text: An estimated 550,000 people live in the triangle of death. The annual death rate per 100,000 inhabitants from liver cancer 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 and cancer of the central nervous system 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, 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.