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The triangle of death ( it, Triangolo della morte) is an area approximately 25 km northeast of the city of
Naples Naples (; it, Napoli ; nap, Napule ), from grc, Νεάπολις, Neápolis, lit=new city. is the regional capital of Campania and the third-largest city of Italy, after Rome and Milan, with a population of 909,048 within the city's adminis ...
in the
Province of Naples The Province of Naples ( it, Provincia di Napoli; nap, Pruvincia 'e Nàpule) was a province in the Campania region of southern Italy. In 2014/2015, the reform of local authorities (Law 142/1990 and Law 56/2014), replaced the Province of Naples ...
,
Campania Campania (, also , , , ) is an administrative Regions of Italy, region of Italy; most of it is in the south-western portion of the Italian peninsula (with the Tyrrhenian Sea to its west), but it also includes the small Phlegraean Islands and the i ...
,
Italy Italy ( it, Italia ), officially the Italian Republic, ) or the Republic of Italy, is a country in Southern Europe. It is located in the middle of the Mediterranean Sea, and its territory largely coincides with the homonymous geographical re ...
, that comprises the ''
comuni The (; plural: ) is a local administrative division of Italy, roughly equivalent to a township or municipality. It is the third-level administrative division of Italy, after regions ('' regioni'') and provinces (''province''). The can also ...
'' of
Acerra Acerra () is a town and ''comune'' of Campania, southern Italy, in the Metropolitan City of Naples, about northeast of the capital in Naples. It is part of the Agro Acerrano plain. History Acerra is one of the most ancient cities of the regio ...
,
Nola Nola is a town and a municipality in the Metropolitan City of Naples, Campania, southern Italy. It lies on the plain between Mount Vesuvius and the Apennines. It is traditionally credited as the diocese that introduced bells to Christian worship. ...
and
Marigliano Marigliano is a town and ''comune'' of the Metropolitan City of Naples, Campania, southern Italy. The town lies 19 km from Naples. Nearby towns include: Acerra, Brusciano, Mariglianella, Nola, San Vitaliano, Scisciano, Somma Vesuviana. Main ...
. This area contains the largest illegal waste dump in Europe due to a waste management crisis in the 1990s and 2000s. The region has experienced a rise in cancer-related mortality that is linked to exposure of
pollution Pollution is the introduction of contaminants into the natural environment that cause adverse change. Pollution can take the form of any substance (solid, liquid, or gas) or energy (such as radioactivity, heat, sound, or light). Pollutants, the ...
from the illegal waste disposal by the
Camorra The Camorra (; ) is an Italian Mafia-typeMafia and Mafia-type orga ...
criminal organization after regional landfills had been filled to capacity. The phenomenon of widespread environmental crime perpetrated by criminal syndicates like the Camorra and
'Ndrangheta The 'Ndrangheta (, , ) is a prominent Italian Mafia-type organized crime syndicate and secret society, criminal society based in the peninsular and mountainous region of Calabria and dating back to the late 18th century. It is considered one of ...
has given rise to the term "
ecomafia Ecomafia is an Italian neologism for criminal activities related to organized crime which cause damage to the environment. The term was coined by the Italian environmentalist organization Legambiente in 1994, and has since seen widespread use. In I ...
".


Etymology

The term "triangle of death" was first used with regards to the region in a September 2004 scientific publication in the ''
Lancet Oncology ''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, ...
''.


Overview

An estimated 550,000 people live in the triangle of death. The annual death rate per 100,000 inhabitants from
liver cancer Liver cancer (also known as hepatic cancer, primary hepatic cancer, or primary hepatic malignancy) is cancer that starts in the liver. Liver cancer can be primary (starts in liver) or secondary (meaning cancer which has spread from elsewhere to th ...
is approximately 38.4 for men and 20.8 for women in this area, as compared to the national average of 14. The death rate for
bladder cancer Bladder cancer is any of several types of cancer arising from the tissues of the urinary bladder. Symptoms include blood in the urine, pain with urination, and low back pain. It is caused when epithelial cells that line the bladder become mali ...
and cancer of the
central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain and spinal cord. The CNS is so named because the brain integrates the received information and coordinates and influences the activity of all par ...
was also higher than the national average. The high death rates from cancers pointed towards the presence of illegal and improper hazardous waste disposal by various organized crime groups including the Camorra. The 2004 ''Lancet Oncology'' article noted, "Today, the difference between lawful management of waste and illegal manipulation with regard to their compliance with health regulations is very narrow, and the health risks are rising... The 5000 illegal or uncontrolled landfill sites in Italy drew particular criticism; Italy has already been warned twice for flouting the Hazardous Waste Directive and the Landfill Directive, and the EU has now referred Italy to the European Court of Justice for further action." The report was met with criticism by the
National Research Council National Research Council may refer to: * National Research Council (Canada), sponsoring research and development * National Research Council (Italy), scientific and technological research, Rome * National Research Council (United States), part of ...
, dismissing the methods used by Senior and Mazza as biased. Despite this, it sparked the first interest and concern into this matter, and has become the most cited source of evidence throughout the crisis. Though some media outlets report France and Germany as waste sources, the EU has remained silent as to the sources of the waste in its criticism and demands of Italy.


Illegal toxic waste dumping

By February 1994, several regional
landfill A landfill site, also known as a tip, dump, rubbish dump, garbage dump, or dumping ground, is a site for the disposal of waste materials. Landfill is the oldest and most common form of waste disposal, although the systematic burial of the waste ...
s in
Campania Campania (, also , , , ) is an administrative Regions of Italy, region of Italy; most of it is in the south-western portion of the Italian peninsula (with the Tyrrhenian Sea to its west), but it also includes the small Phlegraean Islands and the i ...
had become overfilled, and Prime Minister
Carlo Azeglio Ciampi Carlo Azeglio Ciampi (; 9 December 1920 – 16 September 2016) was an Italian politician and banker who was the prime minister of Italy from 1993 to 1994 and the president of Italy from 1999 to 2006. Biography Education Ciampi was born i ...
declared a
state of emergency A state of emergency is a situation in which a government is empowered to be able to put through policies that it would normally not be permitted to do, for the safety and protection of its citizens. A government can declare such a state du ...
and created the Committee for the Waste Emergency in Campania (''Commissariato di Governo per l'emergenza rifiuti in Campania''). By December 1999, all regional landfills had reached capacity. Reports in 2008 stated that the crisis was caused at least in part by the
Camorra The Camorra (; ) is an Italian Mafia-typeMafia and Mafia-type orga ...
, the powerful Campania-based mafia, which created a lucrative business in the municipal waste disposal business, mostly in the triangle of death. With the complicity of industrial companies, the illegal dumpers frequently mix heavy metals,
industrial waste Industrial waste is the waste produced by industrial activity which includes any material that is rendered useless during a manufacturing process such as that of factories, mills, and mining operations. Types of industrial waste include dirt and ...
, and chemicals and household waste together, and then dump them near roads and burn them to avoid detection, leading to severe soil and air pollution. According to Giacomo D'Alisa et al., "the situation worsened during this period as the Camorra diversified their illegal waste disposal strategy: 1) transporting and dumping hazardous waste in the countryside by truck; 2) dumping waste in illegal caves or holes; 3) mixing toxic waste with textiles to avoid explosions and then burning it; and 4) mixing toxic with urban waste for disposal in landfills and
incinerator Incineration is a waste treatment process that involves the combustion of substances contained in waste materials. Industrial plants for waste incineration are commonly referred to as waste-to-energy facilities. Incineration and other high ...
s." A Camorra member, Nunzio Perella was arrested in 1992, and began collaborating with authorities; he had stated "the rubbish is gold." The boss of the
Casalesi clan The Casalesi clan is a clan within the Camorra, an Italian criminal organization, operating from Casal di Principe and San Cipriano d'Aversa in the province of Caserta between Naples and Latium. Formed by Antonio Bardellino, it is a confederatio ...
, Gaetano Vassallo, admitted to systematically working for 20 years to bribe local politicians and officials to gain their acquiescence to dumping toxic waste. Giorgio Napolitano, President of Italian Republic, said in June 2008:


The triangle of death waste crisis

The triangle of death and the waste management crisis are primarily a result of
government failure Government failure, in the context of public economics, is an economic inefficiency caused by a government intervention, if the inefficiency would not exist in a true free market. The costs of the government intervention are greater than the bene ...
to control illegal waste dumping. The government had attempted to mandate recycling and waste management programs, but were unable to, causing the expansion of opportunities for illegal activities, which caused further barriers to solve the waste crisis. Pollutants such as
dioxin Dioxin may refer to: * 1,2-Dioxin or 1,4-Dioxin, two unsaturated heterocyclic 6-membered rings where two carbon atoms have been replaced by oxygen atoms, giving the molecular formula C4H4O2 *Dibenzo-1,4-dioxin, the parent compound also known as ...
s are found in the area, particularly around Acerra, as well as illegal waste disposal, even in the business district of Montefibre. As early as 1987, a decree of the Ministry of Environment marked Acerra "at high risk of environmental crisis". High levels of
polychlorinated biphenyl Polychlorinated biphenyls (PCBs) are highly carcinogenic chemical compounds, formerly used in industrial and consumer products, whose production was banned in the United States by the Toxic Substances Control Act in 1979 and internationally by t ...
s (PCBs) were detected both in the soil and in the inhabitants of the region. It is hypothesized that industrial slurry originating from Porto Marghera (industrial docklands near Venice) was disguised as
compost Compost is a mixture of ingredients used as plant fertilizer and to improve soil's physical, chemical and biological properties. It is commonly prepared by decomposing plant, food waste, recycling organic materials and manure. The resulting m ...
and spread on fields in the Acerra countryside by the
Casalesi clan The Casalesi clan is a clan within the Camorra, an Italian criminal organization, operating from Casal di Principe and San Cipriano d'Aversa in the province of Caserta between Naples and Latium. Formed by Antonio Bardellino, it is a confederatio ...
, often with help from the landowners. In one case, a company had its assets seized during a 2006 investigation in which it was alleged that the company had illegally disposed of waste from industries in the regions of
Veneto Veneto (, ; vec, Vèneto ) or Venetia is one of the 20 regions of Italy. Its population is about five million, ranking fourth in Italy. The region's capital is Venice while the biggest city is Verona. Veneto was part of the Roman Empire unt ...
and
Tuscany Tuscany ( ; it, Toscana ) is a Regions of Italy, region in central Italy with an area of about and a population of about 3.8 million inhabitants. The regional capital is Florence (''Firenze''). Tuscany is known for its landscapes, history, art ...
in the territories of
Bacoli Bacoli (; la, Bauli) is a ''comune'' (municipality) in the Metropolitan City of Naples in the Italian region Campania, located about west of Naples. Geography Bacoli borders the municipalities of Monte di Procida and Pozzuoli. Its territory, o ...
,
Giugliano Giugliano in Campania , also known simply as Giugliano, is a city and ''comune'' in the Metropolitan City of Naples, Campania, Italy. , it had some 124,000 inhabitants,Qualiano Qualiano is a ''comune'' (municipality) in the Metropolitan City of Naples in the Italian region Campania, located about northwest of Naples. Qualiano borders the following municipalities: Calvizzano, Giugliano in Campania, Villaricca Villaricc ...
. Approximately one million tonnes of toxic waste are said to have been disposed of, earning €27 million. The company was already the subject of a 2003 investigation. In another case, a tank full of toxic substances was found buried in an illegal dump, in Marigliano. The illegal burning of waste, for example to recover copper from wiring, is known to release dioxins into the atmosphere. Such fires are easily hidden among legitimate incineration resulting from the more general waste disposal problem, and the illegal burning of hazardous materials was particularly noted during 2007 and 2008. The presence of fires in the north area of
Naples Naples (; it, Napoli ; nap, Napule ), from grc, Νεάπολις, Neápolis, lit=new city. is the regional capital of Campania and the third-largest city of Italy, after Rome and Milan, with a population of 909,048 within the city's adminis ...
led author
Roberto Saviano Roberto Saviano (; born 22 September 1979) is an Italian writer, essayist, journalist, and screenwriter. In his writings, including articles and his book '' Gomorrah'', he uses literature and investigative reporting to tell of the economic reali ...
to use "Land of
pyre A pyre ( grc, πυρά; ''pyrá'', from , ''pyr'', "fire"), also known as a funeral pyre, is a structure, usually made of wood, for burning a body as part of a funeral rite or execution. As a form of cremation, a body is placed upon or under the ...
s" (''terra dei fuochi'') as chapter titles in his book '' Gomorrah''. In 2000, a Parliamentary Commission inquiry about waste discovered some 800,000 tonnes of mud in Pianura landfill, coming from ACNA of
Cengio Cengio ( lij, Ceng or ; pms, Cengg) is a ''comune'' (municipality) in the Province of Savona in the Italian region Liguria, located about west of Genoa and about northwest of Savona. As of 31 December 2004, it had a population of 3,744 and an ...
in Naples, and the Italian Procura della Repubblica found (through telephone wiretappings) some irregularities in the waste disposal into the landfill of
Villaricca Villaricca (until May 13, 1871 called Panicocoli ( nap, Panecuòcole)) is a ''comune'' (municipality) in the Metropolitan City of Naples in the Italian region Campania, located about 10 km northwest of Naples. It is the birthplace of popular ...
, managed by FIBA (a company of the
Impregilo Webuild SpA (formerly Salini Impregilo SpA) () is an Italian industrial group specialised in the construction and civil engineering business headquartered in Milan. The company was formally founded in 2014 as the result of the merger by incorporat ...
group).


Opposition to landfills

Between 2007 and 2008, the waste commissioner
Guido Bertolaso Guido Bertolaso (born March 20, 1950, Rome, Italy) is an Italian physician and state functionary, and from 2001 to 2010 was commander in chief of the Italian Civil Protection department. Biography From May 2008 he was Secretary to the Prime Mini ...
, (the head of the civil protection department), planned to open a landfill but this was opposed by residents of
Chiaiano Chiaiano is a north-western quarter of Naples, with a population of about 23,000. Geography Chiaiano is a hilly and wooded area that lies between Camaldoli and the Campi Flegrei. History Archaeologically, the area is of interest, displaying rem ...
. There was similar resistance in Pianosa to reopening a closed landfill proposed by government commissioner Giovanni De Gennaro. Some of the protests turned violent, and in May 2008, it became a penal felony to protest in the vicinity of landfills, incinerators or any plant related to waste management. It is alleged that there was collusion between local political interests and organised crime over building interests. By July 17, 2008, Berlusconi declared that the emergency had ended. The incinerator of
Acerra Acerra () is a town and ''comune'' of Campania, southern Italy, in the Metropolitan City of Naples, about northeast of the capital in Naples. It is part of the Agro Acerrano plain. History Acerra is one of the most ancient cities of the regio ...
has also received backlash in the local area. In 2009, the Acerra incineration facility was completed at a cost of over €350 million. The incinerator burns 600,000 tons of waste per year to produce
refuse-derived fuel Refuse-derived fuel (RDF) is a fuel produced from various types of waste such as municipal solid waste (MSW), industrial waste or commercial waste. The World Business Council for Sustainable Development provides a definition: ''"Selected wast ...
. The energy produced from the facility is enough to power 200,000 households per year.


Epidemiological research

In 2007, research conducted by the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
, Italian Istituto Superiore di Sanità,
Consiglio Nazionale delle Ricerche The National Research Council (Italian: ''Consiglio Nazionale delle Ricerche, CNR'') is the largest research council in Italy. As a public organisation, its remit is to support scientific and technological research. Its headquarters are in Rome. ...
and Campania Region collected data on cancer and congenital abnormalities in 196 municipalities covering the period between 1994 and 2002 found abnormally high disease incidence. These abnormal patterns may correlate to areas where there are uncontrolled waste sites. However, this work also highlighted the difficulty in determining causality and in establishing a link between increased death and malformation rates and waste disposal. After the Senior and Mazza study, several other studies have been conducted to attempt to definitively link elevated cancer rates to waste exposure. A government-made waste-exposure index that classifies areas of the Campania region as high (5 on index) or low (1 on index) risk based on the type of wastes present in surrounding dumping sites, total waste volume greater than 10,000 cubic metres, and the likelihood of releases on water, soil and air was created. Statistically significant excess relative risks were found for several cancer types in the triangle of death, however, methods often struggle to account for lifestyle
confounder In statistics, a confounder (also confounding variable, confounding factor, extraneous determinant or lurking variable) is a variable that influences both the dependent variable and independent variable, causing a spurious association. Con ...
s such as tobacco consumption and occupation which could skew the results. A US Navy study denied any real ill effects to on-base personnel while however advising their off-base personnel to drink bottled water citing polluted wells. The US Navy report denied any signs of nuclear waste dumping and instead related the traces of uranium to volcanic activity.


Pollution and agriculture exports

More than half of the regional land in Campania is used for agriculture, and therefore the economy of the region is adversely affected by the waste crisis. Between January and March 2007, 30,000 kilograms of waste were burned on agricultural land, with a revenue of more than €118,000. In the region, over 12,000 cattle, river buffaloes and sheep had been
culled In biology, culling is the process of segregating organisms from a group according to desired or undesired characteristics. In animal breeding, it is the process of removing or segregating animals from a breeding stock based on a specific tr ...
before 2006. High levels of mortality and abnormal foetuses were also recorded in farms in Acerra linked to elevated levels of dioxin. Local studies have shown higher than permissible levels of lead in vegetables grown in the area. The government blames the Mafia's illegal garbage disposal racket. In March 2008,
dioxin Dioxin may refer to: * 1,2-Dioxin or 1,4-Dioxin, two unsaturated heterocyclic 6-membered rings where two carbon atoms have been replaced by oxygen atoms, giving the molecular formula C4H4O2 *Dibenzo-1,4-dioxin, the parent compound also known as ...
were found in buffalo milk from farms in Caserta. While only 2.8% of farms in Campania were affected, the sale of dairy products from Campania collapsed in both domestic and global markets. A chain reaction followed, in which several countries including
Japan Japan ( ja, 日本, or , and formally , ''Nihonkoku'') is an island country in East Asia. It is situated in the northwest Pacific Ocean, and is bordered on the west by the Sea of Japan, while extending from the Sea of Okhotsk in the north ...
,
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
,
Russia Russia (, , ), or the Russian Federation, is a List of transcontinental countries, transcontinental country spanning Eastern Europe and North Asia, Northern Asia. It is the List of countries and dependencies by area, largest country in the ...
and
Germany Germany,, officially the Federal Republic of Germany, is a country in Central Europe. It is the second most populous country in Europe after Russia, and the most populous member state of the European Union. Germany is situated betwe ...
took various measures ranging from the mere raising of the attention threshold to the suspension of imports. The Italian institutions activated almost immediately, even in response to pressing requests from the
European Union The European Union (EU) is a supranational political and economic union of member states that are located primarily in Europe. The union has a total area of and an estimated total population of about 447million. The EU has often been des ...
, a series of checks and suspended, in some cases, the sale of dairy products from the incriminated provinces. Tests had shown levels of dioxins higher than normal in at least 14% of samples taken in the provinces of
Naples Naples (; it, Napoli ; nap, Napule ), from grc, Νεάπολις, Neápolis, lit=new city. is the regional capital of Campania and the third-largest city of Italy, after Rome and Milan, with a population of 909,048 within the city's adminis ...
,
Caserta Caserta () is the capital of the province of Caserta in the Campania region of Italy. It is an important agricultural, commercial, and industrial ''comune'' and city. Caserta is located on the edge of the Campanian plain at the foot of the Camp ...
and
Avellino Avellino () is a town and ''comune'', capital of the province of Avellino in the Campania region of southern Italy. It is situated in a plain surrounded by mountains east of Naples and is an important hub on the road from Salerno to Benevento. ...
. In the provinces of
Salerno Salerno (, , ; nap, label= Salernitano, Saliernë, ) is an ancient city and ''comune'' in Campania (southwestern Italy) and is the capital of the namesake province, being the second largest city in the region by number of inhabitants, after ...
and
Benevento Benevento (, , ; la, Beneventum) is a city and ''comune'' of Campania, Italy, capital of the province of Benevento, northeast of Naples. It is situated on a hill above sea level at the confluence of the Calore Irpino (or Beneventano) and the ...
, no control indicated dioxins positivity. In any case, the contamination has affected, in a limited defined manner, the farms used to produce the PDO buffalo mozzarella DOP. On 19 April,
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
definitively removed the ban on mozzarella, originally activated on 28 March 2008, and tests held in December 2013 in Germany on behalf of four Italian consumer associations have highlighted dioxin and heavy metal levels at least five times lower than the legal limit.I test tenuti in Germania assolvono la mozzarella bufala campana dop
Repubblica.it, 13-12-2013


References


External links


La Terra dei fuochi
website showing claims on illegal waste disposal in
Campania Campania (, also , , , ) is an administrative Regions of Italy, region of Italy; most of it is in the south-western portion of the Italian peninsula (with the Tyrrhenian Sea to its west), but it also includes the small Phlegraean Islands and the i ...

La Terra dei fuochi
website on "triangle of poisons"
Giugliano Giugliano in Campania , also known simply as Giugliano, is a city and ''comune'' in the Metropolitan City of Naples, Campania, Italy. , it had some 124,000 inhabitants,Qualiano Qualiano is a ''comune'' (municipality) in the Metropolitan City of Naples in the Italian region Campania, located about northwest of Naples. Qualiano borders the following municipalities: Calvizzano, Giugliano in Campania, Villaricca Villaricc ...
-
Villaricca Villaricca (until May 13, 1871 called Panicocoli ( nap, Panecuòcole)) is a ''comune'' (municipality) in the Metropolitan City of Naples in the Italian region Campania, located about 10 km northwest of Naples. It is the birthplace of popular ...
* Kathryn Senior and Alfredo Mazza
"Italian 'Triangle of death' linked to waste crisis"
''The Lancet Oncology'', Volume 5, Issue 9, September 2004, pages 525–527. *
Translation by ''The Lancet Oncology''
from the site of ''Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute'' * Fabrizio Bianchi ''et al.''
"Italian 'Triangle of death'"
''The Lancet Oncology'', Volume 12, Issue 5, December 2004, page 710. *

report by
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
, Italian Health Institute, :it:Consiglio Nazionale delle Ricerche e Regione Campania (Italia). *
Report A report is a document that presents information in an organized format for a specific audience and purpose. Although summaries of reports may be delivered orally, complete reports are almost always in the form of written documents. Usage In ...


TV 2008-03-09, and how finished this story in

*
Repubblica Radio TV Repubblica TV, formerly Repubblica Radio TV, was an Italian all-news television channel, related to the Italian newspaper ''la Repubblica'' and owned by ''Gruppo Editoriale L'Espresso''. Born on April 10, 2006, during the Italian general electio ...
: , del 2007-12-28

* La 7:
Il cancro di Napoli
', del 2007-12-12

''Exit'' del 2007-12-18

del 2007-09-22 *
Tg1 ''TG1'' (''Telegiornale 1'') is the flagship television newscast produced by Rai 1, the main channel of state-owned Italian public broadcaster RAI. It is the longest running program in the history of television in Italy as it has been broadcast ...

interview
of
Roberto Saviano Roberto Saviano (; born 22 September 1979) is an Italian writer, essayist, journalist, and screenwriter. In his writings, including articles and his book '' Gomorrah'', he uses literature and investigative reporting to tell of the economic reali ...
at 2008-03-01 (evening edition at 8:00 p.m.) * Sat 2000
interview
of Antonio Marfella, oncologist at ''Formato famiglia'', 2007-12-20 {{Coord, 40.94, 14.44, display=title Pollution in Italy Soil contamination Waste management in Italy History of the Camorra in Italy Cancer clusters Scandals in Italy