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The value(?) of the Nuclear Shipyard Workers Study (NSWS)
I continue to disagree with John Cameron on the value of the Nuclear
Shipyard Workers Study (NSWS), as published in two debates in peer-reviewed
journals (citations from PubMed; I imagine it annoys John to have his name
appear with mine on a paper!):
Strom DJ and JR Cameron. 2002. Topics under debate: "Is it useful to assess
annual effective doses that are less than 100 mSv?" Radiat.Prot.Dosimetry
98(2):239-245.
Strom DJ, JR Cameron, and BL Cohen. 1998. Point-Counterpoint: "The LNT model
is appropriate for the estimation of risk from low-level (less than 100
mSv/year) radiation, and low levels of radon in homes should be considered
harmful to health." Med.Phys. 25(3):273-278.
(Send me an e-mail privately if you want copies of these papers). In Strom
and Cameron 2002 I state, "The NSWS study is characterized by an unhealthy
control group, making it one of the very few studies in occupational
epidemiology not to find a "healthy worker effect" (Table 1). This odd
finding challenges the consistency criterion (reference 15) (findings should
be consistent across studies) and makes the entire study suspect. [Internal]
Comparisons with an unhealthy control group will, of course, show a
protective effect!" Table 1 is Table 4.1.A from the NSWS.
The fact that Non-nuclear workers (NNWs) had an all-cause standardized
mortality ratio (SMR) of 1.00 (0.97-1.03) is virtually unheard-of in
occupational epidemiology. This means that these people were dying at the
same rate as all people, including all of those too sick to work! Normally,
all-cause SMRs are in the range of 0.70 to 0.85 for occupational
populations. The most important finding of this study, the one that's really
out of line, and that begs for explanation, is how NNWs can be so unhealthy.
- Dan Strom
The opinions expressed above, if any, are mine alone and have not been
reviewed or approved by Battelle, the Pacific Northwest National Laboratory,
or the U.S. Department of Energy.
Daniel J. Strom, Ph.D., CHP
Environmental Technology Division, Pacific Northwest National Laboratory
Mail Stop K3-56, PO BOX 999, Richland, Washington 99352-0999 USA
Overnight: Battelle for the U.S. DOE, 790 6th St., Richland WA 99352 ATTN:
Dan Strom K3-56
Telephone (509) 375-2626 FAX (509) 375-2019 mailto:strom@pnl.gov
Brief Resume: http://www.pnl.gov/bayesian/strom/strombio.htm
Pagemaster for http://www.pnl.gov/bayesian http://qecc.pnl.gov
http://bidug.pnl.gov
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