The term "Terra dei Fuochi" (Land of Fires) identifies a large area of southern Italy, around Naples and Caserta, defined by the on-going presence of waste fires. This term was first introduced in 2003 in the Rapporto Ecomafie 2003 report compiled by Legambiente association. It was subsequently chosen by Roberto Saviano as the title of the closing chapter of his non-fictional novel Gomorra. The geographical area is roughly bound by Giugliano in Campania, Caivano, Acerra, Castelvolturno and Melito di Napoli municipalities. These areas are also deployed by the Camorra, especially by the Casalesi clan, as an illegal dumping ground of toxic waste. Large piles of waste, illegally dumped in the fields and along the streets, are set alight with their toxic fumes contaminating the environment with dioxine. For many decades, the Campanian countryside was subject to ongoing toxic-, industrial- and radioactive waste coming from northern Italy and northern Europe at large. The towns of Succivo, Caivano, Acerra e Giugliano in Campania have particularly endured years of industrial waste fires, directly responsable for a very high cancer rate (especially breast and tyroid related) that mainly struck young women and children.