title: Mortality in Florida professional firefighters, 1972 to 1999.
abstract: BACKGROUND
  Exposure to occupational hazards among firefighters may lead to increased mortality from cancer, lung, or heart disease.
  
  
  METHODS
  Age- and gender-adjusted mortality rates of 34,796 male and 2,017 female Florida professional firefighters between 1972 and 1999 were compared with the Florida general population.
  
  
  RESULTS
  One thousand four hundred eleven male and 38 female firefighter deaths with known causes were identified. In male firefighters, mortality due to all causes and most non-malignant diseases was significantly less than expected. There was no excess overall mortality from cancer, but excesses existed for male breast cancer [standardized mortality ratio (SMR = 7.41; 95% confidence interval (CI): 1.99-18.96) and thyroid cancer (SMR = 4.82; 95% CI: 1.30-12.34)]. Mortality from bladder cancer was increased and approached statistical significance (SMR = 1.79; 95% CI: 0.98-3.00). Firefighters certified between 1972 and 1976 had excess mortality from bladder cancer (SMR = 1.95; 95% CI: 1.04-3.33). Female firefighters had similar morality patterns to Florida women except for atherosclerotic heart disease (SMR = 3.85; 95% CI: 1.66-7.58).
  
  
  CONCLUSIONS
  Excess mortality risk from bladder cancer may be related to occupational exposure during firefighting. The thyroid cancer and breast cancer risk in males, as well as the excess risk of cardiovascular disease mortality noted in females warrant further investigation.
authors.affiliation: Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, Florida, USA. fma@med.miami.edu
authors.forename: Fangchao
authors.initials: F
authors.lastname: Ma
authors.forename: Lora E
authors.initials: LE
authors.lastname: Fleming
authors.forename: David J
authors.initials: DJ
authors.lastname: Lee
authors.forename: Edward
authors.initials: E
authors.lastname: Trapido
authors.forename: Terence A
authors.initials: TA
authors.lastname: Gerace
authors.forename: Hong
authors.initials: H
authors.lastname: Lai
authors.forename: Shenghan
authors.initials: S
authors.lastname: Lai
mesh_terms: D000328:Adult; D002423:Cause of Death; D015331:Cohort Studies; D016208:Databases, Factual; D003644:Death Certificates; D005260:Female; D005390:Fires / Q000517:prevention & control*; D005431:Florida / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000401:mortality*; D009784:Occupational Diseases / Q000401:mortality*; D016273:Occupational Exposure / Q000009:adverse effects / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors