Questions? Call 888-624-8373

HARDBACK + PDF
your price: $92.50
add to cart

HARDBACK
list:$79.00
Web:$71.10
add to cart

PDF BOOK
your price: $60.50
add to cart

PDF CHAPTERS
your price: $6.20
select

Rights & Permissions

topleft topright

Veterans and Agent Orange: Update 2002 (2003)
Board on Health Promotion and Disease Prevention (HPDP)
Institute of Medicine (IOM)

Page
367
bottomleft bottomright

The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy.


Veterans and Agent Orange: Update 2002

TABLE 6-48 Average Annual Incidence (per 100,000) of Leukemias in United States a

 

45–49

Years of Age

50–54

Years of Age

55–59

Years of Age

 

All Races

White

Black

All Races

White

Black

All Races

White

Black

All Leukemias

Males

8.0

8.1

7.5

14.1

14.7

12.5

19.4

19.9

14.9

Females

6.1

5.9

7.5

9.8

10.0

8.6

12.5

13.3

9.8

Acute Lymphocytic Leukemia

Males

0.6

0.5

1.2

1.0

1.1

0.3

0.8

0.8

0.5

Females

0.4

0.4

0.4

0.7

0.4

0.3

0.7

0.7

0.8

Chronic Lymphocytic Leukemia

Males

2.2

2.4

1.6

5.2

5.4

5.1

8.2

8.7

7.0

Females

1.2

1.2

1.2

2.7

2.8

2.9

3.9

4.4

1.9

Acute Myeloid Leukemia

Males

2.2

2.1

2.1

3.8

4.0

3.0

4.7

4.9

2.3

Females

2.5

2.3

3.2

3.2

3.3

1.7

4.5

4.6

4.2

Chronic Myeloid Leukemia

Males

1.3

1.3

1.4

1.8

1.8

3.4

2.7

2.6

2.8

Females

1.2

1.2

1.2

1.9

1.9

2.6

1.9

1.8

1.5

All Other Leukemiab

Males

1.2

1.3

0.9

1.8

2.0

0.7

2.0

2.1

1.4

Females

0.7

0.7

1.0

0.7

0.7

0.9

1.0

1.1

1.1

aSEER nine standard registries, crude age-specific rate, 1995–1999.

bIncludes leukemic reticuloendotheliosis (hairy-cell leukemia), plasma-cell leukemia, monocytic leukemia, and acute and chronic erythremia and erythroleukemia.

(immunohistochemical, B cell origin, progression to an acute aggressive form of non-Hodgkin's lymphoma), the committee has reviewed CLL separately from the other leukemias; the committee's review of CLL is presented in the next section.

The incidence of chronic myeloid leukemia (CML) increases steadily with age in people over 30 years old. Its lifetime incidence is roughly equal in whites and blacks and is slightly higher in males than in females. Among people in the age groups that characterize most Vietnam veterans, CML accounts for about one-fifth of cases of leukemia. It is associated with an acquired chromosomal abnormality known as the Philadelphia chromosome; exposure to high doses of ionizing radiation is a known risk factor for this abnormality.

Little is known about the risk factors associated with other forms of leukemia. However, two human retroviruses have been linked to human leukemias: HTLV-1 appears to cause adult T-cell leukemia or lymphoma, whereas the data linking HTLV-2 to hairy-cell leukemia are less definitive.

Page
367