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Tuberculosis mortality by industry in the United States, 1990-1999.
Bang KM; Weissman DN; Wood JM; Attfield MD
Int J Tuberc Lung Dis 2005 Apr; 9(4):437-442
To identify occupations and industries with elevated respiratory tuberculosis (TB) mortality in the United States for the period 1990-1999, we used National Center for Health Statistics multiple-cause-of-death data, restricted to certain states for which information on decedents' usual industry and occupational information was available and limited to US residents aged > or =15 years. A total of 7686 deaths between 1990 and 1999 were attributed to respiratory TB. Proportionate mortality ratios (PMRs), adjusted for age, sex, and race, were calculated from US census occupation and industry classifications. Industries and occupations involving potential contact with infected cases (e.g., health care workers), those with silica exposure and silicosis (e.g., mining and construction), and those associated with low socioeconomic status had significantly elevated TB mortality. Overall, the pattern of findings echoes that described in various prior reports, which indicates that the potential for exposure and disease development still persists among certain worker groups. The findings should be useful in guiding occupationally targeted TB prevention programs.
Mortality-data; Mortality-rates; Respiratory-system-disorders; Occupational-diseases; Demographic-characteristics; Age-factors; Sex-factors; Racial-factors; Silica-dusts; Silicates; Silicosis; Infectious-diseases; Health-care-personnel; Construction-workers; Mine-workers; Occupational-exposure; Statistical-analysis; Epidemiology; Surveillance; Author Keywords: tuberculosis; proportionate mortality ratio; occupation; industry
Issue of Publication
International Journal of Tuberculosis and Lung Disease
Page last reviewed: May 5, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division