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Both SMRs and Cox proportional hazards models investigated predictors of death due to lung cancer, mesothelioma, and chronic obstructive pulmonary disease (COPD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant excess mortality was seen for mesothelioma and asbestosis. Controlling for smoking, a strong trend for increasing lung cancer risk with increasing chest x\u2010ray profusion &gt;0\/0 was observed. With an profusion score &lt;1\/0, FEV1 \/FVC &lt;80% was associated with lung cancer risk. COPD risk increased with increasing profusion score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates asbestos\u2010related diseases among workers with largely indirect exposures and an increased lung cancer risk with low ILO scores. Am. J. Ind. 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