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© 1996 Oxford University Press

research-article

Cancer Incidence among Icelandic Pesticide Users

YUNA ZHONG*,** and VILHJÁLMUR RAFNSSON**,{dagger},

*Institute of Occupational Medicine, Chinese Academy of Preventive Medicine Beijing, People's Republic of China
**Department of Occupational Medicine, Administration of Occupational Safety and Health Reykjavfk, Iceland
{dagger}Department of Preventive Medicine, University of Iceland Reykjavfk, Iceland

Reprint requests: Vilhjálmur Rafnsson, Department of Occupational Medicine, Administration of Occupational Safety and Health, PO Box 12220, 132 Reykjavfk, Iceland.

Zhong Y (Institute of Occupational Medicine, Chinese Academy of Preventive Medicine, Beijing, People's Republic of China) and Rafnsson V. Cancer Incidence among Icelandic pesticide users. International Journal of Epidemiology 1996; 25: 1117–1124;

BACKGROUND: This study was done to examine the cancer risk among pesticide users in Iceland.

METHODS: We have followed a cohort of 2449 licensed pesticide users, students from a horticultural college, members of a pension fund for market gardenrs, horticulturists and vegetable farmers up until the end of 1993 In the Icelandic Cancer Registry of cancer incidence. The observed number of cancers was compared with expected values calcualted on the basis of cancer incidence for males and females in Iceland.

RESULTS: The standardized incidence ratio (SIR) for all cancer sites was 0.80. Among females the increased incidence for cancer of lymphatic and haematopoietic tissue was significant (SIR = 5.56, 95% confidence interval (CI) 1.12–16.23). The incidence of rectal cancer was three times that expected (SIR = 4.63, 95% CI: 1.49–10.80). All cancers of the rectum were adenocarcinoma, however, one was adenocarcinorna in villous adenoma and one adenocarcinoma in tubulo-villous adenorna.

CONCLUSION: The results provide some support for the suggestion that pesticide exposure may lead to cancer of the lymphatic and haematopoietic tissue in females. We suggest that some of the pesticides to which the licensed pesticide users were exposed may lead to rectal cancer.

Keywords cancer registry, pesticide, phenoxy acetic acids, rectal cancer, adenoma, adenocarcinoma

Revised 1 June 1996


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