Demers R
Wayne State University School of Medicine, Detroit, Michigan.
Am Fam Physician. 1991 Nov;44(5 Suppl):51S-52S, 55S-61S.
Reducing the incidence of diseases caused by exposure to radon, lead and asbestos is a major public health challenge. Radon gas, which usually enters a home through the foundation, can cause lung cancer. Exposure to lead through paint, auto emissions and other sources can cause neurologic deficits, as well as anemia, abnormal vitamin D metabolism, nephropathy, hypertension and reproductive abnormalities. Asbestos, which is used in a vast number of products, is primarily associated with parenchymal asbestosis, pleural fibrosis, mesothelioma and lung cancer. The family physician can play a pivotal role in providing information about hazardous exposure, sources of exposure, epidemiology and disease prevention.
降低因接触氡、铅和石棉而导致疾病的发生率是一项重大的公共卫生挑战。氡气通常通过地基进入家庭,可引发肺癌。通过油漆、汽车尾气排放及其他来源接触铅会导致神经功能缺损,以及贫血、维生素D代谢异常、肾病、高血压和生殖异常。石棉存在于大量产品中,主要与实质性石棉肺、胸膜纤维化、间皮瘤和肺癌有关。家庭医生在提供有关有害接触、接触源、流行病学和疾病预防的信息方面可发挥关键作用。