title: Cancer mortality following polychlorinated biphenyl (PCB) contamination of a Guam village.
abstract: Beginning more than 10 years after the release of polychlorinated biphenyl (PCB) contamination in the favored fishing grounds of Merizo village, an increase in the proportional cancer mortality rate was observed among residents of the village. This increased rate continued for approximately 20 years after which it returned to near island-wide Guam levels. Although the temporal association between PCB contamination of the environment of this village and an increase in cancer mortality is intriguing, it does not necessarily demonstrate a cause and effect relationship.
  
  
  OBJECTIVE
  To investigate a possible temporal relationship between PCB contamination of the Cocos Lagoon and cancer deaths in the adjoining village of Merizo.
  
  
  METHODS
  Data utilized in the study included deaths recorded by the Guam Cancer Registry (years 2000 to 2007) and data collected from original death certificates (years 1968-1999). To check whether there was a significant difference in the proportion of deaths due to cancer in Merizo compared with the rest of Guam, deaths were grouped in four 10-year periods, 1968-1977, 1978-1987, 1988-1997, and 1998-2007, and the Pearson Chi-Square test was calculated for each period separately
  
  
  RESULTS
  While the number of new cancer cases recorded in the village of Merizo were insufficient in number to draw a statistically significant conclusion when single year incidence rates were compared to the rest of the island, a proportional mortality study showed a distinct increase for the village of Merizo compared to other villages for the period 1978-1997.
  
  
  CONCLUSIONS
  While it is not possible to conclude with certainty that PCB contamination of the Cocos Lagoon was responsible for the observed increase in the proportion of cancer deaths in Merizo village beginning during the 10-year period 1978-1987, that increase and the subsequent decrease as PCB levels also decreased presents the possibility that these trends may be related.
authors.affiliation: Cancer Research Center of Guam, University of Guam, and Guam Department of Public Health and Social Services, Hagatna, Guam. robhad@yahoo.com
authors.forename: Robert L
authors.initials: RL
authors.lastname: Haddock
authors.forename: Grazyna
authors.initials: G
authors.lastname: Badowski
authors.forename: Renata
authors.initials: R
authors.lastname: Bordallo
mesh_terms: D016009:Chi-Square Distribution; D016001:Confidence Intervals; D004781:Environmental Exposure / Q000009:adverse effects*; D004787:Environmental Pollution / Q000009:adverse effects*; D006141:Guam / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D009369:Neoplasms / Q000139:chemically induced / Q000453:epidemiology / Q000401:mortality*; D011078:Polychlorinated Biphenyls / Q000009:adverse effects* / Q000633:toxicity; D011634:Public Health; D012042:Registries; D018570:Risk Assessment; D013997:Time Factors
chemical_list: D011078:Polychlorinated Biphenyls