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儿童白血病感染病因的证据:苏格兰新镇与英国核后处理场所的比较。

Evidence for an infective cause of childhood leukaemia: comparison of a Scottish new town with nuclear reprocessing sites in Britain.

作者信息

Kinlen L

机构信息

Cancer Research Campaign Cancer Epidemiology Unit, University of Edinburgh.

出版信息

Lancet. 1988 Dec 10;2(8624):1323-7. doi: 10.1016/s0140-6736(88)90867-7.

Abstract

Increases of leukaemia in young people that cannot be explained in terms of radiation have been recorded near both of Britain's nuclear reprocessing plants at Dounreay and Sellafield. These were built in unusually isolated places where herd immunity to a postulated widespread virus infection (to which leukaemia is a rare response) would tend to be lower than average. The large influxes of people in the 1950s to those areas might have been conducive to epidemics. The hypothesis has been tested in Scotland in an area identified at the outset as the only other rural area that received a large influx at the same time, when it was much more cut off from the nearest conurbation than at present--the New Town of Glenrothes. A significant increase of leukaemia below age 25 was found (10 observed, expected 3.6), with a greater excess below age 5 (7 observed, expected 1.5).

摘要

在英国敦雷和塞拉菲尔德的两座核后处理厂附近,均记录到了无法用辐射来解释的年轻人白血病发病率上升情况。这两座工厂建在异常偏远的地方,对一种假定的广泛传播病毒感染(白血病是对该病毒的罕见反应)的群体免疫往往低于平均水平。20世纪50年代大量人口涌入这些地区,可能助长了疫情传播。该假设已在苏格兰的一个地区进行了验证,该地区从一开始就被确定为另一个唯一在同一时间有大量人口涌入的农村地区,当时它与最近的大城市的隔绝程度比现在要高得多——即格伦罗西斯新城。研究发现,25岁以下白血病发病率显著上升(观察到10例,预期3.6例),5岁以下的超额发病率更高(观察到7例,预期1.5例)。

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