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Exposure to asbestos and lung and pleural cancer mortality among pulp and paper industry workers

Exposure to asbestos and lung and pleural cancer mortality among pulp and paper industry workers
Exposure to asbestos and lung and pleural cancer mortality among pulp and paper industry workers
We studied the mortality from lung and pleural cancers in a cohort of 62,937 male workers employed for at least 1 year in the pulp and paper industry in 13 countries during 1945 to 1996. Mill departments were classified according to probability and level of exposure to asbestos on the basis of available dust measurements and mill-specific information on exposure circumstances. Thirty-six percent of workers were classified as ever exposed to asbestos. Standardized mortality ratios of lung cancer were 0.99 (95% confidence interval [CI], 0.90 to 1.08) among unexposed and 1.00 (95% CI, 0.90 to 1.11) among ever exposed workers. The number of pleural cancer deaths among unexposed workers was 10; that among exposed workers was 14, most of which occurred among maintenance workers. In internal analyses, a trend in mortality from either neoplasm was suggested for estimated cumulative exposure to asbestos, weighted for the individual probability of exposure within the department and for duration of exposure (relative risk for lung cancer for 0.78+ f/cc-years, as compared with <=0.01 f/cc-years: 1.44; 95% CI, 0.85 to 2.45; corresponding relative risk for pleural cancer: 2.43; 95% CI, 0.43 to 13.63). Despite a possible nondifferential misclassification of exposure and outcome, this study suggests that the carcinogenic effect of asbestos can be detected among workers employed in industries such as the pulp and paper industry, in which it is not considered to be a major hazard.
1076-2752
579 - 584
Carel, R.
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Boffetta, P.
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Kauppinen, T.
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Teschke, K.
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Andersen, A.
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Jappinen, P.
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Pearce, N.
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Rix, B. A.
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Bergeret, A.
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Coggon, D.
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Persson, B.
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Szadkowska-Stanczyk, I.
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Kielkowski, D.
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Henneberger, P.
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Kishi, R.
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Facchini, L. A.
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Sala, M.
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Colin, D.
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Kogevinas, M.
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Carel, R.
37ab609f-eecc-4ad6-a8d7-79254376bb55
Boffetta, P.
1f7f1be3-a8ad-424e-be6b-632d207b5cc6
Kauppinen, T.
693d5150-c640-4183-b4fd-d38d475ca1ca
Teschke, K.
51757298-85d4-4801-95df-54f139d7889c
Andersen, A.
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Jappinen, P.
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Pearce, N.
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Rix, B. A.
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Bergeret, A.
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Coggon, D.
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Persson, B.
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Szadkowska-Stanczyk, I.
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Kielkowski, D.
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Henneberger, P.
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Kishi, R.
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Facchini, L. A.
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Sala, M.
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Colin, D.
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Kogevinas, M.
d3014a39-768e-4863-bfa0-5857c9b681ee

Carel, R., Boffetta, P., Kauppinen, T., Teschke, K., Andersen, A., Jappinen, P., Pearce, N., Rix, B. A., Bergeret, A., Coggon, D., Persson, B., Szadkowska-Stanczyk, I., Kielkowski, D., Henneberger, P., Kishi, R., Facchini, L. A., Sala, M., Colin, D. and Kogevinas, M. (2002) Exposure to asbestos and lung and pleural cancer mortality among pulp and paper industry workers. Journal of Occupational and Environmental Medicine, 44 (6), 579 - 584.

Record type: Article

Abstract

We studied the mortality from lung and pleural cancers in a cohort of 62,937 male workers employed for at least 1 year in the pulp and paper industry in 13 countries during 1945 to 1996. Mill departments were classified according to probability and level of exposure to asbestos on the basis of available dust measurements and mill-specific information on exposure circumstances. Thirty-six percent of workers were classified as ever exposed to asbestos. Standardized mortality ratios of lung cancer were 0.99 (95% confidence interval [CI], 0.90 to 1.08) among unexposed and 1.00 (95% CI, 0.90 to 1.11) among ever exposed workers. The number of pleural cancer deaths among unexposed workers was 10; that among exposed workers was 14, most of which occurred among maintenance workers. In internal analyses, a trend in mortality from either neoplasm was suggested for estimated cumulative exposure to asbestos, weighted for the individual probability of exposure within the department and for duration of exposure (relative risk for lung cancer for 0.78+ f/cc-years, as compared with <=0.01 f/cc-years: 1.44; 95% CI, 0.85 to 2.45; corresponding relative risk for pleural cancer: 2.43; 95% CI, 0.43 to 13.63). Despite a possible nondifferential misclassification of exposure and outcome, this study suggests that the carcinogenic effect of asbestos can be detected among workers employed in industries such as the pulp and paper industry, in which it is not considered to be a major hazard.

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Published date: 2002

Identifiers

Local EPrints ID: 24289
URI: http://eprints.soton.ac.uk/id/eprint/24289
ISSN: 1076-2752
PURE UUID: bafc0759-d407-4ce8-9921-2d830453f58b
ORCID for D. Coggon: ORCID iD orcid.org/0000-0003-1930-3987

Catalogue record

Date deposited: 31 Mar 2006
Last modified: 24 Sep 2019 00:55

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Contributors

Author: R. Carel
Author: P. Boffetta
Author: T. Kauppinen
Author: K. Teschke
Author: A. Andersen
Author: P. Jappinen
Author: N. Pearce
Author: B. A. Rix
Author: A. Bergeret
Author: D. Coggon ORCID iD
Author: B. Persson
Author: I. Szadkowska-Stanczyk
Author: D. Kielkowski
Author: P. Henneberger
Author: R. Kishi
Author: L. A. Facchini
Author: M. Sala
Author: D. Colin
Author: M. Kogevinas

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