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Abstract
The Diesel Exhaust in Miners Study (DEMS) provides the most suitable epidemiological data on the association between diesel motor exhaust (DME) and lung cancer risk. The study base comprises underground and surface workers whose exposure to respirable elemental carbon (REC) differs by nearly two orders of magnitude. The data have been analysed using a cohort approach as well as a nested case–control approach. The primary cohort analyses revealed no association between DME and lung cancer [1]. However, adjusting for work location (“ever-underground” vs. “surface-only”) resulted in a dose–response relationship both in the cohort and the case–control analyses [1, 2].
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