Suppose 27 cases of Down’s syndrome are found and only 19 are expected based on Birth Defects Monitoring Program prevalence estimates in the states of Washington, Idaho, and Oregon. Are there significant excess cases in the area around the nuclear-power plant?

Environmental Health
An important issue in assessing nuclear energy is whether excess disease risks exist in the communities surrounding nuclear-power plants. A study undertaken in the community surrounding Hanford, Washington, looked at the prevalence of selected congenital malformations in the counties surrounding the nuclear-test facility [9].