Cowles S R, Tsai S P, Snyder P J, Ross C E
Shell Oil Company, Corporate Medical Department, Houston, Texas 77252-2463.
Occup Environ Med. 1994 May;51(5):323-9. doi: 10.1136/oem.51.5.323.
A retrospective mortality analysis and prospective morbidity and haematological analyses were performed for Shell Deer Park Manufacturing Complex (DPMC) male employees who worked in jobs with potential exposure to 1,3-butadiene from 1948 to 1989. 614 employees qualified for the mortality study (1948-89), 438 of those were still employed during the period of the morbidity study (1982-9), and 429 of those had haematological data available for analysis. Industrial hygiene data from 1979 to 1992 showed that most butadiene exposures did not exceed 10 ppm (eight-hour time weighted average (8 hour TWA)), and most were below 1 ppm, with an arithmetic mean of 3.5 ppm. 24 deaths occurred during the mortality study period. For all causes of death, the standardised mortality ratio (SMR) was 48 (95% confidence interval (95% CI) = 31-72), and the all cancer SMR was 34 (95% CI = 9-87). There were only two deaths due to lung cancer (SMR 42, 95% CI = 5-151) and none due to lymphohaematopoietic cancer (expected = 1.2). Morbidity (illness absence) events of six days or more for the 438 butadiene employees were compared with the rest of the complex. No cause of morbidity was in excess for this group; the all cause standardised morbidity ratio (SMbR) was 85 (95% CI = 77-93) and the all neoplasms SMbR was 51 (95% CI = 22-100). Haematological results for the 429 with laboratory data were compared with results for the rest of the complex. No significant differences occurred between the two groups and the distributions of results between butadiene and non-butadiene groups were virtually identical. These results suggest that butadiene exposures at concentrations common at DPMC in the past 10-20 years do not pose a health hazard to employees.
对1948年至1989年期间在壳牌鹿园制造工厂(DPMC)中可能接触1,3 - 丁二烯的男性员工进行了回顾性死亡率分析以及前瞻性发病率和血液学分析。614名员工符合死亡率研究条件(1948 - 1989年),其中438名在发病率研究期间(1982 - 1989年)仍受雇,且其中429名有可供分析的血液学数据。1979年至1992年的工业卫生数据表明,大多数丁二烯暴露浓度未超过10 ppm(八小时时间加权平均值(8小时TWA)),且大多数低于1 ppm,算术平均值为3.5 ppm。在死亡率研究期间发生了24例死亡病例。对于所有死因,标准化死亡率(SMR)为48(95%置信区间(95%CI)= 31 - 72),所有癌症的SMR为34(95%CI = 9 - 87)。仅2例死于肺癌(SMR 42,95%CI = 5 - 151),无死于淋巴造血系统癌症的病例(预期数 = 1.2)。将438名接触丁二烯员工持续6天或更长时间的发病(因病缺勤)事件与工厂其他员工进行了比较。该组发病原因无过多情况;所有病因的标准化发病率(SMbR)为85(95%CI = 77 - 93),所有肿瘤的SMbR为51(95%CI = 22 - 100)。将429名有实验室数据员工的血液学结果与工厂其他员工的结果进行了比较。两组之间未出现显著差异,丁二烯组和非丁二烯组结果分布几乎相同。这些结果表明,过去10 - 20年DPMC常见浓度的丁二烯暴露对员工不构成健康危害。