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Pleural mesothelioma mortality and asbestos exposure mapping in Italy.
Am J Ind Med. 2012 Jan; 55(1):11-24.AJ

Abstract

BACKGROUND

An epidemic of asbestos-related diseases is ongoing worldwide. Mortality from malignant pleural neoplasms in Italy was analyzed, to estimate the health impact of asbestos at national and local level.

METHODS

Mortality from ICD-9 code 163 was considered, in the time-window 1995-2002, using National Bureau of Statistics data. National and regional standardized rates and municipal Standardized Mortality Ratios (SMR) were calculated. Municipal clusters were identified by applying Spatial Scan Statistics procedure. Relative risks (RR) express the ratio of risk within the cluster to the risk outside the cluster.

RESULTS

The national standardized annual mortality rate was 1.9 per 100,000. Significant clusters corresponded to asbestos-cement industries (Casale Monferrato: RR = 11.63), shipyards (Monfalcone, RR = 7.43), oil refineries (Falconara, RR = 2.52), petrochemical industries (Priolo, RR = 3.81).

CONCLUSIONS

The present study confirms malignant pleural neoplasms mortality as a suitable indicator of asbestos exposure at geographic level. In addition to asbestos-cement industries and shipyards, other industrial settings are associated with pleural neoplasm mortality.

Authors+Show Affiliations

Environmental Epidemiology Unit, Department of Environment and Primary Prevention, Istituto Superiore di Sanità, Rome, Italy. lucia.fazzo@iss.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22025020

Citation

Fazzo, Lucia, et al. "Pleural Mesothelioma Mortality and Asbestos Exposure Mapping in Italy." American Journal of Industrial Medicine, vol. 55, no. 1, 2012, pp. 11-24.
Fazzo L, De Santis M, Minelli G, et al. Pleural mesothelioma mortality and asbestos exposure mapping in Italy. Am J Ind Med. 2012;55(1):11-24.
Fazzo, L., De Santis, M., Minelli, G., Bruno, C., Zona, A., Marinaccio, A., Conti, S., & Comba, P. (2012). Pleural mesothelioma mortality and asbestos exposure mapping in Italy. American Journal of Industrial Medicine, 55(1), 11-24. https://doi.org/10.1002/ajim.21015
Fazzo L, et al. Pleural Mesothelioma Mortality and Asbestos Exposure Mapping in Italy. Am J Ind Med. 2012;55(1):11-24. PubMed PMID: 22025020.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pleural mesothelioma mortality and asbestos exposure mapping in Italy. AU - Fazzo,Lucia, AU - De Santis,Marco, AU - Minelli,Giada, AU - Bruno,Caterina, AU - Zona,Amerigo, AU - Marinaccio,Alessandro, AU - Conti,Susanna, AU - Comba,Pietro, Y1 - 2011/10/24/ PY - 2011/09/04/accepted PY - 2011/10/26/entrez PY - 2011/10/26/pubmed PY - 2012/4/4/medline SP - 11 EP - 24 JF - American journal of industrial medicine JO - Am. J. Ind. Med. VL - 55 IS - 1 N2 - BACKGROUND: An epidemic of asbestos-related diseases is ongoing worldwide. Mortality from malignant pleural neoplasms in Italy was analyzed, to estimate the health impact of asbestos at national and local level. METHODS: Mortality from ICD-9 code 163 was considered, in the time-window 1995-2002, using National Bureau of Statistics data. National and regional standardized rates and municipal Standardized Mortality Ratios (SMR) were calculated. Municipal clusters were identified by applying Spatial Scan Statistics procedure. Relative risks (RR) express the ratio of risk within the cluster to the risk outside the cluster. RESULTS: The national standardized annual mortality rate was 1.9 per 100,000. Significant clusters corresponded to asbestos-cement industries (Casale Monferrato: RR = 11.63), shipyards (Monfalcone, RR = 7.43), oil refineries (Falconara, RR = 2.52), petrochemical industries (Priolo, RR = 3.81). CONCLUSIONS: The present study confirms malignant pleural neoplasms mortality as a suitable indicator of asbestos exposure at geographic level. In addition to asbestos-cement industries and shipyards, other industrial settings are associated with pleural neoplasm mortality. SN - 1097-0274 UR - https://www.unboundmedicine.com/medline/citation/22025020/Pleural_mesothelioma_mortality_and_asbestos_exposure_mapping_in_Italy_ L2 - https://doi.org/10.1002/ajim.21015 DB - PRIME DP - Unbound Medicine ER -