Occupational mortality among firefighters : assessing the association.
Because of their occupational exposure to a variety of toxic agents, fire fighters may be at risk for a number of exposure-related diseases.
We reviewed the current literature on disease risk among fire fighters to compare findings and to infer magnitude of risk.
A standard mortality ratio (SMR) of 200 is equal to an attributable risk of 100% of expected, sufficient to justify presumption in most workers'compensation systems that accept this.
We therefore concentrated on risks that approach or exceed an SMR of 200 or an equivalent risk estimate, bearing in mind that confidence intervals around these estimates are wide.
Based on the criteria for presumption of occupational risk, we suggest the following conclusions with respect to general presumption of risk : (1) Lung cancer : There is evidence for an association but not of sufficient magnitude for a general presumption of risk. (2) Cardiovascular : There is no evidence for an increased risk of death overall from heart disease.
Sudden death, myocardial infarction, or fatal arrhythmia occurring on or soon after near-maximal stress on the job are likely to be heart related, but such « heart attacks » occurring away from work cannot be presumed to be work related. (3) Aortic aneurysm : The evidence is incomplete for an association, but if an association does exist, it would probably be of a magnitude compatible with a general presumption of risk. (4) Cancers of the genitourinaly tract, including kidney, ureter,...
Mots-clés Pascal : Mortalité, Epidémiologie, Exposition professionnelle, Pompier, Homme, Article synthèse, Rapport standardisé mortalité, Appareil respiratoire pathologie, Appareil circulatoire pathologie, Tumeur maligne, Médecine travail
Mots-clés Pascal anglais : Mortality, Epidemiology, Occupational exposure, Firefighter, Human, Review, Standardized mortality ratio, Respiratory disease, Cardiovascular disease, Malignant tumor, Occupational medicine
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0065415
Code Inist : 002B30A01A2. Création : 199608.