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National Public Health Service for Wales Press release: A survey of cancer in the vicinity of Trawsfynydd nuclear power station in North Wales PRESS RELEASE A Survey of cancer in the vicinity of Trawsfynydd nuclear power station in North Wales The National Public Health Service for Wales has become aware of the recent publication, (through the website of the Low Level Radiation Campaign and S4C broadcast Y Byd ar Bedwar, 13 June 2006) of a survey of cancer in the vicinity of Trawsfynydd Nuclear Power Station in North Wales, which claims the existence of a higher level of cancer risk in the area. The National Public Health Service for Wales (NPHS) has the protection of public health as a core objective, and wishes to ensure that any investigations of health concerns employ rigorous professional procedures and standards. In considering issues relating to radiation and health, the NPHS works in partnership with experts at the Radiation Protection Division of the Health Protection Agency (HPA). The NPHS and HPA note with concern that this latest study undertaken by ‘Green Audit’ has been broadly based upon the methods used for a previous cancer questionnaire study in Burnham on Sea and has similarly not been the subject of appropriate ethical and peer review. This previous study was considered in detail by the independent expert Committee on Medical Aspects of Radiation in the Environment (COMARE) in 2004, who concluded that: “Whilst the Green Audit report was intended to address the concerns of the local community, and did indeed involve them, it is so deeply flawed that it cannot provide any reliable information or conclusions about rates of cancer in Burnham on Sea. We believe it is essential that Green Audit withdraws its report so as not to cause further unjustified local concern. The community's interest in establishing the facts are not well served by studies with such deficiencies and it is essential that future studies should have the highest possible standards of design. We note that the authors appear neither to have consulted the local NHS Research Ethics Committee nor to have had the study protocol peer reviewed. If these steps had been taken, the study Version: 2 Author: Andrew Jones Date: 14/06/06 Page: 1 of 3 Status: Final Approved for publication National Public Health Service for Wales Press release: A survey of cancer in the vicinity of Trawsfynydd nuclear power station in North Wales deficiencies would almost certainly have been pointed out to them. Also Green Audit should follow normal scientific practice and submit their reports for peer review rather than releasing their reports themselves without such review. All other scientific investigators have to follow these rules”. A full copy of the COMARE statement is available at: http://www.comare.org.uk/statements/comare_statement_burnham.htm This latest study on cancer rates in North Wales has the real potential to give rise to public concern. The NPHS and HPA are therefore very concerned that this previous advice from COMARE has not been appropriately considered by Green Audit in undertaking and releasing this latest study. Such independent professional advice is given to ensure that studies are undertaken and interpreted appropriately, that communities can have confidence in conclusions arising from scientific research and to seek to ensure that community health concerns are not raised unnecessarily. COMARE have separately pointed out in their 9th Report that considering individual or small epidemiological studies is not the best way to examine uncertainties due to the limitations associated with statistical analysis at small area level: http://www.comare.org.uk/reports/COMARE9thtextprint.pdf Reliable information on the health of the population living within Gwynedd is available. Summary information is included in the Gwynedd Local Health Board (LHB) Health Social Care and Wellbeing Strategy. Within Wales routine surveillance and monitoring of cancers is undertaken by the Welsh Cancer Intelligence and Surveillance Unit (WCISU), who work to strict standards and liaise closely with clinicians. WCISU routinely publish data at the Local Health Board Level.http://www.wcisu.wales.nhs.uk The prevention and treatment of cancer is an important priority for the Gwynedd Local Health Board. The NPHS is committed to supporting the LHB and its partners to work with local communities to discuss relevant concerns and address any uncertainties. Notes to Editors This Green Audit study alleges increased risks of adult cancer, notably female adult cancers in the vicinity of the Trawsfynydd Nuclear Power plant. 1. Specific reliable information, notably in relation to childhood cancers, is available in relation to populations living in the vicinity of nuclear power establishments. In June 2005 COMARE produced its 10th report. Using a unique database of over 32,000 cases of childhood cancer that occurred in Great Britain between 1969 and 1993, COMARE studied the incidence of childhood cancer in the vicinity of all the major licensed nuclear sites in England, Scotland and Wales. The study found no evidence of excess numbers of cases in any local 25km area around any of the nuclear power Version: 2 Author: Andrew Jones Date: 14/06/06 Page: 2 of 3 Status: Final Approved for publication National Public Health Service for Wales Press release: A survey of cancer in the vicinity of Trawsfynydd nuclear power station in North Wales stations, including the two installations located in North Wales. Further details can again be found on COMARE’s website: http://www.comare.org.uk/press_releases/comare_pr10.htm http://www.comare.org.uk/documents/COMARE10thReport.pdf 2. A previous study of cancers in the vicinity of the Trawsfynydd and Wylfa nuclear power installations was reviewed by COMARE in 1994 who found no evidence for concern. Further information is available from HANSARD 16 June 1994, Col 665-657 3. Information on Screening for Breast Cancer in Wales, can be found from the website of Screening Services Wales. http://www.screeningservices.org.uk/btw/index_eng.asp For further Information please contact Mr Chris Lines, Head of Communications, NPHS: 07866634077 Ends Version: 2 Author: Andrew Jones Date: 14/06/06 Page: 3 of 3 Status: Final Approved for publication