# Excerpt — the origin of the 10⁻⁶ "one in a million" acceptable cancer risk

*Two firsthand/expert histories of how regulators built a round number to stand in for a threshold that, for
genotoxic carcinogens, does not exist. Both held locally and OCR-verified. Source PDFs:
`papers/lateral/rodricks2019_risk-assessment-came-to-washington.pdf`,
`papers/lateral/crump2018_doseresponse_VSD-history.pdf`. Grade **[CONFIRMED-primary]** (Rodricks is a
participant memoir).*

## Rodricks (2019), *Dose-Response* 17(1) — "When Risk Assessment Came to Washington: A Look Back"
Joseph V. Rodricks was an FDA scientist present at the creation. On the 1962 **DES Proviso** to the Delaney
Clause (a carcinogenic animal drug allowed if "no residue" is found), and what happened when detection outran
"zero":

> "Mantel's risk target was 1 in 100 million, and the calculated doses corresponding to that excess lifetime
> risk he labeled 'virtually safe.'"

> "Hutt proposed that 'safe doses' for carcinogens such as DES could be defined as those associated with
> lifetime risk levels of less than **1 in 1 million**, when these risks were estimated using a linear,
> no-threshold model (several publications had demonstrated that the Mantel–Bryan approach could not be counted
> on to place an upper bound on risk at low doses but that a linear, no threshold model could)."

→ The 10⁻⁶ number entered U.S. law through FDA General Counsel **Peter Barton Hutt**, after "extensive
discussions" with Rodricks and others — a deliberately chosen round number, two orders of magnitude *up* from
Mantel's already-arbitrary 10⁻⁸. It is the carcinogen-side de minimis, grown inside the Delaney statute.

## Crump (2018), *Dose-Response* 16(4) — "Cancer Risk Assessment and the Biostatistical Revolution of the 1970s"
Kenny Crump on the conceptual break that made a "no-effect level" impossible for genotoxic carcinogens — the
exact void the essay's §9 names:

> "In the 1970s there came a realization that cancer could develop from a mutation in a single cell and
> consequently it was unlikely that a threshold existed for substances that could cause such mutations, and
> that risk could increase linearly with exposure."

Crump documents the **Mantel-Bryan (1961)** log-probit "virtually safe dose" procedure (his Fig. 1) and notes
the method "apparently was never used by a regulatory" agency in that form — the math was a placeholder that the
agencies replaced, but the round-number *target* survived.

## The earlier / INDIRECT root (operator's question, 2026-06-11) — the 10⁻⁶ branch grows off the factor-of-100 trunk
Rodricks states, firsthand, what the 10⁻⁶ method was built to **replace** — and it is the first essay's number,
run by Frawley's own FDA mentors. **[CONFIRMED-primary]:**

> Leo Friedman (FDA) "told me that the method for establishing safe levels for most chemicals, devised by his
> predecessor at the FDA, **Arnold Lehman, and another FDA toxicologist, O. Garth Fitzhugh**, was based on a
> widely accepted view … that the toxic properties of most chemicals expressed themselves only after a
> **threshold** dose … The **Lehman–Fitzhugh approach, published in the 1949 to 1955 period, relied upon the
> application of what were then called 'safety factors.'**"

- **Shared root.** The carcinogen-side de minimis (10⁻⁶) and Frawley's food-additive de minimis (0.1 ppm, built
  on the 100-fold margin) are **two branches off the same Lehman–Fitzhugh trunk** — and Lehman ran the FDA
  Division of Pharmacology where Frawley worked, while **Fitzhugh (with Nelson) was Frawley's own co-author.**
  Crump confirms the split: "Prior to around 1960, risk assessment for all adverse health effects, **including
  cancer**, were carried out in a similar manner" (the NOAEL-safety-factor approach); the 10⁻⁶ branch separated
  only with the 1970s single-cell/no-threshold realization. **[CONFIRMED-primary]** (Crump).
- **The indirect (radiation) source of the no-threshold logic.** Rodricks: the threshold-free view came from "a
  **community of experts working in the areas of chemical and radiation carcinogenesis** … their notions of
  thresholds, reversibility, and dose–response were radically different from those of the traditional
  toxicologists." He names **Arthur Upton (NCI director, "a giant in the area of radiation risk")**, **Umberto
  Saffiotti**, and **Marvin Schneiderman**. The single-hit model Mantel & Bryan lean on traces to radiation
  target theory (**Lea, *Actions of Radiations on Living Cells*, 1946**, their ref 12). So the no-threshold
  premise under 10⁻⁶ was **imported from radiation protection**, not grown inside food toxicology. **[CONFIRMED-
  primary]** for the named connection; the radiation-protection primaries themselves are not held.
- **The indirect root, now partly nailed** (acquisition targets, `05` §C7 / `_WISHLIST.md` §🔵): **(a)** ✓ **HELD
  — Lehman & Fitzhugh (1954), "100-Fold Margin of Safety"** (operator Taildrop 2026-06-11, register **H16**) — the
  shared trunk; it concedes the ×100 is "a good target but not an absolute yardstick … no scientific or
  mathematical means by which we can arrive at an absolute value." Still wanted: **(b)** a radiation-protection
  primary — NBS Handbook 59 / NCRP Rep. 17 (1954, "maximum permissible dose"; free on archive.org) and/or **Lea
  1946** (single-hit); **(c)**
  **Crump (1976)**, the "linearized multistage model" Rodricks says EPA adopted (the method bridge from
  Mantel-Bryan to the modern linear default); **(d)** the other **~5 papers in Friedman's "thin folder"** that
  seeded the FDA's move — Rodricks names only Mantel-Bryan; the rest are uncatalogued.

**Links:** [[frawley-dossier-project]] · pairs with `MantelBryan_1961_virtually-safe-dose_excerpt.md` and
`Kelly_1991_myth-of-10-6_excerpt.md` · ties to `reckoningscience/sections.md` §1 (the ignorance factor / factor
of 100), §9 (no-threshold void), §11 (the 1995 rule, whose 0.5 ppb is a sub-10⁻⁶ calc —
`sources/FDA_Threshold-of-Regulation_60FR36582_1995.txt`), and `10` §3.5.
Still-wishlisted primaries: Mantel & Bryan 1961 (the original 10⁻⁸); the FDA SOM Federal Register pages; Kelly
1991 (the "no scientific basis" survey). See `papers/lateral/_WISHLIST.md`.
