Showing posts with label thyroid cancer. Show all posts
Showing posts with label thyroid cancer. Show all posts

Monday, March 10, 2014

UK Medical Experts Say Seemingly Large Number of Thyroid Cancer in Children in Fukushima Is Likely Due to Hypersensitive Ultrasound


In other words, "screening effect," as other researchers have already concluded. (Here's a paper by German researchers, published in January 2014 in Radiation and Environmental Biophysics.)

Even some of the Japanese experts such as Dr. Masamichi Nishio who have been fanning the fear of a big increase in thyroid cancer in children after the Fukushima I NPP accident seem to be backtracking (link goes to a togetter with Dr. Nishio's comments) these days, as the third anniversary of the triple disaster of earthquake, tsunami and nuclear accident in Japan approaches.

The Guardian's article below, however, does not make it crystal clear that the thyroid screening test being done in Fukushima Prefecture since 2011 aims to test ALL children who were 18 years old and under at the time of the nuclear accident and who would have not gone to a thyroid specialist to have their thyroids checked had there been no nuclear accident.

Fukushima Prefecture's screening is finding the cases of thyroid cancer which would have gone unnoticed and undetected for years if not decades. To compare the cancer cases found in this screening with the normal cancer cases where the patient goes to the doctor and the doctor makes diagnosis doesn't make any sense, but that's what some experts in Japan and outside Japan have been doing, to the apparent frustration (for some) and anxiety (for many others) among parents in Fukushima.

So far, 269,354 children, or about 80% of all children in Fukushima who were 18 years old and younger at the time of the accident have been tested, according to the latest report (2/7/2014; in Japanese) by the Fukushima prefectural government. None of the children found with thyroid cancer had any symptoms.

From UK's The Guardian (3/9/2014; emphasis is mine):

Fukushima's children at centre of debate over rates of thyroid cancer

Three years after the worst nuclear accident in a generation, the Japanese prefecture is reporting a rise in the number of children showing cancer symptoms. But is this directly related to the disaster, or is the testing more rigorous?

by Justin McCurry in Fukushima

When doctors found several tiny nodules on his 12-year-old daughter's thyroid gland, Toshiyuki Kamei refused to let parental fear get the better of him. The symptoms are not uncommon, and the probability that they will develop into something more serious is low.

Yet Kamei can be forgiven for occasional moments of doubt: his daughter, Ayako, is one of almost 400,000 children who were living in Fukushima on 11 March 2011 – the start of the world's worst nuclear accident for a quarter of a century.

"As a parent, of course I worry, but my daughter is taking it in her stride," said Kamei, who lives in Iwaki, a city about 40km (25 miles) south of the wrecked Fukushima Daiichi nuclear power plant. "She doesn't tell me if it's on her mind, and I've decided not to ask her about it."

Three years after the plant suffered a triple meltdown that released huge quantities of radiation into the atmosphere, medical authorities in Fukushima prefecture are reporting a significant rise in the number of thyroid cancer cases among local children and young adults.

The results have prompted a bitter debate about the potential effects the meltdown had on the health of hundreds of thousands of children. Either the higher-than-normal rates of thyroid cancer are connected to the nuclear accident, or they are the inevitable result of a testing regime unprecedented in size, and conducted using state-of-the-art medical equipment.

Last month, the number of confirmed and suspected cases of thyroid cancer among people aged 18 or below at the time of the accident rose to 75, compared with 59 at the end of last September. Of the current total, 33 cases have been confirmed as cancer.

...At first sight, the figures give cause for alarm. Thyroid cancer normally affects one to two people per million among 10 to 14-year-olds in Japan, a rate far lower than observed in Fukushima, although tests there apply to people aged up to 18.

But experts familiar with both disasters caution against making similarly gloomy predictions for the children of Fukushima. Dillwyn Williams, emeritus professor of pathology at Cambridge University, pointed out that a noticeable increase in thyroid cancers was not observed until three to four years after the Chernobyl accident.

"Much less radioactivity was released from Fukushima than from Chernobyl," he said. "Most of [the Fukushima radiation] was blown over the Pacific Ocean, and thyroid doses in the most-affected areas are low compared to Chernobyl.

"It is very unlikely there will be a large increase in thyroid cancer or any other health problems, apart from anxiety and psychological difficulties. That does not mean the surveillance should stop. There were surprises after Chernobyl and there may be again after Fukushima."

Williams and other experts have attributed the large number of cases to the use of hypersensitive ultrasound, which can detect the tiniest lesions, and the large number of children being tested.

...Gerry Thomas, professor of molecular pathology at Imperial College, London University, blames growing anxiety among Fukushima residents on "pseudo-scientists who can shout louder than real scientists".

"The biggest effect will be psychological – just as it was post-Chernobyl," said Thomas, who insists the rising number of cases is due to comprehensive screening, not radiation. "I still stick with what I have always said: there will not be a single death due to the radiological consequences of this accident."


(Full article at the link)


Ah. The curse of "one in million" continues, but at least the article mentions "comprehensive screening".

Professor Geraldine Thomas sounds somewhat like Mr. George Monbiot, or lot like Professor Wade Allison of Oxford University, but her comment that "pseudo-scientists" causing anxiety among Fukushima residents has a point, I believe, after reading numerous articles from the Japanese newspapers on the 3rd anniversary of the nuclear accident.

Friday, February 21, 2014

The International Workshop on Radiation and Thyroid Cancer in Tokyo, February 21-23, 2014


The workshop is ongoing, co-hosted by the Ministry of the Environment, Fukushima Medical University, and the OECD Nuclear Energy Agency.

Presenters include expert researchers from around the world, including Ukraine, Belarus and Russia, in radiological research and thyroid cancer research.

The link to the English program: http://www.nsra.or.jp/safe/crpph2014/program-e.pdf

The link to the Japanese program: http://www.nsra.or.jp/safe/crpph2014/program-j.pdf


Live webcast in English:



Live streaming video by Ustream

Live webcast in Japanese:



Live streaming video by Ustream

I caught a tweet by a nuclear researcher in Japan viewing the live webcast, in which he mentioned a presentation that the higher intake of natural iodine in Japan than outside Japan through normal diet before the accident was one of the reasons why the ratio of iodine-131 and radioactive cesium in people exposed to Fukushima-origin radiation is different from the ratio of iodine-131 and radioactive cesium in the atmosphere. (I'm assuming the ratio of iodine-131 was much lower in people than in the atmosphere.)

Friday, April 26, 2013

Long Shadow of Chernobyl (2): German and Belarusian Researchers Say 64% of 229 Belarusian Children with High-Risk Thyroid Cancer in Complete Remission, 30% in Near-Complete Remission


For what it's worth, on the anniversary day of the accident.

From Science Daily (4/24/2013; emphasis is mine):

Chernobyl Follow-Up Study Finds High Survival Rate Among Young Thyroid Cancer Patients

Apr. 24, 2013 — More than a quarter of a century after the Chernobyl nuclear disaster, many children and teenagers who developed thyroid cancer due to radiation are in complete or near remission, according to a recent study accepted for publication in The Endocrine Society's Journal of Clinical Endocrinology & Metabolism (JCEM).

Following the April 26, 1986 explosion and fire at the Chernobyl nuclear plant in the former Soviet Union, the number of children and teenagers diagnosed with differentiated thyroid cancer spiked in Ukraine, Belarus and western areas of Russia. Most of the patients developed the papillary subtype of differentiated thyroid cancer. Although this cancer tends to be more aggressive in children than adults, nearly all of the patients tracked in the study responded favorably to treatment.

"Even though some patients did not receive optimal treatment initially, the vast majority went into remission after receiving state-of-the-art radiodine treatment and follow-up care," said study lead author Christoph Reiners, MD, of the University of Würzburg, Germany. "Many patients recovered from advanced cancers. Of this group, 97 percent had cancer spread to the lymph nodes, and 43 percent had cancer metastasize in the lungs."

The observational study followed the treatment and outcomes of 229 Belarusian children and adolescents who underwent surgery in Belarus and radioiodine therapy in Germany. The study participants were among the highest-risk young patients exposed to radiation from the accident.

Despite the risk, 64 percent of the patients are in complete remission and 30 percent nearly complete remission of their cancer. One patient died of lung fibrosis, a side effect of cancer treatment. Only two had cancer recurrences.

The findings suggest victims of more recent nuclear accidents like the 2011 Fukushima accident in Japan face lower risk of developing advanced-stage thyroid cancer, Reiners said.

(Full article at the link)


From Journal of Clinical Endocrinology and Metabolism (JCEM) (4/24/2013; emphasis is mine):

Twenty-Five Years after Chernobyl: Outcome of Radioiodine Treatment in Children and Adolescents with Very-High-Risk Radiation-Induced Differentiated Thyroid Carcinoma

Christoph Reiners, MD1,
Johannes Biko, MD1,
Heribert Haenscheid, PhD1,
Helge Hebestreit, MD2,
Stalina Kirinjuk, MD3,
Oleg Baranowski, MD3,
Robert J. Marlowe, BA4,
Ewgeni Demidchik, MD5,†,
Valentina Drozd, MD6 and
Yuri Demidchik, MD7

- Author Affiliations

1Department of Nuclear Medicine, University of Würzburg, Germany;
2Department of Pediatrics, University of Würzburg, Germany;
3Hospital for Oncology, Thyroid Cancer Center, Minsk, Belarus;
4Spencer-Fountayne Corporation, Jersey City, NJ, USA;
5National Academy of Sciences, Minsk, Belarus;
6International Fund Help for Patients with Radiation Induced Thyroid Cancer “Arnica”, Minsk, Belarus;
7Belarusian Medical Academy of Post-Graduate Education, Minsk, Belarus

Address all correspondence and requests for reprints to: Prof.Dr.Dr.med.h.c. Christoph Reiners, Department of Nuclear Medicine, University of Würzburg, Oberdürrbacherstr. 6, D-97080 Würzburg, Germany, Tel. +49 931 201 55001, Fax. +49 931 201 655001, E-mail: reinersc@klinik.uni-wuerzburg.de.


Abstract

Context: After severe reactor emergencies with release of radioactive iodine, elevated thyroid cancer risk in children and adolescents is considered the main health consequence for the population exposed.

Design: We studied thyroid cancer outcome after 11.3 years' median follow-up in a selected, very high-risk cohort, 234 Chernobyl-exposed Belarusian children and adolescents undergoing post-surgical radioiodine therapy (RIT) in Germany.

Interventions: Cumulatively 100 (134) children with (without) distant metastasis received a median 4 (2) RITs and 16.9 (6.6) GBq, corresponding to 368 (141) MBq/kg iodine-131.

Main Outcome Measures: Outcomes were response to therapy and disease status, mortality, and treatment toxicity.

Results: Of 229 patients evaluable for outcome, 147 (64.2%) attained complete remission (negative iodine-131 whole-body scan and TSH-stimulated serum Tg <1 μ g /L), 69 (30.1%) showed nearly complete remission (complete response, except stimulated Tg 1–10 μ g/L), and 11 (4.8%) had partial remission (Tg >10 μ g/L, decrease from baseline in radioiodine uptake intensity in ≥ 1 focus, in tumour volume, or in Tg). Except two recurrences (0.9%) after partial remission, no recurrences, progression, or disease-specific mortality were noted. One patient died of lung fibrosis 16 years post-therapy, two of apparently thyroid cancer-unrelated causes. The only RIT side effect observed was pulmonary fibrosis in 5/69 patients (7.2%) with disseminated lung metastases undergoing intensive pulmonary surveillance.

Conclusions: Experience of a large, very-high-risk paediatric cohort with radiation-induced differentiated thyroid carcinoma suggests that even when such disease is advanced and initially suboptimally treated, response to subsequent RIT and final outcomes are mostly favourable.

Thursday, February 28, 2013

WHO Report on Risk Assessment from #Fukushima I Nuclear Power Plant Accident


WHO says "no observable increases in cancer rates above baseline rates are anticipated" inside and outside Japan. Greenpeace is crying foul, NHK quotes experts saying WHO is overly cautious and exaggerating the risks, UK's Guardian emphasizes "70%" increase in thyroid cancer (from 0.77% to 1.29%), Scientific American credits "fortunate" wind direction.

From WHO press release (2/28/2013):

Global report on Fukushima nuclear accident details health risks

A comprehensive assessment by international experts on the health risks associated with the Fukushima Daiichi nuclear power plant (NPP) disaster in Japan has concluded that, for the general population inside and outside of Japan, the predicted risks are low and no observable increases in cancer rates above baseline rates are anticipated. 

The WHO report ‘Health Risk Assessment from the nuclear accident after the 2011 Great East Japan Earthquake and Tsunami based on preliminary dose estimation’ noted, however, that the estimated risk for specific cancers in certain subsets of the population in Fukushima Prefecture has increased and, as such, it calls for long term continued monitoring and health screening for those people. 

Experts estimated risks in the general population in Fukushima Prefecture, the rest of Japan and the rest of the world, plus the power plant and emergency workers that may have been exposed during the emergency phase response. 

“The primary concern identified in this report is related to specific cancer risks linked to particular locations and demographic factors,” says Dr Maria Neira, WHO Director for Public Health and Environment. “A breakdown of data, based on age, gender and proximity to the nuclear plant, does show a higher cancer risk for those located in the most contaminated parts. Outside these parts - even in locations inside Fukushima Prefecture - no observable increases in cancer incidence are expected.” 

In terms of specific cancers, for people in the most contaminated location, the estimated increased risks over what would normally be expected are:

  • all solid cancers - around 4% in females exposed as infants;

  • breast cancer - around 6% in females exposed as infants;

  • leukaemia - around 7% in males exposed as infants;

  • thyroid cancer - up to 70% in females exposed as infants (the normally expected risk of thyroid cancer in females over lifetime is 0.75% and the additional lifetime risk assessed for females exposed as infants in the most affected location is 0.50%).

For people in the second most contaminated location of Fukushima Prefecture, the estimated risks are approximately one-half of those in the location with the highest doses. 

The report also references a section to the special case of the emergency workers inside the Fukushima NPP. Around two-thirds of emergency workers are estimated to have cancer risks in line with the general population, while one-third is estimated to have an increased risk.

The almost-200-page document further notes that the radiation doses from the damaged nuclear power plant are not expected to cause an increase in the incidence of miscarriages, stillbirths and other physical and mental conditions that can affect babies born after the accident.

“The WHO report underlines the need for long-term health monitoring of those who are at high risk, along with the provision of necessary medical follow-up and support services,” says Dr Maria Neira, WHO Director for Public Health and Environment. “This will remain an important element in the public health response to the disaster for decades.” 

“In addition to strengthening medical support and services, continued environmental monitoring, in particular of food and water supplies, backed by the enforcement of existing regulations, is required to reduce potential radiation exposure in the future,” says Dr Angelika Tritscher, Acting Director for WHO’s Food Safety and Zoonosis Department. 

As well as the direct health impact on the population, the report notes that the psychosocial impact may have a consequence on health and well-being. These should not be ignored as part of the overall response, say the experts. 

This is the first-ever analysis of the global health effects due to radiation exposure after the Fukushima NPP accident and is the result of a two-year WHO-led process of analysis of estimated doses and their potential health implications. The independent scientific experts came from the fields of radiation risk modelling, epidemiology, dosimetry, radiation effects and public health.

For more information please contact:

Glenn Thomas
WHO Communications Officer, Department of Communications
Telephone: +41 22 791 3983
Mobile: +41 79 509 0677
E-mail: thomasg@who.int


Nada Osseiran
WHO Communications Officer, Public Health and Environment
Telephone: +41 22 791 4475
Mobile: +41 79 445 1624
E-mail: osseirann@who.int

The 172-page English report is available at the WHO site, here. The executive summary is also available in Arabic, Chinese, English, French, and Russian. (Where's Spanish?)

Sunday, November 18, 2012

Is Thyroid Cancer in Children Rare in Japan?


Tweets that get retweeted by people in Japan that I follow have been abuzz with the talk given by Dr. Helen Caldicott, whom Mr. Kouta Kinoshita has invited to speak in several cities in Japan. Many seem to be freaking out, particularly as the news of another case of thyroid cancer found among Fukushima children broke at the same time and Dr. Caldicott states it is extremely rare for children to have thyroid cancer.

Is it that rare?

People on Twitter are saying "2 cases [actually one confirmed case in September and one suspected case this time] of thyroid cancer among 114,000 children tested so far in Fukushima, that's extraordinarily high, not seen anywhere else in the world! It's usually one in several millions for children!"

So I decided to look for the data on thyroid cancer cases by sex and age, and found it at Japan's National Cancer Center's website for cancer statistics.

According to Center for Cancer Control and Information Services, National Cancer Center, Japan (from their excel sheet cancer_incidence(1975-2007).xls):

Number of cases in 2007

male:
age 0 - 14: zero
age 15 - 19: 14

female:
age 0 - 9: zero
age 10 -14: 6
age 15 - 19: 41


Disease rates in 2007 (cases per 100,000)

male:
age 0 - 14: zero
age 15 - 19: 0.4

female:
age 0 - 9: zero
age 10 - 14: 0.2
age 15 - 19: 1.3


The sex and the age of the child with the confirmed case have not been disclosed, but the second suspected case is a girl in her late teens, between 16 and 18 years old, as disclosed by the Fukushima Medical University committee.

There are total 365,590 children in Fukushima aged 0 to 19 as of October 2011, according to the Fukushima prefectural government data. (Excel sheet)

National Cancer Center's data shows the disease rate for girls aged 10 to 14 hasn't changed much over the years, but that for girls aged 15 to 19 has risen with the rise of the overall rate for the entire females. For Japanese females, a big jump seems to have happened between 1989 and 1991.

As a comparison, here's the link to UK's thyroid cancer incidence statistics. The rate for females age 15 to 19 looks to be slightly above 1 per 100,000.

========================================

(UPDATE) One of my Twitter followers sent me a tweet with the link to Dr. Caldicott's speech. In it, she says the first confirmed case of thyroid cancer was a 12-year-old boy. No idea how she got that information, as the Fukushima prefectural government and Fukushima Medical University haven't disclosed the details of the child at all.

So, for that age group (10 to 14), the maximum rate since 1975 is 0.5 per 100,000 in 1999, according to the National Cancer Center data above.

Saturday, November 17, 2012

#Radioactive Japan: Another Child Suspected of Thyroid Cancer in #Fukushima, Found During the First-Round Thyroid Screening Test


(UPDATE) Kyodo News just reported it was a girl, age 16 to 18.

==================================

The first confirmed case of thyroid cancer in a child in Fukushima Prefecture was reported in September this year, after the 2nd screening test which was administered as a precaution.

Possibly the second one may have been found, according to Kahoku Shinpo. What's different in this case is that the child was immediately categorized as "C" in the 1st round of screening. Category C is "in need of immediate second testing", according to the Fukushima prefectural guideline.

From Kahoku Shinpo (11/17/2012):

甲状腺がんの疑い 福島県直ちに2次検査、初めて1人判定

One case of suspected thyroid cancer, Fukushima Prefecture to conduct further test immediately

東京電力福島第1原発事故による放射線の影響を調べるため、福島県が18歳以下の約36万人を対象に行っている甲状腺検査の1次検査で、がんの疑いがあり「直ちに2次検査が必要」と初めて判定された子どもが1人いることが17日、関係者への取材で分かった。

Fukushima Prefecture has been conducting the thyroid testing of about 360,000 children under the age of 18 to understand the effect of radiation due to the Fukushima I Nuclear Power Plant accident. It was revealed on November 17 by the source that they found one child during the initial screening who may have cancer and is in need of immediate second testing.

18日に開かれる「県民健康管理調査」検討委員会で報告される。

The details will be reported in the meeting of "Fukushima Prefecture residents health management survey" committee on Novmeber 18.

調査を進めている福島県立医大は「チェルノブイリ原発事故でも甲状腺がんの発見に最短で4年かかった」として、放射線との因果関係は低いとみているが、血液や細胞を調べ、がんかどうか判断する。

Fukushima Medical University, who has been conducting the test, says "It took 4 years to find a thyroid cancer after the Chernobyl nuclear accident", and the possibility of relationship between the radiation [from the Fukushima accident] and the potential thyroid cancer is low. However, blood and tissue samples will be taken to determine whether it is a cancer or not.

1次検査による判定は、しこりの大きさなどを基に、軽い方から「A」「B」「C」があり、今回の1人は「C判定」。

There are three categories, A, B and C, in the initial screening depending on the size of nodules/cysts. The child in question was judged to be in the "C" category.

9月の検討委では、緊急性は低いが念のため2次検査が必要という「B判定」だった1人が、甲状腺がんと判明したと報告された。だが、がんの状態から「震災以前に発症していた疑いがある」として、原発事故の放射線との因果関係を否定している。

In the committee meeting in September, it was reported that one child under "B" category (no immediate action necessary but conduct the 2nd test just in case) was found with thyroid cancer. However, judging from the state of the cancer, the committee thinks the cancer had already been developing before the March 11, 2011 disaster and denies the causal relationship between the radiation from the nuclear accident and the cancer.

県立医大は「県内全ての子どもの検査という前例のない調査なので、早期発見の子は少なからず出る。放射線との関係を丁寧に調べていく」としている。

Fukushima Medical University says, "This is an unprecedented study of all children in Fukushima Prefecture. So it is expected that a fair number of children are found with thyroid cancer. We will carefully study the relationship between the radiation [and the thyroid cancer]."


According to the Fukushima prefectural government (as of September 2012), the testing schedule for the cities in Fukushima is as follows (English labels are mine):





Wednesday, September 12, 2012

One Case of Thyroid Cancer Found Among 80,000 Fukushima Children Tested So Far


The researchers say it has nothing to do with the nuclear accident, and the child must have developed the thyroid cancer before the accident.

From Kyodo News (9/11/2012):

18歳以下1人が甲状腺がん 福島健康調査8万人分析

One case of thyroid cancer, under 18, according to the health survey of 80,000

東京電力福島第1原発事故による放射線の影響を調べている福島県の「県民健康管理調査」の検討委員会(座長・山下俊一福島県立医大副学長)が11日開かれ、事故発生当時18歳以下を対象とした甲状腺検査について、1人が甲状腺がんと報告された。

The committee for "Fukushima Health Management Survey" to study the effect of radiation from the Fukushima I Nuclear Power Plant accident (headed by Shunichi Yamashita, Vice President of Fukushima Medical University) held a meeting on September 11, and it was reported that one case of thyroid cancer had been found among the subjects of the thyroid testing who were 18 years old and younger at the time of the accident.

甲状腺検査の対象は約36万人で、これまで結果が判明したのは約8万人。

About 360,000 [children] are scheduled to have thyroid examinations. So far, 80,000 children have been examined and the results are in.

調査主体の福島県立医大の鈴木真一教授は検討委で「チェルノブイリ原発事故でも甲状腺がんが見つかったのは最短4年。福島では広島、長崎のような外部被ばくや、チェルノブイリのような内部被ばくも起きていない」と述べ、放射線の影響を否定した。

Professor Shinichi Suzuki of Fukushima Medical University, which is in charge of the examinations, denied the effect of radiation exposure, saying in the committee meeting, "It took the minimum 4 years after the Chernobyl nuclear accident that a first case of thyroid cancer was reported. In Fukushima, there has been no external radiation exposure like in Hiroshima and Nagasaki, and no internal radiation exposure like in Chernobyl."

It's either Kyodo News misquoted Professor Suzuki or Professor Suzuki misrepresented the fact that 4 years after the Chernobyl accident the cases of thyroid cancer started to increase.

As to the supposed absence of internal radiation exposure, Professor Suzuki had better ask people like Mayor Abe of Kawasaki City (who's intent on force-feeding children with cesium oranges) or the Board of Education of Koriyama City (who wants to teach children about global warming by making them suffer through summer heat and radiation).

According to the latest data from Fukushima Prefecture, the examinations done in the fiscal 2012 (that started on April 1, 2012) so far are for children in Fukushima City (from May to August). Other major cities in Nakadori (middle third) are scheduled for later in the year, starting with Nihonmatsu City and Motomiya City in September. Testing in Koriyama City starts in October.

Compared to the results in the fiscal 2011 (that ended on March 31, 2012), the percentage of children with nodules or cysts of any size are larger in Fukushima City at 43.7%, compared to 35.8% in the fiscal 2011 results. Whether that means anything seems to depend on who you ask.

(Label translation is mine. The original document by Fukushima Prefecture is in Japanese only.)


All I know so far is that before the Fukushima nuclear accident, there were no routine thyroid checks for children; for that matter, there were none for adults either, unless thyroid problems were suspected by the doctors from other symptoms. In other words, there is no baseline data.

In the absence of the baseline data, there are some fantastic stories circulating on Twitter and blogs in Japan. Here's a togetter talking about: "According to my doctor, 40% of children tested in Kanagawa Prefecture were found with cysts on their thyroids!" and "I heard 40% of children tested in Kagoshima Prefecture had cysts!" The natural conclusion among people who were tweeting this horrible news is that the entire Japan is so contaminated that children are developing thyroid "abnormalities" everywhere in Japan.

A more logical conclusion (since Kagoshima is not contaminated with radioactive materials of Fukushima origin) is that maybe it is quite normal for about 40% of children at any location at any time to have small growths on their thyroids. But Japan has long ceased to be logical.

Someone even created an official-looking document saying "We were told that only Fukushima Medical University is allowed to conduct the thyroid test", and it was widely disseminated on the net. A day later, the document was yanked by the person who had posted it originally. Oh well. What can you believe these days?

Thursday, February 23, 2012

Japanese Magazine "Sensationalizes": "Thyroid Cancer Suspected on Two Children Aged 4 and 7"

One of the major Japanese weekly magazine, Shukan Bunshun has a sensational article on its latest issue about thyroid "cancer" in children who evacuated from Fukushima. Let's see if the Japanese MSM and the government attack the publisher for "fear-mongering", just like they reflexively do for the "international" media.

The article on the magazine's 3/1/2012 issue is available only in print. The following is what little I gathered from tweets including the photo of the printed article in Japan:

Serious abnormalities found in 11 evacuees from Fukushima Prefecture
4-year-old and 7-year-old may have "thyroid cancer"
Medically impossible nodules and cysts...
Shunichi Yamashita, Vice President of Fukushima Medical University emailed "Do not test them." (Title of the Bunshun article)

Reporting by "Oshidori Maco", comedian who's been reporting on the Fukushima accident since last year, and particularly supporting people of Iitate-mura.

7-year old girl had 8 millimeter nodule on her thyroid. The nodule was found with microcalcifications [which may be a sign of cancer]. Her 2-year-old sister also had 2 millimeter nodule with microcalcifications. The doctor who examined them said "I've never seen anything like this."

7-year-old girl and 4-year-old boy both evacuated from Koriyama City in Fukushima.

7-year-old girl subsequently underwent the blood test, and the nodule was determined to be "benign".

2 children and 9 adults were tested in Sapporo, and thyroid cancer was suspected. One of them, an adult woman, has been confirmed to have thyroid cancer, and the surgery is already scheduled.

Orthodoxy by the Japanese researchers is that "it is impossible for children under the age of 6 to have nodules 5 millimeters or larger", but the doctor who examined them in Sapporo, Hokkaido says, "Whatever they say, this is the result."

In the case of Chernobyl, it took 4 years till the cases of thyroid cancer started to appear. The doctor in Sapporo is shocked by the quick onset.

The doctor was in close contact with Dr. Shunichi Yamashita of Fukushima Medical University to confirm how the thyroid echography was done. Dr. Yamashita emailed the doctor "I request that you refrain from testing [them] on your own."

The doctor used the same method of testing as Fukushima Medical University.

The magazine apparently didn't tell the doctor that the magazine was writing an article, and he held a press conference protesting against the magazine.

The doctor's press conference handout is here (PDF).

I watched his press conference, but 10 minutes into his rambling and spaced-out press conference all he said was there should be a system to continuously monitor the thyroids for Fukushima residents. So? What's his beef with the Bunshun article?

  • The reporter ("Oshidori Maco") didn't identify herself as the reporter for Shukan Bunshun. She didn't tell him that the article was about to be published. She apparently told one of the evacuees, who told the doctor.

  • The number of people tested was different.

  • Dr. Shunichi Yamashita didn't say such a thing.

  • He wanted to publish a paper, but now the story is out, and he's very unhappy about it.

So the reporter blew the doctor's chance for having his article published in a peer-review magazine. Apparently she snuck into one of the informational meetings that the doctor had with the Fukushima evacuees without telling him she was reporting for the magazine.

Kouta Kinoshita says in his blog that he and several others had known about it, and were trying to find a better way to disclose the information with the agreement of all the parties involved (parents, for one). He seems rather upset with the reporter. He also quotes an expert of the Chernobyl accident he consults with:

「悪性のガンかどうかは、この段階では、わからないはずです。僕は記事はオーバーラインと思います。今のところは、なんだかわからない腫瘍ができているということ。進行は早いし、放射性物質による健康被害の可能性が強いのは間違いないと思います。良性であっても、放射能による健康被害の範疇に入るのでは、という認識です。3.11.前には、子供にはありえない事ですから」

"At this stage, you can't tell whether it is a malignant tumor. I personally think the Bunshun article went overboard. What's known now is that they have some tumor of unknown nature. The growth is rapid, and no doubt it is a health damage from radioactive materials. I think it can be categorized as damage caused by radiation, even if the growth is benign, because before March 11 [accident], such growth was impossible in children."

Others say before the March 11, 2011 nuclear accident, no one tested children younger than 6 years old for thyroid problems, so there is no baseline data to begin with.

It looks like Shukan Bunshun blew things out of proportion and in the process blew the chance for the doctor to get published. (Not that I feel sorry for the doctor for his lost chance...)