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Mortalities of workers at the Nitro plant with exposure to 2-mercaptobenzothialzole
J J Collins1, M E Strauss, S G Riordan
1j.collins@Solutia.com
Objectives:
An update of a study of workers exposed to 2-mercaptobenzothiazole (MBT) at a rubber chemicals plant in Nitro, West Virginia is reported. The earlier study found high rates of lung cancer, prostate cancer, and bladder cancer in these workers who also had potential exposure to 4-aminobiphenyl (PAB), a potent bladder carcinogen.
Methods:
This cohort mortality study examines the mortalities of 1059 full time white male production workers employed at the plant from 1955 to 1977. A detailed exposure assessment was done on the 600 workers with exposure to MBT. Nine years of additional follow up to the previous study are added.
Results:
It was found that MBT workers have expected rates of lung (standardised mortality ratio (SMR) = 1.0 95% confidence interval (95% CI) 0.7 to 1.5) and prostate (SMR = 0.9, 95% CI 0.2 to 2.3) cancer. There was an excess of bladder cancer among MBT workers who had definite exposure to PAB (SMR = 27.1, 95% CI 11.7 to 53.4), and MBT workers with potential exposure to PAB (SMR = 4.3, 95% CI 1.4 to 10.0). However, there were no deaths from bladder cancer among workers with no exposure to PAB (SMR = 0.0, 95% CI 0.0 to 24.7), although there were only 0.2 deaths expected.
Conclusions:
The potential confounding of exposure to an unknown portion of PAB in the MBT workers makes it impossible to evaluate risk of bladder cancer in this population at this time. However, exposure to MBT does not seem to increase the risk of most cancers including cancers of the lung and prostate.
Insights
This study found that 2-mercaptobenzothiazole (MBT) exposure did not increase lung or prostate cancer risk. However, bladder cancer risk was elevated in workers with 4-aminobiphenyl (PAB) exposure, confounding MBT
Area of Science:
- Occupational health
- Chemical toxicology
- Epidemiology
Background:
- Previous studies indicated potential links between 2-mercaptobenzothiazole (MBT) exposure and increased risks of lung, prostate, and bladder cancers.
- Workers at a rubber chemicals plant were exposed to MBT and potentially to 4-aminobiphenyl (PAB), a known bladder carcinogen.
Purpose of the Study:
- To update a cohort mortality study of workers exposed to MBT.
- To investigate cancer risks, specifically lung, prostate, and bladder cancers, associated with MBT exposure.
- To assess the impact of potential co-exposure to PAB.
Main Methods:
- A cohort mortality study of 1059 male production workers from 1955-1977.
- Detailed exposure assessment for 600 workers with MBT exposure.
- Nine additional years of follow-up data were incorporated.
Main Results:
- No increased risk of lung (SMR = 1.0) or prostate cancer (SMR = 0.9) was observed in MBT-exposed workers.
- A significant excess of bladder cancer was found in MBT workers with definite (SMR = 27.1) and potential (SMR = 4.3) PAB exposure.
- No bladder cancer deaths occurred in MBT workers with no PAB exposure (SMR = 0.0).
Conclusions:
- Exposure to MBT alone does not appear to elevate the risk of lung or prostate cancer.
- The risk of bladder cancer in MBT-exposed workers cannot be definitively evaluated due to confounding PAB exposure.
- Further research is needed to isolate the specific risks associated with MBT exposure without PAB co-exposure.
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