Long-term effect of arsenic exposure: Results from an occupational cohort study.


Journal

American journal of industrial medicine
ISSN: 1097-0274
Titre abrégé: Am J Ind Med
Pays: United States
ID NLM: 8101110

Informations de publication

Date de publication:
02 2019
Historique:
accepted: 10 12 2018
pubmed: 5 1 2019
medline: 15 2 2020
entrez: 5 1 2019
Statut: ppublish

Résumé

In 1976 in Manfredonia (Italy), arsenic was released into the atmosphere due to an accident in a petrochemical plant. We aimed to analyze the mortality of workers involved in the factory for the site cleaning activities. The cohort consisted of 1467 workers grouped into contract, fertilizer, and plastic workers. The outcome of interest was mortality for specific causes. Standardized mortality ratios (SMR) and 95% confidence intervals (95%CI) were computed. For all workers and all causes of death combined, the SMR was less than 1.0. Mortality ratios were increased for malignant neoplasms of the pleura, bone and melanoma of the skin. Contract workers, the group mostly exposed to arsenic, showed statistically significant SMRs for several malignancies, in particular for lung cancer (SMR = 1.26; 95%CI: 1.05-1.54). Overall, the results reported here on mortality among persons occupationally exposed to arsenic are consistent with the literature and biologically plausible.

Sections du résumé

BACKGROUND
In 1976 in Manfredonia (Italy), arsenic was released into the atmosphere due to an accident in a petrochemical plant. We aimed to analyze the mortality of workers involved in the factory for the site cleaning activities.
METHODS
The cohort consisted of 1467 workers grouped into contract, fertilizer, and plastic workers. The outcome of interest was mortality for specific causes. Standardized mortality ratios (SMR) and 95% confidence intervals (95%CI) were computed.
RESULTS
For all workers and all causes of death combined, the SMR was less than 1.0. Mortality ratios were increased for malignant neoplasms of the pleura, bone and melanoma of the skin. Contract workers, the group mostly exposed to arsenic, showed statistically significant SMRs for several malignancies, in particular for lung cancer (SMR = 1.26; 95%CI: 1.05-1.54).
CONCLUSIONS
Overall, the results reported here on mortality among persons occupationally exposed to arsenic are consistent with the literature and biologically plausible.

Identifiants

pubmed: 30609098
doi: 10.1002/ajim.22939
doi:

Substances chimiques

Air Pollutants 0
Arsenic N712M78A8G

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

145-155

Subventions

Organisme : Municipality of Manfredonia
Pays : International

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Auteurs

Emilio Antonio L Gianicolo (EAL)

Italian National Research Council, Institute of Clinical Physiology, Lecce, Italy.
University of Mainz, Institute of medical Biostatistics, Epidemiology and Informatics, Mainz, Germany.

Cristina Mangia (C)

Italian National Research Council, Institute of Atmospheric Sciences and Climate, Lecce, Italy.

Marco Cervino (M)

Italian National Research Council, Institute of Atmospheric Sciences and Climate, Bologna, Italy.

Antonella Bruni (A)

Epidemiological and Statistical Unit, Azienda Sanitaria Locale, Taranto, Italy.

Maurizio Portaluri (M)

Department of Radiotherapy, General Hospital, Brindisi, Italy.

Pietro Comba (P)

Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy.

Roberta Pirastu (R)

Fondazione Sapienza, Università di Roma, Roma, Italy.

Annibale Biggeri (A)

Department of Statistics, Computer Science, Applications, University of Florence, Florence, Italy.
Epidemiologia e Prevenzione Social Enterprise, Torino, Italy.

Mariangela Vigotti (M)

Italian National Research Council, Institute of Clinical Physiology, Lecce, Italy.

Maria Blettner (M)

University of Mainz, Institute of medical Biostatistics, Epidemiology and Informatics, Mainz, Germany.

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