Objective-This is an update of an earlier study on the relation betwee
n exposure to arsenic in air and deaths from respiratory cancer. The p
urpose was to verify earlier findings of a supralinear dose response r
elation and to examine relations with other cancers, particularly thos
e reported in studies on drinking water. Methods-An earlier study of 2
802 men who worked at a copper smelter for a year or more during the p
eriod 1940-64 and who mere followed up for deaths during the period 19
41-76 was updated until 1986. Estimates of exposure for the period 197
7-1981 were added. Results and conclusions-The additional follow up co
nfirms the earlier finding that at low doses the increments in death r
ates for respiratory cancer for a given increment in dose are greater
than at high doses. The additional follow up also shows significant in
creases in cancer of the large intestine and bone, and SMRs >150 for c
ancer of the buccal cavity and pharynx, rectal cancer, and kidney canc
er. There was a positive relation between exposure to arsenic in air a
nd kidney and bone cancer, but none for the other cancers, except resp
iratory.