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Solid-Tumor Mortality in the Vicinity of Uranium Cycle Facilities and Nuclear Po
Has anyone reviewed this paper?
http://ehpnet1.niehs.nih.gov/docs/2001/109p721-729lopez-abente/abstract.html
Environmental Health Perspectives Volume 109, Number 7, July 2001
Solid-Tumor Mortality in the Vicinity of Uranium Cycle Facilities and
Nuclear Power Plants in Spain
Gonzalo López-Abente, Nuria Aragonés, and Marina Pollán
Cancer Epidemiology Unit, National Center for Epidemiology, Carlos III
Institute of Health, Madrid, Spain
--------------------------------------------------------------------------------
Abstract
To ascertain solid tumor mortality in towns near Spain's four nuclear power
plants and four nuclear fuel facilities from 1975 to 1993, we conducted a
mortality study based on 12,245 cancer deaths in 283 towns situated within a
30-km radius of the above installations. As nonexposed areas, we used 275
towns lying within a 50- to 100-km radius of each installation, matched by
population size and sociodemographic characteristics (income level,
proportion of active population engaged in farming, proportion of
unemployed, percentage of illiteracy, and province). Using log-linear
models, we examined relative risk for each area and trends in risk with
increasing proximity to an installation. The results reveal a pattern of
solid-tumor mortality in the vicinity of uranium cycle facilities, basically
characterized by excess lung [relative risk (RR) 1.12, 95% confidence
interval (CI), 1.02-1.25] and renal cancer mortality (RR 1.37, 95% CI,
1.07-1.76). Besides the effects of natural radiation, these results could
well be evincing the influence on public health exerted by the environmental
impact of mining. No such well-defined pattern appeared in the vicinity of
nuclear power plants. Monitoring of cancer incidence and mortality is
recommended in areas surrounding nuclear fuel facilities and nuclear power
plants, and more specific studies are called for in areas adjacent to
installations that have been fully operational for longer periods. In this
regard, it is important to use dosimetric information in all future studies.
Key words: environment, epidemiology, ionizing, mortality, neoplasms,
nuclear facilities, radiation, uranium mines. Environ Health Perspect
109:721-729 (2001). [Online 11 July 2001]
http://ehpnet1.niehs.nih.gov/docs/2001/109p721-729lopez-abente/abstract.html
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