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Occup Environ Med 58:24-30 doi:10.1136/oem.58.1.24
  • Paper

Mortality in chemical workers potentially exposed to 2,4-dichlorophenoxyacetic acid (2,4-D) 1945–94: an update

Table 4

Mortality summary by cumulative dose of exposure to 2,4-D relative to 40 600 unexposed male workers from the same manufacturing location, (RR=1.00 for unexposed)

Cause of death (ICDA-8) Cumulative dose Exposure lagged 95% CI
0 y 20 y
Obs Exp RR Obs Exp RR
All causes (000–E999) Very low 90 82.2 1.09 151 143.6 1.05
Low 70 62.3 1.12 46 38.5 1.20
Moderate 93 84.9 1.10 73 62.9 1.16
High 77 72.2 1.07 60 56.7 1.06
Total 330 302.2 1.10 0.98 to 1.22
All cancer (140–209) Very low 28 21.7 1.29 38 34.9 1.09
Low 12 16.1 0.75 9 10.7 0.84
Moderate 24 22.3 1.08 19 17.6 1.08
High 19 19.0 1.00 17 15.8 1.08
Total 83 79.1 1.05 0.85 to 1.30
All lymphopoietic (200–209) Very low 1 2.4 0.42 3 4.3 0.71
Low 1 1.8 0.56 1 1.0 0.96
Moderate 3 2.3 1.28 1 1.7 0.60
High 4 2.0 2.05 4 1.5 2.71
Total 9 8.5 1.06 0.55 to 2.08
Non-Hodgkin's lymphoma (200, 202) Very low 1 0.3 3.28 3 0.7 4.49
Low 0 0.2 0.00 0 0.1 0.00
Moderate 2 0.3 6.11 0 0.2 0.00
High 0 0.3 0.00 0 0.2 0.00
Total 3 1.1 2.63 0.85 to 8.33
Nervous and sensory organs (320–380) Very low 0 0.8 0.00 1 1.3 0.75
Low 2 0.6 3.20 1 0.4 2.27
Moderate 3 0.9 3.52 3 0.7 4.42
High 1 0.8 1.30 1 0.6 1.554-150
Total 6 3.2 1.92 0.85 to 4.35
Amyotrophic lateral sclerosis (348.0) Very low 0 0.2 0.00 0 0.4 0.00
Low 0 0.2 0.00 0 0.1 0.00
Moderate 2 0.2 8.04 2 0.2 10.2 0
High 1 0.2 4.544-150 1 0.2 5.574-150
Total 3 1.0 3.45 1.10 to 11.11
Non-malignant respiratory disease (460–519) Very low 3 5.0 0.60 4 7.4 0.55
Low 1 3.9 0.26 0 2.9 0.00
Moderate 1 5.5 0.18 1 4.7 0.21
High 3 5.1 0.584-150 3 4.5 0.664-150
Total 8 19.2 0.41 0.21 to 0.81
All digestive system diseases (520–577) Very low 7 3.1 2.28 9 5.5 1.64
Low 1 2.3 0.43 0 1.4 0.00
Moderate 2 3.2 0.63 1 2.3 0.44
High 1 2.7 0.37 1 2.0 0.49
Total 11 11.3 0.98 0.54 to 1.79
External causes (E800–E999) Very low 14 9.2 1.52 33 20.9 1.58
Low 13 6.6 1.96 4 1.9 2.11
Moderate 9 7.5 1.21 3 2.9 1.04
High 6 5.0 1.20 2 2.3 0.86
Total 42 28.3 1.49 1.10–2.04
  • Very low=<0.05; low=0.05–0.49; moderate=0.5–4.9; and high=⩾5.

  • 4-150 p<0.05, test for trend.

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