Screening examinations as presently structured do not detect incipient disease related to environmental factors. As exemplified for environmental radioactivity, sound, and air pollution, screening examinations today cannot be related to the environmental parameters presently reported. Data on individuals from properly structured longitudinal screening examinations, if properly related to environmental criteria, may be important in validating the maximum permissible limits for contamination. Such examinations will permit establishment of mean values for a variety of attributes and of the expected variations in the means for those individuals. With such data, probabilities of detection of incipient diseases related to the environment are greatly enhanced. Longitudinal screening examinations properly structured can yield valuable information about the efficacy of social controls upon activities resulting in environmental contamination.
Farr LE. Screening Examinations: Relationship to Environmental Contamination. JAMA. 1967;202(11):1015–1018. doi:10.1001/jama.1967.03130240057009
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