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Radiation from Medical Procedures in the Pathogenesis of Cancer and Ischemic Heart Disease: Dose-Response Studies with Physicians per 100,000 Population
 
 
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Radiation from Medical Procedures in the Pathogenesis of Cancer and Ischemic Heart Disease: Dose-Response Studies with Physicians per 100,000 Population [Hardcover]

John W. Gofman M.D. Ph.D. (Author)
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Book Description

November 17, 1999
First the Bad News, Then the Good News. An honored scientist, who has a fine track-record of being correct, uncovers the first powerful evidence that xray procedures are a MAJOR cause, for men and women, of Cancer AND of Ischemic Heart Disease (also called Coronary Heart Disease, Coronary Artery Disease, and Myocardial Ischemia).

These two discoveries (not previously published elsewhere) point to a safe and painless way to achieve big reductions in mortality from both diseases --- because the undeniable benefits of xray procedures can be obtained, demonstrably, at much lower levels of xray dosage. Exposure to xrays, including fluoroscopy and CT scans, is a well-established cause of structural chromosomal aberrations and other mutations, even at very low doses and dose-rates.

Because the author's two discoveries are so startling, he shares at the outset (Chapter 1) the eight reasons which combine to make him confident that the findings are scientifically sound.

The content of this book is important to everyone who has either a professional or a personal interest in understanding and preventing Cancer and Ischemic Heart Disease. These two diseases account for 45% of deaths in the USA. The book presents strong evidence that medical radiation is one of their important causes.

Like detectives, many readers ENJOY evaluating evidence of causation. They seek data-and-logic, and are not intimidated by it. Such readers will find this to be a reader-friendly book. It uses no complex statistical operations. It shows each step between the raw data and the conclusions. And, because readers will "arrive" from many different fields, it defines even basic terms and concepts.

The nature of the evidence in this book will be comprehensible not only to biomedical and public health scientists, physicians, and undergraduate students worldwide, but also to non-medical scientists, engineers, lawyers, and health activists. The book begins with a short Introduction, an Abstract, and an Executive Summary.

Nearly all physicians --- whether they be radiologists, surgeons, gynecologists, cardiovascular specialists, general practitioners, or other --- either administer or "order" medical xrays. They need to know the findings and implications of this book for the health of their patients, regarding two of the most serious diseases in the United States. One implication: The undeniable benefits of xrays need to be, and demonstrably can be, obtained at much lower dose-levels than the levels commonly in use.

Patients today, who diligently inform themselves about the causes and prevention of various ailments, may wish to talk over the discoveries in this book with their own physicians.

Scientific inquiry is often organized around the exploration of hypotheses. Evidence is presented to test the validity of the hypotheses in logical ways. While an untested hypothesis is a speculation, hypotheses which PASS appropriate tests are the very substance of scientific knowledge.

This book presents a mountain of evidence which supports the two hypotheses stated on the book's cover. The first is that medical radiation is a highly important cause (probably the principal cause) of cancer mortality in the United States during the Twentieth Century. The second is that medical radiation, received even at very low and moderate doses, is an important cause of death from Ischemic Heart Disease; the probable mechanism is radiation-induction of mutations in the coronary arteries, resulting in dysfunctional clones (mini-tumors) of smooth muscle cells.

--This text refers to the Paperback edition.

Editorial Reviews

From the Back Cover

Some Comments about Dr. John Gofman's Earlier Work and Books.

o In 1972, Dr. Gofman shared the 1972 Stouffer Prize, one of the top

awards for research in combatting arteriosclerosis. The 1972 Prize

Committee was chaired by Professor Ulf S. von Euler, M.D., former

chairman of the Nobel Prize Committee for Physiology and Medicine. The

Committee's citation:

"The 1972 Stouffer Prize is awarded to Dr. John W. Gofman for

pioneering work on the isolation, characterization and measurement of

plasma lipoproteins, and on their relationship to arteriosclerosis.

His methods and concepts have profoundly stimulated and influenced

further research on the cause, treatment, and prevention of

arteriosclerosis."

Radiation and Human Health. 1981. ISBN 0-87156-275-8.

o From the Journal of the American Medical Assn., March 19, 1982,

p.1637, a review by Victor E. Archer, M.D.: "This remarkable and

important book enables any intelligent person with a high school

education to understand the complexities involved in assessing the

risks to man from low levels of ionizing radiation. Gofman not only

demonstrates his mastery of this complex subject but carefully explains

the basic concepts of epidemiology, genetics, birth defects,

carcinogenesis, radiobiology, physics, chemistry and even mathematics,

which are necessary to an understanding of the subject."

Xrays--Health Effects of Common Exams. 1985. ISBN 0-87156-838.1.

E.O'Connor, co-author.

o From the New England Journal of Medicine, Feb. 6, 1986, p.393, a

review by Maurice M. Greenfield, M.D. (radiologist): "This book is

practical and important. It is destined to represent a watershed in

the controversial field of low-dose radiobiology and will be of

inestimable value to radiologists, other physicians, dentists, and

patients."

o From the American Journal of Roentgenology, April 1986, p.774, a

review by David S. Martin: "From a radiologist's point of view, this

book represents a well organized and concise attempt to quantify the

cancer risk from diagnostic xray exposures by age, gender, organ, and

examination. As such, it is a useful starting point for comparisons."

Radiation-Induced Cancer from Low-Dose Exposure. 1990. ISBN 0-932682-89-8.

o From the New England Journal of Medicine, Feb. 14, 1991, p.497, a

review by G. Theodore Davis, M.D., and Andre J. Bruwer, M.D.

(radiologist) of two books jointly: The 1990 book by Gofman (above)

and the 1990 BEIR-5 Report from the National Research Council, National

Academy Press: "Both these works agree that previous assessments of

the dangers of radiation underestimated the risk, but they reach

substantially different conclusions about the magnitude of the risk,

especially when the radiation is at lower doses (below 10 rem) and the

doses are delivered slowly ... We strongly recommend both these

excellent and timely books for physicians, engineers, and public health

officials concerned with radiation, the environment, and public health."

Preventing Breast Cancer. 1995. ISBN 0-932682-96-0 (Second Edition).

o From the Journal of the American Medical Assn. "Medical News &

Perspectives," August 2, 1995, a two-page feature (pp.367-368) by

Andrew A. Skolnick about Gofman's book: "A respected authority on the

biological effects of ionizing radiation has just published a book

claiming that the vast majority of breast cancers in the United States

were caused by ... medical xrays ..." Skolnick quotes from interviews

with the author and with critics of the book.

o On August 3, 1995, Channel 3 in Britain telecast a report ("The Xray

Effect") featuring the book's findings. The 1995 broadcast included

these statements:

"John Gofman is a superb analyst and has always been at the cutting

edge of medical science, particularly when it comes to protecting

people." o - Mortimer Mendelsohn, M.D., Ph.D., then Assoc. Director of

the Radiation Effects Research Foundation (the A-Bomb Survivor Study).

"Dr. Gofman is owed a debt of gratitude by the scientific community

because he was one of the first people to raise the issue of cancer

risks from radiation exposure." o - Edward P. Radford, M.D.,

epidemiologist and Chairman of the 1980 Committee on the Biological

Effects of Ionizing Radiation (BEIR-3) of the National Academy of

Sciences, National Research Council. --This text refers to the Paperback edition.

About the Author

The Author's History, by Egan O'Connor John William Gofman is Professor Emeritus of Molecular and Cell Biology, University of California at Berkeley, CA 94720-5706. He is also on the faculty at the University of California Medical School at San Francisco (UCSF). His life's work is divisible into three main areas, which converge for the first time in this monograph. Some of the earlier work is cited in the monograph's Reference List.

While a graduate student at U.C. Berkeley, Gofman earned his Ph.D. (1943) in nuclear/physical chemistry, with his dissertation on the discovery of Pa-232, U-232, Pa-233, and U-233, the proof that U-233 is fissionable by slow and fast neutrons, and discovery of the 4n + 1 radioactive series. His faculty advisor was Glenn T. Seaborg (who became Chairman of the Atomic Energy Commission, 1961-1971). Seaborg, Gofman, and Raymond W. Stoughton share Patent #3,123,535 on the slow and fast neutron fissionability of uranium-233, with its application to production of nuclear power or nuclear weapons. The work is recounted in Seaborg's book "Nuclear Milestones" (1972).

Post-doctorally, Gofman continued research related to the first atomic bombs --- particularly the chemistry of plutonium, at a time when the world's total supply was less than 0.25 milligram. He shares patents #2,671,251 and #2,912,302 on two processes for separating plutonium from the uranium and fission products of irradiated nuclear fuel. "We all were pushing the envelope in those years, and in the process, we learned the habit of observing details very closely."

After the plutonium work, Gofman completed medical school (1946) at UCSF, where the faculty and his classmates selected him to receive the annual Gold-Headed Cane Award for having the qualities of "a true physician."

In 1947, following his internship in Internal Medicine, Gofman joined the faculty at U.C. Berkeley (Division of Medical Physics), where he began his research on lipoproteins and Coronary Heart Disease at the Donner Laboratory. At the time, only two types of blood lipoproteins were known: Alpha and beta. By devising special flotation techniques with the ultracentrifuge, he and Frank T. Lindgren and co-workers at the Donner Lab began to reveal (1949-1950) the great diversity of very-low-density, intermediate-density, low-density, and high-density lipoproteins (VLDL, IDL, LDL, HDL) which truly exist in the bloodstream.

Their work on the chemistry of lipoproteins (e.g., the cholesterol-rich and triglyceride-rich varieties), and on dietary experiments, and on epidemiologic studies, soon produced evidence that high blood levels of the LDL, IDL, and VLDL lipoproteins are a risk-factor for Coronary Heart Disease.

In 1954, Gofman received the Modern Medicine Award for outstanding contributions to heart disease research. In 1965, he received the Lyman Duff Lectureship Award of the American Heart Association, for his research in atherosclerosis and Coronary Heart Disease. In 1972, he shared the Stouffer Prize for outstanding contributions to research in arteriosclerosis. In 1974, the American College of Cardiology selected him as one of twenty-five leading researchers in cardiology of the past quarter-century.

Meanwhile, in the early 1960s, the Atomic Energy Commission (AEC) asked Gofman to establish a Biomedical Research Division at the AEC's Livermore National Laboratory, for the purpose of evaluating the health effects of all types of nuclear activities. From 1963-1965, Gofman served as the division's first director and concurrently as an Associate Director of the full laboratory. Then he stepped down from the administrative activities in order to have more time for his own laboratory research on Cancer and chromosomes (the Boveri Hypothesis), on radiation-induced chromosomal mutations and genomic instability, and for his analytical work on the epidemiologic data from the Japanese atomic-bomb survivors and other irradiated human populations.

By 1969, Gofman and a Livermore colleague, Dr. Arthur R. Tamplin, had concluded that human exposure to ionizing radiation was much more serious than previously recognized. Because of this finding, Gofman and Tamplin spoke out publicly against two AEC programs which they had previously accepted. One was Project Plowshare, a program to explode hundreds or thousands of underground nuclear bombs in the Rock Mountains in order to liberate (radioactive) natural gas, and to use nuclear explosives also to excavate harbors and canals. The second was the plan to license about 1,000 commercial nuclear power plants (USA) as quickly as possible. In 1970, Gofman and Tamplin proposed a 5-year moratorium on that activity.

The AEC was not pleased. Seaborg recounts some of the heated conversations among the Commissioners in his book "The Atomic Energy Commission under Nixon: Adjusting to Troubled Times" (1993). By 1973, Livermore de-funded Gofman's laboratory research on chromosomes and Cancer. He returned to teaching full-time at U.C. Berkeley, until choosing an early and active "retirement" in order to concentrate fully on pro-bono research into human health-effects from radiation.

His 1981, 1985, 1990, 1994, and 1995/96 books present a series of findings. His 1990 book includes his proof, "by any reasonable standard of biomedical proof," that there is no threshold level (no harmless dose) of ionizing radiation with respect to radiation mutagenesis and carcinogenesis --- a conclusion supported in 1995 by a government-funded radiation committee. His 1995/96 book provides evidence that medical radiation is a necessary co-actor in about 75% of the recent and current Breast Cancer incidence (USA) --- a conclusion doubted but not at all refuted by several peer-reviewers.

John W. Gofman is the son of David and Sarah Gofman --- who immigrated to the USA from czarist Russia in about 1905. JWG was born in Cleveland, Ohio, in September 1918. --This text refers to the Paperback edition.


Product Details

  • Hardcover: 699 pages
  • Publisher: Committee Nuclear Responsibility; 1 edition (November 17, 1999)
  • Language: English
  • ISBN-10: 0932682979
  • ISBN-13: 978-0932682970
  • Product Dimensions: 11.1 x 8.7 x 1.8 inches
  • Shipping Weight: 4 pounds (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Best Sellers Rank: #2,591,823 in Books (See Top 100 in Books)

 

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22 of 24 people found the following review helpful:
5.0 out of 5 stars This is a new great contribution to the scientific knowledge, November 16, 1999
By A Customer
I am a professor of radiation biology at the Westfaelische Wilhelms-University in Muenster, Germany. German Television sent me an advanced copy of this book and asked for my evaluation of it. My opinion is that this book is a new great contribution to the scientific knowledge. The book is didactively very well organized. A must for every radiologist in the world. Gofman's results are in excellent agreement with the latest findings of scientists at the Radiation Effects Research Foundation in Hiroshima. They report in the October issue of Radiation Resaerch that in the exposed population deaths due to stroke and ischemic heart disease are significantly increased and dose related. Thus ionizing radiation is not only inducing cancer and mutations but also non malignant diseases like stroke, heart, digestive and respiratory diseases, just as Gofman's results indicate.
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9 of 9 people found the following review helpful:
5.0 out of 5 stars A simple method for the medical profession to save millions of lives going forward, July 11, 2008
By 
JBG (Champaign IL) - See all my reviews
This review is from: Radiation from Medical Procedures in the Pathogenesis of Cancer and Ischemic Heart Disease: Dose-Response Studies with Physicians per 100,000 Population (Hardcover)
Millions of cases of cancer, AND millions of cases of coronary heart disease, can be prevented by means of simple, systematic changes in the ways doctors use X-rays. This is the message in this monumental book by one of the world's most distinguished authorities on the effects of radiation on health.

In spite of its formidable title and length, Gofman's book is readable by the educated public. Its analysis is brilliantly simple. Although his actual journey was far more circuitous and demanding, in effect what Gofman did was to go to the library, copy some numbers out of standard references, and plot the results on easily understood graphs. Gofman found that the number of doctors per capita varied in different regions of the country, and that death rates from various causes did, too. When the death rate for everything-BUT-cancer-and-heart-disease was plotted against doctors-per-capita, the result was (as we would hope and expect), the more doctors, the lower the death rates.

But when a similar plot was done for overall cancer death rate, the result was, the more doctors, the MORE deaths from cancer, with the most "doctor-dense" region having a cancer death rate about DOUBLE that of the least doctor-dense region. The relationship is extremely strong, both statistically and by visual inspection of the graph. Gofman's explanation: It's well known radiation can cause cancer, and doctors, so to say, cause radiation through use of diagnostic X-rays, CT scans, etc.

Contrasting with the very high doses of radiation used to TREAT cancer, most medical uses involve low doses--ones so low, according to conventional wisdom, that they have negligible effects. Gofman says that his results show that the conventional wisdom is wrong, and that simply by MEASURING the doses actually administered, and using the information to constantly and incrementally improve technique, dosage can be greatly lowered without losing any of the undoubted benefits of medical X-rays. He lists from the literature many available but little-used methods to reduce dose, generally at modest expense. "Cost is not a big obstacle," he writes. "The big obstacle is [achieving] recognition that [accumulated dose] really matters."

Gofman examined many causes of death individually. Every kind of cancer death rate he looked at (except one) INcreased with increased doctors-per-capita. And most kinds of non-cancer death rates DEcreased - with one major exception: coronary heart disease. Its plot looks very like the one for cancer.

Gofman, who has been writing about the dangers of low-dose radiation for many years, expected his cancer results, but he was startled by the heart disease graph. Turning to the literature, he found evidence going back to 1973 that small benign tumors in the walls of blood vessels are implicated in hardening of the arteries. These radiation-induced benign tumors provide a reasonable and likely explanation for his unexpected heart disease finding, one that re-emphasizes the need for better management of medical radiation.

Gofman uses his data to estimate the fraction of cases of heart disease and of various kinds of cancer that would not have happened but for use of medical X-rays. The figures vary from about 50% to more than 80%. A clincher for the soundness of his analysis is that in an earlier book, Preventing Breast Cancer (1995), using entirely different methods, Gofman estimated the proportion of breast cancers due to medical radiation to be 75% or more. The breast cancer estimate from his new book is 83%, in remarkable agreement.

Many other causes of cancer are known or suspected. How can X-rays account for such high proportions? The answer is that they do not do it alone. Most cases of cancer are almost certainly the result of multiple causes. That is, typically, several inputs are necessary to cause a cancer, and elimination of any one of the inputs can prevent the cancer. Thus, reducing radiation exposures helps prevent all the cancers that needed a radiation input of a certain size in order to occur.

The thing about ionizing radiation is that, besides being a thoroughly proven cause, it is such a controllable cause. Unlike smoking, for example, where masses of people need to change their behavior, with medical X-rays, only some medical professionals must.

The Executive Summary of Gofman's book, including his remarkable graphs, is available (free) on-line. To find it, Google: "radiation from medical procedures"

This review was originally prepared for and appeared in the January-February 2000 issue of the bulletin of the Illinois Student Environmental Network.
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Inside This Book (learn more)
First Sentence:
The evidence presented in this book strongly indicates that over 50% of the death-rate from Cancer today, and over 60% of the death-rate from Ischemic Heart Disease today, are xray-induced as defined and explained in Part 5 of the Introduction. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
xray exams, smoking adjustment, structural chromosomal mutations, operating more strongly, entropic circumstances, unhydrogenated cottonseed oil, extra smoking, medical rads, census divisions, lipoprotein spectrum, primary ionization track, tumor hypothesis, capita dose, atherogenic species, medical xrays, medical radiation, radiogenic damage, accumulated radiation dose, female genital cancers, xanthoma tendinosum, caloric equilibrium, fluoroscopic xrays, xray doses, total serum triglyceride, regression output
Key Phrases - Capitalized Phrases (CAPs): (learn more)
New England, Degrees of Freedom, Std Err of Coef, South Atlantic, West North Central, East South Central, West South Central, East North Central, Avg Chg, Natl Adjusted, Adjusted Constant, National Adjusted, Par Cal, Trio-Sequence Tab, United States, Pop'n Tab, Digestive-System Cancers, Best Est, New Frac, New X-Coef, Digestive Cancers, Average High-Five, Average Low-Four, The Weighted-Avg, Time Year
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