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Mesothelioma mortality surveillance and asbestos exposure tracking in Italy
- Source :
- Annali dell'Istituto Superiore di Sanità, Vol 48, Iss 3, Pp 300-310 (2012)
- Publication Year :
- 2012
- Publisher :
- Istituto Superiore di Sanità, 2012.
-
Abstract
- INTRODUCTION: Spatial distribution of mortality from pleural mesothelioma (which in the ICD-10 Revision has a specific code: C45.0) in Italy for the period 2003-2009 is described. Previous mortality studies at national level employed the topographic code "Malignant neoplasms of pleura", because of unavailability of a specific code in ICD-9 Revision for pleural mesothelioma. METHODS: Standardized mortality ratios were computed for all municipalities, using each regional population as reference; for municipalities in Regions with rate higher than the national rate, the latter has been used as reference. SMRs were computed specifically also for each Italian Polluted Sites "of national concern for environmental remediation" (IPS) with asbestos exposure sources, composed by one or more municipalities, using regional rate as reference. Spatial Scan Statistics procedure, using SatScan software, was applied in cluster analysis: the country was divided into geographic macro-areas and the relative risks (RR) express the ratio of risk within the cluster to the risk of the macro-area outside the cluster. Clusters with p-value < 0.10 were selected. RESULTS: The national standardized annual mortality rate was 1.7 cases per 100 000. Several areas with evident burden of asbestos-related disease were detected. Significant clusters were found in correspondence to asbestos-cement industries (e.g. Casale Monferrato, women: RR = 28.7), shipyards (e.g. Trieste, men: RR = 4.8), petrochemical industries (e.g. Priolo, men: RR = 6.9) and a stone quarry contaminated by fluoro-edenite fibres (Biancavilla, women: RR = 25.9). Some of the increased clusters correspond to IPS. CONCLUSIONS: The results may contribute to detect asbestos exposure and to set priorites for environmental remediation.
- Subjects :
- Adult
Male
Pathology
medicine.medical_specialty
Databases, Factual
Population
mortalità
mesotelioma
medicine.disease_cause
Asbestos
asbestos exposure
International Classification of Diseases
Environmental health
Occupational Exposure
medicine
Cluster Analysis
Humans
Industry
National level
Mesothelioma
education
siti inquinati
Environmental Restoration and Remediation
Aged
education.field_of_study
Pleural mesothelioma
Mortality rate
lcsh:Public aspects of medicine
asbestos exposure, mesothelioma, Italy
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
General Medicine
Middle Aged
medicine.disease
Geography
Italy
Relative risk
mesothelioma
amianto
Female
Occupational exposure
Subjects
Details
- Language :
- English
- ISSN :
- 00212571
- Volume :
- 48
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Annali dell'Istituto Superiore di Sanità
- Accession number :
- edsair.doi.dedup.....345a99e70e7ea2a7d5065acc190ad0f6