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Appendix D - Dossier (PDF) - Tera

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date: 20–JUL–2005<br />

5. Toxicity Substance ID: 71–43–2<br />

______________________________________________________________________________<br />

Species: human Sex:<br />

Remark: A letter to the Editor, criticizing a meta–analysis of<br />

Non–Hodgkin’s Lymphoma (NHL) in petroleum workers published<br />

by Wong and Raabe in an earlier volume (JOEM (2000) 42:<br />

554–568).<br />

The letter suggests that the meta analysis lacked<br />

sensitivity, that the healthy worker effect masked the true<br />

incidence of NHL, and the characterization of benzene<br />

exposure was inadequate.<br />

Wong and Raabe refute each of these claims in their reply.<br />

Source: A.K. Mallett Surrey<br />

12–SEP–2001 (426)<br />

Species: human Sex:<br />

Method: Subjects<br />

The cancer cases in this study were children born after 31<br />

December 1959 and identified from the Danish Cancer<br />

Registery as having a diagnosis of leukemia, tumor of the<br />

CNS or malignant lymphoma when under the age of 15 yr during<br />

the period January 1968 – December 1991. A total of 1,989<br />

children were included in the study. 5,506 control children<br />

were selected at random from the entire Danish population.<br />

<strong>Appendix</strong> D: Benzene SIDS <strong>Dossier</strong><br />

Residential history<br />

Familal background, including the residential history of<br />

each family, was obtained from central government records.<br />

Exposure assessment<br />

The average concentrations of benzene and nitrogen dioxide<br />

(used as markers of traffic–related polution) at the<br />

families addresses were assessed using the Operational<br />

Street Pollution Model. Historic information on urban<br />

layout, traffic patterns and meterologic data were obtained<br />

from central records. The geographic distribution and<br />

temporal variation in background air pollution levels were<br />

estimated from measurements made during 1994–1995 at four<br />

sites in different parts of Denmark, and from information on<br />

changes in air pollution since 1960.<br />

Statistics<br />

The risk of childhood cancer was analysed according to<br />

traffic density and air pollution level at the residence<br />

during pregnancy and during childhood. Cumulated exposure<br />

was calculated from the date of birth until 12 months before<br />

the date of diagnosis, with an additonal requirement of at<br />

least 6 months of follow–up exposure (ie cancers diagnosed<br />

before age 18 months were excluded).<br />

The relative risk for childhood cancer were estimated by<br />

conditional logistic regression analysis. Exposure and<br />

traffic density estimates were log transformed to avoid<br />

– 546/957 –

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