Section 7 Malignant Mesothelioma
Malignant Mesothelioma: Mortality Figure 7-1. Malignant mesothelioma: Number of deaths by anatomical site, U.S. residents age 15 and over, 1999
2500 2485
2000 1773
Number of Deaths
1500
1000
500 252 92 0 All Sites Pleura Peritoneum
427
Other Sites
Unspecified
Underlying cause
NOTE: See appendices for source description, methods, and ICD codes. SOURCE: National Center for Health Statistics multiple cause of death data.
Contributing cause
Figure 7-2. Malignant mesothelioma: Age-adjusted mortality rates by state, U.S. residents age 15 and over, 1999
Age-Adjusted Mortality Rates Deaths/Million No. of States > 20 2 > 15 to 20 10 > 10 to 15 21 0 to 10 18
NOTE: See appendices for source description, methods, and ICD codes. SOURCE: National Center for Health Statistics multiple cause of death data. Population estimates from U.S. Bureau of the Census.
159
160
Malignant Mesothelioma: Mortality
Table 7-1. Malignant mesothelioma: Number of deaths by sex, race, and age, and median age at death, U.S. residents age 15 and over, 1999
Underlying No. of Cause Deaths (%) 252 92 427 90.1 90.2 90.4 92.9 94.3 Sex Male Female 219 62 345 1,424 1,995 33 30 82 349 490 Race White Black Other 15-24 240 90 407 1,673 10 2 14 83 2 6 17 25 1 1 2 25-34 2 2 4 35-44 2 2 3 26 33 Age Group (yrs) 45-54 12 10 23 94 138 55-64 32 23 61 279 389 65-74 101 31 134 572 818 75-84 86 20 154 654 888 85+ 19 6 49 145 213 Median Age (yrs) 72.0 69.5 74.0 73.0 73.0
Site Pleura Peritoneum Other Sites
Unspecified 1,773 Any Site 2,485
2,355 105
- indicates no deaths listed. NOTE: The sum of individual site death totals may be greater than the the total number of deaths for “any site” because some decedents have more than one site of mesothelioma listed on their death certificates. See appendices for source description, methods, and ICD codes. SOURCE: National Center for Health Statistics multiple cause of death data.
Malignant Mesothelioma: Mortality Table 7-2. Malignant mesothelioma: Mortality rates (per million population) by race and sex, U.S. residents age 15 and over, 1999
White Year 1999 Overall 11.60 Male 21.93 Black Male 3.61 Other Female 1.53 Female Male Female Crude Mortality Rate 4.95 6.43 2.02 Age-Adjusted Mortality Rate 1999 11.65 23.89 4.29 10.32 2.57 6.47 2.18
– indicates no deaths listed. NOTE: See appendices for source description, methods, and ICD codes. SOURCE: National Center for Health Statistics multiple cause of death data. Population estimates from U.S. Bureau of the Census.
161
Malignant Mesothelioma: Mortality Table 7-3. Malignant mesothelioma: Years of potential life lost to age 65 and to life expectancy by race and sex, U.S. residents age 15 and over, 1999
White Year 1999 Male 3,395 Female 1,205 Black Other Total 5,070 Male Female Male Female Years of Potential Life Lost to Age 65 320 95 25 30
Years of Potential Life Lost to Life Expectancy 1999 23,535 7,120 1,060 408 230 132 32,485
– indicates no deaths listed. NOTE: See appendices for source description, methods, and ICD codes. SOURCE: National Center for Health Statistics multiple cause of death data.
162
Malignant Mesothelioma: Mortality
Table 7-4. Malignant mesothelioma: Number of deaths, mortality rates (per million population), and years of potential life lost (YPLL) by state, U.S. residents age 15 and over, 1999
No. of Deaths Rank State Alabama 33 20 Alaska 8 45 Arizona 32 22 Arkansas 15 37 California 259 1 Colorado 17 35 Connecticut 33 20 Delaware 12 41 District of Columbia 5 47 Florida 163 2 Georgia 30 25 Hawaii 5 47 Idaho 14 39 Illinois 128 6 Indiana 58 14 Iowa 21 33 Kansas 27 28 Kentucky 24 30 Louisiana 47 19 Maine 28 27 Maryland 51 16 Massachusetts 81 9 Michigan 69 12 Minnesota 61 13 Mississippi 20 34 Missouri 49 17 Montana 10 43 Nebraska 15 37 Nevada 22 31 New Hampshire 11 42 New Jersey 111 8 New Mexico 17 35 New York 156 4 North Carolina 56 15 North Dakota 4 50 Ohio 131 5 Oklahoma 22 31 Oregon 32 22 Pennsylvania 162 3 Rhode Island 14 39 South Carolina 26 29 South Dakota 4 50 Tennessee 31 24 Texas 125 7 Utah 9 44 Vermont 7 46 Virginia 75 10 Washington 72 11 West Virginia 29 26 Wisconsin 49 17 Wyoming 5 47 Crude Mortality Rate 9.46 17.53 8.76 7.47 10.12 5.35 12.77 19.96 11.45 13.44 4.94 5.30 14.48 13.52 12.40 9.19 12.97 7.58 13.83 27.50 12.52 16.39 8.91 16.34 9.30 11.35 14.21 11.50 15.79 11.58 17.20 12.77 10.79 9.30 7.92 14.70 8.34 12.14 16.80 17.74 8.40 6.98 7.09 8.19 5.83 14.55 13.67 15.90 19.59 11.80 13.20 Rank 34 5 39 45 33 49 22 2 30 19 51 50 14 18 25 37 21 44 16 1 24 8 38 9 35 31 15 29 11 28 6 22 32 35 43 12 41 26 7 4 40 47 46 42 48 13 17 10 3 27 20 Age-Adjusted Mortality Rate 9.35 32.81 8.40 6.70 11.42 6.46 11.60 19.71 11.15 10.16 6.05 4.95 15.33 13.76 12.53 7.92 12.25 7.63 14.78 26.40 13.74 15.40 9.07 16.82 9.61 10.73 13.38 10.77 17.73 12.31 16.30 13.05 10.46 9.45 7.37 14.26 7.93 11.66 14.14 15.56 8.79 6.36 7.30 9.62 7.52 14.85 15.36 17.29 17.37 11.61 13.73 Rank 37 1 40 47 28 48 27 3 29 33 50 51 12 17 22 42 24 43 14 2 18 10 38 7 35 31 20 30 4 23 8 21 32 36 45 15 41 25 16 9 39 49 46 34 44 13 11 6 5 26 19 Total 525 132 423 205 3,670 239 435 157 51 2,134 453 73 192 1,844 916 258 336 400 718 363 680 1,006 1,028 875 257 618 124 191 280 147 1,515 362 2,121 773 53 2,005 262 405 2,095 202 322 65 499 1,832 143 128 1,047 947 402 663 83 YPLL to Life Expectancy Rank 20 44 24 37 1 36 23 41 51 2 22 48 39 6 13 34 30 27 16 28 17 11 10 14 35 19 46 40 32 42 8 29 3 15 50 5 33 25 4 38 31 49 21 7 43 45 9 12 26 18 47 YPLL/death Rank 15.9 8 16.5 4 13.2 32 13.7 25 14.2 20 14.1 21 13.2 32 13.1 36 10.2 51 13.1 36 15.1 13 14.6 16 13.7 25 14.4 17 15.8 10 12.3 49 12.4 45 16.7 3 15.3 11 13.0 38 13.3 31 12.4 45 14.9 14 14.3 19 12.9 39 12.6 43 12.4 45 12.7 41 12.7 41 13.4 30 13.6 27 21.3 1 13.6 27 13.8 24 13.2 32 15.3 11 11.9 50 12.6 43 12.9 39 14.4 17 12.4 45 16.2 6 16.1 7 14.7 15 15.9 8 18.2 2 14.0 22 13.2 32 13.9 23 13.5 29 16.5 4
- indicates no deaths listed. NOTE: See appendices for source description, methods, and ICD codes. SOURCE: National Center for Health Statistics multiple cause of death data. Population estimates from U.S. Bureau of the Census.
163
Malignant Mesothelioma: Mortality Table 7-5. Malignant mesothelioma: Most frequently recorded industries on death certificate, U.S. residents age 15 and over, selected states, 1999
CIC 060 961 842 192 901 010 392 460 400 831 Industry Number of Deaths Construction 77 Non-paid worker or non-worker or own home/at home 38 Elementary and secondary schools 20 Industrial and miscellaneous chemicals 19 General government, n.e.c. 13 Agricultural production, crops 10 Not specified manufacturing industries 10 Electric light and power 10 Railroads 9 Hospitals 9 All other industries 303 Industry not reported 23 TOTAL 541 Percent 14.2 7.0 3.7 3.5 2.4 1.9 1.9 1.9 1.7 1.7 56.0 4.3 100.0
CIC - Census Industry Code n.e.c. - not elsewhere classified NOTE: Percentages may not total to 100% due to rounding. See appendices for source description, methods, and ICD codes, industry and occupation codes, and list of selected states. SOURCE: National Center for Health Statistics multiple cause of death data.
Table 7-6. Malignant mesothelioma: Most frequently recorded occupations on death certificate, U.S. residents age 15 and over, selected states, 1999
COC 019 914 585 453 243 567 156 473 575 633 804 Occupation Managers and administrators, n.e.c. Housewife/Homemaker Plumbers, pipefitters, and steamfitters Janitors and cleaners Supervisors and proprietors, sales occupations Carpenters Teachers, elementary school Farmers, except horticulture Electricians Supervisors, production occupations Truck drivers All other occupations Occupation not reported TOTAL Number of Deaths 41 37 18 17 16 16 13 12 12 12 12 307 28 541 Percent 7.6 6.8 3.3 3.1 3.0 3.0 2.4 2.2 2.2 2.2 2.2 56.8 5.2 100.0
COC - Census Occupation Code n.e.c. - not elsewhere classified NOTE: Percentages may not total to 100% due to rounding. See appendices for source description, methods, and ICD codes, industry and occupation codes, and list of selected states. SOURCE: National Center for Health Statistics multiple cause of death data.
164
Malignant Mesothelioma: Mortality Table 7-7. Malignant mesothelioma: Proportionate mortality ratio (PMR) adjusted for age, sex, and race by usual industry, U.S. residents age 15 and over, selected states, 1999
CIC 360 192 200 460 060 Industry Ship and boat building and repairing Industrial and miscellaneous chemicals Petroleum refining Electric light and power Construction Number of Deaths 7 19 5 10 77 PMR 5.95 4.81 3.80 3.08 1.55 95% Confidence Interval LCL UCL 2.39 2.90 1.23 1.48 1.23 12.27 7.51 8.87 5.66 1.94
CIC - Census Industry Code n.e.c. - not elsewhere classified LCL - lower confidence limit UCL - upper confidence limit NOTE: See appendices for source description, methods, and ICD codes, industry and occupation codes, and list of selected states. SOURCE: National Center for Health Statistics multiple cause of death data.
165
Malignant Mesothelioma: Mortality Table 7-8. Malignant mesothelioma: Proportionate mortality ratio (PMR) adjusted for age, sex, and race by usual occupation, U.S. residents age 15 and over, selected states, 1999
COC 585 057 575 156 Occupation Plumbers, pipefitters, and steamfitters Mechanical engineers Electricians Teachers, elementary school Number of Deaths 18 6 12 13 PMR 4.76 3.04 2.42 2.13 95% Confidence Interval LCL UCL 2.81 1.11 1.25 1.13 7.51 6.62 4.22 3.64
COC - Census Occupation Code n.e.c. - not elsewhere classified LCL - lower confidence limit UCL - upper confidence limit NOTE: See appendices for source description, methods, and ICD codes, industry and occupation codes, and list of selected states. SOURCE: National Center for Health Statistics multiple cause of death data.
166
Figure 7-3. Malignant mesothelioma: Age-adjusted mortality rates by county, U.S. residents age 15 and over, 1999
Malignant Mesothelioma: Mortality
NOTE: Age-adjusted rates are not calculated for those counties with 1-4 deaths. See appendices for source description, methods, and ICD codes. SOURCE: National Center for Health Statistics multiple cause of death data. Population estimates from U.S. Bureau of the Census.
167
Malignant Mesothelioma: Mortality Table 7-9. Malignant mesothelioma: Counties with highest age-adjusted mortality rates (per million population), U.S. residents age 15 and over, 1999
County Suffolk City Hampton City Jefferson County Androscoggin County Somerset County Jackson County Bay County Kanawha County York County Rensselaer County Jefferson Parish Washoe County Lake County Lorain County Vanderburgh County Norfolk County McLennan County Delaware County Pierce County Douglas County Jefferson County Anne Arundel County San Luis Obispo County Camden County Madison County Clark County Northampton County New London County Butler County Richland County Baltimore County Marin County St. Louis County York County Charleston County Ramsey County Snohomish County Du Page County Charlotte County Multnomah County East Baton Rouge Parish Cuyahoga County Lake County Montgomery County Union County Manatee County Chester County Philadelphia County Waukesha County New Castle County Overall United States State Virginia Virginia Ohio Maine New Jersey Mississippi Michigan West Virginia Maine New York Louisiana Nevada Illinois Ohio Indiana Massachusetts Texas Pennsylvania Washington Nebraska Texas Maryland California New Jersey Illinois Washington Pennsylvania Connecticut Ohio South Carolina Maryland California Missouri Pennsylvania South Carolina Minnesota Washington Illinois Florida Oregon Louisiana Ohio Indiana Pennsylvania New Jersey Florida Pennsylvania Pennsylvania Wisconsin Delaware Age-Adjusted Rate 111.7 95.9 90.1 82.2 73.9 70.0 63.1 45.6 42.1 40.3 39.9 37.8 35.8 34.1 33.3 32.5 31.8 31.1 30.6 30.0 29.6 28.2 27.2 26.2 26.1 25.8 25.6 25.5 25.3 25.0 24.7 24.6 23.4 22.7 22.7 22.6 22.2 21.9 21.3 21.2 21.0 20.7 20.6 20.6 19.9 19.8 19.0 19.0 19.0 18.8 11.6 Crude Rate 99.5 82.6 115.6 85.7 64.7 48.4 69.3 54.4 42.0 41.5 39.2 32.0 27.5 31.7 37.0 36.0 31.4 36.7 26.2 25.7 31.7 23.8 31.4 26.2 29.3 19.3 28.7 26.1 22.8 20.0 28.9 25.0 25.0 23.3 19.6 23.4 17.3 18.7 50.8 19.5 16.1 23.6 21.5 25.4 22.4 35.1 17.6 21.5 17.5 18.0 11.6 Number of Deaths 5 9 7 7 15 5 6 9 6 5 14 8 13 7 5 19 5 16 14 9 6 9 6 10 6 5 6 5 6 5 17 5 20 7 5 9 8 13 6 10 5 26 8 15 9 7 6 24 5 7 2,485 % Female 40.0 0.0 0.0 57.1 33.3 20.0 0.0 22.2 33.3 40.0 42.9 12.5 30.8 42.9 0.0 0.0 40.0 25.0 7.1 33.3 33.3 22.2 0.0 30.0 0.0 40.0 0.0 0.0 33.3 20.0 23.5 40.0 20.0 0.0 0.0 11.1 12.5 15.4 50.0 0.0 20.0 23.1 37.5 6.7 0.0 42.9 33.3 12.5 0.0 14.3 19.7
NOTE: Only counties with at least 5 deaths from the disease of interest are included. See appendices for source description, methods, and ICD codes. SOURCE: National Center for Health Statistics multiple cause of death data. Population estimates from U.S. Bureau of the Census.
168