Toddlers who attend nursery may be less likely to develop childhood
leukaemia, a study suggests.
Research carried out by scientists in the US has found that young
children who are exposed to infection early and often may have a reduced
risk of developing acute lymphoblastic leukaemia (ALL).
Previous studies have suggested that this form of leukaemia is caused
by a rare immune response to common infections.

This research adds to the increasing evidence that infections play a
role in some cancers

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Sir Paul Nurse, Cancer Research UK
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This latest study, published in the
British Journal of Cancer, suggests that delaying a child's exposure to
infection may result in an underdeveloped immune system, which can leave
them at risk of developing leukaemia.
Scientists believe that this causes the child's body to produce
cancerous cells in response to the barrage of infections the child faces
later in life.
Researchers from the Northern California Childhood Leukaemia Study
analysed 140 children between the ages of one and 14 years who had been
diagnosed with ALL between 1995 and 1995.
These were compared to a group of children randomly selected from the
California birth registry. Detailed data on nursery attendance was
collected through questionnaires and interviews with the child's guardian.
Risks reduced
They found that extensive contact with other children in a nursery
setting is associated with a reduced risk of ALL.
According to their findings, starting nursery at a younger age,
attending for a longer duration and having contact with a high number of
children all reduce the risks of developing the disease.
Writing in the latest issue of the British Journal of Cancer, Prof
Patricia Buffler who heads the California study, said the findings backed
up previous studies.
"As well as attending nursery, there are many ways in which the immune
system can receive developmental stimulation, such as vaccination and
exposure to siblings and friends.
"Our study contributes to the idea that isolation from common
infections can increase the risk of childhood leukaemia."
Further research
Dr Xiamei Ma, author of the study, said further work is needed to
determine if specific infections could trigger the disease.
"The results are from the first phase of an ongoing study. We
anticipate that later studies will confirm the association between delayed
exposure to infection and childhood leukaemia and eventually lead to
effective prevention strategies."
Sir Paul said similar studies are underway in the UK
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Prof Buffler added: "While our results
strongly support the importance of timing of infections in the development
of childhood leukaemia, we are not able to distinguish whether a
particular infection or a number of common infections are involved."
Sir Paul Nurse, interim chief executive of Cancer Research UK, welcomed
the study.
He said further research is needed to enable doctors to draw up
preventative measures for children.
"This research adds to the increasing evidence that infections play a
role in some cancers, the nature of which is still unknown.
"Further investigation into exposure to infection with larger numbers
of children should help us to identify the role of the immune system in
childhood leukaemia and may lead to new ways to prevent the disease."