How to approach complex mixtures: lessons from the epidemiology of electromagnetic fields. 1991

R R Neutra
Special Epidemiological Studies Program, California Department of Health Services, Berkeley 94704.

The problem posed by electric and magnetic fields (EMF) is an example of a class of problems increasingly faced by environmental epidemiologists. An easily observed characteristic of location is associated with disease. This characteristic is clearly a surrogate for some component of a complex mixture, but there is no compelling biological theory to indicate what the responsible component or components are. Indeed, the lack of theory and a measurable agent leads some to doubt the reality of the association between disease and the surrogate. How does one home in on the responsible component of the mixture? The research strategy for approaching EMF health effects by the California Department of Health Services is described. The author argues, from some preliminary results about the stability of spot measurements and personal monitoring for magnetic field intensity, that the time integral of magnetic field intensity may not be a prime candidate as a causal agent of cancer. An approach is suggested for evaluating locations with cancer clusters in the context of a systematic study which could provide useful information. The approach used for EMF is generalized for other complex mixture problems such as the sick building syndrome. Nine recommendations are made.

UI MeSH Term Description Entries
D009369 Neoplasms New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms. Benign Neoplasm,Cancer,Malignant Neoplasm,Tumor,Tumors,Benign Neoplasms,Malignancy,Malignant Neoplasms,Neoplasia,Neoplasm,Neoplasms, Benign,Cancers,Malignancies,Neoplasias,Neoplasm, Benign,Neoplasm, Malignant,Neoplasms, Malignant
D002140 California State bounded on the east by Nevada and Arizona, on the south by Mexico and the Pacific Ocean on the south and west, and on the north by Oregon.
D004574 Electromagnetic Fields Fields representing the joint interplay of electric and magnetic forces. Electromagnetic Field,Field, Electromagnetic,Fields, Electromagnetic
D004781 Environmental Exposure The exposure to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals. Exposure, Environmental,Environmental Exposures,Exposures, Environmental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013029 Space-Time Clustering A statistically significant excess of cases of a disease, occurring within a limited space-time continuum. Clustering, Space-Time,Clusterings, Space-Time,Space Time Clustering,Space-Time Clusterings
D015986 Confounding Factors, Epidemiologic Factors that can cause or prevent the outcome of interest but are not intermediate variables of the factor(s) under investigation. Confounding Factor, Epidemiologic,Confounding Factors, Epidemiological,Confounding Factors, Epidemiology,Confounding Variables,Confounding Variables, Epidemiologic,Confounding Variables, Epidemiological,Confounding Factor, Epidemiological,Confounding Factor, Epidemiology,Confounding Variable,Confounding Variable, Epidemiologic,Confounding Variable, Epidemiological,Epidemiologic Confounding Factor,Epidemiologic Confounding Factors,Epidemiologic Confounding Variable,Epidemiologic Confounding Variables,Epidemiological Confounding Factor,Epidemiological Confounding Factors,Epidemiological Confounding Variable,Epidemiological Confounding Variables,Epidemiology Confounding Factor,Epidemiology Confounding Factors,Variable, Confounding,Variable, Epidemiologic Confounding,Variable, Epidemiological Confounding,Variables, Confounding,Variables, Epidemiologic Confounding,Variables, Epidemiological Confounding

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