[Epidemiological surveillance of malignant mesothelioma cases in Italy: incidence and asbestos exposure figures by the Italian mesothelioma registry (ReNaM)].
The Study describes the epidemiological surveillance of mesothelioma cases carried out by the Italian mesothelioma register (ReNaM). A Regional Operating Centre (COR) is present in nearly all Italian regions (17 out of 20) and it collects malignant mesothelioma cases and investigate the modalities of asbestos exposure by using a structured questionnaire. The register produces malignant mesothelioma incidence measures and analyses of the modalities of the asbestos exposure. The standardized incidence rate of malignant mesothelioma in 2001 was 2.98 (in 100,000 inhabitants) among men and 0.98 among women; a professional (certain, probable, possible) exposure has been detected in 67.4% of defined cases. In addition to the conventional sectors (shipbuilding, railways repair and demolition, asbestos-cement production), also textile, building, transport, chemical and glass industries, petroleum and sugar refineries, electricity production and distribution plants are getting involved. Despite the absence of some regions completing the national coverage and the non homogeneity in collecting and coding data, the epidemiological surveillance of malignant mesothelioma carried out by ReNaM is an important tool for the scientific knowledge and the prevention of asbestos-related diseases.
ISPESL, Dipartimento di medicina del lavoro, Laboratorio di epidemiologia, Roma. alessandro.marinaccio@ispesl.it
Alessandro
A
Marinaccio
Alessandra
A
Binazzi
Gabriella
G
Cauzillo
Elisabetta
E
Chellini
Renata
R
De Zotti
Valerio
V
Gennaro
Massimo
M
Menegozzo
Carolina
C
Mensi
Enzo
E
Merler
Dario
D
Mirabelli
Marina
M
Musti
Franco
F
Pannelli
Antonio
A
Romanelli
Alberto
A
Scarselli
Sergio
S
Tosi
Rosario
R
Tumino
Massimo
M
Nesti
D000368:Aged; D001194:Asbestos / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008297:Male; D008654:Mesothelioma / Q000453:epidemiology* / Q000209:etiology*; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology* / Q000209:etiology*; D016273:Occupational Exposure / Q000009:adverse effects*; D010997:Pleural Neoplasms / Q000453:epidemiology* / Q000209:etiology*; D011159:Population Surveillance; D012042:Registries
D001194:Asbestos