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Wastewater exposure and health--a comparative study of two occupational groups.

机译:废水暴露与健康-对两个职业群体的比较研究。

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AIMS: To investigate whether wastewater workers are at increased risk of developing cancer. METHODS: Two cohorts of workers employed by the City of Copenhagen, 591 wastewater workers and 1545 water supply workers (controls), were followed from 1965 until 1998. These two cohorts were compared in terms of cause specific mortality and cancer incidence. RESULTS: The wastewater workers' mortality exceeded that of the controls (relative risk (RR) = 1.25, 95% CI: 1.03 to 1.51). A similar small excess was seen for cancer incidence (RR = 1.27, 95% CI: 0.97 to 1.67). Though rare, there was a strongly increased incidence of primary liver cancer among the wastewater workers (RR = 8.9, 95% CI: 1.5 to 51.5). CONCLUSION: The excess mortality seen among the wastewater workers was smaller than originally feared. It may partly have been due to their occupational exposure, and for preventive purposes, exposure to wastewater and sludge should be minimised. The possibility that sewage exposure confers an increased risk of primary liver cancer deserves further investigation.
机译:目的:调查废水工人是否罹患癌症的风险增加。方法:从1965年至1998年,追踪了哥本哈根市雇用的两个工人组,分别是591名废水工人和1545名供水工人(对照)。对这两个人群进行了原因特定死亡率和癌症发病率比较。结果:废水工人的死亡率超过了对照组(相对风险(RR)= 1.25,95%CI:1.03至1.51)。癌症发病率也有类似的小幅上升(RR = 1.27,95%CI:0.97至1.67)。尽管很少见,但废水处理工人中原发性肝癌的发病率却大大增加(RR = 8.9,95%CI:1.5至51.5)。结论:在废水处理工中看到的超额死亡率低于最初的预期。部分原因可能是由于他们的职业暴露,为了预防起见,应尽量减少废水和污泥的暴露。污水暴露可能增加原发性肝癌风险的可能性值得进一步研究。

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