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Assessing the impact of waste co-incineration at the Anhovo cement plant (Slovenia) on the regional cancer burden Cover

Assessing the impact of waste co-incineration at the Anhovo cement plant (Slovenia) on the regional cancer burden

Open Access
|Sep 2025

References

  1. European Environmental Agency. Beating cancer – the role of Europe’s environment. EEA web report No. 01/2022. Copenhagen: European Environmental Agency; 2022. doi: 10.2800/086710
  2. Birk M, Žagar T, Tomšič S, Lokar K, Mihor A, Bric N, Mlakar M, Zadnik V. Impact of indoor radon exposure on lung cancer incidence in Slovenia. Cancers 2024; 16: 1445. doi: 10.3390/cancers16081445
  3. Žagar T, Valič B, Kotnik T, Korat S, Tomšič S, Zadnik V, Gajšek P. Estimating exposure to extremely low frequency magnetic fields near high-voltage power lines and assessment of possible increased cancer risk among Slovenian children and adolescents. Radiol Oncol 2023; 57: 59-69. doi: 10.2478/raon-2023-0002
  4. Zadnik V, Žagar T, Primic Žakelj M. [Cancer incidence in Brežice municipality in comparison with the rest of Slovenia, final report]. [Slovenian]. Ljubljana: Institute of Oncology Ljubljana, Epidemiology and Cancer Registry; 2006.
  5. Zadnik V, Primic Žakelj M, Jarm K, Žagar T. Time trends and spatial patterns in the mesothelioma incidence in Slovenia, 1961–2014. Eur J Cancer Prev 2017; 26: s191-6. doi: 10.1097/CEJ.0000000000000384
  6. Kameda T, Takahashi K, Kim R, Jiang Y, Movahed M, Park EK, Rantanen J. Asbestos: use, bans and disease burden in Europe. Bull World Health Organ 2014; 92: 790-7. doi: 10.2471/BLT.13.132118
  7. Dodič Fikfak M, Šešok J. [National guidelines for asbestos. Final report]. [Slovenian]. Ljubljana: Institute of Public Health of the Republic of Slovenia; 1999.
  8. Dodic-Fikfak M, Rahotina L, Kristancic Z, Vidic R. Case Study: Slovenia – asbestos valley. New Solutions 1999; 8: 469-78. doi: 10.2190/604T-AMMX-81WD-CGK
  9. Zadnik V, Primic Žakelj M, Lokar K, Jarm K, Ivanuš U, Žagar T. Cancer burden in Slovenia with the time trends analysis. Radiol Oncol 2017; 51: 47-55. doi: 10.1515/raon-2017-0008
  10. Oblak T, Carli T, Zadnik V, Samec N, Kukec A. [Correlation between cancer and pollutants formed from waste incineration and co-incineration processes: an umbrella review]. [Slovenian]. Onkologija 2023; 27: 26-38.
  11. Zadnik V, Guillaume E, Lokar K, Žagar T, Primic Žakelj M, Launoy G, Launay L. Slovenian version of the European deprivation index at municipal level. Zdr VarstSlovenian Journal of Public Health 2018; 57: 47-54. doi: 10.2478/sjph-2018-0007
  12. Lokar K, Žagar T, Zadnik V. Estimation of the ecological fallacy in the geographical analysis of the association of socio-economic deprivation and cancer incidence. Int J Environ Res Public Health 2019; 16: 296. doi: 10.3390/ijerph16030296
  13. WHO – World Health Organization. International statistical classification of diseases and related health problems, 10th revision. Geneva: World Health Organization; 2007.
  14. Gatta G, van der Zwan JM, Casali PG, Siesling S, Dei Tos AP, Kunkler I, et al. Rare cancers are not so rare: the rare cancer burden in Europe. Eur J Cancer 2011; 47: 2493-511. doi: 10.1016/j.ejca.2011.08.008
  15. WHO – World Health Organization. International Classification of Diseases for Oncology, 3rd edition, 2nd update (ICD-O-3.2). Geneva: World Health Organization; 2019.
  16. Turšič J, Dolšak Lavrič P, Ciglenečki D. [Assessment of the potential impact of incineration and co-incineration of waste on health effects in humans: a model study on the case of the Salonit Anhovo cement plant (V3-2236); Air quality, final report]. [Slovenian]. Ljubljana: Slovenian Environment Agency; 2024.
  17. Grčman H, Zupan M, Tič I, Golob N. [Assessment of the potential impact of incineration and co-incineration of waste on health effects in humans: a model study on the case of the Salonit Anhovo cement plant (V3-2236); Study on content of potentially hazardous elements in soil, final report]. [Slovenian]. Ljubljana: University of Ljubljana, Biotechnical Faculty; 2024.
  18. Zadnik V, Birk M, Oblak T, Jurtela M, Tomšič S, Lokar K, et al. [Assessment of the potential impact of incineration and co-incineration of waste on the cancer burden: model study on the case of the Salonit Anhovo cement plant, final report [Slovenian]. Ljubljana: Institute of Oncology Ljubljana, Epidemiology and Cancer Registry; 2024.
  19. dos Santos Silva I. Cancer epidemiology: principles and methods. Lyon, France: IARC; 1999.
  20. Morrisa M, Wheeler-Martinb K, Simpsonc D, Mooneyd SJ, Gelmane A, DiMaggiob C. Bayesian hierarchical spatial models: implementing the Besag York Mollié model in stan. Spat Spatiotemporal Epidemiol 2019; 31: 100301. doi: 10.1016/j.sste.2019.100301
  21. Besag J. Spatial interaction and the statistical analysis of lattice systems. J Roy Stat Soc Ser B 1974; 36: 192-236. doi: 10.1111/j.2517-6161.1974. tb00999.x
  22. Žagar T, Korat S, Zadnik V. CanMapTool for mapping cancer incidence data. [Report to the WASABY Project]. Ljubljana: Institute of Oncology Ljubljana, Epidemiology and Cancer Registry; 2021.
  23. Laaksonen M. Population Attributable Fraction (PAF) in epidemiologic follow-up studies [academic dissertation]. Helsinki, Finland: University of Tampere; 2010.
  24. Greenland S. Concepts and pitfalls in measuring and interpreting attributable fractions, prevented fractions, and causation probabilities. Ann Epidemiol 2015; 25: 155-61. doi: 10.1016/j.annepidem.2014.11.005
  25. Smrekar A. The register of illegal waste dumps, which include asbestos, in the area of the City Municipality of Ljubljana. Project 3, November 2009–25 November 2009. [internet]. Ljubljana: ZRC SAZU, 2009. [cited 2025 Mar 20]. Available at: https://giam.zrc-sazu.si/en/programi-in-projekti/asbestos-waste-in-ljubljana
  26. Launoy G, Zadnik V, Coleman MP, editors. Social environment and cancer in Europe. Towards evidence-based public health policy. Switzerland: Springer Cham; 2021.
  27. Statistical Office, Republic of Slovenia. Municipality Kanal. [internet]. [cited 2025 Mar 20]. Available at: https://www.stat.si/obcine/en/Municip/Index/61
  28. Armitage JO, Gascoyne RD, Lunning MA, Cavalli F. Non-Hodgkin lymphoma. Lancet 2017; 390: 298-310. doi: 10.1016/S0140-6736(16)32407-2
  29. Barta JA, Powell CA, Wisnivesky JP. Global epidemiology of lung cancer. Ann Glob Health 2019; 85: 8. doi: 10.5334/aogh.2419
  30. Duratović Konjević A, Škrbec V, Tomšič S, Lokar K, Bric N, Zadnik V. 70 years of the Slovenian Cancer Registry: knowledge, quality, applicability. Ljubljana: Institute of Oncology, Epidemiology and Cancer Registry, Slovenian Cancer Registry; 2020.
  31. Alexander FE, Boyle P. Methods for investigating localized clustering of disease. Lyon: International Agency for Research on Cancer; 1996.
  32. IARC. Arsenic, metal, fibres and dusts. IARC monographs on the evaluation of carcinogenic risk to humans. Volume 100C. [internet]. Lyon: International Agency for Research on Cancer, 2012. [cited 2025 Mar 30]. Available at: https://publications.iarc.fr/_publications/media/download/5224/5637a4f4 ad9cfd4e81ab40a8fa057015a3e8911b.pdf
  33. Koprivnikar H, Rehberger M, Lavtar D, Korošec A. [Use of tobacco and tobacco-related products in Slovenia and statistical regions of Slovenia in the last decade – Results of national surveys on tobacco, alcohol and other drugs, 2012, 2018 and 2023]. [Slovenian]. Ljubljana: National Institute of Public Health; 2024.
  34. Doll R, Peto R. Epidemiology of cancer. In: Weatherall DJ, Ledingham JGG, Warell DA, editors. Oxford textbook of medicine. 3rd edition. New York: Oxford University Press; 1996. p. 197-222.
  35. Robinson BM. Malignant pleural mesothelioma: an epidemiological perspective. Ann Cardiothorac Surg 2012; 1: 491-6. doi: 10.3978/j.issn.2225- 319X.2012.11.04
  36. Jerant J. [Case: Anhovo. Between asbestos, waste, development and a health crisis]. [Slovenian]. Ljubljana: Mladinska knjiga; 2024.
  37. Waller LA, Gotway CA. Applied spatial statistics for public health data. New Jersey: John Wiley & Sons; 2004.
  38. Gelman A, Carlin JB, Stern HS, Rubin DB. Bayesian data analysis. Boca Raton: Chapman & Hall/CRC; 2003.
DOI: https://doi.org/10.2478/raon-2025-0050 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 412 - 424
Submitted on: Apr 3, 2025
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Accepted on: Jun 11, 2025
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Published on: Sep 5, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Vesna Zadnik, Mojca Birk, Teja Oblak, Maja Jurtela, Sonja Tomsic, Katarina Lokar, Ana Mihor, Nika Bric, Miran Mlakar, Amela Duratovic Konjevic, Tina Zagar, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.