Cragle D L, Hollis D R, Qualters J R, Tankersley W G, Fry S A
J Occup Med. 1984 Nov;26(11):817-21. doi: 10.1097/00043764-198411000-00011.
A cohort of 2,133 white males who were exposed to elemental mercury vapors between 1953 and 1963 was followed up through the end of 1978. Death certificates were obtained for 371 of the 378 workers who were reported by the Social Security Administration to be deceased. The mortality experience of this group was compared with the age-adjusted mortality experience of the U.S. white male population. Mortality has not been studied previously in assessing the long-term health effects of mercury exposure. Standardized mortality ratios (SMRs) were calculated for a comparable unexposed worker population to determine the mortality patterns among workers at the same plant who were not involved in the mercury process. Statistically significant excesses of deaths from cancer of the lung (SMR = 1.34; 71 observed, 52.9 expected) and cancer of the brain and other CNS tissues (SMR = 2.30; 13 observed, 5.65 expected) were observed among the plant workers who were not involved in the mercury process. An excess of deaths from cancer of the lung was also observed among the mercury workers (SMR = 1.34; 42 observed, 31.36 expected), although the elevation of this SMR was not statistically significant. Since excesses of lung cancer were evident in both groups of workers, it is unlikely that they are related to the mercury exposure and more probable that they are due to some other factor present in the plant or to some life-style factor prevalent among the plant workers.(ABSTRACT TRUNCATED AT 250 WORDS)
对1953年至1963年间接触元素汞蒸气的2133名白人男性队列进行了随访,直至1978年底。社会保障管理局报告的378名已故工人中,有371人获得了死亡证明。将该组的死亡率与美国白人男性人口的年龄调整死亡率进行了比较。此前在评估汞接触的长期健康影响时未对死亡率进行研究。为一个可比的未接触工人人群计算了标准化死亡率(SMR),以确定同一工厂中未参与汞处理过程的工人的死亡模式。在未参与汞处理过程的工厂工人中,观察到肺癌(SMR = 1.34;观察到71例,预期52.9例)、脑及其他中枢神经系统组织癌症(SMR = 2.30;观察到13例,预期5.65例)的死亡人数有统计学意义的过量。在汞接触工人中也观察到肺癌死亡人数过量(SMR = 1.34;观察到42例,预期31.36例),尽管该SMR的升高无统计学意义。由于两组工人中肺癌过量均很明显,所以它们不太可能与汞接触有关,更有可能是由于工厂中存在的其他因素或工厂工人中普遍存在的某种生活方式因素。(摘要截短至250字)