Schneiderman M A, Brown C C
Environ Health Perspect. 1978 Feb;22:115-23. doi: 10.1289/ehp.7822115.
Three important issues impinge on estimating the risk of cancer to a population: (1) How can one use epidemiologic studies on one population to tell us what is likely to happen to other populations? (2) How can one use nonhuman data (i.e., laboratory experiments) to tell us what is likely to happen to humans? (3) What reasonable assumptions can be used to guide the logical extension of information from the laboratory to expectations for man, and what research is needed to support or modify these assumptions? Four principles currently guide our laboratory-to-man extrapolations: effects in animals, properly qualified, are applicable to man; methods do not now exist to establish a threshold for long-delayed effects such as cancer; the exposure of experimental animals to high doses is a necessary and valid method of discovering possible carcinogenic hazards in man; materials should be assessed in terms of human risk rather than as "safe" or "unsafe".
(1)如何利用针对某一人群的流行病学研究来告知我们其他人群可能会发生什么?(2)如何利用非人类数据(即实验室实验)来告知我们人类可能会发生什么?(3)可以使用哪些合理假设来指导从实验室信息到对人类预期的逻辑延伸,以及需要开展哪些研究来支持或修正这些假设?目前有四项原则指导我们从实验室到人类的外推:经过适当鉴定的动物效应适用于人类;目前不存在确定癌症等长期延迟效应阈值的方法;让实验动物接触高剂量是发现人类可能致癌危害的必要且有效方法;材料应根据人类风险而非“安全”或“不安全”来评估。