title: [Epidemiologic surveillance of mesothelioma for the prevention of asbestos exposure also in non-traditional settings].
abstract: OBJECTIVE
  To show how malignant mesothelioma (MM) surveillance not only identifies settings of exposure representing past industrial history, but it may also detect conditions of current exposure relevant for the prevention, if the wide spectrum of asbestos uses is considered.
  
  
  METHODS
  Active search of MM cases and exposure assessment at individual level through a questionnaire; identification of exposure circumstances relevant for prevention.
  
  
  METHODS
  Italy, all the Regions where a Regional Operating Centre (COR) is established to identify all MM cases diagnosed in the population and analyze their occupational, residential, household and environmental histories. Period of diagnosis: 1993-2008.
  
  
  METHODS
  Descriptive analysis of MM cases and of asbestos exposures.
  
  
  RESULTS
  ReNaM includes 15,845 cases of MM diagnosed between 1993 and 2008.The male/female ratio is 2.5. Mean age at diagnosis is 69 years. Pleural MMs represent 93% of all cases. Exposures have been investigated in 12,065 cases (76%). The median latency time is 46 years. In addition to clusters of MM cases in activities well known to entail asbestos use, different current exposure circumstances requiring intervention have been evidenced.
  
  
  CONCLUSIONS
  On the basis of this experience, epidemiological surveillance of all occupational cancers should be implemented to foster synergies with the compensation system and the Local Health Authorities' occupational safety and health services, as required by the Italian Legislative Decree N. 81/2008.
authors.affiliation: INAIL, Settore Ricerca, Certificazione e Verifica, Dipartimento di Medicina del Lavoro, Laboratorio di Epidemiologia. a.binazzi@inail.it
authors.forename: Alessandra
authors.initials: A
authors.lastname: Binazzi
authors.forename: Alberto
authors.initials: A
authors.lastname: Scarselli
authors.forename: Marisa
authors.initials: M
authors.lastname: Corfiati
authors.forename: Davide
authors.initials: D
authors.lastname: Di Marzio
authors.forename: Claudia
authors.initials: C
authors.lastname: Branchi
authors.forename: Marina
authors.initials: M
authors.lastname: Verardo
authors.forename: Dario
authors.initials: D
authors.lastname: Mirabelli
authors.forename: Valerio
authors.initials: V
authors.lastname: Gennaro
authors.forename: Carolina
authors.initials: C
authors.lastname: Mensi
authors.forename: Gert
authors.initials: G
authors.lastname: Schallenberg
authors.forename: Enzo
authors.initials: E
authors.lastname: Merler
authors.forename: Renata
authors.initials: R
authors.lastname: De Zotti
authors.forename: Antonio
authors.initials: A
authors.lastname: Romanelli
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Chellini
authors.forename: Cristiana
authors.initials: C
authors.lastname: Pascucci
authors.forename: Daniela
authors.initials: D
authors.lastname: D'Alò
authors.forename: Francesco
authors.initials: F
authors.lastname: Forastiere
authors.forename: Luana
authors.initials: L
authors.lastname: Trafficante
authors.forename: Simona
authors.initials: S
authors.lastname: Menegozzo
authors.forename: Marina
authors.initials: M
authors.lastname: Musti
authors.forename: Gabriella
authors.initials: G
authors.lastname: Cauzillo
authors.forename: Attilio
authors.initials: A
authors.lastname: Leotta
authors.forename: Rosario
authors.initials: R
authors.lastname: Tumino
authors.forename: Massimo
authors.initials: M
authors.lastname: Melis
authors.forename: Alessandro
authors.initials: A
authors.lastname: Marinaccio
mesh_terms: D001194:Asbestos / Q000506:poisoning*; D062665:Epidemiological Monitoring; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008175:Lung Neoplasms / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D008297:Male; D008654:Mesothelioma / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D000086002:Mesothelioma, Malignant; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D016273:Occupational Exposure / Q000009:adverse effects; D010997:Pleural Neoplasms / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D011159:Population Surveillance; D012042:Registries
chemical_list: D001194:Asbestos