title: [Geographical distribution of mortality from malignant pleural neoplasms and of former asbestos-exposed workers in the Campania Region].
abstract: OBJECTIVE
  The purpose of the present paper is to describe the geographical distribution at municipality level of mortality from malignant pleural neoplasms in the Campania Region, along with the distribution of former asbestos-exposed workers. A GIS (Geographical Information System) application has been developed to integrate exposure and mortality data.
  
  
  METHODS
  The number of asbestos workers by municipality has been estimated by merging data provided by the National Institute for Insurance against Occupational Accidents (INAIL), the Ministry of Labour and an association of formerly exposed workers (AUSER Flegrea). The number of deaths from malignant pleural neoplasms by municipality has been derived from published studies regarding two consecutive periods: 1988-1994 and 1995-1997.
  
  
  RESULTS
  In the first period most deaths occurred in areas with a high number of formerly exposed asbestos workers, whilst in the second period mesothelioma mortality increased extending to other areas without registered exposed workers.
  
  
  CONCLUSIONS
  This finding may be attributable to the presence of atypical occupational exposures, not reported by the current information systems, or to environmental, non occupational exposure patterns.
authors.affiliation: II Università di Napoli, Dipartimento di medicina sperimentale.
authors.forename: Massimo
authors.initials: M
authors.lastname: Menegozzo
authors.forename: Stefania
authors.initials: S
authors.lastname: Trinca
authors.forename: Francesco
authors.initials: F
authors.lastname: Cammino
authors.forename: Marina
authors.initials: M
authors.lastname: Mastrantonio
authors.forename: Simona
authors.initials: S
authors.lastname: Menegozzo
authors.forename: Armando
authors.initials: A
authors.lastname: Sturchio
authors.forename: Pietro
authors.initials: P
authors.lastname: Comba
mesh_terms: D001194:Asbestos / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D009784:Occupational Diseases / Q000401:mortality*; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D010997:Pleural Neoplasms / Q000401:mortality*
chemical_list: D001194:Asbestos