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Published on: December 21, 2019
Incidence of pleural mesothelioma in Liguria Region, Italy (1996-2002)
V Gennaro1, D Ugolini, P Viarengo
1Liguria Regional Operating Center (COR) of the National Mesothelioma Registry (ReNaM), Department of Epidemiology and Prevention, National Cancer Research Institute, Largo R. Benzi 10, 16132 Genova, Italy. valerio.gennaro@istge.it
Abstract:
In this study, incidence of pleural malignant mesothelioma (PMM) in the Liguria Region (Italy) (approximately 1.6 million inhabitants), in the presence of asbestos exposure was investigated. New PMM cases recorded by the Mesothelioma Registry of Liguria, from 1996 to 2002 and interviews reported on a standardised questionnaire were analysed according to demographical and etiological characteristics. Nine hundred and forty five PMM cases were recorded (757 males and 188 females); the age standardised (European population) incidence rates per 100,000 were 8.51 and 1.43, respectively. The rates among the four provinces ranged between 1.18 and 13.7 for males and 0.68 and 1.44 for females. The questionnaire was evaluated for 786 PMM cases (or next-of-kin). Higher incidence rates were reported in the provinces with larger industrial and harbour areas, including shipyards (construction and repair), dockyards, building activities, chemical and heavy industrial activities. Asbestos exposure was unlikely or unknown for 57.5% females and 15% males. A major role of environmental asbestos exposure in the etiology of PMM is hypothesised for females and for a minor proportion of males.
Insights
Environmental asbestos exposure is linked to a higher incidence of pleural malignant mesothelioma (PMM) in Italy's Liguria Region. This study investigated PMM cases and identified industrial areas as high-risk zones, especially for females.
Area of Science:
- Environmental Health
- Epidemiology
- Occupational Medicine
Background:
- Pleural malignant mesothelioma (PMM) is a significant asbestos-related cancer.
- Investigating PMM incidence requires understanding local asbestos exposure risks.
- The Liguria Region in Italy has a history of industrial and harbour activities.
Purpose of the Study:
- To investigate the incidence of pleural malignant mesothelioma (PMM) in the Liguria Region.
- To analyze the demographic and etiological characteristics of PMM cases.
- To explore the role of asbestos exposure in PMM development within the region.
Main Methods:
- Analysis of new PMM cases recorded by the Mesothelioma Registry of Liguria (1996-2002).
- Interviews using a standardized questionnaire for 786 PMM cases or next-of-kin.
- Age-standardized incidence rates calculated per 100,000 inhabitants (European population).
Main Results:
- 945 PMM cases were recorded (757 males, 188 females).
- Higher incidence rates were observed in provinces with significant industrial, harbour, and shipyard activities.
- Asbestos exposure was unlikely or unknown for 57.5% of females and 15% of males.
Conclusions:
- Environmental asbestos exposure is hypothesized to play a major role in PMM etiology, particularly in females.
- Industrial and harbour areas are associated with increased PMM incidence.
- Further investigation into environmental asbestos exposure is warranted for both genders.
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