The use of a trench candle as an alternative heating and light source in wartime and possible negative consequences

Authors

DOI:

https://doi.org/10.14739/mmt.2024.3.310341

Keywords:

trench candle, ultrafine aerosol, carcinogenic risk, military personnel

Abstract

Aim. To examine the composition of ultrafine aerosol in the air generated by the trench candle burning and compare combustion products with proven carcinogens according to the International Agency for Research on Cancer (IARC) classification.

Materials and methods. The content of ultrafine aerosol emitted from trench candle burning was studied using a NanoScan 3910 portable scanning spectrometer. The number, area, surface volume and mass concentration of particles were measured at 0.5 and 1.5 meters above the floor level before and after the trench candle burning for 10 minutes. The chemical composition was assessed by inductively coupled plasma optical emission spectrometry (ICP-OES, PerkinElmer Optima 2100 DV, USA). The morphological characteristics of suspended particles were studied by scanning electron microscopy (TESCAN VEGA3, Czech Republic).

Results. High concentrations of suspended particulates in the ultrafine particle size range outnumbering the background content by almost 985 times (p ≤ 0.001) have been found to be emitted from the trench candle burning into the indoor air at the breathing level. The ultrafine aerosol contained carcinogenic heavy metals according to the IARC classification (chromium, cadmium, and cobalt).

Conclusions. The use of trench candles during the Russian–Ukrainian war relates military and civilian populations to a risk group, that requires wartime carcinogenic effects on the Ukrainian population to be studied and demands the development of a National Program for primary and secondary prevention of cancer as soon as today.

Author Biographies

O. O. Kovalyov, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, DSc, Professor, Head of the Department of Oncology and Oncosurgery

Yu. M. Kolesnyk, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, DSc, Professor of the Department of Pathological Physiology with the Course of Normal Physiology, Rector of Zaporizhzhia State Medical and Pharmaceutical University, Honored Science and Technology Figure of Ukraine

V. O. Zub, Chernihiv Polytechnic National University, Ukraine

MD, PhD, DSc, Associate Professor of the Department of Physical Rehabilitation, Chernihiv Polytechnic National University; Honored Doctor of Ukraine, People’s Deputy of Ukraine of the 9th convocation, Chairperson of the Sub-committee on Prevention and Control of Cancer of the Verkhovna Rada of Ukraine Committee on Public Health, Medical Assistance and Medical Insurance, Chairperson of the Public Organization National Association of Ukrainian Oncologists

A. I. Sevalniev, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, Associate Professor, Head of the Department of General Hygiene, Medical Ecology and Preventive Medicine

L. P. Sharavara, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, Associate Professor of the Department of General Hygiene, Medical Ecology and Preventive Medicine

I. M. Andrusyshyna, SI “Kundiiev Institute of Occupational Health of the National Academy of Medical Sciences of Ukraine”, Kyiv

PhD, DSc, Senior Researcher, Head of the Sector for the Study of Microelements

O. V. Hancheva, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, DSc, Professor, Head of the Department of Pathological Physiology with the Course of Normal Physiology

K. O. Kovalov, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, Assistant of the Department of General Surgery and Postgraduate Surgical Education, Educational and Scientific Institute of Postgraduate Education

References

van der Vet F. A polluting war: Risk, experts, and the politics of monitoring wartime environmental harm in Eastern Ukraine. Environ Plan C Politics Space. 2024. doi: https://doi.org/10.1177/23996544241229553

Wylie AG, Korchevskiy AA. Dimensions of elongate mineral particles and cancer: A review. Environ Res. 2023;230:114688. doi: https://doi.org/10.1016/j.envres.2022.114688

Jester DJ, Assefa MT, Grewal DK, Ibrahim-Biangoro AM, Jennings JS, Adamson MM. Military environmental exposures and risk of breast cancer in active-duty personnel and veterans: a scoping review. Front Oncol. 2024;14:1356001. doi: https://doi.org/10.3389/fonc.2024.1356001

Bytnar JA, McGlynn KA, Nealeigh MD, Shriver CD, Zhu K. Cancer incidence in the US military: An updated analysis. Cancer. 2024;130(1):96-106. doi: https://doi.org/10.1002/cncr.34978

Lovejoy LA, Shriver CD, Ellsworth RE. Cancer Incidence and Etiology in the Active Duty Population of U.S. Military. Mil Med. 2024;189(1-2):e58-e65. doi: https://doi.org/10.1093/milmed/usac297

Eberhard Von Breitenbuch Erinnerungen eines Reserveofficers: 1939-1945. Bod – Books on Demand; 2011.

Antomonov M. Matematycheskaia obrabotka y analyz medyko-byolohycheskykh dannykh [Mathematical processing and analysis of biomedical data]. Kyiv: MYTs "Medinform"; 2018. Russian.

Ministry of Health of Ukraine. Pro zatverdzhennia hihiienichnykh rehlamentiv dopustymoho vmistu khimichnykh i biolohichnykh rechovyn u povitri robochoi zony [On the approval of hygienic regulations for the permissible content of chemical and biological substances in the air of the working area]. Order dated 2020 Jul 14, No. 1596. [Internet]. 2022 [cited 2024 Sep 2]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z0741-20#Text

Adler I. Primary Malignant Growths of the Lungs and Bronchi. JAMA. 1912;144(6):2334. doi: https://doi.org/10.1001/jama.1912.04270130039026

Doll R, Hill AB. Smoking and carcinoma of the lung; preliminary report. Br Med J. 1950;2(4682):739-48. doi: https://doi.org/10.1136/bmj.2.4682.739

Zerbyno DD, Kolinkovskyi OM, Besh DI, Andrusyshyna IM. Kurinnia syharet yak initsialnyi stymul poshkodzhennia intymy arterii. Ukrainskyi kardiolohichnyi zhurnal. 2016;(3):232-3. Ukrainian.

Wei Y, Wang Y, Wu X, Di Q, Shi L, Koutrakis P, et al. Causal Effects of Air Pollution on Mortality Rate in Massachusetts. Am J Epidemiol. 2020;189(11):1316-23. doi: https://doi.org/10.1093/aje/kwaa098

Yazdi MD, Wang Y, Di Q, Requia WJ, Wei Y, Shi L, et al. Long-term effect of exposure to lower concentrations of air pollution on mortality among US Medicare participants and vulnerable subgroups: a doubly-robust approach. Lancet Planet Health. 2021;5(10):689-97. doi: https://doi.org/10.1016/S2542-5196(21)00204-7

Harm to human health from air pollution in Europe: burden of disease 2023 [Internet]. European Environment Agency. 2023 [cited 2024 Sep 9]. Available from: https://www.eea.europa.eu/publications/harm-to-human-health-from-air-pollution

Xiong Y, Du K, Huang Y. One-third of global population at cancer risk due to elevated volatile organic compounds levels. Npj Clim Atmos Sci. 2024;7(1):54. https://doi.org/10.1038/s41612-024-00598-1

Kuye A, Kumar P. A review of the physicochemical characteristics of ultrafine particle emissions from domestic solid fuel combustion during cooking and heating. Sci Total Environ. 2023;886:163747. doi: https://doi.org/10.1016/j.scitotenv.2023.163747

Shapiro M, Galperin V. Air classification of solid particles: a review. Chem Eng Process. 2005;44(2):279-85. doi: https://doi.org/10.1016/j.cep.2004.02.022

Chang MC, Chow JC, Watson JG, Hopke PK, Yi SM, England GC. Measurement of ultrafine particle size distributions from coal-, oil-, and gas-fired stationary combustion sources. J Air Waste Manag Assoc. 2004;54(12):1494-505. doi: 10.1080/10473289.2004.10471010

Coleman NC, Burnett RT, Ezzati M, Marshall JD, Robinson AL, Pope CA 3rd. Fine Particulate Matter Exposure and Cancer Incidence: Analysis of SEER Cancer Registry Data from 1992-2016. Environ Health Perspect. 2020;128(10):107004. doi: https://doi.org/10.1289/EHP7246

Turner MC, Andersen ZJ, Baccarelli A, Diver WR, Gapstur SM, Pope CA 3rd, et al. Outdoor air pollution and cancer: An overview of the current evidence and public health recommendations. CA Cancer J Clin. 2020;70(6):460-79. doi: https://doi.org/10.3322/caac.21632

Jones RR, Fisher JA, Hasheminassab S, Kaufman JD, Freedman ND, Ward MH, et al. Outdoor Ultrafine Particulate Matter and Risk of Lung Cancer in Southern California. Am J Respir Crit Care Med. 2024;209(3):307-15. doi: https://doi.org/10.1164/rccm.202305-0902OC

White AJ, Fisher JA, Sweeney MR, Freedman ND, Kaufman JD, Silverman DT, et al. Ambient fine particulate matter and breast cancer incidence in a large prospective US cohort. J Natl Cancer Inst. 2024;116(1):53-60. doi: https://doi.org/10.1093/jnci/djad170

Schraufnagel DE, Balmes JR, Cowl CT, De Matteis S, Jung SH, Mortimer K, et al. Air Pollution and Noncommunicable Diseases: A Review by the Forum of International Respiratory Societies' Environmental Committee, Part 2: Air Pollution and Organ Systems. Chest. 2019;155(2):417-26. doi: https://doi.org/10.1016/j.chest.2018.10.041

Li T, Hu R, Chen Z, Li Q, Huang S, Zhu Z, Zhou LF. Fine particulate matter (PM2.5): The culprit for chronic lung diseases in China. Chronic Dis Transl Med. 2018;4(3):176-86. doi: https://doi.org/10.1016/j.cdtm.2018.07.002

Chen QY, DesMarais T, Costa M. Metals and Mechanisms of Carcinogenesis. Annu Rev Pharmacol Toxicol. 2019;59:537-54. doi: https://doi.org/10.1146/annurev-pharmtox-010818-021031

Norseth T. The carcinogenicity of chromium. Environ Health Perspect. 1981;40:121-30. doi: https://doi.org/10.1289/ehp.8140121

Wang Y, Su H, Gu Y, Song X, Zhao J. Carcinogenicity of chromium and chemoprevention: a brief update. Onco Targets Ther. 2017;10:4065-79. doi: https://doi.org/10.2147/OTT.S139262

National Toxicology Program. 15th Report on Carcinogens [Internet]. Research Triangle Park (NC): National Toxicology Program; 2021 Dec 21. Chromium Hexavalent Compounds: CAS No. 18540-29-9. Available from: https://www.ncbi.nlm.nih.gov/books/NBK590757/

Waalkes MP. Cadmium carcinogenesis. Mutat Res. 2003 Dec 10;533(1-2):107-20. doi: https://doi.org/10.1016/j.mrfmmm.2003.07.011

Huff J, Lunn RM, Waalkes MP, Tomatis L, Infante PF. Cadmium-induced cancers in animals and in humans. Int J Occup Environ Health. 2007;13(2):202-12. doi: https://doi.org/10.1179/oeh.2007.13.2.202

Satarug S, Vesey DA, Gobe GC, Phelps KR. Estimation of health risks associated with dietary cadmium exposure. Arch Toxicol. 2023;97(2):329-58. doi: https://doi.org/10.1007/s00204-022-03432-w

Jensen AA, Tüchsen F. Cobalt exposure and cancer risk. Crit Rev Toxicol. 1990;20(6):427-37. doi: https://doi.org/10.3109/10408449009029330

National Toxicology Program. 15th Report on Carcinogens [Internet]. Research Triangle Park (NC): National Toxicology Program; 2021 Dec 21. Cobalt-Related Exposures. Available from: https://www.ncbi.nlm.nih.gov/books/NBK590837/

Karagas MR, Wang A, Dorman DC, Hall AL, Pi J, Sergi CM, et al. Carcinogenicity of cobalt, antimony compounds, and weapons-grade tungsten alloy. Lancet Oncol. 2022;23(5):577-8. doi: https://doi.org/10.1016/S1470-2045(22)00219-4

Cassidy A, 't Mannetje A, van Tongeren M, Field JK, Zaridze D, Szeszenia-Dabrowska N, et al. Occupational exposure to crystalline silica and risk of lung cancer: a multicenter case-control study in Europe. Epidemiology. 2007;18(1):36-43. doi: https://doi.org/10.1097/01.ede.0000248515.28903.3c

WHO global air quality guidelines: Particulate matter (PM2.5 and PM10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide [Internet]. Geneva: World Health Organization; 2021. Available from: https://pubmed.ncbi.nlm.nih.gov/34662007/

Downloads

Additional Files

Published

2024-09-30

How to Cite

Kovalyov, O. O., Kolesnyk, Y. M., Zub, V. O., Sevalniev, A. I., Sharavara, L. P., Andrusyshyna, I. M., Hancheva, O. V., & Kovalov, K. O. (2024). The use of a trench candle as an alternative heating and light source in wartime and possible negative consequences. Modern Medical Technology, 16(3), 165–174. https://doi.org/10.14739/mmt.2024.3.310341