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Mortality amongst Paris fire-fighters

S Deschamps1, I Momas, B Festy

  • 1Laboratoire d'Hygiene et de Sante Publique, Faculte des Sciences Pharmaceutiques et Biologiques, Paris, France.

European Journal of Epidemiology
|December 1, 1995
PubMed
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Paris firefighters had lower overall mortality than the general French male population. However, elevated risks for genito-urinary cancer and cerebrovascular disease warrant further investigation in this cohort.

Area of Science:

  • Occupational Health
  • Epidemiology
  • Toxicology

Background:

  • Firefighting involves exposure to various hazardous substances and conditions.
  • Understanding the long-term health effects on firefighters is crucial for occupational safety.
  • Previous studies on firefighter mortality have yielded mixed results.

Purpose of the Study:

  • To investigate the association between firefighting occupation and cause-specific mortality.
  • To conduct the first mortality cohort study of firefighters in France.
  • To compare mortality rates of Paris firefighters with the general French male population.

Main Methods:

  • A cohort of 830 male firefighters from the Brigade des sapeurs-pompiers de Paris (BSPP) was established.
  • Participants had served a minimum of 5 years by January 1, 1977.

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  • The cohort was monitored for 14 years, from January 1, 1977, to January 1, 1991.

    • Main Results:

    • Firefighters exhibited significantly lower overall mortality (Standardized Mortality Ratio [SMR] = 0.52).
    • No cause-specific SMRs were significantly different from unity.
    • Elevated SMRs were observed for genito-urinary cancer (3.29), digestive cancer (1.14), respiratory cancer (1.12), and cerebrovascular disease (1.16).

    Conclusions:

    • The lower overall mortality is likely influenced by the healthy worker effect.
    • Increased risks for specific cancers and cerebrovascular diseases require further study.
    • Continued follow-up of this cohort is necessary to validate these cause-specific findings.