This Work-Related Lung Disease (WoRLD) Surveillance Report is the
sixth in a series of occupational respiratory disease surveillance
reports produced by the National Institute for Occupational Safety
and Health (NIOSH). It presents summary tables and figures of
occupational respiratory disease surveillance data focusing on
various occupationally-relevant respiratory diseases, including
pneumoconioses, occupational asthma and other airways diseases, and
several other respiratory conditions. For many of these diseases,
selected data on related exposures are also presented. The 2002
WoRLD Surveillance Report has three major sections: (1) a section
that provides data highlights and data usage limitations; (2) a
section comprised of 15 subsections, each concerning a major
disease category and (where available) related occupational
exposures, and one subsection concerning smoking status; (3) a
section of appendices that provide descriptions of data sources,
methods, and other supplementary information. Similar to the 1999
WoRLD Surveillance Report, this report includes data on
hypersensitivity pneumonitis, asthma, chronic obstructive pulmonary
disease, respiratory conditions due to chemical fumes and vapors,
and other work-related respiratory conditions, in addition to the
pneumoconioses. This report updates pneumoconiosis mortality data
published in the 1999 WoRLD Surveillance Report by the addition of
currently available data for 1997 through 1999. Pneumoconiosis
conditions highlighted include asbestosis, coal workers'
pneumoconiosis, silicosis, byssinosis, and pneumoconiosis coded as
either "unspecified" or "other," and all pneumoconioses aggregated.
The current report presents data on conditions not included in
earlier reports (e.g., malignant mesothelioma, lung cancer, and
other interstitial pulmonary disease), plus data on smoking status
by industry and occupation. For many of the conditions reported on,
the 2002 WoRLD Surveillance Report presents national and state
summary statistics such as counts, crude and age-adjusted mortality
rates, and years of potential life lost to age 65 and to life
expectancy. Proportionate mortality ratios by industry and
occupation are based on the most recent decade of data from a
subset of states for which usual industry and occupation have been
coded for decedents. Also presented are U.S. state- and
county-level maps showing the geographic distribution of mortality
and, for the pneumoconioses, tables and figures summarizing
selected occupational exposure data for asbestos, coal mine dust,
silica dust, cotton dust, etc.
General
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