Environmental geochemistry and cancer: a pertinent global health problem requiring interdisciplinary collaboration

Daniel R.S. Middleton*, Valerie A. McCormack, Michael J. Watts, Joachim Schüz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Primary prevention is a key strategy to reducing the global burden of cancer, a disease responsible for ~ 9.6 million deaths per year and predicted to top 13 million by 2030. The role of environmental geochemistry in the aetiology of many cancers—as well as other non-communicable diseases—should not be understated, particularly in low- and middle-income countries where 70% of global cancer deaths occur and reliance on local geochemistry for drinking water and subsistence crops is still widespread. This article is an expansion of a series of presentations and discussions held at the 34th International Conference of the Society for Environmental Geochemistry and Health in Livingstone, Zambia, on the value of effective collaborations between environmental geochemists and cancer epidemiologists. Key technical aspects of each field are presented, in addition to a case study of the extraordinarily high incidence rates of oesophageal cancer in the East African Rift Valley, which may have a geochemical contribution. The potential merit of veterinary studies for investigating common geochemical risk factors between human and animal disease is also highlighted.

Original languageEnglish
Pages (from-to)1047-1056
Number of pages10
JournalEnvironmental Geochemistry and Health
Issue number4
Early online date03 May 2019
Publication statusPublished - 01 Apr 2020
Externally publishedYes

Bibliographical note

Funding Information:
The authors are grateful to the organisers and delegates of the 34th SEGH International Conference, where this article was conceived and to the Environment, Sustainability and Environment Division of the Royal Society of Chemistry (RSC), which awarded funds to partially cover D. Middleton?s conference attendance. The work was undertaken during an IARC postdoctoral fellowship (D. Middleton) partially supported by the European Commission FP7 Marie Curie Actions ?People?Co-funding of regional, national and international programs (COFUND).

Publisher Copyright:
© 2019, Springer Nature B.V.


  • Cancer epidemiology
  • Environmental geochemistry
  • Oesophageal cancer

ASJC Scopus subject areas

  • Environmental Engineering
  • Environmental Chemistry
  • Water Science and Technology
  • Environmental Science(all)
  • Geochemistry and Petrology


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