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Burden of Mortality from Asbestos-Related Diseases in Italy

Author

Listed:
  • Lucia Fazzo

    (Department of Environment and Health, Istituto Superiore di Sanità, 00100 Roma, Italy)

  • Alessandra Binazzi

    (Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Istituto Nazionale per l’Assicurazione Contro gli Infortuni sul Lavoro, 00100 Roma, Italy)

  • Daniela Ferrante

    (Department of Translational Medicine, Università del Piemonte Orientale, 28100 Novara, Italy)

  • Giada Minelli

    (Statistical Service, Istituto Superiore di Sanità, 00100 Roma, Italy)

  • Dario Consonni

    (Epidemiology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20100 Milano, Italy)

  • Lisa Bauleo

    (Department of Epidemiology, Servizio Sanitario Regionale del Lazio, 00100 Roma, Italy)

  • Caterina Bruno

    (Department of Environment and Health, Istituto Superiore di Sanità, 00100 Roma, Italy
    Retired.)

  • Marcella Bugani

    (Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Istituto Nazionale per l’Assicurazione Contro gli Infortuni sul Lavoro, 00100 Roma, Italy)

  • Marco De Santis

    (Department of Environment and Health, Istituto Superiore di Sanità, 00100 Roma, Italy)

  • Ivano Iavarone

    (Department of Environment and Health, Istituto Superiore di Sanità, 00100 Roma, Italy)

  • Corrado Magnani

    (Department of Translational Medicine, Università del Piemonte Orientale, 28100 Novara, Italy)

  • Elisa Romeo

    (Department of Epidemiology, Servizio Sanitario Regionale del Lazio, 00100 Roma, Italy)

  • Amerigo Zona

    (Department of Environment and Health, Istituto Superiore di Sanità, 00100 Roma, Italy)

  • Mariano Alessi

    (Department of Prevention, Ministry of Health, 00100 Roma, Italy)

  • Pietro Comba

    (Department of Environment and Health, Istituto Superiore di Sanità, 00100 Roma, Italy
    Retired.)

  • Alessandro Marinaccio

    (Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Istituto Nazionale per l’Assicurazione Contro gli Infortuni sul Lavoro, 00100 Roma, Italy)

Abstract

Asbestos is one of the major worldwide occupational carcinogens. The global burden of asbestos-related diseases (ARDs) was estimated around 231,000 cases/year. Italy was one of the main European asbestos producers until the 1992 ban. The WHO recommended national programs, including epidemiological surveillance, to eliminate ARDs. The present paper shows the estimate of the burden of mortality from ARDs in Italy, established for the first time. National standardized rates of mortality from mesothelioma and asbestosis and their temporal trends, based on the National Institute of Statistics database, were computed. Deaths from lung cancer attributable to asbestos exposure were estimated using population-based case-control studies. Asbestos-related lung and ovarian cancer deaths attributable to occupational exposure were estimated, considering the Italian occupational cohort studies. In the 2010–2016 period, 4400 deaths/year attributable to asbestos were estimated: 1515 from mesothelioma, 58 from asbestosis, 2830 from lung and 16 from ovarian cancers. The estimates based on occupational cohorts showed that each year 271 deaths from mesothelioma, 302 from lung cancer and 16 from ovarian cancer were attributable to occupational asbestos exposure in industrial sectors with high asbestos levels. The important health impact of asbestos in Italy, 10–25 years after the ban, was highlighted. These results suggest the need for appropriate interventions in terms of prevention, health care and social security at the local level and could contribute to the global estimate of ARDs.

Suggested Citation

  • Lucia Fazzo & Alessandra Binazzi & Daniela Ferrante & Giada Minelli & Dario Consonni & Lisa Bauleo & Caterina Bruno & Marcella Bugani & Marco De Santis & Ivano Iavarone & Corrado Magnani & Elisa Romeo, 2021. "Burden of Mortality from Asbestos-Related Diseases in Italy," IJERPH, MDPI, vol. 18(19), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10012-:d:641476
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    References listed on IDEAS

    as
    1. Diana Arachi & Sugio Furuya & Annette David & Alexander Mangwiro & Odgerel Chimed-Ochir & Kenneth Lee & Peter Tighe & Jukka Takala & Tim Driscoll & Ken Takahashi, 2021. "Development of the “National Asbestos Profile” to Eliminate Asbestos-Related Diseases in 195 Countries," IJERPH, MDPI, vol. 18(4), pages 1-20, February.
    2. Yuwadee Ngamwong & Wimonchat Tangamornsuksan & Ornrat Lohitnavy & Nathorn Chaiyakunapruk & C Norman Scholfield & Brad Reisfeld & Manupat Lohitnavy, 2015. "Additive Synergism between Asbestos and Smoking in Lung Cancer Risk: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-19, August.
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    Cited by:

    1. Lucia Fazzo & Giada Minelli & Marco De Santis & Emiliano Ceccarelli & Ivano Iavarone & Amerigo Zona, 2023. "The Epidemiological Surveillance of Mesothelioma Mortality in Italy as a Tool for the Prevention of Asbestos Exposure," IJERPH, MDPI, vol. 20(11), pages 1-16, May.

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