Infant leukemia and paternal exposure to motor vehicle exhaust fumes

The children of fathers who work in gas stations, automobile or truck repair, and aircraft maintenance appear to be at increased risk for acute leukemia during their first year of life. The odds ratio was found to be about 2.5 overall, but risk appears to be greater for female offspring. A decline in sex ratio was observed for the three decades of the study, with the lowest ratio observed from 1969 through 1978. These preliminary findings suggest that exposure to one or more of the components of exhaust fumes might be of etiologic importance for this malignancy. The limitations of this investigation are discussed.