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Looking Towards 2030: Strengthening the Environmental Health in Childhood–Adolescent Cancer Survivor Programs

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  • Laura T. Cabrera-Rivera

    (European and Latin American Environment, Survival and Childhood Cancer Network (ENSUCHICA), Instituto Murciano de Investigación Sanitaria (IMIB), University of Murcia, 30120 Murcia, Spain
    Department of Environmental Health, University of Puerto Rico-Medical Sciences Campus, San Juan, PR 00921, USA
    International Exchange Program for Minority Students, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA)

  • Brittney Sweetser

    (European and Latin American Environment, Survival and Childhood Cancer Network (ENSUCHICA), Instituto Murciano de Investigación Sanitaria (IMIB), University of Murcia, 30120 Murcia, Spain
    International Exchange Program for Minority Students, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
    Department of Pediatrics, UC San Diego Health, San Diego, CA 92037, USA)

  • José L. Fuster-Soler

    (European and Latin American Environment, Survival and Childhood Cancer Network (ENSUCHICA), Instituto Murciano de Investigación Sanitaria (IMIB), University of Murcia, 30120 Murcia, Spain
    Department of Pediatric Hematology & Oncology, Clinical University Hospital Virgen of Arrixaca, 30120 Murcia, Spain)

  • Rebeca Ramis

    (European and Latin American Environment, Survival and Childhood Cancer Network (ENSUCHICA), Instituto Murciano de Investigación Sanitaria (IMIB), University of Murcia, 30120 Murcia, Spain
    Cancer and Environmental Epidemiology Unit, Department of Epidemiology of Chronic Diseases, National Center for Epidemiology, Carlos III Institute of Health, 28029 Madrid, Spain)

  • Fernando A. López-Hernández

    (European and Latin American Environment, Survival and Childhood Cancer Network (ENSUCHICA), Instituto Murciano de Investigación Sanitaria (IMIB), University of Murcia, 30120 Murcia, Spain
    Department of Quantitative Methods and Computing, Technical University of Cartagena, 30202 Cartagena, Spain)

  • Antonio Pérez-Martínez

    (European and Latin American Environment, Survival and Childhood Cancer Network (ENSUCHICA), Instituto Murciano de Investigación Sanitaria (IMIB), University of Murcia, 30120 Murcia, Spain
    Pediatric Onco-Hematology Department, La Paz University Hospital, Translational Research in Pediatric Oncology, Hematopoietic Transplantation, and Cell Therapy, IdiPAZ, Autonomous University of Madrid, 28046 Madrid, Spain)

  • Juan A. Ortega-García

    (European and Latin American Environment, Survival and Childhood Cancer Network (ENSUCHICA), Instituto Murciano de Investigación Sanitaria (IMIB), University of Murcia, 30120 Murcia, Spain
    International Exchange Program for Minority Students, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
    Paediatric Environmental Health Specialty Unit, Department of Pediatrics, Clinical University Hospital Virgen of Arrixaca, 30120 Murcia, Spain)

Abstract

Childhood and adolescent cancer survivors (CACS) are a high-risk population for non-communicable diseases and secondary carcinogenesis. The Environmental and Community Health Program for Longitudinal Follow-up of CACS in the region of Murcia, Spain, is an ongoing pioneering program that constitutes a model for social innovation. This study aims to present the program tools and protocol as a whole, as well as a profile of the incidence, survival, and spatiotemporal distribution of childhood cancer in the region of Murcia, Spain, using 822 sample cases of cancer diagnosed in children under 15 years of age (1998–2020). While the crude incidence rate across that entire period was 149.6 per 1 million, there was an increase over that time in the incidence. The areas with a higher standardized incidence ratio have shifted from the northwest (1998-2003) to the southeast (2016–2020) region. Overall, the ten-year survival rate for all tumor types was 80.1% over the entire period, increasing the five-year survival rate from 76.1 (1998–2003) to 85.5 (2014–2018). CACS living in areas with very poor outdoor air quality had lower survival rates. Furthermore, integrating environmental health into clinical practice could improve knowledge of the etiology and prognosis, as well as the outcomes of CACS. Finally, monitoring individual carbon footprints and creating healthier lifestyles, alongside healthier environments for CACS, could promote wellbeing, environmental awareness, and empowerment in order to attain Sustainable Development Goals for non-communicable diseases in this population.

Suggested Citation

  • Laura T. Cabrera-Rivera & Brittney Sweetser & José L. Fuster-Soler & Rebeca Ramis & Fernando A. López-Hernández & Antonio Pérez-Martínez & Juan A. Ortega-García, 2022. "Looking Towards 2030: Strengthening the Environmental Health in Childhood–Adolescent Cancer Survivor Programs," IJERPH, MDPI, vol. 20(1), pages 1-19, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:443-:d:1016750
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    References listed on IDEAS

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    1. Carmen W. H. Chan & Kai Chow Choi & Wai Tong Chien & Janet W. H. Sit & Rosa Wong & Karis K. F. Cheng & Chi Kong Li & Hui Leung Yuen & Chi Keung Li, 2020. "Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings," IJERPH, MDPI, vol. 17(17), pages 1-17, August.
    2. Diana Ivanova & Konstantin Stadler & Kjartan Steen-Olsen & Richard Wood & Gibran Vita & Arnold Tukker & Edgar G. Hertwich, 2016. "Environmental Impact Assessment of Household Consumption," Journal of Industrial Ecology, Yale University, vol. 20(3), pages 526-536, June.
    3. Emilio Chuvieco & Mario Burgui-Burgui & Anabel Orellano & Gonzalo Otón & Paloma Ruíz-Benito, 2021. "Links between Climate Change Knowledge, Perception and Action: Impacts on Personal Carbon Footprint," Sustainability, MDPI, vol. 13(14), pages 1-19, July.
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