Elisa Bustaffa studies how geothermal power plants, which harness heat from the Earth to generate energy, affect the health of nearby communities. Specifically, she investigates the health risks associated with emissions, particularly hydrogen sulfide, a gas released by these plants. Her work looks at various health issues, such as respiratory problems, asthma, lung cancer, and even premature deaths due to respiratory diseases. By analyzing data from various countries, she aims to highlight potential health risks and advocate for better monitoring and air quality control systems to protect people's health.
Key findings
Exposure to low levels of hydrogen sulfide is linked to increased respiratory problems, asthma, lung cancer, and deaths due to respiratory diseases.
Communities living near geothermal plants experience hospitalizations for breathing and heart issues due to high-level exposure, despite paradoxically lower cancer rates.
The review examined 19 studies and concluded that there are significant health challenges faced by those living near such facilities, indicating the need for improved air quality measures.
Frequently asked questions
Does Dr. Bustaffa study health issues related to geothermal energy?
Yes, Dr. Bustaffa investigates the health effects of living near geothermal power plants, specifically looking at the risks posed by emissions like hydrogen sulfide.
What types of health problems are linked to geothermal emissions?
Dr. Bustaffa's research found that exposure to these emissions can lead to respiratory issues, asthma, lung cancer, and increased hospitalizations for heart and lung problems.
Is Dr. Bustaffa's work relevant to communities living near geothermal plants?
Absolutely, her findings are particularly crucial for communities near geothermal facilities, as they highlight the potential health risks and the need for better monitoring.
Publications in plain English
The Dark Triad of Particulate Matter, Oxidative Stress and Coronary Artery Disease: What About the Antioxidant Therapeutic Potential.
2025
Antioxidants (Basel, Switzerland)
Grifoni D, Bustaffa E, Sabatino L, Calastrini F, Minichilli F +3 more
Plain English This study looked at how tiny pollution particles (particulate matter) harm heart health by causing oxidative stress and inflammation. Researchers found that these particles greatly increase the risk of serious heart problems and other health issues, but using antioxidants might help protect against these effects, although it's not yet clear how effective they really are. Understanding this relationship is important because it highlights the need for better strategies to fight the health risks associated with air pollution.
Who this helps: This benefits patients at risk of heart disease, especially those living in polluted areas.
Mortality and hospitalization in contaminated sites with petrochemical and steel plants: a meta-regression ecological study.
2025
BMC public health
Minichilli F, Bustaffa E, Manno V, Benedetti M, Contiero P +7 more
Plain English This study examined the health effects of living near contaminated sites with petrochemical and steel plants in Italy, which affect about 3% of the population. It found that people living near these sites had higher rates of death and hospitalizations from diseases like lung cancer and respiratory conditions. For instance, men living near petrochemical plants had a 11% higher mortality rate from lung cancer, while women had a 13% increase; similar trends were observed in steel plant areas.
Who this helps: This information benefits local communities, public health officials, and policymakers aiming to improve environmental safety and health outcomes.
[Risk communication in the 'One Health Citizen Science' Project: from team creation to future pro-spects through a survey study].
2025
Epidemiologia e prevenzione
Cori L, Bianchi F, Bustaffa E, Cavigli C, Talluri M +1 more
Plain English The study looked at how to improve communication about environmental risks in a citizen science project called the One Health Citizen Science Project (OHCS). Researchers created materials like information sheets about pollution sites and a guide on how to communicate effectively about risks. They found that while most experts (46 people, primarily educated women) recognize the need to mitigate risks, over two-thirds had not participated in citizen science projects, highlighting a gap in involvement despite a belief in the effectiveness of immediate preventative measures.
Who this helps: This benefits patients, local communities, and environmental organizations.
Cardiorespiratory diseases in an industrialized area: a retrospective population-based cohort study.
2023
BMC public health
Bustaffa E, Mangia C, Cori L, Bianchi F, Cervino M +1 more
Plain English This study looked at health problems caused by air pollution in the Venafro Valley in southern Italy, where residents are exposed to emissions from local factories and heavy traffic. Researchers found that people living in the most polluted areas had higher rates of death and illness related to heart and blood vessel diseases, with men facing a 37% higher risk and women a 27% higher risk for these conditions. This is important because it highlights the serious health risks linked to industrial pollution, suggesting a need for better environmental protections.
Who this helps: This helps residents living in polluted areas, as well as policymakers focused on improving air quality.
Risk Factors for Lung Cancer in the Province of Lecce: Results from the PROTOS Case-Control Study in Salento (Southern Italy).
2022
International journal of environmental research and public health
Minichilli F, Gorini F, De Filippis G, Bustaffa E, Raho AM +12 more
Plain English This study examined lung cancer risk factors in Lecce, Italy, focusing on a specific area with a particularly high rate of the disease. Researchers found that women who drank too much alcohol, individuals with a family history of cancer, and smokers faced increased risk, with heavy smoking significantly affecting men. The findings highlight that both lifestyle choices and environmental exposures contribute to higher lung cancer rates and should be further investigated.
Who this helps: This benefits patients at risk of lung cancer and healthcare providers seeking to understand and reduce these risks.
Risk Associations between Vehicular Traffic Noise Exposure and Cardiovascular Diseases: A Residential Retrospective Cohort Study.
2022
International journal of environmental research and public health
Bustaffa E, Curzio O, Donzelli G, Gorini F, Linzalone N +3 more
Plain English This study looked at how noise from traffic affects heart health in people living in Pisa. Researchers found that women exposed to higher noise levels had a 15% increased risk of dying from cardiovascular diseases at night and a 14% higher risk during the day. Notably, the risk of dying from conditions like heart disease and strokes was especially high for these women, indicating that noise pollution can have serious health consequences.
Who this helps: This information benefits patients, particularly women living in noisy areas, as well as healthcare providers.
Community Concern about the Health Effects of Pollutants: Risk Perception in an Italian Geothermal Area.
2022
International journal of environmental research and public health
Bustaffa E, Curzio O, Bianchi F, Minichilli F, Nuvolone D +4 more
Plain English This study looked at how people in the Mt. Amiata area of Italy feel about the health risks from pollutants produced by geothermal plants. Researchers surveyed 2,029 residents and found that 64% believed the environmental conditions were acceptable, while 32% thought they were serious but fixable, and 4% saw them as serious and unchangeable. Women, younger people, and those with higher education were more likely to feel at risk, especially if they noticed bad smells nearby. Understanding these perceptions can help further research on how pollution impacts health.
Who this helps: This helps residents of geothermal areas and public health officials.
Bisphenols as Environmental Triggers of Thyroid Dysfunction: Clues and Evidence.
2020
International journal of environmental research and public health
Gorini F, Bustaffa E, Coi A, Iervasi G, Bianchi F
Plain English This study looked at how certain chemicals called bisphenols, especially bisphenol A (BPA), might affect thyroid function. Researchers found that bisphenols can disrupt thyroid activity in various ways, including interfering with hormone reception and gene expression, and some studies suggest they may increase the risk of thyroid nodules in humans. This matters because thyroid hormones are crucial for many body functions, and understanding these chemicals’ impact can help in addressing rising thyroid health issues.
Who this helps: This helps patients and healthcare providers concerned about thyroid health and endocrine disruptors.
Biomarkers of exposure and early effect in three contaminated sites of southern Italy: protocols for etiological epidemiological studies.
2020
BMJ open
Gorini F, Bustaffa E, Bolignano D, Cori L, Faita F +8 more
Plain English This study focused on the health risks faced by people living in three heavily polluted areas in southern Italy. Researchers investigated how exposure to harmful chemicals might be linked to early signs of health issues: liver disease in Priolo, thyroid problems in Milazzo-Valle del Mela, and heart and kidney issues in Crotone. Around 1,300 people will participate, providing samples and health information to help understand these connections better, with findings aimed at informing policy and public health.
Who this helps: This benefits patients living in contaminated areas, doctors treating them, and public health officials.
Factors Affecting Arsenic Methylation in Contaminated Italian Areas.
2020
International journal of environmental research and public health
Bustaffa E, Gorini F, Bianchi F, Minichilli F
Plain English This study investigated how different factors affect the way people in four polluted areas of Italy process arsenic, a harmful substance. The researchers looked at 271 people and found that women generally process arsenic better than men. They also discovered that drinking arsenic-contaminated water from public sources is linked to worse processing capability, while people exposed to arsenic at work tended to process it better, although smoking had the opposite effect. Understanding these differences is important for assessing health risks related to arsenic exposure.
Who this helps: This helps patients living in areas with arsenic contamination and healthcare providers assessing their risks.
Hydrogen sulfide and cardiovascular disease: Doubts, clues, and interpretation difficulties from studies in geothermal areas.
2020
The Science of the total environment
Gorini F, Bustaffa E, Chatzianagnostou K, Bianchi F, Vassalle C
Plain English This research looked at hydrogen sulfide (HS), a gas often found in areas with volcanic activity or geothermal plants, and how it relates to heart disease. The studies showed mixed results: some suggested that exposure to HS might lower the risk of heart disease, while others indicated it could increase the risk. The findings are complicated because the studies often didn't take individual health factors into account, and more research is needed to understand the full impact of HS on heart health.
Who this helps: This helps researchers and healthcare professionals studying cardiovascular disease and environmental health.
"Acute Myocardial Infarction in the Time of COVID-19": A Review of Biological, Environmental, and Psychosocial Contributors.
2020
International journal of environmental research and public health
Gorini F, Chatzianagnostou K, Mazzone A, Bustaffa E, Esposito A +3 more
Plain English This study looks at how COVID-19 affects heart attacks, specifically acute myocardial infarction (AMI). Researchers found that COVID-19 patients often experience heart damage due to inflammation and blood clotting issues, making existing heart problems worse. Additionally, fewer people went to hospitals for heart attacks during the pandemic, likely because they were afraid of catching the virus, which may lead to more serious health issues later.
Who this helps: This research benefits patients at risk for heart issues and healthcare providers by highlighting the need for awareness and timely treatment.
The health of communities living in proximity of geothermal plants generating heat and electricity: A review.
2020
The Science of the total environment
Bustaffa E, Cori L, Manzella A, Nuvolone D, Minichilli F +2 more
Plain English Researchers reviewed 19 studies from New Zealand, Iceland, and Italy examining whether people living near geothermal power plants that produce heat and electricity suffer health problems from the gases these plants release, particularly hydrogen sulfide. They found that exposure to low levels of hydrogen sulfide increases respiratory problems, asthma, lung cancer, and respiratory disease deaths, while high-level exposure paradoxically shows lower cancer rates but more hospitalizations for breathing and heart problems.
The evidence suggests geothermal emissions do harm human health, but the research has major weaknesses—most studies looked at entire communities rather than tracking individuals—so better monitoring systems and stricter air quality controls around these plants are needed to protect public health.
Mortality and hospitalization associated to emissions of a coal power plant: A population-based cohort study.
2019
The Science of the total environment
Minichilli F, Gorini F, Bustaffa E, Cori L, Bianchi F
Plain English This study looked at how air pollution from a coal power plant in Italy affected the health of nearby residents over a period of time. Researchers found that people living close to the plant faced higher risks of dying and being hospitalized due to natural causes, heart diseases, respiratory issues, and cancers, with men having a 59% higher risk of lung cancer specifically. This matters because it highlights the severe health impacts of air pollution and stresses the need for preventative measures to protect the community.
Who this helps: This helps patients and residents living near coal power plants.
Urinary Arsenic in Human Samples from Areas Characterized by Natural or Anthropogenic Pollution in Italy.
2018
International journal of environmental research and public health
Minichilli F, Bianchi F, Ronchi AM, Gorini F, Bustaffa E
Plain English This study looked at levels of arsenic in urine samples from 271 people in different areas of Italy to understand how exposure affects health. They found that the average level of arsenic in samples was 86.28 micrograms per liter, which is higher than levels reported in other countries. The study identified specific links between higher arsenic levels and factors like occupational exposure and consumption of local foods like seafood and tap water, which can inform public health strategies to reduce arsenic exposure.
Who this helps: This benefits patients, public health officials, and communities facing arsenic pollution.
[Recommendations from a health impact assessment in Viggiano and Grumento Nova (Basilicata Region, Southern Italy)].
2018
Epidemiologia e prevenzione
Linzalone N, Bianchi F, Cervino M, Cori L, De Gennaro G +3 more
Plain English This study looked at the health impacts of a new oil treatment plant in the Val d'Agri area of Southern Italy. Researchers gathered data on the environment and health of local residents, ultimately creating public health recommendations based on their findings. This matters because it helps ensure that future projects consider both health and environmental effects, promoting safer and healthier communities.
Who this helps: This helps local residents and public health officials.
[Residential cohort study on mortality and hospitalization in Viggiano and Grumento Nova Municipalities in the framework of HIA in Val d'Agri (Basilicata Region, Southern Italy)].
2018
Epidemiologia e prevenzione
Minichilli F, Bianchi F, Ancona C, Cervino M, De Gennaro G +4 more
Plain English This study looked at how air pollution from a local oil facility in Southern Italy affected the health of nearly 7,000 residents from 2000 to 2014. It found that people who lived in areas with higher levels of nitrogen oxides (NOX) from the facility had a 19% increased risk of dying from heart-related diseases and a 12% higher risk of being hospitalized for respiratory issues. These findings highlight the urgent need for better monitoring of air quality, as higher pollution levels are linked to serious health problems.
Who this helps: This information helps patients and healthcare providers in areas affected by industrial pollution.
[Media and the communication of research: the Val d'Agri case (Southern Italy)].
2018
Epidemiologia e prevenzione
Cori L, Minichilli F, Bustaffa E, Coi A, Gorini F
Plain English This research looked at how different media reported on health assessments in Val d'Agri, Southern Italy, from September 2017 to January 2018. Researchers analyzed 138 articles and found that reports with an “alarmist tone” often included politicians' views, while more balanced reporting was associated with independent scientific sources. This is important because it shows how media framing can influence public perception and understanding of health issues, affecting community responses to risks.
Who this helps: This benefits patients and community members who rely on accurate information about health risks in their area.
Respiratory Symptoms in Relation to Living near a Crude Oil First Treatment Plant in Italy: A Cross-Sectional Study.
2018
International journal of environmental research and public health
Bustaffa E, Coi A, Minichilli F, Santoro M, Prediletto R +3 more
Plain English This study looked at how living near a large crude oil treatment plant in Italy affects people’s breathing. Researchers tested 200 adults and found that those living closer to the plant had a significantly higher chance of experiencing serious breathing problems, with the risk of severe difficulty breathing (dyspnoea) dropping by half for every kilometer further away from the plant they lived (adjusted odds ratio of 0.48). These findings highlight the importance of monitoring air quality in areas near pollution sources to protect residents’ health.
Who this helps: This helps patients living near industrial areas and policymakers focused on public health.
Mortality of populations residing in geothermal areas of Tuscany during the period 2003-2012.
2017
Annali dell'Istituto superiore di sanita
Bustaffa E, Minichilli F, Nuvolone D, Voller F, Cipriani F +1 more
Plain English This study looked at the death rates of people living in geothermal areas of Tuscany from 2003 to 2012. Researchers found that men in the southern part of Tuscany had a higher number of cancer deaths compared to other areas, while women in the northern part faced more death from brain and blood vessel diseases. Understanding these patterns is important for improving public health in these regions and investigating potential health risks linked to geothermal activity.
Who this helps: This helps patients living in geothermal areas and healthcare providers seeking to address local health challenges.
Arsenic exposure, genetic susceptibility and leukocyte telomere length in an Italian young adult population.
2016
Mutagenesis
Borghini A, Faita F, Mercuri A, Minichilli F, Bustaffa E +2 more
Plain English This study looked at how exposure to arsenic affects the length of certain parts of DNA called telomeres in healthy young adults in Italy. Researchers found that individuals with higher levels of arsenic and its metabolites in their urine had shorter telomeres, indicating potential damage from arsenic exposure. Specifically, when levels of these arsenic-related compounds reached certain thresholds, telomere lengths were significantly reduced.
Who this helps: This research benefits patients who may be affected by arsenic exposure, as well as doctors monitoring their health.
Arsenic and subclinical vascular damage in a sample of Italian young adults: a cross-sectional analysis.
2016
Environmental science and pollution research international
Stea F, Faita F, Borghini A, Faita F, Bianchi F +4 more
Plain English This study looked at how exposure to arsenic affects blood vessel health in young Italian adults by measuring the thickness of an artery in their necks. Researchers found that those with higher levels of arsenic in their urine (3.86 micrograms per liter or more) had thicker arteries than individuals with lower levels, indicating faster aging of blood vessels. This is important because it suggests that arsenic exposure could lead to cardiovascular problems even in younger people.
Who this helps: Patients living in areas with arsenic pollution.
Risk perception and access to environmental information in four areas in Italy affected by natural or anthropogenic pollution.
2016
Environment international
Coi A, Minichilli F, Bustaffa E, Carone S, Santoro M +2 more
Plain English This study looked at how people in four polluted areas of Italy understand environmental risks and access information about pollution, focusing on arsenic. Researchers surveyed 282 residents and found that those in industrial areas felt more aware of pollution hazards and trusted NGOs more than government sources, but they also noted a lack of information available to them. The study revealed that higher awareness of pollution was linked to lower consumption of local fish, suggesting that people's perceptions of risk influence their food choices.
Who this helps: This benefits local residents living in polluted areas by providing insights that can improve communication and risk management strategies.
[Atmospheric non-methane hydrocarbons near plants of crude oil first treatment].
2016
Epidemiologia e prevenzione
Bustaffa E, De Marinis Loiotile A, Farella G, Petraccone S, De Gennaro G +1 more
Plain English This study focused on the air pollution caused by oil drilling operations near populated areas. It found that communities living close to these sites face serious health risks due to various pollutants, but specific information about these harmful substances is often unknown. The research highlights a need for targeted health monitoring and studies to understand the health impacts of living near oil drilling facilities.
Who this helps: This helps affected communities and public health officials.
Genotoxic and epigenetic mechanisms in arsenic carcinogenicity.
2014
Archives of toxicology
Bustaffa E, Stoccoro A, Bianchi F, Migliore L
Plain English This research paper investigates how arsenic, a harmful substance found in contaminated drinking water, causes cancer. It highlights that arsenic not only directly damages DNA but also affects how genes are turned on or off, leading to tumors in organs like the lungs, bladder, liver, and kidneys. Understanding these mechanisms is crucial for improving early diagnosis and preventing cancer in people exposed to arsenic.
Who this helps: This benefits patients living in areas with arsenic-contaminated water and the doctors treating them.
[Studies on markers of exposure and early effect in areas with arsenic pollution: methods and results of the project SEpiAs. Epidemiological studies on population exposed to low-to-moderate arsenic concentration in drinking water].
2014
Epidemiologia e prevenzione
Bustaffa E, Bianchi F
Plain English The study looked at the health effects of drinking water with low to moderate levels of arsenic, specifically between 10 and 150 micrograms per liter, since most people aren't exposed to the very high levels seen in some previous research. It found that these lower levels of arsenic could still be linked to health problems like cancer and cardiovascular diseases. Since the World Health Organization recommends that drinking water should not contain more than 10 micrograms of arsenic per liter, understanding the risks associated with slightly higher levels is important for public health.
Who this helps: This helps patients and public health officials who want to ensure safe drinking water standards.
[Studies on markers of exposure and early effect in areas with arsenic pollution: methods and results of the project SEpiAs. Epidemiological surveillance in areas with environmental pollution by natural or anthropogenic arsenic].
2014
Epidemiologia e prevenzione
Bustaffa E, Minichilli F, Andreassi MG, Carone S, Coi A +11 more
Plain English This study looked at the effects of arsenic pollution in drinking water on people living in specific regions of Italy. Researchers found that 50.6% of participants had arsenic levels in their urine that exceeded safe limits, with higher concentrations seen in areas like Gela and Taranto. The findings highlight the need for better prevention measures to protect communities from arsenic exposure.
Who this helps: This helps patients living in arsenic-affected areas, public health officials, and doctors.
[State of health of populations residing in geothermal areas of Tuscany].
2012
Epidemiologia e prevenzione
Minichilli F, Nuvolone D, Bustaffa E, Cipriani F, Vigotti MA +1 more
Plain English This study looked at the health of people living in geothermal areas of Tuscany, investigating mortality and hospitalization rates, and certain birth outcomes like congenital malformations and low birth weight. The researchers found that from 2000 to 2006, men had a significant excess of deaths compared to expected numbers, particularly from infectious diseases and respiratory issues, with 2,312 deaths recorded versus 2,146 expected. In contrast, the women showed fewer excess deaths overall, but there was notable mortality from liver cirrhosis. Understanding these health patterns is important for addressing potential health risks associated with geothermal activity in these populations.
Who this helps: This information is valuable for healthcare providers and policymakers working to improve the health of residents in geothermal areas.