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Risks of low level radiation - New Scientist Article
Cohen wrote;
--Note that my results are the same if we consider only one
section of the country, or if we select counties on any other basis.
-----------------
Dr. Cohen,
I have been following this thread for many years. I saw in a post
last year that Iowa has a SEER lung cancer database, the finest
population breakdown by counties in the U.S., and the highest radon
levels in the nation, why not limit your test to this one state as an
example. It has 100 counties and only 1 percent of the U.S.
population. Surely, if your findings are valid, they should be valid
in Iowa?
The following paper is also of interest in this regard.
Author(s): Brian J. Smith, R. William Field, and Charles F. Lynch
Title:
Residential 222Rn Exposure and Lung Cancer: Testing the Linear No-
Threshold Theory with Ecologic Data
Category: Forum Article
Location: Health Physics, 75(1):11-17; 1998
Keywords: 222-Rn; epidemiology; cancer; lungs, human
Abstract: In most rigorous epidemiologic studies, such as casecontrol
and cohort studies, the basic unit of analysis is the individual.
Each individual is classified in terms of exposure and disease
status. However, in ecologic epidemiologic studies, the unit of
analysis is some aggregate group of individuals. Summary measures of
exposure and disease frequency are obtained for each aggregate, and
the analyses focus on determining whether or not the aggregates with
high levels of exposure also display high disease rates. The ecologic
study design has major limitations, including ecologic confounding
and cross level bias. Cohen has attempted to circumvent these
limitations by invoking the linear no-threshold theory of radiation
carcinogenesis to derive aggregate "exposures" from individual-level
associations. He asserts that, "while an ecologic study cannot
determine whether radon causes lung cancer, it can test the validity
of a linear-no threshold relationship between them." Cohen compares
his testing of the linear no-threshold relationship between radon
exposure and lung cancer to the practice of estimating the number of
deaths from the person-rem collective dose, dividing the person-rem
by the number of individuals in the population to derive the
individual average dose, and then determining individual average risk
by dividing the number of deaths by the number of individuals in the
population. We show that Cohen's erroneous assumptions concerning
occupancy rates and smoking effects result in the use of the wrong
model to test the linear no-threshold theory. Because of these
assumptions, the ecologic confounding and cross level bias associated
with Cohen's model invalidate his findings. Furthermore, when more
recent Iowa county lung cancer incidence rates are regressed on
Cohen's mean radon levels, the reported large negative associations
between radon exposure and lung cancer are no longer obtained.
Sent by Law Mail
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