Skip to main content
Log in

Adult-onset acute leukemia and employment in the meat industry: a New Zealand case–control study

  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objectives: To assess the risks for adult-onset acute leukemia associated with employment in the New Zealand meat industry.

Methods: A total of 110 incident leukemia cases identified from referrals to one of six treatment centers between 1989 and 1991 were compared with 199 general population controls. Detailed occupational exposure histories were obtained by interview.

Results: There was an elevated risk associated with ever having worked in an abattoir (OR = 2.3, 95% CI 1.0–5.2), which appeared confined to those with over 2 years exposure (OR = 4.9, 95% CI 1.5–15.6). The excess risk was confined to abattoir workers having direct contact with animals or animal products (OR = 5.2, 95% CI 1.2–22.2). Ever having worked as a butcher was associated with elevated risk (OR = 2.9, 95% CI 1.1–7.2), confined to those individuals who worked as a butcher in an abattoir (OR = 4.8) or who butchered livestock on farms (OR = 8.2). No increased risk was found for work as a retail/wholesale butcher or meatpacker (OR = 1.2).

Conclusions: This study found increased leukemia risks associated with employment in the meat industry. These were confined to abattoir workers with over 2 years employment in the industry, and to persons whose jobs involved contact with animals or animal tissue, implying that biological exposures may be responsible.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Shimizu Y, Schull WJ, Kato H (1990) Cancer risk among atom bomb survivors. The RERF Life Span Study. Radiation Effects Research Foundation. JAMA 264: 601–604.

    Google Scholar 

  2. Matanoski GM, Seltser R, Sartwell PE (1975) The current mortality rates of radiologists and other physician specialists: specific causes of death. Am J Epidemiol 101: 199–210.

    Google Scholar 

  3. Wang JX, Boice JD Jr, Li BX, Zhang JY, Fraumeni JR Jr (1988) Cancer among medical diagnostic X-ray workers in China. J Natl Cancer Inst 80: 344–350.

    Google Scholar 

  4. Darby SC (1986) Epidemiological evaluation of radiation risk using populations exposed at high doses. Health Phys 51: 269–281.

    Google Scholar 

  5. Infante PF, Rinsky RA, Wagoner JK, et al. (1977) Leukemia in benzene workers. Lancet 2: 76–78.

    Google Scholar 

  6. Rinski RA, Young RJ, Smith AB (1981) Leukemia in benzene workers. Am J Ind Med 2: 217–245.

    Google Scholar 

  7. Aksoy M (1985) Malignancies due to occupational exposure to benzene. Am J Ind Med 7: 395–402.

    Google Scholar 

  8. Gerson SI (1993) Molecular epidemiology of therapy-related leukemias. Curr Opin Oncol 5: 136–144.

    Google Scholar 

  9. Levine EG, Bloomfield CD (1992) Leukemias and myelodysplastic syndromes secondary to drug, radiation, and environmental exposure. Semin Oncol 19: 47–84.

    Google Scholar 

  10. Pedersen-Bjergaard J (1992) Radiotherapy and chemotherapy induced myelodysplasia and acute myeloid leukemia. A review. Leuk Res 16: 61–65.

    Google Scholar 

  11. Siegel M (1993) Smoking and leukemia: evaluation of a causal hypothesis. Am J Epidemiol 138: 1–9.

    Google Scholar 

  12. Savitz DA, Calle EE (1987) Leukemia and occupational exposure to electromagnetic fields: review of epidemiologic surveys. J Occup Med 29: 47–51.

    Google Scholar 

  13. Ahlbom A (1988) A review of the epidemiologic literature on magnetic fields and cancer. Scand J Work Environ Health 14: 337–343.

    Google Scholar 

  14. Benson LO, Teta MJ (1993) Mortality due to pancreatic and lymphopoietic cancers in chlorohydrin production workers. Br J Ind Med 50: 710–716.

    Google Scholar 

  15. Pearce NE, Sheppard RA, Howard JK, Fraser J, Lilley BM (1986) Leukemia among New Zealand agricultural workers. A cancer registry-based study. Am J Epidemiol 124: 402–409.

    Google Scholar 

  16. Reif J, Pearce N, Fraser J (1989) Cancer risk in New Zealand farmers. Int J Epidemiol 18: 768–774.

    Google Scholar 

  17. Blair A, Zahm SH Pearce NE, Heineman EF, Fraumeni JF Jr (1992) Clues to cancer etiology from studies of farmers. Scand J Work Environ Health 18: 209–215.

    Google Scholar 

  18. Kristensen P, Andersen A, Irgens LM, Laake P, Bye AS (1996) Incidence and risk factors of cancer among men and women in Norwegian agriculture. Scand J Work Environ Health 22: 14–26.

    Google Scholar 

  19. Reif J, Pearce N, Fraser J (1989) Cancer risks among New Zealand meat workers. Scand J Work Environ Health 15: 24–29.

    Google Scholar 

  20. Guberan E, Usel M, Raymond L, Fioretta G (1993) Mortality and incidence of cancer among a cohort of self employed butchers from Geneva and their wives. Br J Ind Med 50: 1008–1016.

    Google Scholar 

  21. Dubrow R, Wegman DH (1984) Cancer and occupation in Massachusetts: a death certificate study. Am J Ind Med 6: 207–230.

    Google Scholar 

  22. Morton W, Marjanovic D (1984) Leukemia incidence by occupation in the Portland-Vancouver metropolitan area. Am J Ind Med 6: 185–205.

    Google Scholar 

  23. Linet MS, Malker HS, McLaughlin JK, et al. (1988) Leukemias and occupation in Sweden: a registry-based analysis. Am J Ind Med 14: 319–330.

    Google Scholar 

  24. Loomis DP, Savitz DA (1991) Occupation and leukemia mortality among men in 16 states: 1985–1987. Am J Ind Med 19: 509–521.

    Google Scholar 

  25. Fox AJ, Lynge E, Malker H (1982) Lung cancer in butchers. Lancet 1: 165–166.

    Google Scholar 

  26. Griffith GW (1982) Lung cancer in butchers. Lancet 1: 399.

    Google Scholar 

  27. Lynge E, Anderson O, Kristensen TS (1983) Lung cancer in Danish butchers. Lancet 1: 527–528.

    Google Scholar 

  28. Doerken H, Rehpenning W (1982) Lung cancer in butchers. Lancet 1: 561.

    Google Scholar 

  29. Johnson ES, Fischman HR (1982) Cancer mortality among butchers and slaughterhouse workers. Lancet 1: 913–914.

    Google Scholar 

  30. Johnson ES, Fischman HR, Matanoski GM, Diamond E (1986) Cancer mortality among white males in the meat industry. J Occup Med 28: 23–32.

    Google Scholar 

  31. Johnson ES, Fischman HR, Matanoski GM, Diamond E (1986) Occurrence of cancer in women in the meat industry. Br J Ind Med 43: 597–604.

    Google Scholar 

  32. Johnson ES (1989) Mortality among non-white men in the meat industry. J Occup Med 31: 270–272.

    Google Scholar 

  33. Coggon D, Pannett B, Pippard EC, Winter PD (1989) Lung cancer in the meat industry. Br J Ind Med 46: 188–191.

    Google Scholar 

  34. Kristensen TS, Lynge E (1993) Lung cancer among butchers and slaughterhouse workers. Scand J Work Environ Health 19: 137–147.

    Google Scholar 

  35. Johnson ES, Dalmas D, Noss J, Matanoski GM (1995) Cancer mortality among workers in abattoirs and meatpacking plants: an update. Am J Ind Med 27: 389–403.

    Google Scholar 

  36. Metayer C, Johnson ES, Rice JC (1998) Nested case-control study of tumors of the hemopoietic and lymphatic systems among workers in the meat industry. Am J Epidemiol 147: 727–738.

    Google Scholar 

  37. Health Statistical Servies (1992) Cancer Registrations and Deaths, 1988 & 1989. Wellington: New Zealand Department of Health.

    Google Scholar 

  38. Bennett JM, Catovsky D, Daniel MT, et al. (1976) Proposal for the classification of the acute leukemias. French-American-British (FAB) Co-operative Group. Br J Haematol 33: 451–458.

    Google Scholar 

  39. Department of Statistics (1980) New Zealand Standard Classification of Occupations. Wellington: New Zealand Department of Statistics.

    Google Scholar 

  40. International Labour Office (1968) International Standard Classification of Occupations. Geneva: ILO.

    Google Scholar 

  41. SAS Institute Inc (1988) SAS/STAT Users guide-Release 6.03. Cary, NC: SAS Institute Inc.

    Google Scholar 

  42. Mantel N, Haenszel W (1959) Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst 22: 719–748.

    Google Scholar 

  43. Woolf B (1955) On estimating the relationship between blood group and disease. Ann Hum Genet 19: 251–253.

    Google Scholar 

  44. Miettinen OS (1976) Estimability and estimation in case-referent studies. Am J Epidemiol 103: 226–235.

    Google Scholar 

  45. Department of Statistics (2000) New Zealand official Yearbook 1999. Wellington: New Zealand Department of Statistics.

    Google Scholar 

  46. Pegum JS (1982) Lung cancer in butchers. Lancet 1: 561.

    Google Scholar 

  47. Al-Ghamdi AA, Sanders CM, Keefe M, Coggon D, Maitland NJ (1995) Human papillomavirus DNA and TP53 mutations in lung cancers from butchers. Br J Cancer 72: 293–297.

    Google Scholar 

  48. Pearce N, Smith AH, Reif JS (1988) Increased risks of soft tissue sarcoma, malignant lymphoma and acute myeloid leukemia in abattoir workers. Am J Ind Med 14: 63–72.

    Google Scholar 

  49. Pearce N, Smith AH, Howard JK, et al. (1986) Case-control study of multiple myeloma and farming. Br J Cancer 54: 493–500.

    Google Scholar 

  50. Pearce N, Smith AH, Howard JK, et al. (1986) Non-Hodgkin's lymphoma and exposure to phenoxyherbicides, chlorophenols, fencing work and meat works employment: a case-control study. Br J Ind Med 43: 75–83.

    Google Scholar 

  51. Gallagher RP, Spineli JJ, Elwood JM, Skippen DH (1983) Allergies and agricultural exposures as risk factors for multiple myeloma. Br J Cancer 48: 853–857.

    Google Scholar 

  52. Whittaker JA (1991) Acute lymphoblastic leukemia in butchers and abattoir workers. Br J Haematol 79: 649–651.

    Google Scholar 

  53. McLure HM, Keeling ME, Custer P, et al. (1990) Erythroleukamia in two infant chimpanzees fed milk from cows naturally infected with bovine C-type virus. Cancer Res 1974: 2745–2757.

  54. Kvarnfors E, Henricson B, Hugoson G (1975) A statistical study on farm and village level on the possible relations between human leukemia and bovine leukosis. Acta Vet Scand 16: 163–169.

    Google Scholar 

  55. Donham KJ, Berg JW, Sawin RS (1980) Epidemiologic relationships of the bovine population and human leukemia in Iowa. Am J Epidemiol 112: 80–92.

    Google Scholar 

  56. Donham, KJ, Burmeister LF, VanLiser SF, Greiner TC (1987) Relationships of bovine leukemia virus prevalence in dairy herds and density of dairy cattle to human lymphocytic leukemia. Am J Vet Res 48: 235–238.

    Google Scholar 

  57. Schnurr MW, Carter RF, Dube ID, Valli VE, Jacobs RM (1994) Non random chromosomal abnormalities in bovine lymphoma. Leukemia Res 18: 91–99.

    Google Scholar 

  58. Caldwell GG, Baumgartener L, Carter C (1976) Seroepidemiologic testing in man for evidence of antibodies to feline leukemia virus and bovine leukemia virus. Bibl Haematol 43: 238–241.

    Google Scholar 

  59. Donham KJ, VanDerMaaten MJ, Miller JM, et al. (1977) Seroepidemiologic studies on the possible relationship of human and bovine leukemia: brief communication. J Natl Cancer Inst 59: 581–583.

    Google Scholar 

  60. Sherman MP, Dock NL, Ehrlich GD, et al. (1995) Evaluation of HIV type 1 western blot-indeterminate blood donors for the presence of human or bovine retroviruses. AIDS Res Hum Retroviruses 11: 409–414.

    Google Scholar 

  61. Whetstone CA, Sayre KR, Dock NL, et al. (1992) Examination of whether persistently indeterminate HIV type 1 western immunoblot reactions are due to serological reactivity with bovine immunodeficiency-like virus. J Clin Microbiol 30: 764–770.

    Google Scholar 

  62. Kettman R, Burney A, Kleuter Y (1978) Distribution of BLV proviral DNA sequences in tissues of animals with enzootic bovine leukosis. Leukemia Res 3: 23–32.

    Google Scholar 

  63. Egberink H, Horzinek MC (1992) Animal immunodeficiency viruses. Vet Microbiol 33: 311–331.

    Google Scholar 

  64. Cockerell GL, Jensen WA, Rovnak J, Ennis WH, Gonda MA (1992) Seroprevalence of bovine immunodeficiency-like virus and bovine leukemia virus in a dairy cattle herd. Vet Microbiol 31: 109–116.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bethwaite, P., McLean, D., Kennedy, J. et al. Adult-onset acute leukemia and employment in the meat industry: a New Zealand case–control study. Cancer Causes Control 12, 635–643 (2001). https://doi.org/10.1023/A:1011203809049

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1011203809049

Navigation