Mortality in agricultural workers after compensation claims for respiratory disease, pesticide illness, and injury.
Beaumont-JJ; Goldsmith-DF; Morrin-LA; Schenker-MB
J Occup Environ Med 1995 Feb; 37(2):160-169
California agricultural workers who filed compensation claims for respiratory diseases, pesticide illnesses, and injuries from 1946 through 1975 were identified, and mortality in these subjects was followed up through 1991. There were 1,075 claims identified; 450 deaths were noted over this period of time. For the cohort of respiratory disease claimants, the relative risk for nonmalignant respiratory disease mortality was 3.27 and at 5 to 9 years after filing claims, the relative risk was 9.83, which was very high. Exposures most strongly associated with respiratory deaths were wood, rice, coffee, and flour dusts. For the agricultural injury claims cohort, fivefold increased risks of suicide were noted in young adults after hospitalization for unintentional injuries and in people with spinal cord injuries. For pesticide illness claimants, no excess risk of cancer was found, possibly because there were few claims for the types of pesticides thought to be associated with cancer. Limitations of the study were noted including selection issues, and amount of award. The authors conclude that respiratory disease mortality is increased in those who filed claims for respiratory disease. The study of mortality in workers' compensation claimants is a useful means of examining disease and injury risks in agriculture.
NIOSH-Publication; NIOSH-Cooperative-Agreement; NIOSH-Grant; Pulmonary-system-disorders; Mortality-surveys; Risk-factors; Epidemiology; Agricultural-workers; Occupational-accidents; Occupational-exposure
Internal Medicine University of California Internal Medicine Davis, CA 95616
Journal of Occupational and Environmental Medicine
University of California Davis, Davis, California