NATICK
CANCER STUDY TASK FORCE
OLD MEETING MINUTES (1997,
Part A)
(and some other meetings
of interest)
(Last updated on December 26, 1997)
1997, Part
A (970313-970514, including NCSTF meetings 1-8)
1997, Part
B (970515-970827, including NCSTF meetings 9-16)
1997, Part
C (970828-971005, including NCSTF meetings 17-19)
1997, Part
D (971006-971116, including NCSTF meetings 20-22)
1997, Part
E (971117-971231, including NCSTF meetings 23-25)
Recent Meeting
Minutes
Also see our members,
our upcoming meetings, and our
main cancer page.
First meeting: Thursday, March
13th, 1997 (7:45-10pm, Natick Town Hall, Basement Auditorium):
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Organizational meeting; Chairman of
Selectmen John Moran delivers members list and draft "Proposed Charge to
the Cancer Study Task Force":
1. To ascertain by survey or use
of existing data collection system, if cancer rates in Natick are extraordinary
and if so are the extraordinary rates identifiable geographically.
2. To determine with the assistance
of the appropriate technical expertise and testing the potential cause
of whatever extraordinary rates may exist.
3. To recommend a plan to eliminate
the potential causes of extraordinary cancer rates.
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Roger Wade will provide Town liason
and support through Natick Dept. of Public Health. No reimbursement funding
exists; we will request a $500 revolving fund for some reports, attendance
at special meetings, etc. Roger can supply some office services including
copying.
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Will meet every Thursday night, 7:30-9:30
pm until see need for change; same room next week.
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Dr. Charles Czeisler explains his proposal
for a different cancer-incidences study based on mortality stats, etc.
(Can we get Social-Security number correlated stats, to trace appropriate
information re victims who moved from Natick?)
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Brief introduction by each attendee:
name, special qualifications, point to home on Natick map; some attach
a flagged pin to map, to identify personally-known clusters of cancer
victims (a quick first look regarding a possible, accurate future survey).
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Three attendees from Columbia Metrowest
Medical Center offer their help. Accepted.
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Task Force elects its officers (see
above).
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Dick Miller mentions SSCOM RAB and
current studies, distributes print-out of his new Cancer-Incidence webpage.
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Other meetings are mentioned: SSCOM
RAB, Toxics Action '97 (see below).
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Dick briefly shows Feb.-released MDPH
draft study re Cancer-Incidence in Natick. Catherine Rizzo proposes to
let MDPH provide and deliver copies for all. Beth Donelly volunteers printing
for members via Columbia Metrowest Medical Center printshop, for distribution
at next meeting. The latter method is chosen.
-
Non-members attending: Lisa Auclair,
Lawrence Kaplan, M.D. (C.E.O. of Columbia Metrowest Medical Center,
Framingham), Lynn Olsen, Peter Silbermann (Earthtech), Judy
Weinrich.
Meeting
2: Thursday, March 20th, 1997 (7:30-10pm, Natick Town Hall, Basement
Auditorium):
-
Discussed and confirmed: No modification
required to Selectmen's draft Proposed Charge to Task Force. (See March
13th notes, above.)
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Updated member addresses/e-mail/special.
(Only officer members' phone numbers on public listing.)
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Outreach plans discussed. Goals are
to publicize task force issues, solicit volunteering of related information,
and gather volunteer names for potential Natick cancer-incidence survey.
Subcommittee assigned: Mary Brown and Tom Branham will also contact Mary
Ellen Siudut for Town Election Day (next Tuesday, permission already received)
and beyond.
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Initial report on assistance from U.S.
Congressman Ed Markey.
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Wording for $50K State Budget line-item
(proposed and agreed):
"$50,000 - via MDEP or MDPH
- To provide a R.N. and other consulting aid to the Natick Cancer Study
Task Force for identification and correction of extraordinary cancer risk
areas."
-
Main presentation: Roger Wade, Natick's
Health Director, on Natick Town abilities, history, current status of Town
data.
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Distribute copies of MDPH Cancer-Incidence
draft study (detailed explanation next meeting; absent members: pick up
your copy ASAP from Dick Miller or Roger Wade).
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Next meetings: Skip next week due to
Holy Day conflict, plan for early presentations by MDPH and by Don Tata
(Natick's consulting engineer).
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Non-members attending: Mel Albert
(attorney).
Meeting
3: Thursday, April 3rd, 1997 (7:30-9:30pm, Natick Town Hall, 1st-Floor
Auditorium):
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Discussed upcoming meeting events,
necessary date conflicts with April Town Meeting.
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Rich Philben has resigned his membership.
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Discussed conference on April 5th -
car-pooling, etc. Walk-ins permissible.
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Morse Institute Library to reopen next
week, so all members can access these Web pages
1) by an Altavista search
on natick and cancer, or
2) by URL = http://www.gis.net/~dmiller/cancer.html
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Reported re East Natick meeting in
mid-March (postponed).
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Reported new offer of help from U.S.
Geological Survey.
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Discussed parallel problems at Massachusetts
Military Reservation (Otis AFB, Camp Edwards); see $12 The Enemy
Within, $3 special reprint of January 1997 news series by Cape
Cod Times.
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Selectmen's action on NCSTF budget
request: $1,000 was approved for our use (March 24th, Agenda Item 24).
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Status report: Outreach activities,
Tom Branham to report on Election Day and on draft response letter to volunteers
(postponed, Tom out of town).
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Status report: Massachusetts Legislative
Budget line-item. Expect $50K item in budget (see prior meeting notes),
Senators Jacques and Magnani expected to support filing by Rep. Stoddart.
Member and new Selectman Jay Ball reports, will expedite.
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Status report: Actions by U.S. Congressman
Ed Markey (postponed).
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Introduced new guest, Susanne Simon
of ATSDR; she introduced her U.S. agency and its new Natick study. (Susanne
will be our main presenter on April 17th.)
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Status report: Roger Wade has received
the promised pancreatic-cancer death data (which tracks with incidence
data) from MDPH. He has reduced most of it to street addresses, and is
extending the database from 1975 to 1995 (instead of 1982-1990); completion
expected in 1-2 weeks.
-
Main presentation: Natick Water
Supply System, by Don Tata, Natick's consulting engineer, and Jack Perideau,
Natick Water Division.
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Non-members attending: Mel Albert,
Jack Perideau, Peter Silbermann, Susanne Simon, Don
Tata.
Toxics
Action '97 at Boston College: April 5th (9:00am-5:00pm; $20) and
6th, 1997 (workshop, $5).
-
Many from Natick and our Task Force
attended, and it was excellent!
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For information on this annual event,
call Toxics Action Center at 617/292-4821.
Meeting
4: Thursday, April 10th, 1997 (7:30-9:30pm, Natick Town Hall, 1st-Floor
Auditorium):
-
Because of the conflict with the second
night of Natick Town Meeting, this meeting was audio-taped. Members may
borrow the tapes.
-
Main presentation: Suzanne Condon
and Martha Steele of Mass. Dept. of Public Health re its February-released
draft report on Cancer-Incidence in Natick, plus recent progress
toward early-May final report. Some statistics support by Theresa Barry
of MDPH.
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Status report: Roger Wade (absent at
Town Meeting) has reduced most (all?) of MDPH's pancreatic-cancer death
data to street addresses, and is extending that database from 1975 to 1995
(instead of 1982-1990).
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New data re Natick cancer-incidence
clusters: We began discussion of whether to map it, how/when to share this
information in a sensitive and effective manner.
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Volunteers wanted:
1) to research old Natick data,
maps, etc., re historic sources of toxic materials.
2) to trace addresses of cancer
survey people who have moved from Natick neighborhoods.
3) to publicize our meetings.
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The new Morse Institute Library is
open, and ready to help anyone access these Web pages
1) by an Altavista search
on natick and cancer, or
2) by URL = http://www.gis.net/~dmiller/cancer.html
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Budget items: Must be for approved
uses. Can turn in at meeting for reimbursement by check (normally at next
meeting).
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Discuss upcoming meeting events: April
17th scheduled, 24th proposed, MDEP requested but not yet available. Time
needed for business, as well. No date conflicts identified except possible
Town Meeting continuation to next Thursday.
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Outreach activities: Tom Branham will
report at next meeting on Election Day sign-ups, draft response letter
to volunteers, and online solicitation of public input.
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Brief report on Toxics Action '97 conference
on April 5th: excellent, worth a later in-depth report.
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Carol Scannell will report at next
meeting re East Natick meetings.
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First discussion of Dow Chemical (MDEP
Tier 1A) pollution site by Rte. 30 and Oak St. in Cochituate. Tom Maglione
of NED/Dow Neighbors explains; their MDPH report due in June. Our groups
will coordinate.
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Status report: Massachusetts Legislative
Budget line-item for Natick Cancer Study. $50K line item is in printed
draft budget (reworded from prior meeting notes). Senators Jacques and
Magnani will support filing by Rep. Stoddart; Dick Miller and Selectman
Jay Ball to meet with them and Sen. Stan Rosenberg, Co-Chairman of Joint
Ways and Means Committee.
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Postponed status report re support
by U.S. Congressman Ed Markey.
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New question: EMF risks under power
lines (residences, schools)? It is a valid question, but opinions will
vary. MDPH will provide further information.
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Non-members attending: Theresa Barry,
Susanne Condon, Tom Maglione, Lucas Mearian (Middlesex
News), Mark Schneider, Susanne Simon, Martha Steele,
Don Tata, Michelle Jalbert.
Meeting
5: Thursday, April 17th, 1997 (7:30-9:30pm, Morse Institute Library,
Main Hall):
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This meeting was in conflict with the
fourth session of Natick Town Meeting.
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Main presentation: Susanne Simon
of the U.S. Agency for Toxic Substances and Disease Registry (617/223-5526,
SXS2@CDC.gov), re ATSDR's general role and its current Natick Health
Study. Its draft report on NLabs and some other Natick health issues
should be ready for presentation to NCSTF about mid-May, and at the SSCOM
RAB meeting on May 27th.
-
Volunteers:
1) to research old Natick data,
maps, etc., re historic sources of toxic materials (Joe Fallon).
2) to trace addresses of cancer
survey people who have moved from Natick neighborhoods.
3) to publicize our meetings (Carol
Scannell).
-
Non-members attending: Tom Maglione,
Don Tata.
Meeting
6: Thursday, April 24th, 1997 (7:30-9:30pm, NTH, 1st-Floor Auditorium,
13 E. Central St.):
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Recommended reading for main presentation:
The Enemy Within: The Struggle to Clean Up Cape Cod's Military Superfund
Site, by Seth Rolbein (Association for the Preservation of Cape
Cod, Orleans MA, 1995).
-
Main presentation: J. Michael Norris
of the U.S. Geological Survey (MA/RI Office in Marlborough, MA) and
Don Walter (one of that office's hydrologists, working at Cape Cod).
USGS provided the underground water measurement and analysis for the massive
groundwater pollution abatement efforts underway at the Massachusetts Military
Reservation (Otis Air Force Base and Camp Edwards on Cape Cod). USGS can
provide similar services in Natick, and demonstrated how useful a carefully-tuned
regional groundwater model by an independent agency can be. We (Dick Miller
and Marco Kaltofen with Tom Branham and Don Tata) will help them to determine
what data already exists in Natick, and how much additional work would
be required.
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Roger Wade has been sick for several
weeks, and thus his anticipated map of preliminary data re pancreatic-cancer
deaths in Natick will be delayed 1-2 more weeks. He probably will miss
most of our upcoming meetings. He will meet with Dick Miller in advance
of each meeting; Dick has requested that another Health Dept. officer attend
in Roger's place.
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Related concerns re direction and pace
of Task Force. Mary Ellen Siudut reports a cancer researcher's belief that
pancreatic cancers are not caused by environmental factors and have
long gestation period; she questions whether that linkage is worth pursuing.
Marco Kaltofen will find the cited articles, and says he'll also bring
articles promoting a link with local carcinogen plus (water-borne
or other) immune-system inhibitor.
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Discuss upcoming meeting events: We
are about to shift from presentations to consideration. April 24th scheduled,
31st proposed, MDEP requested but not yet available (try to coordinate
MDEP talk with Natick Conservation Commission). SSCOM was invited to present
but probably won't. No need for oncology presentation at this time.
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Outreach activities: Tom Branham reports
that Election Day sign-ups yielded about 15 volunteers, he will bring draft
response letter for follow-up. How to best utilize volunteers?
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Letter from Suzanne Condon, MDPH: They
have administered follow-up questionnare to 18 known informants from earlier
death certificates of 1982-1992 Natick pancreatic cancer cases. Can Task
Force help MDPH locate the 15 other informants (the appropriate death certificates
are attached)? Several are immediately noted as doable, and members will
report back; we will attempt to locate the others, as well.
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Carol Scannell arrived late from an
East Natick meeting, reported on upcoming Maffei public meeting on May
5th. She will provide details later.
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Tom Maglione unable to attend tonight,
but phoned that his group supports idea of Natick Library becoming a repository
for Dow Chemical (MDEP Tier 1A) pollution site info: to do so, write letter
to MDEP with 10 Natick signatures requiring a PIP at Natick Library. Marco
Kaltofen says that is not necessary, he will arrange it for us.
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Non-members attending: Mel Albert,
Jessica Graham (Eastern Research Group, for ATSDR), Marco Kaltofen
(SSCOM RAB), J. Michael Norris (USGS), Ken Soderholm (Natick Conservation
Commission).
Meeting
7: Thursday, May 1st, 1997 (7:30-9:30pm, NTH, Room 307, 13 E. Central
St.):
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(At this meeting, Task Force main focus
shifts from guest speakers to consideration.)
-
Mary Ellen Siudut questioned whether
to further define our goals. The original "Charge to the Cancer Study Task
Force" (which we accepted without change at Meeting 2) is:
1. To ascertain by survey or use
of existing data collection system, if cancer rates in Natick are extraordinary
and if so are the extraordinary rates identifiable geographically.
2. To determine with the assistance
of the appropriate technical expertise and testing the potential cause
of whatever extraordinary rates may exist.
3. To recommend a plan to eliminate
the potential causes of extraordinary cancer rates.
We propose only these minor clarifications:
in 1., change "or" to "and/or", and in 2., to insert commas after "determine"
and "testing".
A first wide-roving discussion
of interpretations and scenarios followed. Generally agreed: The study
is not limited to Wethersfield. Pancreatic cancer may or may not have environmental
causes. We will try not to lock onto one interpretation prematurely. (Following
advice in letter from Martha Steele of MDPH.)
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Status report: Roger Wade has not yet
provided his extended Natick cancer database (1975-1995, instead of MDPH's
1982-1990) to Peter Silbermann for volunteer mapping by EarthTech. Dick
Miller to expedite this, and to ask that all data except names be
transmitted, for a general database which can produce various mappings
in future.
-
New data re Natick cancer-incidence
clusters: The Task Force decided not to publicize names or mapped data
at this time. Later, can explore ways to share this information in a sensitive
and effective manner.
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Locating of 15 pancreatic-cancer case
prior informants for MDPH (see Meeting 6). NCSTF members have been e-mailed
this list for personal inputs. It is sensitive, so do not publicize. (Tom
Branham mapped these 15 as a random experiment, and it does provide a non-random
pattern in time.)
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Budget items (see Meeting 4): Reimbursement
requests submitted by Tom Branham for Election Day volunteer materials
($15), by Dick Miller for some copying expenses ($2).
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Discuss upcoming meeting events: MDPH
Study on May 8th; MDEP presentation May 22nd if okay with Bob
Campbell, otherwise on May 15th (need time for business). Natick Cable
Channel will publicize MDPH meeting. Arrange presentation by epidemiologist
(John Krikorian?). Date conflicts: Can move to Tues. or Wed., re Roger
Wade's schedule conflict? Voted to stay with Thursday nights at least through
June. (Although certain Wednesdays could be possible.)
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Use volunteered user-input form for
our Cancer Webpage? After discussion, this good project was vetoed (at
this time) to reduce risk of contaminating a later survey..
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Carol Scannell announced major East
Natick ex-kids reunion in late June. Appointed her and Maureen Graham,
RN, to explore how/whether to encourage inputs from attendees.
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Status report re Massachusetts Legislative
Budget. Our $50K House Budget line item (#4510-0600) is in print. Senators
Jacques and Magnani have supported filing by Rep. Stoddart; Dick Miller
and Selectman Jay Ball met with them and aides of Sen. Stan Rosenberg,
Co-Chairman of Joint Ways and Means Committee, on April 17th. Believed
to be on track. Dr. Richard Clapp has expressed interest in this potential
project, expects to meet with us in late May.
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Pesticide Usage (new question, passed
on to Roger Wade): Past history of pesticide usage in Natick? Any potential
linkage?
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Non-members attending: B.McCavert?
Meeting
8: Thursday, May 8th, 1997 (7:30-9:30pm, NTH, 1st-Floor Auditorium,
13 E. Central St.):
-
Main presentation: Martha Steele
of Mass. Dept. of Public Health presented its completed Natick Health Study
report (including new data): Assessment of Cancer Incidents in
Natick, Massachusetts (1982-1992).
This report updates the draft one
which was presented at the controversial Feb. 25th meeting at U.S. Army
Natick Laboratories. The completed version was described using overhead
slides, copies of the printed report were distributed to all attendees,
and a lengthy question-and-answer period ensued. Some questions were answered
by Theresa Barry, the principal investigator for this MDPH project.
Unofficial Overview: A long-awaited
and good presentation. This study of cancer incidences in Natick is expanded
(from 1982-1990) to 1982-1992, and the data was analyzed across the eleven
years as well as in two sub-periods, 1982-1986 and 1987-1992. As before,
it looks only as close as Natick's six Census Tracts; specific addresses
are kept confidential from the public and even from the Natick Health Director.
Natick on the average
shows no increased rates of cancer incidences. Females experienced
slightly higher rates, but no cancer type was significantly elevated for
Natick as a whole.
Natick's six Census Tracts show
several significant issues, only one of which is localized within a Census
Tract:
-
The much-publicized "Wethersfield pancreatic
cancer cluster" (which is described as 8 incidents, 6 living within a 1/4-mile
radius) is still pronounced (probably over three times expected; only 1
chance in 20 that it is not at least 50% over expected), but only
in the six-year first period; the five-year second period shows it to be
average. (Remaining questions include: where is this location,
what are earlier and later statistics in this location, and what likely
environmental links exist -- or, if no links, than what?)
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Leukemia in females in South Natick,
also concentrated in the six-year first period.
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Bladder cancer in South Natick, in
the five-year second period, primarily in older males who smoked.
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Kidney cancer in West Natick across
the entire eleven-year period.
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Non-Hodgkin's lymphoma in females in
West Natick, in the second five-year period.
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Martha Steele reminded us that cancer
is many diseases, not one, and that very little is yet known about most
of them. Best answers often are a long way from reliable ones, and more
information is sought. MDPH does not recommend that its findings be interpreted
as final ones, will continue its study of Natick on an as-needed basis,
and will stay tuned in to the US ATSDR phase-one report due on May 27th
and to further developments in our community.
-
The public has 30 days -- until
June 9th -- to submit comments. A copy of the new MDPH report is on
file at the Natick library. If you are a member of the Natick Cancer Study
Task Force and missed this meeting, you can pick up your report copy
and Q&A hand-out from the Natick Health Department, or at our next
meeting. John McHugh at U.S. Army Natick Laboratories will have copies
available for SSCOM RAB members.
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Surprise event: The MDPH was presented
with some new Task Force data, as well. Roger Wade's compilation
of cancer deaths in Natick from 1975-1986 (pancreatic cancer deaths 1975-1995)
has been completed. On a volunteer basis, Peter Silbermann of Earthtech
has just converted that into a computer database (names removed, other
data retained) of 756 records. Perhaps by our next meeting, Peter expects
to present some first mappings of this different, twelve- and twenty-year
span of data.
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Non-members attending: Mel Albert,
George Bargamian, Theresa Barry (Mass. Dept. of Public Health), Robert
Campbell (Mass. Dept. of Environmental Protection), Barbara Chinetti,
Mark Gallagher (U.S. Congressman Ed Markey), Doug Hanchett, Mike
Hering, Tim Hopkins, Jerry Keefe (U.S. Enviromental Protection Agency),
Adam Last (SSCOM RAB), Lynn Last, Chad Lewis, John McHugh (U.S. Army Natick
Laboratories/SSCOM RAB), Lucas Mearian (Middlesex News reporter), Rebecca
Saybolt (Mass. Sen. Cheryl Jacques), Don Seiffert (Natick TAB reporter),
Peter Silbermann, Susanne Simon (U.S. Agency for Toxic Substances and Disease
Registry), Ken Soderholm (Natick Conservation Commission), Martha Steele
(MDPH), Lucas Talarico (Natick Bulletin reporter), Katie Tucker.