Malignant mesothelioma in Italy, 1997

Abstract

Despite the ReNaM's work, many limitations still have to be overcome. Clear-cut information on asbestos exposure is available for a limited number of cases; and differing regional procedures in collecting and evaluating mesotheloma cases exist. At this stage the identification and evaluation of a large number of cases of mesothelioma is a worthwhile result. This epidemiological surveillance, currently being extended to other regions, will enable us to better assess the impact and diffusion of this disease in future, and to monitor more closely the effects of ceasing asbestos use in 1992, and the efficacy of preventive measures since mid '70s. Am. J. Ind. Med. 45:55-62, 2004.

Predictions of mortality from pleural mesothelioma in Italy: A model based on asbestos consumption figures supports results from age‐period‐cohort models

“…About 17% of the incident cases in the Italian mesothelioma register (ReNaM) with available occupational information had worked in one of those sectors. 32 After that, during the 1980s, asbestos use ceased in most of the major textile plants and prevention measures were introduced in shipyards (maintenance area), in the navy and in the iron and steel industry; even the contract works of insulation removal from railway carriages and maintenance of facilities for electricity production and distribution came to an end. Altogether, those sectors employed 45% of ReNaM cases with available occupational information.…”

Incidence trends and gender differences in malignant mesothelioma in New South Wales, Australia

“…In Australia, cases among women have been reported to account for approximately 19% of the total cases (13). Due to relatively small numbers and difficulties in obtaining accurate data, few previous studies have assessed gender differences, and most do not distinguish between genders or have sufficient occupational data to comment on asbestos exposure (14)(15)(16)(17)(18).…”

Pleural mesothelioma in household members of asbestos-exposed workers in Friuli Venezia Giulia, Italy

“…Their exposure was only through residential inhalation of asbestos from husband's or father's contaminated work clothes that were not removed in the workplace for cleaning but or unknown (e.g., questionnaires reported an incomplete job and/or residential and familial history) following the National Guidelines [15,16]. Certain occupational exposure is attributed to the subjects whose work has involved the use of asbestos or materials containing asbestos; probable occupational exposure to the subjects who have worked in a firm where asbestos has been certainly used but whose exposure cannot be documented; possible occupational exposure to the subjects who have worked in a firm referring to an economic sector where asbestos has been used [15,16]. Exposure information and medical data were reviewed (by occupational physicians) in all cases included for the analysis.…”

“…The data sources are 1063 MM cases, available from 1995 to 2014, from the Friuli Venezia Giulia Mesothelioma Register. The Friuli Venezia Giulia COR collects incident malignant mesothelioma cases from health care institutions that diagnose and treat cases of mesothelioma (especially pathology and histology units, pneumology and chest surgery wards), consults hospital discharge records and death certificates, analyzes the pathology diagnosis and classifies cases according to diagnostic certainty achieved (defined MM, probable MM, possible MM) [15]. Data on occupational and residential history together with lifestyle habits is reported directly from the subjects or their relatives using a standardized questionnaire/interview administered by an occupational physician.…”

“…The great majority of asbestos-induced mesothelioma in the industrialized world is caused by the occupational asbestos exposure, and occurs among workers engaged in extracting and manufacturing asbestos, or performing tasks involving contact with asbestos-containing materials [2]. The concern used to be focused on the occupational environment Guidelines [15]. Since 1995, the Friuli Venezia Giulia Mesothelioma Register, included in the network of the ReNaM, has recorded the incident cases of the MM in the Region, an industrial area in Northeastern Italy with a history of extensive occupational asbestos exposure, mainly due to the existence of several shipyards in the Trieste-Monfalcone district.…”