Wang H H, MacMahon B
J Occup Med. 1979 Nov;21(11):745-8. doi: 10.1097/00043764-197911000-00008.
A retrospective mortality study has been carried out on workers employed in the manufacture of chlordane and heptachlor between 1946 and 1976. The study group was comprised of 1403 white males who worked for more than three months at either of the two plants in the United States now producing these compounds. Information on deaths among terminated employees was obtained from the Social Security Administration and supplemented by information collected by another investigator by individual follow-up. There were 113 deaths observed in the group, compared to 157 expected, giving a standardized mortality ratio (SMR) of 72. There was no overall excess of deaths from cancer, even among workers followed twenty or more years after entry into the occupation. There was one death from liver cancer. An excess of deaths from lung cancer (12 observed, 9.0 expected) was not statistically significant and was not distributed by duration of exposure or of latency in any pattern suggesting an etiologic role for chlordane-heptachlor exposure. Although diseases of the circulatory system as a whole showed fewer deaths than expected (SMR 83), there was a statistically significant excess of deaths from cerebrovascular disease (17 observed, 9.3 expected). This excess was not related to duration of exposure or latency and occurred exclusively after termination of employment.
一项回顾性死亡率研究针对1946年至1976年间受雇于氯丹和七氯生产企业的工人展开。研究组由1403名白人男性组成,他们在美国目前生产这些化合物的两家工厂中的任何一家工作了三个月以上。关于离职员工死亡情况的信息从社会保障管理局获取,并由另一位调查员通过个人随访收集的信息进行补充。该组共观察到113例死亡,而预期死亡数为157例,标准化死亡比(SMR)为72。即使在入职该职业20年或更长时间的工人中,癌症死亡也没有总体超额。有1例死于肝癌。肺癌死亡人数过多(观察到12例,预期9.0例)在统计学上不显著,且未按暴露时间或潜伏期以任何表明氯丹 - 七氯暴露具有病因学作用的模式分布。尽管整个循环系统疾病的死亡人数低于预期(SMR 83),但脑血管疾病的死亡人数在统计学上显著过多(观察到17例,预期9.3例)。这种过多与暴露时间或潜伏期无关,且仅在就业终止后出现。