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Seymour Jablon, MA; John D. Boice, Jr, ScD
National Cancer Institute Radiation Epidemiology Branch Bethesda, Md

JAMA. 1991;266(5):655.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—Gould asserts that, in our reports on cancer in populations living near nuclear facilities,^1,2 we ignored evidence that nuclear power plants are responsible for excess cancer mortality. We do not agree.

Gould makes three points: first, that cancer mortality in 1950 to 1959 cannot be compared with what happened later because of the confounding effect of fallout from weapons tests; second, that our comparison counties were inappropriate because they were also affected by radioactive effluents; and finally, that for two thirds of the study areas, cancer mortality after start-up was larger than expected at US rates. Gould is prepared to rely entirely on comparisons with concurrent rates for the entire United States, ignoring local variability associated with occupational, ethnic, and life-style factors for which matched control counties and comparisons of cancer rates before start-up with those afterwards, provide some measure of control.

Our article² contains data . . . [Full Text PDF of this Article]

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