Mortality among sheet metal workers participating in a respiratory screening program

Details

• Personal Author:
  Dement, John M. ; Welch L ; West G
• Description:
  Background: The Sheet Metal Occupational Health Institute Trust (SMOHIT) established a screening program in 1985 to examine the health hazards of the sheet metal industry in the U.S. and Canada. Methods: 17,345 individuals with over 20 years in the trade and who participated in the program were followed for causes of death between 1986 and 2010. Both SMRs and Cox proportional hazards models investigated predictors of death due to lung cancer, mesothelioma, and chronic obstructive pulmonary disease (COPD). Results: Significant excess mortality was seen for mesothelioma and asbestosis. Controlling for smoking, a strong trend for increasing lung cancer risk with increasing chest x-ray profusion >0/0 was observed. With an profusion score <1/0, FEV1 /FVC <80% was associated with lung cancer risk. COPD risk increased with increasing profusion score. Conclusions: This study demonstrates asbestos-related diseases among workers with largely indirect exposures and an increased lung cancer risk with low ILO scores. [Description provided by NIOSH]
• Subjects:
  Asbestos Hazardous Substances Inorganic Chemicals Lung Lung Diseases Metals Metal Workers Morbidity Mortality Neoplasms Occupational Health Respiratory System Respiratory Tract Diseases Safety Smokers Workplace

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• Keywords:
  Asbestos Asbestosis Author Keywords: Sheet Metal Worker Cancer Construction Hazards Health-hazards Lung-cancer Lung Cancer Mesothelial-cells Metal-industry Metal-industry-workers Models Morbidity-rates Mortality Mortality-rates Pulmonary-system Pulmonary-system-disorders Respiratory-system-disorders Smoking Work-environment Workers

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; North Carolina ; OSHA Region 3 ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  378-391
• Volume:
  58
• Issue:
  4
• NIOSHTIC Number:
  nn:20045966
• Citation:
  Am J Ind Med 2015 Apr; 58(4):378-391
• Contact Point Address:
  Laura S. Welch, M.D., Medical Director, CPWR 8484 Georgia Avenue, Silver Spring, MD 20910
• Email:
  LWelch@cpwr.com
• CAS Registry Number:
  Asbestos (CAS RN 1332-21-4)
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Construction
• Performing Organization:
  CPWR - The Center for Construction Research and Training, Silver Spring, Maryland
• Peer Reviewed:
  True
• Start Date:
  20090901
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20240831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:286a8945add8eea32456c93d5b9fb81a8e5ba685631a7c2496051503a1bcba2955d6b316e875a23e43accf5dfe82e2174cb89dc1c3801ca289b53da19013f938
• Download URL:
  https://stacks.cdc.gov/view/cdc/201172/cdc_201172_DS1.pdf
• File Type:
  [PDF - 139.95 KB ]