Download PDF by Jeese P. Greenstein, Alexander Haddow (Eds.): Advances in Cancer Research, Vol. 3

By Jeese P. Greenstein, Alexander Haddow (Eds.)

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Additional resources for Advances in Cancer Research, Vol. 3

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It is present in greatest amounts in tobacco of American origin and is completely, or almost completely, absent from Oriental types. Daff and Kennaway (1950) estimated that an ordinary “Virginian” cigarette as smoked in England, contains about 50 pg. expressed as AszOa and that approximately 15% is volatilized in smoking. Smoking 10 cigarettes a day means, therefore, that as much arsenic as is present in one maximum official dose of Fowler’s solution is volatilized in 10 weeks. Arsenic is believed to be capable of inducing bronchial carcinoma in man (see page 33) but it is unlikely to be the responsible agent in tobacco smoke, since (1) the amount to which smokers are exposed is very small compared with the amounts encountered industrially, and (2) bronchial carcinoma forms a high proportion of cancer cases found at necropsy in Istanbul (Schwartz, reported by Daff, Doll, and Kennaway, 1951) and arsenic is almost completely absent from Turkish tobacco.

9). On the other hand, there has been a marked increase in the amount of petrol and oil burnt (Hammond, 1954, see Fig. 9), but men who have * Earlier figures not available. 40 RICHARD DOLL had special occupational exposure to the fumes do not appear to have suffered any abnormally high mortality from the disease (see page 35). Diesel fumes are a special case in that oil-burning engines have not been in general use on the roads for a sufficient length of time-to judge from the induction time of industrial cancers-to have exerted any significant carcinogenic effect.

Present habits are, however, unlikely to be relevant to present mortality, and it is possible t ha t the differences may have been greater 20 or 30 years ago. Unfortunately, precise data about prewar differences are not available. D. Conclusion. The present evidence is inadequate to allow a n explanation of the urban-rural difference in mortality to be given with confidence. Several considerations weigh against the suggestion that it is primarily due t o atmospheric pollution with chimney smoke or motor exhaust fumes; but the possibility has not been excluded that chimney smoke may be responsible for a proportion of cases-perhaps as a consequence of its radium content-or that it may act as a co-carcinogen with, say, tobacco.

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