title: An update of a mortality study of talc miners and millers in Italy.
abstract: BACKGROUND
  While talc containing asbestiform fibers is considered a human carcinogen, only limited animal and human data are available on non-asbestiform talc. To provide further evaluation on the issue, we updated the analysis of an Italian cohort of talc miners and millers in Val Chisone; talc found here is free from asbestiform fibers.
  
  
  METHODS
  The cohort was comprised of 1,795 men who had worked for at least 1 year in the mine and/or in the factory between 1946 and 1995. Vital status and death certificates were obtained from registration offices in the municipality of death or of birth. Employment, termination of employment, and detailed job history were obtained from personnel records at the plant.
  
  
  RESULTS
  No excess was found for total cancer mortality, nor mortality for lung cancer. No case of mesothelioma was reported. There was a significant excess mortality from non-neoplastic respiratory diseases (SMR 228.2, 95% CI 190.2-271.5). Mortality excess for non-neoplastic respiratory diseases was mainly due to silicosis.
  
  
  CONCLUSIONS
  This study provides additional support for an association between talc in mining and milling and non-neoplastic respiratory diseases, while showing no significant excess risk for lung cancer and mesothelioma. The results also provide additional information of interest to evaluate the potential association between silica and lung cancer.
authors.affiliation: Dipartimento di Traumatologia, Ortopedia e Medicina del Lavoro dell'Università di Torino, Turin, Italy. maurizio.coggiola@unito.it
authors.forename: Maurizio
authors.initials: M
authors.lastname: Coggiola
authors.forename: Davide
authors.initials: D
authors.lastname: Bosio
authors.forename: Enrico
authors.initials: E
authors.lastname: Pira
authors.forename: Pier Giorgio
authors.initials: PG
authors.lastname: Piolatto
authors.forename: Carlo
authors.initials: C
authors.lastname: La Vecchia
authors.forename: Eva
authors.initials: E
authors.lastname: Negri
authors.forename: Marco
authors.initials: M
authors.lastname: Michelazzi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bacaloni
mesh_terms: D001194:Asbestos / Q000506:poisoning; D002423:Cause of Death; D015331:Cohort Studies; D004938:Esophageal Neoplasms / Q000139:chemically induced / Q000401:mortality*; D005500:Follow-Up Studies; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D019016:Mineral Fibers / Q000506:poisoning; D008906:Mining; D009062:Mouth Neoplasms / Q000139:chemically induced / Q000401:mortality*; D016273:Occupational Exposure / Q000009:adverse effects*; D012829:Silicosis / Q000209:etiology / Q000401:mortality*; D013627:Talc / Q000506:poisoning*; D013997:Time Factors
chemical_list: D019016:Mineral Fibers; D001194:Asbestos; D013627:Talc