Publications by authors named "Pierre Lebailly"

Farmers, particularly in Europe, are exposed to multiple pesticides during their working life. Such exposures can cause adverse health outcomes. We aimed to identify the main pesticide mixtures to which French agricultural workers are exposed and to classify farmers into clusters based on their mixture exposure profile.

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  • Ovarian cancer is rare but has a poor prognosis, with hormones and reproductive factors potentially linking it to endocrine disruptors in agricultural settings.
  • In a study involving 59,391 female farmers, the impact of specific agricultural exposures during different life stages on ovarian cancer risk was analyzed, revealing both increased and decreased risks associated with various farming activities.
  • Key findings indicated that involvement with pigs, fruit-growing, and potato seed treatment elevated ovarian cancer risk, particularly during puberty, while grain cereal farming showed a reduced risk; exposure to triazine herbicides was not linked to increased ovarian cancer.
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Context: There is a lack of data on pesticide exposure levels during spraying with a knapsack, while it could have important implications for their users' health.

Methods: We assessed levels and determinants of exposure in 24 male private landscapers/gardeners and municipal workers in France in 2011. Actual dermal exposure to glyphosate was assessed with cotton undergarments and gloves, and a cotton coverall changed between mixing and spraying to assess the contribution of each phase and body area to overall contamination.

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Purpose: Some pesticides may increase the risk of certain lymphoid malignancies, but few studies have examined Hodgkin lymphoma (HL). In this exploratory study, we examined associations between agricultural use of 22 individual active ingredients and 13 chemical groups and HL incidence.

Methods: We used data from three agricultural cohorts participating in the AGRICOH consortium: the French Agriculture and Cancer Cohort (2005-2009), Cancer in the Norwegian Agricultural Population (1993-2011), and the US Agricultural Health Study (1993-2011).

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  • Occupational lung cancer cases are often under-reported and under-compensated, prompting a study to improve detection and compensation through systematic screening of occupational exposures.
  • A self-administered questionnaire was used to gather job history and exposure data from lung cancer patients, with physician assessments leading to specialized consultations for those with potential occupational links.
  • The study found that out of 1251 patients surveyed, a significant portion attended consultations, revealing that many had been exposed to occupational lung carcinogens and subsequently received medical certificates and compensation, highlighting the effectiveness of this screening approach.
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Knowledge of pesticide exposure levels in farmers is necessary for epidemiological studies and regulatory purposes. In the European pesticide registration process, operators' exposure is predicted using the Agricultural Operator Exposure Model (AOEM), created in 2014 by the European Food Safety Authority based on studies conducted by the pesticide industry. We compared operators' exposures during treatment days in the apple-growing industry under non-controlled working conditions and AOEM-predicted values.

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Objectives: Specific farming types and tasks have rarely been studied in relation to colorectal cancer (CRC). We evaluated associations between 5 types of livestock and 13 types of crops in relation to CRC and its subsites within the Agriculture and Cancer (AGRICAN) study.

Methods: AGRICAN cohort includes 181,842 agricultural workers living in 11 French geographical areas.

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Sarcomas are a heterogeneous group of tumors whose incidence is nearly 5 per 100 000 inhabitants in Europe. Their causes are poorly understood, although occupational exposures (especially farming and pesticides) are suspected. The AGRICAN cohort is a prospective study of 181 842 individuals enrolled in 2005 to 2007 who completed an enrolment questionnaire with data on lifelong agricultural exposure.

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Purpose: An important challenge in epidemiology is to ensure the reliability of collected data. Very few studies have been conducted in farming populations. We assessed the reliability of self-reported data on lifestyle, reproductive history, health and agricultural activities and tasks from the AGRICAN cohort.

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Objective: Although apple trees are heavily sprayed, few studies have assessed the pesticide exposure of operators and workers in apple orchards. However, these data are crucial for assessing the health impact of such exposures. The aim of this study was to measure pesticide exposure in apple growing according to tasks and body parts.

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  • Agricultural workers were found to be exposed to potential carcinogens, prompting a study to compare their cancer incidence with the general population through an international consortium called AGRICOH.
  • The analysis included data from eight cohorts across different countries, revealing that agricultural workers experienced 23,188 cancers over nearly 2.8 million person-years, with elevated risks for specific cancers like melanoma and prostate cancer.
  • Overall, the study concluded that agricultural workers have a lower risk for many cancers compared to the general population, while some cancers, particularly melanoma and multiple myeloma, showed an increased risk among workers.
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The comet assay or single cell gel electrophoresis, is the most common method used to measure strand breaks and a variety of other DNA lesions in human populations. To estimate the risk of overall mortality, mortality by cause, and cancer incidence associated to DNA damage, a cohort of 2,403 healthy individuals (25,978 person-years) screened in 16 laboratories using the comet assay between 1996 and 2016 was followed-up. Kaplan-Meier analysis indicated a worse overall survival in the medium and high tertile of DNA damage (p < 0.

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The alkaline comet assay, or single cell gel electrophoresis, is one of the most popular methods for assessing DNA damage in human population. One of the open issues concerning this assay is the identification of those factors that can explain the large inter-individual and inter-laboratory variation. International collaborative initiatives such as the hCOMET project - a COST Action launched in 2016 - represent a valuable tool to meet this challenge.

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  • The study aimed to explore the relationship between time-to-pregnancy (TTP) and exposure to agricultural work and pesticides among women in the AGRICAN cohort.
  • Data was collected from 616 women who reported pregnancies between 2005 and 2017, analyzing their farming activities and conditions prior to conception.
  • Results indicated a non-significant decrease in fecundability linked to farm work, night shifts, and exposure to vibrations, suggesting that these factors may contribute to a longer time-to-pregnancy.
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Background: The etiology of the central nervous system (CNS) tumors remains largely unknown. The role of pesticide exposure has been suggested by several epidemiological studies, but with no definitive conclusion.

Objective: To analyze associations between occupational pesticide exposure and primary CNS tumors in adults in the CERENAT study.

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Objectives: Nanoscale particles (1-100 nm) can be of natural origin, and either intentionally or unintentionally produced by human activities. Toxicological data have suggested a possible carcinogenic effect of such particles. The aim of this study was to estimate the association between occupational exposure to nanoscale particles and risk of lung cancer, pleural mesothelioma and brain tumors in adults.

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The effect of ELF-MF on human health is still controversial, particularly as regards long-term health effects like cancer. The literature does suggest, however, that they could be involved in the occurrence of brain tumors, although results concerning residential exposure are scarce. Our objective was to investigate the association between residential proximity to power lines and brain tumors among adults in France by using a geographical information system.

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Purpose: Epidemiological studies have found an increased risk of multiple myeloma (MM) in farmers. Few studies have investigated the detailed circumstances of occupational pesticide exposure which could explain these increased risks (pesticide use on crops, seeds or on animals, contact with treated crops) and the role of other exposures. In the Agriculture and Cancer cohort (AGRICAN), we assessed the associations between MM and crop- or animal-related activities, with specific attention to pesticide exposure via use on animals and crops or contact with treated crops and to disinfectant exposure.

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Context.—: Pleural mesothelioma is a rare cancer with an often-challenging diagnosis because of its potential to be a great mimicker of many other tumors. Among them, primary lung and breast cancers are the 2 main causes of pleural metastasis.

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  • This study investigates the link between pesticide exposure, specifically carbamate-derived herbicides and fungicides, and the incidence of Central Nervous System (CNS) tumors among farmers in the French AGRICAN cohort.
  • Researchers found that exposure to carbamate fungicides was associated with a significantly higher risk of developing CNS tumors, as well as some increased risk from carbamate herbicides.
  • The findings suggest that certain carbamate and thiocarbamate pesticides may have carcinogenic effects, but further research is needed to confirm these associations.
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Objective: Animal farming entails a variety of potential exposures, including infectious agents, endotoxins and pesticides, which may play a role in the aetiology of lymphohaematopoietic cancers (LHCs). The aim of this study was to assess whether farming specific animal species is associated with the risk of overall LHC or its subtypes.

Methods: Data from three prospective cohort studies in the USA, France and Norway which are part of the Agricultural Cohort consortium and which collected information about animal farming and cancer were used.

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Background: Pesticides are commonly used in agriculture, and previous studies endorsed the need to further investigate the possible association between their use and risk of lymphoid malignancies in agricultural workers.

Methods: We investigated the relationship of ever use of 14 selected pesticide chemical groups and 33 individual active chemical ingredients with non-Hodgkin lymphoid malignancies (NHL) overall or major subtypes, in a pooled analysis of three large agricultural worker cohorts. Pesticide use was derived from self-reported history of crops cultivated combined with crop-exposure matrices (France and Norway) or self-reported lifetime use of active ingredients (USA).

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Background: Pesticide exposures are suspected to be implicated in the excess of central nervous system (CNS) tumours observed in farmers, but evidence concerning individual pesticides remains limited. Carbamate insecticides, used on a wide range of crops, have shown evidence of carcinogenicity in some experimental studies. In the cohort AGRICAN (AGRIculture & CANcer), we assessed the associations between potential exposures to carbamate insecticides and the incidence of CNS tumours, overall and by histological subtype.

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