Environment and Health Project: Preliminary Data on Thyroid Nodular Pathology Compared between Two Districts of ASL Napoli 1 Centro (ds 26 and ds 28)

UOSD malattie endocrine del ricambio e della nutrizione, PO Ospedale del Mare, ASL Napoli 1 Centro, Italy
ASL Napoli1 Centro DSB25, Italy
Medicina Interna, Universita�?�?�?¢�?�?�?�?�?�?�?�? Politecnica delle Marche, Italy

Posters & Accepted Abstracts: Health Sci J

Abstract:

Background and aims: Endocrine Disruptors interfere with hormone secretion and are associated with neoplastic and autoimmune thyroid disease. The aim of the study was to evaluate the effects of environmental pollution on thyroid health of the resident population in the area of Campania called "Land of Fires". Materials/patients and methods: As part of the "Environment and health" project, we made an ultrasound thyroid screening comparing two Districts in ASL Napoli1 (DS 26 and DS 28). An anonymous questionnaire about medical history, eating habits and exposure to risk factors (eg proximity to landfills) was administered to all subject. Three paths were identified: 1) normal thyroid pattern, good health; 2) inhomogeneous thyroid pattern, the patient was invited to perform biochemical screening; 3) thyroid nodular pathology, the patient was invited to continue follow-up at UOSD Malattie Endocrine e Metaboliche, Ospedale del Mare. Results: From January 2019 to February 2020, 499 subjects were enrolled in the present study (329 SD 26 and 170 SD 28). 170 subjects were affected by nodular pathology (28%). 182 subjects (36%) declared to live near landfills, with a higher prevalence of nodular pathology and ultrasound pattern suggestive of thyroiditis in DS 26 (40%) compared to DS 28 (21%). Discussion: The present study showed a higher prevalence of nodular thyroid disease and ultrasound pattern suggestive of thyroiditis in DS 26 subjects living near a landfill. The COVID-19 pandemic did not allow to continue the thyroid screening which will resume soon.

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