By Jeese P. Greenstein, Alexander Haddow (Eds.)
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Extra info for Advances in Cancer Research, Vol. 3
The explanation of these conflicting reports is unknown. It may, perhaps, derive from a failure on the part of the patients t o understand correctly the import of the questions. 3. That the interpretation put on the results i s incompatible with the evidence from vital statistics. Several of the principal criticisms of this type have already been discussed and they will, therefore, only be listed here. a. That although the consumption of tobacco has undoubtedly increased, it has not yet been shown satisfactorily that there has been any real increase in the incidence of the disease (Rigdon and Kirchoff, 1953; Shapiro, 1954).
According to the earlier reports of Kuroda and Kawahata (1936) the risk experienced by men employed in generator gas plants of a Japanese steel mill is likely t o have been greater still (21 cases of lung cancer occurred in a 6-year period among 100 workers who had been employed for more than 10 years). The risk to which asbestos workers were exposed has been defined more fully by a study of the mortality among 113 men who had been exposed to the dust for 20 or more years (Doll, 1955). 8). Since the mortality was considerably less among men who had been employed for less than 10 years in the conditions which existed before 1932, when measures were taken t o reduce the amount of dust in the atmosphere, it must be presumed that the risk had a t one time been appreciably greater than the average estimated over the whole period.
C. Diferences in Urban and Rural Habits. The urban excess may also be due t o differences in the personal habits of townsmen and countrymen. Kreyberg (1954c, 1954d) came t o the conclusion that this was the most probable explanation from comparing the place of residence and the occupation of patients with his “group I ” and “group 11” tumors. He found that the ratio was greater for towns than for rural areas, but that it was unaffected by the degree of industrialization of the town or by the extent to which the town was exposed to wind from the sea.
Advances in Cancer Research, Vol. 3 by Jeese P. Greenstein, Alexander Haddow (Eds.)