Objective of this study was to assess the mortality experience of a co
hort of chemical workers at a plant located in central Italy. Subjects
employed for any time between 1954 and 1970 at the chemical plant wer
e included in the cohort and followed up to June 1991. The workers wer
e classified as having ever/never worked in one of the following work
processes: organic chemicals, acid mixtures, cleansing agents and inse
cticides. Mortality experience of the cohort was compared with that of
the regional population by computing SMRs (standardized mortality rat
ios) and 90% CI (confidence intervals). Vital status was ascertained f
or 96% of the 505 cohort members. All causes of mortality for the enti
re cohort were lower than expected.(Obs: 176; SMR: 0.90; 90% CI: 0.79-
1.03). Analysis by work process revealed an increased mortality for ly
mphatic and hematopoietic tissue neoplasm in the cleansing agents depa
rtment (Obs: 3; SMR: 5.00; 90% CI: 1.36-12.9); peritoneum and retroper
tioneum neoplasm in the organic compounds production (Obs: 2; SMR: 13.
33; 90% CI: 2.37-42.0), and bladder cancer in the insecticides process
(Obs: 3; SMR: 3.53; 90% CI: 0.96-9.12). Although the study had a low
statistical power, the increased cancer risks detected are consistent
with previous observations and may be of etiologic interest.