title: Long-Term Prospective Study of 6104 Survivors  of Arsenic Poisoning During Infancy Due  to Contaminated Milk Powder in 1955.
abstract: BACKGROUND
  In 1955, an outbreak of arsenic poisoning caused by ingestion of arsenic-contaminated dry milk occurred in western Japan. We assessed the excess mortality among Japanese who were poisoned during this episode as infants.
  
  
  METHODS
  We identified and enrolled 6104 survivors (mean age at enrollment, 27.4 years) who had ingested contaminated milk when they were age 2 years or younger; they were followed until 2006 (mean duration of followup,24.3 years). Death certificates of subjects who died between 1982 and 2006 were examined to calculate cause specific standardized mortality ratios (SMRs) using the mortality rate among Osaka residents as the standard.
  
  
  RESULTS
  There was no significant excess overall mortality (SMR: 1.1, 95% confidence interval: 1.0–1.2). However,significant excess mortality in both sexes was observed from diseases of the nervous system (3.7, 1.9–6.2). Excess mortality from all causes of death decreased to unity beyond 10 years after study enrollment. The 408 men who were unemployed at the time of enrollment in the study had a significantly elevated risk of death from diseases of the nervous system (25.3, 10.8–58.8), respiratory diseases (8.6, 3.1–16.8), circulatory diseases (3.2, 1.6–5.2), and external causes (2.6, 1.4–4.1).
  
  
  CONCLUSIONS
  As compared with the general population, survivors of arsenic poisoning during infancy had a significantly higher mortality risk from diseases of the nervous system.
authors.affiliation: Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute.
authors.forename: Hideo
authors.initials: H
authors.lastname: Tanaka
authors.forename: Hideaki
authors.initials: H
authors.lastname: Tsukuma
authors.forename: Akira
authors.initials: A
authors.lastname: Oshima
mesh_terms: D000328:Adult; D000069586:Adult Survivors of Child Adverse Events / Q000706:statistics & numerical data*; D000818:Animals; D020261:Arsenic Poisoning / Q000453:epidemiology*; D002423:Cause of Death; D004196:Disease Outbreaks; D005260:Female; D005500:Follow-Up Studies; D005506:Food Contamination; D006801:Humans; D007223:Infant; D007225:Infant Food; D007564:Japan / Q000453:epidemiology; D008297:Male; D008892:Milk; D009422:Nervous System Diseases / Q000401:mortality; D011446:Prospective Studies