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EDITOR,--In their comprehensive study Eero Pukkala and colleagues found that Finnish airline cabin attendants had a significantly increased risk of breast and bone cancer and a non-significant trend (too few cases?) towards some other cancers.1 The analysis included exposure to radiation, some lifestyle factors, and reproductive history. For some reason the authors omitted cigarette smoking, both active and passive, which may have a role in their findings.
It is well known that smoking increases the risk of cancer in various organs.2 3 An association between smoking and breast cancer has been considered not to exist or to be weakly positive, but it may be fairly considerable.4 Most non-smoking travellers have noticed the nuisance of cigarette smoke in aircraft, especially in the rear, where the seats are usually reserved for smokers. In many aircraft the kitchens are also in the rear,
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