Magnitude, Rates , Sex, Race, Occupation

Magnitude and Trend

Number of U.S. residents aged 15 or older with malignant mesothelioma listed as an underlying or contributing cause on the death certificate by type of mesothelioma, 1999. Of the 2,485 malignant mesothelioma deaths in 1999, the highest proportion was classified as an unspecified type. In nearly 95% of all deaths, malignant mesothelioma was listed as the underlying cause. (Note: The total number of deaths by subtype exceeds the number for all sites because more than one subtype was listed for some decedents.)

Rates among States

Age-adjusted mortality rates for malignant mesothelioma in U.S. residents aged 15 or older by State, 1999. The highest malignant mesothelioma mortality rates occurred in Alaska and Maine in 1999. The rates for each of these States were more than twice the national rate of 11.7 per million. States in the next highest rate group were widely dispersed, with a concentration on the eastern seaboard and in the West. The rates in these States were nearly 1.5 to 2 times the U.S. rate.

Sex and Race

Distribution and number of malignant mesothelioma deaths in U.S. residents aged 15 and older by sex and race, 1999. More than 80% of malignant mesothelioma deaths occurred in men in 1999. White residents accounted for 94.8% of malignant mesothelioma deaths.

Occupation and Industry

PMRs and 95% confidence intervals for malignant mesothelioma in U.S. residents aged 15 or older by industry and occupation, 1999. Industrial and miscellaneous chemicals, electric light and power, and construction industries were associated with the highest significant malignant mesothelioma PMRs. Plumbers, pipefitters, steamfitters, and electricians (which are occupations associated with the construction industry) were highly associated with malignant mesothelioma mortality. Elementary school teachers also had a significant malignant mesothelioma PMR. (Note: This figure presents the highest significant PMRs based on 10 or more deaths.)