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1 II) ) 6 55

2 95 95Confidence Interval; 95CI) confidence intervals CI.66

3 Mortality experience of cockpit crewmembers from Japan Airlines. Kaji M, Tango T, Asukata I, Tajima N, Yamamoto K, Yamamoto Y, Hokari M. Medical Services Division, Japan Airlines, Tokyo Aviat Space Environ Med Aug;64(8):748-5.» ,37 (,136» ) (.5%) ( =.66P<.1 95C.I ) ( =.43, p <.1) ( =.87,NS)» n=9), n=), n=), (n=1)» (n=1), (n=1), (n=1) (n=1) (=.37, P<.5) (=.7, P<.5) (=.33,P<.5) Kaji M Aviat Space Environ Med Canada1) Canada) Japan3) Canada) Britain4) US Air Force5) 6,449 Person years 18,6 3,116 6, ,56 16,,.71 (n=15).87 (n=).61 (n=51).64 (n=18) 1.19 (n=34) 1) Band PR et al Aviat Space Environ Med. 199;61 ) Band PR et al AM J Epidemiol 1996;143 3) Kaji M et al Aviat Space Environ Med. 1993;64 4) Irvine D et al Aviat Space Environ Med. 1999;7 5) Grayson J et al Aviat Space Environ Med. 1996; (n=3) 1.5 (n=8) 1.49 (n=) 3.33 (n=9) 1.5 (n=49) 1.65 (n=9) 1.3 (n=).51 (n=4).89 (n=13) 4.7 (n=6) 3.9 (n=3) 1.87 (n=34) 1.5 (n=7) *

4 Cancer incidence and mortality among flight personnel: a meta-analysis. Ballard T, Lagorio S, De Angelis G, Verdecchia A. Istituto Superiore di Sanita, Laboratorio di Igiene Ambientale, Rome, Italy Aviat Space Environ Med. Mar;71(3): Mortality and cancer incidence in a cohort of commercial airline pilots. Band PR et al Aviat Space Environ Med. 199 Apr;61(4): Mortality experience of cockpit crewmembers from Japan Airlines. Kaji M et al Aviat Space Environ Med Aug;64(8): British Airways flightdeck mortality study, Irvine D, Davies DM. Aviat Space Environ Med Jun;7(6): Cohort study of Air Canada pilots: mortality, cancer incidence, and leukemia risk PR Band et al AM J Epidemiol or Ballard T Aviat Space Environ Med *

5 Incidence of cancer among Nordic airline pilots over five decades: occupational cohort study. Pukkala Eet al Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research BMJ 5 Denmark, Finland, Iceland, Norway, Sweden Person-years() ( 14,999 5,9,999 1, (Sv) 1-,999 3,-9,999 1,-19,999 >, 177,43 3,897(19) 57,97(3) 45,771(6) 6886(15) 11,44(6) 3,151() 33,848(19) 13,673(8) 1,9(6) 8,49(46) 6,89(15) 4,1(14),4(11) Pukkala E BMJ

6 I) (95CI) Pukkala E BMJ * II) Pukkala E BMJ *

7 ,-19,999 Sv ,-9,999 Sv >, Sv.9 1,999 Sv Pukkala E BMJ *

8 Person years Finland 1 1, (n=) 1.87 (N=) 3.57 (n=) 15.1 (n=) Denmark) Norway3) (n=917) 7, (n=5) 1.7 (n=6) 1.4 Social class (n=38 ).6 (n=1) (n=) Sweden 4) 39, (n=76).18 (n=11) 1.3 (n=33) 3.14 (n=4) 1) Pukkala E et al BMJ 1995;311 ) Lynge E et al. BMJ 1996;31 3) Haldorsen T, et al Int J Epidemiol 1;3 4) A Linnersjö et al Occupational and Environmental Medicine 3; 6 * *

9 Mortality from cancer and other causes among airline cabin attendants in Germany, Blettner M, et al. Am J Epidemiol. Sep 15;156(6): Blettner M Am J Epidemiol. Social class

10

11 Acrylic window A:Unshaded horizontal surface outdoors at sea level B:Sun shining through window glass at sea level C:Sun shining through flight deck acrylic window at 4,ft D:Sun shining through flight deck acrylic window at,ft E: Sun shining through flight deck acrylic window at sea level 18 1 Aviat Space Environ Med 199 Occupational and Environmental Medicine 3

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