Exposure of the American People to Iodine-131 from Nevada Nuclear-Bomb Tests Review of the National Cancer Institute Report and Public Health Implications (1999) / Chapter Skim
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6 Research Needs
6 Research Needs
Pages 152-156
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From page 152... ...
Though this committee does not believe that further research into understanding all of the impacts of global fallout on the continental United States will make an important contribution to current public health, there are those that might desire a more complete understanding of this matter. Presently, sufficient information does not exist to easily evaluate the possible increase in disease rates in the United States due to exposure of the public to fallout of other radionuclides from U.S.
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From page 153... ...
This ought to only be considered as a research recommendation if the government or public believes attaining a fuller understanding of nuclear testing to be an issue that supercedes other more basic health issues. EPIDEMIOLOGY The report of the National Cancer Institute (NCI 1997a)
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From page 154... ...
As the exposed population ages and as spontaneous incidence rates increase, the task of identifying the proportion of thyroid disease attributable to I131 exposure will become increasingly difficult. Nevertheless, the Chernobyl experience provides a unique opportunity to learn for the future and gain further information relevant to the public-health consequences of the Nevada testing.
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From page 155... ...
Those observations provide strong evidence for the role of ret rearrangements in the development of papillary thyroid cancer, which should be considered in recommendations for future research in patients exposed to radiation from atomic weapons fallout. Moreover, such research could have an important bearing on the nature of the dose-response relationship for thyroid cancer.
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From page 156... ...
· When an information source has lost its credibility, how does that source legitimately regain trust? Given the significant uncertainties surrounding I-131 exposure and cancer risk, the committee suggests that DHHS consider research to develop a better understanding of how people perceive the benefits and harms of cancer screening and how those perceptions are affected by different ways of presenting quantitative information and different ways of structuring clinician-patient communication.
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