title: [Cause-specific mortality of asbestos-cement workers compensated for asbestosis in the city of Bari].
abstract: The cause-specific mortality of 233 asbestos cement workers employed by the Fibronit company in Bari and compensated for asbestosis was investigated. Cohort members were enrolled on 31.12.1979 and followed through 30.4.1997; follow-up was completed for 98.3% of study subjects, and causes of death were ascertained for 96.6% of deceased subjects. Observed mortality was contrasted to that expected according to cause-sex-age- and calendar time-specific rates of the population resident in the Apulia Region. All causes observed mortality exceeded expected value (SMR: 117, 87 observed), due to a significant' increase in pneumoconiosis (SMR: 11238, 14 observed) and malignant neoplasms (SMR: 163, 38 observed)). A significant decrease of circulatory diseases was found (SMR: 64, 18 observed). Among cancer deaths, the following sites showed a significant excess: lung (SMR: 206, 17 observed), pleura (SMR: 2551, 4 observed), mediastinum (SMR: 2367, 2 observed) and peritoneum (SMR: 2877, 2 observed). The excess mortality due to asbestosis, respiratory cancer and peritoned neoplasms can be causally attributed to occupational asbestos exposure.
authors.affiliation: Laboratorio di Igiene Ambientale, Istituto Superiore di Sanità, Roma.
authors.forename: S
authors.initials: S
authors.lastname: Belli
authors.forename: C
authors.initials: C
authors.lastname: Bruno
authors.forename: P
authors.initials: P
authors.lastname: Comba
authors.forename: M
authors.initials: M
authors.lastname: Grignoli
mesh_terms: D001194:Asbestos / Q000009:adverse effects*; D001195:Asbestosis / Q000191:economics* / Q000209:etiology / Q000401:mortality*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012823:Silicate Cement / Q000009:adverse effects*; D015996:Survival Rate; D014942:Workers' Compensation / Q000191:economics*
chemical_list: D012823:Silicate Cement; D001194:Asbestos
vernacular_title: Mortalità per causa specifica dei lavoratori del cemento amianto di Bari titolari di rendita per asbestosi.