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Biomedical subjects

E G Létourneau

Publications and source records attributed to E G Létourneau.

7 recordsLinked to original sources
PubMed2001

First analysis of cancer incidence and occupational radiation exposure based on the National Dose Registry of Canada.

A cohort study was conducted to investigate the relation between cancer incidence and occupational exposure to ionizing radiation. Records containing dose information from 1951 to 1988 for 191,333 persons were extracted from the National Dose Registry of Canada. The records were linked to the Canadian Cancer Data Base, with incidence data from 1969 to 1988. Standardized incidence ratios were calculated using Canadian cancer incidence rates stratified by age, sex, and calendar year. Excess relative risks were obtained from internally based dose-response analyses. The following significant results were found for males and females combined: a deficit in the standardized incidence ratio for all cancers combined; elevated standardized incidence ratios for thyroid cancer and melanoma; and elevated excess relative risks for rectum, leukemia, lung, all cancers combined, all except lung, and all except leukemia. For males, cancers of the colon, pancreas, and testis also showed significantly elevated excess relative risks. The specific cancer types listed above have been implicated in previous studies on occupational exposure to ionizing radiation, except for testis, colon, and melanoma, while the findings on thyroid cancer from previous studies are inconclusive. The thyroid standardized incidence ratios in this study are highly significant, but further investigation is needed to assess the possibility of association with occupational radiation exposure.

Canada↗
PubMed1998

Indoor exposure to 222Rn: a public health perspective.

The objective of this study was to assess the lung cancer risk resulting from indoor radon exposure in the province of Quebec, Canada, and to evaluate the efficacy of mitigation measures to reduce this exposure. Concentrations of radon were determined in a representative sample of houses, and the corresponding lung cancer risk estimates were generated using the BEIR IV model, taking into account smoking, residential mobility, and regional variations in radon concentrations. Mean (geometric) radon concentrations in basements (n = 418) and on first floors (n = 319) were, respectively, 34.4 (95% CI-30.6 to 38.8) and 16.5 Bq m(-3) (14.2 to 19.3). A total of 109 deaths from lung cancer are predicted to occur as a result of this exposure in a cohort of 60,000 people. Detecting all residences with high radon concentrations (equal to or above 200 Bq m(-3)) and implementing mitigation measures in each of them would reduce by 4 the number of lung cancer deaths attributable to indoor radon exposure. A reduction of 0.05% in the prevalence of smoking would prevent as many deaths from lung cancer as would radon mitigation. From a public health perspective, in order to reduce mortality from lung cancer, most efforts should be focused on smoking, not on the relatively minor and hardly preventable population risk arising from household radon exposure.

Air Pollutants, Radioactive↗
PubMed1994

Case-control study of residential radon and lung cancer in Winnipeg, Manitoba, Canada.

A case-control study of lung cancer in relation to exposure to radon in homes in Winnipeg, Manitoba, Canada, was conducted during 1983-1990. In total, 738 individuals with histologically confirmed incident cases of lung cancer were interviewed, along with 738 controls matched on age (+/- 5 years) and sex. Radon dosimeters were placed in all residences in which the study subjects had reported living within the Winnipeg metropolitan area for at least 1 year. Radon dosimetry was done by means of integrated alpha-track measurements over a 1-year period. In the homes monitored, the average level of radon-222 was about 120 becquerels (Bq)/m3 in the bedroom area and 200 Bq/m3 in the basement. After adjusting for cigarette smoking and education, no increase in the relative risk for any of the histologic types of lung cancer observed among the cases was detected in relation to cumulative exposure to radon.

Adult↗
PubMed1985

Radon and radon daughter levels in energy efficient housing.

Radon and radon daughter concentrations have been measured in 33 "energy-efficient" homes in a small subdivision in Kanata, Ontario. Integrated radon measurements were determined over three month periods for a year using solid state nuclear track detectors. Radon and radon daughter grab sample determinations were made during corresponding periods and confirm the distributions of the integrated radon measurements. Annual average individual home radon concentrations show an 8 fold concentration range between homes. This variability in radon concentrations is not reflected in the range of air exchange rates for the homes. A distinct seasonal variation is noted for the median values of the radon and radon daughter concentrations and the equilibrium factor F in the dwellings.

Energy-Generating Resources↗
PubMed1985

Limitation of exposure to natural radioactivity in Canada.

The jurisdictional responsibility for natural radioactivity in Canada is divided between the federal and provincial governments. The desire for uniform standards has resulted in the formation of a scientific group to advise governments concerning the desirability of standards for exposure to natural radioactivity. The various types of exposure are reviewed with emphasis on naturally occurring radon in homes. The scientific Committee could not agree either philosophically or practically on the control level for radon in homes. To resolve this impasse, it undertook a calculation designed to illustrate for Canada, the potential cancers saved each year compared to the actual lung cancer rate, with an estimate of the cost for each limit derived. A second calculation reviewed the cost of modifying the building code and estimated the long term effect by comparing avoided cancers and cost. The calculations are based on cross-Canada surveys, intensive long term investigation of smaller groups of homes and national housing statistics. The results are discussed and serve to illustrate development of the proposed policy.

Canada↗