Sevc J, Kunz E, Tomásek L, Placek V, Horácek J
Institute of Hygiene and Epidemiology, Department of Radiation Hygiene, Prague, Czechoslovakia.
Health Phys. 1988 Jan;54(1):27-46. doi: 10.1097/00004032-198801000-00001.
Results are reported of epidemiological studies in six groups of miners, who work in U mines, Fe mines and shale clay mines. A significant excess of lung cancer was proved in exposure categories below 50 WLM, the first significant excess of lung cancer rate was found in the sixth year following the start of exposure, and a significant difference between the observed and expected rate was found in miners even before the fortieth year of age. The mean attributable annual cancer risk after about 30 y of observation in the whole study was approximately 20.0 and in persons starting exposure after 30 y of age the risk was approximately 30.0 per year per 1 WLM per 10(6) persons. The dose-effect relationship and the attributable lung cancer risk per 1 WLM were significantly influenced by the age at the first exposure by total accumulated exposure and by the character of the accumulation of exposure. The observed effects of smoking and exposure to alpha radiation from Rn daughters were nearly additive. The lung cancer risk per 1 WLM at low levels of exposure (not including the contribution from natural sources in the living environment) in U as well as Fe mines indicated a certain elevation compared with the risk at higher accumulated exposure.
报告了对六组矿工进行的流行病学研究结果,这些矿工分别在铀矿、铁矿和页岩粘土矿工作。在低于50工作水平月(WLM)的暴露类别中证实肺癌显著超额,在开始暴露后的第六年首次发现肺癌发病率显著超额,甚至在矿工40岁之前就发现观察到的发病率与预期发病率之间存在显著差异。在整个研究中观察约30年后,平均可归因年度癌症风险约为20.0,对于30岁后开始暴露的人,风险约为每年每1WLM每10^6人30.0。剂量效应关系以及每1WLM的可归因肺癌风险受到首次暴露时的年龄、总累积暴露量以及暴露累积特征的显著影响。观察到的吸烟效应和来自氡子体的α辐射暴露效应几乎是相加的。与较高累积暴露量时的风险相比,铀矿和铁矿中低水平暴露(不包括生活环境中自然源的贡献)下每1WLM的肺癌风险有一定程度的升高。