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PubMed1990

Mortality study of Canadian male farm operators: non-Hodgkin's lymphoma mortality and agricultural practices in Saskatchewan.

A cohort study of the mortality experience (1971-1985) of male Saskatchewan farmers has been conducted. This study involved linkage of records of the almost 70,000 male farmers identified on the 1971 Census of Agriculture and the corresponding Census of Population to mortality records. Pesticide exposure indices for individual farm operators for the year 1970 were derived from the 1971 Census of Agriculture records. Although the cohort as a whole had no excess mortality for any specific causes of death, including non-Hodgkin's lymphoma, significant dose-response relationships were noted between risk of non-Hodgkin's lymphoma and acres sprayed in 1970 with herbicides, as well as with dollars spent on fuel and oil for farm purposes in 1970. Using Poisson regression modeling, we found that relative risks for the highest level of herbicide use (greater than or equal to 250 acres sprayed) and fuel purchased in 1970 (greater than or equal to $900) on farms less than 1,000 acres total area were 2.2 (95% confidence interval = 1.0-4.6) and 2.3 (95% confidence interval = 1.1-4.7), respectively.

Adult↗
PubMed2025

Blood Pressure Genetics in Han Taiwanese With Cross-Trait Analysis in East Asians: Insights Into Comorbidities, All-Cause Mortality, and Cardiovascular Mortality.

BACKGROUND: Hypertension is a major health burden in East Asia. However, the genetic architecture and clinical implications of blood pressure (BP) traits remain underexplored beyond European-focused studies. This large-scale study aimed to investigate hypertension, systolic BP, and diastolic BP, to uncover genetic links to comorbidities and mortality in Han Taiwanese individuals. METHODS: This large-scale study used China Medical University Hospital biobank data and conducted genome-wide association studies on 25 523 hypertension cases and 47 522 controls, plus 66 236 individuals for systolic BP and 66 152 for diastolic BP. Cross-trait genetic correlations were assessed across 5 East Asian biobanks. Mendelian randomization and polygenic risk scores were applied to assess causality and predict clinical outcomes. RESULTS: We identified 8 loci and 36 genes for hypertension, 7 loci and 17 genes for systolic BP, and 9 loci and 26 genes for diastolic BP. ATP2B1 and FGF5 were common to all BP traits, implicating calcium signaling and vascular remodeling pathways. Cross-trait analyses showed shared genetic liability between BP traits and cardiovascular and metabolic comorbidities. Phenome-wide association studies confirmed strong associations with circulatory diseases. Mendelian randomization analyses demonstrated that elevated BP causally increases the risk of unstable angina pectoris. Polygenic risk scores predicted significantly higher risks and earlier onset of unstable angina pectoris, all-cause mortality, and cardiovascular mortality among individuals in the top polygenic risk score quintiles. CONCLUSIONS: Our findings highlight the genetic basis of BP and comorbidities in East Asians, suggesting that BP genetic risk may inform future approaches to early risk assessment and prevention.

Aged↗
PubMed1998

Dementia mortality in the United States. Results of the 1986 National Mortality Followback Survey.

This study sought to determine nationally representative estimates of mortality from or with dementia in the United States, to compare rates derived from various sources of ascertainment, and to estimate the contribution of dementia to morbidity and facility usage in the last year of life. National Mortality Followback Survey (NMFS) data were analyzed. The NMFS is based on a nationwide probability sample of persons aged 25 and over who died in the United States in 1986. For sampled decedents, information was obtained from death certificates, detailed questionnaires and interviews of family members, and from abstracted records of health facilities that provided care during the last year of life. Rates varied by age, race, and source of ascertainment. Rates based on death certificate diagnoses were generally an order of magnitude smaller than rates based on other sources. Alzheimer's disease was the most frequently reported cause of dementia. In the last year of life, most demented patients required assistance with multiple basic activities of daily living, had severe impairments in cognitive functioning, and received some care in general medical-surgical hospitals. Dementia is an extremely common cause of morbidity and mortality. Rates vary widely depending on the method of ascertainment; in particular, ascertainment based on death certificates grossly underestimates the magnitude of the problem.

Adult↗
PubMed2003

Studies of mortality of atomic bomb survivors. Report 13: Solid cancer and noncancer disease mortality: 1950-1997.

This continues the series of general reports on mortality in the cohort of atomic bomb survivors followed up by the Radiation Effects Research Foundation. This cohort includes 86,572 people with individual dose estimates, 60% of whom have doses of at least 5 mSv. We consider mortality for solid cancer and for noncancer diseases with 7 additional years of follow-up. There have been 9,335 deaths from solid cancer and 31,881 deaths from noncancer diseases during the 47-year follow-up. Of these, 19% of the solid cancer and 15% of the noncancer deaths occurred during the latest 7 years. We estimate that about 440 (5%) of the solid cancer deaths and 250 (0.8%) of the noncancer deaths were associated with the radiation exposure. The excess solid cancer risks appear to be linear in dose even for doses in the 0 to 150-mSv range. While excess rates for radiation-related cancers increase throughout the study period, a new finding is that relative risks decline with increasing attained age, as well as being highest for those exposed as children as noted previously. A useful representative value is that for those exposed at age 30 the solid cancer risk is elevated by 47% per sievert at age 70. There is no significant city difference in either the relative or absolute excess solid cancer risk. Site-specific analyses highlight the difficulties, and need for caution, in distinguishing between site-specific relative risks. These analyses also provide insight into the difficulties in interpretation and generalization of LSS estimates of age-at-exposure effects. The evidence for radiation effects on noncancer mortality remains strong, with risks elevated by about 14% per sievert during the last 30 years of follow-up. Statistically significant increases are seen for heart disease, stroke, digestive diseases, and respiratory diseases. The noncancer data are consistent with some non-linearity in the dose response owing to the substantial uncertainties in the data. There is no direct evidence of radiation effects for doses less than about 0.5 Sv. While there are no statistically significant variations in noncancer relative risks with age, age at exposure, or sex, the estimated effects are comparable to those seen for cancer. Lifetime risk summaries are used to examine uncertainties of the LSS noncancer disease findings.

Adolescent↗
PubMed1990

The association of corneal arcus with coronary heart disease and cardiovascular disease mortality in the Lipid Research Clinics Mortality Follow-up Study.

The relationship between corneal arcus (arcus senilis) and mortality from coronary heart disease (CHD) and cardiovascular disease (CVD) is examined in a prospective study of White men (n = 3,930) and women non-hormone users (n = 2,139), ages 30-69, followed for an average of 8.4 years as part of the Lipid Research Clinics Mortality Follow-up Study. After excluding those with clinically manifest CHD at baseline, corneal arcus was strongly associated with CHD and CVD mortality only in hyperlipidemic men ages 30-49 years, for whom the relative risk for CHD and CVD death was 3.7 and 4.0, respectively, after adjusting for age, total cholesterol, HDL cholesterol, and smoking status using a Cox proportional hazards model. Among 30-49 year old males, corneal arcus appears to be a prognostic factor for CHD, independent of its association with hyperlipidemia in this age-group, of about the same magnitude as other common risk factors, underscoring the usefulness of corneal arcus as a prognostic factor to the practicing clinician.

Adult↗
PubMed1998

Putative spawner-isolated mortality virus associated with mid-crop mortality syndrome in farmed Penaeus monodon from northern Australia.

Beginning in 1994, farms in northern Australia experienced a higher than normal mortality rate in 12 to 15 g prawns from growout ponds. The farmers named this problem mid-crop mortality syndrome (MCMS). Intramuscular injection of filtered (450 nm), cell-free extracts of moribund prawns from these ponds killed healthy prawns between 5 to 30 d post-injection. A 20 nm virus was visualized by electron microscopy from a 1.4 g ml-1 band recovered from caesium chloride gradients of extracts from the moribund prawns. DNA was extracted from this band, restriction enzyme digested and ligated into pGEM7zf(+) vector. A digoxigenin-labelled polymerase chain reaction (PCR)-generated, gene probe was subsequently prepared by amplifying an inserted sequence (approximately 2 kb) of one selected clone specific for the virus. Specimens of the moribund prawns stained positively by in situ DNA hybridization in endodermal tissues, including the apical ends of hepatopancreatic tubules, the midgut and hindgut caecae, the midgut, and the hindgut folds. In prawns that showed haemocytic enteritis, some haemocytes in the affected midgut showed limited staining. The positively-staining cells showed no cytolysis. In prawns injected with cell-free viral extracts, additional tissues were positive by probe analysis, including strong staining in the male reproductive tract, specifically in the terminal ampoule and the medial vas deferens. Limited staining also occurred in the ovary and in both the stromal matrix and spheroid cells of the lymphoid organ. It was evident that the infection was enteric by natural pathways and systemic by injection. Historical specimens of Penaeus monodon experimentally infected with spawner-isolated mortality virus (SMV) were probe-positive in exactly the same pattern as the naturally and experimental MCMS prawns. Altogether, the evidence suggested that the MCMS agent was a parvo-like virus very similar or identical to SMV.

Animals↗
PubMed1980

Australian cancer mortality from 1950 to 1977: analysis of the national mortality statistics.

Australian cancer mortality from 1950 to 1977 has been analysed for trend. While mortality rates from "all causes" in both sexes are declining, there has been little decline in mortality rates from all malignant neoplasms in women, and an actual increase in male rates. Most notable are the increasing death rates from cancer of the lung, and declining death rates from cancer of the cervix.

Adult↗
PubMed2002

Hormone replacement therapy after a diagnosis of breast cancer: cancer recurrence and mortality.

OBJECTIVE: To determine whether hormone replacement therapy (HRT) after treatment for breast cancer is associated with increased risk of recurrence and mortality. DESIGN: Retrospective observational study. PARTICIPANTS AND SETTING: Postmenopausal women diagnosed with breast cancer and treated by five Sydney doctors between 1964 and 1999. OUTCOME MEASURES: Times from diagnosis to cancer recurrence or new breast cancer, to death from all causes and to death from primary tumour were compared between women who used HRT for menopausal symptoms after diagnosis and those who did not. Relative risks (RRs) were determined from Cox regression analyses, adjusted for patient and tumour characteristics. RESULTS: 1122 women were followed up for 0-36 years (median, 6.08 years); 154 were lost to follow-up. 286 women used HRT for menopausal symptoms for up to 26 years (median, 1.75 years). Compared with non-users, HRT users had reduced risk of cancer recurrence (adjusted relative risk [RR], 0.62; 95% CI, 0.43-0.87), all-cause mortality (RR, 0.34; 95% CI, 0.19-0.59) and death from primary tumour (RR, 0.40; 95% CI, 0.22-0.72). Continuous combined HRT was associated with a reduced risk of death from primary tumour (RR, 0.32; 95% CI, 0.12-0.88) and all-cause mortality (RR, 0.27; 95% CI, 0.10-0.73). CONCLUSION: HRT use for menopausal symptoms by women treated for primary invasive breast cancer is not associated with an increased risk of breast cancer recurrence or shortened life expectancy.

Breast Neoplasms↗
PubMed2001

Cohort mortality study of North American industrial sand workers. I. Mortality from lung cancer, silicosis and other causes.

BACKGROUND: In 1997 a Working Group of the International Agency for Research on Cancer changed an earlier classification of crystalline silica as a human carcinogen from Group 2A to Group 1, though commenting that the carcinogenicity might vary with industrial circumstances and depend on additional factors affecting biological activity, including the distribution of its polymorphs. OBJECTIVE: We aimed to determine whether pure quartz exposure uncomplicated by the presence of other contaminating carcinogens, as experienced by workers in the production of high-grade industrial sand, was causally related to an increased risk of lung cancer. METHODS: A cohort of 2670 men employed before 1980 for 3 years or more in one of nine North American sand-producing plants and a large associated office complex was selected for study. Of the cohort, 2644 (99%) were traced through 1994, and certificated cause of death ascertained for 1025 (99%) of the 1039 men known to have died. Standardised mortality ratios (SMRs) were calculated for the main causes of death, using both US and state or provincial male mortality rates for reference. FINDINGS: The main analyses of deaths, 20 or more years after first employment against regional rates, gave the following SMRs: all causes 109, lung cancer 139, other malignancies 98, non-malignant respiratory disease 161, and nephritis/nephrosis 244. There were, in total, 37 deaths from silicosis or silico-tuberculosis, with one or more death at least in all nine production plants. Analyses failed to show any relation between lung cancer risk and duration of employment. The increased SMR for lung cancer was wholly due to high rates in four plants in two states, whereas no increase was found in the remainder of the cohort. CONCLUSION: In the absence of information on smoking histories and risk in relation to estimated exposure, the increased SMR for lung cancer (139), although statistically significant, cannot be attributed confidently to crystalline silica. An answer to the question of attributability must await the findings of the nested case-control study, in which level of exposure and smoking habits were ascertained for cases and matched controls. The strong indication in this cohort of excess mortality from non-malignant renal disease deserves further investigation.

Adult↗
PubMed1975

Dairy calf mortality rate: influence of management and housing factors on calf mortality rate in Tulare County, California.

Data on calf mortality, calving site, calf-rearing facilities, and calf-management procedures were collected from 16 dairy farms in Tulare County, California. Discriminant analyses were used to test if any significant differences in these factors existed between farms with higher than average and farms with lower than average death losses. The average mortality rate over a period of at least 2 years on individual farms varied from a low of 3.5 +/- 1.1% to a high of 30.6 +/- 3.1%. Calf management personnel was the only factor significantly related to the mortality rate, with considerably fewer death losses on farms where the owner managed the calves than on farms where employees performed these duties. In general, other factor categories relating to size of the cow herd, calving site, and calf housing were not related significantly to calf deaths. The average number of heifer calves born each year on individual farms was increasing year by year, and on some farms, there seemed to be a concomitant increase in death losses. This, together with the tendency toward greater number of deaths on the larger owner-managed farms, indicated that calf care was diluted under these conditions.

Animals↗
PubMed1975

Dairy calf mortality rate: influence of meteorologic factors on calf mortality rate in Tulare County, California.

Monthly calf mortality data for a period of 5.5 years in Tulare County, California, were compared with monthly summarized weather data for that county, using multivariate statistical techniques. In winter, increases in the calf mortality rate (CMR) were significantly associated with cold, wet, windy weather; in summer, greater death losses were associated with hot, dry weather. In general, the calf losses in winter seemed more closely related to weather phenomenon than those in summer. The CMR during a 6-month period (July to December, 1973) were predicted, using equations containing data on the more important weather variables. The predicted CMR significantly differed from the observed death rate during July through September. During October through December, the predicted and observed CMR did not significantly differ. An increase in mortality rate was not predicted for winter, mainly because of low rainfall, and none occurred.

Animals↗
PubMed2000

Mortality in two recent reports of clinical trials on patients with congestive heart failure compared with mortality in three previous clinical trials.

BACKGROUND: Several clinical trials of drug treatment of patients with congestive heart failure (CHF) have previously been reported as Mortality Abstracts in the Journal of Insurance Medicine. Results are presented here for two similar clinical trials reported in September 1999 and compared with the previous results. RESULTS: In a recent international multicenter clinical trial, excess mortality in terms of excess death rates (EDRs) was reduced from 195 per 1000 per year in the placebo group to 139 in the group treated with Spironolactone. There was no significant reduction in the Danish multicenter study of Dofetilide to convert the atrial fibrillation (AF) to a normal rhythm in the 25% of the CHF patients who had AF (EDR was 224 in the placebo group and 216 in the Dofetilide group). In both of these studies, there were more patients with severe CHF than in the previous studies and the EDR values were higher. Results from the Danish study by severity according to the New York Heart Association (NYHA) classification show a progressive increase in EDR from 173 in class 2 to 237 in class 3 to 392 in class 4. CONCLUSION: Excess mortality in symptomatic CHF is far outside the issue limits for individual life insurance, but these results are of potential utility for the underwriting of such cases for structured settlement annuities.

Aged↗
PubMed1987

Studies of the mortality of A-bomb survivors. 8. Cancer mortality, 1950-1982.

This study extends an earlier one by 4 years (1979-1982) and includes mortality data on 11,393 additional Nagasaki survivors. Significant dose responses are observed for leukemia, multiple myeloma, and cancers of the lung, female breast, stomach, colon, esophagus, and urinary tract. Due to diagnostic difficulties, results for liver and ovarian cancers, while suggestive of significant dose responses, do not provide convincing evidence for radiogenic effects. No significant dose responses are seen for cancers of the gallbladder, prostate, rectum, pancreas, or uterus, or for lymphoma. For solid tumors, largely due to sex-specific differences in the background rates, the relative risk of radiation-induced mortality is greater for women than for men. For nonleukemic cancers the relative risk seen in those who were young when exposed has decreased with time, while the smaller risks for those who were older at exposure have tended to increase. While the absolute excess risks of radiation-induced mortality due to nonleukemic cancer have increased with time for all age-at-exposure groups, both excess and relative risks of leukemia have generally decreased with time. For leukemia, the rate of decrease in risk and the initial level of risk are inversely related to age at exposure.

Adolescent↗
PubMed1985

Mortality among workers in the Florida phosphate industry. II. Cause-specific mortality relationships with work areas and exposures.

Small excesses of lung cancer and emphysema mortality had been detected among an historical cohort of 17,601 white and 4,722 nonwhite Florida phosphate industry workers. Internal mortality rate comparisons were made between worker subcohorts classified according to length of employment in 16 work areas and according to employment duration in jobs grouped by potential exposures to 10 agents, including alpha radiation. The only consistent associations seen were increased lung cancer mortality rates among long-term workers in plant-wide services and skilled crafts jobs. There was no evidence to support causal associations with exposures characteristic of the phosphate industry.

Adult↗
PubMed1984

[Analysis of mortality patterns in an area supplying tunnel workers away from home. Part 2. Mortality patterns among tunnel workers].

In order to clarify the long-term effect of tunnel work on the health of its workers, we examined its cause-specific mortality pattern. The subjects were 418 males who died after the age of 30 in 1977 in the southern part of Oita Prefecture, where many men come and work away from home as tunnel workers. Death certificates, 418 in number, presented to the health center were used to examine the causes of death. Occupational careers and life histories of the subjects were obtained by interviewing their families or relatives in 1980. The interviews were successfully carried out with 356 subjects (85.2%). The subjects were divided into two groups. One group was consisted of 73 males who had engaged in the tunnel work (tunnel workers) and the other was of 283 males without experience of tunnel work (others). Proportional mortality ratio (PMR) and proportional mortality classified by age were compared between the two groups. The mean ages at death were also compared among these two groups and all Japanese males over 30 years of age. The results were as follows. The proportion of the deaths of "tunnel workers" among the total deaths in the area surveyed was correlated to the regional rate of tunnel workers and the distribution of pneumoconiosis due to tunnel work. These results show that many tunnel workers suffering from pneumoconiosis had returned to their home area before they died. Excess deaths from the ICD category I; infective and parasitic diseases (000-136), tuberculosis (010-019) and silicotuberculosis (010) were found among the "tunnel workers."(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1983

Mortality and social class in New Zealand II: male mortality by major disease groupings.

Social class differences in male mortality in New Zealand were investigated for each major disease grouping. The patterns found were similar to those for England and Wales with the lower social classes having mortality rates significantly higher than those of the upper social classes for each major cause of death. The strongest social class mortality gradients were found for deaths from accidents, poisonings and violence; diseases of the respiratory system; endocrine, nutritional and metabolic diseases; diseases of the genito-urinary system; and diseases of the digestive system. The gradients for coronary heart disease and neoplasms were weaker, but in the same direction as those found for other disease groupings.

Accidents↗
PubMed1983

Fetal mortality in oral cleft families (VI): a search for early embryonic and zygotic mortality.

A hypothesis concerning the detection of early embryonic and zygotic mortality in oral cleft families is presented. It is suggested that probands from solitary pregnancies are the result of a higher liability to clefting which eliminated potential siblings prior to the conception of the proband. A positive association between the degree of liability to clefting and fetal mortality has already been established by the authors' previous work. In sibships of solitary probands, such liability is assumed to have caused early embryonic and zygotic mortality which eliminated potential siblings and recognizable fetal loss. This hypothesis can be tested by an examination of the sex-ratios in probands from solitary pregnancies and those from multiple pregnancies. For CL(P), a decrease in the proportion of males would be expected in probands from solitary pregnancies in comparison to those from multiple pregnancies. For CP, however, an increase in the proportion of males in solitary probands is expected in comparison to those from multiple pregnancies. This hypothesis is applied to 613 CL(P) probands and 317 CP probands from Indiana. Although the expected decrease (for CL(P)) and increase (for CP) in the proportion of males in solitary probands is not quite significant, the trends are in the expected directions. It is suggested that the hypothesis should be tested further with additional data on oral clefts and other similar anomalies.

Cleft Lip↗
PubMed1982

The use of mortality time series data to produce hypothetical morbidity distributions and projects mortality trends.

It is difficult to obtain direct empirical estimates of chronic disease prevalence in the U.S. population. The available estimates are usually derived from epidemiological studies of selected populations. In this paper we present strategies for estimating morbidity distributions in the national population using auxiliary biomedical evidence and theory to estimate transitions to morbidity states from a cohort mortality time series. We present computational methods which employ these estimates of morbid state transitions to produce life table functions for both primary (morbidity) and secondary (mortality) decrements. These methods are illustrated using data on stomach cancer mortality for nine white male cohorts, aged 30 to 70 in 1950, observed for a 28-year period (1950 to 1977).

Adult↗