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HSIA study on perc nears completion
A study to assess whether workers exposed to perchloroethylene have an increased risk of cancer should be completed soon and published next year, according to the Halogenated Solvents Industry Alliance.
HSIA, which is sponsoring the study, hopes the new study will provide better data than previous exposure studies because it focuses on a large population of workers about whose exposure histories more is known.
Since it was undertaken more than two years ago, the study has drycleaning workers identified from the 1970 censuses in Denmark, Norway, Sweden and Finland, a total of about 7,000 individuals. The 1970 census data has provided 30 years of medical follow-up and reduced the potential for exposure to other cleaning solvents used prior to that time, HSIA said.
One benefit of the using data from the Nordic countries is that much information is available from surveys conducted by government, industry and other sources. This, HSIA expects, will produce better data on worker exposures than previous investigations. In Denmark, for example, researchers were able to find historical information on the identity of owners of all drycleaning shops and the characteristics of the machines in use at each of the shops.
Also of benefit is that fact that the use of perc was more pervasive in those nations 30 years ago than in the United States. For example, the U.S. industry was about evenly split between perc and petroleum in 1970, while 85 percent of the industry used perc in Finland, 75 percent in Denmark, and 71 percent in Sweden.
The study will also benefit from interviews with the individuals or their next of kin to help fill gaps in the information available from other sources and to allow collection of data on potential confounding factors. The ability to identify life-style and other potential factors has been a limitation of previous studies. Cigarette smoking, for example, is an established risk factor for cancer of the bladder, esophagus, kidney, and pancreas. Alcohol consumption has been associated with both esophageal and liver cancer.
The study is looking at the incidence of seven cancer types, including cancer of the bladder, cervix, esophagus, kidney, liver and pancreas, as well as non-Hodgkin’s lymphoma. Incidence of the various cancers among the drycleaning workers will be compared to an age- and gender-matched population of laundry workers.
HSIA said the study will be published in the scientific literature sometime next year.