title: Increased risk of lung cancer mortality among residents near an asbestos product manufacturing plant.
abstract: We investigated whether individuals exposed to asbestos by living near an asbestos-manufacturing facility experienced increased lung cancer mortality. We studied a neighborhood around such a plant in the central Japanese city of Hashima. From 1943 to 1991 this plant produced insulation and packing material using amosite- and chrysotile-type asbestos fibers. The study group was comprised of 577 households. We obtained demographic information by a questionnaire and determined the underlying cause of death for deceased household members from death certificates. Using hourly meteorological data from local observatories, we estimated relative asbestos concentrations in the plant's vicinity, determined the quartile boundaries, and designated each study subject's quartile of ambient exposure. Finally, we calculated standardized mortality ratios to evaluate the association of residential asbestos with lung cancer risk. Our findings strongly suggest that neighborhood asbestos exposure can increase the risk of lung cancer mortality in men and probably in women.
authors.affiliation: Department of Environmental Health, Osaka Prefectural Institute of Public Health, Osaka, Japan. shkumagai@health.uoeh-u.ac.jp
authors.forename: Shinji
authors.initials: S
authors.lastname: Kumagai
authors.forename: Norio
authors.initials: N
authors.lastname: Kurumatani
authors.forename: Toshihide
authors.initials: T
authors.lastname: Tsuda
authors.forename: Takashi
authors.initials: T
authors.lastname: Yorifuji
authors.forename: Etsuji
authors.initials: E
authors.lastname: Suzuki
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000393:Air Pollutants / Q000009:adverse effects*; D001194:Asbestos / Q000009:adverse effects*; D004781:Environmental Exposure / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008175:Lung Neoplasms / Q000139:chemically induced* / Q000401:mortality*; D008297:Male; D008420:Manufactured Materials / Q000009:adverse effects; D008875:Middle Aged; D012111:Residence Characteristics; D014505:Urban Population; D055815:Young Adult
chemical_list: D000393:Air Pollutants; D001194:Asbestos