What is it about?
We investigated whether children who develop leukaemia tend to live closer to each other than expected by chance (spatial clustering) and whether there are any areas in Switzerland with a particularly high risk (spatial cluster). We investigated both the place of residence at birth and at diagnosis. • Based on precise locations of residence, we found no statistical evidence that children who develop leukaemia tend to live closer to each other than expected by chance or to occur in clusters. • Our study shows that seemingly extraordinary aggregations of leukaemia cases are expected to occur by chance without a common environmental cause.
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Why is it important?
The causes of leukaemia in children are largely unknown. However, studies indicate that environmental factors such as traffic related air pollution or agricultural pesticides might increase the risk. Because exposure to such factors depends on where children live, leukaemia risks might vary from place to place. The presence of spatial clustering or clusters could thus provide new clues about possible environmental risk factors.
Perspectives
Overall, this study provides little support for spatial clustering or spatial clusters of childhood leukaemia. Although individual tests did indicate spatial clustering and identified a cluster, these results must be seen in the context of the multiple tests performed. Performing multiple tests increases the likelihood that any single test will show positive results by chance alone. If indeed risks are higher in certain locations due local pollution sources, then our study suggest that these pollution sources effect only small areas extending at most few hundred metres from the source.
Garyfallos Konstantinoudis
Universitat Bern
Read the Original
This page is a summary of: Spatial clustering of childhood leukaemia in Switzerland: A nationwide study, International Journal of Cancer, June 2017, Wiley,
DOI: 10.1002/ijc.30832.
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