1988
DOI: 10.1159/000110163
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Risk of Multiple Sclerosis in Relation to Industrial Activities: An Ecological Study in Four European Countries

Abstract: The pattern of industries, in terms of workers in any individual industry in relation to total population, was compared with multiple sclerosis (MS) risk, as reported in previous communications in Norway, Denmark, Sweden and Switzerland. A great number of correlations with MS was found but, when intercorrelations were considered, paper manufacturing appeared to be the most closely associated with MS. The possible relevance of these findings in view of the methodological limitations is discussed.

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Cited by 20 publications
(16 citation statements)
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“…Since smoke from coniferous wood is rich in compounds of the guaiacol type [58,59], having a free 6-position, nitrophenol formation might be more extended when coniferous wood is used for smoking. A possible role of the latter factor would be in agreement with the peculiar association of the MS risk with processing of coniferous wood described recently in some countries [48,73] …”
Section: Resultssupporting
confidence: 82%
“…Since smoke from coniferous wood is rich in compounds of the guaiacol type [58,59], having a free 6-position, nitrophenol formation might be more extended when coniferous wood is used for smoking. A possible role of the latter factor would be in agreement with the peculiar association of the MS risk with processing of coniferous wood described recently in some countries [48,73] …”
Section: Resultssupporting
confidence: 82%
“…A bias due to differences in medical facilities has been ruled out previously [39]. The find ing does not indicate a higher risk in indus trial workers, since individual exposure was not investigated in the present study and oth ers had described a higher risk in socially advanced strata [40][41][42], As shown in a sub sequent paper [43], the association with over all industrial activity cannot be attributed to a certain branch of industry, so that the sig nificance of this correlation remains obscure.…”
Section: Discussionmentioning
confidence: 77%
“…nitroguaiacol and its deriva tives) and their conjugation with food pro teins in this type of food [4,10], Further epi demiological arguments for this view are the association of MS with the felling and pro cessing of conifers in Norway [11], the corre lation between MS and the paper industry (which predominantly uses coniferous wood) in several countries [12,13], a significant correlation between MS mortality and the proportion of certain conifers in regional forests in one state [14], and a similar trend in a small rural area in central West Ger many [13], Furthermore, an association of MS with the density of meat markets was found in the German state of Hesse [14], and in the US (unpublished data). The clustering of MS in areas with a prominent lumber industry [15] and an overrepresentation of woodworkers among MS patients in some studies [16,17] are also in agreement with this hypothesis.…”
Section: Discussionmentioning
confidence: 99%