Asbestos, Asbestosis, and Cancer: The Helsinki Criteria for Diagnosis and Attribution

Details

• Personal Author:
  Barnhart S ; Dement, John M. ; DeVuyst P ; Henderson DW ; Hillerdal G ; Huuskonen MS ; Kivisaari L ; Kusaka Y ; Lahdensuo A ; Langard S ; Mowe G ; Okubo T ; Parker, John E. ; Rantanen J ; Rodelsperger K ; Roggli VL ; Rosler J ; Tossavainen A ; Woitowitz HJ
• Description:
  Individuals from 8 countries participated in an International Expert Meeting on Asbestos, Asbestosis and Cancer in Helsinki during January of 1997. The purpose of the gathering was to discuss disorders of the lung and pleura in association with asbestos and to agree on state of the art criteria for their diagnosis and attribution with respect to asbestos. Occupational exposures to asbestos dust have been widespread in all industrial countries and these continue due to material that is already in place. Reliable work histories provide the most practical and useful measure of exposure. The clinical diagnosis of asbestos related disease is based on a detailed interview of the patient and occupational data on asbestos exposure and appropriate latency, signs and symptoms, radiological and lung physiology findings, and selected cytological, histological and other laboratory studies. Specific information was discussed concerning asbestosis, pleural disorders, mesothelioma, and lung cancer. Several areas were cited for future research including the assessment and quantification of exposure to asbestos, job exposure data analysis, chrysotile fiber burdens in lung tissue relative to the risk of lung cancer, lung cancer related to mineral fibers other than asbestos, improvements in the ILO system for radiological diagnoses, standardizing diagnostic tools, multicenter studies on biomarkers for detecting early asbestos disease, and the investigation of asbestos associated tumors other than lung cancer and mesothelioma, such as laryngeal carcinoma and renal carcinoma. [Description provided by NIOSH]
• Subjects:
  Asbestos Diagnosis Dust Epidemiology Lung Neoplasms Occupational Exposure Occupational Health Respiratory System Respiratory Tract Diseases Risk Assessment Risk Factors Safety

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• Keywords:
  Asbestos-dust Cancer-rates Diagnostic-techniques Dust-exposure Lung-irritants Mineral-dusts Occupational-exposure Respiratory-system-disorders Risk-factors
• ISSN:
  0355-3140
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 4 ; Washington ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  311-316
• Volume:
  23
• Issue:
  4
• NIOSHTIC Number:
  nn:00240977
• Citation:
  Scand J Work Environ Health 1997 Aug; 23(4):311-316
• CAS Registry Number:
  Asbestos (CAS RN 1332-21-4) ; Chrysotile (CAS RN 12001-29-5)
• Federal Fiscal Year:
  1997
• Peer Reviewed:
  True
• Source Full Name:
  Scandinavian Journal of Work, Environment & Health
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d9dfbb503714dfb7ca11999567a19fb5a9029b4952684830f37221c936bdd0e57f3a0d407cf8386d5d10d672a7d2feba8c25cd25a85f99f9d86caf0dedfaf491
• Download URL:
  https://stacks.cdc.gov/view/cdc/198065/cdc_198065_DS1.pdf
• File Type:
  [PDF - 461.84 KB ]