Malignant mesothelioma mortality in the United States, 1999-2001.
Bang-KM; Pinheiro-GA; Wood-JM; Syamlal-G
Proceedings of the 10th International Conference on Occupational Respiratory Diseases, April 19-22, 2005, Beijing, China. Geneva: International Labour Office, 2005 Apr; :123-128
Malignant mesothelioma (category C45 in the 10th revision of the International Classification of Diseases) is an occupational respiratory disease which is strongly associated with asbestos exposure. This paper describes demographic, geographic, and occupational distribution of mesothelioma mortality in the United States, 1999-2001. The data were obtained from National Center for Health Statistics multiple-cause-of-death records. We calculated mortality rates (per million per year) age-adjusted to the 2000 U.S. standard population, and proportionate mortality ratios (PMRs) by occupation and industry, adjusted for age, sex, and race. The total number of deaths (n=7,525) was based on U.S. residents aged 15-years and older with any mention of mesothelioma on the death certificates. The overall age-adjusted mortality rate was 11.52 with males (22.34) showing a six-fold higher mortality rate than females (3.94). Geographical distribution of mesothelioma mortality indicates that it is predominantly coastal. Occupations with significantly elevated PMRs included 'plumbers and pipefitters' (PMR=4.8) and 'mechanical engineers' (PMR=3.0). Industries with significantly elevated PMRs included 'ship and boat building and repairing' (PMR=6.0) and 'industrial and miscellaneous chemicals' (PMR=4.8). These surveillance findings can be useful in identifying those industries and occupations with higher mesothelioma mortality rates.
Mortality-data; Mortality-rates; Diseases; Occupational-diseases; Respiratory-system-disorders; Occupational-exposure; Asbestosis; Demographic-characteristics; Age-factors; Racial-factors; Sex-factors; Surveillance-programs
National Institute for Occupational Safety and Health, CDC, 1095 Willowdale Road, Morgantown, WV 26505, USA
Proceedings of the 10th International Conference on Occupational Respiratory Diseases, April 19-22, 2005, Beijing, China