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Table 2 Standardized Mortality Ratios in Six County Southeastern Michigan Study Area, 1979–1997.

From: Arsenic in drinking water and cerebrovascular disease, diabetes mellitus, and kidney disease in Michigan: a standardized mortality ratio analysis

Cause of Death

ICD-9

Males

Females

  

Obs

SMR

99% CI

Obs

SMR

99% CI

Cancers

Colon and rectum

153–154

1,439

1.04

0.97–1.11

1,369

1.03

0.96–1.10

Liver and biliary Passages

155–156

260

0.85

0.72–1.00

300

1.04

0.89–1.20

Trachea, bronchus and lung

162

4,425

1.02

0.98–1.06

2,297

1.02

0.96–1.07

Skin melanoma

172

143

0.99

0.79–1.22

91

0.97

0.73–1.27

Other skin cancer

173

59

1.24

0.86–1.72

26

1.06

0.60–1.72

Female reproductive organs

179–184

   

1,300

1.11*

1.03–1.19

Prostate

185

1,448

1.03

0.96–1.10

   

Bladder

188

348

0.94

0.82–1.08

171

0.98

0.80–1.19

Kidney and other urinary organs

189

325

1.06

0.91–1.22

194

1.00

0.82–1.20

Circulatory diseases

All diseases of the circulatory system

390–459

25,907

1.11*

1.09–1.13

26,699

1.15*

1.13–1.17

Essential hypertension and hypertensive renal disease

401, 403

203

1.16

0.96–1.38

250

1.01

0.85–1.18

Hypertensive heart disease and hypertensive heart and renal disease

402, 404

398

0.88

0.77–1.00

612

1.01

0.91–1.12

Ischemic heart diseases

410–414

14,073

1.01

0.99–1.03

12,573

1.01

0.98–1.03

Cerebrovascular diseases

430–438

3,493

1.19*

1.14–1.25

5,010

1.19*

1.15–1.23

Diseases of arteries arterioles and capillaries (DAAC)

440–448

1,220

1.01

0.93–1.08

1,329

1.04

0.97–1.11

Atherosclerosis

440

523

1.01

0.90–1.13

884

1.11*

1.02–1.21

Aortic aneurysm

441

504

0.95

0.85–1.07

212

0.81*

0.67–0.96

Respiratory diseases

All diseases of the respiratory system

460–519

4,433

1.05*

1.01–1.09

3,568

1.03

0.98–1.07

Emphysema

492

632

1.00

0.90–1.11

363

0.98

0.85–1.12

Chronic airways Obstruction

496

1,706

1.16*

1.09–1.24

1,134

1.14*

1.05–1.23

Other diseases

Diabetes mellitus

250

1,249

1.28*

1.18–1.37

1,612

1.27*

1.19–1.35

Chronic liver diseases and cirrhosis

571

632

0.67*

0.60–0.74

416

0.87*

0.77–0.99

Kidney diseases

580–589

614

1.28*

1.15–1.42

679

1.38*

1.25–1.52

  1. ICD-9 = International Classification of Diseases, 9th Revision; Obs = Number of observed deaths; CI = confidence interval; *p < 0.01.
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Environmental Health

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