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The Epidemiological Surveillance of Mesothelioma Mortality in Italy as a Tool for the Prevention of Asbestos Exposure

Author

Listed:
  • Lucia Fazzo

    (Department of Environment and Health, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Giada Minelli

    (Statistical Service, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Marco De Santis

    (Department of Environment and Health, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Emiliano Ceccarelli

    (Statistical Service, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Ivano Iavarone

    (Department of Environment and Health, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Amerigo Zona

    (Department of Environment and Health, Istituto Superiore di Sanità, 00161 Rome, Italy)

Abstract

As part of a surveillance plan active since the early 1990s, this study evaluates malignant mesothelioma (MM) mortality for the time-window 2010–2019 in Italy, a country that banned asbestos in 1992. National and regional mortality rates for MM, and municipal standardized mortality ratios (all mesotheliomas, pleural (MPM) and peritoneal (MPeM)), by gender and age group were calculated. A municipal clustering analysis was also performed. There were 15,446 deaths from MM (11,161 males, 3.8 × 100,000; 4285 females, 1.1 × 100,000), of which 12,496 were MPM and 661 were MPeM. In the study period, 266 people ≤50 years died from MM. A slightly decreasing rate among males since 2014 was observed. The areas at major risk hosted asbestos-cement plants, asbestos mines (chrysotile in Balangero), shipyards, petrochemical and chemical plants, and refineries. Female mortality excesses particularly were found in municipalities with a fluoro-edenite-contaminated mine (Biancavilla) and textile facilities. Excesses were also found in a region with the presence of natural asbestos fibres and in males living in two small islands. The Italian National Prevention Plan stated recommendations to eliminate asbestos exposures and to implement health surveillance and healthcare for people exposed to asbestos.

Suggested Citation

  • Lucia Fazzo & Giada Minelli & Marco De Santis & Emiliano Ceccarelli & Ivano Iavarone & Amerigo Zona, 2023. "The Epidemiological Surveillance of Mesothelioma Mortality in Italy as a Tool for the Prevention of Asbestos Exposure," IJERPH, MDPI, vol. 20(11), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:11:p:5957-:d:1155984
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    References listed on IDEAS

    as
    1. Lucia Fazzo & Alessandra Binazzi & Daniela Ferrante & Giada Minelli & Dario Consonni & Lisa Bauleo & Caterina Bruno & Marcella Bugani & Marco De Santis & Ivano Iavarone & Corrado Magnani & Elisa Romeo, 2021. "Burden of Mortality from Asbestos-Related Diseases in Italy," IJERPH, MDPI, vol. 18(19), pages 1-14, September.
    2. Luigi Vimercati & Domenica Cavone & Maria Celeste Delfino & Antonio Caputi & Luigi De Maria & Stefania Sponselli & Vincenzo Corrado & Giovanni Maria Ferri & Gabriella Serio, 2020. "Asbestos Air Pollution: Description of a Mesothelioma Cluster Due to Residential Exposure from an Asbestos Cement Factory," IJERPH, MDPI, vol. 17(8), pages 1-17, April.
    3. Carolina Mensi & Barbara Dallari & Marco Polonioli & Luciano Riboldi & Dario Consonni & Angela Cecilia Pesatori, 2021. "Mesothelioma in Agriculture in Lombardy, Italy: An Unrecognized Risk," IJERPH, MDPI, vol. 18(1), pages 1-9, January.
    4. Sofie Bünemann Dalsgaard & Else Toft Würtz & Johnni Hansen & Oluf Dimitri Røe & Øyvind Omland, 2021. "Cancer Incidence and Risk of Multiple Cancers after Environmental Asbestos Exposure in Childhood—A Long-Term Register-Based Cohort Study," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    5. Sugio Furuya & Odgerel Chimed-Ochir & Ken Takahashi & Annette David & Jukka Takala, 2018. "Global Asbestos Disaster," IJERPH, MDPI, vol. 15(5), pages 1-11, May.
    6. Richard A. Lemen & Philip J. Landrigan, 2021. "Sailors and the Risk of Asbestos-Related Cancer," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    7. Odgerel Chimed-Ochir & Diana Arachi & Tim Driscoll & Ro-Ting Lin & Jukka Takala & Ken Takahashi, 2020. "Burden of Mesothelioma Deaths by National Income Category: Current Status and Future Implications," IJERPH, MDPI, vol. 17(18), pages 1-13, September.
    8. Corrado Magnani & Carolina Mensi & Alessandra Binazzi & Daniela Marsili & Federica Grosso & Juan Pablo Ramos-Bonilla & Daniela Ferrante & Enrica Migliore & Dario Mirabelli & Benedetto Terracini & Dari, 2023. "The Italian Experience in the Development of Mesothelioma Registries: A Pathway for Other Countries to Address the Negative Legacy of Asbestos," IJERPH, MDPI, vol. 20(2), pages 1-24, January.
    9. Sofie Bünemann Dalsgaard & Else Toft Würtz & Johnni Hansen & Oluf Dimitri Røe & Øyvind Omland, 2022. "A Cohort Study on Cancer Incidence among Women Exposed to Environmental Asbestos in Childhood with a Focus on Female Cancers, including Breast Cancer," IJERPH, MDPI, vol. 19(4), pages 1-11, February.
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