Abstract
We tested the hypothesis that there is an association between the use of asbestos-cement piping for drinking water supplies and the incidence of gastrointestinal and kidney cancer. Cancer incidence in 14 Utah communities that had used predominantly asbestos-cement piping for transporting their drinking water supplies for 20 years or more were compared to 27 Utah communities that had never used asbestos-cement piping.
Cancer incidence was tabulated for 11 cancer sites for the years 1967–1976. Increased Standard Incidence Ratios (SIRs) were found for cancer of the kidney in men (SIR 192) and leukemia (a control site) in women (SIR 203). No increased SIRs were found for the opposite sex at these sites or for the other gastrointestinal sites singly or in combination. There was no increase in age-adjusted cancer incidence for the 11 sites in 4 of the 14 study communities that had used asbestos-cement piping for 30 years or more. Limitations of the study were that the water supplies were nonaggressive, and leaching from the pipes was minimal if at all. Furthermore, the latent period for observation was very short, suggesting that these results should be considered preliminary.
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References
McDonald JL: Cancer in chrysotile mines and mills. In Bogovski P, Gilson JC, Timbrell V, Wagner JL (eds):Biological Effects of Asbestos. IARC #8 Lyon, France, 1973, pp. 189–193.
Kogan FM, Gulsenikova NA, Gulevskaya MR: The cancer mortality rate among workers in the asbestos industry in the Urals.Gig Sanit 3729–32, 1972.
Selikoff IJ, Hammond EC, Seidman H: Mortality experience of insulation workers in the United States and Canada, 1943–1976.Ann NY Acad Sci 33091–116, 1979.
Newhouse ML, Berry G: Patterns of mortality in asbestos factory workers in London.Ann NY Acad Sci 33053–60, 1979.
Mancuso TF, El-Attar AA: Mortality pattern in a cohort of asbestos workers: A study based on employment experience.JOM 9147–162, 1967.
Elmes PC, Simpson MJC: Insulation workers in Belfast 3. Mortality, 1940–66.Br J Ind Med 28226–236, 1971.
Konig J: Uber die Asbestose.Arch Gewerbepath Gewerbehyg 18159–204, 1960.
Enterline P, Decoufle P, Henderson V: Mortality in relation to occupational exposure in the asbestos industry.J Occup Med 14897–903, 1972.
Auerbach O, Conston AS, Garfinkel L, et al: Presence of asbestos bodies in organs other than the lung.Chest 77133–137, 1980.
Cook PM, Olson GF: Ingested mineral fibers: Elimination in human urine.Science 204195–198, 1979.
Hallenbeck WH, Patel-Mandlick KJ: Presence of fibers in the urine of a baboon gavaged with chrysotile asbestos.Environ Res 20335–340, 1979.
International industry review.Asbestos 61(6):16, 1979.
Cook PM, Glass GE, Tucker JH: Asbestiform amphibole mineral detection and measurement of high concentration in municipal water supples.Science 185853–855, 1974.
Sebastien P, Janson X, Bonnaud G, et al: Translocation of asbestos fibers through respiratory tract and gastrointestinal tract according to fiber type and size. In Lemen R, Dement JM (eds):Dusts and Disease. Park Forest South, Illinois, Pathotox Publishers, 1979, pp. 65–85.
Sebastien P, Masse R, Bignon J: Recovery of ingested asbestos fibers from the gastrointestinal lymph in rats.Environ Res 22201–216, 1980.
Lyon JL, Gardner JW, Klauber MR, et al: Low cancer incidence and mortality in Utah.Cancer 392608–2618, 1977.
Kanarek MS, Conforti PM, Jackson LA, et al: Asbestos in drinking water and cancer incidence in the San Fransicso Bay Area.Amer J Epidemiol 11254–72, 1980.
Gerber MA: Asbestosis and neoplastic disorders of the hematopoietic system.Amer J Clin Pathol 53204–208, 1970.
Kagan E, Jacobson RJ, Yeung KY, et al: Asbestos-associated neoplasms of B cell lineages.Amer J Med 67325–330, 1979.
Mantel N: Chi square tests with one degree of freedom: Extensions of Mantel-Haenszel procedure.Amer Statistical Assoc J 58690–700, 1963.
Murray R, Browne K: Asbestos in water.Lancet 11415, 1981 (letter).
Higgins ITT: Asbestos in drinking water and cancer incidence in the San Francisco Bay Area.Amer J Epidemiol 114161–164, 1981. (letter).
Kanarek MS, Conforti PM, Jackson LA: Chrysotile asbestos fibers in drinking water from asbestos-cement pipe.Environ Sci Tech 15923–925, 1981.
Harrington JM, Craun GF, Meigs JW, et al: An investigation of the use of asbestos-cement pipe for public water supply and the incidence of gastrointestinal cancer in Connecticut, 1935–1973.Amer J Epidemiol 10796–103, 1978.
Meigs JW, Walter SD, Millette JR, et al: Asbestos-cement pipe and cancer in Connecticut, 1955–1973.J Environ Health 43(4):187–191, 1980.
Wigle DT. Cancer mortality in relation to asbestos in municipal water supplies.Arch Environ Health 32185–190, 1977.
Sigurdson EE, Levy BS, Mandel J, et al: Cancer morbidity investigations: Lessons from the Duluth study of possible effects of asbestos in drinking water.Environ Res 2550–61, 1981.
Levy BS, Sigurdson E, Mandel J, et al: Investigating possible effects of asbestos in city water: Surveillance of gastrointestinal cancer incidence in Duluth, Minnesota.Amer J Epidemiol 103362–368, 1976.
Masson TJ, McKay FW, Miller RW: Asbestos-like fibers in Duluth water supply. Relation to cancer mortality.JAMA 2281019–1020, 1974.
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Terry D. Sadler, M.S.C.M., is with the Rocky Mountain Center for Occupational and Environmental Health, Departments of Internal and Family and Community Medicine, University of Utah, and the Salt Lake City-County Health Department. William N. Rom, M.D., M.P.H., and Joseph L. Lyon, M.D., M.P.H., are with the Rocky Mountain Center for Occupational and Environmental Health, Departments of Internal and Family and Community Medicine, University of Utah. James O, Mason, M.D., Dr. P.H., is with the Utah Department of Health, Salt Lake City, Utah
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Sadler, T.D., Rom, W.N., Lyon, J.L. et al. The use of asbestos-cement pipe for public water supply and the incidence of cancer in selected communities in Utah. J Community Health 9, 285–293 (1984). https://doi.org/10.1007/BF01338728
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DOI: https://doi.org/10.1007/BF01338728