Abstract
Aims: To evaluate mortality in New Zealand phenoxy herbicide producers and sprayers exposed to dioxins.
Methods: Phenoxy herbicide producers (n = 1025) and sprayers (n = 703) were followed up from 1 January 1969 and 1 January 1973 respectively to 31 December 2000. A total of 813 producers and 699 sprayers were classified as exposed to dioxin and phenoxy herbicides. Standardised mortality ratios (SMR) were calculated using national mortality rates.
Results: At the end of follow up, 164 producers and 91 sprayers had died. Cancer mortality was reduced for sprayers (SMR = 0.82, 95% CI 0.57 to 1.14) and increased in exposed production workers (SMR = 1.24, 95% CI 0.90 to 1.67), especially for synthesis workers (SMR = 1.69), formulation and lab workers (SMR = 1.64), and maintenance/waste treatment/cleaning workers (SMR = 1.46). Lymphohaematopoietic cancer mortality was increased in exposed production workers (SMR = 1.65, 95% CI 0.53 to 3.85), especially for multiple myeloma (SMR = 5.51, 95% CI 1.14 to 16.1). Among sprayers, colon cancer (SMR = 1.94, 95% CI 0.84 to 3.83) showed increased mortality.
Conclusions: Results showed 24% non-significant excess cancer mortality in phenoxy herbicide producers, with a significant excess for multiple myeloma. Associations were stronger for those exposed to multiple agents including dioxin during production. Overall cancer mortality was not increased for producers and sprayers mainly handling final technical products, although they were likely to have been exposed to TCDD levels far higher than those currently in the general New Zealand population.
Full Text
The Full Text of this article is available as a PDF (82.7 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Axelson O., Steenland K. Indirect methods of assessing the effects of tobacco use in occupational studies. Am J Ind Med. 1988;13(1):105–118. doi: 10.1002/ajim.4700130107. [DOI] [PubMed] [Google Scholar]
- Axelson O., Sundell L., Andersson K., Edling C., Hogstedt C., Kling H. Herbicide exposure and tumor mortality. An updated epidemiologic investigation on Swedish railroad workers. Scand J Work Environ Health. 1980 Mar;6(1):73–79. doi: 10.5271/sjweh.2631. [DOI] [PubMed] [Google Scholar]
- Becher H., Flesch-Janys D., Kauppinen T., Kogevinas M., Steindorf K., Manz A., Wahrendorf J. Cancer mortality in German male workers exposed to phenoxy herbicides and dioxins. Cancer Causes Control. 1996 May;7(3):312–321. doi: 10.1007/BF00052936. [DOI] [PubMed] [Google Scholar]
- Bertazzi P. A., Consonni D., Bachetti S., Rubagotti M., Baccarelli A., Zocchetti C., Pesatori A. C. Health effects of dioxin exposure: a 20-year mortality study. Am J Epidemiol. 2001 Jun 1;153(11):1031–1044. doi: 10.1093/aje/153.11.1031. [DOI] [PubMed] [Google Scholar]
- Blair A., Malker H., Cantor K. P., Burmeister L., Wiklund K. Cancer among farmers. A review. Scand J Work Environ Health. 1985 Dec;11(6):397–407. doi: 10.5271/sjweh.2208. [DOI] [PubMed] [Google Scholar]
- Bodner K. M., Collins J. J., Bloemen L. J., Carson M. L. Cancer risk for chemical workers exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin. Occup Environ Med. 2003 Sep;60(9):672–675. doi: 10.1136/oem.60.9.672. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fingerhut M. A., Halperin W. E., Marlow D. A., Piacitelli L. A., Honchar P. A., Sweeney M. H., Greife A. L., Dill P. A., Steenland K., Suruda A. J. Cancer mortality in workers exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin. N Engl J Med. 1991 Jan 24;324(4):212–218. doi: 10.1056/NEJM199101243240402. [DOI] [PubMed] [Google Scholar]
- Hooiveld M., Heederik D. J., Kogevinas M., Boffetta P., Needham L. L., Patterson D. G., Jr, Bueno-de-Mesquita H. B. Second follow-up of a Dutch cohort occupationally exposed to phenoxy herbicides, chlorophenols, and contaminants. Am J Epidemiol. 1998 May 1;147(9):891–901. doi: 10.1093/oxfordjournals.aje.a009543. [DOI] [PubMed] [Google Scholar]
- Johnson E. S. Important aspects of the evidence for TCDD carcinogenicity in man. Environ Health Perspect. 1993 Mar;99:383–390. doi: 10.1289/ehp.9399383. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kauppinen T., Kogevinas M., Johnson E., Becher H., Bertazzi P. A., Bueno de Mesquita H. B., Coggon D., Green L., Littorin M., Lynge E. Chemical exposure in manufacture of phenoxy herbicides and chlorophenols and in spraying of phenoxy herbicides. Am J Ind Med. 1993 Jun;23(6):903–920. doi: 10.1002/ajim.4700230607. [DOI] [PubMed] [Google Scholar]
- Kogevinas M., Becher H., Benn T., Bertazzi P. A., Boffetta P., Bueno-de-Mesquita H. B., Coggon D., Colin D., Flesch-Janys D., Fingerhut M. Cancer mortality in workers exposed to phenoxy herbicides, chlorophenols, and dioxins. An expanded and updated international cohort study. Am J Epidemiol. 1997 Jun 15;145(12):1061–1075. doi: 10.1093/oxfordjournals.aje.a009069. [DOI] [PubMed] [Google Scholar]
- Kogevinas M., Kauppinen T., Winkelmann R., Becher H., Bertazzi P. A., Bueno-de-Mesquita H. B., Coggon D., Green L., Johnson E., Littorin M. Soft tissue sarcoma and non-Hodgkin's lymphoma in workers exposed to phenoxy herbicides, chlorophenols, and dioxins: two nested case-control studies. Epidemiology. 1995 Jul;6(4):396–402. [PubMed] [Google Scholar]
- Lilienfeld D. E., Gallo M. A. 2,4-D, 2,4,5-T, and 2,3,7,8-TCDD: an overview. Epidemiol Rev. 1989;11:28–58. doi: 10.1093/oxfordjournals.epirev.a036044. [DOI] [PubMed] [Google Scholar]
- Lynge E. Cancer in phenoxy herbicide manufacturing workers in Denmark, 1947-87--an update. Cancer Causes Control. 1993 May;4(3):261–272. doi: 10.1007/BF00051321. [DOI] [PubMed] [Google Scholar]
- McLean D., Cheng S., 't Mannetje A., Woodward A., Pearce N. Mortality and cancer incidence in New Zealand meat workers. Occup Environ Med. 2004 Jun;61(6):541–547. doi: 10.1136/oem.2003.010587. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McLean Dave, Colin Didier, Boffetta Paolo, Pearce Neil. Mortality and cancer incidence in New Zealand pulp and paper mill workers. N Z Med J. 2002 Apr 26;115(1152):186–190. [PubMed] [Google Scholar]
- Newell K. W., Ross A. D., Renner R. M. Phenoxy and picolinic acid herbicides and small-intestinal adenocarcinoma in sheep. Lancet. 1984 Dec 8;2(8415):1301–1305. doi: 10.1016/s0140-6736(84)90821-3. [DOI] [PubMed] [Google Scholar]
- Ott M. G., Zober A. Cause specific mortality and cancer incidence among employees exposed to 2,3,7,8-TCDD after a 1953 reactor accident. Occup Environ Med. 1996 Sep;53(9):606–612. doi: 10.1136/oem.53.9.606. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pearce N. E., Sheppard R. A., Smith A. H., Teague C. A. Non-Hodgkin's lymphoma and farming: an expanded case-control study. Int J Cancer. 1987 Feb 15;39(2):155–161. doi: 10.1002/ijc.2910390206. [DOI] [PubMed] [Google Scholar]
- Pearce N. E., Smith A. H., Fisher D. O. Malignant lymphoma and multiple myeloma linked with agricultural occupations in a New Zealand Cancer Registry-based study. Am J Epidemiol. 1985 Feb;121(2):225–237. doi: 10.1093/oxfordjournals.aje.a113993. [DOI] [PubMed] [Google Scholar]
- Pearce N. E., Smith A. H., Howard J. K., Sheppard R. A., Giles H. J., Teague C. A. Case-control study of multiple myeloma and farming. Br J Cancer. 1986 Sep;54(3):493–500. doi: 10.1038/bjc.1986.202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pearce N., Prior I., Methven D., Culling C., Marshall S., Auld J., de Boer G., Bethwaite P. Follow up of New Zealand participants in British atmospheric nuclear weapons tests in the Pacific. BMJ. 1990 May 5;300(6733):1161–1166. doi: 10.1136/bmj.300.6733.1161. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pearce N., Winkelmann R., Kennedy J., Lewis S., Purdie G., Slater T., Prior I., Fraser J. Further follow-up of New Zealand participants in United Kingdom atmospheric nuclear weapons tests in the Pacific. Cancer Causes Control. 1997 Mar;8(2):139–145. doi: 10.1023/a:1018407927076. [DOI] [PubMed] [Google Scholar]
- Saracci R., Kogevinas M., Bertazzi P. A., Bueno de Mesquita B. H., Coggon D., Green L. M., Kauppinen T., L'Abbé K. A., Littorin M., Lynge E. Cancer mortality in workers exposed to chlorophenoxy herbicides and chlorophenols. Lancet. 1991 Oct 26;338(8774):1027–1032. doi: 10.1016/0140-6736(91)91898-5. [DOI] [PubMed] [Google Scholar]
- Smith A. H., Fisher D. O., Pearce N., Chapman C. J. Congenital defects and miscarriages among New Zealand 2, 4, 5-T sprayers. Arch Environ Health. 1982 Jul-Aug;37(4):197–200. doi: 10.1080/00039896.1982.10667564. [DOI] [PubMed] [Google Scholar]
- Smith A. H., Patterson D. G., Jr, Warner M. L., MacKenzie R., Needham L. L. Serum 2,3,7,8-tetrachlorodibenzo-p-dioxin levels of New Zealand pesticide applicators and their implication for cancer hypotheses. J Natl Cancer Inst. 1992 Jan 15;84(2):104–108. doi: 10.1093/jnci/84.2.104. [DOI] [PubMed] [Google Scholar]
- Smith A. H., Pearce N. E., Fisher D. O., Giles H. J., Teague C. A., Howard J. K. Soft tissue sarcoma and exposure to phenoxyherbicides and chlorophenols in New Zealand. J Natl Cancer Inst. 1984 Nov;73(5):1111–1117. [PubMed] [Google Scholar]
- Steenland K., Deddens J., Piacitelli L. Risk assessment for 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) based on an epidemiologic study. Am J Epidemiol. 2001 Sep 1;154(5):451–458. doi: 10.1093/aje/154.5.451. [DOI] [PubMed] [Google Scholar]
- Steenland K., Spaeth S., Cassinelli R., 2nd, Laber P., Chang L., Koch K. NIOSH life table program for personal computers. Am J Ind Med. 1998 Nov;34(5):517–518. doi: 10.1002/(sici)1097-0274(199811)34:5<517::aid-ajim14>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]