RESUMEN
The incidence and mortality of lung cancer in women are rising, with both increasing by 124% between 2003 and 2019. The main risk factor for lung cancer is tobacco use, but indoor radon gas exposure is one of the leading causes in nonsmokers. The most recent evidence demonstrates that multiple factors can make women more susceptible to harm from these risk factors or carcinogens. For this consensus statement, the Association for Lung Cancer Research in Women (ICAPEM) invited a group of lung cancer experts to perform a detailed gender-based analysis of lung cancer. Clinically, female patients have different lung cancer profiles, and most actionable driver alterations are more prevalent in women, particularly in never-smokers. Additionally, the impact of certain therapies seems to be different. In the future, it will be necessary to carry out specific studies to improve the understanding of the role of certain biomarkers and gender in the prognosis and evolution of lung cancer.
Asunto(s)
Contaminación del Aire Interior , Neoplasias Pulmonares , Radón , Masculino , Humanos , Femenino , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/epidemiología , Neoplasias Pulmonares/terapia , Radón/efectos adversos , Contaminación del Aire Interior/efectos adversos , Factores de Riesgo , IncidenciaRESUMEN
The risk of lung cancer or pneumoconiosis mortality, increases with radioactive radon gas exposures. This article report health risk for underground workers exposed to radioactive gas and radon daughters carried by airborne dust at the coal mining in the Central Mountainous Region of Colombia. A set of 33 measurement points located in that mine galleries were selected to monitor radon gas concentration activity, by passive LR-115 detectors, during two months. Resulting values provided radon concentrations, absorbed dose, environmental equivalent dose and the effective dose; miners increased risk of contracting lung cancer is included. It is concluded that the mine ventilation system satisfies the conditions required by the current radiological protection of the miners. Our study point out that Colombia can effectively address the potential risks associated with radon exposure and ensure a safer living environment for its citizens.
Asunto(s)
Neoplasias Pulmonares , Exposición Profesional , Radón , Humanos , Radón/efectos adversos , Radón/análisis , Neoplasias Pulmonares/etiología , Colombia , Hijas del Radón/análisis , Carbón Mineral/efectos adversos , Exposición Profesional/efectos adversosRESUMEN
Exposure to radon can impact human health. This is a nonsystematic review of articles written in English, Spanish, French, or Portuguese published in the last decade (2013-2023), using databases such as PubMed, Google Scholar, EMBASE, and SciELO. Search terms selected were radon, human health, respiratory diseases, children, and adults. After analyzing the titles and abstracts, the researchers initially identified 47 studies, which were subsequently reduced to 40 after excluding reviews, dissertations, theses, and case-control studies. The studies have shown that enclosed environments such as residences and workplaces have higher levels of radon than those outdoors. Moreover, radon is one of the leading causes of lung cancer, especially in nonsmokers. An association between exposure to radon and development of other lung diseases, such as asthma and COPD, was also observed. It is crucial to increase public awareness and implement governmental control measures to reduce radon exposure. It is essential to quantify radon levels in all types of buildings and train professionals to conduct such measurements according to proven efficacy standards. Health care professionals should also be informed about this threat and receive adequate training to deal with the effects of radon on human health.
Asunto(s)
Contaminación del Aire Interior , Neoplasias Pulmonares , Radón , Adulto , Niño , Humanos , Radón/efectos adversos , Contaminación del Aire Interior/efectos adversos , Exposición a Riesgos Ambientales/efectos adversos , Neoplasias Pulmonares/etiología , No FumadoresRESUMEN
We aim to provide an overview of the research available on indoor radon and lung cancer, with a special focus on Spanish investigations. Early studies on underground miners established the link between radon and lung cancer, which was later confirmed for the general population by residential case-control studies. Spain contributed with extensive evidence, including 5 multicentric, hospital-based, case-control studies in the last 30 years, exploring diverse aspects, such as radon's effect on never-smokers, molecular pathways linking radon exposure to lung cancer risk, survival rates, mortality burden, and occupational exposure. There is a well-established causal association between radon with lung cancer. Despite pioneering research performed in our country by the Galician Radon Laboratory, particularly on driver genes, the evidence on the potential molecular pathways which makes radon a carcinogen is sparse. Also, relevant questions on the potential association of radon exposure with the induction of other diseases are still pending.
Asunto(s)
Contaminación del Aire Interior , Neoplasias Pulmonares , Neoplasias Inducidas por Radiación , Radón , Humanos , Radón/efectos adversos , Radón/análisis , Neoplasias Pulmonares/epidemiología , Neoplasias Pulmonares/etiología , Contaminación del Aire Interior/efectos adversos , Neoplasias Inducidas por Radiación/etiología , RiesgoRESUMEN
Lung cancer (LC), the leading cause of cancer-related deaths worldwide, is a complex and highly heterogeneous disease. Additional to its biological complexity, LC patients are often confronted with a high degree of stigma, mostly from the association of the disease with tobacco. Nonetheless, a proportion of LC patients are never-smokers, a population which we are beginning to comprehensively explore. Several risk factors have been linked to LC in never-smokers. Studies have consistently shown that radon exposure and domestic fuel smoke increase LC risk. Additionally, infections such as Mycobacterium tuberculosis, and Human Papilloma Virus are also risk factors. Other less conclusive associations include inflammatory diseases such as asthma and sarcoidosis. Moreover, we are now aware that molecular characteristics of LC vary widely according to smoking history, with important therapeutic implications. This review comprehensively assesses the current knowledge in terms of risk factors and disease characteristics in the never-smoker lung cancer population.
Asunto(s)
Exposición a Riesgos Ambientales/efectos adversos , Contaminación por Humo de Tabaco/efectos adversos , Humanos , Neoplasias Pulmonares/etiología , Neoplasias Pulmonares/patología , Radón/efectos adversos , Factores de Riesgo , Fumar TabacoRESUMEN
Inhaled radon and its progenies induce health concern due to high activity-concentration in selected thermal spas of Boyacá region. Hydrogeothermal water sources in a high risk seismic area, are studied to determine by water bubbling method radon concentration values; their occurrence is between few hundreds and 2000â¯Bqâ¯dm-3. Deposits, existing in this area, reach at the surface soil gas radon concentration up to 210â¯kBqâ¯m-3. Maintenance workers, health tourists and visitor's possible detrimental health effects, are discussed in relation to radon balneotherapy beneficial aspects.
Asunto(s)
Balneología , Manantiales de Aguas Termales/análisis , Radón/análisis , Contaminantes Radiactivos del Agua/análisis , Colombia , Humanos , Turismo Médico , Exposición Profesional/efectos adversos , Exposición Profesional/análisis , Monitoreo de Radiación , Radón/efectos adversos , Contaminantes Radiactivos del Suelo/efectos adversos , Contaminantes Radiactivos del Suelo/análisis , Contaminantes Radiactivos del Agua/efectos adversosRESUMEN
BACKGROUND: Uranium mining is associated with lung cancer and other health problems among miners. Health impacts are related with miner exposure to radon gas progeny. OBJECTIVES: This study estimates the health costs of excess lung cancer mortality among uranium miners in the largest uranium-producing district in the USA, centered in Grants, New Mexico. METHODS: Lung cancer mortality rates on miners were used to estimate excess mortality and years of life lost (YLL) among the miner population in Grants from 1955 to 2005. A cost analysis was performed to estimate direct (medical) and indirect (premature mortality) health costs. RESULTS: Total health costs ranged from $2·2 million to $7·7 million per excess death. This amounts to between $22·4 million and $165·8 million in annual health costs over the 1955-1990 mining period. Annual exposure-related lung cancer mortality was estimated at 2185·4 miners per 100 000, with a range of 1419·8-2974·3 per 100 000. CONCLUSIONS: Given renewed interest in uranium worldwide, results suggest a re-evaluation of radon exposure standards and inclusion of miner long-term health into mining planning decisions.
Asunto(s)
Costos de la Atención en Salud/estadística & datos numéricos , Minería/economía , Enfermedades Profesionales/economía , Uranio/efectos adversos , Anciano , Humanos , Neoplasias Pulmonares/economía , Neoplasias Pulmonares/etiología , Neoplasias Pulmonares/mortalidad , Masculino , Persona de Mediana Edad , New Mexico/epidemiología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/mortalidad , Radón/efectos adversosRESUMEN
This study correlated lung cancer (LC) mortality with statistical data obtained from government public databases. In order to asses a relationship between LC deaths and radon accumulation in dwellings, indoor radon concentrations were measured with passive detectors randomly distributed in Chihuahua City. Kriging (K) and Inverse-Distance Weighting (IDW) spatial interpolations were carried out. Deaths were georeferenced and Moran's I correlation coefficients were calculated. The mean values (over n = 171) of the interpolation of radon concentrations of deceased's dwellings were 247.8 and 217.1 Bq/m(3), for K and IDW, respectively. Through the Moran's I values obtained, correspondingly equal to 0.56 and 0.61, it was evident that LC mortality was directly associated with locations with high levels of radon, considering a stable population for more than 25 years, suggesting spatial clustering of LC deaths due to indoor radon concentrations.
Asunto(s)
Contaminantes Radiactivos del Aire/efectos adversos , Exposición a Riesgos Ambientales , Neoplasias Pulmonares/inducido químicamente , Neoplasias Pulmonares/mortalidad , Radón/efectos adversos , Ciudades , Análisis por Conglomerados , Sistemas de Información Geográfica , Mapeo Geográfico , Humanos , México/epidemiología , Análisis EspacialRESUMEN
Radon has been determined in soil, groundwater, and air in Mexico, both indoors and outdoors, as part of geophysical studies and to estimate effective doses as a result of radon exposure. Detection of radon has mainly been performed with solid-state nuclear track detectors (SSNTD) and, occasionally, with active detection devices based on silicon detectors or ionization chambers. The liquid scintillation technique, also, has been used for determination of radon in groundwater. The adjusted geometric mean indoor radon concentration (74 Bq m-3) in urban developments, for example Mexico City, is higher than the worldwide median concentration of radon in dwellings. In some regions, particularly hilly regions of Mexico where air pollution is high, radon concentrations are higher than action levels and the effective dose for the general population has increased. Higher soil radon levels have been found in the uranium mining areas in the northern part of the country. Groundwater radon levels are, in general, low. Soil-air radon contributing to indoor atmospheres and air pollution is the main source of increased exposure of the population.
Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Exposición a Riesgos Ambientales , Radón/análisis , Contaminantes Radiactivos del Suelo/análisis , Contaminantes Radiactivos del Aire/efectos adversos , Humanos , Neoplasias Pulmonares/epidemiología , Neoplasias Pulmonares/etiología , Neoplasias Pulmonares/prevención & control , México/epidemiología , Monitoreo de Radiación , Radón/efectos adversos , Medición de Riesgo , Contaminantes Radiactivos del Suelo/efectos adversosAsunto(s)
Humanos , Masculino , Femenino , Radón/efectos adversos , Neoplasias Pulmonares/etiología , Neoplasias Pulmonares/mortalidad , Contaminación Ambiental/efectos adversos , Minería , Uranio/efectos de la radiación , Ventilación/métodos , Radiactividad , Materiales de Construcción/efectos de la radiación , Tabaquismo/efectos adversos , Carcinoma de Células Pequeñas , Adenocarcinoma , Silicosis , Factores de RiesgoAsunto(s)
Humanos , Masculino , Femenino , Contaminación Ambiental/efectos adversos , Neoplasias Pulmonares/etiología , Neoplasias Pulmonares/mortalidad , Minería , Radón/efectos adversos , Uranio/efectos de la radiación , Adenocarcinoma , Carcinoma de Células Pequeñas , Materiales de Construcción/efectos de la radiación , Radiactividad , Factores de Riesgo , Silicosis , Fumar/efectos adversos , Ventilación/métodosRESUMEN
Indoor air quality (IAQ) problems have their origins in many different generating sources within facilities. General categories of these sources include building systems, processes and procedures, management, employees, and outside influences. Knowing how to identify the source(s) is the only way to resolve IAQ issues. This paper discusses methods that can be used by facilities managers and safety managers in hospitals to conduct a self-assessment to address IAQ complaints so that the problems can be quickly and adequately resolved.
Asunto(s)
Aire Acondicionado/normas , Contaminación del Aire Interior/prevención & control , Ambiente Controlado , Servicio de Mantenimiento e Ingeniería en Hospital/métodos , Auditoría Administrativa/organización & administración , Microbiología del Aire , Dióxido de Carbono/efectos adversos , Formaldehído/efectos adversos , Humanos , Legionella/crecimiento & desarrollo , Técnicas de Planificación , Radón/efectos adversos , Encuestas y Cuestionarios , Estados UnidosRESUMEN
Los efectos sobre la salud y las fuentes de contaminación del aire de ambientes interiores (CAAI) es un problema importante ya que el 90 porciento del tiempo la población está en ambientes interiores. La CAAI es analizada en términos de exposición, dosis y fuentes. El humo del tabaco es uno de los principales componentes de la CAAI. Se discuten los efectos agudos y crónicos de la exposición pasiva al humo del tabaco (incluyendo el riesgo de cáncer pulmonar). Se ha demostrado un efecto nocivo del hábito tabáquico materno sobre la función pulmonar y sobre la salud de los hijos pequeños. Otros componentes habituales de la CAAI son: Co, NO2, radón, agentes biológicos, compuestos volátiles orgánicos (formaldehido) y partículas (humos). Se describe brevemente las fuentes y los eventuales efectos nocivos para la salud de estos contaminantes. Entre las medidas a fin de controlar la CAAI se debería considerar a las siguientes: mejoría de la ventilación de los ambientes interiores, eliminación o modificación de la fuente productora de contaminantes, uso de un purificdor de aire y promover el cambio de hábitos y conducta de la población