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Letter Report
Pages 1-17

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From page 1...
... That report describes possible health effects of the PAVE PAWS radar located at the Massachusetts Military Reservation in Cape Cod, Massachusetts. This is the fourth and final report to be issued by this committee.
From page 2...
... That information includes a cancer incidence study of a phased-array radar not reviewed in the committee's 2005 report (IEI Report, Chapter 1: B-4 Cancer Incidence Study Around the Fylingdales Phased Array Radar Installation) ; secular trend analyses of county cancer mortality rates (IEI Report, Chapter 2: Secular Trend Analyses of County Cancer Mortality rates)
From page 3...
... IEI Report, Chapter 2: Secular Trend Analyses of County Cancer Mortality Rates Selection of Comparison Counties An important issue to consider regarding the secular trend analyses conducted by IEI is the choice of comparison counties, that is, Barnstable County (Cape Cod) versus Berkshire, Hampshire, and Worcester Counties.
From page 4...
... . To assess the influence of using Worcester as one of the comparison counties, the committee attempted to calculate mortality rate ratios similar to those provided in Chapter 2 of the IEI report, excluding Worcester County.
From page 5...
... Pre- and Post-PAVE PAWS Comparisons and Time Trends in Mortality The secular trend analysis of the IEI report explored specific aspects of secular trends in mortality but leaves some trend questions unanswered. The IEI secular trend comparison addresses the question: Does the change in indirectly standardized mortality rates before and after initiation of PAVE PAWS operations differ between Barnstable and the comparison counties?
From page 6...
... and data for 248 block groups (61 census tracts) to evaluate surrogate3 dose-response relationships to address whether for each disease the rate increases or decreases as measured radar exposure 3 While the IEI report indicates that IEI monitored "dose-response" for exposures to PAVE PAWS radar, in fact the institute used exposure as a surrogate for dose.
From page 7...
... Rather, ZIP code of residence at time of death or hospitalization was used as the indicator of location and a radar exposure level was assigned for that location. The IEI report concluded that "analyses of mortality rates by census tract and census block group4 provided little evidence of adverse health effects resulting from exposure to PAVE PAWS radar" (p.
From page 8...
... IEI Report, Chapter 4: Dose-Response Analyses of Cancer Incidence Rates Cancer incidence was also evaluated in relation to PAVE PAWS radar exposure. The analytic approach was similar to that described for mortality.
From page 9...
... NRC Recommendation 1 The IEI report satisfies, in part, NRC Recommendation 1 (integrate exposure assessment and health at the census block level) by considering ZIP code areas, census tract, and census block group data, but stops short of census-block-level data, primarily due to limited data availability at the block level.
From page 10...
... , the IEI report incorporates several standard confounding factors such as age and socioeconomic status and discusses potential impacts of smoking behavior in Cape Cod residents as related to patterns in cancer incidence and mortality (but without data relating to smoking, such as the Behavioral Risk Factor Surveillance System smoking patterns used in the 2005 NRC report)
From page 11...
... For example, the IEI report considered census block group data and data at the ZIP code level and included analyses of low birth weight, neurodegenerative disorders, and autoimmune disorders. In particular, the individual level low-birth-weight analysis suggests that extensions of the present studies are unlikely to find an association with exposure to the PAVE PAWS radar.
From page 12...
... Sincerely, Frank E Barnes, Chair Committee to Assess Potential Health Effects from Exposures to PAVE PAWS Low-level Phased-array Radiofrequency Energy APPENDIX A Factual Errors There are a several statements in the IEI report that the committee finds to be factually incorrect or incomplete.
From page 13...
... 106) of the IEI report presents the age-adjusted relative risk of male brain cancer incidence as 1.27 (or about 1.3)
From page 14...
... . APPENDIX C Recommendations from 2005 committee report entitled, An Assessment of Potential Health Effects from Exposure to PAVE PAWS Low-Level Phased-Array Radiofrequency Energy The following is excerpted from Chapter 10 (Summary of Conclusions and Recommendations)
From page 15...
... Studies are recommended that include large-scale genomic and proteomic screening to identify gene- and protein-expression patterns in cell and animal studies after exposure to simulated PAVE PAWS radiation, both at levels approximating peak-exposure levels of the CAPE COD population and at higher power levels to identify potential threshold power densities for biological effects. The committee recognizes that the limitation of these studies is that they may have limited applicability to the human situation.
From page 16...
... 2004b. A Survey of Radiofrequency Energy Field Emissions from the Cape Cod Air Force Station PAVE PAWS Radar Facility: Final Test Report, prepared for PAVE PAWS Public Health Steering Group by Broadcast Signal Lab, Medfield MA.
From page 17...
... J STOLWIJK, Yale University, New Haven, CT LANCE WALLER, Rollins School of Public Health, Emory University, Atlanta, GA DANIEL WARTENBERG, Environmental and Occupational Health Sciences Institute, Robert Wood Johnson Medical School, Piscataway, NJ GAYLE E


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