Hidden danger: A 22-years analysis of law enforcement deaths associated with duty-related illnesses (1997-2018)

Policing. 2020 Mar 27;43(2):330-344. doi: 10.1108/PIJPSM-07-2019-0109.

Abstract

Purpose –: Law enforcement is a dangerous profession not only due to assaults, accidents and homicides but also due to health risks. This study examined trends in the national frequency and rate of law enforcement jobrelated illness deaths in the United States over a 22-year period (1997-2018).

Design/methodology/approach –: Data were obtained from the National Law Enforcement Officers Memorial Fund (NLEOMF) on death frequencies related to health issues at work. Death rates were based on the total number of police officers in the United States [rate = (frequency/population at risk) × 100,000]. Trends were examined using standardized regression.

Findings –: A total of 646 deaths were attributed to job-related illness. There was a significant upward trend in overall job-related illness deaths (frequency analyses: β = 0.88, p < 0.0001; rate analyses: β = 0.82, p ≤ 0.0001) mainly driven by a significant increase in 911 cancer deaths (frequency analyses: β = 0.88, p < 0.0001; rate analyses: β = 0.88, p ≤ 0.0001). Nearly 82 percent of circulatory deaths were from a heart attack, with an average death age of 46.5 years.

Research limitations/implications –: Deaths were not included if they failed to meet medical requirements of the NLEOMF. The data are descriptive, do not estimate risk and should be interpreted cautiously.

Practical implications –: Police wellness programs may help to reduce the danger of deaths associated with job-related illness.

Originality/value –: This is among the first studies to examine frequency and rate of police health-related deaths due to job exposures.

Keywords: Cancer; Danger; Heart attacks; Job related illness; Police deaths.