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LNT Advocating article
Occup Med 2001 Apr;16(2):331-344
Health Effects in Underground Uranium Miners.
Hornung RW.
The health effects associated with uranium miners have received much
attention in the last 30 years. Although mortality rates are elevated for
such causes as accidents and nonmalignant respiratory disease, lung cancer
caused by exposure to radon decay products is the primary hazard to
underground uranium miners. This review summarizes studies of eight cohorts
of radium miners, and examines several pooled analyses that provide the best
understanding of the radon/lung cancer relationship. The relative risk of
lung cancer is linearly related to cumulative exposure to radon decay
products. The excess relative risk decreases with attained age and time
since exposure. An inverse exposure-rate effect exists, such that prolonged
exposure at low levels of radon is more hazardous than shorter exposures to
higher levels. The linear no-threshold model used in most epidemiologic
studies has been attacked by some as overestimating risk at indoor radon
levels. These arguments are rejected by this reviewer.
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