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Rn, Epidemiology + thoron
Dear Radsafers,
At first, let me thank those of you who began and continue
the discussion on the radon epidemiology. On my opinion it
is very important and essential topic. The apparent conflict
of some studies' results (sure, No 1 is B. Cohen's) and LNT
attracts great attention and bothers all specialists in the field
of radiation protection.
The arguments against ecological study design itself are still
unconvincing, though case control design is preferable. It is
clear that due to statistical power each of the case control
study along couldn't reject or prove LNT in the radon
concentration interval of interest. So, the pooling of
different case control studies should be undertaken. Last
meta-analysis have been published in 1997 (Jay Lubin and
Jhon D. Boice, Jr.), it included eight studies (4263 cases and
6612 controls). Since 1997 the list of radon and lung cancer
case control studies have broadened up to 18 (at least)
and now includes about 11 000 cases and about 19 000
controls (my assessment). I believe new meta-analysis could
be performed quickly.
Another point which I would like add to the discussion is
thoron. Usually researchers doesn't consider thoron progeny
exposure at all (both in case control and ecological studies).
I think it is not quite well-founded. According to
UNSCEAR Report world average thoron equilibrium
equivalent concentration is 0.3 Bq/m3 and range of average
concentration by surveys is 0.2-12 Bq/m3. These values
seems to be negligible. But I think it is negligible for
radiation protection purposes but not for epidemiological
studies. Exposure to 1 Bq/m3 of thoron EEC is equivalent to
about 12 Bq/m3 of radon concentration (1*5/0.4). Such
thoron EEC can substantially change the distribution of
subjects by intervals of exposure, especially in low range of
exposure, and consequently bias the results.
Ilia Yarmoshenko
Radiation Laboratory
Institute of Industrial Ecology
Ekaterinburg
Russia
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