Table 5. Geographical and temporal variations of major sites of cancer and of all malignancies among black gold miners by home territory, 1964–79 and 1989–96.
Respiratory |
Hepatocellular |
Oesophagus |
Buccal cavity |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Place | Population | CIR | CIR | Obs | Exp from | ASIR | CIR | CIR | Obs | Exp from | ASIR | CIR | CIR | Obs | Exp from | ASIR | CIR | CIR | Obs | Exp from | ASIR | |
1989–96 | % | 1964–79 | 1989–96 | 1989–96 | 1964–79 | 1989–96 | 1964–79 | 1989–96 | 1989–96 | 1964–79 | 1989–96 | 1964–79 | 1989–96 | 1989–96 | 1964–79 | 1989–96 | 1964–79 | 1989–96 | 1989–96 | 1964–79 | 1989–96 | |
South Africa | ||||||||||||||||||||||
Cape | 613 167 | 23.9 | 4.8 | 13.0 | 80 | 29.2++ | 148++ | 11.5 | 8.8 | 54 | 70.5− | 105 | 15.2 | 16.5 | 101 | 93.2 | 231++ | 1.1 | 5.2 | 32 | 6.7++ | 151 |
TrK | 550 256 | 21.5 | 11.6 | 64 | 130 | 8.4 | 46 | 99 | 14.6 | 14.9 | 82 | 206++ | 4.7 | 26 | 134 | |||||||
CiK | 31 075 | 1.2 | 16.1 | 5 | 200 | 9.7 | 3 | 122 | 9.7 | 3 | 149 | 3.2 | 1 | 102 | ||||||||
Oth | 31 836 | 1.2 | 34.6 | 11 | 485++ | 15.7 | 5 | 212 | 50.3 | 16 | 860++ | 15.7 | 5 | 549 | ||||||||
TVL | 183 798 | 7.1 | 7.7 | 6.0 | 11 | 14.2 | 81 | 9.3 | 3.8 | 7 | 17.1− | 49− | 7.7 | 7.6 | 14 | 14.2 | 120 | 1.0 | 2.2 | 4 | 1.9 | 71 |
FS | 111 381 | 4.3 | 4.3 | 15.3 | 17 | 4.8++ | 244++ | 2.5 | 6.3 | 7 | 2.8 | 94 | 9.2 | 9.9 | 11 | 10.2 | 189 | 0.0 | 8.1 | 9 | 0.0++ | 319+ |
KZN | 167 911 | 6.6 | 10.2 | 4.8 | 8 | 21.4−− | 141 | 27.2 | 6.6 | 11 | 45.7−− | 135 | 10.2 | 7.1 | 12 | 17.1 | 239+ | 2.6 | 4.2 | 7 | 4.3 | 278 |
BOP | 202 142 | 7.9 | 4.0 | 8 | 93 | 1.0 | 2 | 18−− | 2.5 | 5 | 67 | 1.0 | 2 | 53 | ||||||||
Ex-High Commission | ||||||||||||||||||||||
BOT | 91 079 | 3.6 | 1.1 | 2.2 | 2 | 1.0 | 22−− | 2.7 | 1.1 | 1 | 2.5 | 12−− | 3.0 | 3.3 | 3 | 2.7 | 41 | 0.8 | 0.0 | 0 | 0.7 | 0 |
SWZ & KAN | 121 959 | 4.8 | 2.4 | 2.5 | 3 | 2.9 | 46 | 4.8 | 6.6 | 8 | 5.9 | 105 | 1.2 | 0.0 | 0 | 1.5 | 0−− | 0.0 | 0.0 | 0 | 0.0 | 0 |
LES | 686 770 | 26.8 | 1.9 | 9.3 | 64 | 13.3++ | 79− | 5.2 | 2.8 | 19 | 35.7−− | 28−− | 2.3 | 2.5 | 17 | 15.8 | 26−− | 0.5 | 2.2 | 15 | 3.7++ | 49−− |
Foreign | ||||||||||||||||||||||
MOZ | 383 513 | 15.0 | 1.9 | 4.7 | 18 | 2.2++ | 32−− | 57.0 | 17.0 | 65 | 218.6−− | 142+ | 1.3 | 1.3 | 5 | 5.0 | 11−− | 0.4 | 2.1 | 8 | 1.6 | 38−− |
TNK | 30 | 49 | 30 | 17 | ||||||||||||||||||
Total | 2 561 720 | 100 | 3.1 | 9.4 | 241 | 78.6++ | 100 | 18.8 | 8.7 | 223 | 473.3−− | 100 | 6.3 | 7.7 | 198 | 160.1++ | 100 | 0.7 | 3.7 | 94 | 16.9++ | 100 |
Colorectal |
Leukaemia |
Larynx |
Stomach |
All malignancies |
||||||||||||||||||
Place | CIR | CIR | Obs | Exp from | ASIR | CIR | CIR | Obs | Exp from | ASIR | CIR | Obs | CIR | CIR | Obs | Exp from | CIR | CIR | Obs | Exp from | ASIR | |
1964–79 | 1989–96 | 1989–96 | 1964–79 | 1989–96 | 1964–79 | 1989–96 | 1989–96 | 1964–79 | 1989–96 | 1989–96 | 1989–96 | ASIR | 1964–79 | 1989–96 | 1989–96 | 1964–79 | 1964–79 | 1989–96 | 1989–96 | 1964–79 | 1989–96 | |
South Africa | ||||||||||||||||||||||
Cape | 1.1 | 1.5 | 9 | 6.7 | 67 | 0.9 | 2.9 | 18 | 5.3++ | 134 | 4.1 | 25 | 139+ | 1.4 | 2.0 | 12 | 8.6 | 41.4 | 78.0 | 478 | 253.9++ | 123++ |
TrK | 1.1 | 6 | 49 | 2.9 | 16 | 132 | 3.6 | 20 | 152 | 1.8 | 10 | 72.3 | 398 | 110 | ||||||||
CiK | 3.2 | 1 | 155 | 0.0 | 0 | 0 | 9.7 | 3 | 452 | 0.0 | 0 | 61.1 | 19 | 102 | ||||||||
Oth | 6.3 | 2 | 317 | 6.3 | 2 | 313 | 6.3 | 2 | 330 | 6.3 | 2 | 191.6 | 61 | 341++ | ||||||||
TVL | 1.1 | 2.7 | 5 | 1.8 | 128 | 0.5 | 0.6 | 1 | 0.9 | 26 | 2.7 | 5 | 132 | 1.0 | 1.1 | 2 | 1.9− | 36.0 | 54.4 | 100 | 66.2++ | 92 |
FS | 0.0 | 3.6 | 4 | 0.0 | 200 | 0.0 | 3.6 | 4 | 0.0 | 190 | 1.8 | 2 | 107 | 0.6 | 1.8 | 2 | 0.7 | 19.7 | 93.4 | 104 | 21.9++ | 184++ |
KZN | 2.6 | 0.6 | 1 | 2.8 | 44 | 0.9 | 0.6 | 1 | 1.4 | 37 | 1.2 | 2 | 131 | 4.2 | 1.8 | 3 | 7.1 | 73.0 | 48.2 | 81 | 122.6−− | 138+ |
BOP | 1.0 | 2 | 63 | 2.0 | 4 | 119 | 0.0 | 0 | 0 | 0.0 | 0 | 18.3 | 37 | 45−− | ||||||||
Ex-High Commission | ||||||||||||||||||||||
BOT | 0.8 | 2.2 | 2 | 0.7 | 98 | 1.1 | 1.1 | 1 | 1.0 | 47 | 2.2 | 2 | 83 | 1.1 | 0.0 | 0 | 1.1 | 14.8 | 28.5 | 26 | 13.5+ | 40−− |
SWZ & KAN | 0.0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 3.3 | 4 | 0.0 | 180 | 1.6 | 2 | 116 | 0.0 | 1.7 | 2 | 0.0 | 16.7 | 31.2 | 38 | 20.4++ | 67−− |
LES | 1.1 | 1.6 | 11 | 8.1 | 63 | 1.2 | 0.9 | 6 | 8.1 | 35−− | 2.0 | 14 | 63 | 1.0 | 2.2 | 15 | 6.9+ | 17.2 | 50.0 | 343 | 118.1++ | 62−− |
Foreign | ||||||||||||||||||||||
MOZ | 0.6 | 2.9 | 11 | 2.4+ | 95 | 0.8 | 2.6 | 10 | 3.2+ | 91 | 1.8 | 7 | 44−− | 0.5 | 0.5 | 2 | 1.9 | 73.3 | 54.0 | 207 | 281.1−− | 56−− |
TNK | 13 | 8 | 7 | 11 | 331 | |||||||||||||||||
Total | 0.9 | 2.3 | 58 | 22.3++ | 100 | 1.0 | 2.3 | 57 | 26.6+ | 100 | 2.6 | 66 | 100 | 1.0 | 1.9 | 49 | 25.4++ | 38.2 | 68.2 | 1745 | 978.6++ | 100 |
Poisson significance increase : P<0.05+; P<0.01++. Decrease: P<0.05−; P<0.01−−.
TNK=home territory not known.