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Abstract Residential Radon Exposure and Lung Cancer: A Survey in Chiang Mai Province
Sombat Boonyaprapa*, Paitoon Wanapongse†, Atttapon Cheepsattayakorn‡, Sriduda Saeung§, Banthom Sola†, Somchai Bovornkitti#
*Department of Radioisotopes, Faculty of Medicine, Chiang Mai University, Chiang Mai Province, †Thailand Insti- tute of Nuclear Technology, Bangkok, ‡Tenth Office of Disease Prevention and Control, Chiang Mai Province,
§Chiang Mai Provincial Health Office, #Academy of Science, the Royal Institute, Bangkok
This survey was conducted in four districts in Chiang Mai Province as part of a multidisplinary research study by academic staff of three universities, namely Chiang Mai, Songkhla and Khon Kaen university, in collaboration with researchers from the Thailand Institute of Nuclear Technology and the Royal Institute, with the aim of verifying the association between residential radon exposure and lung cancer risk. The study was carried out by measuring radon gas levels in the homes of proven cancer patients and in other homes as controls for the purpose of comparison. As the findings in both categories of residences showed that the radon levels did not exceed the safety threshold (148 Bq/m3), it was con- cluded that radon gas exposure in such a situation of low levels would likely not be a significant cause of lung cancer, but rather attributed to the heavy smoking habit of the northern citizens.
Key words: radon gas, lung cancer
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Ò. Saccomanno GS, Yale C, Dixon W, uerback O, Huth GC. An epidemiological analysis of the relationship between exposure to Rn progeny, smoking and bronchogenic carcinoma in the U-min- ing population of the Colorado plateau 1960-1980. Health Physics 1986;50:605-18.
Ú. Samet J. Radon and lung cancer. J Natl Cancer Inst 1989;81:745- 57.
Û. Martz DE, Falco RJ, Langne GH Jr. Time-averaged exposures to 220Rn and 222Rn progeny in Colorado homes. Health Physics 1990;58:705-13.
Ù. Qualitative evaluation of the radon and lung cancer association in a case control study of Chinese tin miners. Cancer Res 1990;50:174- 80.
ı. Samet JM. Diseases of uranium miners and other underground miners exposed to radon. In: Rom WN, editor. Environmental and occupational medicine. Boston: Little, Brown & Co.; 1992. p.
1085-91.
ˆ. Moolgavkar SH, Luebeck EG, Krewski D, Zielinski JM. Radon, cigarette smoke, and lung cancer: a re-analysis of the Colorado plateau uranium minersû data. Epidemiology 1993;4:204-17.
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æ≈æß…å, ∏«—™™—¬ Õ‘∑∏‘æŸ≈∏π“°√, ¡™—¬ ∫«√°‘µµ‘. °ä“´‡√¥Õπ„π Õ“§“√∑’Ë®—ßÀ«—¥ ÿæ√√≥∫ÿ√’. «“√ “√‡«™»“ µ√å ‘Ëß·«¥≈âÕ¡ ÚıÙÚ;
Ò:ÚÚÛ-˜.
ÚÛ. ª√–¥‘…∞å ‡®√‘≠ß“π, «√™—¬ „®‡¬Áπ, ∏«—™™—¬ Õ‘∑∏‘æŸ≈∏π“°√, «‘‚√®πå
™à“ß¡à«ß, «‘™≠“ æ‘≈“·¥ß, ¡™—¬ ∫«√°‘µµ‘, ·≈–§≥–. °ä“´‡√¥Õπ
„πÕ“§“√∑’Ë®—ßÀ«—¥æ—ßß“. «“√ “√‡«™»“ µ√å ‘Ëß·«¥≈âÕ¡ ÚıÙÛ;Ú:Ò˜-
ÚÚ.
ÚÙ. «‘«—≤πå ‡∏’¬√–«‘∫Ÿ≈¬å, √–‡∫’¬∫ ∫—«Õÿ‰√, π‘«—≤πå ∫ÿ≠„Àâ, ®‘√–æß»å
√Õ¥¿“…“, «ÿ≤‘‡¥™ ∏√ƒ∑∏‘Ï, ¡™—¬ ∫«√°‘µµ‘. °ä“´‡√¥Õπ„πÕ“§“√∑’Ë
®—ßÀ«—¥ª∑ÿ¡∏“π’ ª√–‡∑»‰∑¬. «“√ “√‡«™»“ µ√å ‘Ëß·«¥≈âÕ¡
ÚıÙÛ;Ú:ÚÚ˜-Û.
Úı. ¡∫—µ‘ ÿ¢°“¬, ∏«—™™—¬ Õ‘∑∏‘æŸ≈∏π“°√, ®‘√–æß»å √Õ¥¿“…“, √—™π’
¡‘µ°‘µµ‘, «‘™≠“ æ‘≈“·¥ß, ¡™—¬ ∫«√°‘µµ‘, ·≈–§≥–. °ä“´‡√¥Õπ
„πÕ“§“√∑’Ë®—ßÀ«—¥‡™’¬ß√“¬ ª√–‡∑»‰∑¬. «“√ “√«‘™“°“√ “∏“√≥ ÿ¢
ÚıÙÛ;˘:ıÚ-Û.
Úˆ. ¡™—¬ ∫«√°‘µµ‘, «‘™≠“ æ‘≈“·¥ß, ∏«—™™—¬ Õ‘∑∏‘æŸ≈∏π“°√, «ÿ≤‘‰°√
¡ÿàßÀ¡“¬. °ä“´‡√¥Õπ„πÕ“§“√∑’Ë®—ßÀ«—¥‡™’¬ß„À¡à. √“¬ß“π ¡∫Ÿ√≥å.
«“√ “√«‘™“°“√ “∏“√≥ ÿ¢ ÚıÙı;ÒÒ:ÚÙˆ-ı.
Ú˜. «—≈¿“ ª√“ß§å∏«—™, ÿ¿§«¥’ ∏π ≈—ß°Ÿ√, ®‘√–æß»å √Õ¥¿“…“, πƒ¡≈
«√√§åªí≠≠“‡≈‘», ¡™—¬ ∫«√°‘µµ‘. ‡√¥Õπ„πÕ“§“√°—∫·À≈àß·√à
¬Ÿ ‡ √ ‡ π’ ¬ ¡ „ π ®— ß À «— ¥ ¢ Õ π · °à π . « “ √ “ √ «‘ ™ “ ° “ √ “ ∏ “ √ ≥ ÿ ¢ ÚıÙı;ÒÒ:˜ıÚ-ı.
Ú¯. æ√»√’ æ≈æß…å, ¡πµå™—¬ Õ—°…√Õ‘π∑√å, √—ß √√§å ªÿ…ª“§¡, ¡™—¬
∫«√°‘µµ‘. °“√»÷°…“§«“¡ —¡æ—π∏å√–À«à“߇√¥Õπ„πÕ“§“√∑’ËÕ¬ŸàÕ“»—¬
°—∫¡–‡√Áߪե. “√»‘√‘√“™ ÚıÛ¯;Ù˜:ıÛ-¯.
Ú˘. æß»å‡∑æ «‘«√√∏𖇥™, √—ß √√§å «√«ß»å, ∏“√∑‘æ¬å ¡À“«π“, ¡¬ÿ√“
«‘«√√∏𖇥™, ·∑π »‘√‘ ¡∫Ÿ√≥å, ≥√ß§å ‡°’¬√µ‘ß“¡‡À≈◊Õ, ¡™—¬
∫«√°‘µµ‘, ·≈–§≥–. §«“¡™ÿ°¢Õß¡–‡√Áߪե°—∫°ä“´‡√¥Õπ„πÕ“§“√
∑’ËÕ¬ŸàÕ“»—¬ Õ”‡¿Õ “√¿’ ®—ßÀ«—¥‡™’¬ß„À¡à. Õ“¬ÿ√»“ µ√å ÚıÙÙ;
Ò˜:Úˆ-ÛÚ.
Û. ¡™—¬ ∫«√°‘µµ‘. Prevalence of lung cancer and indoor radon in Thailand. Intern Med J Thai 2001;17:241-2.
°‘µµ‘°√√¡ª√–°“»
π—°«‘∑¬“°“√√–∫“¥ ™π– πƒ¡“π “¢“«‘™“‚√§√–∫∫°“√À“¬„®·≈–«—≥‚√§ §≥–·æ∑¬»“ µ√廑√‘√“™æ¬“∫“≈ ‰¥â
°√ÿ≥“«‘‡§√“–Àå¢âÕ¡Ÿ≈∑“ß ∂‘µ‘¢Õßß“π«‘®—¬π’È