Asbestos Exposures, Mesothelioma Incidence and Mortality, and Awareness by General Practitioners in the Molise Region, Central Italy

OBJECTIVE:The aim of this study was to evaluate environmental asbestos sources, mesothelioma incidence and mortality, and awareness on asbestos-related diseases (ARDs) by general practitioners (GPs) in Molise Region. METHODS:The contaminated sites in three towns were identified by census; mesothelio...

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Bibliographic Details
Published in:Journal of occupational and environmental medicine 2018-02, Vol.60 (2), p.e90-e97
Main Authors: Ripabelli, Giancarlo, Tamburro, Manuela, Di Tella, Domiziana, Carrozza, Francesco, Sammarco, Michela Lucia
Format: Article
Language:English
Subjects:
Asbestos
Asbestosis
Contamination
Exposure
Friability
Identification methods
Incidence
Males
Mesothelioma
Mortality
Risk management
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Summary:OBJECTIVE:The aim of this study was to evaluate environmental asbestos sources, mesothelioma incidence and mortality, and awareness on asbestos-related diseases (ARDs) by general practitioners (GPs) in Molise Region. METHODS:The contaminated sites in three towns were identified by census; mesothelioma incidence (2000 to 2012) and mortality (2003 to 2013) was achieved from local registries; GPs were interviewed on practiced populationʼs exposures and ARDs diagnosis. RESULTS:About 54.3% of visited sites were contaminated (71.2% by friable asbestos) and 38.8% was extremely damaged. Over above time-periods, 32 mesothelioma cases (62.5% males, 25% in people aged 70 to 75 years) and 27 deaths (90% males, 69 ± 10 years, 70.4% pleural mesothelioma) have been reported. A total of 122 GPs were interviewed who had diagnosed 40 mesothelioma and 28 asbestosis cases. CONCLUSION:There is the need of remediation/removal interventions for contaminated sites and of strategies to increase GPs awareness on asbestos risks for better patients’ management.
ISSN:1076-2752
1536-5948
DOI:10.1097/JOM.0000000000001211