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Pleural calcification in northwest Greece.

T Bazas, D Oakes, J C Gilson

    Environmental Research
    |December 1, 1985
    PubMed
    Summary
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    A 1980 survey in Greece revealed widespread pleural calcification, affecting 34.7% of men and 21.5% of women. This benign condition, prevalent from young adulthood, showed a 5% annual progression rate.

    Area of Science:

    • Environmental Health
    • Epidemiology
    • Occupational Health

    Background:

    • Mass miniature radiography in 1969 identified high pleural calcification rates in Greek villages.
    • Pleural calcification is a marker of past pleural injury, often linked to asbestos exposure.

    Purpose of the Study:

    • To assess the prevalence and progression of pleural calcification in northwest Greece.
    • To investigate potential associations between pleural calcification and demographic, occupational, and lifestyle factors.

    Main Methods:

    • A 1980 survey involved 15% of the population (>10 years old) with an 80% response rate.
    • Methods included full-size radiographs, ventilatory capacity tests, and questionnaires.
    • Radiographs were classified using the International Labour Organization (ILO) Classification of Radiographs of the Pneumoconioses (ILO/UC) scheme.

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    Main Results:

    • A high prevalence of pleural calcification was observed (34.7% in men, 21.5% in women), increasing with age.
    • Progression rate was estimated at 5% per annum compared to 1969 data.
    • No significant association found with smoking, ventilatory capacity, or most occupations; field croppers showed a slightly higher prevalence.
    • No increased incidence of lung cancer or mesothelioma was detected.

    Conclusions:

    • Pleural calcification is highly prevalent and progressive in this Greek population.
    • The causative agent remains unidentified, and the condition appears benign in this context.
    • Further research is needed to pinpoint the etiology and long-term implications.