Gm. Matanoski et al., INDUSTRY-WIDE STUDY OF MORTALITY OF PULP AND PAPER-MILL WORKERS, American journal of industrial medicine, 33(4), 1998, pp. 354-365
A study of pulp and paper mill workers indicated low risks of death fr
om all causes (standardized mortality ratio (SMR) = 0.74) and all canc
ers (SMR = 0.81) compared with U.S. rates. The leukemia death rate in
workers was not higher than the U.S. rate but was higher than the rate
in county populations surrounding mills. Workers whose last jobs were
in the finishing areas of the mills had an elevated SMR for liver can
cer An internal comparison of occupational characteristics indicated t
hat workers employed in mills using other chemical pulping operations
had significantly elevated mortality from all causes, all cancers, hea
rt disease, lymphomas, and brain cancers. Lung cancer mortality was el
evated in mills using kraft pulping. The internal comparisons confirme
d the association between work in finishing and the risk of liver canc
er. This study was designed to investigate whether pulp and paper mill
workers have any risks that would indicate the need for studies detai
ling exposures. (C) 1998 Wiley Liss, Inc.