Surveillance of Mesothelioma at NIOSH WoRLD Surveillance Report 1 The findings and conclusions in this report.

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Presentation transcript:

Surveillance of Mesothelioma at NIOSH WoRLD Surveillance Report 1 The findings and conclusions in this report are those of the author and do not necessarily represent the views of the National Institute for Occupational Safety and Health.

Surveillance of Mesothelioma at NIOSH Trends in overall deaths from mesothelioma in the US from – by race and sex Geographic distribution of deaths Age group distribution of deaths Years of potential life lost (YPLL) Industry & Occupation Proportionate Mortality Ratios (PMR) Anatomical site

Mesothelioma Deaths 1999 – 2008 (ICD 10) Pct Blk ♀ Year Regression - F = 14.2; p < 0.01 (still rising)

Five States with Most Deaths from Mesothelioma Year

Number of Deaths by State, VT- 50 NH- 125 MA- 719 MD- 462 DC- 23 DE- 95 NJ RI- 118 CT- 340 HI- 71

Number of Deaths by Age Groups Percentages Age Group Number of Deaths

Decrease in Numbers of Deaths in ages Over Time Percentage of Mesothelioma Deaths in the age group Year

Increase in Numbers of Deaths in ages >74 Over Time Percentage of Mesothelioma Deaths in the age group > Year

Change in Mesothelioma Death Rates by Age Groups Over Time Percentage of Mesothelioma Deaths by Age Groups Year Ns=185, & 25988

Years of Potential Life Lost ( ) Based on 23,277 deaths YPLL range 13.5 – 14.1 per death Average YPLL 13.8 per death Total YPLL 321, – 2007; Thus YPLL/year is 35,760

PMRs by Industry & Occupation Industry – Ship/Boat building and repair6.0 ( ) – Industrial chemicals4.8 ( ) – Petroleum refining3.8 ( ) – Electric light and power3.1 ( ) – Construction1.6 ( ) Occupation – Plumbers/pipe- & steam-fitters4.8 ( ) – Mechanical engineers3.0 ( ) – Electricians2.4 ( ) – Teachers (elementary school)2.1 ( )

Anatomical Site ( ) Data derived from death certificates Data by anatomical site – Pleura8.1% – Peritoneum 3.7% – Other 13.6% – Unspecified 75.7% Data frequently missing (similarly occupation) – Case for electronic health records

Summary There were almost 26,000 MM deaths among U.S. residents aged >15 years old between 1999 and 2008 and ~350,000 PYLL. During the same period ~20% of deaths were among women and ~4% were Black. More than half of which were from 9 States: CA > PA > FL > NY > TX > IL > OH > NJ > MI Construction accounted for 15% of decedents

WoRLD Surveillance Report Asbestosis Coal workers’ pneumoconiosis Silicosis Byssinosis Unspecified and other Pneumoconioses All pneumoconioses Malignant mesothelioma Hypersensitivity pneumonitis Asthma Chronic obstructive pulmonary disease Respiratory conditions due to toxic agents Respiratory tuberculosis Lung cancer Other interstitial pulmonary diseases Pneumonia and influenza Various work-related respiratory conditions Smoking prevalence by industry and occupation

Acknowledgement Contributing Agencies Bureau of Labor Statistics Social Security Admin. Dept. Labor OSHA/MSHA CDC National Center for Health Stats CWXSP – NIOSH NIOSH Staff Jacek Mazurek Patti Schleiff John Wood Eileen Storey Ki-moon Bang Anita Wolfe