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Systematic review of the impact of chlordecone on human health in the French West Indies

Maudouit, Margaux ; Rochoy, Michaël

Therapie, 2019-12, Vol.74 (6), p.611-625 [Periódico revisado por pares]

France: Elsevier Masson

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Título:
Systematic review of the impact of chlordecone on human health in the French West Indies
Autor: Maudouit, Margaux ; Rochoy, Michaël
Assuntos: Chlordecone - adverse effects ; Environmental Exposure - analysis ; Environmental Exposure - statistics & numerical data ; Environmental Health - statistics & numerical data ; Environmental Illness - epidemiology ; Female ; Humans ; Hypertension, Pregnancy-Induced - epidemiology ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Insecticides - adverse effects ; Life Sciences ; Male ; Mental Disorders - epidemiology ; Occupational Exposure - analysis ; Occupational Exposure - statistics & numerical data ; Occupational Health - statistics & numerical data ; Pregnancy ; Prenatal Exposure Delayed Effects - epidemiology ; Prostatic Neoplasms - epidemiology ; West Indies - epidemiology
É parte de: Therapie, 2019-12, Vol.74 (6), p.611-625
Descrição: Several publications have highlighted the adverse effects of chlordecone on human and animal species. The possible long-term consequences continue to be explored as chlordecone still contaminates Caribbean soils. The objective of this literature review is to determine the long-term effects of chlordecone on human health. We searched for the keyword "chlordecone" on different scientific databases: Medline®, ISI Web of Knowledge, Google Scholar, EM Premium. We have enriched our research with first degree references, related articles on PubMed and grey literature. Of the 192 articles analyzed, 12 responded to the impact of chlordecone on human health in the French West Indies. In obstetrics, exposure to chlordecone was associated with a lower incidence of gestational hypertension. In pediatrics, these studies have shown an association between prenatal exposure to chlordecone and increased risk of prematurity, decreased birth weight (especially when the mother gained excessive weight during pregnancy), decreased fine cognitive and motor acquisition, and changes in circulating concentrations of certain thyroid hormones. In oncology, exposure was associated with an increased risk of prostate cancer, particularly if there was a family history of prostate cancer. While the effects of acute exposure to chlordecone at high doses are well described (Kepone Shake syndrome at the time of the Hopewell accident), the effects at environmental doses are becoming clearer even if they remain complex to identify.
Editor: France: Elsevier Masson
Idioma: Francês;Inglês

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Systematic review of the impact of chlordecone on human health in the French West Indies

Maudouit, Margaux ; Rochoy, Michaël

France: Elsevier Masson

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