Mortality from Tuberculosis by Occupation, 1985–1991

Details

• Personal Author:
  Bang KM ; Kim JH
• Description:
  Tuberculosis (TB) incidence rate increased recently in the United States from 9.3 per 100,000 population in 1985 to 105 in 1992, and concern has arisen about elevated risk of TB in various occupational groups. To identify occupational groups at potentially increased risk, we conducted a proportional mortality study of pulmonary TB by occupation. This study used a dataset of over 4.7 million death certificates from 25 states which reported usual industry and occupation codes on death certificates from 1985 to 1991. The 3-digitcensus occupation codes were evaluated individually. The proportionate mortality ratio (PMR) was age adjusted intemally. PMRs were computed by race, sex, and all groups. Occupations with significantly elevated pulmonary TB PMR for all groups included: vehicle washers (PMR=79S, 95% confidence interval (CI)=291- 1731); crushing/grinding machine operators (PMR=446, CI= 122-1142); electric repairmen (PMR=340, CI=110-795), mixing/blending machine operators (PMR=316, Cl=l02-739); farm workers (PMR=282, CI=181-419); construction laborers (PMR=279, CI=218-352); brickmasons/stonemasons(PMR=271,CI=152-448); housekeepers/butlers(PMR=256,CI=103- 528); mining machine operators (PMR=256, Cl=l73-366); and freight/ material handlers (PMR=232, Cl=107-441). Many other occupations had elevated risks but small numbers of observed deaths. These findings may be useful for occupationally targeted TB prevention programs and also generating new hypotheses regarding the epidemiology of TB. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Epidemiology Lung Diseases Mortality Occupational Health Respiratory Tract Diseases Risk Assessment Risk Factors Safety Tuberculosis
• Keywords:
  Disease Incidence Infectious Diseases Mortality Rates Pulmonary System Disorders Risk Assessment Risk Factors TB
• Publisher:
  American Public Health Association
• Document Type:
  Text
• Genre:
  Abstract or Summary
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  51
• NIOSHTIC Number:
  nn:20053445
• Citation:
  Public Health and Diversity: Opportunities for Equity, APHA 122nd Annual Meeting and Exposition, October 30 - November 3, 1994, Washington, DC. Washington, DC: American Public Health Association, 1994 Oct; :51
• Federal Fiscal Year:
  1995
• Peer Reviewed:
  False
• Source Full Name:
  Public Health and Diversity: Opportunities for Equity, APHA 122nd Annual Meeting and Exposition, October 30 - November 3, 1994, Washington, DC
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ad702a578172b26423e0a4ff345a75c0a6a5663f06ed67f41b9e9f2d485e48383879638a6fab040625881c5716effcbb885308bb33dc1e6d1ff46046f3998cdc
• Download URL:
  https://stacks.cdc.gov/view/cdc/216197/cdc_216197_DS1.pdf
• File Type:
  [PDF - 386.50 KB ]