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Re: Another (partial) literature review



Regarding the Swedish nonsmoking radon study,



The radon action levels in most of Europe is 200 Bq/m^3 for new

construction and 400 Bq/m^3 for old houses. The authors stratified the data

for (values in Bq/m^3) <50, 50-100, 101-200, 201-400, >400. But their data

analysis used grouping of (values in Bq/m^3): <50, 50-80, 80-140, and >140,

which coincides with the U.S. EPA levels. I found this change curious. 

The authors report a RR of 1.55 for >140 Bq/m^3.

The European classification is still positive, but the number of cases is

low enough to change the results significantly with a single addition or

deletion of a case in any group above 200 Bq/m^3.

RR (measured results) for 101-200: 1.15, 201-400: 1.15, >400: 1.20



Also note that 83% of the cases had radon levels below the EPA action

level.

They also found a significant impact from second hand smoke, but they

didn't test for other potential lung carcinogens.

Just some observations.



Tom



> Authors

> Lagarde F. Axelsson G. Damber L. Mellander H. Nyberg F. Pershagen G.

> 

> Institution

> Institute of Environmental Medicine, Karolinska Institutet, Stockholm,

> Sweden.

> 

> Title

> Residential radon and lung cancer among never-smokers in Sweden.

> 

> Source

> Epidemiology. 12(4):396-404, 2001 Jul.

> 

> Abstract

> In this study, we attempted to reduce existing uncertainty about the

> relative risk of lung cancer from residential radon exposure among

> never-smokers. Comprehensive measurements of domestic radon were performed

> for 258 never-smoking lung cancer cases and 487 never-smoking controls from

> five Swedish case-control studies. With additional never-smokers from a

> previous case-control study of lung cancer and residential radon exposure in

> Sweden, a total of 436 never-smoking lung cancer cases diagnosed in Sweden

> between 1980 and 1995 and 1,649 never-smoking controls were included. The

> relative risks (with 95% confidence intervals in parentheses) of lung cancer

> in relation to categories of time-weighted average domestic radon

> concentration during three decades, delimited by cutpoints at 50, 80, and

> 140 Bq m(-3), were 1.08 (0.8--1.5), 1.18 (0.9--1.6), and 1.44 (1.0--2.1),

> respectively, with average radon concentrations below 50 Bq m(-3) used as

> reference category and with adjustment for other risk factors. The data

> suggested that among never-smokers residential radon exposure may be more

> harmful for those exposed to environmental tobacco smoke. Overall, an excess

> relative risk of 10% per 100 Bq m(-3) average radon concentration was

> estimated, which is similar to the summary effect estimate for all subjects

> in the main residential radon studies to date.

> --------------------------------

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-- 

Thomas Mohaupt, M.S., CHP

University Radiation Safety Officer



104 Health Sciences Bldg

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tom.mohaupt@wright.edu

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