By Jeese P. Greenstein, Alexander Haddow (Eds.)
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Extra resources for Advances in Cancer Research, Vol. 3
I n this general form, it can readily be demonstrated to be not true (Case, 1954). I n the particular case of cigarette smoking it can also be shown to be untrue; for, if it were true, it wouId follow that cancer of sites other than the lung would have t o be relatively more common among nonsmokers and light smokers than among heavy smokers. Several reports of the smoking habits of persons with cancer in other sites have been made. , 1953; Hammond and Horn, 1954). Gilliam added details of the data on cancer of the skin t o the data previously reported in conjunction with Sadowsky and Cornfield, and these showed a greater prevalence among nonsmokers than among cigarette smokers.
Evans assumed that the miners were exposed for 12 hours out of the 24, whereas people are exposed to normal atmospheric radiation throughout the day. More importantly, people are normally exposed from birth, 44 RICHARD DOLL whereas the miners were exposed, on the average, for 17 years from the age of 33 years. 0 per million. I n England and Wales the annual mortality from lung cancer among men aged 25 t o 74 was 912 per million in 1953, but much of this appeared t o be attributable to smoking. Estimates of the rates among nonsmokers have been made by Doll (1953b), from which it can be calculated that the mortality in this agegroup attributable to causes other thansmoking may be of the order of 69 per million.
Bonser and Thomas (1955) found, for example, that during the years 1950 to 1952 the number of cases diagnosed in hospital in a largely rural region of Scotland was 21% less than the number of persons recorded as having died of the disease, whereas in Leeds the deficiency was only 8%. Clemmesen, Nielsen, and Jensen (1953) found a similar difference between the proportion of cases not admitted t o hospital in the rural districts of Denmark and in 38 RICHARD DOLL Copenhagen (25% against 8 %). There has, therefore, clearly been less ready access to hospital for patients in rural areas, and the possibility must be admitted that some of the difference in mortality may be spurious.