European Journal of Epidemiology

, Volume 20, Issue 12, pp 1023–1029 | Cite as

Relationship Between Distance of Schools from the Nearest Municipal Waste Incineration Plant and Child Health in Japan

  • Y. MiyakeEmail author
  • A. Yura
  • H. Misaki
  • Y. Ikeda
  • T. Usui
  • M. Iki
  • T. Shimizu
Environmental Epidemiology


In Japan, the main source of dioxins is incinerators. This study examined the relationship between the distance of schools from municipal waste incineration plants and the prevalence of allergic disorders and general symptoms in Japanese children. Study subjects were 450,807 elementary school children aged 6–12 years who attended 996 public elementary schools in Osaka Prefecture in Japan. Parents of school children completed a questionnaire that included items about illnesses and symptoms in the study child. Distance of each of the public elementary schools from all of the 37 municipal waste incineration plants in Osaka Prefecture was measured using geographical information systems packages. Adjustment was made for grade, socioeconomic status and access to health care per municipality. Decreases in the distance of schools from the nearest municipal waste incineration plant were independently associated with an increased prevalence of wheeze, headache, stomach ache, and fatigue (adjusted odds ratios [95% confidence intervals] for shortest vs. longest distance categories =1.08 [1.01–1.15], 1.05 [1.00–1.11], 1.06 [1.01–1.11], and 1.12 [1.08–1.17], respectively). A positive association with fatigue was pronounced in schools within 4 km of the second nearest municipal waste incineration plant. There was no evident relationship between the distance of schools from such a plant and the prevalence of atopic dermatitis or allergic rhinitis. The findings suggest that proximity of schools to municipal waste incineration plants may be associated with an increased prevalence of wheeze, headache, stomach ache, and fatigue in Japanese children.


Fatigue Headache Incineration Japanese children Stomach ache Wheeze 



confidence interval


odds ratio


polychlorinated dibenzo-p-dioxin


polychlorinated dibenzofuran


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  1. 1.
    Health and Welfare Statistics Association2002Journal of health and welfare statisticsHealth and Welfare Statistics AssociationTokyo, Japan(in Japanese)Google Scholar
  2. 2.
    Anderson, DR, Fisher, R 2002Sources of dioxins in the United Kingdom: the steel industry and other sourcesChemosphere46371381CrossRefPubMedGoogle Scholar
  3. 3.
    Hazucha, MJ, Rhodes, V, Boehlecke, BA,  et al. 2002Characterization of spirometric function in residents of three comparison communities and of three communities located near waste incinerators in North CarolinaArch Environ Health57103112PubMedCrossRefGoogle Scholar
  4. 4.
    Elliott, P, Shaddick, G, Kleinschmidt, I,  et al. 1996Cancer incidence near municipal solid waste incinerators in Great BritainBr J Cancer73702710PubMedGoogle Scholar
  5. 5.
    Environmental Agency1999Second committee report for decreasing dioxin pollution in the airEnvironmental AgencyTokyo, Japan(in Japanese)Google Scholar
  6. 6.
    Ministry of Health and Welfare1997List of PCDD/PCDF concentrations in exhaust gas from incineratorsMinistry of Health and WelfareTokyo, Japan(in Japanese)Google Scholar
  7. 7.
    Sedman, RM, Esparza, JR 1991Evaluation of the public health risks associated with semivolatile metal and dioxin emissions from hazardous waste incineratorsEnviron Health Perspect94181187PubMedGoogle Scholar
  8. 8.
    Rowat, SC 1999Incinerator toxic emissions: a brief summary of human health effects with a note on regulatory controlMed Hypotheses52389396CrossRefPubMedGoogle Scholar
  9. 9.
    Barnett, AG, Williams, GM, Schwartz, J, Neller, AH, Best, TL, Petroeschevsky, AL, Simpson, RW 2005Air pollution and child respiratory health: a case-crossover study in Australia and New ZealandAm J Respir Crit Care Med17112721278CrossRefPubMedGoogle Scholar
  10. 10.
    Trasande, L, Thurston, GD 2005The role of air pollution in asthma and other pediatric morbiditiesJ Allergy Clin Immunol115689699CrossRefPubMedGoogle Scholar
  11. 11.
    Shimizu, T, Yura, A 1998Subjective Symptoms of School Children and Air Pollution 1997Osaka Medical AssociationOsaka, Japan(in Japanese)Google Scholar
  12. 12.
    Yura, A, Shimizu, T 2001Trends in the prevalence of atopic dermatitis in school children: longitudinal study in Osaka Prefecture, Japan, from 1985 to 1997Br J Dermatol145966973CrossRefPubMedGoogle Scholar
  13. 13.
    The International Study of Asthma1998Allergies in Childhood (ISAAC) Steering Committee. Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAACLancet35112251232Google Scholar
  14. 14.
    Okamoto, M, Tan, F, Suyama, A,  et al. 2000The characteristics of fatigue symptoms and their association with the life style and the health status in school childrenJ Epidemiol10241248PubMedGoogle Scholar
  15. 15.
    Elliott, P, Eaton, N, Shaddick, G,  et al. 2000Cancer incidence near municipal solid waste incinerators in Great Britain. Part 2: histopathological and case-note review of primary liver cancer casesBr J Cancer8211031106PubMedGoogle Scholar
  16. 16.
    Knox, EG 2000Childhood cancers, birthplaces, incinerators and landfill sitesInt J Epidemiol29391397CrossRefPubMedGoogle Scholar
  17. 17.
    Gray, EJ, Peat, JK, Mellis, CM,  et al. 1994Asthma severity and morbidity in a population sample of Sydney school children: Part I. Prevalence and effect of air pollutants in coastal regionsAust NZ J Med24168175Google Scholar
  18. 18.
    Osaka Prefectural Government1998Osaka Statistic Year BookOsaka Prefectural Statistics AssociationOsaka, Japan(in Japanese)Google Scholar
  19. 19.
    Ministry of Health and Welfare1997Report on surveys of physicians, dentists, and pharmacistsHealth and Welfare Statistics AssociationTokyo, Japan(in Japanese)Google Scholar
  20. 20.
    Bika Center1997Report of dioxin contamination around Bika CenterBika CenterOsaka, Japan(in Japanese)Google Scholar
  21. 21.
    Bika Center1998Report of dioxin contamination around Bika Center (II)Bika CenterOsaka, Japan(in Japanese)Google Scholar
  22. 22.
    Miyake, Y, Yura, A, Iki, M 2002Relationship between distance from major roads and adolescent health in JapanJ Epidemiol12418423PubMedGoogle Scholar
  23. 23.
    Miyake, Y, Yura, A, Iki, M 2004Cross-sectional study of allergic disorders in relation to familial factors in Japanese adolescentsActa Paediatr.93380385PubMedGoogle Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  • Y. Miyake
    • 1
    Email author
  • A. Yura
    • 1
  • H. Misaki
    • 2
  • Y. Ikeda
    • 1
  • T. Usui
    • 2
  • M. Iki
    • 1
  • T. Shimizu
    • 1
  1. 1.Department of Public HealthKinki University School of MedicineOsaka-SayamaJapan
  2. 2.Department of Geography, Faculty of LettersNara UniversityNaraJapan

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