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Re: cancer clusters



 
----- Original Message -----
From: Tony Harrison <Tony.Harrison@state.co.us>
To: <radsafe@list.vanderbilt.edu>
Sent: Thursday, July 18, 2002 9:03 AM
Subject: Re: cancer clusters

> Epidemiology works best with exposures that have a high (> 2-3) relative
> risk for a given outcome, like E. coli (currently big news here in
> Colorado), HIV for AIDS and tobacco smoke for lung cancer.  Most of
> those have been identified, or are so rare they aren't much of an issue
> for the public.  Classic epi techniques are less useful for exposure
> with low relative risks (between 1 and 2) or where exposure is very
> rare.  Good epidemiologists know this and focus where they can do good.
> Bad epidemiologists know this and use it to milk the system (this
> generally only works for a little while) or for political reasons.
>
> Cancer (and other disease) clusters occur randomly, and epidemiologists
> know this as well.  But until a cluster is thoroughly investigated, how
> confident should we be that we are witnessing a collection of random
> events, and not a true outbreak of preventable disease?
 
Are you suggesting that some epidemiologists might be exploiting  public
cancer phobias for their own monetary gain?  My goodness!
When it comes to epi studies on low-dose radiation effects, such
exploitation has continued for a long time and still seems to be going strong.