Abstract
To provide more information regarding the risk of cancer associated with wood dust, a pooled reanalysis of data from five cohort studies was performed. The combined cohort consisted of 28,704 persons from five studies: British furniture workers, members of the union representing furniture workers in the United States, two cohorts of plywood workers, and one of wood model makers, among whom 7665 deaths occurred. Pooled analyses were carried out for all of the cohorts combined, the two furniture worker cohorts combined, and the two plywood workers cohorts combined. Significant excesses of nasal [observed 11, standardized mortality ratio (SMR) 3.1, 95% confidence interval (95% CI) 1.6-5.6] and nasopharyngeal (observed 9, SMR 2.4, 95% CI 1.1-4.5) cancer were observed. That for nasal cancer appeared to be associated with exposure to wood dust but was based solely on cases from the British furniture worker cohort, while that of nasopharyngeal cancer was observed for furniture and plywood workers and was associated with both high and low probability of wood dust exposure. Some support for an excess risk of multiple myeloma was also observed but was less clearly associated with wood dust exposure. No excesses of lung, larynx, stomach, or colon cancer were found to be associated with any surrogate indicators of wood dust exposure. Workers exposed to wood dust may have an excess risk of nasopharyngeal cancer and multiple myeloma in addition to sinonasal cancer. The limitations of this study would tend to obscure relationships, rather than create false positive findings.
Highlights
Significanetxcessesofnasal[observed11,standardizemdortalitryatio(SMR) 3.1,95% confidence interva(l95% CI) 1.6-5.6] and nasopharynge(aolbserved9, SMR 2.4, 95% CI 1.1- 4.5) cancerwere observedT.hatfornasalcancerappearedtobe associatedwithexposurteowooddustbutwasbasedsolelyon casesfromtheBritishfurnituwreorkecrohortw, hilethatofnasopharyngecaalncerwasobservedforfurniture andplywoodworkerasndwas associatedwithbothhighandlowprobabilitoyfwooddustexposureS.ome supporftoranexcessriskofmultiplme yelomwa asalsoobservedbutwaslessclearlyassociatedwithwooddust exposureN. o excessesoflung,larynxs,tomacho,rcoloncancerwerefoundtobeassociatedwithanysurrogate indicatorosfwooddustexposure
The firstconsistedof workeresmployedat factystudiesof woodworkerfsora pooledanalysisand toriesproducingwood furnituraen,d thesecondwas developeda classificatiosnchemeforwooddustexpo- composedofworkeresmployedat factoriepsroducing sureforthepooledcohortbased on thatused in the otherwoodproductWs. orkplaceksnowntoproducne on
Scand J WorkEnvironHealth 1995, vol21, no 3
Summary
Reprinrtequeststo:Dr PaulA Demers,OccupationaHl ygieneProgrammeU,niversitoyfBritishColumbia,2206 EastMall, 3rdFloorVancouverB, C CanadaV6T 1Z3. Themostrecenptublishedfollow-uopfthiscohort sufficienptowertodeterminwehetheorrnotan excess was throughtheend of 1983 (11). Riskexists.To providemoreinformatiornegardintghe formedaccordingto theproductms anufacturaetdthe riskofcancerassociatedwithwooddust,we assembled workplacew, ereusedforthepurposesofouranalysis datafromrecentlcyompleteodrupdatedcohormt ortali- (11).
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