Pesticide in the Mississippi River floodplain and its possible linkage to colon cancer risk in the US

Result of this study shows that elevated colorectal cancer risk in Mississippi River floodplain of the United States is likely linked to historically high pesticide application. Mississippi River basin produces about 80% of major US crops and has about two-thirds of US pesticides used for agriculture. Historically, heavy pesticide application and agricultural irrigation were reported to result in high pesticide residues in surface water, fish and wells of Mississippi embayment. Risk ratio of colorectal cancer incidence in 86 counties of Mississippi River floodplain was about 29% higher than that of other counties in the 48 contiguous states. Risk ratio of colon cancer mortality in 63 counties of Mississippi embayment was 33% higher than that of other counties in the 48 states between 1999 and 2016. Risk ratios of colorectal cancer incidence and colon cancer mortality in Mississippi River floodplain are higher after smoking and diabetes factors were filtered off. Previous studies have linked exposure to pesticide with type-II diabetes and the latter was linked to increasing colon cancer risk by about 27%. Result here suggests that pesticide may be an independent risk factor directly associated with elevated colon cancer risk in Mississippi River floodplain.