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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.