Westin J B
Int J Health Serv. 1993;23(3):497-517. doi: 10.2190/DNV3-JJN1-G8KE-TV19.
The potential danger to humans of exposure to chemicals shown to be carcinogenic in animals has become increasingly clear in the last 20 years. A gap still exists, however, between the appreciation of the risk by scientists and the willingness of public health authorities to reduce it. Three pesticides, shown repeatedly to produce over a dozen different types of cancer in rats and mice, were discovered in inordinately high concentrations in Israeli milk and dairy products. The three pesticides--alpha-BHC, gamma-BHC (lindane), and DDT--had been shown to be present for ten years or more at mean concentrations up to 100 times those found in U.S. dairy products--with resultant concentrations in breast milk being possibly 800 times greater than those in the United States--yet neither the Ministry of Health nor the Israel Cancer Association made any apparent moves either to warn the public or to rectify the situation. A small consumer organization, Consumer Shield, brought the issue into the open. Through public pressure, court action, and the threat of further legal redress--and despite repeated attacks in the media by the milk producers, the Ministry, and the Cancer Association--Consumer Shield forced the authorities to outlaw the use of alpha-BHC and lindane (DDT no longer being in general use). The ban resulted in a precipitous drop in the concentrations of these substances in Israeli milk. Recent epidemiological and laboratory findings suggest that the dramatic drop in breast cancer mortality rates subsequent to the pesticide ban could be a direct result of that ban.
在过去20年里,接触在动物身上已显示具有致癌性的化学物质对人类的潜在危险日益明显。然而,科学家对这种风险的认知与公共卫生当局降低风险的意愿之间仍然存在差距。在以色列的牛奶和奶制品中发现了三种农药,它们在大鼠和小鼠身上反复被证明会引发十几种不同类型的癌症,且浓度极高。这三种农药——α-六六六、γ-六六六(林丹)和滴滴涕——已被证明平均浓度在长达十年或更长时间里比美国奶制品中的浓度高出100倍,母乳中的浓度可能比美国高出800倍,然而卫生部和以色列癌症协会都没有采取任何明显行动来警告公众或纠正这种情况。一个小型消费者组织“消费者盾牌”将这个问题公开化了。通过公众压力、法律诉讼以及进一步法律补救的威胁——尽管牛奶生产商、卫生部和癌症协会在媒体上多次进行攻击——“消费者盾牌”迫使当局宣布α-六六六和林丹的使用为非法(滴滴涕已不再普遍使用)。这一禁令导致以色列牛奶中这些物质的浓度急剧下降。最近的流行病学和实验室研究结果表明,农药禁令后乳腺癌死亡率的大幅下降可能直接归因于该禁令。