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A pooled analysis has been performed of population groups whose hands have been occupationally exposed to vibration to study exposure evaluation, using epidemiologic data selected from a published meta-analysis. While the analysis cannot confirm the accuracy of the exposure-response relation in ISO 5349-1:2001, it suggests that the relation provides a conservative estimate for the onset of vibration-induced white finger. The analysis also demonstrates that the procedures for calculating vibration exposure in the international standard may need revision.