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Things that apparently cause cancer

211 points · 78 comments · timpera

  1. dekhn · · focus · HN ↗
    Cancer risk associations studies are not normally described as &quot;proving&quot; anything. The article being criticized uses &#x27;risk&#x27; and &#x27;association&#x27;. There is a long history of argument around these sorts of studies, there was a previous series of these around people living near power plants (where it seems like SES, not plant proximity, was the strongest explanatory variable, see <a href="https:&#x2F;&#x2F;www.aps.org&#x2F;archives&#x2F;publications&#x2F;apsnews&#x2F;200710&#x2F;electromagneticfields.cfm" rel="nofollow">https:&#x2F;&#x2F;www.aps.org&#x2F;archives&#x2F;publications&#x2F;apsnews&#x2F;200710&#x2F;ele... ). I&#x27;ve seen similar &quot;living near a freeway causes cancer&quot; arguments. There was a massive court case by flight attendants, who have a higher rate of cancer than the regular population.

    In reading the criticism, I noticed the authors keep using the term &quot;prove&quot; and they also keep trying to come up with mechanisms (&quot;refueling of the plant&quot;). Even the argument about plant worker exposure compared to people living far away doesn&#x27;t completely work, because the plant workers are taking all sorts of precautions to minimize exposure to radiation, but there are still mechanisms where something could go out the cooling stacks and deliver something harmful downwind.

    The biophysics of cancer causation is entirely nontrivial and looking for the actual sources of the cancer risk is challenging, and watching physics people argue with epidemiologists gets old quickly (my field is biophysics, and I&#x27;ve had a few physics people insist that non-ionizing radiation couldn&#x27;t possibly cause cancer, &quot;because it doesn&#x27;t damage DNA&quot;. Unfortunately, that argument isn&#x27;t good, because it presupposes a mechanism (DNA damage due to radiation); we know now that non-ionizing radiation causes cellular heating, stress response, and more, which are all associated (based mostly on in vitro studies) with increased rate of cancer.

    Note the authors (and the institute they work for) have vested interest: Dr. Adam Stein is the Director of the Nuclear Energy Innovation program at the Breakthrough Institute, where his work centers on the technology, regulation, economics, and risk governance of advanced nuclear energy.

    Deric Tilson is a Senior Nuclear Energy Innovation Analyst at The Breakthrough Institute, where he focuses on advancing nuclear energy as a critical pathway to a carbon-free and energy-abundant future.

    1. toast0 · · focus · HN ↗
      &gt; there was a previous series of these around people living near power plants (where it seems like SES, not plant proximity, was the strongest explanatory variable, see <a href="https:&#x2F;&#x2F;www.aps.org&#x2F;archives&#x2F;publications&#x2F;apsnews&#x2F;200710&#x2F;ele" rel="nofollow">https:&#x2F;&#x2F;www.aps.org&#x2F;archives&#x2F;publications&#x2F;apsnews&#x2F;200710&#x2F;ele... ). I&#x27;ve seen similar &quot;living near a freeway causes cancer&quot; arguments.

      Social Economic Status is certainly associated with all sorts of things, but being near a freeway means being near brake dust (which used to have asbestos), being near all sorts of tailpipe nasties, being near tire dust, etc. I&#x27;d be surprised if it was all explained by money.

      1. dekhn · · focus · HN ↗
        See- you immediately went to a mechanism that justified the result. It&#x27;s all too easy to convince yourself something is true because you can see a pathway- yet that pathway might not matter.
        1. timr · · focus · HN ↗
          You&#x27;re convincing yourself that the original result is worth taking seriously, to the point that you&#x27;d rather make tu quoque arugments about the author&#x27;s affiliations.

          Take the analysis here on its face, instead: the same methodology (as much as can be reproduced - which is itself a huge problem) produces nonsense results in controls. The original paper did not have these controls.

          The original paper is nonsense. It doesn&#x27;t pass rudimentary bars for a scientific result, and should never have been published.

          1. dekhn · · focus · HN ↗
            Oh- I shoudl have said earlier, yes, the original paper is likely nonsense (based on my priors of epi work from Harvard Public Health), but I&#x27;m not qualified to read and critique it in a detailed way.
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