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 1 Mortality of workers employed in shoe manufacturing: an update
Authors Lehman-EJ; Hein-MJ 
Source Am J Ind Med 2006 Jul; 49(7):535-546 
Link http://dx.doi.org/10.1002/ajim.20322 
NIOSHTIC No. 20030502 
AbstractIn the late 1970s, the National Institute for Occupational Safety and Health identified two shoe manufacturing facilities where workers experienced relatively "pure" exposures to toluene. A mortality study was conducted through December 31, 1982. An original study did not detect elevated leukemia mortality but did detect increased lung cancer mortality. The present study is an update of the mortality of the original cohort. The study cohort consisted of workers employed 1 month or more between 1940 and 1979 at two Ohio shoe manufacturing plants. Vital status was ascertained through December 31, 1999. Seven thousand eight hundred twenty eight workers, contributing 300,777 person years, were available for analysis. An excess of lung cancer deaths persisted with additional years of follow-up (SMR = 1.36, 95% confidence interval (CI) = 1.19-1.54). Trend tests did not indicate a positive trend between lung cancer risk and duration of employment. Mortality from leukemia was not significantly elevated in the updated analysis. Results indicate a possible association between lung cancer mortality and exposure to chronic, low-levels of organic solvents. Although the strength of this conclusion was weakened by the lack of increasing lung cancer risk in relation to duration of employment, other studies have supported this association. 
KeywordsShoe-manufacturing; Workers; Mortality-data; Mortality-rates; Worker-health; Employees; Employee-health; Toluenes; Solvents; Lung-cancer; Cancer; Xylenes; Occupational-exposure; Occupational-health; Pulmonary-system-disorders; Employee-exposure; Risk-factors; Risk-analysis; Chronic-exposure; Organic-solvents 
ContactEverett J. Lehman, Industrywide Studies Branch, Division of Surveillance, Hazard Evaluations and Field Studies, The National Institute for Occupational Safety and Health, 4676 Columbia Parkway, R-13, Cincinnati, OH 45226 
CODENAJIMD8 
CAS No.1330-20-7; 108-88-3 
Publication Date20060701 
Document TypeJournal Article 
Email AddressELehman@cdc.gov 
Fiscal Year2006 
NTIS Accession No. 
NTIS Price 
Issue of Publication
ISSN0271-3586 
NIOSH DivisionDSHEFS 
Source NameAmerican Journal of Industrial Medicine 
StateOH 
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