Mortality in workers exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin at a trichlorophenol plant in New Zealand

J Occup Environ Med. 2009 Sep;51(9):1049-56. doi: 10.1097/JOM.0b013e3181b571ae.

Abstract

Objective: We examined the overall mortality rates of 1599 workers employed between 1969 and 1988 at a New Zealand site, which manufactured trichlorophenol.

Methods: We developed exposure estimates for 2,3,7,8-tetrachlorodibenzo-p-dioxin from a serum dioxin evaluation and used standardized mortality ratios (SMR) and proportional hazards models to evaluate risk from exposure.

Results: Among exposed workers, deaths from total cancers (SMR = 1.1, 95% confidence intervals [CI]: 0.9-1.4), non-Hodgkin lymphoma (SMR = 1.6, 95% CI: 03-4.7), and ischemic heart disease (SMR = 1.1, 95% CI: 0.9-1.5) were slightly greater than expected, whereas deaths from lung cancer (SMR = 0.8, 95% CI: 0.4-1.5) were less than expected. We observed no significant trends with exposure levels.

Conclusions: Although this study is small, we found no increasing trend of cancer or disease risk with increasing 2,3,7,8-tetrachlorodibenzo-p-dioxin exposure with the possible exception of all cancers combined.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cardiovascular Diseases / chemically induced
  • Cardiovascular Diseases / mortality
  • Cause of Death*
  • Chemical Industry
  • Chlorophenols / adverse effects*
  • Cohort Studies
  • Confidence Intervals
  • Dioxins / adverse effects*
  • Environmental Monitoring
  • Female
  • Humans
  • Lung Neoplasms / chemically induced
  • Lung Neoplasms / mortality
  • Lymphoma, Non-Hodgkin / chemically induced
  • Lymphoma, Non-Hodgkin / mortality
  • Male
  • Maximum Allowable Concentration
  • Middle Aged
  • New Zealand
  • Occupational Diseases / chemically induced
  • Occupational Diseases / mortality*
  • Occupational Exposure / adverse effects*
  • Occupational Health
  • Odds Ratio
  • Probability
  • Survival Analysis

Substances

  • Chlorophenols
  • Dioxins