Huff James
National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USA.
Int J Occup Environ Health. 2002 Jul-Sep;8(3):249-70. doi: 10.1179/107735202800338795.
The first IARC Monographs Volume was distributed in 1972, and over the 23 years through 1993, under the leadership of Dr Lorenzo Tomatis, 59 IARC Monographs were completed. During 1977-1979 the author was privileged to lead the program for Volumes 15-22, and participated in the pioneering development of the LARC Preamble and Categories of Evidence. During this era other Chiefs of the IARC Monographs included Claus Agthe, Harri Vainio, Antero Aitio, and Julian Wilbourn. Since then (starting with Volume 62: 1995), a new attitude seems to have pervaded the IARC Monographs program, resulting in an increasing influence of or partiality for industry and a diminishing dedication to public and occupational health and safety concerns, and for primary prevention. Some of this attitude comes from an apparent misguided scientific zest prematurely to endorse purported or hypothetical mechanisms of chemical carcinogenesis or modes of action of chemicals causing cancer in experimental animals. These speculations are in turn used cavalierly to discount the value of experimental evidence for predicting probable carcinogenicity to humans. Most often this is accomplished by opining that the mechanism(s) of carcinogenicity in animals would not be operative in humans. End of explanation. Examples whereby the IARC has recently "down-graded" or "under-graded" the available evidence of carcinogenicity include: acrylonitrile; atrazine; benzidine-based dyes; 1,3-butadiene, dichloromethane (methylene chloride); di (2-ethylhexyl) phthalate; glass wool insulation; MtBE [methyl tertiary butyl ether]; ochratoxin A; saccharin; sunlamps and sunbeds (use of); trichloroethylene; sulfamethazine; and others more inclusively mentioned in the text and tables. Further impeding or compromising public health, chemicals causing site-specific cancers in animals attendant with calculi/precipitate in the urinary bladder, goiter and thyroid gland, kidney and alpha-2mu globulin, peroxisome proliferation and liver tumors, and cell proliferation in general have led the IARC to discount these car- cinogenic effects. To stem this tide at the IARC, new leadership, with more objectivity and public health perspective, is needed.
第一卷《国际癌症研究机构专论》于1972年发行,在洛伦佐·托马蒂斯博士的领导下,到1993年的23年间,共完成了59卷《国际癌症研究机构专论》。1977 - 1979年期间,作者有幸领导了第15 - 22卷的编写工作,并参与了《国际癌症研究机构前言》和证据分类的开创性制定。在这个时期,《国际癌症研究机构专论》的其他负责人包括克劳斯·阿格特、哈里·瓦伊尼奥、安tero·艾蒂奥和朱利安·威尔伯恩。从那时起(从第62卷:1995年开始),一种新的态度似乎在《国际癌症研究机构专论》项目中盛行,导致对行业的影响增加或偏袒,而对公众和职业健康与安全问题以及一级预防的投入减少。这种态度部分源于一种明显被误导的科学热情,过早地认可化学致癌作用的所谓或假设机制或化学物质在实验动物中致癌的作用方式。这些推测反过来又被随意用来贬低预测对人类可能致癌性的实验证据的价值。最常见的做法是认为动物致癌机制在人类中不起作用。解释结束。国际癌症研究机构最近“降低”或“低估”致癌性现有证据的例子包括:丙烯腈;莠去津;联苯胺基染料;1,3 - 丁二烯、二氯甲烷(二氯甲烷);邻苯二甲酸二(2 - 乙基己基)酯;玻璃棉绝缘材料;甲基叔丁基醚;赭曲霉毒素A;糖精;太阳灯和日光浴床(使用);三氯乙烯;磺胺二甲嘧啶;以及文本和表格中更全面提及的其他物质。进一步阻碍或损害公众健康的是,在动物中导致特定部位癌症并伴有膀胱结石/沉淀物、甲状腺肿和甲状腺、肾脏和α - 2μ球蛋白、过氧化物酶体增殖和肝肿瘤以及一般细胞增殖的化学物质,导致国际癌症研究机构忽视这些致癌作用。为了在国际癌症研究机构阻止这种趋势,需要更具客观性和公共卫生视角的新领导。
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