Work-related mortality in England and Wales 1979-2000

Coggon, David, Harris, E.C., Brown, T., Rice, S. and Palmer, K.T. (2010) Work-related mortality in England and Wales 1979-2000. Occupational and Environmental Medicine, 67, (12), 816-822. (doi:10.1136/oem2009.052670). (PMID:20573846).


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Background: To explore time trends in deaths attributable to work in England and Wales, and identify priorities for prevention, we conducted a proportional analysis of mortality by occupation over a 22-year period.

Methods: Analysis was based on deaths in men aged 20–74 years during 1979–1980 and 1982–2000 with a recorded occupation. Proportional mortality ratios, standardised for age and social class, were calculated for pre-specified combinations of occupation and cause of death, for which excess mortality could reasonably be attributed to work. Differences between observed and expected numbers of deaths by cause and occupation were expressed as annual excess death rates.

Results: Mortality attributable to work declined substantially over the period of study, with total excess death rates of 733.2 per year during 1979–1990 and 471.7 per year during 1991–2000. The largest contributing hazards were chronic obstructive pulmonary disease and pneumoconiosis in coal miners, pleural cancer from asbestos, and motor vehicle accidents in lorry drivers. In contrast to most other hazards, there was no clear decline in excess mortality attributable to asbestos, or in deaths from sino-nasal cancer associated with exposure to wood dust.

Conclusions: The overall decline in mortality attributable to work is likely to reflect reduced employment in more hazardous occupations, as well as improvements in working conditions. It is imperative to ensure that occupational exposures to asbestos and wood dust are now adequately controlled. Further research is needed on accidents involving lorries with the aim of developing more effective strategies for the prevention of injury.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1136/oem2009.052670
ISSNs: 1351-0711 (print)
Subjects: H Social Sciences > HD Industries. Land use. Labor
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RB Pathology
Divisions : University Structure - Pre August 2011 > School of Medicine > Developmental Origins of Health and Disease
ePrint ID: 73111
Accepted Date and Publication Date:
December 2010Published
Date Deposited: 03 Mar 2010
Last Modified: 31 Mar 2016 13:05

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