ff. Male Occupational Mortality innew-.zealand-.-. Marianne Linton Barry Borman John Findlay 1 IIIMIIII U M STACK TACK

Transcription

1 1 IIIMIIII U M cn L STACK Male Occupational Mortality innew-.zealand ff. TACK Marianne Linton Barry Borman John Findlay National Health Statistics Centre Department of Health, New Zealand MOH Library

2 MALE OCCUPATIONAL MORTALITY IN NEW ZEALAND Marianne Linton BSc, Barry Borman PhD, John Findlay DHA (Th?i9 IMENI OF HEALTH VVEL1iiGTON

3 ACKNOWLEDGMENTS The contributions of V Bootham, M de Boer, H Gerrard, and C Prebble are gratefully acknowledged. DISCLAIMER Opinions expressed in this report are those of the authors and do not necessarily represent the views of the Department of Health.

4 FOREWORD This report is intended to provide the basis for further research rather than be a definitive statement about occupational mortality in New Zealand. It presents, therefore, a collection of tables on male occupational mortality in NZ during Table 1 summarises the salient features of the extensive appendix tables and comment has been restricted to these highlights.

5 CONTENTS page Introduction and Methodology 1 Discussion 3 Table 1: Summary Table 7 Appendix 1 Professional, Technical, and Related Workers Appendix Administrative and Managerial Workers 4 Appendix 3: Clerical and Related Workers 44 Appendix 4: Sales Workers 56 Appendix 5: Service Workers 64 Appendix 6: Agricultural, Animal Husbandry and Forestry Workers, Fishermen, Hunters 76 Appendix 7 Production and Related Workers, Transport Equipment Operators and Labourers 8 Appendix 8: Others 114 Appendix 9: Mortality Codes 118 Appendix 1: Occupation Codes 1

6 INTRODUCTION An association between occupation and health has been recognised for centuries. As early as 1713 Ramazzini, the father of occupational medicine, produced a general work on the health effects of over sixty occupations(1). In 1775, Pott discovered a relationship between scrotal cancer and chimney sweeping. Farr's work in Britain lead to the ten-yearly publication of the Registrar General's Occupational Mortality Supplement in 1851 (1). Epidemiological studies of occupational health have identified a number of health risks in specific occupations. For example, pneumoconiosis in coalworkers-(), lung cancer among chromate workers, mesothelioma, lung and gastrointestinal cancer in asbestos workers (3). The purposes of this study are to describe the pattern of male occupational mortality in NewZealand during , and to provide the stimulus for the future investigation of specific aetiological hypotheses. The study, therefore, extends the previous work by Copplestone and Rose (4) and Pearce et al (5). METHODOLOGY This study was limited to the mortality among males aged -64 years. The numerator data on various causes of death (Appendix 9) were extracted from the National Health Statistics Centre computer tapes containing records of all deaths registered in New Zealand during The cause of death was classified according to the 9th revision of the International Classification of Diseases (ICD-9). The denominator data, i.e. all males aged -64 in the full-time labour force, were obtained from the 1981 New Zealand Census and supplied on computer tape by the Department of Statistics. Occupations in both the numerator and denominator were classified according to the New Zealand Standard Classification of Occupations (6). Differential reporting of a person's occupation on census forms and death certificates has been found to be a minor bias in Britain (7). The general effect is to reduce, rather than increase the observed mortality gradient (8). No assessment could be made of the effects of a previous occupation. The indirect method of standardisation was used to adjust for differences between the age structures of the various occupations. EPILOG (9) was used to calculate a standardised mortality ratio (SMR) and the accompanying 95% confidence interval. BIBLIOGRAPHY 1. Hunter D. The Diseases of Occupations. London: The English Universities Press Ltd, Textbook of Occupational Medicine, Eds Howard JK, Tyrer FH. Edinburgh: Churchill Livingstone, Mausner JS, Bahn AK. Epidemiology. Philadelphia: WB Saunders Company, 1974.

7 II 4.Copplestone JF, Rose RJ. Occupational MQrtality among mate population other than Maori, to 64 years of age. Department of Health Special Report Series No 8, Pearce NE, Howard KJ. Occupational Mortality in New Zealand Males Community Health Stud 1985; 9: Department of Statistics. New Zealand Standard of Occupations. Wellington: Department of Statistics, Alderson MR. Occupational Cancer. London: Butterworth & Co (Publishers) Ltd, Pearce NE, Davis PB, Smith AH, Foster FH. Mortality and Social Class in New Zealand 1: Overall Male Mortality. NZ Med J 1983;96: Epicenter Software. EPILOG, version

8 DISCUSSION These comments highlight the salient features of table one (page 7), which summarises the comprehensive tables in the appendices. TOTAL MORTALITY Clerical, sales and related workers, legislative and government administration officials, jurists, teachers, accountants, architects, engineers, life scientists, medical, dental, veterinary and related technicians recorded fewer deaths than the national population. There was also a favourable mortality among housestaff and related housekeeping service workers, protective service workers, building caretakers, charworkers, cleaners, farmers, agricultural, animal husbandry workers, farm managers and supervisors. Fewer than expected deaths were recorded among production supervisors, general foremen, metal processers, chemical processers, tanners, felimongers, peltdressers, electrical fitters and related electrical and electronics workers, rubber and plastic product makers, printers, stationary engine and related equipment operators. In contrast, there was high total mortality among working proprietors (catering and lodging services), cooks, waiters, bartenders, hairdressers, barbers, beauticians, fishermen, hunters and forestry workers, aircraft and ships officers, miners, quarrymen, well drillers, spinners, weavers, knitters, dyers, food and beverage processers, painters, bricklayers, carpenters and other construction workers, transport equipment operators, and labourers not elsewhere classified (n.e.c.). CAUSE SPECIFIC MORTALITY Professional, Technical and Related Workers While aircraft and ships officers had a high number of deaths from injury and poisoning, the mortality was low among accountants, medical, dental, veterinary professions and related technicians. Accountants also experienced a low number of deaths from cancer. Few deaths from injury and poisoning were experienced by teachers, architects, engineers and related technicians. These occupations recorded a low mortality from lung cancer, ischaemic heart disease, motor vehicle accidents, and respiratory diseases. Teachers had few deaths from suicide and cerebrovascular disease, and there was a low risk of death from diseases of the circulatory system among sculptors, painters, photographers and related creative artists. There was a high mortality from melanoma of the skin among architects, engineers and related technicians, and from cancer of the brain among workers in religion. Life scientists, jurists, medical, dental, veterinary and related technicians experienced few deaths from ischaemic heart disease. Lung cancer mortality was low amongst accountants, medical, dental, veterinary and related technicians.

9 Administrative and Managerial Workers Managers were at a low risk of death from diseases of the respiratory and nervous systems, endocrine, nutritional and metabolic diseases and other immunity disorders, cirrhosis of the liver, non-ischaemic/non-hypertensive heart disease, and injury and poisoning. However, they had a high mortality from ischaemic heart disease, and cancers of the large bowel and lymphatic system. Clerical and Related Workers There was a low number of deaths from cancer and ischaemic heart disease among clerical supervisors and government executive officials, mail distribution clerks, and bookkeepers, cashiers and related workers. Bookkeepers, cashiers and related workers also experienced a low mortality from injury and poisoning, motor vehicle accidents, diseases of the respiratory system, and lung cancer. The risk from lung cancer was low among government executive officials. Transport and communication supervisors had an elevated risk from cancer of the kidney, but a favourable mortality from injury and poisoning. Clerical and related workers n.e.c. were at low risk from injury and poisoning, motor vehicle accidents, endocrine, nutritional and metabolic diseases, and immunity disorders. Sales Workers The mortality from lung cancer, ischaemic heart disease, injury and poisoning was low among insurance, real estate, securities, business services salespersons, auctioneers, managers (wholesale and retail trade), salespersons, shop assistants and related workers. The risk of death was low among working proprietors (wholesale and retail trade) from injury and poisoning, but the number of deaths from ischaemic heart disease and cirrhosis of the liver exceeded the New Zealand average. Mortality from diseases of the respiratory system was favourable amongst managers (wholesale and retail trade), working proprietors (wholesale and retail trade), salespersons, shop assistants and related workers. Technical salespersons, commercial travellers, and manufacturers agents experienced few deaths from injury and poisoning, ischaemic heart disease, motor vehicle accidents, and suicide. The mortality from motor vehicle accidents was also low among salespersons, shop assistants and related workers. Sales supervisors and buyers recorded few deaths from malignant neoplasms and ischaemic heart disease.

10 Service Workers Mortality from ischaemic heart disease was low among managers (catering and lodging services), building caretakers, charworkers, cleaners, and related workers, but high for working proprietors (catering and lodging services). Building caretakers, charworkers, cleaners and related workers recorded few deaths from malignant neoplasms, diseases of the respiratory system, injury and poisoning, and cancers of the lung and large bowel. Protective service workers (e.g. Fire fighters, Police, warders, guards and those in the armed forces) had a low mortality from motor vehicle accidents, and injury and poisoning, but a high number of deaths from cancers of the stomach, pancreas, bladder, and the large bowel. Cooks, waiters, bartenders and related woikers experienced an adverse mortality from diseases of the circulatory and respiratory system, cancer of the lip, and cirrhosis of the liver. Agricultural, Animal Husbandry and Forestry Workers, Fishermen, Hunters The mortality from malignant neoplasms and ischaemic heart disease was low among farmers, farm managers and supervisors, agricultural, and animal husbandry workers. Farmers experienced a low risk of death from diseases of the respiratory and digestive systems, cerebrovascular disease, pneumonia and influenza, cirrhosis of the liver, and cancers of the lip and lung. This occupational group also had a high risk for cancer of the lymphatic system. Deaths from motor vehicle accidents, suicide, injury and poisoning were above the national average for fishermen, hunters and related workers. There was a high mortality among forestry workers from homicide, malignant neoplasms, respiratory and circulatory system diseases, motor vehicle accidents, and injury and poisoning. Production and Related Workers, Transport Equipment Operators and Labourers Plumbers, welders, sheet metal and structural metal preparers and erectors, spinners, weavers, knitters, dyers and related workers had a high number of deaths from malignant neoplasms. Cancer mortality was low among stationary engine and related equipment operators. Deaths from circulatory system diseases were low for metal processers, electrical fitters and related electrical and electronics workers. However, food and beverage processers experienced a high risk from this cause of death, as well as from cancers of the oesophagus and lung, and non- Ischaemic/non-hypertensive heart disease. The mortality from respiratory system diseases among blacksmiths, toolmakers, machine tool operators and transport equipment operators exceeded the national average. In contrast, production supervisors and general foremen, electrical fitters and related electrical and electronics workers had a favourable mortality from this cause of death. The number of deaths from injury and poisoning were high for transport equipment operators, miners, quarrymen, well drillers and related workers, but low for production supervisors and general foremen, electrical fitters and related electrical and electronics workers. Occupations with a high lung cancer mortality included bricklayers, carpenters and other construction workers, painters, transport equipment operators, miners, quarrymen, and well drillers and related workers. However, there were few deaths from cancer of the lung and motor vehicle accidents among electrical fitters and related electrical and electronics workers.

11 1 The mortality from ischaemic heart disease was low for stationary engine and related equipment operators, but high for machinery fitters, machine assemblers and precision-instrument makers (except electrical). Transport and equipment operators had an adverse mortality from ischaemic heart disease, digestive system diseases, motor vehicle accidents, cerebrovascular disease, and asthma. Bricklayers, carpenters and other construction workers experienced a high number of deaths from stomach cancer and diseases of the arteries. The death rate from cancer of the kidney was high among painters.

12 7 TABLE ONE: SUMMARY OF MALE OCCUPATIONAL MORTALITY, , AGED BY CAUSE OF DEATH Professional, Technical and Related Workers Architects, Engineers and Related Technicians Deaths SMA 95%Cl Circulatory System Diseases Respiratory System Diseases Injury & Poisoning Lung Cancer etc Malignant Melanoma of the Skin Ischaemic Heart Disease Motor Vehicle Accidents All Deaths Aircraft and Ships Officers injury & Poisoning All Deaths Life Scientists and Related Technicians Circulatory System Diseases lschaemic Heart Disease 15 All Deaths Medical, Dental, Veterinary and Related Technicians Malignant Neoplasms 6 Circulatory System Diseases 1 Injury & Poisoning 39 Lung Cancer etc. 1 Ischaemic Heart Disease 84 All Deaths Jurists Circulatory System Diseases lschaemic Heart Disease All Deaths

13 8 Professional, Technical and Related Workers continued Teachers Deaths SMR 95% C I Malignant Neoplasms Circulatory System Diseases Respiratory System Diseases Injury & Poisoning Lung Cancer etc Ischaemic Heart Disease Cerebrovascular Disease Motor Vehicle Accidents Suicide All Deaths Workers in Religion Brain Cancer Sculptors, Painters, Photographers and Related Creative Artists Circulatory System Diseases Professional, Technical n.e.c. and Related Workers Malignant Neoplasms 36 All Deaths Accountants Malignant Neoplasms Injury & Poisoning Lung Cancer etc. All Deaths

14 9 Administrative and Managerial Workers Deaths SMR 95%Cl Legislative and Government Administration OflicialS All Deaths Managers Malignant Neoplasms Endocrine Diseases etc. Nervous System Diseases etc. Respiratory System Diseases Injury & Poisoning Large Bowel Cancer Lymphatic Cancer etc. lschaemic Heart Disease Other forms of Heart Disease Cirrhosis of the Liver etc

15 1 Clerical and Related Workers Clerical and Related Workers not elsewhere classified Deaths SMR 95% C I Endocrine Diseases etc Injury & Poisoning Motor Vehicle Accidents All Deaths Clerical Supervisors Malignant Neoplasms Circulatory System Diseases lschaemic Heart Disease All Deaths , Bookkeepers, Cashiers and Related Workers Malignant Neoplasms Circulatory System Diseases Respiratory System Diseases Injury & Poisoning Lung Cancer etc. lschaemic Heart Disease Motor Vehicle Accidents All Deaths Government Executive Officials Malignant Neoplasms Circulatory System Diseases Lung Cancer etc. lschaemic Heart Disease All Deaths Mail Distribution Clerks Malignant Neoplasms Circulatory System Diseases Ischaemic Heart Disease All Deaths Stenographers, Typists and Card and Tape Punching Machine Operators All Deaths kll

16 11 Clerical and Related Workers continued Deaths SMR 95% C Transport and Communications Supervisors Injury & Poisoning Kidney Cancer All Deaths

17 1 Sales Workers Deaths SMR 95% C I Insurance, Real Estate, Securities and Business Services Salespersons and Auctioneers Malignant Neoplasms Circulatory System Diseases Injury & Poisoning Lung Cancer etc. lschaemic Heart Disease All Deaths Working Proprietors (Wholesale and Retail Trade) Circulatory System Diseases Respiratory System Diseases Injury & Poisoning lschaemic Heart Disease Cirrhosis of the Liver etc Managers (Wholesale and Retail Trade) Malignant Neoplasms Circulatory System Diseases Respiratory System Diseases Injury & Poisoning Lung Cancer etc lschaemic Heart Disease All Deaths Sales Supervisors and Buyers Malignant Neoplasms ,4 Circulatory System Diseases Ischaemic Heart Disease All Deaths Salespersons, Shop Assistants and Related Workers Malignant Neoplasms Circulatory System Diseases Respiratory System Diseases Injury & Poisoning Lung Cancer etc Ischaemic Heart Disease Motor Vehicle Accidents All Deaths

18 13 Sates Workers continued Deaths SMR 95% C I Technical Salespersons, Commercial Travellers, and Manufacturers' Agents Circulatory System Diseases Injury & Poisoning lschaemic Heart Disease Motor Vehicle Accidents Suicide All Deaths

19 14 Service Workers I. Managers (Catering and Lodging Services) Deaths SMA 95% C I lschaemic Heart Disease Working Proprietors (Catering and Lodging Services) Circulatory System Diseases Ischaemic Heart Disease All Deaths Cooks, Waiters, Bartenders and Related Workers Malignant Neoplasms Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Lip Cancer etc. Cirrhosis of the Liver etc. All Deaths Housestaff and Related Housekeeping Service Workers n.e.c. All Deaths Building Caretakers, Charworkers, Cleaners and Related Workers Malignant Neoplasms Circulatory System Diseases Respiratory System Diseases Injury & Poisoning Large Bowel Cancer Lung Cancer etc. lschaemic Heart Disease All Deaths Hairdressers, Barbers, Beauticians and Related Workers All Deaths

20 15 Service Workers continued Deaths SMR 95% C I Protective Service Workers Injury & Poisoning Stomach Cancer Large Bowel Cancer Pancreatic Cancer Bladder Cancer Motor Vehicle Accidents All Deaths ,

21 16 Agricultural, Animal Husbandry and Forestry Workers, Fishermen and Hunters eaths SMR 95% C I Agricultural, Animal Husbandry Workers Malignant Neoplasms Circulatory System Diseases Large Bowel Cancer lschaemic Heart Disease All Deaths Farmers Malignant Neoplasms Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Lip Cancer etc. Lung Cancer etc. Lymphatic Cancer etc. lschaemic Heart Disease Cerebrovascular Disease Pneumonia & Influenza Cirrhosis of the Liver etc. All Deaths Fishermen, Hunters and Related Workers Injury & Poisoning Motor Vehicle Accidents Suicide All Deaths Forestry Workers Malignant Neoplasms Circulatory System Diseases Respiratory System Diseases Injury & Poisoning Motor Vehicle Accidents Homicide All Deaths Farm Manager and Supervisors Malignant Neoplasms Circulatory System Diseases lschaemic Heart Disease All Deaths

22 17 Production and Related Workers, Transport and Equipment Operators and Labourers eaths SMR 95% C I Production Supervisors and General Foremen Respiratory System Diseases Injury & Poisoning Lung Cancer etc All Deaths Miners, Quarrymen, Well Drillers and Related Workers Malignant Neoplasms Injury & Poisoning Lung Cancer etc All Deaths Metal Processers Circulatory System Diseases All Deaths Chemical Processers and Related Workers All Deaths Spinners, Weavers, Knitters, Dyers and Related Workers Malignant Neoplasms All Deaths Tanners, Felimongers and Pelt Dressers All Deaths Food and Beverage Processers Circulatory System Diseases Oesophagus Cancer Lung Cancer etc. Other forms of Heart Disease All Deaths Blacksmiths, Toolmakers and Machine Tool Operators Respiratory System Diseases

23 18 Production and Related Workers, Transport and Equipment Operators and Labourers continued Deaths SMR 95% Cl Machinery Fitters, Machine Assemblers and Precision instrument Makers (except Electrical) Circulatory System Diseases 5 Lung Cancer etc. 98 lschaemic Heart Disease Electrical Fitters and Related Electrical and Electronics Workers Malignant Neoplasms 11 Circulatory System Diseases 181 Respiratory System Diseases 15 Injury & Poisoning 17 Lung Cancer etc. 3 Motor Vehicle Accidents 43 All Deaths Plumbers, Welders, SheetMetal and Structural Metal Preparers and Erectors Malignant Neoplasms Rubber, Plastics Product Makers All Deaths Printers and Related Workers All Deaths Painters Malignant Neoplasms 1 Lung Cancer etc. 41 Kidney Cancer 8 All Deaths

24 19 Productio n and Related Workers, Transport and Equipment Operators continued Bricklayers, Carpenters and Other Construction Workers Deaths SMR 95% C I Malignant Neoplasms Stomach Cancer Lung Cancer etc. Diseases of the Arteries etc. All Deaths , Stationary Engine and Related Equipment Operators Malignant Neoplasms 3 Circulatory System Diseases 41 lschaemic Heart Disease 8 All Deaths Transport Equipment Operators Malignant Neoplasms 335 Circulatory System Diseases 566 Respiratory System Diseases 9 Digestive System Diseases 43 Injury & Poisoning 74 Lung Cancer etc. 11 lschaemic Heart Disease 43 Cerebrovascular Disease 6 Asthma 8 Motor Vehicle Accidents 133 All Deaths

25 Production and Related Workers, Transport and Equipment Operators continued Labourers n.e.c. Deaths SMR 95% C I Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc. Nervous System Diseases etc. Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Injury & Poisoning Lip Cancer etc. Stomach Cancer Liver Cancer etc. Lung Cancer etc. Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Pneumonia & Influenza Chronic Bronchitis Emphysema Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc. Homicide All Deaths i

26 APPENDIX ONE Professional, Technical and Related Workers

27 ni Physical Scientists and Related Technicians eaths SMR 95%Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc. Diseases of the Blood etc. Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc Diabetes Mellitus Hypertensive Heart Disease Ischaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc Motor Vehicle Accidents Falls Submersion etc Suicide Homicide ALL DEATHS

28 3 Architects, Engineers and Related Technicians Deaths SMR 95% Cl 5 Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc. Nervous System Diseases etc Mental Disorders 46.4 Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc. Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc. Diabetes Mellitus Hypertensive Heart Disease Ischaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide , ALL DEATHS

29 4 I Aircraft and Ships Officers Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc. Diseases of the Blood etc. Nervous System Diseases etc. Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Diseases Skin etc. Muscoskeletal Diseases etc. Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc Diabetes Mellitus Hypertensive Heart Disease Ischaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc Suicide Homicide ALL DEATHS

30 5 Life Scientists and Related Technicians Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc. Diseases of the Blood etc. o Nervous System Diseases etc. o Mental Disorders o Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. o Muscoskeletal Diseases etc. Injury& Poisoning Lip Cancer etc. Oesophagus Cancer i Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer o Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer o Brain Cancer Lymphatic Cancer etc. i Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease is Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis o Emphysema o Asthma Cirrhosis of the Liver etc. o Motor Vehicle Accidents Falls Submersion etc Suicide Homicide o ALL DEATHS

31 6 Medical, Dental, Veterinary and Related Technicians Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc. Diseases of the Blood etc. Nervous System Diseases etc. Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc. Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc. Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide ALL DEATHS

32 7 Mathematicians, Systems Analysts i Technicians Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc. Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury &Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer. Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc. Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc.. Suicide Homicide ALL DEATHS

33 8 Jurists eaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury & Poisoning Lip Cancer etc Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc. Diabetes Mellitus Hypertensive Heart Disease Ischaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc 'I Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide ALL DEATHS

34 9 7FWW-- Teachers Deaths SMR 95% Cl Infectious & Parasitic Diseases 38.1 Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc. Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc. Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc. Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide ALL DEATHS

35 111191pp Workers in Religion Deaths SMR 95% Cl Infectious & Parasitic Diseases o Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc. Nervous System Diseases etc. o Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases o Skin Diseases etc Muscoskeletal Diseases etc. o Injury & Poisoning Lip Cancer etc.. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc Diabetes Mellitus Hypertensive Heart Disease o Ischaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc Motor Vehicle Accidents Falls Submersion etc Suicide Homicide ALL DEATHS

36 31 Authors, Journalists and Related Writers Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc. Diseases of the Blood etc. Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury &Poisoning Lip Cancer etc Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide ALL DEATHS

37 3 Sculptors, Painters, Photographers and Related Creative Artists Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc. Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease , Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide ALL DEATHS

38 33 Composers and Performing Artists Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc. Nervous System Diseases Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletai Diseases etc. Injury &Poisoning Lip Cancer etc Oesophagus Cancer Stomach Cancer Large Bowel Cancer ,39 Liver Cancer etc ,86 Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin ,91 Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc Diabetes Mellitus Hypertensive Heart Disease Ischaemic Heart Disease Other forms of Heart Disease CerebrovasCular Disease Diseases of the Arteries etc Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide ALL DEATHS I

39 34 Athletes, Sportsmen and Related Workers Deaths SMR 95% Cl.1 Malignant Infectious & Parasitic Diseases Neoplasms Endocrine Diseases etc. Diseases of the Blood etc. Nervous System Diseases etc. Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc. Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease H Diseases of the Arteries etc Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc Suicide Homicide ALL DEATHS

40 35 L Professional, Technical n.e.c. and Related Workers eaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc. Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc Diabetes Mellitus Hypertensive Heart Disease Ischaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion eta Suicide Homicide ALL DEATHS

41 36 Accountants Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc Muscoskeletal Diseases etc Injury & Poisoning Lip Cancer etc Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc Diabetes Mellitus Hypertensive Heart Disease Ischaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc Motor Vehicle Accidents Falls Submersion etc Suicide Homicide ALL DEATHS

42 37 Economists Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc. Diseases of the Blood etc. Nervous System Diseases etc. Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. Injury & Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. Pancreatic Cancer Lung Cancer etc. Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer Lymphatic Cancer etc. Diabetes Mellitus Hypertensive Heart Disease lschaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc. Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide ALL DEATHS

43 APPENDIX TWO Administrative and Managerial Workers

44 II 4 Legislative Officials and Government Administrators Deaths SMR 95% Cl Infectious & Parasitic Diseases Malignant Neoplasms Endocrine Diseases etc Diseases of the Blood etc. Nervous System Diseases etc Mental Disorders Circulatory System Diseases Respiratory System Diseases Digestive System Diseases Genitourinary System Diseases Skin Diseases etc. Muscoskeletal Diseases etc. lnjury& Poisoning Lip Cancer etc. Oesophagus Cancer Stomach Cancer Large Bowel Cancer Liver Cancer etc. 48. Pancreatic Cancer Lung Cancer etc Malignant Melanoma of the Skin Bladder Cancer Kidney Cancer Brain Cancer o Lymphatic Cancer etc. Diabetes Mellitus Hypertensive Heart Disease Ischaemic Heart Disease Other forms of Heart Disease Cerebrovascular Disease Diseases of the Arteries etc. Pneumonia & Influenza Chronic Bronchitis Emphysema Asthma Cirrhosis of the Liver etc Motor Vehicle Accidents Falls Submersion etc. Suicide Homicide ALL DEATHS