Hunters Point Shipyard has a legacy of ground contamination by particulate radiation. While the politicians are arguing who is responsible for the cleanup, wether the previous cleanup was done correctly or not, and what should be done about it, epidemiologists have a role to play to provide the local community and the larger Bay Area community with solid data to develop evidence-based solutions. UCSF and UC Berkeley are already working together to analyze the quality of procedures which were used to test for radiation contamination. The next step would be for epidemiologists and biostatisticisns to put their heads together to quickly analyze the data on population health in Hunters Point which coul be easily accessed. For example, among those who have lived at Hunters Point for at least five years, is there any evidence of increased risks of lung cancer or bone cancer (cancers we would expect to increase with this particular type of radiation)? Or, has there been any increase in respiratory problems in children?
The 1990 NCI report of populations living near nuclear facilities concluded that cancer mortality rates were the same whether a reactor was nearby or not. While this was a negative finding, it proved to be extremely effective in discussions with local communities. As the institution literally next-door to this community, we should provide residents of Hunters Point with the evidence on potential risks to their health.
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Comments
I realy love the vision for
I realy love the vision for local public health relevance, especially for topics potentially affecting health inequalities.
Very exciting opportunity for
Very exciting opportunity for the DEB to be involved with a local public health issue, in an underserved population. Is there concern about having sufficient power to detect an association (and having confidence in a negative finding)? Who else would you envision being involved with such a study?
Dear Lydia,I think this is a
Dear Lydia,
I think this is a really important application of the expertise we have in the DEB and UCSF. But you should know that we have been working on such a detailed epidemiologic analysis of cancer rates (expected/observed) using GBACR data in Scarlett's group. Lung cancer has popped up as site with possible excess occurence and further studies have been suggested to the SFDPH. Other proposals have introduced the idea of sampling tumor blocks from residents to determine of any mutation signatures (USCF 500) can be identified that might be back linked to environmental exposures. So you may already be aware of these efforts, but make sure to make existing intradepartmental connections on this topic stronger if your Big Idea goes forward.
Bob
Hi Lydia,I think this is a
Hi Lydia,
I think this is a worthy idea. How can I help you pursue it?
I really like the idea of
I really like the idea of locally relevant public health research. Would this initiative also include a formal mechanism to communicate findings back to the community (e.g. community forum, town halls, newsletter, etc.)?
Thank you very much for your
Thank you very much for your interst in this proposal and for your comments. I wanted to let everyone know that we are not proceeding with this proposal because recently our colleagues from the Greater Bay Area Cancer Registry (GBACR) (Drs. Scarlett Gomez and Iona Cheng) completed a study of cancer incidence of Bayview-Hunters Point residents (https://www.sfdph.org/dph/files/listenshareconnect/3-7-19_BVHP_Cancer_In...).
Thank you, Scarlett and Iona!