Stern R M
Danish Welding Institute, Brøndby, Denmark.
Environ Health Perspect. 1987 Dec;76:221-9. doi: 10.1289/ehp.8776221.
Epidemiological studies of cancer incidence among welders disclose a pooled total of 146 cases of leukemia observed versus 159.46 expected, a risk ratio of 0.92, and 40 cases of acute leukemia observed versus 43.39 expected, a risk ratio of 0.92. For respiratory tract cancer, the pooled total is 1789 cases observed versus 1290.7 expected, a risk ratio of 1.39. Most electric welders are exposed to extremely low frequency electromagnetic radiation (ELF) (magnetic flux densities of up to 100,000 microT), a suspected leukemogen, and to concentrated metallic aerosols (up to 200 mg/m3), which can contain the putative respiratory tract carcinogens Cr(VI) and Ni. The two exposures are usually coincident, since welding with an electric current produces welding fumes. The observation of an excess risk for respiratory tract cancer strongly suggests significant exposure both to fumes and to ELF. The absence of increased risk for all leukemia or for acute leukemia among ELF-exposed welders does not support the hypothesis that the observed excess risk for leukemia or acute leukemia among workers in the electrical trades is due to their ELF exposure, which on the average is lower than that of welders.
对焊工癌症发病率的流行病学研究显示,共观察到146例白血病病例,预期病例数为159.46例,风险比为0.92;观察到40例急性白血病病例,预期病例数为43.39例,风险比为0.92。对于呼吸道癌症,共观察到1789例病例,预期病例数为1290.7例,风险比为1.39。大多数电焊工暴露于极低频电磁辐射(ELF)(磁通密度高达100,000微特斯拉),这是一种疑似白血病致癌物,还暴露于浓缩金属气溶胶(高达200毫克/立方米),其中可能含有假定的呼吸道致癌物六价铬和镍。这两种暴露通常同时发生,因为电流焊接会产生焊接烟雾。呼吸道癌症超额风险的观察结果强烈表明,焊工同时大量暴露于烟雾和极低频电磁辐射。在暴露于极低频电磁辐射的焊工中,所有白血病或急性白血病风险并未增加,这并不支持电气行业工人中观察到的白血病或急性白血病超额风险是由于其极低频电磁辐射暴露(平均而言低于焊工)这一假设。