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Re: RE: Field's comments on Cohen's Observation



Mr. Dukelow,



Why are you sending these personal emails to the whole list rather

than directly to Dr. Field?



Gary Howard









On Thu, 19 Jun 2003 00:05:01 -0700 Dukelow, James S Jr

(jim.dukelow@PNL.GOV) wrote:



>

>Bill,

>

>I am sorry if you are offended that I provided the off-list context

for the message you sent to the list, but I was similarly offended to

have my positions un-represented and mis-represented by the list

hearing only one side of the conversation.

>

>In particular, I made some specific responses to your questions --

questions and comments that are repeated in your posting, as if I had

never responded.

>

>I prefer that the subscribers to RADSAFE be aware of my previously

expressed arguments, while considering your comments.

>

>Your posting, which was sent to me and to the list around noon on

6/18 is essentially identical to a message you sent to me around noon

on 6/17, a message I had not had an opportunity to respond to, in what

I considered our off-list discussion of the issues.

>

>Your posting was not sent to the list "several days ago".

>

>Best regards.

>

>Jim Dukelow

>Pacific Northwest National Laboratory

>Richland, WA

>jim.dukelow@pnl.gov

>

>These comments are mine and have not been reviewed and/or approved by

my management or by the U.S. Department of Energy.

>

>-----Original Message-----

>From:	epirad@mchsi.com [mailto:epirad@mchsi.com]

>Sent:	Wed 6/18/2003 2:13 PM

>To:	Dukelow, James S Jr

>Cc:	BERNARD L COHEN; radsafe@list.vanderbilt.edu

>Subject:	RE: Field's comments on Cohen's Observation

>

>Jim, this post below was sent to the list a few days ago, your last

message

>included off list messages.

>

>Bill

>

>------------------------------

>

>You stated that from LNT, it follows as the night the day that

radiologically-

>induced cancer incidence (and cancer mortality, given reasonably

uniform

>standards of treatment) is a linear function of person-rem exposure.

As such,

>an ecologic study is adequate to test the LNT, assuming dependence

and

>confounding issues can be handled.

>

>I have two brief comments,

>

>First, radiologically induced lung cancer is not a linear function as

per

>person-rem unless you can describe the population in pretty good

detail. For

>example, there are many factors that modify the assumed linearity

such as age,

>smoking, etc.

>

> Secondly, you state that ASSUMING dependence and confounding issues

can be

>handled, an ecologic study is adequate to test the LNT"

>

>That is really the heart of the problem isn't it?  Dr. Cohen has not

persuaded

>me or from what I can tell most informed epidemiologist and

statisticians that

>he has indeed handled effect modifiers and confounders adequately.

Dr. Cohen

>has not addressed the within county joint distributions of even

smoking and

>radon let alone all the other socioeconomic factors that are also co-

>correlated with smoking. Because Dr. Cohen uses ecologic smoking

information,

>he can not hope to correct for the problem I mentioned above

regardless how

>many attempts he makes.

>

>I previously sent Dr. Cohen a possible methodology to address the

within

>county joint distribution problems, but he indicated to me that he

thought the

>methodology had little to do with his work.  Therefore, that created

a real

>impasse between us and is why I asked his cooperation in selecting a

3rd party

>to weigh in on this issue (especially if he plans to find any

potential NCRP

>opinion on this topic biased).  We are getting no where in these

discussions

>on the list and in fact the discussions have obviously become

irritating to

>some (for which I apologize in part).

>

>Regards, Bill Field

>

>

>

>

>*********************************************************************

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