Dust exposure and mortality in an American chrysotile textile plant

McDonald, AD; Fry, JS; Woolley, AJ; McDonald, JC

HERO ID

136

Reference Type

Journal Article

Year

1983

Language

English

PMID

6313032

HERO ID 136
In Press No
Year 1983
Title Dust exposure and mortality in an American chrysotile textile plant
Authors McDonald, AD; Fry, JS; Woolley, AJ; McDonald, JC
Journal Occupational and Environmental Medicine
Volume 40
Issue 4
Page Numbers 361-367
Abstract Three parallel cohort studies of asbestos factory workers were undertaken to investigate the effects of mineral fibre type and industrial process on malignant mesothelioma, respiratory cancer, and asbestosis. This report describes the mortality of a cohort of 2543 men, defined as all those employed for at least a month from 1938 to 1958 in a textile plant in South Carolina in which chrysotile was the only type of asbestos used. Of these, 863 men (34%) had died before 31 December 1977, one from malignant mesothelioma. Twenty one deaths were ascribed to asbestosis and 66 to cancer of the lung. Compared with the number expected from South Carolina, there was an excess of 30 deaths from respiratory cancer (ICD 160-164) in men 20 or more years after first employment (SMR 199.5). In men employed five years or more, no SMRs for this category rose above 300. Individual exposures were estimated (in mpcf X years) from recorded environmental measurements. Life table analyses and "log-rank" (case-control) analyses both showed a steep linear exposure-response that was some 50-fold greater at similar accumulated dust exposures than in Canadian chrysotile mining and milling. These findings agree closely with those from another study in this plant and confirm that mesothelioma is rarely associated with chrysotile exposure. Cigarette smoking habits did not greatly differ between the textile workers and the Canadian miners and millers. The far greater risk of lung cancer in the textile industry, if not attributable to other identified cocarcinogens, may be related to major differences in the size distribution of fibres in the submicroscopic range which are not detected by the usual fibre or particle counting procedures.
Doi 10.1136/oem.40.4.361
Pmid 6313032
Wosid WOS:A1983RQ49400001
Is Certified Translation No
Dupe Override No
Comments 1983a in 021,00 and 243,03.Br. J. Ind. Med. 40: 361-367.
Is Public Yes
Language Text English
Keyword Asbestos, Serpentine; Asbestos; 1332-21-4; Index Medicus; Middle Aged; Dust -- adverse effects; Mesothelioma -- mortality; Asbestosis -- etiology; Mesothelioma -- etiology; Asbestosis -- mortality; Time Factors; Lung Neoplasms -- mortality; Lung Neoplasms -- etiology; Asbestos -- adverse effects; Occupational Diseases -- mortality; Textile Industry; Occupational Diseases -- etiology
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