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attributable mortality to radon exposure in galicia, spain. is it necessary to act in the face of this health problem由于死亡率氡暴露在加利西亚,西班牙。
Pérez-Ríos et al. BMC Public Health 2010, 10:256
/1471-2458/10/256
R E S E A R C H A R T I C L E Open Access
Research article
Attributable mortality to radon exposure in Galicia,
Spain. Is it necessary to act in the face of this health
problem?
1,2,3 1,3,4 1,3 1,3
Mónica Pérez-Ríos , Juan M Barros-Dios , Agustín Montes-Martínez and Alberto Ruano-Ravina*
Abstract
Background: Radon is the second risk factor for lung cancer after tobacco consumption and therefore it is necessary
to know the burden of disease due to its exposure. The objective of this study is to estimate radon-attributable lung
cancer mortality in Galicia, a high emission area located at the Northwest Spain.
Methods: A prevalence-based attribution method was applied. Prevalence of tobacco use and radon exposure were
obtained from a previously published study of the same area. Attributable mortality was calculated for each of six
possible risk categories, based on radon exposure and smoking status. Two scenarios were used, with 37 Bq/m3 and
3
148 Bq/m as the respective radon exposure thresholds. As the observed mortality we used lung cancer mortality for
2001 from the Galician mortality registry.
Results: Mortality exclusively attributable to radon exposure ranged from 3% to 5% for both exposure thresholds,
respectively. Attributable mortality to combined exposure to radon and smoking stood at around 22% for exposures
above 148 Bq/m3. Applying the United States Environmental Protection Agency (EPA) action level, radon has a role in
25% of all lung cancers.
Conclusions: Although the estimates have been derived from a study with a relatively limited sample size, these
results highlight the importance of rad
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