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Malignant mesothelioma in Italy, 1997.
Am J Ind Med. 2004 Jan; 45(1):55-62.AJ

Abstract

BACKGROUND

The Italian National Mesothelioma Register (ReNaM) was set up at the Istituto Superiore Prevenzione e Sicurezza Lavoro (ISPESL), in Rome, in accordance with Art. 36 of Italian Legislative Decree No. 277 [1991].

METHODS

Five Italian regions, Piedmont, Liguria, Emilia-Romagna, Tuscany, and Apulia, agreed to record mesothelioma cases according to guidelines established by ISPESL, to define exposure to asbestos and transmit the data systematically to ISPESL.

RESULTS

Four hundred and twenty-nine mesothelioma cases, diagnosed in 1997, are recorded. The standardized annual incidence rate for definite pleural mesothelioma is 1.51 per 100,000 inhabitants (2.26 for males and 0.79 for females). Exposure was defined for 198 mesotheliomas with a histological diagnosis: 125 (63%) refer to occupational exposure, 10 (5%) to environmental exposure, and 5 (2.5%) to household exposure.

CONCLUSIONS

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.

Authors+Show Affiliations

Department of Occupational Medicine, Epidemiology unit, ISPESL-National Institute for Occupational Safety and Prevention, Via Alessandria, Rome, Italy. nesti.mdl@ispesl.itNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14691969

Citation

Nesti, Massimo, et al. "Malignant Mesothelioma in Italy, 1997." American Journal of Industrial Medicine, vol. 45, no. 1, 2004, pp. 55-62.
Nesti M, Marinaccio A, Chellini E. Malignant mesothelioma in Italy, 1997. Am J Ind Med. 2004;45(1):55-62.
Nesti, M., Marinaccio, A., & Chellini, E. (2004). Malignant mesothelioma in Italy, 1997. American Journal of Industrial Medicine, 45(1), 55-62.
Nesti M, Marinaccio A, Chellini E. Malignant Mesothelioma in Italy, 1997. Am J Ind Med. 2004;45(1):55-62. PubMed PMID: 14691969.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Malignant mesothelioma in Italy, 1997. AU - Nesti,Massimo, AU - Marinaccio,Alessandro, AU - Chellini,Elisabetta, PY - 2003/12/24/pubmed PY - 2004/5/8/medline PY - 2003/12/24/entrez SP - 55 EP - 62 JF - American journal of industrial medicine JO - Am. J. Ind. Med. VL - 45 IS - 1 N2 - BACKGROUND: The Italian National Mesothelioma Register (ReNaM) was set up at the Istituto Superiore Prevenzione e Sicurezza Lavoro (ISPESL), in Rome, in accordance with Art. 36 of Italian Legislative Decree No. 277 [1991]. METHODS: Five Italian regions, Piedmont, Liguria, Emilia-Romagna, Tuscany, and Apulia, agreed to record mesothelioma cases according to guidelines established by ISPESL, to define exposure to asbestos and transmit the data systematically to ISPESL. RESULTS: Four hundred and twenty-nine mesothelioma cases, diagnosed in 1997, are recorded. The standardized annual incidence rate for definite pleural mesothelioma is 1.51 per 100,000 inhabitants (2.26 for males and 0.79 for females). Exposure was defined for 198 mesotheliomas with a histological diagnosis: 125 (63%) refer to occupational exposure, 10 (5%) to environmental exposure, and 5 (2.5%) to household exposure. CONCLUSIONS: 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. SN - 0271-3586 UR - https://www.unboundmedicine.com/medline/citation/14691969/Malignant_mesothelioma_in_Italy_1997_ L2 - https://doi.org/10.1002/ajim.10313 DB - PRIME DP - Unbound Medicine ER -