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Zanardi and coworkers report increased proportional mortality ratios of ischaemic heart disease (IHD) among male and female textile workers in England and Wales during the years 1979–1990.1 Most previous studies have observed a decreased mortality of circulatory system diseases among textile workers. In 2004, a meta-analysis of five studies revealed standardised mortality ratio (SMR) of 0.85 for men (95% CI 0.79 to 0.91) and 0.94 for women (95% CI 0.81 to 1.06) when the comparison groups originated from the total population on national or subnational levels.2 However, a study of male textile workers in Rhode Island (USA) observed an increased proportional mortality ratio of IHD (PMR 1.06, 95% CI 1.03 to …
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