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Lessons From Case Histories

Robert W. Miller

JAMA. 1981;245(15):1548-1551.

Abstract
Nine case histories illustrate the mounting problems owing to chemical contamination that often extends beyond the workplace into the community. The effects include not only carcinogenesis and teratogenesis, so much in the public's mind, but also severe neurological and gonadal disabilities immediately after exposure. Recognition of causal relationships is often made by astute clinicians. The experience of the Atomic Bomb Casualty Commission in studying Japanese survivors in Hiroshima and Nagasaki serves as a model for future studies of communities exposed to unusual environmental contamination.

(JAMA 1981;245:1548-1551)

Author Affiliations
From the Clinical Epidemiology Branch, National Cancer Institute, Bethesda, Md.

Footnotes
Reprint requests to Clinical Epidemiology Branch, A-521 Landow Bldg, National Cancer Institute, Bethesda, MD 20205 (Dr Miller).

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