Details |
|
Human subjects were analyzed for an association between leukemia & lymphoma, brain, skin and eye melanoma, breast, lung, colorectal, stomach, prostate, and bladder cancer (cases from 1974-1988) and proximity (residential postcode) to a radio and TV transmitter (broadcasting in 4 VHF frequency bands, 1 having a 1 Mega watt and the other 3 have 250 kW of effective radiated power) in Sutton Coldfield, West Midlands, England. An initial study in response to a report of a local leukemia & lymphoma cluster (Am J Epidemiology (1997) 145:1-9) involving the Sutton Coldfield tower (n = 480,000) reported a 3% excess in all cancers taken together at 0-10 km from the transmitter (OR = 1.03), although there was no decreasing risk with distance. There was also a larger increase in overall adult leukemia, some leukemia subtypes, and lymphoma within a 10 km circle. The leukemia showed a decreasing trend with distance, although the lymphoma did not. There was a statistically significant decrease in risk of skin melanoma and bladder cancer with distance, but there was no excess risk for these cancers within 1 km of the transmitter. The authors concluded from this first study that their was an excess of leukemia near the Sutton Coldfield transmitter. In a follow-up study involving 20 radio and TV transmitters throughout Great Britain (study population = 3.39 million) (Am J Epidemiology (1997) 145:10-17) expanded to include cancer incidence from 1974 – 1986, however, there was no confirmation of an increase in adult leukemia or leukemia subtypes. A decreasing trend in adult leukemia with distance from the transmitters (data from around all transmitters combined) was marginally significant, and certain individual transmitters showed marked decreases (p<0.05) with distance. The authors concluded that there is limited and inconsistent evidence from these studies for a change in tumor incidence with distance from the transmitters - the pattern and magnitude of risk associated with living near the Sutton Coldfield transmitter was not replicated around the other 20 transmitters. In 3 subsequent comments by Cooper & Saunders, Cherry, and Dolk on these studies (Am J Epidemiology (2001) 153:202-204), investigators continue to debate over the interpretation and relevance of the leukemia findings. |