title: Injury mortality in a cohort of mining, smelting, and refining workers in Ontario.
abstract: Injury mortality was followed up from 1950 to 2000 in a cohort of 56,576 nickel workers. Injury fatalities were elevated throughout the cohort of never sinter plant workers (SMR = 134, 95% CI [129, 140]). Elevations were also observed in injury mortality subcategories of road, rail, and air (SMR = 137, 95% CI [127, 147]); boating and swimming (SMR = 150, 95% CI [128, 176]); suicide and possible suicide (SMR = 124, 95% CI [114, 135]); and possibly job-related accidents (SMR = 160, 95% CI [145, 175]). The results were largely attributed to underground miners, with 61.4% of all injury mortality (SMR = 162; 95% CI [153, 171]). Occupational etiology could not be ascertained; however, compiled workplace injury fatalities are presented separately. Recommendations include delivery of injury prevention and wellness programs in partnership with the local health unit and other stakeholders.
authors.affiliation: a Occupational Cancer Research Centre, Cancer Care Ontario , Toronto , Ontario , Canada.
authors.forename: Colin J
authors.initials: CJ
authors.lastname: Berriault
authors.affiliation: b School of Rural and Northern Health , Laurentian University , Sudbury , Ontario , Canada.
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Lightfoot
authors.affiliation: c SKS Consulting Services , Siler City , North Carolina , USA.
authors.forename: Steven K
authors.initials: SK
authors.lastname: Seilkop
authors.affiliation: d BR Conard Consulting Inc. , Oakville , Ontario , Canada.
authors.forename: Bruce R
authors.initials: BR
authors.lastname: Conard
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008669:Metallurgy; D008875:Middle Aged; D009532:Nickel / Q000633:toxicity*; D016273:Occupational Exposure; D009864:Ontario / Q000453:epidemiology; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000139:chemically induced / Q000453:epidemiology* / Q000401:mortality; D055815:Young Adult
chemical_list: D009532:Nickel
keywords: Accidents; cohort; mortality; nickel; occupational epidemiology