Document MGBZ8gGyjjL6dxMKqb7pEmoBy

Science Chemists score wed in new cancer epidemiology study Among the worries about potential hazards in the workplace, there has been a particular concern about chem ists because of the nature of their jobs. Some epidemiological studies in the U.S., Sweden, and the U K. have sug gested that chemists are at a pester risk from certain types of cancer than are others. A new study has been made that at tempts to avoid some of the sources of possible inaccuracy in previous studies. The study was made by Shelia K. Hoar, now of the environmental epidemiology branch at the National Cancer Institute. Bethesda, Md., and Sidney Pell of the epidemiology section in the medical di vision at Du Pont, WHmington [ J. Occtp. Med. 25, 485 (1981)]. What the study finds is that for the chemists and the period studied, male chemists at Du Pont experienced lower overall mortality than did nonchemist workers at the same company who were at relatively the same socioeconomic level. There were large deficits in num bers of deaths from lung cancer and arteriosclerotic heart disease. The male chemists appear to be at slightly higher risk for death from malignancies of the colon and from cerebrovascular disease. The incidence rates of melanoma and of cancer of the prostate are slightly higher than ex pected. Among female chemists, deaths from all causes combined and from suicide occurred more frequently than expected. in devising their study. Hoar and Pell noted that the designs of some previous studies had some limitations. They note that the populations studied weren't re stricted to persons employed as chem ists. American and British studies of chemical society members, they point out, may include persons who weren't occupationally exposed to chemicals, in addition, several of the studies were based on proportional mortality rates and not on absolute mortality rates, so that apparent excesses in proportional mortality from cancer may reflect defi cits in other causes of death. Also, they point out, the Swedish study, which was based on absolute mortality and at tended to identify subjects who worked in a laboratory, included too few deaths to be conclusive. To better zero in on the issue. Hoar and Pell turned to Du Pont records. Du Pont maintains a computerized per sonnel file that includes records of all salaried persons who were active em ployees on or after Jan. 1, 1864. It contains demographic information and work histories retroactive to 1959. Using the file, Hoar and Pelt identified 3713 men and 75 women who were employed in 1959 as chemists, chemi cal engineers, or research associates, Or in occupations with similar titles. Nonwhites were only a small number, so the two researchers restricted their cohort to 3686 male and 75 female white chemists. For comparison, 19,262 male and 673 female white nonchemists who were active salaried employees in 1959 were identified in the same file. The re searchers excluded from the non chemist group any persons ever em ployed by Du Pont as chemists. Hoar and Pell point out that the low overall mortality rate among the male chemists resulted in a larger than ex pected proportion of deaths due to cancer. They note that the cancer ex cesses in the previous proportional mortality reports on chemists also may reflect low absolute mortality and not absolute excesses. Anticipated excesses of certain types of cancers weren't observed, they say. possibly because of the use of absolute mortality rates, inadequate length of followup, exposure to hazardous chemicals by the comparison group, or restriction of case identification to active employees. Deficits in overall mortality rates and in lung cancer rates may have been due, they say, to lower prevalence of smoking among the chemists, or to Jsparate socioeconomic status or other factors. 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"That does not, of course, imply that some of them are not of immense importance to sections of the popu lation on whom the risks are concen trated, but it does mean that their control will have relatively little effect on the total incidence of cancer in the whole country," they say. "Once rec ognized, occupational hazards usually can be reduced or eliminated by im mediately practicable means, which makes their identification particu miologic approach, of course, should larly valuable." be influenced by laboratory discov Thus they recommend that more eries," they say, "but the dangers of effort be put into systematically ob too peat a commitment to a mecha serving workers who are being ex nistic approach are obvious, espe posed to potential risks. They suggest cially since the mechanisms under that such observation might be of lying the international and other more value than the current emphasis differences between populations in on laboratory testing of chemicals. -today's common cancers may not yet That recommendation grows nat be understood." They argue that the urally out ofDoll and Petos admitted epidemiologic approach is advanta preference for the epidemiologic ap geous because its starting point is proach over what they call the more relevant: a look at deaths from "mechanistic" strategy. "The epide cancer in the human population. 84 CAEN Aug. 17. 19S1 S3J.V1S OBlINn 3HANI 03HVW 31 AdVSS303N 39VlSOd ON t06Z0 rNiiwwns 133U1S 31dVW IP MlieaH pue aouaios uo ipunoo ueouaiuv dOlOBUia dlHSd38IN3IN 33SS3daaV A8 aiVd 38 TIIAA 30VlSOd TN HWWflS `Z02 ON HWd3d SSVIO ISdld HVW Ald3d SS3NISH8 UJOJJ American Council I Aon Science and Health 47 Maple Street Summit. 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