Overview of the National Occupational Mortality Surveillance (NOMS) system: leukemia and acute myocardial infarction risk by industry and occupation in 30 US states 1985-1999, 2003-2004, and 2007.
Robinson-CF; Walker-JT; Sweeney-MH; Shen-R; Calvert-GM; Schumacher-PK; Ju-J; Nowlin-S
Am J Ind Med 2015 Feb; 58(2):123-137
Background: Cancer and chronic disease are leading causes of death in the US with an estimated cost of $46 billion. Methods: We analyzed 11 million cause-specific deaths of US workers age 18-64 years in 30 states during 1985-1999, 2003-2004, and 2007 by occupation, industry, race, gender, and Hispanic origin. Results: The highest significantly elevated proportionate leukemia mortality was observed in engineers, protective service, and advertising sales manager occupations and in banks/savings & loans/credit agencies, public safety, and public administration industries. The highest significantly elevated smoking-adjusted acute myocardial infarction mortality was noted in industrial and refractory machinery mechanics, farmers, mining machine operators, and agricultural worker occupations; and wholesale farm supplies, agricultural chemical, synthetic rubber, and agricultural crop industries. Conclusions: Significantly elevated risks for acute myocardial infarction and leukemia were observed across several occupations and industries that confirm existing reports and add new information.
Cancer; Diseases; Chronic-degenerative-diseases; Workers; Age-groups; Humans; Men; Women; Demographic-characteristics; Sociological-factors; Racial-factors; Occupations; Cardiac-function; Cardiopulmonary-system-disorders; Cardiovascular-system-disorders; Cardiovascular-system-disease; Myocardial-disorders; Surveillance-programs;
Author Keywords: occupational mortality; surveillance; occupational cancer; occupational heart disease; leukemia; acute myocardial infarction
Dr. Cynthia Robinson, National Institute for Occupational Safety and Health, Division of Surveillance, Hazard Evaluation, and Field Studies, MS R-18, 4676 Columbia Parkway, Cincinnati, OH 45226
American Journal of Industrial Medicine