Maria Argos1, Faruque Parvez, Mahfuzar Rahman, Muhammad Rakibuz-Zaman, Alauddin Ahmed, Samar Kumar Hore, Tariqul Islam, Yu Chen, Brandon L Pierce, Vesna Slavkovich, Christopher Olopade, Muhammad Yunus, John A Baron, Joseph H Graziano, Habibul Ahsan. 1. From the aDepartment of Health Studies, The University of Chicago, Chicago, IL; bDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY; cU-Chicago Research Bangladesh (URB), Ltd., Dhaka, Bangladesh; dPublic Health Sciences Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh; eDepartment of Environmental Medicine, New York University School of Medicine, New York, NY; fDepartments of Medicine and Family Medicine, The University of Chicago, Chicago, IL; gDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC; and hDepartments of Medicine and Human Genetics and Comprehensive Cancer Center, The University of Chicago, Chicago, IL.
Abstract
BACKGROUND: Chronic arsenic exposure through drinking water is a public health problem affecting millions of people worldwide, including at least 30 million in Bangladesh. We prospectively investigated the associations of arsenic exposure and arsenical skin lesion status with lung disease mortality in Bangladeshi adults. METHODS: Data were collected from a population-based sample of 26,043 adults, with an average of 8.5 years of follow-up (220,157 total person-years). There were 156 nonmalignant lung disease deaths and 90 lung cancer deaths ascertained through October 2013. We used Cox proportional hazards models to estimate adjusted hazard ratios and 95% confidence intervals (CIs) for lung disease mortality. RESULTS: Creatinine-adjusted urinary total arsenic was associated with nonmalignant lung disease mortality, with persons in the highest tertile of exposure having a 75% increased risk for mortality (95% CI = 1.15-2.66) compared with those in the lowest tertile of exposure. Persons with arsenical skin lesions were at increased risk of lung cancer mortality (hazard ratio = 4.53 [95% CI = 2.82-7.29]) compared with those without skin lesions. CONCLUSIONS: This prospective investigation of lung disease mortality, using individual-level arsenic measures and skin lesion status, confirms a deleterious effect of ingested arsenic on mortality from lung disease. Further investigations should evaluate effects on the incidence of specific lung diseases, more fully characterize dose-response, and evaluate screening and biomedical interventions to prevent premature death among arsenic-exposed populations, particularly among those who may be most susceptible to arsenic toxicity.
BACKGROUND: Chronic arsenic exposure through drinking water is a public health problem affecting millions of people worldwide, including at least 30 million in Bangladesh. We prospectively investigated the associations of arsenic exposure and arsenical skin lesion status with lung disease mortality in Bangladeshi adults. METHODS: Data were collected from a population-based sample of 26,043 adults, with an average of 8.5 years of follow-up (220,157 total person-years). There were 156 nonmalignant lung disease deaths and 90 lung cancer deaths ascertained through October 2013. We used Cox proportional hazards models to estimate adjusted hazard ratios and 95% confidence intervals (CIs) for lung disease mortality. RESULTS:Creatinine-adjusted urinary total arsenic was associated with nonmalignant lung disease mortality, with persons in the highest tertile of exposure having a 75% increased risk for mortality (95% CI = 1.15-2.66) compared with those in the lowest tertile of exposure. Persons with arsenical skin lesions were at increased risk of lung cancer mortality (hazard ratio = 4.53 [95% CI = 2.82-7.29]) compared with those without skin lesions. CONCLUSIONS: This prospective investigation of lung disease mortality, using individual-level arsenic measures and skin lesion status, confirms a deleterious effect of ingested arsenic on mortality from lung disease. Further investigations should evaluate effects on the incidence of specific lung diseases, more fully characterize dose-response, and evaluate screening and biomedical interventions to prevent premature death among arsenic-exposed populations, particularly among those who may be most susceptible to arsenic toxicity.
Authors: Maria Argos; Mahfuzar Rahman; Faruque Parvez; James Dignam; Tariqul Islam; Iftekhar Quasem; Samar K Hore; Ahmed T Haider; Zahid Hossain; Tazul I Patwary; Muhammad Rakibuz-Zaman; Golam Sarwar; Paul La Porte; Judith Harjes; Kristen Anton; Muhammad G Kibriya; Farzana Jasmine; Rashed Khan; Mohammed Kamal; Christopher R Shea; Muhammad Yunus; John A Baron; Habibul Ahsan Journal: Eur J Clin Invest Date: 2013-04-17 Impact factor: 4.686
Authors: Craig M Steinmaus; Catterina Ferreccio; Johanna Acevedo Romo; Yan Yuan; Sandra Cortes; Guillermo Marshall; Lee E Moore; John R Balmes; Jane Liaw; Todd Golden; Allan H Smith Journal: Cancer Epidemiol Biomarkers Prev Date: 2013-01-25 Impact factor: 4.254
Authors: Abul Hasnat Milton; Ziaul Hasan; Atiqur Rahman; Mahfuzar Rahman Journal: J Environ Sci Health A Tox Hazard Subst Environ Eng Date: 2003-01 Impact factor: 2.269
Authors: Peace C Ezeh; Huan Xu; Fredine T Lauer; Ke Jian Liu; Laurie G Hudson; Scott W Burchiel Journal: Toxicol Sci Date: 2015-10-30 Impact factor: 4.849
Authors: Christina Michailidi; Masamichi Hayashi; Sayantan Datta; Tanusree Sen; Kaitlyn Zenner; Oluwadamilola Oladeru; Mariana Brait; Evgeny Izumchenko; Alexander Baras; Christopher VandenBussche; Maria Argos; Trinity J Bivalacqua; Habibul Ahsan; Noah M Hahn; George J Netto; David Sidransky; Mohammad Obaidul Hoque Journal: Cancer Prev Res (Phila) Date: 2015-01-13
Authors: Taehyun Roh; Charles F Lynch; Peter Weyer; Kai Wang; Kevin M Kelly; Gabriele Ludewig Journal: Environ Res Date: 2017-09-18 Impact factor: 6.498
Authors: Tiffany R Sanchez; Martha Powers; Matthew Perzanowski; Christine M George; Joseph H Graziano; Ana Navas-Acien Journal: Curr Environ Health Rep Date: 2018-06
Authors: Melissa A Lombard; Molly Scannell Bryan; Daniel K Jones; Catherine Bulka; Paul M Bradley; Lorraine C Backer; Michael J Focazio; Debra T Silverman; Patricia Toccalino; Maria Argos; Matthew O Gribble; Joseph D Ayotte Journal: Environ Sci Technol Date: 2021-03-17 Impact factor: 9.028