American Journal Of Industrial Medicine. 58(2):123–137, FEBRUARY 2015 DOI: 10.1002/ajim.22408 , PMID: 25603936 Issn Print: 0271-3586 Publication Date: February 2015 Print Overview of the National Occupational Mortality Surveillance (NOMS) system: Leukemia and acute myocardial infarction risk by industry and occupation in 30 US states 1985–1999, 2003–2004, and 2007 Cynthia Robinson;James Walker;Marie Sweeney;Rui Shen;Geoffrey Calvert;Pam Schumacher;Jun Ju;Susan Nowlin; + Author Information 1The National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Division of Surveillance, Hazard Evaluation and Field Studies, Cincinnati, Ohio,2SRA International, Fairfax, Virginia, Checking for direct PDF access through Ovid Abstract BackgroundCancer and chronic disease are leading causes of death in the US with an estimated cost of $46 billion.MethodsWe analyzed 11 million cause-specific deaths of US workers age 18–64 years in 30 states during 1985–1999, 2003–2004, and 2007 by occupation, industry, race, gender, and Hispanic origin.ResultsThe highest significantly elevated proportionate leukemia mortality was observed in engineers, protective service, and advertising sales manager occupations and in banks/savings &loans/credit agencies, public safety, and public administration industries. The highest significantly elevated smoking-adjusted acute myocardial infarction mortality was noted in industrial and refractory machinery mechanics, farmers, mining machine operators, and agricultural worker occupations; and wholesale farm supplies, agricultural chemical, synthetic rubber, and agricultural crop industries.ConclusionsSignificantly elevated risks for acute myocardial infarction and leukemia were observed across several occupations and industries that confirm existing reports and add new information. Interested investigators can access the NOMS website athttp://www.cdc.gov/niosh/topics/NOMS/. Am. J. Ind. Med. 58:123–137, 2015. © 2015 Wiley Periodicals, Inc.