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Epidemiological Trends in Mesothelioma Mortality in Colombia (1997–2022): A Retrospective National Study

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  • Luisa F. Moyano-Ariza

    (Faculty of Engineering, University of Cartagena, Cartagena 110311, Colombia
    Epidemiology and Evaluation in Public Health Research Group, National University of Colombia, Bogotá 111321, Colombia)

  • Guillermo Villamizar

    (Faculty of Engineering, University of Cartagena, Cartagena 110311, Colombia
    Colombia Asbestos Free Foundation, Bogotá 111211, Colombia)

  • Giana Henríquez-Mendoza

    (National Cancer Institute, Bogotá 111511-110411001, Colombia)

  • Arthur Frank

    (Department of EOH, Drexel University School of Public Health, Philadelphia, PA 19104, USA)

  • Gabriel Camero

    (Colombian Red Cross—Cundinamarca-Bogotá Section, Emergencies, Disasters and Humanitarian Aid Research Group, Cundinamarca and Bogotá Red Cross, Bogotá 110211, Colombia)

Abstract

Background: Mesothelioma is a rare and aggressive cancer primarily caused by asbestos exposure. In Colombia, asbestos use began in 1942, but mortality surveillance remains limited. Long latency periods and poor documentation hinder public health action. Materials and Methods: A retrospective descriptive study was conducted using mortality data from 1997 to 2022 obtained from the National Administrative Department of Statistics (DANE), including all mesothelioma cases recorded under the five ICD-10 diagnostic categories (C45.0 to C45.9), covering all anatomical sites of first occurrence. Variables analyzed included sex, age, occupation, and place of residence. Mortality rates and trends were estimated using R, Excel, JoinPoint, and Minitab. Results: A total of 1539 mesothelioma deaths were recorded. Most occurred in men (65.1%) and in individuals over 60 years old (62.6%). Urban areas accounted for 92% of deaths. The most frequent diagnosis was unspecified mesothelioma (61.3%). Cities with the highest adjusted mortality rates per 100,000 inhabitants were Sibaté (38.36), Soacha (8.41), and Bogotá (1.89), aligning with historical exposure zones. Conclusions: Mesothelioma is still a preventable public health issue in Colombia, with sustained mortality affecting even working-age populations. The high rate of unspecified diagnoses and weak linkage between morbidity and mortality data underscore the need to strengthen diagnostic capacity, improve surveillance, and implement a national asbestos-related disease elimination strategy.

Suggested Citation

  • Luisa F. Moyano-Ariza & Guillermo Villamizar & Giana Henríquez-Mendoza & Arthur Frank & Gabriel Camero, 2025. "Epidemiological Trends in Mesothelioma Mortality in Colombia (1997–2022): A Retrospective National Study," IJERPH, MDPI, vol. 22(5), pages 1-20, May.
  • Handle: RePEc:gam:jijerp:v:22:y:2025:i:5:p:787-:d:1657533
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    References listed on IDEAS

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    1. Stayner, L.T. & Danhovic, D.A. & Lemen, R.A., 1996. "Occupational exposure to chrysotile asbestos and cancer risk: A review of the amphibole hypothesis," American Journal of Public Health, American Public Health Association, vol. 86(2), pages 179-186.
    2. Sugio Furuya & Odgerel Chimed-Ochir & Ken Takahashi & Annette David & Jukka Takala, 2018. "Global Asbestos Disaster," IJERPH, MDPI, vol. 15(5), pages 1-11, May.
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