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h'l&DiL' ii. ; /"'V mcricans used to think of canfj\\ cer--when they permitred / '' \ themselves to think of it at all-- fc5*""tdkas one of those roll-oi-the-diee diseases: mysterious, unpredie table and, if your number tame' up, unavoidable fatal. But recently, they have been learn ing something new and, in a sense, far more frightening about cancer. In the vast majority oi eases, cancer may he a man-made disease. To judge fiom newspapers, magazines and television, even the simple acts of eating, drinking, breathing arid touching may expose Americans to some possiblecause of cancer. Women have been warneo not to eat beef liver because it may oroduee cuueerot the vagina. Sever al ot the nation's major sources ol \cat"r have la i i. found ' , oi. aiu an indie ti ! chemical that i auses cancer m laboratory rats. Polyvinyl chloride fPVC), a plastic used in food w tapping, is aNo under suspicion. Some hi us'-wives began to shun bacon and bam atier they a cre toi l these products contain dangerous "the introduction into the universe of potent chemical agents whic h are l.uireb untested ior advcise public dieaith etIccts." Epstein u(/tes tb.lt earn er ra'es have nearly tripled since 1900 (parth. because ot increased hie expect.mec , partly because of better diagnostic tec hniques), and that thev have gone up 1 per cent a year sintc 19d3---not to mention the mysterious but '-till tentative d 5 per cent increase indicated tor 1975 "There is no question," he says, "that cancer is a major epidemic." Though a number of Epstein's col leagues might choose to state the case less dramatically, tew disagree that the environment and what man has .one to it loom iiu '-asingK ,0. the iraior smirt es ot the Second great: st killer latter heart attacks' in the nation. In sn.ntidi Mat support oi this thesis. Academic Pie-, this week will publish a massive, 5 pi page report entitled "Person- at High Risk of Ca tic er. R;e ed on a -chip .-nun sponsored by the .National Cancer Insti tute and the American Cancer .Society, PROSTATE10S VC-- TI- r ! *--/ ^LEUKEMIA AND II LYMPHOMAS S` J ii[[aallll Oc THER 121k I ^---------- I FiqcicS 1 I'd C (o reel", estimated 19, e cancer c.vihc * chemicals Perhips most worrisome of all is the las ! tii.tt i 11;1 latest statistles show a cancc r-de.idl n-e ol 5 5 per rent lor 1975--I In nicb 1 i; 1 may Ire revised \\ hen all (la hgaic ' .lie 1:1. Sui.,11 v.oinii r. ti "ii, that hiaiic st umitdi. I spLfts have 1" non to regard the t in itouuicnt--e\ere tiling see come into cunt.ict weC-a- a tar mote signu'a ant somee ol c.iiuii tii.ni aberailt celudir mutation. l.ci n it tin- hi adlmes loud sometuni s to o'.t rstate tin- case, liiere seems bide 1! a.la that the newest Irontier in sawi er not arc h lias now become the t ll\ UiMilUriit 11 m 1 It Already the World lbaliii ()t e.im/ation 1 'tmi.itrs that up to 5 1 net cent ot ali 1 am or uisrs are the dios t u-siilt ot cvpusuic to rinirniniiciit.il l.s Ims ol 0110 kind or an other--111 111 me instance almost t it.ills* tically si II m!bi ted lw so- h h ibit- as overeating, suioknu 1 >c 1 11 h 111L111 g and eveessive rvpi.suii to si.nln lit and ti.Uigeioiis (. hi a 1 in a I - m tile iat tones SlII.K- Scientists, !"; r 1 - t )i Punuel S. Epstein, an enciioiinient.il locuologis! at Case Western ids, ice I'lll\i-rsitv Med 1' al Si bool, dunk dig tin pa -1 (wo or three dec adi s lias e w 1(111 sserl a phi nomeiioii unique m tile hlstorc ol mail-- tile report offers a sw epuig and 1:11 tit uiouslc liocumenled appraisal of the most recci-t researmi on the epitiemlolirf. ol cant 1 r 111 in.ii,-- with special tiupb.eaon tlie possibli role- ol dnt, drug,, raibation and the ec urkpiac e. F* tV \ '"vi I re.ulv. the i oik 11 m a I'out the role ot tlie men mm it-nt ill 1,111m seems to pre arc' a in.'.lot 'doll it. tin application ot lamer rr-i an ii tumi(illlas ihaige that the Nt 1 has so t.u t tiled to dec ote an appropriate da 1 ot its sti'jd 111 ltl ion i 11 id git to re si arc Ii mu am 1 1 eoiit 1 ol and pi 1 -c out 1011 ami 011 the u l< 11I1fic at lull ot 1 an Iliogi 1 is in the 1 : >c 11 minli lit I hoc sac that NCI resi an tiers are spending an inurdm gi amoniit on basic resean h, on ilicbn g T i() m 11 bon oi 1 ician jirog 1 am that bas - et to 11 m occi a luim 1 nc.imet virus tin 1 Ml 11 s 1 li.u gt (!,.,( even if sm h a c i rus is t, e 1, id. it would a- i emit iol oiilv a stand n 1 mit 11 t ot 1 aie - 1 1 a-' (II the u mail 1 mg si ,t It) ani i n .11 in lie N ( I b 1111: . t o n 1 c s | , 11 n! i 1 o n c-, 1 i I 1: o 1111 , ciar 1:11 1 lesc.ir, |i mi i.irtiuogeio Hut i con tins - mu if pi t sol its a 111 cc i mpu.c st s on tail, 1 r jure out ion (Jn!\ y7 ill 1J i e a 1 (>2 BOR 014984 a N ecc * w i-i' k wus devoted to such projects a few years ago. Anil eventually, NCI plans to spend an addition.il 850 million on a program to Study the role of diet alone in cancer. Last summer, NCI published a "Cancer tlas" based on a survey of cancer deaths the 3,056counties ot the contiguous 48 states. "It's generating a lot ol ideas of where to look and what to do," says Marvin Schneidennan of NCI. Among the patterns emerging from the cancer map (page 67) were the high rates of bladder cancer in the industrialized Northeast as well as excessive lung and liver cancer rates in smelting-industry communities. In recent months, the search for can cer-causing substances in the environ ment has stined a welter of controversy, involving environmentalists, industry and dm scientists themselves. Even the experts disagree somewhat on what sub stances are hazardous and w hat ought to be done about them when they are found. Of more than 1 .-100 chemicals, drugs and pollutants now suspected ot causing cancer--mostlv on the basis of animal tests--only about 22 are now widely held to be carcinogenic to man. amounts in the last 30 years to make polyvinyl chloride, a plastic found in a vast array of items, including food con tainers and phonograph records. In 1973, Italian reseachers found that VC pro duced liver tuniors m rats. The findings were largely ignored until it was learned that the same kind of tumor--exceeding ly rare under ordinary circumstances-- had taken the lives of three workers at the B.F. Coodrich plant in Louisville, Ky. Only then were revised standards on exposure put into effect. y or the scientists, there are two major problems in uncovering cancercausing substances. The first is the long "Intel.," period--often twenty to 35 years--between the beginning ot expo sure to a carcinogenic substance and the appearance of inal'gnant disease, lri ad dition, scientists furl themselves m dis agreement on how big a dose of a substance is enough to trigger cancer. Some researchers point out that almost anything, including sugir and salt, will cause trouble if given m a large enough !` BREAST 20% ( t k LUNC 11% * \ / COLON AND RECTUM IS% OTHER DIGESTIVE 14% f J 1 Hi-sjK>nsiIj111try for protecting the pub lic fioin carcinogens is shared by a bu reaucratic web ol goicmnicnt agencies that includes the hns u. uiihentui Pioteetion Agemx, the National Institute lor [)uLnp it r inal Si it* tv am; ilialih, the (),. upatiou.d Satetx ami Health Abnnni'fn!:..[i .ad the l.S. hood ami Drug V I.mill: ation Not snrpristinj i . tiieir 'isjxiusibihties not nnlv mrrh.p but are "ilim in diicct lonilict. with diiierent J'V-inies setting diiierent stnnuarils lor ''.dilating s u spec t c lie i in, a is. Most exjKTts agree on the need for a jw that would mandate testing of all <w i In-milals ami drugs lor toxicits -- ''lulling the ti'iidemi to cause can 't--la foie, not alter, the\ enter the a ironment. " If > ou ss ait till people ale hi tlie epidemic, ' sui s the NCI s l)r. "'Ik'rto Saiijotti. "it s too late " Sileii a I has lam lielore ('ongiess lor live es, and m,tin' i ritic s 11 large it has been iked bs milnstrv pn-wsic ill" loiismnerists point to the tccent Vi i blonde episode as a st.uk es.un- "I the failure ol the present si stem to I * a dangerous ihruilial beloie It tumble. Vuisl chioinle is a gas 1 lias been used m ever-increasing dose. Most regulations are based on the idea tli.it there is a "threshold" ot expo sure, below which there is no lisk. but many experts insist there is no such thing as a sate level. "Izmir i onccutrations snnplx mean lower incidence, ' sals l.pste 1 n '"1 here Is no t!neshold '[ he second and t ijualii control t-rsial question is w h"th- i testing in animals is ,1 I. huh!,' l.iiiuutm ot what a suhstam e will do to man 1 in- amount ol a substum-c rt ipuri o to cause cancer in an an nual in,iv not icultsl k all v reflect the aniomH th..t humans can sulcus he ex posed to. but toxicologist Epstein insists that annual iesuIts are applic able* to man. 1 nIonnation ill tests from u e i |-designed and \ al ul animal s \ stems, lie sas s, "con stitutes xerx strong evidence tor a i oncer lla/.nd ill hmuaiis. Some ir.uiiul.ii tin ei s hale been mipi'eted ol hullin' or lakiti mg test result s indicating a i.nuer lia/arii Lust week. N'l.llMll 1 K learned, the l.l'\ and the Department of I b a 1th. I iluc at ion ,md Mi Itaie ii ere think mg ol taking c i mi mu! Uilinn against sevei.il 11irpoiul lolls ami ciiiiii..t ri lal testing libs tor past such (rand 1 he ageuc u s ale also planning to look into loiillu t-ol-mterest charges in- ''ujun 26, 1976 ! ; URINARY 3% LEUKEMIA AND LYMPHOMAS 5% ALLOTHER 13% BOR 014985 Sle'Cc 1 tie Antgiutji Cancer Society (`a.* I,, I rg m , t h<, L*n/*S <>3 volving scientists who act as paid advis r*s.. ers to regulatory agencies xxl.ile getting consultant fees from private c umpaniex. Workers who have been exposed to reinugens in their jobs are often anuz- fgly philosophical about the hfc- reatenmg risk tiu-v are taking. Charles Russell of New asbestos libers for York has 28 years been as an inhaling insula L tion worker. Now, he turns up regularly at his union headquarters for hmg-cancor checkups conducted hy Dr. Irvine $clikolTof New York's Mount Sinai Hospital, who was among the first to show that asbestos workers exhibit a hiuh propen* sity for the disease. "It's a bad risk," says Russell, who is healths so far, "but where are you eoine to find work? I'm taking home' $230 a xveek, so what can you do?" Clearly, the environment is never eo ine to he entirely free of carcinogens, and v the government, researchers and con sumers have to make practical choices about the risks they are willing to take, Food: In an affluent -uoiets. the better fed mas lie wor-e off "before eliminating pesticides like themselves, tliev combine f DDT," sa> s C. Cir. lei Hammond, c hief csith amines (ebemical com- t . of epidemiology tor the American Can pounds derived from ammo- ; cer Society, "x ou must carefully consider nia) found in the body to form j what it might mean for the health and nitrosamme.s. And mtrosa- : nutrition ol much of the wnii.l." The outcry' that follows each succes sive new diw losuii of a possible carcino rnmes arc- htidily potent ear- = emogens m unmieis. i Sevc ral epiih i.lining! i BOR 014986 gen on the dinner table or m the- work have tied nitrates in smoked [ shop tends to ohsi ore the fact that GO ^julhon \meiuans continue to expose I^Beinselves to toban o--the least ciisput- fish to tlie high incidence of ` stoinai.fi camel among the Japanese. Yet dime is no e\ i- tarcni'u;t n ot all Mom oxer, many experts belies e the problem has been exploited to an mu oiv mnable degree deuce that intros,mimes from mtintcs ,md urtr.tes in the Arm-riian diet aie a threat. A hs some oxer/ealom eonsiimeiS, Foi one thine, these sub- organic-food promoters and the news stances solatih/e during ; i media "American rant eropbobia. cooking, notes j)i. Philippe 1 noted a ret cut t dmiriai m tie' ptestigmus hhutiik. dues tor ot tlie Tp- Ness i.nglaiid loiirnai of Medicine, is a pity Institute1 loi Research in disc ase as sei mils to sue lets as cancer is Cancer at the Imvmsitx of , to the indix isiual.' The truth is that cancer is not one disease, but at least ](d) separate dis eases m \ nix lie.' .1 de ran geo lent ill the hie Nebraska, so exposure to mtrosumme alter eating cured meat wnuid be low. Moreos s-r, mti ites ate abundant m 1_____ ^..V. i'll. . . . .uag.^ i i \ , I ' - d-,rS I ac'toric' : A-lic'-tos plant' are hnili on tlie n-l h-t of the bud' 's c s 1 is < tills i.\ studs mg the saltsa "L'xerx dax , notes Dr. Thomas Of greater com eni is the link ht ! v. i e'. epideiiilolcgs ui cancer m Imm.ms on a lukes of die l nixeisity of California, the fattx d :et ot a I lb lent i on mm - am ! ' e vast scab- can the eflec t of hle-st\|e on tlit disease In detenu I uetl. Following cue some ot the most important and promising clues on the questions of enx iron toe ut ami c am er. taken bom the "xve sw alloxx as mils ii tot rite as found m a pmmd ot bacon Interestingb. s P.1mm C can blink formation ot lutiosanmi''s--at least m tlie test tube. "T b" same m d ix i dim is xs bo put thc-niseix ex at risk of two of the most pres a It u t n i r i r g mint dlsea--------- earn el o I the I a ;\' ' I ,i1 ; breast, boss el ( .nicer n t omiiion u tbU.S . lmt ii i com mi in m |. i p.i 11. xx lime lid, Is a staple. Iloxxeser. among ].,; c > s, just-publisht d "I'eisous .it High Kisk <il Cam er" and inters less - by NkU'sxxklk reporters: 1. FOOD AND DRINK rok !>' eating bacon exerv monong. xx rites Dr. John W. Herg of tlie' Ciox e rsity of Iowa, "max be protec ted In prececiing tfie bacon w ith orange iiiice. Tlie case agaunt mtlbcial sxxi I'teners is also weak Some studies mute" alter nngr.itueg to the C ..$. .md the!r c hm:n : the eoion-c aiieer risk uppuuches tie U.S lexel. p.esumnbiy imeaust ,1 a change Hi dietary balms llt-ei Is a iikrlx suspect Tlie Siots xs ho i iiiisiime 2( i ( cut more beet than tin i i 1 mg! i - i; i u i gi,- nods and food addrtrs t s max ( ontrrb- ex cl.incites xxere reinoxcd from the nen- bins, li.ixc one ol tile' xxorld s login st f ^3 tile to eariser tlium-gb eouqilex ket h.rxr' failed to ionium that ixihi- bosvel-i aiis c r rates. ki i bemieal mter.u turns tli.it base mils iicites i aim bladder raiKcr in am,rials, Identic come under sc minis \ iav in and the FD \ Is sciiouslx' or ms idi r i rig Hint is tlie eontioceisc oxer socJmm Urate and sodium mtnte. Ihec arc' liatmally piesc nt m mans foods and some scaler supplies, and are added to I) Kim, ham and smoke d foods to <n- bam e then i olor and inhibit tlo- igr iss tli of tlie deadly h.nteua that cause botu lism. Although not c aiemogeine by luting Its ball. Although s.ucli.iim lias been loiimi to i.mse cancer xsin-n imphmted dtiestly into the bladdei. it is tar horn i lear that it is ha,'.minus it i onsiuiieil in the diet. Sig111lit.m11\ , di ilietics baxe been coosimmlg s.u s Icirm foi yean, x et then- is no sign that tliex )c<x e' a higher th.rn noimal s mu rr risk. iel mi er of the breast, as ss ell as the p. i os I ite. m ,ir\ and I iti I m , is pit'X alent Ur most Uestem t omit 11, .md max also hi o lated to heax x tat in; Sa breast i 01, i r h I' isrii linked to ox i n,u tiition ui woiui n, and lots huxo b, i o fun i id to promo!" In east i am er lit mu t Nl'XS 'S' I'l'k Drugs: Dangers sometimes outweigh gains Hormones are known to play a part in breast cantor and the current suspicion is that fats may overstimulate hormone production or disrupt normal hormone balance. Too much liquor is related to the development of cancers of the mouth, throat, esophagus, larynx and liver. Hut the risk is greatest among heavv drinkers who also smoke, giving rise to the belief that alcohol is a co-carcinogen, acting in conjunction with tobacco carcinogens. Among men who dunk mote than an ounce and a half of liquor a day, tilemortality from oral canter is two to six times greater than it is for teetotalers, depending, m dnect proportion, on the amount they smoke. For heavy drinkers and smokers, the risk is up to fifteen times higher than for those who neither drink nor sinoke. "1 Kadiulion: (h rrex pu-ure to tin- -un mas caii'-c 'kin cancer 2. DRUGS any epidemiologists are more iH-j i concerned about the cam or pi,. id t Lm tentia! posed In drugs (hull toes are about food additives, because drag, are taken in relatively large doses certain cancer risk, in some eases, mas be outweighed uy tile seriousness ot the disorder the drug is designed to treat, so physicians must balance the In mat against the risk. One of the most dist'u b- ing links between a drug and t.nicer w as the discovers in 1071 that the slaughters of women ssho took the synthetic estro gen shethylstdbestrol (DIES) m e,u!\ pregnancy were susceptible to an often fatal vaginal cancer (box, page 66). DE.S was given to thousands of ss omen after World War II on die theory that it would pievent miscarriage. Much later. Dr. Arthur L. Herhst and his coiicaeui s at Massachusetts (ieneral Hosp.tui en countered se. en soling scoiuen witi a vaginal adenneaiemoma, a disease that is notonly rare, but h..si almost ne\er I,t I re been found HI a on\in umin the . >t NO. Cbc-v ,iig : . a .... .s doctoisfouniltliatalltheii patienN'ri. :o- ers had uss cl DKS in picgnani v . y-,n.- that initial report, mors- than did similar cases has e been documented. Moie recent I v, several studies base s.lgss-ste . th it st . -' t .1. middle-aged women to ailesi lie -sm;.- toms of the menopause merea-es ti-a-n i i-.k of n.si ItK1 tan. ; r lie - e.slc 1 tel s ,.t I'nivcr-uty ot Washington lepoin tt, ,t the risk of cancer ne.iris !:sr ti:"i-- higher among women \s iio tu-T ;| honi'anil's tii.ui among til; ss he .lido t A maior i.oie-ols m! tpiest;on is ss helli- er the buth-i or'.tnd pit 1 -- taken bs to million L'.S. ss omen--also pos a c met i risk. In experiment i] animals e-a:o.-ei,- . ss'ineli are a constituent ol tin- phi'. 1 r CANCER AND THE ENVIRONMENT: TEN TOP SUSPECTS SUBSTANCES WHERE FOUND CANCERS THEY MAY CAUSE j ARSENIC ASBESTOS BENZENE BENZIDINE COAL-COMBUSTION PRODUCTS NICKEL COMPOUNDS RADIATION f.ani-.g imi sn r.q industries fraXe 11 r,.- x ... or-cir uc tion s,tes. i r s a 1 a 11 n . c. D - w i - r n r, t. u e 3 So'vents oil re!,ner.es insecticides Rubber naw-;. cle'Vufls Steel mins petrochemical industry, asphad coal tar t.'etal industry, aitc s Ultravipii't r.os Iron the sun, medical therapy Shun, lung, liver Lung, pleura, peritoneum Bone marrow Bladder Lung, bladder, scrotum Lung, nasal sinujbs Bona marrow, skin, thyroid SYNTHETIC ESTROGENS Drucs TOBACCO SMOKE Cigarettes. pipes, c.gars VINYL CHLORIDE ' r t.CS TvJuS'fY V ________________ ______ _________ Vagina, cervix uterus Lung, bladder, mouth esophagus, pharynx, larynx l ivr-r. brain _........................... J Watch list: In a world full of pO"ddt- earrmogi-n' so me >ti list a nees has e heel, identi fnil a> par I ii ularfs i Ian fir it'll: Canary 2f>, i 976 BOR 014987 6b been shown to cause breast canc er, (>n recent studs suppested tii.it the risk of breast cancer seas incteased for women who took the Fill before h.tvinp tin u first child and for those with a histmv ot benipn breast tumors. But at h ast three i other surveys failed to slims- a eonnec t ion between oral contraceptives and breast cancer. Drugs used to prevent refection of organ transplants by suppressing the immune response have also been iotnid to cause canc or. Among more than h.H <) kidney-transplant recipients, the nsh ot lymphatic cancer ssas found to be So times greater than normal. Ui euuci m to some experts is the fact that one such drug, methotrexate, is being pt-' scribt d for tile treatment of severe p>ot i.isis, Mrs. Ma lley and Marilyn: A drug with a deadly delayed reaction if *1 W' 8 if tn. 4 W U'fZO or Grace Mailov, childbearing did had. rew bed her pituitary pland, and F not conic easily. Although licr lirst Marilyn underwent a pnieimp sixdaughter w,.s horn m 194b withoutsveeK repinien ot " . hole h"uci" i.ahacomplications, a subsequent pregnantion. \\ hen all her hair tell nut as a re- j ! cy cntlcd in miscarriage. \\ hen during Suit, she still refused to give in to self- I her n vt prcg'"-nc v ,,hs also showed pity ind kept up .i:i .'etw" -oci d life. 1 signs of misvarrxing, her dot tor pie- wearing a Fright cc .it user tier hi ad. t scribed dn !.h\ Istilhestrol (DIMS), a but at night Mrs. Malloy I III! Id heat iler synthetic estrogen widely used in daughter miMUlir.t in pltli with the ; sue In .i-.es at the tines \ second da in: li Lancer that ss.is n iitinuinp its lethal : ter, r.itt' as deiner. il in 1951. Alter spre.-u through her amis, lops, spine yct another nnscanlag'-. Mrs. Malkw and luaiu. Soon snt w as I >! I ml and con- t heeanic pregnant a tilth time and was tu a 11 to a ss iieeh hair SI .in h n died on { attain given DLS. Another daughter, Mas1 Jt), 197-1, two sseeks hetore her } Marily n, was burn m losO. holiest, tiool class s pr.idll.it I on ; It was not until Fath and M.iriKn Guilt: Tod..is , sittmp in he| eiepaut, ; were 19 and 1-4 that Grace Mai lot lead sun-t i lb d l..i Jolla. Gal il . 'll s'u ip, room, a newspaper icp.ut link titer DLS to a Gra-e Mailos tells Mardsn's story 1 rare but deadiv torni ot \ aPm.d cancer ss ith selt-i ontrol, She does not s.ivor ! in uniiiL' Hinii' n w hose mothers had pathos Nordoes sil'-leel ans personal : taken file hormone dm lin: pregnant. \. Pllllt o, el her daupiitel s tiaPle death. ! Alanni d, Mrs. Malles jsiwd liei doc- 1 had no ss as ot know lup si !iat lilose tm if there was ans thing to this pills ss oiild do.' siiesiss. Tiioii'and.s i "stare." "Yon bet tour life there Is, of si onu n took Horn, hut si e all did it * he leplltd "You'll hctP'r get th.ose in tin1 in st of t. -111. because* om doc- I puls in tor an examination right tors piesi rihed tlioiu. ' awns." The result was bad news: Nonetheless, Cuace Malles' is not Marils li had s atonal < ancer. ssithout bitterness about ss hat hap- i Malignancy: In an opeiation lasting pened to her I,mills--,md ss ii.it still more than twelve limits, Manlsn s mas lie alu ad Her older daughter, sets; ma and nearbv Is niph pi and s w ere l'atti, urns h`i lots been dl."'nosed as lemosesl; an at title i.d s ,n:i na was urn- having sapin il adenosis, a lesion that | strutted lisuu! skin pralts trom her *.ippi ais beuipn lint could he the pie- lops. The doetors ssrie hopelu! that cui-.oi ot i, 11... t i In sp:tr ot loin; tiles had esc isrd the entire mainplan st.indmp n si is atioiis. 1'a111 re( i nils es', but .1 sear later tluw disiosered dei !;ii d to ci t married and la r d.oi - - that ihee.ini.i'rhad Sptead tooiie huii!, tors i l.iiai la r prospi i t-, tor a healths j the esoph.utus and the lluinp oi (tie lutuie an i;oed. Hut there is no miar- i lieart Follow mp another operation, .iiilrr; lor the tune being, F.dti i an Marilyn reiosvted sullieietub to re noli wait--like thou'and' of other 1 sume Iwi p issiou~-hi a seb,i. k i e 11up. sunup ssomen with the same hlsto- A short time la It r Manlsn s ...... . rs--ami pi is that the k 1111 r that turn ssorseued Mie lost iiei appi tue, c burned her sister mas pass lie I hs. 1 snllered 11mil nausea and ses el e Ileadaelies. lests uwealeil that the i .nicer --It AN SEL'l.WANN n L. Cell .in LAvsmMCL shock J 3. RADIATION bore is no question that X-rays and f * similar fonus oi radiation t an c aiise y leukemia and other forms of i am cr if roteivi d i.- *m .;! do' s. * ,irvi\ ors:i, Hiioshima and Nagasaki atumii biasts have shown a signifuantlv higher than average incidence* of leukemia, .is w ell ... of cant t rs ot the nreast, bow el and br.u: i. Heceiitly, it has been found that those treated wuh radi.-tion m c hil'ho. > t 1 t tousilitis, enlatped thvmiis glands d other loniht'.ons during the Ft l*1' a id jy-'F h:i'.'" .ui im.-eased ris): of tin roid cancers, \\hat is not clear, is how moth nsk the i'1 may be hum exposure .to eons entu ma! . !;.i puosf ie \-i .o s. An ord in p to Lor m - Hoi Pen of B. isu. ii Fail Memorial Institute, tiui'talo, \ 4 . tin- amount of radmiion irom a sinew abclomiii.il \-:as increases til'1 n-k ot leukemia <>ue tad \the stand.mi mut o! dosage) ot r.Liiialfi 111, sax s llnutgn, ,ip> s tile ceils it strikes in ourytar i bus, a 7( lvear-old man who has receised IF lauhas the suseeiiti'.uhtv of noiiix mpn i'ic leukemia--a iorin ot the disease trial spikes adults--oi a Mi-\ear-old. in audi tion. irradiation oi men anti women mp then I eprodu. 11 \ e \ ears nu r. a - os I he Ilk: di In iod ti: at tl'a ir oil spa mp w ill . a c Iop h m ken n.i. ( ) 11 t i` bas i , i t tl a .rob-v ailotis, Ifouli li thinks (flat nooii' '!< ml; i undergo routine screening \-r.o--milucilup ni.iuunographs to lietet t im a-t cancel--below tie- ape ot ,ji) An exii :> turn, m Ills \ ww , w ouli! be a w oi nan w nil a famil v hi store ot bri a st c ai.een But other cancer experts disagree 1 )i Luther Bt.uli ot llahueinanu Minuai (.'ol lege, tor one, d is pules Hindi n s i .,! relation between diagnostic \-i.i\s , 11,. 1 leukemia. 'I don t think ans bod', tin cm dir 11 icd that 1 rad im r eases t: a ink it leukemia, lie sas s L. (,'u\ItT i i an 111 mi u i also disagrees s' itli flouton s 1 i Imp about m.unmopratills ' 1 he 1" m lit > < eeds the nsk, sac s } i.inmiond, < I i* is a ri .k at .dl k ltlas inlet ladiatiou Irom tin- sun mc ' ( a s e s 111 e 11 s k i t s k I n i . t n i i r \ . o!,: u 111 tel ot Iia- Xat ioi.aI \c ai!l III' ui Si 'i lu is reel nils estimated tb.at among v. ho. ]>erso:is lislng along tin- Kdli p.u.iln 1 BOR 0 1 4 9 8 8