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Scandinavian Journal of Work, Environment and Health - vol. 24 n° Suppl 1 -

Scandinavian Journal of Work, Environment and Health

"This report provides a review of the cadmium exposure situation in Sweden and updates the information on health risk assessment according to recent studies on the health effects of cadmium. The report focuses on the health effects of low cadmium doses and the identification of high-risk groups.
The diet is the main source of cadmium exposure in the Swedish nonsmoking general population. The average daily dietary intake is about 15 µg /day, but there are great individual variations due to differences in energy intake and dietary habits. It has been shown that a high fiber diet and a diet rich in shellfish increase the dietary cadmium intake substantially. Cadmium concentrations in agricultural soil and wheat have increased continuously during the last century. At present, soil cadmium concentrations increase by about 0.2% per year. Cadmium accumulates in the kidneys. Human kidney concentrations of cadmium have increased several fold during the last century. Cadmium in pig kidney has been shown to have increased by about 2% per year from 1984–1992. There is no tendency towards decreasing cadmium exposure among the general nonsmoking population.
The absorption of cadmium in the lungs is 10–50%, while the absorption in the gastrointestinal tract is only a few percent. Smokers have about 4–5 times higher blood cadmium concentrations (about 1.5 µg/l), and twice as high kidney cortex cadmium concentrations (about 20–30 µg/g wet weight) as nonsmokers. Similarly, the blood cadmium concentrations are substantially elevated in persons with low body iron stores, indicating increased gastrointestinal absorption. About 10–40% of Swedish women of child-bearing age are reported to have empty iron stores (S-ferritin"
"This report provides a review of the cadmium exposure situation in Sweden and updates the information on health risk assessment according to recent studies on the health effects of cadmium. The report focuses on the health effects of low cadmium doses and the identification of high-risk groups.
The diet is the main source of cadmium exposure in the Swedish nonsmoking general population. The average daily dietary intake is about 15 µg /day, but ...

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Scandinavian Journal of Work, Environment and Health - vol. 29 n° 3 -

Scandinavian Journal of Work, Environment and Health

"A meta-analysis was made of studies addressing occupational exposure to vinyl chloride in relation to cancer mortality.With SMR values ranging from 1.63 to 57.1, all six studies for which these ratios could be obtained suggested an increased risk of liver cancer. For four of these studies, excesses persisted when known cases of angiosarcoma of the liver (ASL) were excluded. The meta-SMR for liver cancers other than ASL (based on the 2 large cohorts) was 1.35 (95% CI 1.04-1.77). The meta-SMR for lung cancer was 0.90 (95% CI 0.77-1.00, based on 5 studies), although higher SMR values were reported in early studies. The meta-SMR for brain cancer, based on 5 studies, was 1.26 (95% CI 0.98-1.62). For soft tissue sarcomas, the meta-SMR based on 4 studies was 2.52 (95% CI 1.56-4.07). The meta-SMR for lymphatic and hematopoietic neoplasms in the 2 large studies was 0.90 (95% CI 0.75-1.01), although 3 of the smaller studies reported significant excesses. Apart from the known risk of ASL, workers exposed to vinyl chloride may experience an increased risk of hepatocellular carcinoma and soft-tissue sarcoma; however, these results may have been influenced by the underdiagnosis of true ASL. Increased mortality from lung and brain cancers and from lymphatic and hematopoietic neoplasms cannot be excluded; mortality from other neoplasms does not appear to be increased."
"A meta-analysis was made of studies addressing occupational exposure to vinyl chloride in relation to cancer mortality.With SMR values ranging from 1.63 to 57.1, all six studies for which these ratios could be obtained suggested an increased risk of liver cancer. For four of these studies, excesses persisted when known cases of angiosarcoma of the liver (ASL) were excluded. The meta-SMR for liver cancers other than ASL (based on the 2 large ...

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Scandinavian Journal of Work, Environment and Health - vol. 28 n° 6 -

Scandinavian Journal of Work, Environment and Health

"The incidence of cancer among employees of a Norwegian asbestos-cement factory was studied in relation to duration of exposure and time since first exposure. The factory was active in 1942-1968. Most of the asbestos in use was chrysotile, but for technical reasons 8% amphiboles were added.This study showed a high incidence of mesothelioma and a high ratio of mesothelioma to lung cancer among asbestos-cement workers. The high incidence of mesothelioma was probably due to the fact that a relatively high proportion of amphiboles was used in the production process."
"The incidence of cancer among employees of a Norwegian asbestos-cement factory was studied in relation to duration of exposure and time since first exposure. The factory was active in 1942-1968. Most of the asbestos in use was chrysotile, but for technical reasons 8% amphiboles were added.This study showed a high incidence of mesothelioma and a high ratio of mesothelioma to lung cancer among asbestos-cement workers. The high incidence of ...

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Journal of Occupational and Environmental Medicine - vol. 41 n° 1 -

Journal of Occupational and Environmental Medicine

This study estimated the proportion of lung cancer in Greece that was attributable to occupational exposure. 282 patients with lung cancer and 494 controls were interviewed about their socioeconomic characteristics: sex, age, and occupational, smoking, and residential histories. Each subject was classified as exposed or unexposed to known occupational lung carcinogens. Because of the small number of females exposed, only males were included in the multivariate analyses. After adjustment for smoking, the relative risk for lung cancer was 2.9. If 5% to 10% of the Greek population were occupationally exposed, the attributable risk would be 9.9% to 16.6%, respectively. Occupational exposures conferred an additional risk that was approximately threefold that of smoking alone. Risks increased in a dose-response fashion with increasing cigarette consumption.
This study estimated the proportion of lung cancer in Greece that was attributable to occupational exposure. 282 patients with lung cancer and 494 controls were interviewed about their socioeconomic characteristics: sex, age, and occupational, smoking, and residential histories. Each subject was classified as exposed or unexposed to known occupational lung carcinogens. Because of the small number of females exposed, only males were included in ...

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