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(1) Has the NMSC incidence been elevated in the vicinity of the plant?

- historical incidence measures

- current incidence measures

(2) Has the arsenic concentration in the environment been elevated in the vicinity of the plant?

- historical arsenic pollution (modelling)

- current arsenic pollution (measurement in soil, dust, coal ash)

(3) How can this possible association assessed with epidemiological studies be validated?

- discuss an association of current arsenic exposure in soil and dust with urinary arsenic concentrations

(4) discuss potential covariates and confounders