Review: Windows of exposure to pesticides for increased risk of childhood leukemia

Leukemia is the leading cause of cancer resulting in mortality of children, and there is some evidence suggesting the increased incidence rate increasing during the recent decades. Limited human evidence indicates an increased risk of developing leukemia in childhood as a result of pesticide exposure, with possible significance of exposure occurring during the developmental periods including preconception, pregnancy, and childhood. This review examines the results of relevant literature on the timing of pesticide exposure and leukemia diagnosed in childhood. Results suggest that the risk from pesticide exposure seems to be greater during pregnancy. Other findings indicate that maternal occupational exposure may be more of a greater concern than the paternal occupational exposure; and that the residential indoor use of pesticides tends to result in higher risk estimates than the residential outdoor use. Only limited data are available on particular pesticides, genetic factors, critical windows of exposure during development, and their association with different histological types of leukemia.