: This study aims to investigate the hypothesis that the use of daily nasal irrigation based on sea salt, enriched with natural enzymes and lysozyme, may be useful in patients with CRS. PATIENT AND METHODS: Patients (30 men and 30 women) 18–55 years old (mean age 41 ± 3 y.o.), with two episodes of acute sinusitis or one episode of chronic sinusitis per year for 2 consecutive years, were enrolled stratified by sex and age and randomly divided into two groups supplementation: Group A (test) and Group B (control/ placebo). Moreover, an exit questionnaire was asked to Group A subjects to report whether their sinus-related quality of life has gotten worse, stayed the same, or improved (scale from 0 to ±100%). RESULTS: The result showed that in the test group (A) from T0 to T1, a reduction of 17.65% for the symptoms related headache and/or facial pressure and a reduction of the 18.18%, for the symptoms relates to congestion and/ or nasal discharge. On the other hand, the control group (B) shown less difference between T0 and T1. CONCLUSIONS: This study strengthens the argument that the tested formulation is a safe, well-tolerated, long-term therapy that patients with chronic sinonasal complaints can and will use at home with minimal training and follow-up

Temporomandibular disorders and oral features in idiopathic inflammatory myopathies (Iims) patients: An observational study

Aim: Inflammatory idiopathic myopathies (IIMs) are inflammatory processes affecting skeletal musculature and extramuscular organs. Temporomandibular disorders (TMD) involve jaw muscles and temporomandibular joint. The aim of this observational study was to investigate the prevalence of the main TMD symptoms and signs as well as oral implications in IIM patients. Methods: The study group included 54 patients (42 women and 12 men), 22 of whom affected by dermatomyositis (DM), 29 by polymyositis (PM) and 3 by inclusion body myositis (IBM). A group of 54 patients not affected by this disease, served as CG. Oral and TMD signs and symptoms were evaluated by means of a questionnaire and through clinical examination. Results: About oral symptoms, the study group complained more frequently dysgeusia, with loss of taste or unpleasant taste (p<0.0001) and feeling of burning mouth (9.4% versus 0 controls). Xerostomia was more prevalent in the study group respect to the CG (p<0.0001). Dysphagia was reported by 48.1% of IIM patients while was absent in CG (p<0.0001). About oral signs, cheilitis (p<0.05) and oral ulcers (p<0.05) were significantly more frequent in CG. As regard to TMD symptoms, arthralgia and tinnitus didn’t showed significant differences between the two groups, while neck/shoulders and masticatory muscle pain was significantly more referred in IIM patients than in the CG (p<0.05). About TMJ signs, sounds were overlapping in the two groups: click=11.1% in both IIM patients and CG (p<0.05), crepitation in 11.1% of IIM and 9.3% of controls (p>0.05). No significant difference was detected about deflection (9.3%, p>0.05), while deviation was wider in CG (p>0.05). Active opening and lateralities showed no significant differences, while endfeel was significantly increased in IIM group for a higher presence of muscular contracture. Bruxism was present only in CG. Conclusion: The data collected from this observational study seem to support the existence of a relationship between the prevalence of TMD symptoms and signs as well as oral features in patients with myositis. A remarkable reduction of salivary flow and dysphagia were more frequent and severe in IIM patients, as well as muscle contracture and myofacial pain evoked by palpation, this result being highly significant