Document ZJJZwYkegaw6XM0QR1MgX4mqd

r INTERNAL CORRESPONDENCE UNION CARBIDE CORPORATION OLD RIDGEBURY ROAD. DANBURY, CT 06817 To OUmmm) Susan G. Austin, Sc.D. Dtvmtan HS&EA Epidemiology P2 Copy to D.H. Glenn, M.D. T.A. Lincoln, M.D. at* October 27, 1982 Onginatmg o**HS4EA Arw Epidemiology, P2 SutJtwsc Texas Brain Cancer Mortality Rates Dear Susan: I've enclosed additional comparisons of the Texas state and county brain cancer mortality data with the U.S. rates. The requests made in your letter of October 7 are answered here, also. I'd like to add an observation which is brought out by the graphs included here. It appears as though there is not only an age effect in the rates as you point out, but also a temporal effect. It is particularly evident in the graphs for age groups 30-34, 45-49, 55-59, 60-64, 65-69, and 75-84 that the county rates in the 1970's are elevated with respect to the U.S. and even the state rates. This observation is also consistent with the first two hypo theses you mentioned in your 10/7/82 letter (i.e., increased utilization of CAT scanners, or increased numbers of neurologists In the area). The temporal and age effect taken together would render the third hypothesis (presence of a general brain cancer cancinogen) unlikely unless the carcinogen has since dis appeared, leaving the young with comparable brain cancer rates. The problem certainly is an interesting and intricate one, and is deserving of further study. Sincerely, ARSrgac Enclosure A. Robert Schnatter BIOSTATISTICIAN UCC 053700 COMPARISON OF UNITED STATES, TEXAS, AND TEXAS COUNTY* AGE SPECIFIC MALIGNANT BRAIN CANCER MORTALITY RATES FOR WHITE MALES (ICDA(8) 191,192) PER 100,000 POPULATION 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ U.S. 1.1 1.3 1.5 2.3 3.2 4.6 7.1 9.2 11.0 11.0 8* 7 4.4 3.3 2.4 .28 1950-54 Texas 0.9 1.1 1.9 1.9 3.0 4.2 6.0 7.2 9.0 9.4 7.5 3.6 3.6 3.6 6.0 County* 3.0 0.6 2.1 0.0 2.2 1.2 5.7 13.3 5.9 3.2 6.9 0.0 0.0 0.0 0.0 Age- 4.9 4.6 2.9 adjusted average U.S. 1.2 1.2 1.6 2.6 3.4 4.8 6.4 9.8 12.0 13.0 10.0 7.0 4.0 2.4 1.3 1955-59 Texas 1.3 1.0 1.9 3.1 3.5 5.0 6.9 7.9 10.8 14.2 9.5 7.2 4.1 4.1 0.0 County* 2.3 0.0 0.0 1.4 5.6 3.2 5.9 7.9 13.8 19.5 16.3 11.1 3.3 3.3 0.0 5.4 5.4 6.2 U.S. 1.2 1.1 1.7 2.4 3.2 4.8 7.0 9.9 12.5 14.1 12.6 8.5 6.0 2.7 1.7 6.0 1960-64 Texas 1.1 1.0 1.3 2.7 3.8 4.6 7.8 9.5 12.2 15.5 13.1 9.5 6.6 6.6 3.8 County 2.2 1.1 2.2 2.1 1.7 4.6 8.0 12.7 15.0 11.5 10.4 16.0 2.6 2.6 0.0 6.6 6.2 * The "Texas County" rate Includes Galveston, Harris, and Brazoria Counties. ac vSi oo ARS:gac Rev. 10/26/82 or S Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-84 85+ prude Average ^er 100,000 MORATLITY RATES FOR MALIGNANT BRAIN CANCER AMONG WHITE MALES IN A THREE COUNTY AREA IN THE STATE OF TEXAS 1950-54 10/262074 3/219348 3/169678 4/132628 1/155899 4/191862 0/188150 4/185748 2/163909 8/140069 15/112755 5/85212 2/62598 3/43769 0/27692 0/023524 0/3843 2.950 1955-59 8/325404 5/297856 2/243918 4/171246 0A56086 0/196209 3/217769 12/216146 6A87471 10A68626 11/139555 15/108869 15/77026 9/55114 4/36047 1/30686 0/5198 3.990 1960-64 5/363461 2/361138 5/316837 5/230819 2/188809 5/228796 5/243229 4/237261 10/215254 16/199403 21/165584 20/133227 11/95248 7/67087 7/43631 1/37764 0/6631 4.02 1965-69 12/370631 8/405811 4/388143 4/316009 7/261296 5/295896 6/263602 4/247019 8/248197 17/232883 18/190668 28/158442 22/118108 10/79838 6/50266 5/44739 0/8154 4.46 1970-74 8/307217 10/328717 3/345118 3/306087 3/268066 8/299555 6/247572 3/212146 11/210865 20/205211 19/176984 31/143604 25/110187 13/74739 4/46351 10/40953 1/7814 5.34 1975-77 3/238352 4/242438 1/263507 1/259444 3/252351 4/286070 7/239251 6/185473 4/162947 13/162852 14/153546 15/122847 18/93254 16/61326 8/40761 9/34305 0/7057 4.49 ucc 053703 MORATLITI RATES FOR MALIGNANT BRAIN CANCER AMONG WHITE MALES FOR THE STATE OF TEXAS Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-84 85+ /iCrude Average ^er 100,000 1950-54 37/2113990 33/1785014 13/1503724 12/1411146 15/1376463 26/1401510 25/1298427 39/1294183 49/1176977 63/1043567 64/891205 67/744159 56/593640 35/469737 12/329935 11/306120 3/49850 3.15 1955-59 51/2374642 47/2148347 20/1870137 20/1578231 14/1369253 26/1372975 42/1374454 48/1378118 62/1231321 79/1151311 79/1006292 92/849539 94/663461 51/539433 28/391271 15/366451 0/65283 3.89 1960-64 45/2435683 51/2376811 28/2183275 20/1630747 15/1526201 19/1426994 30/1411107 54/1408668 59/1294125 97/1247520 104/1100099 116/949087 117/754247 80/606600 42/442334 28/423889 3/79768 4.26 1965-69 56/2252782 46/2440434 35/2431255 38/2187680 26/1883803 25/1581833 40/1399591 50/1373994 57/1367273 103/1329632 106/1167853 154/1041449 137/870625 99/677077 55/400821 26/477847 3/93148 4.58 1970-74 34/1751727 28/1905153 21/2065894 18/2005522 21/1832282 31/1504460 28/1237665 43/1117598 49/1121205 71/1110702 120/1018538 131/896335 118/772900 108/610541 61/425538 60/423179 2/86834 4.75 1975-77 25/1321409 21/1371723 23/1528968 14/1633293 13/1611787 20/1390434 23/1137095 27/916832 30/844507 58/849654 88/833628 96/724727 102/616977 89/501144 73/360351 53/344312 3/75122 4.72 COMPARISON OF UNITED STATES, TEXAS, AND TEXAS COUNTY* AGE SPECIFIC MALIGNANT BRAIN CANCER MORTALITY RATES FOR WHITE MALES (ICDA(8) 191,192) PER 100,000 POPULATION Age 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ U.S. 1.2 1.2 1.5 2.2 3.3 4.6 6.8 9.8 13.4 15.2 15.8 13.6 8.8 4.7 2.8 1965-69 Texas 1.7 1.4 1.6 2.9 3.6 4.2 7.7 9.1 14.8 15.7 14.6 11.4 5.4 5.4 3.2 County* 1.3 2.7 1.7 2.3 1.6 3.2 7.3 9.4 17.7 18.6 12.5 11.9 11.2 11.2 0.0 Age- 7.0 6.8 7.5 adjusted average 1970-74 U.S. Texas 1.1 1.2 1.4 2.1 3.2 4.2 t 9.7 irrr16.2 17TT~ 16.1 13.2 7.3 3.8 0.9 1.1 2.1 2.3 3.8 4.4 6.4 11.8 14.6 15.3 1777 14.3 14.2 14.2 2.3 County* 1.0 1.1 2.7 2.4 1.4 5.2 9.7 10.7 21.6 22.7 17.4 8.6 24.4 24.4 12.6 7.8 8.4 11.1 U.S. 0.9 1.0 1.4 2.1 3.1 3.9 6.8 9.3 12.0 16.5 18.0 18.0 16.3 8.2 5.5 8.2 1975+ Texas 0.9 0.8 1.4 2.0 2.9 3.6 6.8 10.6 13.2 16.5 17.8 20.3 15.4 15.4 4.0 8.8 County* 0.4 1.2 1.4 2.9 3.2 2.5 8.0 9.1 12.2 19.3 26.1 19.6 26.2 26.2 0.0 10.6 053704 * The "Texas County" rate Includes Galveston, Harris, and Brazoria Counties. oo ARS:gac Rev. 10/25/82 i t H ,.1. -!, ' ;| ; !: I ;i 1;;; , i !',: 1 i 1 ( 1 /ft i t I! 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