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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 & Environmental Medicine, 67, (12), pp. 816-822. (doi:10.1136/oem2009.052670). (PMID:20573846).

Record type: Article


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.

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Published date: December 2010
Organisations: Dev Origins of Health & Disease


Local EPrints ID: 73111
ISSN: 1351-0711
PURE UUID: 79585d71-43ea-4d71-a4e5-d68781c7e0b2
ORCID for David Coggon: ORCID iD
ORCID for E.C. Harris: ORCID iD

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Date deposited: 03 Mar 2010
Last modified: 18 Jul 2017 23:51

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Author: David Coggon ORCID iD
Author: E.C. Harris ORCID iD
Author: T. Brown
Author: S. Rice
Author: K.T. Palmer

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