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Comments on my present view of NSWS & the Br. radiologists study
Title: Comments on my present view of NSWS & the Br.
radiolo
Dear Colleagues, Since it may be many months before our
article on the NSWS:
NUCLEAR SHIPYARD WORKER STUDY
(1980-1988): A LARGE COHORT EXPOSED TO LOW DOSE-RATE GAMMA
RADIATION. Ruth Sponsler and John R. Cameron will be available
in a journal I have decided to make it available on my web
site. You can go directly to the article with the following
URL
http://www.medphysics.wisc.edu/~jrc/art_nsws1.htm
The four tables in the article follow the references. It was
necessary to reformat each of the tables and they are immediately
available upon clicking on the Table you desire.
I believe that low to moderate doses of radiation may
cause a decrease in cancer. However, I feel the most important datum
in the NSWS is the greatly reduced death rate from non-cancer, which
is also reflected in the death rate from all causes. The NSWS data
gives the death rate from all causes of the cohort was 24% lower than
that of the controls. The cancer death rate of the cohort was about
15% lower than the cohort. It is thus certain that the death rate
from non-cancer is somewhat above 24%.
In the 100 years of British radiologists
study Berrington, A, Darby, SC,
Weiss, HA, Doll, R. 100 years of observation on British radiologists:
mortality from cancer and other causes 1897-1997 Br J Radiol. 74,
507-519 (2001) British radiologists who joined a
radiological society between 1955-1979 had a death rate from cancer
of 29% lower (NS); a death rate from non-cancer 36% lower
(p<0.001); and death rate from all causes of 32% lower
(p<0.001) than male non-radiologists in England and Wales
(the controls). (I have a pdf file of this article if you request it
by e-mail.)
For the full 100 years the radiologists had a death rate from
non-cancer 14% lower (p<0.001) than the controls. Their death rate
from cancer for the 100 years was about 4% higher than the controls
(NS) This is the primary reason I believe that longevity is the
best measure of radiation effects on health.
I have more confidence in the results of the British
radiologists studies than the NSWS. It covers a much longer period
and a much larger range of dose rates. I feel it is more important
that we consider radiation effects on health the way we consider
other toxic agents which happen to be beneficial at low to moderate
doses, such as each of the ~15 essential trace elements. There is an optimum dose rate for essential trace
elements (recommended daily value) and I hypothesize that there is
"recommended annual dose" or RAD for radiation in my
article: "Is radiation an essential trace energy?" Physics
and Society October 2001
http://www.aps.org/units/fps/oct01/a5oct01.html
Last week I submitted a letter to Radiology with the
title "Longevity is the most appropriate measure of health
effects of radiation." I expect a decision in the next few
weeks. An early draft of the letter is available as an unpublished
article on my web page:
http://www.medphysics.wisc.edu/~jrc/. I
feel this idea is supported by data in the NSWS and the 100 years of
Br. radiologists study.
In my article in Physics and Society (above) I proposed a
double blind study of senior citizens in the U.S. Gulf States to test
the hypothesis that increasing their dose rate to the dose rate found
in the U.S. mountains might improve their longevity. I feel this is
an ethical study but I doubt if I will live long enough to see the
idea taken seriously.
If increased background radiation is shown to improve
longevity, it will in effect make the LNT hypothesis irrelevant and
lead to further studies to determine the RAD.
My current evaluation of the NSWS is that it is the best
epidemiological study of radiation workers ever done and contains
useful information. I have been disappointed to see many people
criticize this unpublished study, some without having read the
details of the study. I recall few if any criticisms of the
scientists who used tax dollars for the research and never published
the details of the study. Some individuals in the DOE must also
share the blame for not insisting the study be published. The
scientists who served on the Technical Advisory Panel for the NSWS (I
feel) should have brought pressure to bear on the DOE to have the
study published. Merrill Eisenbud, a member of TAP is deceased.
I believe that if he were alive he would be supporting my
efforts to see the study published.
The most serious problem for radiation scientists is to bring
about a peaceful revolution in the way radiation health guidance is
established. I agree with Harald Rossi's suggestion that the Health
Physics Society should work on the solution of this long standing
problem. Dictatorships by self selected groups is an inappropriate
way to determine radiation health policy.
Best wishes, John Cameron
--
John R. Cameron (jrcamero@wisc.edu)
2678 SW 14th Dr. Gainesville, FL 32608
(352) 371-9865 Fax (352) 371-9866
(winters until about May 10)
PO Box 405, Lone Rock,WI 53556
(for UPS, etc. insert: E2571 Porter Rd.)
(608) 583-2160; Fax (608) 583-2269
(summer: until about Oct. 15)