Malignant mesothelioma in Italy, 1997.
BACKGROUND
The Italian National Mesothelioma Register (ReNaM) was set up at the Istituto Superiore Prevenzione e Sicurezza Lavoro (ISPESL), in Rome, in accordance with Art. 36 of Italian Legislative Decree No. 277 [1991].


METHODS
Five Italian regions, Piedmont, Liguria, Emilia-Romagna, Tuscany, and Apulia, agreed to record mesothelioma cases according to guidelines established by ISPESL, to define exposure to asbestos and transmit the data systematically to ISPESL.


RESULTS
Four hundred and twenty-nine mesothelioma cases, diagnosed in 1997, are recorded. The standardized annual incidence rate for definite pleural mesothelioma is 1.51 per 100,000 inhabitants (2.26 for males and 0.79 for females). Exposure was defined for 198 mesotheliomas with a histological diagnosis: 125 (63%) refer to occupational exposure, 10 (5%) to environmental exposure, and 5 (2.5%) to household exposure.


CONCLUSIONS
Despite the ReNaM's work, many limitations still have to be overcome. Clear-cut information on asbestos exposure is available for a limited number of cases; and differing regional procedures in collecting and evaluating mesotheloma cases exist. At this stage the identification and evaluation of a large number of cases of mesothelioma is a worthwhile result. This epidemiological surveillance, currently being extended to other regions, will enable us to better assess the impact and diffusion of this disease in future, and to monitor more closely the effects of ceasing asbestos use in 1992, and the efficacy of preventive measures since mid '70s. Am. J. Ind. Med. 45:55-62, 2004.
Nesti
Massimo
M
Department of Occupational Medicine, Epidemiology unit, ISPESL-National Institute for Occupational Safety and Prevention, Via Alessandria, Rome, Italy. nesti.mdl@ispesl.it
Marinaccio
Alessandro
A
Chellini
Elisabetta
E
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D001194:Asbestos / Q000633:toxicity*; D002648:Child; D002675:Child, Preschool; D004781:Environmental Exposure / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D007558:Italy / Q000453:epidemiology; D008297:Male; D008654:Mesothelioma / Q000453:epidemiology* / Q000209:etiology*; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D009790:Occupations / Q000145:classification; D010534:Peritoneal Neoplasms / Q000453:epidemiology* / Q000209:etiology*; D010997:Pleural Neoplasms / Q000453:epidemiology* / Q000209:etiology*; D011159:Population Surveillance; D012042:Registries; D017678:Sex Distribution
D001194:Asbestos