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. 2021 Apr 19;181(6):797–805. doi: 10.1001/jamainternmed.2021.1063

Table. Selected Characteristics of 85 Methylene Chloride–Related Fatalities Identified in the United States, 1980-2018a.

Characteristic No. (%)
Occupational fatalities (n = 74) Consumer fatalities (n = 11) Fatalities with autopsy reports available (n = 23)
Sex
Total No. reported 69 11 23
Male 65 (94) 10 (91) 21 (91)
Female 4 (6) 1 (9) 2 (9)
Race/ethnicity
Total No. reported 40 7 23
White 26 (65) 5 (72) 14 (61)
Hispanic 8 (20) 1 (14) 5 (22)
Black 6 (15) 1 (14) 4 (17)
Age
Total No. reported 59 11 23
Median (IQR), y 31 (24-42) 45 (28-52) 37 (29-52)
Mean (SD), y 34 (13) 41 (18) 39 (13)
Range, y 18-64 14-80 20-62
Year of fatality
Total No. reported 74 11 23
1980-1989 32 (43) 2 (18) NA
1990-1999 8 (11) 3 (27) NA
2000-2009 14 (19) 1 (9) 8 (35)
2010-2018 20 (27) 5 (46) 15 (65)
Product used
Total No. reported 67 11 23
Paint stripper 52 (78) 8 (73) 23 (100)
Cleaning/degreasing solvent 12 (18) 1 (9) NA
Adhesive/sealant 3 (4) 2 (18) NA
Setting of incident
Total No. reported 67 10 23
Bathroom 23 (34) 3 (30) 19 (82)
Industrial equipment 20 (30) NA 2 (9)
Floor (nonbathroom) 4 (6) 1 (10) 2 (9)
Carpet 3 (4) 1 (10) NA
Furniture 7 (11) 1 (10) NA
Bystander on siteb 3 (4) NA NA
Accidental ingestion NA 1 (10) NA
Otherc 7 (11) 3 (30) NA
Respirator use
Total No. reported 36 4 21
No respirator used 20 (56) 2 (50) 13 (62)
Respirator used but not NIOSH approved 16 (44) 2 (50) 8 (38)

Abbreviations: IQR, interquartile range; NA, not applicable; NIOSH, National Institute for Occupational Safety and Health.

a

See eTable 2 in the Supplement for individual cases.

b

In 3 cases, the decedents did not use the products themselves but entered a room where vapors lingered after methylene chloride product use.

c

Other known fatality settings included working on cars, sheds, shutters, and trailers, or being at rest after product exposure.