Mortality of UK electricity generation and transmission workers, 1973-2002.
OBJECTIVE
To examine mortality from cancer and non-malignant causes among a large cohort of UK electricity generation and transmission workers.


METHODS
The mortality experienced by a cohort of 83,923 employees of the former Central Electricity Generating Board of England and Wales was investigated for the period 1973-2002. All employees had worked for at least 6 months with some employment between 1973 and 1982. Standardized mortality ratios (SMRs) were used to assess mortality in the total cohort and in three sub-cohorts: power station workers, substation and transmission workers and workers at non-operational locations. These classifications were based on the place of work of the first known job.


RESULTS
Overall mortality was significantly below that expected, based on national rates [males: observed (Obs) 18,773, expected (Exp) 22,497.9, SMR 83; females: Obs 1122, Exp 1424.9, SMR 79]. Statistically significant deficits of deaths were also found for most of the major disease groupings. However, significant excesses of deaths were found in male power station workers for cancer of the pleura (Obs 129, Exp 30.3, SMR 426) and in male workers from non-operational locations for cancer of the brain (Obs 55, Exp 36.0, SMR 153). There was also a non-significant excess of deaths from cancer of the breast in male power station workers (Obs 10, Exp 5.3, SMR 190).


CONCLUSIONS
Mortality was exceptionally low for most causes of death but late health effects from earlier asbestos exposure were still in evidence.
Nichols
Linda
L
Institute of Occupational and Environmental Medicine, University of Birmingham, Edgbaston, Birmingham, West Midlands B15 2TT, UK.
Sorahan
Tom
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001195:Asbestosis / Q000401:mortality; D001932:Brain Neoplasms / Q000401:mortality; D018567:Breast Neoplasms, Male / Q000401:mortality; D002423:Cause of Death; D015331:Cohort Studies; D004560:Electricity; D004574:Electromagnetic Fields; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000401:mortality; D008875:Middle Aged; D009784:Occupational Diseases / Q000401:mortality; D016273:Occupational Exposure; D010997:Pleural Neoplasms / Q000401:mortality; D011210:Power Plants; D014852:Wales / Q000453:epidemiology