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Chlorination May Increase Stillbirth Risk
Exposure to tap water containing high levels of chlorination
byproducts, particularly compounds called trihalomethanes (THMs),
is associated with an increased risk of stillbirth, Canadian
researchers report.
Still, whether THMs cause stillbirth is unclear, because the
risk did not increase in step with increasing levels of the
chemicals.
On the other hand, the new findings support several reports that
have linked THM exposure with stillbirth, including a study by the
same research group published in 1999.
Dr. Linda Dodds, from Dalhousie University in Halifax, Nova
Scotia, and colleagues interviewed 112 women who had a stillbirth
and 398 "controls" who had a live birth, and analyzed water samples
obtained from the women's homes.
The investigators' findings are published in the March issue of
Epidemiology.
Women with tap water containing THM levels of at least 80
micrograms per liter were 2.2-times more likely to have a
stillbirth than women not exposed to THM. The increased risk with
THM exposure held true for both asphyxia-related stillbirths and,
to a less extent, unexplained stillbirths.
However, women in the middle range of THM exposure had the
second highest risk of stillbirth - a "non-linear" relationship,
which brings causality into question.
If the link between THM exposure and stillbirth is causal,
"consuming filtered or bottled water will not completely eliminate
risk because showering and bathing contributed to the overall
exposure," the authors point out.
They also suggest that "a decrease in population exposure will
be most effectively achieved at treatment plants rather than the
household level."
Reuters - 4/6/2004
Topic: Water Pollution
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