title: Increased liver and lupus mortalities in 24-year follow-up of the Taiwanese people highly exposed to polychlorinated biphenyls and dibenzofurans.
abstract: BACKGROUND
  A follow-up study was designed to compare the 24-year overall and disease-specific mortality in Yucheng people who were highly exposed to polychlorinated biphenyls/dibenzofurans (PCBs/PCDFs) to that in the background population in Taiwan. In 1979, the Yucheng (oil-disease in Chinese) incident occurred in central Taiwan involving approximately 2000 victims due to ingestion of rice oil contaminated with PCBs/PCDFs. Long-term follow-up of these people has been continued for 24 years.
  
  
  METHODS
  Standardized mortality ratios were calculated using the Taiwan population as comparison group. Overall and disease-specific mortality was compared between Yucheng and background populations.
  
  
  RESULTS
  Mortality from chronic liver disease and cirrhoses was increased in the Yucheng men, but not in women, in the early period after exposure. Cancer mortality was not increased in the Yucheng population up to 24 years after exposure. SLE in females was highly increased in the later period after PCB/PCDF exposure. Mortality from disease in any other organ system was not significantly different between Yucheng and background populations.
  
  
  CONCLUSIONS
  The study provided a long-term mortality picture after the Taiwanese PCB/PCDF exposure incident. In addition to re-confirming the increase in liver mortality, we found high mortality of SLE among exposed population. This finding highlights the importance of further investigating the immunological effects associated with PCB/PCDF exposure.
authors.affiliation: Department of Environmental and Occupational Health, National Cheng Kung University, Tainan 701, Taiwan.
authors.forename: Pei-Chien
authors.initials: PC
authors.lastname: Tsai
authors.forename: Ying-Chin
authors.initials: YC
authors.lastname: Ko
authors.forename: Wenya
authors.initials: W
authors.lastname: Huang
authors.forename: Hsiao-Sheng
authors.initials: HS
authors.lastname: Liu
authors.forename: Yueliang Leon
authors.initials: YL
authors.lastname: Guo
mesh_terms: D000293:Adolescent; D000328:Adult; D001572:Benzofurans / Q000633:toxicity*; D002648:Child; D002675:Child, Preschool; D000072338:Dibenzofurans, Polychlorinated; D004781:Environmental Exposure / Q000009:adverse effects*; D004785:Environmental Pollutants / Q000633:toxicity*; D005260:Female; D005500:Follow-Up Studies; D005506:Food Contamination; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008107:Liver Diseases / Q000209:etiology / Q000401:mortality*; D008180:Lupus Erythematosus, Systemic / Q000209:etiology / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D010938:Plant Oils; D011078:Polychlorinated Biphenyls / Q000633:toxicity*; D013624:Taiwan
chemical_list: D001572:Benzofurans; D000072338:Dibenzofurans, Polychlorinated; D004785:Environmental Pollutants; D010938:Plant Oils; D011078:Polychlorinated Biphenyls