Joseph Mangano has had a lot of practice, here's his latest on the Brown's Ferry nuclear plant in AL.
The purpose of epidemiology is to understand correlations and causation as objectively as possible, while not fooling oneself.
Mangano is an anti-nuclear activist and that report was commissioned by an anti-nuclear group. That's not pursuing objectivity, truth, accuracy, etc. That's not science, it's propaganda masquerading as science.
If you want Mangano to assemble some anti-nuclear propaganda for your area, you can pay him here. He will make it as scary as you want.
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