Spatial trends in congenital malformations and stream water chemistry in Southern Brazil.

Sci Total Environ

Pelé Pequeno Príncipe Research Institute, Curitiba, PR, Brazil; Faculdades Pequeno Principe, Curitiba, PR, Brazil; Centro de Genética Molecular e Pesquisa do Câncer em Crianças (CEGEMPAC), Universidade Federal do Paraná, Curitiba, PR, Brazil; Departamento de Saúde Coletiva, Universidade Federal do Paraná, Curitiba, PR, Brazil. Electronic address:

Published: February 2019

AI Article Synopsis

  • The study investigates the link between environmental factors, particularly chlorine anions and organochlorine chemicals, and the occurrence of congenital malformations (CMs) in 399 municipalities in Paraná, Brazil.
  • Researchers measured chemical concentrations and agricultural outputs from 2006 to 2010, analyzing data on nearly 1.2 million newborns to determine the prevalence of CMs.
  • Results indicated that higher chlorine levels in the water were associated with increased CM density, particularly in regions with significant agricultural activity, suggesting that these environmental factors may contribute to harmful developmental outcomes in newborns.

Article Abstract

The incidence of variable congenital malformation (CM) among 399 municipalities in the state of Paraná, southern Brazil, suggests the etiological role of environmental factors. This study examined a) environmental concentrations of chlorine anions (Cl) associated with organochlorines (OCs) and b) associations between these chemicals and agricultural output with CMs using a geographical information system. In one of the three years during the sampling period (2008, 2009 or 2010) Cl, dichlorodiphenyltrichloroethane (p,p'-DDT), dichlorodiphenyldichloroethylene (p,p'-DDE), dichlorodiphenyldichloroethane (p,p'-DDD), and endosulfan levels were measured in 465 (465/736, 63%) catchment basins. Agricultural outputs for crops during 2006-2010 were also evaluated (t/km). Further, CM kernel density for the 399 municipalities in Paraná during 2007-2014 was investigated. Cl levels increased significantly in one of the three years (2008, 2009 or 2010) in western catchment basins, compared to 1996 (p < 0.0001). The municipalities were divided according to the obtained Cl levels, where sub-region C2 (central-southern) < 1.8 mg/L ≤ sub-regions C1 (northern-western) and C3 (eastern-southern). We identified 8756 cases of CMs among 1,221,287 newborns (NB) in all sub-regions. C1 had higher DDT-DDE-DDD (p,p'-DDT + p,p'-DDE + p,p'-DDD) concentrations, agricultural output, and CM kernel density. C2 and C3 had minor agricultural outputs (per square kilometer) and CM densities. A 2.96 mg/L increase in Cl between sub-regions C1 and C2 was co-localized with a 45% increase in CM density (spatial relative risk = 1.45, CI 95%: 1.36-1.55). C1 had the highest log likelihood ratios (p = 0.001) identified via SaTScan clustering analyses. Organochlorines and other toxic chlorinated chemicals may contribute to CMs in humans, and these chemicals are ultimately transformed and release Cl in rivers. Higher Cl levels were correlated significantly with higher agricultural productivity, DDT-DDE-DDD levels, and CMs in some parts of the northern and western sub-regions (C1).

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http://dx.doi.org/10.1016/j.scitotenv.2018.09.061DOI Listing

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