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工人在生产五氯苯酚过程中接触二恶英导致的死亡率。

Mortality rates among workers exposed to dioxins in the manufacture of pentachlorophenol.

机构信息

The Dow Chemical Company, Midland, Michigan 48674, USA.

出版信息

J Occup Environ Med. 2009 Oct;51(10):1212-9. doi: 10.1097/JOM.0b013e3181badd4e.

Abstract

OBJECTIVE

We sought to determine if workers exposed to dioxins in pentachlorophenol (PCP) manufacturing were at increased risk of death from specific causes.

METHODS

We examined death rates among 773 workers exposed to chlorinated dioxins during PCP manufacturing from 1937 to 1980 using serum dioxin evaluations to estimate exposures to five dioxins.

RESULTS

Deaths from all causes combined, all cancers combined, lung cancer, diabetes, and ischemic heart disease were near expected levels. There were eight deaths from non-Hodgkin lymphoma (standardized mortality ratios = 2.4, 95% CI = 1.0 to 4.8). We observed no trend of increasing risk for any cause of death with increasing dioxin exposure. However, the highest rates of non-Hodgkin lymphoma were found in the highest exposure group (standardized mortality ratios = 4.5, 95% CI = 1.2 to 11.5).

CONCLUSIONS

Other than possibly an increased risk of non-Hodgkin lymphoma, we find no other cause of death related to the mixture of the dioxin contaminants found in PCP.

摘要

目的

我们试图确定在五氯酚(PCP)生产过程中接触二恶英的工人是否因特定原因死亡的风险增加。

方法

我们使用血清二恶英评估来估计接触五种二恶英的情况,对 1937 年至 1980 年间接触氯化二恶英的 773 名 PCP 制造工人的死亡率进行了研究。

结果

所有原因、所有癌症、肺癌、糖尿病和缺血性心脏病的死亡人数接近预期水平。有 8 人死于非霍奇金淋巴瘤(标准化死亡率比=2.4,95%置信区间=1.0 至 4.8)。我们没有观察到随着二恶英暴露的增加,任何死因的风险呈上升趋势。然而,非霍奇金淋巴瘤的最高发病率出现在暴露水平最高的组(标准化死亡率比=4.5,95%置信区间=1.2 至 11.5)。

结论

除了非霍奇金淋巴瘤的风险可能增加外,我们没有发现与 PCP 中发现的二恶英污染物混合物有关的其他死因。

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