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首页> 外文期刊>Occupational and environmental medicine >Mortality among Paris sewage workers.
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Mortality among Paris sewage workers.

机译：巴黎污水处理厂工人的死亡率。

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OBJECTIVES: To describe the mortality of Paris sewage workers. METHODS: A cohort of all Paris sewage workers since 1970 was established and followed up in mortality until 1999. The causes of death were determined by matching with a national database. The mortality rates were compared to the rates of a local reference population. RESULTS: A large excess in mortality (standardised mortality ratio (SMR) = 1.25; 530 cases, 95% CI 1.15 to 1.36) and in particular mortality from cancer (SMR = 1.37, 235 cases) was detected which was particularly important in the subgroup of subjects who had left employment because they resigned or were laid off (SMR = 1.77; 50 cases). The excess mortality is to a large extent due to alcohol related diseases (SMR = 1.65, 122 cases) especially malignant (SMR = 1.85, 16 cases) and non-malignant (SMR = 1.68, 38 cases) liver diseases, lung cancer (SMR = 1.47, 68 cases), and infectious diseases (SMR = 1.86, 25 cases). The SMRs for some diseases (all cancers, cancers of the oesophagus and lung, all alcohol related diseases) seem to increase with duration of employment as a sewage worker. Other than lung cancer, smoking related diseases were not in excess. CONCLUSION: The increased mortality by both malignant and non-malignant liver diseases is probably due to excessive alcohol consumption, but could be partially the result of occupational exposure to chemical and infectious agents and interactions of these factors. The excess lung cancer is unlikely to be due to an increased smoking prevalence.
机译：目的：描述巴黎污水处理厂工人的死亡率。方法：建立了一个自1970年以来巴黎所有污水处理工人的队列，并对其死亡率进行了随访，直到1999年。通过与国家数据库相匹配的方法确定了死亡原因。将死亡率与当地参考人群的死亡率进行比较。结果：检测到死亡率高得多（标准死亡率（SMR）= 1.25; 530例，95％CI 1.15至1.36），尤其是癌症死亡率（SMR = 1.37，235例），在亚组中尤为重要因辞职或被解雇而离职的受调查者（SMR = 1.77; 50例）。过高的死亡率在很大程度上归因于与酒精有关的疾病（SMR = 1.65，122例），尤其是恶性（SMR = 1.85，16例）和非恶性（SMR = 1.68，38例）肝病，肺癌（SMR） = 1.47，68例）和传染病（SMR = 1.86，25例）。某些疾病（所有癌症，食道癌和肺癌，所有与酒精有关的疾病）的SMR似乎随着从事污水处理工的持续时间而增加。除肺癌外，与吸烟有关的疾病并未过多。结论：恶性和非恶性肝病的死亡率增加可能是由于过量饮酒引起的，但可能部分是由于职业性接触化学和传染原以及这些因素之间的相互作用。过量的肺癌不太可能是由于吸烟率增加。

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