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Drinking Water Contamination and the Incidence of Leukemia and Non-Hodgkin's Lymphoma
Journal article   Open access   Peer reviewed

Drinking Water Contamination and the Incidence of Leukemia and Non-Hodgkin's Lymphoma

Perry Cohn, Judith Klotz, Frank Bove, Marian Berkowitz and Jerald Fagliano
Environmental health perspectives, v 102(6/7), pp 556-561
01 Jun 1994
PMID: 9679115
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Drinking Water Contamination and the Incidence of Leukemia and Non-Hodgkin's Lymphoma1.66 MBDownloadView
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https://doi.org/10.1289/ehp.94102556View
Published, Version of Record (VoR)access removed by US government, 1 Dec 2025 Restricted

Abstract

Chemical hazards Childhood Death certificates Lymphoma Non Hodgkin lymphoma Potable water Towns Groundwater Leukemia Toxicology
A study of drinking water contamination and leukemia and non-Hodgkin's lymphoma (NHL) incidence (1979-1987) was conducted in a 75-town study area. Comparing incidence in towns in the highest trichloroethylene (TCE) stratum (>5 µg/1) to towns without detectable TCE yielded an age-adjusted rate ratio (RR) for total leukemia among females of 1.43 (95% CI 1.07-1.90). For females under 20 years old, the RR for acute lymphocytic leukemia was 3.26 (95% CI 1.27-8.15). Elevated RRs were observed for chronic myelogenous leukemia among females and for chronic lymphocytic leukemia among males and females. NHL incidence among women was also associated with the highest TCE stratum (RR = 1.36; 95% CI 1.08-1.70). For diffuse large cell NHL and non-Burkitt's high-grade NHL among females, the RRs were 1.66 (95% CI 1.07-2.59) and 3.17 (95% CI 1.23-8.18), respectively, and 1.59 (95% CI 1.04-2.43) and 1.92 (95% CI 0.54-6.81), respectively, among males. Perchloroethylene (PCE) was associated with incidence of non-Burkitt's high-grade NHL among females, but collinearity with TCE made it difficult to assess relative influences. The results suggest a link between TCE/PCE and leukemia/ NHL incidence. However, the conclusions are limited by potential misclassification of exposure due to lack of individual information on longterm residence, water consumption, and inhalation of volatilized compounds.

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Web of Science research areas
Environmental Sciences
Public, Environmental & Occupational Health
Toxicology
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