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We thank the authors1 for their interest in our paper,2 in which we compared the malignant mesothelioma (MM) rates among those first exposed as children with those first exposed as adults to blue asbestos at Wittenoom, Western Australia. Our aim for this study was to question whether there was additional risk in people first exposed as children, suggested as a possibility by Peto,3 and we believe that we have shown clearly that there was not.
While the letter writers are concerned about lack of age adjustment and residual age confounding, it has been widely accepted in the asbestos-MM literature for many years that the incidence of MM depends …
Contributors NdK and AR wrote the initial draft of the letter. All other authors reviewed and commented on it.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Not requied.