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SV40-Contaminated Poliovirus Vaccine and Childhood Cancer Risk
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To the Editor.In examining the carcinogenic effects of exposure to simian virus 40 (SV40)contaminated poliovirus vaccine, Strickler et al1 concluded that such exposure "was not associated with significantly increased rates of ependymomas and other brain cancers, osteosarcomas, or mesotheliomas." The expectation that the available data provided reliable incidence rates for a comparative analysis using Poisson regression techniques deserves reconsideration.
The Surveillance, Epidemiology, and End Results (SEER) database captures only tumors occurring during ages 26 to 41 years, 17 to 31 years, and 9 to 24 years in the childhood-exposed, infant-exposed, and unexposed cohorts, respectively, as defined by Strickler et al. Clearly, the ages for which tumor incidence is known for the entire childhood-exposed and unexposed cohort are incongruent. Poisson regression is a powerful statistical tool; however, negative conclusions drawn from a comparison of 2 or more regression models mathematically generated from incidence rates of very different age groups may . . . [Full Text of this Article]
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