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Case Studies:

Occupational Health Studies A leading electronics manufacturer, concerned about the possibility of health hazards from radio frequency (RF) energy, commissioned Exponent to design and conduct a series of health studies. We used cohort mortality and case-control designs to study the client's large workforce, because employees were more likely to have had higher exposures than other potential study groups. We used employee work histories, product information, interviews with technical personnel, and exposure measurement data to assess exposure in the study cohort. Exponent statisticians handled vast amounts of data in performing the statistical analysis. Publication of study results is forthcoming. The results will help settle current controversies concerning safety of RF-emitting devices.

Occupational Injury Epidemiology Electric utility linemen and meter readers have relatively high work-related injury rates. Exponent epidemiologists applied injury epidemiology techniques to evaluate the impacts of work activities, age, job experience, and prior work injury on workplace injury risk. The findings from these studies aided in the design and implementation of injury prevention programs in the electric utility industry.

Risk/Benefit Analysis of Analgesic Use Exponent epidemiologists were retained by a pharmaceutical industry trade association to compare potential complications among users of different types of analgesics. Exponent staff developed medical decision trees to describe relevant potential adverse effects of analgesic use. We also performed a comprehensive literature search and review regarding adverse effect rates for each drug and the clinical severity of each adverse effect. We supplemented our analysis with structured interviews of medical specialists, and data derived from a statewide hospital discharge database. Using these estimates, we demonstrated substantial differences in mortality rates among users of two types of analgesics.

Health Effects from Trichloroethylene Exposure A large aerospace manufacturer retained Exponent health scientists to study the potential health effects of exposure to trichloroethylene (TCE) in drinking water. As is the case with many environmental health issues, the workplace provided the best option for risk evaluation. Historically, TCE was used at the plants as a degreaser and was present in plant drinking water. Working with company industrial hygienists, we developed a job exposure matrix to characterize workers' TCE exposure. Using sophisticated statistical and epidemiological methods, we performed a cohort mortality analysis of the aerospace worker cohort to evaluate whether workplace exposures had caused any elevation of cancer risk. Exponent epidemiologists summarized the health findings in a peer-reviewed manuscript. This health analysis provided important information to refute claims of major health effects from contamination of the city water supply.

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