Frumkin H, Kantrowitz W
Department of Epidemiology, Harvard School of Public Health, Boston, MA 02115.
J Occup Med. 1987 Dec;29(12):949-52.
The investigation of cancer clusters has received much recent attention. In this paper we present the approach used by one company. We emphasize the need for a methodical, stepwise procedure that includes both epidemiology and industrial hygiene input, and for communication with workers throughout the investigation. Cluster investigations are expected to be most useful not in etiologic research, but rather in addressing worker concerns and as part of larger surveillance efforts.
癌症聚集性的调查最近受到了广泛关注。在本文中,我们介绍了一家公司所采用的方法。我们强调需要一种有条不紊、循序渐进的程序,该程序应包括流行病学和工业卫生方面的投入,并且在整个调查过程中要与工人进行沟通。预计聚集性调查在病因学研究中并非最有用,而是在解决工人的担忧方面以及作为更大规模监测工作的一部分时最为有用。