Document DGkk7MbgnvkNoo19EXnex10gd

I l 12 t 1 i'l'N* i.'.'IV CfiSTftE COPY CEB 2 4 1988 MORTALITY EXPERIENCE OP WORKERS EXPOSED TO POLYCHLORINATED BIPHENYLS DURING MANUFACTURE OF ELECTRICAL CAPACITORS i Pnlbninsiy Report lalustrisl Diswst Stududs Potl, Ontnto Ministry of Libor JantniyS, 198? William J. Nicholson, Herbert SeUmsn and Irvins J. SeKkoff, Mount Stnol School of Medtrins of the City University of Neer York d the American Center Society. HONS 027479 I 5TUDT fACUITIES Tlx study facades us those of leite ekeuieal equipment manufacturer vhich, since before World 'flu n, products electrical eapadtore el tvo plants in upsta* Hev Tort Om plant, tocaed at Fort Edvard, manufactured small capaciton used In lithtint fixtures end small electrical appheMM, PolyohloiinMd diphenyl* (PCB'e) van wed ** dieleeole Quid* in Uiie plant einee 1946. The second plant, located at Hudson Falk, manufactures large povur capacitors. Here, PCS'Sartre used sdnee 1951. Priorto 1970 the' PCB 's used vers Monsanto ArocSor 1254 and Arcelor 1242. Sines 1971 Aiocloi 101$ vts the predominant Quid used, aith occasional use of Arodor 1221. Othumaterials used in the dlekrndc Quids included mineral oil, dibutyieebecete, dioetyl phthalate and various stabilisers. Tbs total veils force of tbs tvo ferilitias vu approximately 600 persons in 1960. Tbs vork force is predominantly vhi# and roughly equally distributed betveenmala and female. Both plants are organized by local 332 of the United Electrical, Radio end Machine Workers of America. PRODUCTION PROCESS Hudson Palls Large industrial capacitors an manufactured by first forming a 'capador pack* of a roll of paper, film and foil, covered vith cartboard, end bound. This is tasted, touted into a metal capatftor box, end leads e the otnlie connactsd. FoDoviag assembly, the capeciss en fiEel vith PCS. Recently, this has been done urttotg automated equipment; previously flood-filled chambers van utilirtd. FoDoving filling, the capacitors an placed ur>der vacuum o remove any moisture aid the filling hols sealed by soldering. The eapecisr Is tested and, If satisfactory, clttned using trichloroethylene. The capacitor Is then painted, dried, end pachsd for shipping. Tlx capacitors that fail the electrical tesu an sent to a selvage operation vhere reusable components ere salvaged and the capacitors reconstructed as appropriate. MONS 027480 ranSinri The smallsr elsctdcal caper.OD are also constructed by forming rolls ot paper or fflm tad foil vhich are inserted ino appropriate eapenar ctses. Caperaon are died vith dielectric fluids to open bathe, placed under Tirana end sealed by either ntnpta{ or soldering. After veshing vith vast end phosphatse, espactots an teeted and packed for shipping INDUSTRIAL HYOENE MEASUREMENTS On April 27*23,1977 industrial hygiene measurements Ten conducted by representatives of the Division of SweQlense, Health Hecard Evtluations and Field Studies of the National Inetiute of Occupational Safety and Health (NIOSH). The results of this fedtmriel hygiene survey era included as Appendix A. Summary reeults of that surrey an listed in Table lby operational job cstiefoxies. Also included in Table 1 are some very limited measurements provided to Mount Sinai by (he Medical Director of the company, Information on the date of the meaeuremente vue not available. These taro sets of measurements, along vith observations of the manufacturing process In a 1976 tour of the plant end discretions of vork activities by vorhsa, van used to nets a relative exposure scale for avariety of jtandeiti operational tides. These, too, in listed in Table 1 and viU provide e bests fortntijsis of mortality by estimated exposure. Clearly, the evsllaMe information on representative exposures in different vork activities is extremely limited. A short term industrial hygiene study only identify exposures coining on tire day of measurements. Further, a United number of vothere ere elected for personal sampling end may net be representative of the entire category. For exempli, one measurement wee mede by H10SH cf in fedMdnil': exposure during mstonince vork. This vouid likely have bun selected because of the potential exposure occurring at that time and may be totally unrepreeenutive of the everege exposure of either that vatfcer or of individuals in ihe maintenance vork catejoty. Fimher, changes in vork procedures over time have occurred. A greeter degree of automatic equipment being used in the Tbeet Process in 1977 than in earlier years. That vorfcers in the Treat area experienced high exposures v:s evident by'he open baths cf ?C3's in tire area tnd HONS 027481 of PCB 's rente from 300 to 1,000 uj/m3. Una, time-treithtsd exposures conespondins to the relative exposure index of 12, vould ippear to he several hundred uta3. CTUDT POPULATION The study population consisa of eh Individual: employed hr the tvo fecflitie: vho achieved five yeas of service end Those employment bejan prior to 1954. Four hundred end fifty-rune main end three hundred cod tvemyntae femelre vere so identified from employment records furnished ty the compeny. The ductiuuon or are at onset or exposure end calendar or rest exposure a PCS for these Individuals an shovn In Table 2. Excluded from tabulation an tvelva men and seven women Those lest da* of (ohoT-up or death ves less than ten yeare from onset of PCB exposure. MORTALITY ANALYSIS The cohort ves traced through 1982 and vital status deesmined. With the exception of the previously 19 individuals, (hi vital status of all but 11 individuals vu detanked es of 1982. Ons hundred end eithty-eitht individuals Ten decessed and death certificates vere obtained for alL Adil&oneDy, of the 19 SadMdusls vho felled achieve 10 yean too onset, tvo Ten dtetesed, a melt of to* career end a fimile of a pharynjeal mafir&eeey. Tha mortality experience of the males tad ftmiks ves calculated stpenaly utilkkj ae end calender year specific rets of Hev Yorh saa.exskdiat NevTcACUy. Tables 3 and 4 itpit months erps.-itr.ee fc: male: and femsiss accckfcj to ones: cf FC3 exposure. Over eJl 'here is a deficit of deatfj for "afi causes", "eH cereer' eitl "ail cartl-iviscuisr diseeses" Sot both males end females. When anslyted by years from onset of exposure, excesses e.ppier in some cells, but ayperx as be due to chenee. One nmsAable finlir.j, for vhich ktru it no explanation, is the absence of any cancer deaths amonp males 30 or iron yews from onset of expoevre. There is a slipht excer: of ncn-lnftctious .'ispin'oty il'tnse .r.l a HONS 027482 mom substantial one or aeaihs tram accidents, vioistics end smells to both males and Ismahs. Of the cancan at other them the Ssttd situ, than vu one each of the stomach, usrua, ovary, bladder, and melanoma tenon* temalee and one each ot the mouth, stomach, panenas, kidney, and metastatic canm (primary txnknovs) in mains. Additionally, tvt> death: ot prostata canear occurred in the malt croup. The mortality experience: by calendar year period: an ihovn in Table: $ end 6. A*am, no notevonhy findings can he identified. Any Ktr.iti seen can easily be attributed to chance. Tablee 7 and 0 thov the mnrnlhy ujmtKi! by indicia at exponie. Ho,tn txpoeure index vet calculated tor etch individual at the sum oi tha prsdurs ot tht yeas ot exposure in a given |ob tlmss tha estimated relative exposure value listed in Table 1. Inttvttuels in the cohort vert naked end trooped into dine equally populated exposure categories. Ho specific trend nth exposure can be Identified. Finally, mortality experience by individuals, eccotdlnc c writ location is provided in Tables 9 and 10. The onlyleatun ot note is a slight increase in lung cancer ernonc individuals employed at Fort Edvard and the flndlnc that all ot the leukemles and lymphomas occurred amor* Individuals employed In that facility. The findtog of six leukemias or lymphomas among individuals ot both sexes compand to 1.83 expecesd dots achieve satirical sigrdficanea (p 0.0S). Hovevrer, it it not felt to have biolojtosl significance. Over ail, leukemias and lymphomas van only sightly elevated end tliere is no real substsmtiellyditterent exposure at For Edvard compand to Hudson Falls. Further, vith the number of SMR's that van calculated to these analyses, it would be expecsd that some wuld achieve saristae! signifleertee u the five percent liveL DISCUSSION The even!! result: st Oils enalyric to net indicate say :::iariett ot PCS expesun t-.it excess rootUity tor y tx-si. This ccsclusua, however, ii Ihriad by th* reiiively ftv it *thi that have ccctsnd inthto cohort, aad by eh: rrliu-ely iov exposures ot r.tny a the jroup, '.'toy 183 have occurred end fever than 330 todlvlduiL1 experienced sr.v exposure to the *A* or`S* tpewwns. OjsSf.usd ioilov-ti? ot iris grow .w veil as c-here 'dtr/ifie! sxperun, is efeetlyverrsated. HONS 027483 TASU I EXPOSURES AM) EvPOSURE ESTIMATES IN SELECTED PCS MANUFACTURING OPERATIONS Operation Meaaured cone. ('.'t/mO) (19*7) Ertlaaced relative exnoaura (u/>-j* A. Treat Treat and aeal S. Quality control Teat Proceat control Salvafe Desreaaing C. Aaaenbly/ Final aaaenbly Packaging Inapaetlon Platini D. Caae fabrication FKC awitch Tool roon Punch preaa E. Winding Cover room Shipping Receiving Foil Bill Fils Maintenance Devalopeant/Sngineerlr.g F. Office Other CE planer 102 ()* 343 (7) 159 (7) 1S9 (6) 29 (2) 133 (5) 1S2 (4) 52 (2) 38 (4) 44 (2) IS (M 150 (1) 12 856 (3) 600 (!) 6 410 (1) 3 246 (2) 260 (1) 2 35 (1) 1 62 (1) 7 U> 0 .h;t').'r i.f HONS 027484 ACE AT ONSET BY CALENDAR YEAR OF ONSET OF PCS ECPOSOJUS A| *c fine PCS iffleiuri IIil im Y*ar of fine PCS e.roeiuri 1947 1948 1949 1950 1951 Milei 1932 15-19 20-24 25-29 30-54 35-39 40-44 45-49 50-34 55-39 Toctl 30 70 83 84 79 50 36 8 7 447 29 5 13 13 l 25 2 29 1 17 1 13 22- 108 27 21 62 54 92 54 2i 12 - -- 30 16 Festlis 34 4 22 8 31 2 27 3 27 4 16 11 5 -4 24 147 8 18 21 13 10 9 8 L i 91 13-19 20-24 23-29 30-34 33-39 40-44 AS--49 50-34 35-59 ISSil 20 44 1 59 23 4 2 73 27 3 6 69 24 7 7 54 12 4 5 25 8- 2 20 63 2 2 2- - - -- - 106 25 23 412 8 4 13 6 7 IS 7 10 11 7 6 16 283 223 m --- '3 3 4 4 i i 2 1 . i Nu:.:: Cmi :kc i-..: :--5u 12 * 7 uosr:'. . '.lian 10 vi.vrj uC:*r -r. ut rf Vfr v: W* rc. fit MONS 027485 TAIII.E 3 OluiBHVrJI Alin HXPECTlai HEATHS AIIONC rcil WOBKEBS 10 0 IUIIK N'ABS aheb onset op ebposube I-I-Ai, OB AUDSEqUENIU, ANII .OIISEHVATION TIIBOIKai I2-JI-B2 )\mnls. uy yenit tron onnac of TCB oxpoimro Mi <vr*v.; T'UhI `Slit!. JiIU iilll 51 60.1C 63 19 20.2d 96 '"Mi i i|ivo tii' ui isi'Mi- .'Oiii'ci' !.fitl tin.*.-. < ;'M|it.u<ui, i.lK.- i nia kakks /. 2.37 - 2 2.67 $ 5.05 99 :i 1.55 - 5 11.26 1C 26.31 60 HO 11 . < a'n.111' V.ii.iiflu l'-it i miu It Its11 vriml nifty : o,, m'r.'.-vi <*;.s ii-.si* i iia-mhy ..HliASM.I u 19.91 33 2 6.66 3 1.72 - 3 1.3) -- C'.'Tcll.)!!!.' Mr UVIll 2 1.61 - vinciac*, suicide 6 2.60 -- 7 7.65 89 KM v Situ fllL ins 10 16.03 71 3 3.03 59 0 0.36 -- 1 0,03 0 1.67 -- 1 0.39 -- 1 2.16 1 3.23 19 1 3.61 ~ 0 1.03 -- 0 0.37 -2 0.26 - 0 0.51 - 3 0.06 - 1 2.16 - 20-29 Site SuLl IMS 26 26.06 86 12 9.67 126 2 1.31 -(1 1.36 5 2.60 206 1 0.72 -6 3.66 6 >2.30 63 6 9.27 65 2 2.22 -0 0.61 - 0 0.71 -- 2 o. 7fl -- 1 1.07 -- 1 3.31 - 3009 Sth. SUc ItlS 17 16.07 96 6 3.56 72 2 0.61 1 0.66 __0 1.16 l 0.66 0 2.20 -- 7 6.98 76 6 6.6) 59 0 1.61 3 0.56 -- 1 0.56 - 0 41. 32 0 U. 63 5 2.20 227 SM.'i: iu- iIi.iicB lot- colls wiili five or oors Ootiilis, HONS 02?<f86 TAII1.K 4 'IISNIJIVIU ANO KXH:C1T:0 nr.ATHS AHOMU rcu WOltKKHS 10 OK MIRK YKAHS raol OHSCf OK turoSUHK or $unseqiMum.Y, and ouservation tiiroooii 12-31-82 Hole* by years fro# onset of PCIi exposure T..tnl 01(8. sim Jfi:it. Obs. Kxp. 8HK am. .! \m. i.-a ` IHi t.il Vi (< .*! < ati.iui' (..lu'.-vn i , 1 inh.'i ' * CM lil.I.V V'UK I'lM'ASK!! r-j.ii i .lU'.:', t UmU.'JI.*!' I<>4> (tlmr nt'y HMi. il.M'iHATOKY MM.'.: }i tl`. mu,.; if uvw; VM-c.iI'vti, MJlCUMi onn:; 13? IMMI6 91 21 ii. oe 71 10 11.70 81 5 5.04 99 3 3,04 " 7 15.30 46 11 HZ .11 94 67 1.8.19 90 3 9.04 33 7 4.88 143 0 6.00 133 /, 3.66 II 7.41 149 12 IS.60 77 44 42 27 104 8 6 75 91 4 2 72 2 l 23 -- 1 U 92 -- 1 3 HA -- 22 22 86 96 16 19 42 96 2 2 2S ~ 4 1 19 -2 1 17 -- 2 l 3S - 6 3 32 ISO 4 4 62 - 20-29 (lbs. sim 67 74.43 17 18.04 90 94 6 6.20 97 3 2.57 . 2 1.48 6 7.79 77 39 40.82 96 31 33.82 10) 1 4.50 -- 3 2.50 -- 2 3.1) -- 1 1.91 ~ 2 3.15 - 6 7.38 81 30-39 Obs. Exp. SMK 24 33.36 0 8.29 0 2.76 0 1.24 0 0.44 0 3.6) 16 18.4] 16 14.95 Q 2.29 0 1.19 4 1.70 1 0.60 3 0.94 2 3.4(1 78 - ? 107 .. - .. - __ SMI.*; *.- .i,1 ii.tiioil inr cello with 5 or wore doodis. MONS 02748? TAUI.E 5 t*i!SKKVKI> AND |-XI*ECU:i DEATHS AMONG PCB MORKERS 10 OA MORE YEARS AFTER ONSET OF EXPOSURE 1-1-40 OH SUBSEQUENTLY, AHU OBSERVATION 1)11100011 |}.}l-02 Female* liy calendar year* .MS. ,Xr I.Ji c.v i* M. t-ll'i' t.oit|V h lit. " VI :i, .MtMiir i'owiI.i )..!)( l.tll.'Ul' '.00l..h l.i, 'I It.- I.A :.;r llt.w. :i' i1 i . ;t""5 , it* (.* I.'il louu U'.I ( ................. : o:i* *::*! .11 ,n\ 1.*.; 'ii;.:i'nivrWY CS.m'iMM r i i\*t .'T:il:ti; viH;.).r. NuiciMK lil'l.lj Tin aI OUu^ tffilti 51 60.16 IV 20.211 i, 2.57 2.07 5.05 1.55 B.7A 16 26.51 il 19.91 A. 110 :i 1.72 3 1.51 1.6) 2.40 7.115 Still 0) 94 -" 99 61 60 55 - " -ny 1WHW Oil) i ti SNR 6 7.52 00 2 2.6) -0 0.13 ~ 1 0.35 -- Q 0.77 -- 0 0.21 -- 1 1.17 l 2.02 - 1 2.05 0 0.59 -- 0 0.10 - 1 0.10 -- u 0.25 -- l 0.40 - 1 1.24 - 1965-1973 i)|,| KH)>, 3tH 12 19.86 60 6 6.69 90 1 0.66 -- 0 0.92 3 1.83 l 0.50 __ 1 2.70 - 3 0.54 - 3 6.27 0 1.62 -- 0 0.65 - 1 0.37 - 0 0.65 __ 2 0.97 <1 2.64 ~ auL. 3) 37.76 II 10.96 3 1.70 1 1.60 2 2.45 2 0.04 3 4.29 12 15.15 7 11.59 2 2.67 3 0.09 1 1.04 sim 101 100 __ .. 79 60 __ .. - 2 0. 71 1 0.95 6 3.97 151 '<'' ? ^ I <* l*1 I r collie uitli f Ivn or moio doftOtu, HONS 027^80 TAIIi.lv 6 Mi:.i;Vvl) ANI> KXI-KCTI.n llliA-niS AMONG I'Cll tAOKKHIlS 10 OA MlMIH YEARS AFTER ONSET OF EXI I-I-/.6 on SUHl*KI)Utmi.V, AND OBSERVATION HIIUKICM 12-31-82 llaloa by calendar yarK A'J CAUiil!. . ;u . vl-IS l,>.ii; ....... ,ll 1 H.t ,-MI I , 1 ,>( Ii.h.i: i H.I .- . 1 .v i.'n m:;i..i; ;i::. : 1: I.-111... V."J.fl.M |. ,ll.oiu uiltiii . V* i.'l .i',' S*:.-INil.iT* i.*i;i7.m.-; 1AT0HV CUlMbdl;. ><r AVt 11., vmi.i j.;c. KUlClIlt oVIO.I' iilLli (!vro-n2) SHR 1:17 1MI.06 23 15.00 91 71 IN II. 70 115 a 5.0/, 99 3 3.04 -7 13.30 4A 77 112.11 94 (.7 NO. 19 90 :i 9.04 33 7 4. IIU 143 II 6.00 133 4 3.06 II 7.41 149 12 15.60 77 1956-1964 0l>, Bm>. snfi 20 20.41 2 4.03 0 i.r* 1 0.59 1 0.44 0 i.os 10 11.05 9 9.40 1 i.oa 0 0.49 0 0.40 90 -- -- 90 95 -- -- 2 0.61 4 1.74 2 2.50 -- 1965-1973 J'iltL jmu 5HR 41! 54.05 11 11.71 89 94 6 3. HO 2 1.66 1 1.07 2 0.10 211 3(1.14 154 -~ 39 93 22 24.90 l 3.27 5 1.09 3 1.92 00 . 265 156 0 1.39 2 3.00 4 5.61 71 "kii *iu Sim 69 75.60 91 12 19,34 62 4 6.67 60 2 2.79 1 1.33 5 0.75 60 39 40.92 95 36 33.73 107 1 4.69 2 7.19 65 3 3.60 139 2 1.66 5 2.59 194 6 7.49 60 ;'iMI i ii*' ri i Ii:.I Ini' callu wllli (Ivi, *r more doatlib. MQNS 027489 t'ADl.E 7 AND EXPECTED DEATHS AHONO PCU WORKERS )U ON PKHIK YEARS AFTER OHSKT OF EXPOSURE 1-1-46 OK SUBSEQUENTLY, AND. OOSKKVATION nimunjll 12-31-82 KohiiIts liy Indices of PCO sxpnsnrs (W.n.i'.l:, M ITiV *' .#.,*/ ... Al : HitOI' iT\*mle l.t o.v.l i.-tiKor 1 liVc' ii, * tlur t.M ti 1.. :s ...Mr. <ii 1 1 -i I. .nmu * ;li, r *'!*. t.i y ::u -:i m'ipathhy 60.16 19 20.211 4 2.37 2 2.07 S 3.05 3 1.55 5 ft. 24 IA 26.51 tl 10.91 2 4. (Ml 3 1.72 3 1.51 05 9A -99 -61 60 55 -" - Index I OHni>ot_Ttjrd) Olio, Exp. SMH 16 17.74 S 6.09 90 ft? 1 0.78 -- 0 0.05 ~ 2 1.54 -- 1 0.47 -- l 2.45 " 6 7.62 79 A 5.72 - 2 l.AO -- 0 0.50 ~ 1 v.43 " ri.if.i)Indox II im.i.n. tH.u, .Esiu. HIS 17 21.28 00 0 7.15 m 2 0.91 1 1.01 -- 1 1.78 2 0.55 2 2.90 -I 9.41 ii 1 1.(17 14 II 1.7) 0 U.6I -0 U.34 -- Index III (Lowest llilrd) Obs. Exp, SMR 18 21.14 6 7.06 85 65 l 0.88 -- 1 1.01 2 1.7) -- ft 0.5) -- 2 2.19 - 9 9.48 95 6 7.1] 06 0 1.75 -3 0.61 - 2 0.32 - 1:1 hum:. ii i i-i.'K ni:..iur::vi, t.ri.u: hihciiik i a / 1.61 2.40 7.115 ~ 119 I 0.30 2 0.76 -1 2.32 ... 1 U.57 2 0.84 5 2,77 (01 0 U.34 0 ft.(Ml 1 2.76 a... i,i ..1.11 .1 <>' mi I In wJlti C Iv; iir wiirti duAllm. HONS 027490 TAJILB <,r::i;HVKIl AND KKl'NIfl'Ml IHiAWS AMONO PCU UORKF.AS 10 ON HORN YKARS FllOM OM$(fT Of tKt'OSURC Kt-66 Oil SUIISEQUCKILY, AND OUSeKVATfOM TIINOUClt 12-31-82 HaIob by lnilicaa of 1*CB oxpoaorc .si:. oahmin i.ucn-, .. iTc: l.O.jJ C;il!l .Ollf Iti . .'I* ........... . <,.'MliVK-Ua I* HI..:.* i'iMI'I , N. . iVt. (ii.v.. i 'M ;i:'i IViM . .Il L'l i v'l'iYirl III 1' U ; innit cli'l<n;.iry i:i.;*-hiatoky Toml illS-u iisiii sm 1.17 150.06 91 loiltx l (flfidi9it_7lilrl) Oby E*II m 50 55.60 106 25 35.oa 71 iO 11.70 65 5 5.06 99 3 1.06 -- 7 13.30 66 10 12.(7 2 6.12 2 1.67 1 1.06 5 5.(2 79 -fly 77 112,11 96 31 31.11 IU0 67 Ml. 19 9a 3 9.06 33 7 A.aa 163 H 6 .00 133 27 25.66 0 3.(9 6 1.96 ' 2.32 I0( -- -- - Index It _(Nf<1dlt Third) i!x Eilii sim 39 50.29 78 6 11.70 (6 6 3.66 1 1.(9 2 I.Ol l 5.12 -- 20 26 27. Ml H7 21 22.66 ) 3.10 0 1,6( 2 2.09 92 -" 97 U4tx Ul ftwil Till nil iStU Esi'j. m 60 66.17 91 7 10.71 6 ). 70 2 1.66 0 0.97 1 6.56 (3 - - - 33 23.60 96 19 19.67 0 2.23 3 1.26 V( - 5 1.6) 306 niil"ioiu in .f /in .MVIIHi.Ti, VIi'i.i;m 1, HIM titIW 6 3.116 II 7.61 169 12 16.60 77 3 1.25 5 2.39 209 6 5.66 137 ( 1.26 2 2.65 2 5.25 36 0 1.37 6 2.37 2 6.69 - - .. ii i',, . i.mi.iI i.ii' i;eUu wltli Uv.i nr moro dontlis. HONS 02?<|V1 TAfll.E 9 Hi,,M.KVi;i and i:xim;ci i;d iikatiis among pcb workers lu or ihjhk years after onset ok txrosuite J-l-46 ok SOUS FLUENTLY, AND OBSERVATION HIKOlX;il 12-31-82 I'omaIu* by plant U.l. ( am. yms I 'll.,. ...UlCHl' . vcil cocir i ir.i Im litonui enticin' (.iiI.chIj, )yn|>iiowai( "i ii.r (\lRI*li'VA!CUI.AM HIliliAtiliS l<. .ul .liiHiauuii > i.lu'iivminiliiv louiCMni '.tli.'i clrculutitry i-U ';,M..'IT001i KtiS'l'lKAIlHtY n..i ih-:,:. oe mvkii /iximchs, viouiHu'K, suicitii; I'nrt RilwerJ 01 ie 21s ILa. SHjt 41 34.75 118 14 11.(13 110 1, 1.49 ~ 1 1.46 -- 4 2.90 -- 3 0.09 2 <. II1 " n 15.14 06 9 11.96 79 2 2.79 2 0.99 l 0.U6 - 2 0.95 f, 1.42 7 4.55 154 llmluon Foil* oi.w. Eki, snu 5 6.51 77 9 2.94 0 0.31 l 0.31 1 0.60 0 0.17 1 0.115 l 2.65 0 1.99 0 0.4ft 1 U.IH " 1 0.17 - 2 0.2U U 0.29 " 0 0.A6 ~ nod. Hkli &lLx i!5 5 17.04 29 2 5.54 96 0 0.70 .. 0 0.01 -0 1.94 0 0.42 2 2.27 2 7.09 26 2 S.ftft 94 0 1.44 -- 0 0.51 " l 0.49 - 0 U. 42 -- 0 0.6) ~ 0 2. 19 .. r.'i- .it fiiitiKiinit for collii ulih (Ivo or wore ilenili*. MONS 02?4W TAHLB 10 n.Mi(vi:u and uxmrtcn owns amohc ic wohkrhs lo on hohe ykahs fhoii onset of exfosuhe i-i-4< on auHsi;(jut.wn.v, aoo.ObStuvMion umoucn 12-3b2 M.ilos l*y i>Uut n. i ai.1. aim i.ivitt; *.awci' k icutal concur l.i-ui iiila, JyMjtliOHMH vancor ; DISEASES ll.I.tl 1 dllJUUllUV (i>ovanculni' luuUmw Itviilalmy :-.1 UCJimAWKY i.i .unit. of i,ivi:h vioi.CHCK, smciiti; a'l iu;h Fort Mi/nrtl 01m > SHlt 42 4 7.72 88 10 J1.14 90 5 3.71 133 1 1.61 -- 3 0.96 1 6. HO " 22 26. 13 (14 21 21.08 97 l 2.VO -- 0 1.55 ... 1 1.92 32 1 1.21 4 2.30 4 4.90 -- Muilimii Kalin Ohs. Kjlii sun 50 47.11 119 7 11.04 63 2 3.70 .. l 1.37 0 0.97 4 4,00 " 34 25. on 132 20 21.37 122 2 2.00 -- 6 1.51 4 ).5 - 1 1.25 3 2.41 7 4. VO 143 _______ Olm. iaiit SfJR 31 51.73 60 6 12 .06 SU 3 4.01 -- 2 1.75 0 1.03 -- 1 5.27 19 It) 28.44 03 17 23.57 72 0 3.17 -- 1 1. 70 - 3 2.10 " 1 1.29 -3 2.44 0 5.40 'iltV/'i .III' tiullwatttt) rOf <utlw with (tvo or more MONS 027493