title: [Mortality study in a cohort of workers employed in a plant producing sulphuric acid ].
abstract: BACKGROUND
  In 1992, the International Agency for Research on Cancer (IARC) classified sulphuric acid mists as human carcinogen, based primarily on human data showing increased risk for larynx cancer. Uncertainties still exist about other respiratory cancers.
  
  
  OBJECTIVE
  We carried out a historical mortality study among workers ofa plant producing sulphuric acid in Tuscany, Italy.
  
  
  METHODS
  We reconstructed a cohort of 1372 male and 37female workers with at least one year of employment at the plant in the period 1962-97; 46% ofthe workers had previously been working in pyrite mines in the area where rocks have a high silica content. Environmental measurements of sulphuric acid and sulphur dioxide from the 1970's were generally below the TLVs. Mortality was investigated as of August 2000; Standardized Mortality Ratios (SMR) were calculated using Tuscany reference rates.
  
  
  RESULTS
  Overall mortality was below expectation (SMR 77). In labourers, larynx cancer deaths were 4 vs 3.1 expected (SMR 130, 95% CI 35-333), while mortality from lung cancer was below expectation (27/32.8, SMR 82, 95% CI 54-120). An excess of myeloid leukaemia was observed mainly in workers without previous experience in mines (3/0.6, SMR 523, 95% CI 108-1527). Mortality from silicosis, but not from lung cancer, was remarkably high among workers with previous employment in mines.
  
  
  CONCLUSIONS
  Among workers employed in sulphuric acid production, with or without previous experience in mines, we did not observe increased mortality from larynx or lung cancer. The increased mortality from myeloid leukaemia cannot be attributed to any of the exposures documented in the study plant and requires further investigation.
authors.affiliation: Dipartimento di Medicina del Lavoro, Università degli Studi di Milano, Clinica del Lavoro L Devoto, Milano. Angela.Pesatori@unimi.it
authors.forename: Angela Cecilia
authors.initials: AC
authors.lastname: Pesatori
authors.forename: D
authors.initials: D
authors.lastname: Consonni
authors.forename: Maurizia
authors.initials: M
authors.lastname: Rubagotti
authors.forename: M
authors.initials: M
authors.lastname: Bonzini
authors.forename: P
authors.initials: P
authors.lastname: Catalano
authors.forename: P A
authors.initials: PA
authors.lastname: Bertazzi
mesh_terms: D000395:Air Pollutants, Occupational / Q000009:adverse effects*; D002423:Cause of Death; D015331:Cohort Studies; D003627:Data Interpretation, Statistical; D004784:Environmental Monitoring; D005260:Female; D006801:Humans; D007558:Italy; D007822:Laryngeal Neoplasms / Q000139:chemically induced* / Q000401:mortality; D008175:Lung Neoplasms / Q000139:chemically induced* / Q000401:mortality; D008297:Male; D009784:Occupational Diseases / Q000139:chemically induced* / Q000401:mortality*; D012829:Silicosis / Q000209:etiology / Q000401:mortality; D013458:Sulfur Dioxide / Q000009:adverse effects*; D013464:Sulfuric Acids / Q000009:adverse effects*; D013997:Time Factors
chemical_list: D000395:Air Pollutants, Occupational; D013464:Sulfuric Acids; D013458:Sulfur Dioxide; C033158:sulfuric acid