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.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Tax calculation will be finalised during checkout.
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
Tax calculation will be finalised during checkout.
InstitutionalAuthorNameHealth and Welfare Statistics Association (2002) Journal of health and welfare statistics Health and Welfare Statistics Association Tokyo, Japan
DR Anderson R Fisher (2002) ArticleTitleSources of dioxins in the United Kingdom: the steel industry and other sources Chemosphere 46 371–381 Occurrence Handle10.1016/S0045-6535(01)00178-3 Occurrence Handle11829394 Occurrence Handle1:CAS:528:DC%2BD3MXpt1ahsb4%3D
MJ Hazucha V Rhodes BA Boehlecke et al. (2002) ArticleTitleCharacterization of spirometric function in residents of three comparison communities and of three communities located near waste incinerators in North Carolina Arch Environ Health 57 103–112 Occurrence Handle12194154 Occurrence Handle1:CAS:528:DC%2BD38XntlWjtrs%3D Occurrence Handle10.1080/00039890209602924
P Elliott G Shaddick I Kleinschmidt et al. (1996) ArticleTitleCancer incidence near municipal solid waste incinerators in Great Britain Br J Cancer 73 702–710 Occurrence Handle8605111 Occurrence Handle1:STN:280:DyaK287osVSnug%3D%3D
InstitutionalAuthorNameEnvironmental Agency (1999) Second committee report for decreasing dioxin pollution in the air Environmental Agency Tokyo, Japan
InstitutionalAuthorNameMinistry of Health and Welfare (1997) List of PCDD/PCDF concentrations in exhaust gas from incinerators Ministry of Health and Welfare Tokyo, Japan
RM Sedman JR Esparza (1991) ArticleTitleEvaluation of the public health risks associated with semivolatile metal and dioxin emissions from hazardous waste incinerators Environ Health Perspect 94 181–187 Occurrence Handle1954929 Occurrence Handle1:CAS:528:DyaK3MXmvVKitbY%3D
SC Rowat (1999) ArticleTitleIncinerator toxic emissions: a brief summary of human health effects with a note on regulatory control Med Hypotheses 52 389–396 Occurrence Handle10.1054/mehy.1994.0675 Occurrence Handle10416945 Occurrence Handle1:CAS:528:DyaK1MXkt12ks78%3D
AG Barnett GM Williams J Schwartz AH Neller TL Best AL Petroeschevsky RW Simpson (2005) ArticleTitleAir pollution and child respiratory health: a case-crossover study in Australia and New Zealand Am J Respir Crit Care Med 171 1272–1278 Occurrence Handle10.1164/rccm.200411-1586OC Occurrence Handle15764722
L Trasande GD Thurston (2005) ArticleTitleThe role of air pollution in asthma and other pediatric morbidities J Allergy Clin Immunol 115 689–699 Occurrence Handle10.1016/j.jaci.2005.01.056 Occurrence Handle15805986 Occurrence Handle1:CAS:528:DC%2BD2MXivV2ju7k%3D
T Shimizu A Yura (1998) Subjective Symptoms of School Children and Air Pollution 1997 Osaka Medical Association Osaka, Japan
A Yura T Shimizu (2001) ArticleTitleTrends in the prevalence of atopic dermatitis in school children: longitudinal study in Osaka Prefecture, Japan, from 1985 to 1997 Br J Dermatol 145 966–973 Occurrence Handle10.1046/j.1365-2133.2001.04506.x Occurrence Handle11899151 Occurrence Handle1:STN:280:DC%2BD387ms1ahsA%3D%3D
InstitutionalAuthorNameThe International Study of Asthma (1998) ArticleTitleAllergies in Childhood (ISAAC) Steering Committee. Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC Lancet 351 1225–1232
M Okamoto F Tan A Suyama et al. (2000) ArticleTitleThe characteristics of fatigue symptoms and their association with the life style and the health status in school children J Epidemiol 10 241–248 Occurrence Handle10959606 Occurrence Handle1:STN:280:DC%2BD3cvisF2juw%3D%3D
P Elliott N Eaton G Shaddick et al. (2000) ArticleTitleCancer incidence near municipal solid waste incinerators in Great Britain. Part 2: histopathological and case-note review of primary liver cancer cases Br J Cancer 82 1103–1106 Occurrence Handle10737393 Occurrence Handle1:STN:280:DC%2BD3c7pvFKmtg%3D%3D
EG Knox (2000) ArticleTitleChildhood cancers, birthplaces, incinerators and landfill sites Int J Epidemiol 29 391–397 Occurrence Handle10.1093/ije/29.3.391 Occurrence Handle10869308 Occurrence Handle1:STN:280:DC%2BD3cvnt1Cruw%3D%3D
EJ Gray JK Peat CM Mellis et al. (1994) ArticleTitleAsthma severity and morbidity in a population sample of Sydney school children: Part I. Prevalence and effect of air pollutants in coastal regions Aust NZ J Med 24 168–175 Occurrence Handle1:STN:280:DyaK2czhsl2quw%3D%3D
InstitutionalAuthorNameOsaka Prefectural Government (1998) Osaka Statistic Year Book Osaka Prefectural Statistics Association Osaka, Japan
InstitutionalAuthorNameMinistry of Health and Welfare (1997) Report on surveys of physicians, dentists, and pharmacists Health and Welfare Statistics Association Tokyo, Japan
InstitutionalAuthorNameBika Center (1997) Report of dioxin contamination around Bika Center Bika Center Osaka, Japan
InstitutionalAuthorNameBika Center (1998) Report of dioxin contamination around Bika Center (II) Bika Center Osaka, Japan
Y Miyake A Yura M Iki (2002) ArticleTitleRelationship between distance from major roads and adolescent health in Japan J Epidemiol 12 418–423 Occurrence Handle12462276
Y Miyake A Yura M Iki (2004) ArticleTitleCross-sectional study of allergic disorders in relation to familial factors in Japanese adolescents Acta Paediatr. 93 380–385 Occurrence Handle15124843 Occurrence Handle1:STN:280:DC%2BD2c3isF2ksg%3D%3D
About this article
Cite this article
Miyake, Y., Yura, A., Misaki, H. et al. Relationship Between Distance of Schools from the Nearest Municipal Waste Incineration Plant and Child Health in Japan. Eur J Epidemiol 20, 1023–1029 (2005). https://doi.org/10.1007/s10654-005-4116-7
- Japanese children
- Stomach ache