title: A case-referent study of cancer mortality among sulfate mill workers in Sweden.
abstract: OBJECTIVE
  To investigate whether workers in Swedish sulfate mills have an increased risk of death from certain malignancies that have previously been linked to the pulping process.
  
  
  METHODS
  Subjects of the study (n=2480) were men aged 40-75 at death during 1960-89 in the parishes surrounding four sulfate mills. Exposure assessment was based on information from the personnel files in the mills- 35% of the subjects were recognised there, and work categories were created.
  
  
  RESULTS
  Among all sulfate mill workers, the odds ratio (OR) (90% confidence interval (90% CI)) for death from lung cancer was 1.6 (1.1 to 2.3), pleural mesotheliomas 9.5 (1.9 to 48), brain tumours 2.6 (1.2 to 5.3), and liver or biliary tract cancer 2.3 (1.0 to 5.2). There was an increased mortality from leukaemia among workers in the soda recovery plant (5.9 (2.6 to 13)) and bleaching plant and digester house (2.8 (1.0 to 7.5)).
  
  
  CONCLUSIONS
  Sulfate mill workers were at increased risk of dying from lung cancer and pleural mesotheliomas, probably due to exposure to asbestos. Increased risks of brain tumours and cancers of the liver or biliary tract were also found but the aetiology is not obvious.
authors: Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, St Sigfridsgatan 85B, S-412 66 Göteborg, Sweden. eva.andersson@ymk.gu.se
authors: E
authors: E
authors: Andersson
authors: S
authors: S
authors: Hagberg
authors: T
authors: T
authors: Nilsson
authors: B
authors: B
authors: Persson
authors: G
authors: G
authors: Wingren
authors: K
authors: K
authors: Torén
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D006801:Humans; D007221:Industry; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000139:chemically induced / Q000401:mortality*; D016273:Occupational Exposure / Q000009:adverse effects*; D016017:Odds Ratio; D012307:Risk Factors; D013431:Sulfates / Q000009:adverse effects*; D013548:Sweden / Q000453:epidemiology
chemical_list: D013431:Sulfates