Mortality from Parkinson’s disease and other causes among a workforce manufacturing paraquat: an updated retrospective cohort study

Abstract Background Epidemiological studies of the association between Parkinson’s disease (PD) and paraquat (PQ) exposure have given inconsistent findings. The aim of the study was to update information on the risk of PD and mortality from major causes of death among a UK workforce who manufactured...

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Main Authors: John Andrew Tomenson, Clive Campbell
Format: Article
Language:English
Published: BMC 2021-05-01
Series:Journal of Occupational Medicine and Toxicology
Subjects:
Online Access:https://doi.org/10.1186/s12995-021-00309-z
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author John Andrew Tomenson
Clive Campbell
author_facet John Andrew Tomenson
Clive Campbell
author_sort John Andrew Tomenson
collection DOAJ
description Abstract Background Epidemiological studies of the association between Parkinson’s disease (PD) and paraquat (PQ) exposure have given inconsistent findings. The aim of the study was to update information on the risk of PD and mortality from major causes of death among a UK workforce who manufactured PQ by extending the follow-up by seven and a half years. Methods This retrospective cohort study included all employees who had ever worked on any of the four plants at Widnes, UK where PQ was manufactured between 1961 and 1995. The 926 male and 42 female workers were followed through 31 December 2017. Mortalities for males were compared with national and local rates, including rates for PD as a mentioned cause of death. Results A total of 394 male and 21 female workers had died by end of follow-up. Four death certificates of male workers mentioned PD, including two deaths that were due to PD. At least 6 death certificates of male employees would have been expected to have mentioned PD (SMR = 0.67; 95% CI 0.18–1.72). Reduced mortalities compared with local rates were found for major causes of death. Conclusions The study provided no evidence of an increased risk of PD, or increased mortalities from other causes among PQ production workers whose exposure to PQ on a daily basis was at least comparable to that of a PQ sprayer or mixer/loader.
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spelling doaj.art-d76bc3d89f8845ec9ab25021c6f7b4f02022-12-22T03:09:36ZengBMCJournal of Occupational Medicine and Toxicology1745-66732021-05-011611810.1186/s12995-021-00309-zMortality from Parkinson’s disease and other causes among a workforce manufacturing paraquat: an updated retrospective cohort studyJohn Andrew Tomenson0Clive Campbell1Causation LtdSyngenta Crop Protection AGAbstract Background Epidemiological studies of the association between Parkinson’s disease (PD) and paraquat (PQ) exposure have given inconsistent findings. The aim of the study was to update information on the risk of PD and mortality from major causes of death among a UK workforce who manufactured PQ by extending the follow-up by seven and a half years. Methods This retrospective cohort study included all employees who had ever worked on any of the four plants at Widnes, UK where PQ was manufactured between 1961 and 1995. The 926 male and 42 female workers were followed through 31 December 2017. Mortalities for males were compared with national and local rates, including rates for PD as a mentioned cause of death. Results A total of 394 male and 21 female workers had died by end of follow-up. Four death certificates of male workers mentioned PD, including two deaths that were due to PD. At least 6 death certificates of male employees would have been expected to have mentioned PD (SMR = 0.67; 95% CI 0.18–1.72). Reduced mortalities compared with local rates were found for major causes of death. Conclusions The study provided no evidence of an increased risk of PD, or increased mortalities from other causes among PQ production workers whose exposure to PQ on a daily basis was at least comparable to that of a PQ sprayer or mixer/loader.https://doi.org/10.1186/s12995-021-00309-zParkinson’s diseaseParaquatCohort studyMortality studyPesticides
spellingShingle John Andrew Tomenson
Clive Campbell
Mortality from Parkinson’s disease and other causes among a workforce manufacturing paraquat: an updated retrospective cohort study
Journal of Occupational Medicine and Toxicology
Parkinson’s disease
Paraquat
Cohort study
Mortality study
Pesticides
title Mortality from Parkinson’s disease and other causes among a workforce manufacturing paraquat: an updated retrospective cohort study
title_full Mortality from Parkinson’s disease and other causes among a workforce manufacturing paraquat: an updated retrospective cohort study
title_fullStr Mortality from Parkinson’s disease and other causes among a workforce manufacturing paraquat: an updated retrospective cohort study
title_full_unstemmed Mortality from Parkinson’s disease and other causes among a workforce manufacturing paraquat: an updated retrospective cohort study
title_short Mortality from Parkinson’s disease and other causes among a workforce manufacturing paraquat: an updated retrospective cohort study
title_sort mortality from parkinson s disease and other causes among a workforce manufacturing paraquat an updated retrospective cohort study
topic Parkinson’s disease
Paraquat
Cohort study
Mortality study
Pesticides
url https://doi.org/10.1186/s12995-021-00309-z
work_keys_str_mv AT johnandrewtomenson mortalityfromparkinsonsdiseaseandothercausesamongaworkforcemanufacturingparaquatanupdatedretrospectivecohortstudy
AT clivecampbell mortalityfromparkinsonsdiseaseandothercausesamongaworkforcemanufacturingparaquatanupdatedretrospectivecohortstudy