As follow-up information, dates and causes of death were annually or biannually confirmed, with the permission of the Director-General of the Prime Minister’s Office (Ministry of Public Management, Home Affairs, Post and Telecommunications) and/or the Ministry of Health, Labor and Welfare, Japan. The date of move-out of cohort members from the study area was also annually or biannually verified by the investigator in cooperation with key members of the local governmental office. In 24 of the 45 areas, data on cancer incidence such as date of diagnosis and primary site were also collected through population-based cancer registers or by reviewing the records of local major hospitals. In most areas, follow-up was completed at the end of 2009; however, it was stopped at the end of 1999 in 4 areas, at the end of 2003 in another 4 areas, and at the end of 2008 in 2 areas.
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