Miller R W
JAMA. 1981 Apr 17;245(15):1548-51.
Nine case histories illustrate the mounting problems owing to chemical contamination that often extends beyond the workplace into the community. The effects include not only carcinogenesis and teratogenesis, so much in the public's mind, but also severe neurological and gonadal disabilities immediately after exposure. Recognition of causal relationships is often made by astute clinicians. The experience of the Atomic Bomb Casualty Commission in studying Japanese survivors in Hiroshima and Nagasaki serves as a model for future studies of communities exposed to unusual environmental contamination.
九个病例史说明了由于化学污染而日益严重的问题，这种污染常常超出工作场所，蔓延到社区。其影响不仅包括公众熟知的致癌和致畸，还包括接触后立即出现的严重神经和性腺残疾。因果关系往往是由敏锐的临床医生识别出来的。原子弹伤亡调查委员会对广岛和长崎的日本幸存者进行研究的经验，为未来对遭受异常环境污染的社区进行研究提供了一个范例。
