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Volume 16, Number 2—February 2010

Dispatch

Concurrent Silicosis and Pulmonary Mycosis at Death

Yulia Iossifova1, Rachel Bailey, John Wood, and Kathleen KreissComments to Author 
Author affiliations: Centers for Disease Control and Prevention, Morgantown, West Virginia, USA; 1Current affiliation: Centers for Disease Control and Prevention, Chamblee, Georgia, USA.

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Table 2

Cause of death for decedents with any death certificate mention of selected pneumoconioses (underlying or contributing cause) and any mention of the most common types of pulmonary mycosis, US residents ≥45 y of age, 1979–2004*

Cause Pulmonary mycosis, prevalence rate ratio (95% CI)
Coccidioidomycosis† Histoplasmosis‡ Aspergillosis§ Cryptococcosis¶
Silicosis 17.9 (8.0–39.9) 2.9 (0.4–20.7) 13.9 (9.2 – 21.1) 6.9 (3.3 –14.5)
Asbestosis 4.2 (1.8–10.1) 3.3 (1.2–8.8) 5.5 (3.9– 7.8) 0.8 (0.3–2.6)
CWP 0 0.4 (0.1–3.0) 1.8 (1.2–2.9) 0.9 (0.4–1.9)

*Compared with persons who died without any mention of selected pneumoconioses. Data from National Center for Health Statistics (www.cdc.gov/nchs/products/elec_prods/subject/mortmcd.htm). CI, confidence interval; CWP, coal worker pneumoconiosis.
†Six with coccidiodomycosis among 6,723 decedents with silicosis; 5 among 23,899 decedents with asbestosis; zero among 46,088 with CWP; 2,576 among 51,677,216 without silicosis, asbestosis, and/or CWP.
‡One with histoplasmosis among 6,723 decedents with silicosis; 4 among 23,899 with asbestosis; 1 among 46,088 with CWP; 2,633 among 51,677,216 without silicosis, asbestosis, and/or CWP.
§Twenty-two with aspergillosis among 6,723 decedents with silicosis; 31 among 23,899 with asbestosis; 20 among 46,088 with CWP; 12,165 among 51,677,216 without silicosis, asbestosis, and/or CWP.
¶Seven with cryptococcosis among 6,723 decedents with silicosis; 3 among 23,899 with asbestosis; 6 among 46,088 with CWP; 7,786 among 51,677,216 without silicosis, asbestosis, and/or CWP.

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