Geographic variation in U.S. thyroid cancer incidence and a cluster near nuclear reactors in New Jersey, New York, and Pennsylvania

International Journal of Health Services : Planning, Administration, Evaluation
Joseph Mangano

Abstract

In the United States, thyroid cancer incidence (along with liver cancer) is increasing more rapidly than any other malignancy, rising nearly threefold from 1980 to 2006. Improved diagnosis has been proposed by some as the major reason for this change, while others contend that additional factors also account for the increase. Among U.S. states, 2001-2005 age-adjusted thyroid cancer incidence rates vary from 5.4 to 12.8 per 100,000. County-specific incidence data, available for the first time, document that most U.S. counties with the highest thyroid cancer incidence are in a contiguous area of eastern Pennsylvania, New Jersey, and southern New York State. Exposures to radioactive iodine emissions from 16 nuclear power reactors within a 90-mile radius in this area indicate that these emissions are a likely etiological factor in rising thyroid cancer incidence rates.

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Citations

May 6, 2015·Thyroid : Official Journal of the American Thyroid Association·John P HanleyFrances E Carr
Sep 17, 2013·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·K Pazaitou-PanayiotouC S Mantzoros
Oct 16, 2015·Journal of Occupational and Environmental Medicine·Eli J KleinmanAlfred I Neugut
Sep 10, 2011·Medical Hypotheses·Aleksandra Fucic, Marija Gamulin
Nov 2, 2016·Thyroid : Official Journal of the American Thyroid Association·Joseph J WiltshireSabapathy P Balasubramanian
Apr 12, 2018·Archives of Endocrinology and Metabolism·Fausto FamaSalvatore Benvenga
Jul 19, 2011·Emerging Infectious Diseases·Timothy WilliamTsin Wen Yeo
Jan 26, 2020·International Journal of Environmental Research and Public Health·Maaike van GerwenEric Genden

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