Medical examination for asbestos‐related disease

Levin, S. M.; Kann, P. Elizabeth; Lax, Michael B.

doi:10.1002/(sici)1097-0274(200001)37:1<6::aid-ajim3>3.3.co;2-8

Cited by 8 publications

(9 citation statements)

References 67 publications

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“…The procedures used by the local OHSs were inhomogeneous and without coordination in areas characterized by the same health administration. Similar experiences were also described in other countries (8)(9)(10)(11).…”

Section: Introductionsupporting

confidence: 83%

Health surveillance for former asbestos exposed worker: a specific programme developed in an Italian region

Chellini¹,

Battisti²,

Cristaudo³

et al. 2018

J. Thorac. Dis.

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Asbestos-related diseases usually have a long latency since first exposure and this legitimates a health surveillance programme addressed to asbestos workers after the cessation of their occupational exposure. After a brief history of health surveillance initiatives performed in Italy as well as in other countries, we describe a regional programme for former asbestos-exposed workers, focusing on organizational features.A regional group of experts defined its operational and economical aspects. The Regional Council supported the whole programme, making it free of charge for all subjects who fulfil the predefined enrolment criteria (being resident in the region, being younger than 80 years old with cessation of occupational asbestos exposure within the last 30 years). The programme activities are classified in two levels: a first level for a basic health evaluation and a second level for in-depth analyses. In order to guarantee an homogeneous delivery in the whole region, the programme has to be performed by public health services with a quality control of activities. The involvement of specific public health services and the cooperation of social stakeholders are expected to play a major role in overcoming still open critical issues, such as the lack of programme existence awareness and adhesion, the correct stratification of subjects for the follow-up, and the real homogeneous delivery of the health surveillance in whole region.

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Section: Introductionsupporting

confidence: 83%

Health surveillance for former asbestos exposed worker: a specific programme developed in an Italian region

Chellini¹,

Battisti²,

Cristaudo³

et al. 2018

J. Thorac. Dis.

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“…Pleural changes are the most common sequelae of asbestos exposure (18)(19)(20), most commonly appearing 20 to 30 years after initial exposure (18,19,21,22). Pathologically, localized pleural changes or pleural plaques appear as a ''basket weave'' pattern of acellular hyalinized collagen involving the parietal pleura (21).…”

Section: Discussionmentioning

confidence: 99%

Low-Level Fiber-induced Radiographic Changes Caused by Libby Vermiculite

Rohs

Lockey²,

Dunning³

et al. 2008

Am J Respir Crit Care Med

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This study indicates that exposure within an industrial process to Libby vermiculite ore is associated with pleural thickening at low lifetime CFE levels. The propensity of the Libby amphibole fibers to dramatically increase the prevalence of pleural changes 25 years after cessation of exposure at low CFE levels is a concern in view of the wide national distribution of this ore for commercial and residential use.

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“…Although the P-A view is recommended by the ILO's guidelines for the classification of radiographs (ILO 1980), we used the lateral right and left oblique views as well as the P-A view for evaluating abnormalities. The addition of right and left oblique views increases the precision and the sensitivity and specificity of chest radiographs in finding pleural abnormalities not evident on the P-A view alone (Lawson et al 2001;Levin et al 2000).…”

Section: Methodsmentioning

confidence: 99%

Radiographic abnormalities and exposure to asbestos-contaminated vermiculite in the community of Libby, Montana, USA.

Peipins

Lewin

Campolucci

et al. 2003

Environ Health Perspect

154

131

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Mining, handling, processing, and personal or commercial use of asbestos-contaminated vermiculite have led to widespread contamination of the Libby, Montana, area. We initiated a medical testing program in response to reports of respiratory illness in the community. The purpose of this analysis was to identify and quantify asbestos-related radiographic abnormalities among persons exposed to vermiculite in Libby and to examine associations between these outcomes and participants' self-reported exposures. A cross-sectional interview and medical testing were conducted in Libby from July through November 2000 and from July through September 2001. A total of 7,307 persons who had lived, worked, or played in Libby for at least 6 months before 31 December 1990 completed the interview. Of those, 6,668 participants ≥ 18 years of age received chest radiographs to assess the prevalence of pleural and interstitial abnormalities. We observed pleural abnormalities in 17.8% of participants and interstitial abnormalities in < 1% of participants undergoing chest radiography. We examined 29 occupational, recreational, household, and other exposure pathways in the analysis. The prevalence of pleural abnormalities increased with increasing number of exposure pathways, ranging from 6.7% for those who reported no apparent exposures to 34.6% for those who reported ≥ 12 pathways. The factors most strongly associated with pleural abnormalities were being a former W.R. Grace worker, being older, having been a household contact of a W.R. Grace worker, and being a male. In addition to being a former W.R. Grace worker, environmental exposures and other nonoccupational risk factors were also important predictors of asbestos-related radiographic abnormalities.

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Medical examination for asbestos‐related disease

Cited by 8 publications

References 67 publications

Health surveillance for former asbestos exposed worker: a specific programme developed in an Italian region

Health surveillance for former asbestos exposed worker: a specific programme developed in an Italian region

Low-Level Fiber-induced Radiographic Changes Caused by Libby Vermiculite

Radiographic abnormalities and exposure to asbestos-contaminated vermiculite in the community of Libby, Montana, USA.

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