title: Mortality of workers occupationally exposed to refractory ceramic fibers.
abstract: This study was prompted by refractory ceramic fibers (RCF) inhalation studies at high dose levels in animals that demonstrated positive effects for lung fibrosis, mesothelioma, and lung cancer. Current and former male workers employed between 1952 and 2000 at two RCF manufacturing facilities were followed to investigate a possible excess in mortality. The mortality analytic methods included: (1) standardized mortality ratios comparing this cohort to the general and state populations, and (2) a proportional hazards model that relates risk of death to the lifetime cumulative fiber-months/cc exposure among the RCF cohort, adjusted for age at hire and for race. There was no excess mortality related to all deaths, all cancers, or malignancies or diseases of the respiratory system including mesothelioma, but there was a statistically significant association with cancers of the urinary organs SMR = 344.8 (95% CL of 111.6, 805.4). The quality of the data for job history, exposure, and smoking history were very high. Although the cohort was relatively small and young with an average age of 51, the mean latency period was over 21 years. Because of these limitations, the preliminary findings warrant the continuation of this mortality registry for future analyses.
authors.affiliation: Department of Environmental Health, Division of Epidemiology and Biostatistics, University of Cincinnati College of Medicine, 3223 Eden Ave., Kettering Building, ML 0056, Cincinnati, OH 45267-0056, USA. grace.lemasters@uc.edu
authors.forename: Grace Kawas
authors.initials: GK
authors.lastname: LeMasters
authors.forename: James E
authors.initials: JE
authors.lastname: Lockey
authors.forename: James H
authors.initials: JH
authors.lastname: Yiin
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Hilbert
authors.forename: Linda S
authors.initials: LS
authors.lastname: Levin
authors.forename: Carol H
authors.initials: CH
authors.lastname: Rice
mesh_terms: D002516:Ceramics; D015331:Cohort Studies; D006801:Humans; D007616:Kaolin; D008297:Male; D008875:Middle Aged; D019016:Mineral Fibers; D009369:Neoplasms / Q000401:mortality*; D009784:Occupational Diseases / Q000401:mortality*; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D009820:Ohio / Q000453:epidemiology; D016016:Proportional Hazards Models
chemical_list: D019016:Mineral Fibers; C103119:RCF-1 fiber; D007616:Kaolin