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Re: Lung cancer mortality from radon versus mortality from other cancers



I just received my own message from Radsafe.  The table did not come out well.  I put the info directly in the body of the message.
 
Mark, Mike Ford and Radsafe friends

(I tested sending this message to myself, with the table.  It came out OK.
I hope it does to everyone.  If not, please e-mail me directly, I will send
things by fax)

For those interested, here is a summary of stats on the 11 cohorts subject
to Jay Lubin's et al. joint analysis (NIH publ. No. 94-3644, 1994)
One can note the wide disparity in number of Rn or Rn progeny measurements
between cohorts.  Also worth noting is the wide range of duration of
employment at the facility in which the exposure used to calculate the risk
was acquired.  Miners are a highly mobile bunch, particularly in North
America.  It is no mystery that, at Beaverlodge for example, the company
(Eldorado) hired preferentially local miners (there were several other U and
Rn mines in the region), who therefore left a Rn mine to join Eldorado and
went to other local mines when they left Beaverlodge.  Exposures accumulated
in other mines are not taken into account in risk calculations, hence a
systematic overestimation of Rn risk (how big is it ?).  Perhaps the
question of '' other mine doses '' is worth looking at in the cohorts who
have a mean duration of employment of less than 10 years.  In some mines
considered in the 11 cohorts, no measurements at all.  exposures were
''reconstructed'', extrapolated, assigned from values obtained in nearby
mines, ....

Furthermore, the excess lung cancer incidence is attributed to radiation,
then the excess of lung cancers is due to the sum of all lung doses, from
all radiation sources, not that from Rn progeny alone.  For the curious
mind, calculating non-radon doses and comparing them to Rn doses is quite
interesting ! Another source of systematic overestimation.  NOTE: In all the
cohorts, there is no excess of cancer for organs other than lung, except
liver in Czech miners (alcohol consumption) and buccal cavity in French
miners (alcohol + cigarette) - see BEIR VI, table 4.3, p. 123).

To Mark, re iron Swedish miners:  hematite (iron ore) is a known lung
carcinogen.  Silica is another one listed as such by IARC.  The incidence of
lung cancer in French iron miners is 3 to 5 (Anthoine, D., Lamy, P., De Ren
G., Braun, P., Cervoni, P., Petiet, G., Schwartz, P., Zuck, P. and Lamaze,
R.  Le cancer bronchique des mineurs de fer de Lorraine, Arch. Mal. Prof.,
40, no. 2, 48-51, (1979).  It is up to 15 in Czech iron miners (Isco , J and
Szollosova, M.  Incidence of Lung cancer in Iron ore miners, Proceedings of
the International Conference on Low Dose Irradiation and Biological Defense
Mechanisms, Kyoto, Japan, 103-106, (1992).  What are the respective
contributions of radon, silica, hematite in the excess lung cancer in
Swedish iron miners ?

(to reassure some of you, I spent ten years in radiation studies among
miners in French underground and open pit U mines, worked a few more years
in Elliot Lake in U mine dosimetry and did rad prot studies in high grade
mines in Saskatchewan)
 
Summary data for the eleven cohorts of underground miners exposed to
radon progeny (Radsafers can make their own mind from real numbers).

Cohort : Chinese tin miners
Number of measurements (Rn or Rn decay products) : 26500
Number of workers in the cohort : 13649
Number of measurements per worker : 1.94
Number of person.y : 17607
Average number of years of exposure : 1.3
Number of lung cancer cases : 936
ERR/WLM : 0.16   (0.1-0.2)
     
Cohort : Colorado uranium miners
Number of measurements (Rn or Rn decay products) : 43000
Number of workers in the cohort : 3347
Number of measurements per worker : 12.85
Number of person.y : 16735
Average number of years of exposure : 5.0
Number of lung cancer cases : 327
ERR/WLM :   0.42 (0.3-0.7)
  
Cohort : Czech uranium miners
Number of measurements (Rn or Rn decay products) : 120000
Number of workers in the cohort : 4284
Number of measurements per worker : 28.01
Number of person.y : 31273
Average number of years of exposure : 7.3
Number of lung cancer cases : 656
ERR/WLM : 
  0.34  (0.2-0.6)
Cohort : French uranium miners
Number of measurements (Rn or Rn decay products) : 1 200 000
Number of workers in the cohort : 1769
Number of measurements per worker : 678.35
Number of person.y : 25882
Average number of years of exposure : 14.6
Number of lung cancer cases :  45
ERR/WLM : 0.36   (0.0-1.3)

Cohort : New Mexico uranium miners
Number of measurements (Rn or Rn decay products) : 92 000
Number of workers in the cohort : 3457
Number of measurements per worker : 26.61
Number of person.y :  25581
Average number of years of exposure : 7.4
Number of lung cancer cases : 68
ERR/WLM :   1.72  (0.6-6.7)
Cohort : Newfounland fluorspar miners
Number of measurements (Rn or Rn decay products) : 80
Number of workers in the cohort : 1751
Number of measurements per worker : 0.05
Number of person.y : 8405
Average number of years of exposure : 4.8
Number of lung cancer cases : 112
ERR/WLM : 
  0.76 (0.4-1.3)

 
Cohort : Ontario uranium miners
Number of measurements (Rn or Rn decay products) : 131 000
Number of workers in the cohort : 21346
Number of measurements per worker : 6.14
Number of person.y : 64048
Average number of years of exposure : 3
Number of lung cancer cases : 282
ERR/WLM : 
 0.89  (0.5-1.5)

Cohort : Port Radium uranium miners
Number of measurements (Rn or Rn decay products) : 261
Number of workers in the cohort : 1420
Number of measurements per worker : 0.18
Number of person.y : 4544
Average number of years of exposure : 3.2
Number of lung cancer cases : 39
ERR/WLM : 0.19  (0.1-0.6)
 
Cohort : Radium Hill uranium miners
Number of measurements (Rn or Rn decay products) : 721
Number of workers in the cohort : 1457
Number of measurements per worker : 0.49
Number of person.y : 1602
Average number of years of exposure : 1.1
Number of lung cancer cases : 32
ERR/WLM : 
    5.06  (1.0-12.2)
 
Cohort : Swedish iron miners
Number of measurements (Rn or Rn decay products) : 80
Number of workers in the cohort : 1294
Number of measurements per worker : 0.06
Number of person.y : 23033
Average number of years of exposure : 17.8
Number of lung cancer cases : 79
ERR/WLM : 0.95  (0.1-4.1)

 
Cohort : Beaverlodge uranium miners
Number of measurements (Rn or Rn decay products) :   6900
Number of workers in the cohort : 6895
Number of measurements per worker : 1.00
Number of person.y : 13101
Average number of years of exposure : 1.9
Number of lung cancer cases : 58
ERR/WLM : 
     2.21  (0.9-5.6)

Philippe Duport
International Centre for Low Dose Radiation Research
University of Ottawa
555 King Edward Ave.
Ottawa, ON, Canada, K1N 6N5
Tel: (613) 562 5800, ext. 1270
pduport@uottawa.ca