Nordberg G F
Department of Environmental Medicine, University of Umeå, Sweden.
Scand J Work Environ Health. 1993;19 Suppl 1:104-7.
Several different adverse health effects can be caused by cadmium exposure to humans and animals. In environmental and occupational health it is important to identify effects that occur at relatively low exposures (ie., the critical effects that are crucial for preventive action). In long-term human exposures to cadmium, effects of cadmium on the kidney have been considered to be critical effects and quantitative risk assessments of these effects have been performed on the basis of both risk modeling and direct epidemiologic observation. However, experimental and epidemiologic studies are providing increasing evidence that cadmium is carcinogenic, and this effect, which is considered to be stochastic in character, can be considered to be the critical effect. A quantitative evaluation of the cancer risk is currently difficult to make, but the preventive action against such effects is usually to limit the exposure as much as possible.
镉暴露于人类和动物会导致几种不同的不良健康影响。在环境与职业健康领域,识别相对低暴露水平下出现的影响(即对预防行动至关重要的关键影响)非常重要。在人类长期接触镉的情况下,镉对肾脏的影响一直被视为关键影响,并且已基于风险建模和直接流行病学观察对这些影响进行了定量风险评估。然而,实验和流行病学研究正提供越来越多的证据表明镉具有致癌性,并且这种被认为具有随机性的影响可被视为关键影响。目前难以对癌症风险进行定量评估,但针对此类影响的预防行动通常是尽可能限制暴露。