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Epidemiologic Investigation of Health Effects in Air Force Personnel ...

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after heavy exposures to TCDD. There were 32 deaths <strong>in</strong> the group, and the<br />

relative risks <strong>of</strong> death were 0.69 for all causes, and 1.0 for malignancy;<br />

however, no firm conclusions can be drawn due to the small numbers <strong>in</strong>volved. A<br />

Czechoslovakian study <strong>in</strong>volv<strong>in</strong>g a 10 year followup <strong>of</strong> TCDD exposed workers, and<br />

a US National Cancer Institute (NCI) mortality study <strong>of</strong> 4,400 structural pest<br />

control workers are also underway. Prelim<strong>in</strong>ary results <strong>of</strong> a larger study <strong>of</strong><br />

long-term morbidity by Susk<strong>in</strong>d at the Nitro site have failed to reveal<br />

significant abnormalities other than persistent mild chloracne and decreased<br />

nerve conduction velocities, possibly associated with alcohol <strong>in</strong>take.<br />

These new studies, and the cont<strong>in</strong>u<strong>in</strong>g evaluations <strong>of</strong> the Seveso, Italy,<br />

population, should cont<strong>in</strong>ue to provide valuable data. The large study groups<br />

<strong>in</strong>volved <strong>in</strong> the Seveso and NCI studies should provide good statistical power,<br />

and the Nitro, West Virg<strong>in</strong>ia, and Czechoslovakian efforts will evaluate the<br />

effects <strong>of</strong> exposure after prolonged periods <strong>of</strong> time (10-30 years). The results<br />

<strong>of</strong> these studies should fill major gaps <strong>in</strong> the knowledge <strong>of</strong> 2,4,5-T/TCDD epidemiology,<br />

and should prove to be useful <strong>in</strong> evaluat<strong>in</strong>g the long-term effects <strong>of</strong><br />

these compounds on health and reproductive outcomes.<br />

16

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