Abstract:
:We present a model to plan a rational strategy for cancer prevention that has two main functions--assessment and intervention. The assessment function includes three main components: to identify populations at high cancer risk, which may be due to their ethnic group, occupational and environmental exposures, family history, cigarette smoking, or other risk factors; to assess exposure to known carcinogens through the general and occupational environments, lifestyle factors, and the home as well as to document known carcinogens using human tissue banks and develop and validate questionnaires to target known risk factors for each of the most common cancers; and to conduct research studies of high-risk populations, including studies on mechanism and genetic testing. The intervention function includes three components: development of population-based intervention programs using the results from the research studies; evaluation of intervention programs; and modification of existing intervention programs and implementation of new ones. The above-proposed prevention strategy depends to a great extent on population-based cancer registries. Existing cancer registries around the United States should be strengthened and other dimensions should be added to their charge to augment their function in prevention research. To convert existing population-based cancer registries, particularly those that serve multiethnic and multicultural populations, into Cancer Prevention Research Registries (CPRRs), three types of data in addition to their existing required data complement should be incorporated. These are exposure information including occupational history, host factors information, and information about family history of cancer and associated conditions. The primary goal of the CPRRs should be to support cancer prevention research in its widest sense. Future research needs must be designed to investigate each of the components of the prevention strategy as well as its integrated performance. Regardless of what we do in the future, we must now promote healthier lifestyles, prevent exposure to known carcinogens, and improve early detection procedures.
journal_name
Environ Health Perspectjournal_title
Environmental health perspectivesauthors
Anton-Culver Hdoi
10.1289/ehp.95103s8237subject
Has Abstractpub_date
1995-11-01 00:00:00pages
237-9eissn
0091-6765issn
1552-9924journal_volume
103 Suppl 8pub_type
杂志文章abstract:BACKGROUND:Decision analysis-a systematic approach to solving complex problems-offers tools and frameworks to support decision making that are increasingly being applied to environmental challenges. Alternatives analysis is a method used in regulation and product design to identify, compare, and evaluate the safety and...
journal_title:Environmental health perspectives
pub_type: 杂志文章,评审
doi:10.1289/EHP483
更新日期:2017-06-13 00:00:00
abstract::The industrial accident that occurred in the town of Seveso, Italy, in 1976 exposed a large population to substantial amounts of relatively pure 2,3,7,8-tetrachlorodibenzo-p-dioxin. Extensive monitoring of soil levels and measurements of a limited number of human blood samples allowed classification of the exposed pop...
journal_title:Environmental health perspectives
pub_type: 杂志文章,评审
doi:10.1289/ehp.98106625
更新日期:1998-04-01 00:00:00
abstract:BACKGROUND:Evidence suggests that cardiovascular effects of air pollution are mediated by inflammation and that air pollution can induce genetic expression of the interleukin-6 gene (IL6). OBJECTIVES:We investigated whether IL6 and fibrinogen gene variants can affect plasma IL-6 responses to air pollution in patients ...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.0800370
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:The potential impact of microwave radiofrequency electromagnetic fields (RF-EMF) emitted by wireless communication devices on neurocognitive functions of adolescents is controversial. In a previous analysis, we found changes in figural memory scores associated with a higher cumulative RF-EMF brain dose in ad...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/EHP2427
更新日期:2018-07-23 00:00:00
abstract:BACKGROUND:A critical question regarding the association between short-term exposure to ozone and mortality is the extent to which this relationship is confounded by ambient exposure to particles. OBJECTIVES:We investigated whether particulate matter < 10 and < 2.5 microm in aerodynamic diameter (PM(10) and PM(2.5)) i...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.10108
更新日期:2007-11-01 00:00:00
abstract::We present a model of the distribution of noise annoyance with the mean varying as a function of the noise exposure. Day-night level (DNL) and day-evening-night level (DENL) were used as noise descriptors. Because the entire annoyance distribution has been modeled, any annoyance measure that summarizes this distributi...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.01109409
更新日期:2001-04-01 00:00:00
abstract::This subject concerns the complex interrelationship of a genetically determined protein deficiency, enzymes which are inhibited by that protein, environmental challenges such as cigarette smoke and industrial pollutants, and the occurrence of obstructive lung disease (Fig. 1). Unequivocal establishment of an etiologic...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.792957
更新日期:1979-04-01 00:00:00
abstract::In this article we summarize the results of a series of studies that measured the relative bioavailability (RBA) of lead in a variety of soil and soil-like test materials. Reference material (Pb acetate) or Pb-contaminated soils were administered orally to juvenile swine twice a day for 15 days. Blood samples were col...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.8852
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Adapting to extreme heat is becoming more critical as our climate changes. Previous research reveals that very few communities in the United States have programs to sufficiently prevent health problems during hot weather. OBJECTIVE:Our goal was to examine county-level local heat preparedness and response in...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.1306693
更新日期:2014-06-01 00:00:00
abstract::Naturally occurring radon is a relatively ubiquitous environmental carcinogen to which large numbers of people can be exposed over their lifetimes. The accumulation of radon in homes, therefore, has led to a large program to determine the effects of the densely ionizing alpha particles that are produced when radon dec...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.93101s373
更新日期:1993-10-01 00:00:00
abstract:BACKGROUND:Microcystin-producing Microcystis bloom is a severe water problem in the world. Some reports indicate that chronic exposure to microcystin may result in liver damage in adults, but information on effects in children is limited. OBJECTIVE:We investigated the relationship between microcystin exposure and live...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.1002412
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Particulate matter (PM) in outdoor air pollution was recently designated a Group I carcinogen by the International Agency for Research on Cancer (IARC). This determination was based on the evidence regarding the relationship of PM2.5 and PM10 to lung cancer risk; however, the IARC evaluation did not include ...
journal_title:Environmental health perspectives
pub_type: 杂志文章,meta分析,评审
doi:10.1289/ehp/1408092
更新日期:2014-09-01 00:00:00
abstract::The National Urban Air Toxics Research Center (NUATRC) hosted its first scientific workshop in 1994 that focused on possible relationships between air toxics and asthma. From that meeting came recommendations for future research including a need for more complete individual personal exposure assessments so that determ...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.02110s4501
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Bacterial meningitis causes a high burden of disease in the African meningitis belt, with regular seasonal hyperendemicity and sporadic short, but intense, localized epidemics during the late dry season occurring at a small spatial scale [i.e., below the district level, in individual health centers (HCs)]. I...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/EHP2752
更新日期:2018-09-01 00:00:00
abstract::Stable associations of syntrophic fermentative organisms and populations that consume fermentation products play key roles in the anaerobic biodegradation of chlorinated organic contaminants. The involvement of these syntrophic populations is essential for mineralization of chlorinated aromatic compounds under methano...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.6933
更新日期:2005-03-01 00:00:00
abstract::The association between ambient air pollution and adverse health effects, such as emergency room visits, hospitalizations, and mortality from respiratory and cardiovascular diseases, has been studied extensively in many countries, including Canada. Recently, studies conducted in China, the Czech Republic, and the Unit...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.6251
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Prenatal and early-life periods may be critical windows for harmful effects of air pollution on infant health. OBJECTIVES:We studied the association of air pollution exposure during pregnancy and the first year of life with respiratory illnesses, ear infections, and eczema during the first 12-18 months of a...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.1205281
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:The rapidly increasing dissemination of carbapenem-resistant Enterobacteriaceae (CRE) in both humans and animals poses a global threat to public health. However, the transmission of CRE between humans and animals has not yet been well studied. OBJECTIVES:We investigated the prevalence, risk factors, and dri...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/EHP5251
更新日期:2019-10-01 00:00:00
abstract::Alveolar macrophages were treated with carbon blacks and adsorbates in order to evaluate the biologic effect of adsorbate, adsorbent and adsorbate-adsorbent complexes. Their capacity to phagocytize a subsequent challenge via the Fc-membrane receptor was quantified. Phagocytosis was suppressed in a dose-related manner ...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.9086337
更新日期:1990-06-01 00:00:00
abstract::The effect of sodium selenite administered intragastrically in repeated doses to rats receiving ethylmercuric chloride po in various repeated doses (0.25 or 2.5 mg Hg/kg) on the excretion, whole-body retention, and organ distribution of mercury was studied. Selenium was found to affect the distribution of ethylmercury...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.39-1568742
更新日期:1981-06-01 00:00:00
abstract::We developed a series of articles concerning epidemiologic research on potential health effects of electric and magnetic fields. Our goal was to identify methodological issues that have arisen through past studies of cancer, reproduction, and neurobehavioral outcomes in order to suggest strategies to extend knowledge....
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.93101s471
更新日期:1993-12-01 00:00:00
abstract::Okadaic acid, dinophysistoxin-1 (35-methylokadaic acid), and calyculin A are the okadaic acid class of non-12-O-tetradecanoylphorbol-13-acetate (TPA)-type tumor promoters, which do not bind to the phorbol ester receptors in cell membranes or activate protein kinase C in vitro. They have potent tumor-promoting activiti...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.9193211
更新日期:1991-06-01 00:00:00
abstract:BACKGROUND:Thyroid hormones are important regulators of brain development. During critical periods of development, even transient disorders in thyroid hormone availability may lead to profound neurologic impairment. Animal experiments have shown that certain environmental pollutants, including heavy metals and organoch...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.10486
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Extreme heat events (EHEs) are increasing in frequency in large U.S. cities and are responsible for a greater annual number of climate-related fatalities, on average, than any other form of extreme weather. In addition, low-density, sprawling patterns of urban development have been associated with enhanced s...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.0901879
更新日期:2010-10-01 00:00:00
abstract::Low-dose extrapolation model selection for evaluating the health effects of environmental pollutants is a key component of the risk assessment process. At a workshop held in Baltimore, Maryland, on 23-24 April 2007, sponsored by U.S. Environmental Protection Agency and Johns Hopkins Risk Sciences and Public Policy Ins...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.11502
更新日期:2009-02-01 00:00:00
abstract::Metallothionein from livers of mice was isolated by gel chromatography and isoelectric focusing. One of two forms thus obtained contained 32 percent cysteine. This form, labeled in vitro with 109Cd, was injected intravenously in mice, and the distribution of 109Cd was studied. Animals killed after 4 hrs had over 80 pe...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.7512103
更新日期:1975-12-01 00:00:00
abstract::Chronic exposure of rodents to high dose levels of drugs, food additives and environmental chemicals frequently results in liver enlargement. Several of these compounds have been found to enhance the incidence of liver tumors in animals briefly exposed previously to hepatocarcinogens. Accordingly, it has been advanced...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.8350113
更新日期:1983-04-01 00:00:00
abstract::A patient with massive exposure to tetrachloroethylene fumes presented with coma and severe pulmonary edema. Sequential blood gases, chest x-rays, and clinical findings showed dramatic improvement with conventional but aggressive management and the patient recovered completely. There was no evidence of permanent renal...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.7721247
更新日期:1977-12-01 00:00:00
abstract::A brief overview is given of the sources, characteristics, and toxic constituents of municipal solid wastes. Several methods are presented for handling, treating, and disposal of solid wastes. Monitoring the landfill site is necessary; there has been a trend to recognize that municipal solid wastes may be hazardous an...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.7827239
更新日期:1978-12-01 00:00:00
abstract:BACKGROUND:Air pollutants may induce airway inflammation and sensitization due to generation of reactive oxygen species. The genetic background to these mechanisms could be important effect modifiers. OBJECTIVE:Our goal was to assess interactions between exposure to air pollution and single nucleotide polymorphisms (S...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.11117
更新日期:2008-08-01 00:00:00