Geographic study of mortality due to mesothelioma in Peru and its evolution

J Smith Torres-Roman1, Virgilio Gomez-Rubio2, Lara Sanchez-Trujillo3

  • 1Universidad Católica Los Ángeles de Chimbote, Instituto de Investigación, Chimbote, Peru; Maestria en Epidemiología y Bioestadistica, Universidad Cientifica del Sur, Lima, Peru.

Cancer Epidemiology
|August 22, 2020
PubMed
Abstract

Insights

Peru faces a public health crisis due to asbestos imports, with mesothelioma deaths linked to past asbestos exposure. A ban on all asbestos forms is recommended to mitigate this growing risk.

Area of Science:

  • Environmental Health
  • Occupational Health
  • Epidemiology

Background:

  • Peru experiences a significant public health issue stemming from asbestos importation.
  • Mesothelioma mortality trends in Peru and its provinces were analyzed from 2005 to 2014.
  • The study investigated the correlation between past asbestos imports and mesothelioma mortality rates.

Purpose of the Study:

  • To analyze mesothelioma mortality trends in Peru.
  • To estimate the relationship between asbestos importation and mesothelioma deaths.
  • To inform public health strategies regarding asbestos exposure.

Main Methods:

  • Calculated age-standardized mortality rates (ASMRs) and standardized mortality ratios (SMRs).
  • Employed log-linear Poisson regression models and Pearson correlation to assess the link between asbestos imports (1965-2010) and mesothelioma deaths (2005-2014).
  • Considered a latency period in the statistical analysis.

Main Results:

  • Peru recorded 428-430 mesothelioma cases between 2005 and 2014.
  • Arequipa and Callao exhibited the highest ASMRs, with one death linked to every 68-111 tons of imported asbestos.
  • A significant positive correlation between asbestos imports and mesothelioma deaths was observed with an 8-year latency period.

Conclusions:

  • Mesothelioma risk in Peru presents both occupational and environmental patterns.
  • Increased asbestos use, potentially including crocidolite, during 2002-2006 may explain the observed 8-year latency period.
  • Peru urgently needs to implement strategies for a complete ban on all forms of asbestos.