1. Since the data in these tables and figures have been calculated or assembled by others, their technical accuracy cannot be guaranteed. CMA makes no representations or warranties concerning their accuracy.
2. Some of the data are old and need to be updated. For some risks, this can make a significant difference, either because the risk itself has changed significantly or because its measurement has improved. In general, rates (e.g., number of deaths per million population) tend to change less over time than fatalities (counts).
3. It is not always clear what is included in the specific risk entries. For example, do deaths from smoking include cardiovascular disease and emphysema or just lung cancers? What is included in the categories “falling objects” or “toxic gas”? When in doubt, do not use the statistic.
4. Most tables of risk comparisons in the literature contain a hodgepodge of risks characterized by different levels of uncertainty. For risks such as driving, where fatalities can be counted, the number is likely to be reliable. But for risks such as radiation or food additives — based not on counting and actuarial statistics but on theoretical modeling and extrapolation — the number is likely to be highly uncertain. In general, data based on theoretical models and extrapolation are more likely to be a target for debate and criticism than data based on counts and actuarial statistics.
5. Most risk comparison tables offer only single number risk estimates, with no range or error term.
6. Most tables of risk comparisons in the literature have been developed to make a particular point. No matter how often the table has been reprinted, it is important to be sensitive to biases in the calculation of risks.
7. A careful risk comparison requires a good deal of background information about data sources, assumptions, and other qualifiers. Just because a risk statistic is published does not mean it is reliable. Published data often take on a life of their own. The original publication may discuss a number of qualifying uncertainties but these may be left out by the next person who reproduces the statistic. This may make the data look more certain, but in fact it makes them far less reliable. Keep in mind, however, that even if a risk estimate in a table is slightly off, it still could prove useful for comparisons in which risks differ by factors of 10, 100 or more.
8. The tables are often neither clear nor consistent about the population used to calculate the risk. Within the same table, some risk estimates are based on the entire population (e.g., the United States), while others are based only on the population that is exposed (e.g., only people who hunt or live in tornado-prone regions). Every risk looks more risky if only the most exposed population is considered, less risky if lots of unexposed people are considered.
9. Even if the risk comparison data are carefully and accurately reported, they can be misleading. For example, the risk calculation for driving includes many different driving situations. Yet speeding home from a party just before dawn is two orders of magnitude more dangerous than driving to the supermarket. Similarly, the risk of being hit by lightning for people who remain on a golf course during a thunderstorm is much higher than the risk for the U.S. population provided in these tables.
10. Risk comparisons raise all the same framing issues as risk quantification generally. That is, there are many different ways to express risk comparison data. Each of these expressions is likely to have a somewhat different impact on the audience.
11. The primary intent of these cautionary statements is to warn against casual acceptance of data in comparison tables, to emphasize the importance of acting fairly and responsibly in constructing comparisons, and to indicate the advisability of having someone carefully cross-check the comparison data. Whenever possible, avoid the use of secondary data sources. Track down the original source of the statistic and, if it seems accurate and appropriate, use that number.
12. Remember that a useful risk comparison must be accurate and appropriate. Comparing chemical plant risks to voluntary lifestyle choices such as smoking or driving without a seatbelt is seldom appropriate or successful, even if the comparison is technically accurate.
| Cause | Risk Per Million Persons |
| Motor vehicle accidents (total) Home accidents Falls Motor vehicle pedestrian collisions Drowning Fires Inhalation and ingestion of objects Firearms Accidental poisoning Gases and vapors   Solids and liquids (Not drugs or medicaments) Electrocution Tornadoes Floods Lightning Tropical cyclones and hurricanes Bites and stings by venomous animals and insects |
240.0 110.0 62.0 42.0 36.0 28.0 15.0 10.0 7.7 6.0 5.3 .6 .6 .5 .3 .2 |
| Hazard | Total Number of Deaths | Risk Per Million Persons |
| All causes Heart Disease Cancer Motor vehicle accidents Work Accidents Homicides Falls Drowning Fires, burns Poisoning by solids or liquids Suffocation, ingested objects Firearms, sporting Railroads Civil aviation Water transport Poisoning by gases Pleasure boating Lightning Hurricanes Tornadoes Bites and Stings |
1,973,003 757,075 351,055 46,200 33,400 20,465 16,300 8,100 6,500 3,800 2,900 2,400 1,989 1,757 1,725 1,700 1,446 124 93 91 48 |
9000.0 3400.0 1600.0 210.0 150.0 93.0 74.0 37.0 30.0 17.0 13.0 11.0 9.0 8.0 7.0 7.0 6.0 .5 .4 .4 .2 |
2002 Note: Several numbers were incorrect in the original CMA publication and have been corrected here.
| Risk | Risk of Death/ Person/Year |
| Influenza Leukemia Struck by an automobile (United Kingdom) Struck by an automobile (United States) Floods (United States) Tornadoes (Midwest United States) Earthquakes (California) Bites of venomous creatures (United Kingdom) Lightning (United Kingdom) Falling aircraft (United States) Release from nuclear power plant At site boundary (United States) At one kilometer (United Kingdom) Flooding of dike (the Netherlands) Explosion, pressure vehicle (United States) Falling aircraft (United Kingdom) Meteorite |
1 in 5000 1 in 12,500 1 in 16,600 1 in 20,000 1 in 455,000 1 in 455,000 1 in 588,000 1 in 5 million 1 in 10 million 1 in 10 million 1 in 10 million 1 in 10 million 1 in 10 million 1 in 20 million 1 in 50 million 1 in 100 billion |
| Cause | Days | Cause | Days |
| Cigarette smoking (male) Heart disease Being 30% overweight Being a coal miner Cancer Being 20% Overweight Cigarette smoking (female) Stroke Living in unfavorable state Cigar smoking Dangerous job (accidents) Pipe smoking Increasing food intake 100 calories/day Motor vehicle accidents Pneumonia (influenza) Alcohol (U.S. average) Accidents in home Suicide Diabetes Being murdered (homicide) Legal drug misuse Average job (accidents) Drowning |
2250 2100 1300 1100 980 900 800 520 500 330 300 220 210 207 141 130 95 95 95 90 90 74 41 |
Job with radiation exposure Falls Accidents to Pedestrians Safest job (accidents) Fire (burns) Generation of energy Illicit drugs (U.S. average) Poison (solid, liquid) Suffocation Firearms accidents Natural radiation Medical X rays Poisonous gases Coffee Oral contraceptives Accidents to bicycles All catastrophes combined Diet drinks Reactor accidents (UCS) Reactor accidents (NRC) PAP test Smoke alarm in home Air bags in car Mobile coronary care units |
40 39 37 30 27 24 18 17 13 11 8 6 7 6 5 5 3.5 2 2 * 0.02* -4 -10 -50 -125 |
Notes: (*) These items assume that all U.S. power is nuclear. UCS stands for the Union of Concerned Scientists, a leading critic of nuclear power. NRC stands for the U.S. Nuclear Regulatory Commission.
| Activity | Cause of Death |
| Smoking 1.4 cigarettes Drinking .5 liter of wine Spending 1 hour in a coal mine Spending 3 hours in a coal mine Living 2 days in New York or Boston Traveling 6 minutes by canoe Traveling 10 miles by bicycle Traveling 300 miles by car Flying 1000 miles by jet Flying 6000 miles by jet Living 2 months in Denver Living 2 months in average stone or brick building One chest X ray taken in a good hospital Living 2 months with a cigarette smoker Eating 40 tablespoons of peanut butter Drinking Miami drinking water for 1 year Drinking 30 12 oz cans of diet soda Living 5 years at site boundary of a typical nuclear power plant Drinking 1000 24-oz soft drinks from plastic bottles Living 20 years near a polyvinyl chloride plant Living 150 years within 20 miles of a nuclear power plant Living 50 years within 5 miles of a nuclear power plant Eating 100 charcoal-broiled steaks |
cancer, heart disease cirrhosis of the liver black lung disease accident air pollution accident accident accident accident cancer caused by cosmic radiation cancer caused by cosmic radiation cancer caused by natural radioactivity cancer caused by radiation cancer, heart disease liver cancer caused by aflatoxin B cancer caused by chloroform cancer caused by saccharin cancer caused by radiation cancer from acrylonitrile monomer cancer caused by vinyl chloride (1976 standard) cancer caused by radiation cancer caused by radiation cancer from benzopyrene |
Note: These data are based on simple extrapolations from population averages. Some data are based on actuarial statistics (e.g., coal mine accidents) and others are based on theoretical models (e.g., cancers from chlorinated water).
| Accident Type | Total Number | Individual Chance Per Year |
| Motor Vehicle Falls Fires and Hot Substances Drowning Firearms Air Travel Falling Objects Electrocution Lightning Tornadoes Hurricanes All Accidents |
55,791 17,827 7,451 6,181 2,309 1,778 1,271 1,148 160 91 93 111,992 |
1 in 4,000 1 in 10,000 1 in 25,000 1 in 30,000 1 in 100,000 1 in 100,000 1 in 160,000 1 in 160,000 1 in 2,000,000 1 in 2,500,000 1 in 2,500,000 1 in 1,600 |
| Type of Event | Probability of 100 or More Fatalities | Probability of 1,000 or More Fatalities |
| Human-caused | ||
| Airplane Crash Fire Explosion Toxic Gas |
1 in 2 yrs. 1 in 7 yrs.1 in 16 yrs. 1 in 100 yrs. |
1 in 2,000 yrs. 1 in 200 yrs. 1 in 120 yrs.1 in 1,000 yrs. |
| Natural | ||
| Tornado Hurricane Earthquake Meteorite Impact |
1 in 5 yrs. 1 in 5 yrs. 1 in 20 yrs. 1 in 100,000 yrs. |
very small 1 in 25 yrs. 1 in 50 yrs. 1 in 1 million yrs. |
| Ranking | Risk Source |
| 0.2 | PCBs (daily dietary intake): exposure through industrial residues |
| 0.3 | DDE/DDT (daily dietary intake): exposure through pesiticide residues; DDE is a by-product of DDT |
| 1 | Tap water (1 liter a day): contains chloroform, a by-product of chlorination |
| 3 | Cooked bacon (100 g/about 15 slices a day): contains dimethylnitrosamine, a preservative by-product |
| 4 | Contaminated well water (1 liter a day): from worst well in Silicon Valley; contains trichloroethylene |
| 4 | EDB (daily dietary intake): exposure through pesticide and other residues in grains and grain products |
| 8 | Swimming pool (1 hour a day for a child): exposure to chloroform by swallowing chlorinated water |
| 30 | Peanut butter (32 g/2 tablespoons a day): contains aflatoxin, a natural mold |
| 30 | Comfrey herb tea (1 cup a day): contains symphytine, a natural pesticide |
| 60 | Diet cola (12 ounces a day): contains saccharin |
| 100 | Raw mushroom (1 a day): contains hydrazines, natural pesticides |
| 100 | Dried basil (1 g of dried leaf): contains estragole, a natural pesticide |
| 300 | Phenacetin pill (average dose): ingredient in pain reliever |
| 600 | Indoor air (homes) (14 hours a day): formaldehyde emitted from furniture, carpets, and wall coverings |
| 2,800 | Beer (12 ounces a day): contains ethyl alcohol |
| 4,700 | Wine (250 ml/8 ounces a day): contains ethyl alchohol |
| 5,800 | Formaldehyde (6.1 mg/worker’s average daily intake): exposure through inhalation |
| 16,000 | Phenobarbitol (1 pill a day): a sleeping pill |
| 140,000 | EDB (150 mg/worker’s daily intake at high exposure): exposure through inhalation; worker’s maximum legal exposure |
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Source: Adapted from Doll, R. and Peto, R. (1981), “The Causes of Cancer: Quantitative Estimates of the Avoidable Risk of Cancer in the U.S. Today.” Journal of the National Cancer Institute, 1981, Vol. 66, 1191–1308.
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