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Benzene Shanghai Study
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Introduction I Background
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January 26, 2001
A. R. Schnatter
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NCI EXPOSURE ESTIMATING REPORT . CONCERN
NCI MOLECULAR EPI REPORT 7.6 PPM I BLOOD EFFECTS
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NCI DOSE-RESPONSE ANALYSIS AML I MDS & NHL EFFECTS
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O. WONG TRIP EXPOSURE ASSESSMENT FEASIBLE
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ARMSTRONG, IRONS, SCHNATTER TRIP BZ-INDUCED OX PRESENT
PROPOSAL REVIEWED BY SAB SOUND PLAN ETHICAL REVIEW PANEL FORMED FURTHER TRIPS LABORATORY SPEC's CONSORTIUM BUILDING PROTOCOL DEVELOPMENT
Shanghai Benzene Study Structure
NHL, AML Study
Disease Progression
Study
Molecular Epidemiology
Study
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Cases Controls
HOSPITALS
Shanghai Benzene Structure
NHL, AML CC Study
Disease Progression I Molecular Marker Study
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AML
AA MDS
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DIAGNOSIS DATABASE
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LABORATORY
Molecular Epid. Study
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Why Shanghai?
Largest Contributor to NCI Study
Large Population (-14 million)
Organized to Support Research (Fudan, SCDC, etc.) . / /
tExposures Relatively High, But Decreasing
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Willing Collaborators
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Research know-how Regulatory interest, mandate
~~r Technology imports
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. I~Q/lI.t~ I ~1~\~~ Influential Contacts
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Study Collaborators and Supporters (Partial List)
FuHua
- Deputy Dean of Fuda-n University School of Public Health
- IARC I WHO links
- Primary collaborator on all studies High level links into Chinese provincial & national governments
Lu Wei
Deputy Director General, Shanghai CDC
>::t: - Responsible for enforcement of exposure standards
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Lin Guowei
- Director of Clinical Epidemiology, Fudan University
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- Vice President, Shanghai Hematology Society Past President, Chinese Hematology Society
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Zhou Shi Zhong Deputy Director, Institute of Public Health Supervision (CDC)
Responsible for CDC exposure database Responsible for monitoring exposure
Liang You-Xin - Chairman, National Committee on Exposure Standards
Chairman, Occupational Preventive Med. Dept. Fudan Responsible for development of workplace exposure standards
EXTENSIVE COLLABORATIVE TEAM IN PLACE, ANXIOUS TO START
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Benefits of Extensive Collaboration
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CHINESE PERSPECTIVE
Import, Acquires Study Methods Expertise Enhances Professional Advancement -
Publications Imports.. Leading Technology, Know-How Broadens Training Opportunities Allows Greater Autonomy in Future
u.S. PERSPECTIVE
Required to Navigate Socio-Political Infrastructure
Ensures Adequate Participation
Enhances Study Impact, Relevance
Improves Business-Regulatory Interface in China
Establishes Partner Spokespersons
Summary: Shanghai Findings
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- High exposures
Benzene-induced disease
- Good records since 1970s
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1940's Exposures
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- Technology sophistication - Willing collaborators - Influential contacts
21st Century Technology
Unique, unparalleled research opportunities