Non-occupational exposure to asbestos and malignant mesothelioma in the Italian National Registry of Mesotheliomas

Dario Mirabelli, Domenica Cavone, Enzo Merler, Valerio Gennaro, Antonio Romanelli, Carolina Mensi, Elisabetta Chellini, Carmela Nicita, Alessandro Marinaccio, Corrado Magnani, Marina Musti

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Malignant mesotheliomas are strictly related to asbestos, but in a proportion of cases no exposure can be recalled. Published estimates of this proportion have important variations. Historical and geographical differences in the fraction of cancer due to any given exposure are to be expected, but incomplete identification of non-occupational exposures may have played a role Methods: To assess the role of non-occupational exposures in causing malignant mesotheliomas in Italy, the exposures of cases registered by the national mesothelioma registry (ReNaM) were examined. ReNaM started in 1993 in five regions and currently covers 98% of the Italian population. Information on occupational and non-occupational exposures of cases is collected whenever possible. Results: From 1993 to 2001 ReNaM registered 5173 malignant mesothelioma cases, and exposures were assessed in 3552 of them. 144 and 150 cases with exposures limited to environmental (living in the neighbourhood of an industrial or natural source of asbestos) or familial (living with a person occupationally exposed to asbestos) circumstances, respectively, were identified, accounting for 8.3% of all cases. Conclusions: Geographical variations in the proportion of cases due to non-occupational exposures may be explained by the past distribution of asbestos-using industries.

Original languageEnglish
Pages (from-to)792-794
Number of pages3
JournalOccupational and Environmental Medicine
Volume67
Issue number11
DOIs
Publication statusPublished - Nov 2010

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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