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Exposure to asbestos: past, present and future.

Enrico Pira1, Francesca Donato1, Luisa Maida2

  • 1Department of Public Health and Pediatric Sciences, University of Turin, Turin, Italy.

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|March 7, 2018
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Summary

This study reviews asbestos exposure history and current trends. It projects future mesothelioma incidence in nations that have banned asbestos, offering crucial public health insights.

Keywords:
Asbestosenvironmentalexposuremesotheliomaoccupational

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Area of Science:

  • Environmental Health Sciences
  • Occupational Medicine
  • Public Health Policy

Background:

  • Asbestos exposure remains a significant global health concern due to its carcinogenicity.
  • Mesothelioma, a rare cancer, is strongly linked to asbestos fiber inhalation.
  • Understanding historical and current exposure patterns is vital for predicting future disease burdens.

Purpose of the Study:

  • To provide a comprehensive overview of asbestos exposure, encompassing historical context, present-day situations, and future projections.
  • To analyze and discuss future scenarios of mesothelioma incidence in countries that have implemented asbestos bans.
  • To inform public health strategies and interventions for mitigating asbestos-related diseases.

Main Methods:

  • Literature review of historical asbestos usage and exposure data.
  • Analysis of epidemiological trends in asbestos-related diseases, particularly mesothelioma.
  • Modeling and projection of future mesothelioma incidence based on legislative actions (asbestos bans) and latency periods.

Main Results:

  • Documented historical high-risk occupations and environments for asbestos exposure.
  • Observed variations in mesothelioma incidence rates correlating with asbestos use and bans.
  • Projected declines in mesothelioma incidence in countries with long-standing asbestos bans, albeit with a significant lag time due to latency.

Conclusions:

  • Despite bans, legacy asbestos exposure continues to pose a risk, necessitating ongoing surveillance.
  • Future mesothelioma incidence will be influenced by the effectiveness and duration of asbestos bans, as well as past exposure levels.
  • Continued research and public health vigilance are essential to manage and reduce the long-term impact of asbestos exposure.