Steven Stellman - Ten-year cancer incidence in rescue/recovery workers and civilians exposed to the September 11, 2001 terrorist attacks on the World Trade Center

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      Li, J., Brackbill, R. M., Liao, T. S., Qiao, B., Cone, J. E.,   Farfel, M. R., Hadler, J. L., Kahn, A. R., Konty, K. J., Stayner,   L. T., Stellman, S. D. 59 (9) 709-21-

      Abstract: BACKGROUND: Cancer incidence in   exposed rescue/recovery workers (RRWs) and civilians (non-RRWs)   was previously reported through 2008. METHODS: We studied   occurrence of first primary cancer among World Trade Center   Health Registry enrollees through 2011 using adjusted   standardized incidence ratios (SIRs), and the WTC-exposure-cancer   association, using Cox proportional hazards models. RESULTS:   All-cancer SIR was 1.11 (95% confidence interval (CI) 1.03-1.20)   in RRWs, and 1.08 (95% CI 1.02-1.15) in non-RRWs. Prostate cancer   and skin melanoma were significantly elevated in both   populations. Thyroid cancer was significantly elevated only in   RRWs while breast cancer and non-Hodgkin's lymphoma were   significantly elevated only in non-RRWs. There was a significant   exposure dose-response for bladder cancer among RRWs, and for   skin melanoma among non-RRWs. CONCLUSIONS: We observed excesses   of total and specific cancers in both populations, although the   strength of the evidence for causal relationships to WTC   exposures is somewhat limited. Continued monitoring of this   population is indicated. Am. J. Ind. Med. 59:709-721, 2016. (c)   2016 Wiley Periodicals, Inc.

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