Table 3

 Cause specific standardised mortality ratios for the workers exposed to TCDD, higher chlorinated dioxins, and phenoxy herbicides, in the producers and sprayers cohorts

Cause of death (ICD9)Production workersSprayers
n = 813n = 699
person-years = 17613.18person-years = 20043.53
Obs/expSMR(95% CI)Obs/expSMR(95% CI)
All causes 122/123.50.99(0.82 to 1.18)91/148.20.61(0.49 to 0.75)
All malignant neoplasms (140–208) 43/34.61.24(0.90 to 1.67)35/42.90.82(0.57 to 1.14)
Lip, oral cavity, and pharynx (140–159)2/0.72.75(0.33 to 9.94)1/1.01.02(0.03 to 5.67)
    Parts of mouth (141–145)2/0.45.40(0.65 to 19.5)0/0.50.00(0.00 to 7.52)
    Nasopharynx (147)0/0.10.00(0.00 to 41.8)1/0.18.33(0.21 to 46.3)
Digestive organs and peritoneum (150–159)15/10.81.38(0.77 to 2.28)16/13.91.15(0.66 to 1.87)
    Oesophagus (150)2/1.01.94(0.24 to 7.02)1/1.40.72(0.02 to 3.99)
    Stomach (151)2/1.81.10(0.13 to 3.97)3/2.21.36(0.28 to 3.98)
    Colon (153)2/3.20.62(0.08 to 2.25)8/4.11.94(0.84 to 3.83)
    Rectum, rectosigmoid junction, and anus (154)5/2.02.45(0.79 to 5.73)4/2.71.47(0.40 to 3.76)
    Liver and intrahepatic bile ducts (155)1/0.61.58(0.04 to 8.78)0/0.90.00(0.00 to 4.17)
    Pancreas (157)3/1.42.09(0.43 to 6.10)0/1.80.00(0.00 to 2.08)
Respiratory and intrathoracic organs (160–165)13/9.31.39(0.74 to 2.38)6/12.00.50(0.18 to 1.09)
    Trachea, bronchus, and lung (162)12/8.81.37(0.71 to 2.39)5/11.10.45(0.15 to 1.05)
    Other sites within respiratory system (163–165)1/0.33.86(0.10 to 21.5)1/0.42.47(0.06 to 13.7)
Bone, connective tissue, skin, and breast (170–175)2/2.60.78(0.09 to 2.80)2/2.40.85(0.10 to 3.06)
    Connective and other soft tissue (171)0/0.20.00(0.00 to 19.3)1/0.24.28(0.11 to 23.8)
    Malignant melanoma of skin (172)0/1.20.00(0.00 to 3.00)1/1.60.61(0.02 to 3.41)
    Female breast (174)1/0.81.29(0.03 to 7.16)0/0.00.00(0.00 to 214)
    Male breast (175)1/0.0331.53(0.80 to 175)0/0.00.00(0.00 to 86.0)
Genitourinary organs (179–189)2/4.90.41(0.05 to 1.47)5/5.70.88(0.29 to 2.06)
    Prostate (185)1/2.70.37(0.01 to 2.08)2/3.30.60(0.07 to 2.16)
    Kidney and other unspecified urinary organs (189)1/0.81.19(0.03 to 6.63)3/1.12.73(0.56 to 7.98)
Other and unspecified sites (190–199)4/3.21.25(0.34 to 3.19)3/4.20.72(0.15 to 2.11)
    Brain (191)1/1.20.82(0.02 to 4.56)1/1.60.62(0.02 to 3.43)
    Other and ill defined sites (195)1/0.117.79(0.45 to 98.8)0/0.10.00(0.00 to 55.0)
    Without specification of site (199)2/1.71.21(0.15 to 4.36)2/2.10.93(0.11 to 3.37)
Lymphatic and haemopoietic tissue (200–208)5/3.031.65(0.53 to 3.85)2/3.80.52(0.06 to 1.89)
    Hodgkin’s disease (201)1/0.25.58(0.14 to 31.0)0/0.20.00(0.00 to 16.1)
    Non-Hodgkin lymphoma (200,202)1/1.10.87(0.02 to 4.87)1/1.50.69(0.02 to 3.84)
    Multiple myeloma and immunoproliferative neoplasms (203)3/0.55.51(1.14 to 16.1)0/0.70.00(0.00 to 5.29)
    Myeloid leukaemia (205)0/0.70.00(0.00 to 5.29)1/0.91.16(0.03 to 6.44)
Benign and unspecified neoplasms (210–239)0/0.30.00(0.00 to 11.0)1/0.42.45(0.06 to 13.6)
Endocrine and metabolic disorders, immunity disorders (240–259, 270–279)4/3.41.16(0.32 to 2.97)3/4.40.69(0.14 to 2.01)
Diseases of blood and blood forming organs (280–289)0/0.20.00(0.00 to 16.3)1/0.33.83(0.10 to 21.3)
Diseases of nervous system (320–359)1/1.80.55(0.01 to 3.08)1/2.10.47(0.01 to 2.64)
Diseases of circulatory system (390–459)51/53.00.96(0.72 to 1.27)33/63.40.52(0.36 to 0.73)
    Rheumatic fever and rheumatic heart disease (390–398)1/0.81.33(0.03 to 7.38)1/0.81.18(0.03 to 6.56)
    Hypertensive disease (401–405)0/1.10.00(0.00 to 3.49)1/1.20.81(0.02 to 4.50)
    Ischaemic heart disease (410–414)38/36.41.04(0.74 to 1.43)22/44.50.49(0.31 to 0.75)
    Disorders of pulmonary circulatory and other heart disease (415–429)0/3.80.00(0.00 to 0.97)4/4.70.85(0.23 to 2.17)
    Cerebrovascular disease (430–438)8/8.20.98(0.42 to 1.92)5/8.90.56(0.18 to 1.31)
    Other diseases of circulatory system (440–459)4/2.81.44(0.39 to 3.69)0/3.20.00(0.00 to 1.16)
Diseases of the respiratory system (480–519)9/9.70.93(0.42 to 1.76)6/10.80.55(0.20 to 1.21)
    Pneumonia (480–486)1/2.00.51(0.01 to 2.83)0/2.00.00(0.00 to 1.82)
    Bronchitis, chronic and unspecified, emphysema, and asthma (490–493)4/3.31.20(0.33 to 3.07)0/3.50.00(0.00 to 1.04)
    Remainder diseases of respiratory system (640–478, 494–519)4/4.30.93(0.25 to 2.38)6/5.21.16(0.43 to 2.54)
Diseases of digestive system (520–599)7/4.21.68(0.67 to 3.45)3/5.00.60(0.12 to 1.74)
    Other parts digestive system (530–579)4/3.11.31(0.36 to 3.34)3/3.80.80(0.16 to 2.34)
    Urinary system (580–599)3/1.12.72(0.56 to 7.95)0/1.30.00(0.00 to 2.91)
Reproduction related causes (600–676)1/0.16.96(0.18 to 38.7)0/0.10.00(0.00 to 30.3)
Diseases of musculoskeletal system and connective tissue (710–739)0/0.40.00(0.00 to 8.56)1/0.52.13(0.05 to 11.8)
External causes (e800–999)6/13.10.46(0.17 to 1.00)7/15.50.45(0.18 to 0.93)