Impact of an asbestos cement factory on mesothelioma incidence in a community in Italy

Consonni, Dario; Matteis, Sara De; Dallari, Barbara; Pesatori, Angela Cecilia; Riboldi, Luciano; Mensi, Carolina

doi:10.1016/j.envres.2019.108968

Cited by 23 publications

(16 citation statements)

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“…Clusters of mesothelioma cases among populations residing close to industrial contaminated sites (mostly with asbestos cement plants) were also reported recently [ 5 , 27 , 28 , 29 ]. Furthermore, the more recent update of the national surveillance plan based on mortality data, highlighted clusters of deaths from mesothelioma in specific areas of the country and an increasing annual trend in the 2003–2014 period, particularly among the male population [ 18 ].…”

Section: Discussionsupporting

confidence: 60%

Burden of Mortality from Asbestos-Related Diseases in Italy

Fazzo

Binazzi

Ferrante

et al. 2021

IJERPH

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Asbestos is one of the major worldwide occupational carcinogens. The global burden of asbestos-related diseases (ARDs) was estimated around 231,000 cases/year. Italy was one of the main European asbestos producers until the 1992 ban. The WHO recommended national programs, including epidemiological surveillance, to eliminate ARDs. The present paper shows the estimate of the burden of mortality from ARDs in Italy, established for the first time. National standardized rates of mortality from mesothelioma and asbestosis and their temporal trends, based on the National Institute of Statistics database, were computed. Deaths from lung cancer attributable to asbestos exposure were estimated using population-based case-control studies. Asbestos-related lung and ovarian cancer deaths attributable to occupational exposure were estimated, considering the Italian occupational cohort studies. In the 2010–2016 period, 4400 deaths/year attributable to asbestos were estimated: 1515 from mesothelioma, 58 from asbestosis, 2830 from lung and 16 from ovarian cancers. The estimates based on occupational cohorts showed that each year 271 deaths from mesothelioma, 302 from lung cancer and 16 from ovarian cancer were attributable to occupational asbestos exposure in industrial sectors with high asbestos levels. The important health impact of asbestos in Italy, 10–25 years after the ban, was highlighted. These results suggest the need for appropriate interventions in terms of prevention, health care and social security at the local level and could contribute to the global estimate of ARDs.

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Section: Discussionsupporting

confidence: 60%

Burden of Mortality from Asbestos-Related Diseases in Italy

Fazzo

Binazzi

Ferrante

et al. 2021

IJERPH

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“…Simply living near the Eternit asbestos factory in Casale Monferrato (Italy) was sufficient to cause mesothelioma in local residents [71]. Similar observations have been made around asbestos industries in another part of Italy [72] and elsewhere in the world (Japan, Finland etc). In the Netherlands roads and garden paths paved with tailings of another (Eternit) asbestos factory in the municipality of Goor also led to multiple mesothelioma cases [73].…”

Section: The Changing Face Of Malignant Mesothelioma and The Consequences Of Living In A Polluted Environmentsupporting

confidence: 62%

Asbestos-related cancers: the ‘Hidden Killer’ remains a global threat

Zandwijk

Reid

Frank

2020

Expert Review of Anticancer Therapy

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Introduction: Asbestos, the most frequent cause of occupational cancer, continues to be consumed on a massive scale, with millions of people exposed on a daily basis. This review explains why we have failed in curtailing the silent epidemic of asbestos-related disease and why the numbers of asbestos victims are likely to remain high. Emerging and developed countries have to be reminded that asbestos exposure has yet to become a problem of the past. The worldwide spread of asbestos, followed by the surge of asbestos-related cancers, resembles the lung cancer epidemic caused by smoking and stimulated by manufacturers. Areas covered: Underreporting of malignant mesothelioma and asbestos-induced lung cancer, frequently-used arguments in the amphibole/chrysotile debate and the conclusion from bona-fide research organizations, that all forms of asbestos are carcinogenic, are reviewed. Special attention is paid to the consequences of ubiquitous environmental asbestos and the 'changing face' of malignant mesothelioma in countries with heavy asbestos use in the past. Expert opinion: Experts in oncology, respiratory medicine, occupational and public health, and basic researchers must take responsibility and acknowledge the ongoing silent epidemic of asbestos-related diseases. The call for a world-wide asbestos ban is more urgent than ever.

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“…The incidence rate in females showed a progressive increase from 2007 to 2016, while the rate was stable in males, indicative of a more complete ascertainment of incident cases. Further evidence of asbestos exposure in MM cases in females was provided by Consonni et al 31 in relation to a community close to an asbestos cement factory.…”

Section: Geographical Clusters Of MM In High Exposure Areasmentioning

confidence: 89%

Malignant mesothelioma: Ongoing controversies about its etiology in females

Baur¹,

Frank

Soskolne

et al. 2021

American J Industrial Med

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Malignant mesothelioma (MM) is one of the most aggressive cancers with the poorest of outcomes. There is no doubt that mesothelioma in males is related to asbestos exposure, but some authors suggest that most of the cases diagnosed in females are “idiopathic.” In our assessment of the science, the “low risk” of mesothelioma in females is because of the nonsystematic recording of exposure histories among females. Indeed, asbestos exposure is mentioned in only some of the studies that include females. We estimate the risk of MM among females to be close to that in males. The absence of detailed exposure histories should be rectified in future studies involving women. As a matter of social justice, the ongoing failure to recognize asbestos as the cause of a majority of cases of MM in females does them, and their kin, a profound disservice.

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Impact of an asbestos cement factory on mesothelioma incidence in a community in Italy

Cited by 23 publications

References 23 publications

Burden of Mortality from Asbestos-Related Diseases in Italy

Burden of Mortality from Asbestos-Related Diseases in Italy

Asbestos-related cancers: the ‘Hidden Killer’ remains a global threat

Malignant mesothelioma: Ongoing controversies about its etiology in females

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