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Table 3 Standardized Mortality Ratios in Genesee County, Michigan, 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 153–154 814 1.04 0.95–1.14 800 1.02 0.93–1.11
Liver and biliary Passages 155–156 150 0.84 0.67–1.03 171 1.00 0.82–1.22
Trachea, bronchus and lung 162 2,763 1.10* 1.04–1.15 1,526 1.13* 1.06–1.21
Skin melanoma 172 85 1.07 0.80–1.41 48 0.90 0.60–1.30
Other skin cancer 173 43 1.61* 1.05–2.36 11 0.76 0.30–1.58
Female reproductive organs 179–184     804 1.15* 1.05–1.26
Prostate 185 787 0.98 0.90–1.08    
Bladder 188 209 1.05 0.87–1.25 101 0.99 0.75–1.27
Kidney and other urinary organs 189 182 1.04 0.85–1.26 119 1.04 0.81–1.31
Circulatory diseases
All diseases of the circulatory system 390–459 15,033 1.14* 1.12–1.17 15,863 1.16* 1.14–1.19
Essential hypertension and hypertensive renal disease 401, 403 139 1.31* 1.04–1.63 160 1.04 0.84–1.27
Hypertensive heart disease and hypertensive heart and renal disease 402, 404 311 1.07 0.92–1.24 427 1.12 0.99–1.27
Ischemic heart Diseases 410–414 7,981 1.05* 1.02–1.08 7,589 1.05* 1.02–1.08
Cerebrovascular diseases 430–438 1,893 1.15* 1.08–1.22 2,815 1.14* 1.09–1.20
Diseases of arteries arterioles and capillaries (DAAC) 440–448 669 1.02 0.92–1.12 760 1.04 0.95–1.14
Atherosclerosis 440 300 1.09 0.93–1.26 510 1.14* 1.01–1.27
Aortic aneurysm 441 257 0.89 0.76–1.05 115 0.75* 0.58–0.95
Respiratory diseases
All diseases of the respiratory system 460–519 2,522 1.08* 1.03–1.14 2,235 1.11* 1.05–1.17
Emphysema 492 373 1.09 0.95–1.25 250 1.18 1.00–1.39
Chronic airways Obstruction 496 985 1.23* 1.14–1.34 725 1.27* 1.16–1.40
Other diseases
Diabetes mellitus 250 737 1.30* 1.18–1.43 979 1.28* 1.17–1.38
Chronic liver diseases and cirrhosis 571 343 0.58* 0.50–0.66 268 0.89 0.75–1.03
Kidney diseases 580–589 335 1.21* 1.04–1.39 418 1.40* 1.23–1.58
  1. ICD-9 = International Classification of Diseases, 9th Revision; Obs = Number of observed deaths; CI = confidence interval; *p < 0.01.