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Experts Ask That National Records Be Kept on Cancer
By LAWRENCE K. ALTMAN Greenwald said. "Such costs." w-ith the highest rates of cer- adding that without the act.
S}': c {p
St* Vv* ?:mfi
he added, "would be a 'mail 'ical cancer.
rate statistics coi.ected fret-
HOUSTON Mav 27 -- Three New York State health experts
part of total expenses of cancer _ Thou8h
.... Department
.reatmen.,
the survlva|
Nw Yrk H1ealt!] has not analyzed ra:cJ from certain
previous >ear?, such a study might nave been impossmie
prooc<d today that cancer be Ot.-er physicians suggested cancers ,, deiermine :ne quai. Though each state does re:
resorted nationally through tu mor resumes m each state
Dr. Peter Greenwald and Dr. Wiliiam S. Burnet: of the New
that such regguistries cou.d be lty 0; medical and surgical
integrated into the country s treatmenti nr Greenwaid said
Regional Medical Program
'that registrv information could
... A ?d reg'i;ry.Stf; W'".in; * wed for this purpose s.re follow up m the esent Doctors m one county, he
need a registry to answer mese
questions of national concern, such programs couid prowoe data useful to state and local communities.
York
State
Department the pnysictan dies, the patient said Couid evaluate their re By utilizing such information.
of Health a: Albany, and Dr. Charles D. Shcr--an." a surgeon in Rochester, mae the suneestion m a reoor: at the 10th International Cancer Congress he*e.
Such registries. Dr. Green waid said ;n an interview, could
c.nanges doctors without know-, mg ms diagnosis, or the patient moves." Dr Greenwald said.
The value of such registries, ne empnasized. depends on the interest of the health workers running it.
Since 1940. Dr. Greenwaid
suits with those of their col leagues in another countv. Also,
Dr. tors
Greenwald said that doc might gain clues for the
if each state uses loent.cai association of certain types o'
classifications, physicians ccuid compare their results wrh dov
cancer agents.
with
environmental
tors elsewhere in the country. For example. Dr. Irving Sc!:-
Another Use
. koff of Mount Sinai Hospital 'New York City, and other doc
he used to p*event oeaths said, tne law has featured doc-: Rachel Carson's book, "Siient tors have linked a cancer
from certain cancers, improve tors, hospitals and laboratories Spring." which caused concern called mesothelioma with occu
the quality of medical ca*e in the state -- but excluding about a possible increase m pational exposure to asbestos
and cancer th.c-an" . prnv.de New York City -- to report cancers from pesticides, exem Though mesotheliomas are rare,
a means of continuing educa- ail new cases of cancer to the phficd another use. Depar.ment asbestos workers, particularly
fon for practicing physicians Health Department.
, of Ht-ulih physicians, also con- those who smoke, have an un
and. as a byproduct, recognize From such reports, doctors eerned about this possibility, usually hign incidence of this
c ues to environmental causes can learn the usual incidence used its registry to see if the cancer. Dr. Greenwaid said he
of cancer. Many cancer re of more than 100 different forms numbers of cancers of liver, .suspected that a registry could
searchers susoect that chemi of cancer, and threbv detect bladder, brain and other organs be used to detect similar occu
cals or combinations of such unusual incidences of a particu-had risen during the 15-year pational or environmental asso
acents In the environment can lar type.
period after pesticide use be- ciations.
cause cancer
| Data Used in Analysis came widespread. No .ncrease. "You wouldn't run a multi-
Jus: s:x states, including New, ,.
_
Dr. Greenwald sa.-i. was tonne. million-dollar business without
York 2nd Connecticut, have For example, Dr. Greenwald "Our repository made it pos- accurate figures on how it per
tumor registries. In other said that the Health Depart-;sible l0 the ,tudy without forms." Dr. Greenwald said,
states, hundreds of hospitals ment was using such data to Spend;ng thousands of extra "but that's wnat we're doing
have individual registries with analyze cases of cancer of the dollars." Dr. Greenwald said, with cancer."
out statewide coordination. cervix. Preliminary results.
Several foreign counirtes. in he said, suggest differences
cluding Israel. Denmark. Nor the rates of cervical cancer in SI .5-Biliion Integration Bill Senator Javits had refused to
way and Russia, cancer registries.
have
national several New York counties. i I By using the so-caiied Pao.
Given
to
,,.
Senate
.
by
. .. introduce the legislation on be
Javits half of the Administration in
Savings in human lives and smear, doctors can detect and-
---------------------
the draft form submitted to
dollars. Dr Greenwald said, offer treatment at the earliest WASHINGTON. May 26 (UPIV Congress last week.
would more than offset the stages of cervical cancer. This --Senator Jacob K. Javits. New Since then, however, the re
estimated vearly operating cost provides the patient with the York Republican, Tueday intro- striction against busing has
S15-miiion for such regis- greatest chance of cure.
duced President Nixon's $1.3- been stricken, the establishment
nes. ] If further analysis confirms billion prooosal to help school of an advisory committee to
Pilot Program Urged
such variations. Dr. Greenwald desegregation after the Admm- oversee the act has been re said that health deoartments istration backed dow-n on its stored. and the bill has been
Dr. Greenwaid. who directs would encourage more Pao prohibition against busing to broadened to include "linguistic
the state's Bureau of Cancer smear programs in those areas achieve racial balance.
minorities."
Control, suggested that staffs
could be trained to develop a!
nationwide system over a 10year Denod if pilot programs
proved successful.
"The cots could be funded as part of good patient care,
m me hospitals where a:mcs: victims of cancer co." Dr'
]PLAINTIFF'S? ft
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