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- W2028337051 abstract "Conrath and Pawel’s response does not acknowledge the growing evidence that current radon control efforts are not as effective or efficient as they could be for optimal public health benefit.1 We are not against a comprehensive approach. However, the strong interaction between radon and tobacco exposure cannot be ignored; the Environmental Protection Agency (EPA) itself estimates that 86% of radon-induced lung cancer deaths are among current and former smokers.2 Given stalled radon control efforts and limited resources, we argue that residential radon policy should have a much stronger focus on smokers and should also create synergies with evidenced-based tobacco control efforts.1,3Conrath and Pawel take issue with our assertion that there has been limited tailored communication with smokers about radon risk. The EPA’s main educational product, A Citizen’s Guide to Radon, does provide some risk information for smokers along with the pithy message to smokers in homes above the action level to both “stop smoking and fix your home.”4 This simple informational approach to behavior change, however, cannot be considered a tailored or sophisticated communication strategy.5Furthermore, at the state and local level, radon-related messaging to smokers is mostly buried within general educational materials. Our review of state government Web sites about residential radon revealed that very few explicitly or prominently communicate that smokers are at significantly higher risk.3 The fact that there are low levels of testing and remediation in the general population and that smokers remediate at an even lower rate strongly indicates that current efforts are lacking.1,6 We agree that this type of risk communication is not easy and that more research regarding effective educational interventions is needed.The EPA’s 1992 cost-effectiveness analysis is cited to justify the current recommended approach to remediation.7 However, since this analysis was conducted, smoking rates in the United States have fallen from near 30% to 19%, which decreases the cost-effectiveness ratio because smokers carry the majority of the residential radon burden.8 Furthermore, given normal residential mobility, Warner et al. demonstrated that current radon exposure is a poor indicator of lifetime risk, and that for typical individuals living in high radon homes, the lifetime risk is likely much lower than what EPA analyses have assumed.9We maintain that reducing smoking in the general population and special efforts to target current and former smokers with tailored radon testing and remediation messages are the most cost-effective approaches to reducing the public health burden of radon." @default.
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- W2028337051 date "2013-09-01" @default.
- W2028337051 modified "2023-09-25" @default.
- W2028337051 title "Lantz et al. Respond" @default.
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- W2028337051 doi "https://doi.org/10.2105/ajph.2013.301465" @default.
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