Mortality amongst Paris fire-fighters.
This paper is the first mortality cohort study undertaken in France to examine the association between fire-fighting and cause of death. The cohort investigated in this study consisted of 830 male members of the Brigade des sapeurs-pompiers de Paris (BSPP). These professional had served for a minimum of 5 years on 1 January 1977. They were monitored for a 14 year period, finishing 1 January 1991. When compared to the average French male, the Paris fire-fighters were found to have a far lower overall mortality (SMR = 0.52 [0.35-0.75]). None of the cause specific SMRs were significantly different from unity. However a greater number of deaths than expected was observed for genito-urinary cancer (SMR = 3.29), digestive cancer (SMR = 1.14), respiratory cancer (SMR = 1.12) and 'cerebrovascular disease' (SMR = 1.16). The low overall SMR observed was consistent with the healthy worker effect. As for cause specific SMRs, they will be confirmed or invalidated by a further analysis as the follow-up of this cohort is being carried on.
Deschamps
S
S
Laboratoire d'Hygiene et de Sante Publique, Faculte des Sciences Pharmaceutiques et Biologiques, Paris, France.
Momas
I
I
Festy
B
B
D000328:Adult; D002423:Cause of Death; D002561:Cerebrovascular Disorders / Q000401:mortality; D015331:Cohort Studies; D004067:Digestive System Neoplasms / Q000401:mortality; D005390:Fires; D015989:Healthy Worker Effect; D006801:Humans; D008297:Male; D009784:Occupational Diseases / Q000401:mortality*; D016273:Occupational Exposure; D010297:Paris / Q000453:epidemiology; D012142:Respiratory Tract Neoplasms / Q000401:mortality; D014565:Urogenital Neoplasms / Q000401:mortality