Table of Contents

Introduction

Birth Defects

Cancer and Leukemia

Respiratory Illness

Conclusion
Introduction
The aim of this report is to compile existing health data from our resulting in adverse health effects on residents of the surrounding
community to identify trends for comparison between the health communities.
profiles of Staten Island residents and those of residents of other
boroughs in New York City. The proximity of the Fresh Kills Landfill to For more than a decade, the methane gas that continues to be vented
dense residential areas has been of particular concern to me, and the from the now-closed Fresh Kills landfill has been sold to energy
higher-than-average rates of certain cancers, respiratory illnesses, and companies and has generated tens of millions of dollars in revenue for
developmental disorders that have been concentrated in this area were the City of New York. The revenue is not specifically earmarked and
the impetus for putting together a comprehensive report on the state of tracked, but is instead funneled into a general fund and spent across the
physical health of Staten Islanders. city. As reported by the Department of Sanitation in 2011, the methane
gas was generating $1 million each month. Of the tens of millions of
As any resident of Staten Island and most of the medical community are dollars that have been generated by the vented gas: zero have been
already aware, the overwhelming anecdotal evidence over the last allocated to study the health effects of the Fresh Kills landfill on the local
several generations has suggested a causal relationship between the population; zero have been allocated to invest in air quality monitoring
Fresh Kills landfill and adverse health effects on the surrounding stations at the site and surrounding residential areas; zero have been
residents. Over the years, some studies have vindicated the anecdotal allocated to fund screenings for certain types of cancers, birth defects,
evidence and others have downplayed it. Much of the research that we respiratory disorders, or developmental disorders, all of which manifest
have seen has produced results that are nothing short of alarming. As in higher concentrations on Staten Island than they do in any other
youll see in this report, even since the early 1980s, a comprehensive borough of New York City.
study indicated that there had been massive amounts of chemical
waste dumped at Fresh Kills. Similarly disconcerting was a study almost It is my position that the revenue generated by the gas emissions at the
two decades old which raised many red flags about the incidents of former Fresh Kills landfill should be remitted to a fund created
respiratory illness in the surrounding areas. 16 years later, were still specifically for research, monitoring, health screenings, and health
seeing reports on a regular basis about the health hazards that those initiatives related to the potential effects the landfill has had on the local
who worked at Ground Zero were exposed to; its of great concern to population over the more than half a century that it was in full
Staten Islanders particularly, considering that the World Trade Center operation, and the more recent years, leading up through the present
debris was dumped at the landfill site. time, during which gases have continued to be vented and sold from the
site. This research will then serve as a follow-up to the preliminary study
None of the publicly released studies have taken a holistic view of the that was done in the 1990s.
potential health effects of the Fresh Kills landfill on the surrounding
residential population, including the ancillary activities, such as trucking Respectfully yours,
debris to and from the site, that have been studied and identified in Joseph C. Borelli
other locales as having contributed to local environmental pollution, Council Member
51st District
Fresh Kills Landfill History
The City of New York established the Fresh Kills Landfill in 1948, Dumping was only conducted on the West Mound, and no other
before there was any large-scale development on the west shore of materials were brought to the site during this period.
Staten Island. The Fresh Kills site, naturally, was primarily tidal creeks
and coastal marsh. By 1955, Fresh Kills Landfill was the largest landfill During the ten-month recovery effort, rescue workers carefully
in the world, serving as the principal landfill for household herbage screened and sifted the 1.2 million tons of material that came from
collected in New York City. the World Trade Center site to the Fresh Kills site. The search effort
did not end until all discernible remains and effects were removed
In the mid-1980s, at its peak of operation, Fresh Kills Landfill received and taken to the New York City Medical Examiners office for
as much as 29,000 tons of trash per day. The landfills four mounds on identification and safekeeping. After officials determined the process
the site are made up of approximately 150 million tons of solid waste. of retrieval had been exhaustive and complete, the screened and
sifted World Trade Center materials remaining at the Fresh Kills site
Although New York City had a large number of operating landfills in were placed in a 48-arce area immediately adjacent to the recovery
the latter half of the 20th century throughout the five boroughs, many site on the West Mound. A layer of clean soil, at least one foot deep,
were closed as new landfill and environmental regulations came into was placed in this area prior to placement of the screened materials,
effect, but Fresh Kills Landfill remained open. This was the result of an and afterward it was covered with additional clean soil to protect the
agreement between the State of New York and the City of New York, site and control erosion.
in which Fresh Kills site was retrofitted to meet the new regulations.

By 1991, Fresh Kills Landfill was New York Citys only operating landfill
receiving residential garbage.

As a result of strong community pressure, a state law was passed in

1996 requiring that the landfill cease accepting solid waste by the end
of 2001. By 1997, two of the four landfill mounds were closed and
covered with a thick, impermeable cap. The landfill received its last
barge of garbage on March 22, 2001.

After the World Trade Center attack on September 11, 2001, the
State of New York temporarily suspended the closing of the landfill to
allow for the handling of materials from the World Trade Center site.
Birth Defects: Section Overview

Types of birth defects identified in this

report: Anencephaly, Cleft Palate, Down
syndrome, and Hypospadias

A study by Geshwind et al., which investigated the

risk of congenital malformations in the vicinity of 590
hazardous waste sites in New York State, found a
12% increase in congenital malformations in people
living within 1 mile of a site. Higher risks were also
Anencephaly | Credit: American Assoc. of Neurological Surgeons
found for malformations of the nervous system,
musculoskeletal system, and integument (skin, hair, and
nails).

Additionally, a dose-response relationship (higher

risks with higher exposure) was reported between
estimated hazard potential of the site and risk of
malformation, adding support to a possible causal
relationship. (61) (Environmental Health Perspectives:
Vol 108, Supplement 1, pg. 109)

Down syndrome | Credit: US National Library of Medicine

Birth Defects: Anencephaly

What is Anencephaly? Reported Cases of Anencephaly

(Compared Citywide) (Per 100,000) (Prevalence)
Anencephaly is a condition that prevents the normal development of 1.2
the brain and the bones of the skull. This condition results when a 1
structure called the neural tube fails to close during the first few
0.8
weeks of embryonic development. The neural tube is a layer of cells
that ultimately develops into the brain and spinal cord. 0.6

Because anencephaly is caused by abnormalities of the neural tube, it 0.4

is classified as a neural tube defect. 0.2
0
Because the neural tube fails to close properly, the developing brain Bronx Brooklyn Manhattan Queens Staten Island
and spinal cord are exposed to the amniotic fluid that surrounds the
City Rate Borough Rate
fetus in the womb. This exposure causes the nervous system tissue to
break down (degenerate). As a result, people with anencephaly are Source: NYS DOH Community Health Portal
missing large parts of the brain called the cerebrum and cerebellum.
These brain regions are necessary for thinking, hearing, vision, Case-control studying 590 waste sites in New York State. Found
emotion, and coordinating movement. The bones of the skull are also increased risk for all malformations (12%), integument system,
missing or incompletely formed. nervous system, musculoskeletal.

Case-control study of 21 sites in 5 European countries. Study found

Because these nervous system abnormalities are so severe, almost all
an increased risk for all malformations (33%), NTD, cardiac defects.
babies with anencephaly die before birth or within a few hours or
days after birth.
Birth Defects: Cleft Palate

What is Cleft Palate? Reported Cases of Clef Palate

(Compared Citywide) (Per 100.000) (Prevalence)
The roof of the mouth (palate) is formed between the sixth and ninth 7
weeks of pregnancy. A cleft palate happens if the tissue that makes 6
up the roof of the mouth does not join completely during pregnancy. 5
For some babies, both the front and back parts of the palate are 4
open. For other babies, only part of the palate is open. 3
2
Children with a cleft lip with or without a cleft palate or a cleft palate 1
alone often have problems with feeding and speaking clearly and can 0
have ear infections. They also might have hearing problems and Bronx Brooklyn Manhattan Queens Staten Island
problems with their teeth. City Rate Borough Rate

Source: NYC DOH Community Health Portal

Case-control studying exposure index based on fraction of water

supply in household from contaminated wells. Study found an
increase in eye/ear anomalies, CNS/chromosomal/cleft anomalies;
perinatal deaths; kidney/urinary tract disorders, lung/respiratory
disorders.

Case-control studying 590 waste sites in New York State. Found

increased risk for all malformations (12%), integument system,
nervous system, musculoskeletal.

Case-control study of 21 sites in 5 European countries. Study found

an increased risk for all malformations (33%), NTD, cardiac
defects.
Cleft Palate
Birth Defects: Down syndrome

What is Down syndrome? Reported Cases of Down Syndrome

(Compared Citywide) (Per 100,000) (Prevalence)
Down syndrome is a chromosomal condition that is associated with 10
intellectual disability, a characteristic facial appearance, and weak
8
muscle tone (hypotonia) in infancy. All affected individuals experience
cognitive delays, but the intellectual disability is usually mild to 6
moderate. 4

People with Down syndrome may have a variety of birth defects. 2

About half of all affected children are born with a heart defect. 0
Digestive abnormalities, such as a blockage of the intestine, are less Bronx Brooklyn Manhattan Queens Staten Island
common. They also have an increased risk of developing several City Rate Borough Rate
medical conditions. These include gastroesophageal reflux, which is a
backflow of acidic stomach contents into the esophagus, and celiac Source: NYC DOH Community Health Portal
disease, which is an intolerance of a wheat protein called gluten.
About 15 percent of people with Down syndrome have an Case-control studying exposure index based on fraction of water
underactive thyroid gland (hypothyroidism). Individuals with Down supply in household from contaminated wells. Study found an
syndrome also have an increased risk of hearing and vision problems. increase in eye/ear anomalies, CNS/chromosomal/cleft anomalies;
perinatal deaths; kidney/urinary tract disorders, lung/respiratory
Delayed development and behavioral problems are often reported in disorders.
children with Down syndrome. Affected individuals' speech and
Case-control studying 590 waste sites in New York State. Found
language develop later and more slowly than in children
increased risk for all malformations (12%), integument system,
without Down syndrome, and affected individuals' speech may be nervous system, musculoskeletal.
more difficult to understand. Behavioral issues can include attention
problems, obsessive/compulsive behavior, and stubbornness or Case-control study of 21 sites in 5 European countries. Study found
tantrums. an increased risk for all malformations (33%), NTD, cardiac defects.
Birth Defects: Hypospadias

What is Hypospadias? Report Cases of Hypospadias

(Compared Citywide) (Per 100,000) (Prevalence)
Hypospadias is a birth defect in boys in which the opening of the
50
urethra is not located at the tip of the penis. In boys with
hypospadias, the urethra forms abnormally during weeks 814 of 40
pregnancy. The abnormal opening can form anywhere from just 30
below the end of the penis to the scrotum. There are different
20
degrees of hypospadias; some can be minor and some more severe.
10
The type of hypospadias a boy has depends on the location of the 0
opening of the urethra: Bronx Brooklyn Manhattan Queens Staten Island

City Rate Borough Rate

Subcoronal: The opening of the urethra is located somewhere
near the head of the penis. Source: NYC DOH Community Health Portal

Midshaft: The opening of the urethra is located along the Case-control studying exposure index based on fraction of water
shaft of the penis. supply in household from contaminated wells. Study found an
increase in eye/ear anomalies, CNS/chromosomal/cleft anomalies;

perinatal deaths; kidney/urinary tract disorders, lung/respiratory
Penoscrotal: The opening of the urethra is located where the disorders.
penis and scrotum meet.
Case-control studying 590 waste sites in New York State. Found
Boys with hypospadias can sometimes have a curved penis. They increased risk for all malformations (12%), integument system,
could have problems with abnormal spraying of urine and might have nervous system, musculoskeletal.
to sit to urinate. In some boys with hypospadias, the testicle has not
fully descended into the scrotum. If hypospadias is not treated, it can Case-control study of 21 sites in 5 European countries. Study found
lead to problems later in life, such as difficulty performing sexual an increased risk for all malformations (33%), NTD, cardiac defects.
intercourse or difficulty urinating while standing.
Cancer and Leukemia: Section
Overview

Types of cancer identified in this report:

Bladder Cancer, Breast Cancer in Females
Over 50, Lung and Bronchus Cancer,
Pancreatic Cancer, and Thyroid Cancer;
Additionally, two forms of Leukemia were
identified: Acute Myeloid Leukemia and
Chronic Lymphocytic Leukemia
Increased Prevalence of Cancer as a Result of Groundwater
Contamination

Although landfills are designed to contain wastes in confined areas, A leachate treatment plant at the Fresh Kills Landfill currently treats
chemicals in landfills can contaminate groundwater through a process most of the leachate generated on site and is capable of treating
called "leaching." By this process, chemicals in waste gradually more than 1,000,000 gallons of leachate a day (Nabovi, 1999).
dissolve into the rain water and snow-melt that flows through
landfills. The resulting contaminated water, commonly referred to as Before this treatment plant operated, a study estimated that at
"leachate," can then enter local surface waters and groundwater. Like least 85 % of the leachate generated in the landfill eventually
most landfills constructed in the 1940s, the Fresh Kills Landfill was discharged into local surface waters and less than 15 % of the
not designed with a liner or any other form of leachate control. leachate leaked into deeper groundwater layers (IT, 1993b).
Thus, for many years, untreated leachate from the landfill flowed
directly into local surface waters and groundwater. Although Staten Island residents clearly do not drink contaminated
groundwater, a small number of residents who live near the Fresh
Kills Landfill might come into contact with site-related contaminants
through the use of groundwater for non-drinking purposes. According
to a private well survey done in the 1990s, only five private wells documents and site personnel, recreational use of onsite surface
within 1 mile of the Fresh Kills Landfill property boundary appeared to waters (i.e., Fresh Kills and the sections of Main Creek and
be viable sources of non-potable groundwater (IT, 1991a). One well Richmond Creek within the landfill property boundary) is prohibited
(actually, a system of wells) was used to fill a pond at the South Shore (Nabovi, 1999; NYCDOS, 1995).
Country Club, another well is used to wash trucks at the Fresh Kills
Landfill, and the owner of the other well could not be located. In addition to concerns regarding chemicals in the ambient
environment, near some landfills landfill gases (the gases that form as
For two private wells, non-drinking use of groundwater seems wastes decompose) have been known to migrate through soil and
possible, but usage data for these wells are either limited or into homes. Large quantities of landfill gas, which is primarily
conflicting. First, the Great Kills Swim Club, located southeast of the composed of methane, are generated within the Fresh Kills Landfill
Fresh Kills Landfill and the Brookfield Avenue Landfill, has a daily, but several measures prevent this gas from migrating to offsite
groundwater well. One study reported the well had been abandoned locations. In the late 1990s, former borough environmental engineer,
(IT, 1991a), but another study reported the well was being used to fill Nick Dmytryszyn, went on record acknowledging that methane
a pool (NYCDEP, 1998). Second, a private well at a residence near the emissions from Fresh Kills represented 5.7 percent of all methane in
Great Kills Swim Club has reportedly been used for irrigation the country and 1.8 percent of emissions in the world.
purposes, but the frequency of well use is not known. An
environmental consulting company recently sampled both of these The fence that surrounds the Fresh Kills Landfill greatly reduces the
wells. As detailed in the Public Health Assessment (PHA) for the possibility that local residents will encounter physical hazards on site.
Brookfield Avenue Landfill (ATSDR, 1999a), a small number of However, due to the steep terrain of certain landfill sections and the
contaminants were found in both wells, but not at levels that would presence of flares and other potentially dangerous equipment on site,
pose health hazards for non-drinking purposes. ATSDR recommends that NYCDOS routinely verify that access to the
Fresh Kills Landfill continues to be restricted.
A common finding among the various monitoring efforts is that many
pollutants have elevated concentrations in the surface waters and Polycyclic aromatic hydrocarbons (PAHs) are a large group of
sediment near the Fresh Kills Landfill. For a sense of the levels of structurally similar chemicals which are ubiquitous in the
contamination, Tables 8 and 9 summarize the results of a recent environment as both gases and associated particulates. They are
sampling study of surface waters and sediments, respectively. emitted from landfills as a product of the combustion of landfill gas.
Studies in humans and experimental animals have found an
According to the tables, surface waters and sediment near the Fresh association between exposures to mixtures of certain PAHs and
Kills Landfill are contaminated with elevated levels of inorganics tumors of the lung, skin and possibly other sites in the body. Certain
(e.g., ammonia and sulfates) and numerous metals (e.g., arsenic, PAH compounds are considered to have potential genotoxic
barium, cadmium, chromium, lead, and nickel). carcinogenic properties* and these are the main compounds of
concern in relation to landfill emissions. (Impact on Health of
Even though certain stretches of local surface waters and sediments Emissions from Landfill Sites; Advice from the Health Protection
clearly contain elevated levels of contamination, residents rarely, if Agency; Documents of the Health Protection Agency Radiation,
ever, come into contact with these contaminants. According to site Chemical and Environmental Hazards July 2011)
 produce inflammation and bronchoconstriction (narrowing of the
It is theoretically possible that one hit on DNA may produce a lungs) and can affect the immune cells in the lungs, increasing
mutation that can eventually develop into a tumor. The assumption susceptibility to respiratory infections. Asthmatics are most
is thus made for genotoxic carcinogens that they do not have a susceptible, although high levels of NO2 may also produce effects
threshold and that any exposure is associated with an increase in on the lung function of non-asthmatics. (Impact on Health of
risk, albeit this may be very small. - (Impact on Health of Emissions Emissions from Landfill Sites; Advice from the Health Protection
from Landfill Sites; Advice from the Health Protection Agency; Agency; Documents of the Health Protection Agency Radiation,
Documents of the Health Protection Agency Radiation, Chemical and Chemical and Environmental Hazards July 2011)
Environmental Hazards July 2011)

Landfilling activities with the potential to generate particulates

include:

movement of waste on- and off-site

handling storage and processing of waste
plant traffic both on- and off-site
plant used to burn landfill gas, including gas flares or engines
dust generated from the surface of the landfill

Exposure to particles that can enter the respiratory system is known

to be associated with a range of adverse effects on health.
Particulate matter dispersed into the air by the aforementioned
landfilling activities can cause a range of adverse health effects as fine
particles are deposited efficiently in the deeper parts of the lung.
Dust emitted from landfill sites will include both coarse and fine
particles, with myriad potential health effects including damage to
the respiratory system, and an exacerbation of pre-existing lung and
heart conditions.

Acid gases may be emitted from landfill gas flares and engines as a
result of the landfill gas combustion process. Examples of acid gases
which can be emitted are nitrogen dioxide, Sulphur dioxide and
halides, such as hydrogen chloride and hydrogen fluoride. Emissions
from landfill sites can contribute to existing background levels of
these pollutants in the local area. At high concentrations, nitrogen
dioxide (NO2) acts as an irritant of the airways and exposure can
Cancer and Leukemia: Bladder Cancer

What is Bladder Cancer? Reported Cases of Bladder Cancer

(Compared Citywide) (Per 100,000) (Age Adjusted)
There are several types of cancer which can start in the bladder,
30
however, Urothelial carcinoma, also known as transitional cell
25
carcinoma (TCC), is by far the most common type of bladder cancer.
In fact, if you are told you have bladder cancer it is almost certain to 20

be an urothelial carcinoma. These cancers start in the urothelial cells 15

that line the inside of the bladder. 10
5
Urothelial cells also line other parts of the urinary tract, such as the 0
part of the kidney that connects to the ureter (called the renal pelvis), Bronx Brooklyn Manhattan Queens Staten Island
the ureters, and the urethra. Patients with bladder cancer sometimes
City Rate Borough Rate
have other tumors in these places, so the entire urinary tract needs to
be checked for tumors. Source: NYC DOH Community Health Portal

Geographical comparison studying cancer deaths and birth defects

in Clinton County, PA (home to landfill) compared to PA and US.
Found an increase in bladder cancer deaths in Clinton; increase in
number of other cancers in Clinton and 3 surrounding counties.

Geographical comparison studying cancer rates in 8 counties in

Illinois containing towns with contaminated wells compared to
national rates. Study found an excess in bladder cancer in town
with contaminated wells.

Geographical comparison of 593 NPL waste sites in US. Study found

increased rates of cancer of the lung, bladder, stomach, and
rectum.

Case-control studying 38 sites with likely landfill gas migration in

Bladder Cancer | Credit: Google New York State. Study found an excess of female bladder cancer
and female leukemia.
Cancer and Leukemia: Breast Cancer

What is Breast Cancer? Reported Cases of Breast Cancer

(Compared Citywide) (Per 100,000) (Women Older Than 50)
Breast cancer starts when cells in the breast begin to grow out of 400
control. These cells usually form a tumor that can often be seen on an 350
x-ray or felt as a lump. The tumor is malignant (cancerous) if the cells 300
can grow into (invade) surrounding tissues or spread (metastasize) to 250
distant areas of the body. Breast cancer occurs almost entirely in 200
150
women, but men can get it, too.
100
50
Breast cancers can start from different parts of the breast. Most 0
breast cancers begin in the ducts that carry milk to the nipple (ductal Bronx Brooklyn Manhattan Queens Staten Island
cancers). Some begin in the glands that make breast milk (lobular
City Rate Borough Rate
cancers). There are also other types of breast cancer that are less
common. Source: NYC DOH Community Health Portal

Breast Cancer | Credit: Google

Cancer and Leukemia: Lung and Bronchus Cancer

What is Lung and Bronchus Cancer? Reported Cases of Lung & Bronchus Cancer
(Compared Citywide) (Per 100,000) (Age Adjusted Total)
Lung cancer is the uncontrolled growth of abnormal cells in one or 80
both lungs. These abnormal cells do not carry out the functions of 70
normal lung cells and do not develop into healthy lung tissue. As they 60
grow, the abnormal cells can form tumors and interfere with the 50
40
functioning of the lung, which provides oxygen to the body via the
30
blood.
20
10
There are two major types of lung cancer, non-small cell lung 0
cancer and small cell lung cancer. Staging lung cancer is based on Brooklyn Manhattan Queens Staten Island
whether the cancer is local or has spread from the lungs to the lymph City Rate Borough Rate
nodes or other organs. Because the lungs are large, tumors can grow
in them for a long time before they are found. Even when symptoms, Source: NYC DOH Community Health Portal
such as coughing and fatigue, do occur, people think they are due to
other causes. For this reason, early-stage lung cancer (stages I and II) Geographical comparison studying residents of Montreal Island in
is difficult to detect. areas adjacent to landfill and estimated exposure to landfill gas
found an increase in incidence of stomach, liver, lung and prostate
cancer for men, stomach and cervix-uteri cancer for women.

Geographical comparison of 593 NPL waste sites in US. Study found

increased rates of cancer of the lung, bladder, stomach, and
rectum.

Lung Cancer | Credit: Google

Cancer and Leukemia: Pancreatic Cancer

What is Pancreatic Cancer? Reported Cases of Pancreatic Cancer

(Compared Citywide) (Per 100,000) (Age Adjusted Total)
Pancreatic cancer begins when cells in the pancreas start to grow 15.5
uncontrollably. The pancreas is an organ located behind the stomach. 15
It is shaped a bit like a fish with a wide head, a tapering body, and a 14.5
narrow, pointed tail. In adults it is about 6 inches long but less than 2 14
13.5
inches wide.
13
12.5
The head of the pancreas is on the right side of the abdomen (belly), 12
behind where the stomach meets the duodenum (the first part of the 11.5
small intestine). The body of the pancreas is behind the stomach, and Bronx Brooklyn Manhattan Queens Staten Island
the tail of the pancreas is on the left side of the abdomen next to the City Rate Borough Rate
spleen.
Source: NYC DOH Community Health Portal

Pancreatic Cancer | Credit: Google

Cancer and Leukemia: Thyroid Cancer

What is Thyroid Cancer? Reported Cases of Thyroid Cancer

(Compared Citywide) (Per 100,000) (Age Adjusted Total)
Thyroid cancer starts in the thyroid gland. To understand thyroid 35
cancer, it helps to know about the normal structure and function of 30
the thyroid gland. 25
20
The thyroid gland is below the thyroid cartilage (Adams apple) in the 15
front part of the neck. In most people, the thyroid cannot be seen or 10
felt. It is butterfly shaped, with 2 lobes the right lobe and the left 5
lobe joined by a narrow isthmus. 0
Bronx Brooklyn Manhattan Queens Staten Island
The thyroid gland has 2 main types of cells. Follicular cells use iodine
City Rate Borough Rate
from the blood to make thyroid hormones, which help regulate a
persons metabolism. The amount of thyroid hormone released by Source: NYC DOH Community Health Portal
the thyroid is regulated by the pituitary gland at the base of the brain,
which makes a substance called thyroid-stimulating hormone (TSH). C
cells (also called perifollicular cells) make calcitonin, a hormone that
helps control how the body uses calcium.

Other, less common cells in the thyroid gland include immune system
cells (lymphocytes) and supportive (stromal) cells. Different cancers
develop from each kind of cell. The differences are important because
they affect how serious the cancer is and what type of treatment is
needed.

Many types of growths and tumors can develop in the thyroid gland.
Most of these are benign (non-cancerous) but others are malignant
(cancerous), which means they can spread into nearby tissues and to
other parts of the body. Thyroid Cancer | Credit: Google
Cancer and Leukemia: Acute Myeloid Leukemia

What is Acute Myeloid Leukemia? Reported Cases of Acute Myeloid Leukemia

(Compared Citywide) (Per 100,000) (Age Adjusted Total)
Acute myeloid leukemia (AML) has many other names, including 6
acute myelocytic leukemia, acute myelogenous leukemia, acute 5
granulocytic leukemia, and acute non-lymphocytic leukemia.
4

Acute means that this leukemia can progress quickly if not treated, 3

and would probably be fatal in a few months. Myeloid refers to the 2

type of cell this leukemia starts from. Most cases of AML develop 1
from cells that would turn into white blood cells (other than 0
lymphocytes), but some cases of AML develop in other types of Bronx Brooklyn Manhattan Queens Staten Island
blood-forming cells.
City Rate Borough Rate

AML starts in the bone marrow (the soft inner part of certain bones, Source: NYC DOH Community Health Portal
where new blood cells are made), but in most cases it quickly moves
into the blood. It can sometimes spread to other parts of the body Geographical comparison studying three counties adjacent to a
including the lymph nodes, liver, spleen, central nervous system waste dump compared to the whole region. Study found an excess
(brain and spinal cord), and testicles. in leukemia incidence.

Geographical comparison studying cancer rates in Woburn (home to

landfill) compared to national rates. More than 2-fold excess in
childhood leukemia.

Case-control studying exposure index based on fraction of water

supply in household from contaminated wells. Study found an
increase in eye/ear anomalies, CNS/chromosomal/cleft anomalies;
perinatal deaths; kidney/urinary tract disorders, lung/respiratory
disorders.

Case-control studying 38 sites with likely landfill gas migration in

New York State. Study found an excess of female bladder cancer
and female leukemia.
Cancer and Leukemia: Chronic Lymphocytic Leukemia

What is Chronic Lymphocytic Leukemia? Reported Cases of Chronic Lymphocytic Leukemia

(Compared Citywide) (Per 100,000) (Age Adjusted Total)
Chronic Lymphocytic Leukemia (CLL) is a type of cancer that starts 7
from cells that become certain white blood cells (called lymphocytes) 6
in the bone marrow. The cancer (leukemia) cells start in the bone 5
marrow but then go into the blood. 4
3
In CLL, the leukemia cells often build up slowly over time, and many 2
people don't have any symptoms for at least a few years. In time, the 1
cells can spread to other parts of the body, including the lymph 0
nodes, liver, and spleen. Bronx Brooklyn Manhattan Queens Staten Island

City Rate Borough Rate

Source: NYC DOH Community Health Portal

Geographical comparison studying three counties adjacent to a

waste dump compared to the whole region. Study found an excess
in leukemia incidence.

Case-control studying 38 sites with likely landfill gas migration in

New York State. Study found an excess of female bladder cancer
and female leukemia.
Respiratory Illness: Asthma in Adults

What is Asthma? Reported Cases of Asthma in Adults

(Compared Citywide) (Per 100,000) (Past 12 Months)
Asthma is a chronic (long-term) lung disease that inflames and 250000
narrows the airways. Asthma causes recurring periods of wheezing (a
200000
whistling sound when you breathe), chest tightness, shortness of
breath, and coughing. The coughing often occurs at night or early in 150000
the morning.
100000

50000

0
Bronx Brooklyn Manhattan Queens Staten Island

City Rate Borough Rate

Source: NYC DOH Community Health Portal

Case-control study measuring individual exposure index based on

concentration of pollutants and daily activity of study subjects. The
study identified a relationship between exposure level and existing
cases of respiratory and psychological issues.

Asthma | Credit: Google

Conclusion
Dear Reader,
Joe Borelli was elected to serve the
Whether its a myriad of environmental hazards, respiratory illness, a constituents of the 51st Council District
greater prevalence of autism spectrum disorder, birth defects, cancer in a special election held on November
or a variety of other very real ailments that are not yet known, Staten 3, 2015. His district includes the South
Islanders have borne the brunt (and continue to bear the brunt) of Shore of Staten Island.
the ecological disaster that was the Fresh Kills Landfill. As the data
Joe previously represented his South
compiled in this report makes clear, theres a very real correlation
Shore constituents in the New York
between the landfill and the enormous human and monetary costs State Assembly. He was the ranking
that Staten Islanders have been forced to shoulder. To say, that minority member of the Assembly
Staten Islanders should be uniquely burdened by something they Cities Committee.
were forced to endure and had virtually no say in opening, but that
the only clear monetary benefit (the proceeds of methane sales) Dedicated to improving the quality of life on Staten Island, Joe
should be denied to them defies logic. Lets use that money was successful in coordinating the development of several Park
(retroactive to the time the sale of methane from the site began) to and Rides here on Staten Island, securing funds to outfit nearly
ameliorate some of the tragic costs Staten Island has had to endure. every classroom on the South Shore with a Smartboard and has
Further, so that New York City as a whole (and every community for worked with the Parks Department on the renovation and
that matter) has a full and comprehensive understanding of what construction of several parks on Staten Island. Joe has been
doing this does to communities, we really need to make involved in the Staten Island Growth Management Task Force,
arrangements for a comprehensive study to be done forthwith on all the Brookfield Landfill Citizens Advisory Committee, and he was
also instrumental in the successful fight to eradicate
of the aspects in which life on Staten Island continues to be effected
polychlorinated biphenyls (PCBs) from public school buildings.
by this what will go down as one of New York Citys greatest mistakes.
Throughout his career in state and city government, Joe has
To do anything less, would be insulting to Staten Islanders and all proven himself to be a leader.
taxpayers.

Respectfully yours, Joe is a native Staten Islander and lives in the Annadale section
Joseph C. Borelli of Staten Island with his wife, Rachel, their son, Joseph, and his
Council Member English Bulldog, Luna. He holds a B.A. from Marist College and
51st District an M.A. from the College of Staten Island, where he is also an
Adjunct Professor of Political Science.