Recent Mortality from Pleural Mesothelioma, Historical Patterns of Asbestos Use, and Adoption of Bans: A Global Assessment

Details

• Personal Author:
  Furuya S ; Higashi T ; Hoshuyama T ; Karjalainen A ; Kiyomoto Y ; Nishikawa K ; Ohtaki M ; Pan GW ; Takahashi K ; Todoroki M ; Wagner G ; Wen CP ; Wilson D
• Description:
  BACKGROUND: in response to the health risks posed by asbestos exposure, some countries have imposed strict regulations and adopted bans, whereas other countries have intervened less and continue to use varying quantities of asbestos. OBJECTIVES: this study was designed to assess, on a global scale, national experiences of recent mortality from pleural mesotheliomal historical trends in asbestos use, adoption of bans, and their possible interrelationships. METHODS: for 31 countries with available data, we analyzed recent pleural mesothelioma (International Classification of Diseases, 10th Revision) mortality rates (MRs) using age-adjusted period MRs (deaths/million/year) from 1996 to 2005. We calculated annual percent changes (APCs) in age-adjusted MRs to characterize trends during the period. We characterized historical patterns of asbestos use by per capita asbestos use (kilograms per capita/year) and the status of national bans. RESULTS: period MRs increased with statistical significance in five countries, with marginal significance in two countries, and were equivocal in 24 countries (five countries in Northern and Western Europe recorded negative APC values). Countries adopting asbestos bans reduced use rates about twice as fast as those not adopting bans. Turning points in use preceded bans. Change in asbestos use during 1970-1985 was a significant predictor of APC in mortality for pleural mesothelioma, with an adjusted R-2 value of 0.47 (p < 0.0001). CONCLUSIONS: the observed disparities in global mesothelioma trends likely relate to country-to-country disparities in asbestos use trends. [Description provided by NIOSH]
• Subjects:
  Age Factors Asbestos Disease Vectors Dust Epidemiology Hazardous Substances Inorganic Chemicals Mortality Neoplasms Occupational Diseases Occupational Exposure Occupational Health Safety Workplace

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• Keywords:
  Age-factors Asbestos-dust Asbestos-industry Asbestos-products Asbestos-related Diseases Asbestos-workers Author Keywords: Asbestos Ban Cancer Cancer-rates Disease-vectors Health-hazards Humans Lung Cancer Mesothelial-cells Mesothelioma Mortality Mortality-rates Occupational-diseases Occupational-exposure Occupational-hazards Occupational-health Occupational Cancer Pleural Mesothelioma Statistical-analysis Work-environment Work-practices

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• ISSN:
  0091-6765
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  District of Columbia ; OSHA Region 3
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  116
• Issue:
  12
• NIOSHTIC Number:
  nn:20034835
• Citation:
  Environ Health Perspect 2008 Dec; 116(12):1675-1680
• Contact Point Address:
  Ken Takahashi, Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishiku, Kitakyushu City 807-8555, Japan
• Email:
  ktaka@med.uoeh-u.ac.jp
• CAS Registry Number:
  Asbestos (CAS RN 1332-21-4)
• Federal Fiscal Year:
  2009
• Peer Reviewed:
  True
• Source Full Name:
  Environmental Health Perspectives
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:4c7c237452d9464fcae0d5d6f0756726f34778813b12460ac64aa0c0ad1ea4dc56b4e310322e349fecb3ec4020bd8e10312ed59a638e4f59af8ac5bd45d4d99b
• Download URL:
  https://stacks.cdc.gov/view/cdc/186897/cdc_186897_DS1.pdf
• File Type:
  [PDF - 172.70 KB ]