Mesothelioma Risk among Construction Workers According to Job Title: Data from the Italian Mesothelioma Register
Contenuto principale dell'articolo
Keywords
Abstract
Background: An increased risk of mesothelioma has been reported in various countries for construction workers. The Italian National Mesothelioma Registry, from 1993 to 2018, reported exposure exclusively in the construction sector in 2310 cases. We describe the characteristics of these cases according to job title. Methods: We converted into 18 groups the original jobs (N=338) as reported by ISTAT codes (‘ATECO 91’). The exposure level was attributed at certain, probable and possible in accordance with the qualitative classification of exposure as reported in the Registry guidelines. Descriptive analysis by jobs highlights the total number of subjects for each single job and certain exposure, in descending order, insulator, plumbing, carpenter, mechanic, bricklayer, electrician, machine operator, plasterer, building contractor, painter and labourer. Results: The cases grow for plumbing in the incidence periods 1993-2018, while, as expected, it decreases for insulator. Within each period considered the most numerous cases are always among bricklayers and labourers, these data confirm the prevalence of non-specialised "interchangeable" jobs in Italian construction sector in the past. Conclusions: Despite the 1992 ban, the construction sector still presents an occupational health prevention challenge, circumstances of exposure to asbestos may still occur due to incomplete compliance with prevention and protection measures.
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8. Neumann, V, Günther, S, Müller, K.M, Fischer, M. Malignant mesothelioma— German mesothelioma register 1987–1999. Int. Arch. Ouccup. Environ. Health 2001, 74, 383–395.
9. Koskinen, K, Pukkala, E, Martikainen, R, Reijula, K, Karjalainen, A. Different measures of asbestos ex-posure in estimating risk of lung cancer and mesothelioma among construction workers. J. Occup. En-viron. Med. 2002, 44, 1190–1196
10. Burdorf, A, Dahhan, M, Swuste, P. Occupational characteristics of cases with asbestos-related diseases in The Netherlands. Ann. Occup. Hyg. 2003, 47, 485–492
11. Engholm, G, Englund, A. Asbestos hazard in the Swedish construction industry–recent trends in meso-thelioma incidence. Scand. J. Work Environ. Health 2005, 31 (Suppl. 2), 27–30
12. Bard D, Burdett G (2007) Exposure of UK Industrial Plumbers to Asbestos, Part II: awareness and re-sponses of plumbers to working with asbestos during a survey in parallel with personal sampling. Ann Occup Hyg 51: 113 – 119
13. Merler, E, Bressan, V, Somigliana, A, Gruppo Regionale Veneto Sui Mesoteliomi Maligni. Mesoteliomi negli edili: Frequenza, stima del rischio, carico polmonare di fibre di amianto, domande e riconosci-menti per malattia professionale nel Registro regionale veneto dei casi di mesotelioma [Mesothelioma in construction workers: Risk estimate, lung content of asbestos fibres, claims for compensation for occupational disease in the Veneto Region mesothelioma register]. Med. Lav. 2009, 100, 120–132. (In Italian)
14. Ringen, K, Dement, J, Welch, L, Bingham, E, Quinn, P, Chen, A, Haas, S. Mortality of older construction and craft workers employed at department of energy (DOE) nuclear sites: Follow-up through 2011. Am. J. Ind. Med. 2015, 58, 152–167.
15. Stocks, S.J, Turner, S, McNamee, R, Carder, M, Hussey, L, Agius, R.M. Occupation and work-related ill-health in UK construction workers. Occup. Med. 2011, 61, 407–415.
16. Jung, S.H, Kim, H.R, Koh, S.B, Yong, S.J, Chung, M.J, Lee, C.H, Han, J, Eom, M.S, Oh, S.S. A decade of malig-nant mesothelioma surveillance in Korea. Am. J. Ind. Med. 2012, 55, 869–875.
17. Järvholm, B, Englund, A. The impact of asbestos exposure in Swedish construction workers. Am. J. Ind. Med. 2014, 57, 49–55.
18. Welch L, Dement J, West G (2015) Mortality among sheet metal workers participating in a respiratory screening program. Am J Ind Med 58:378–391
19. Vimercati, L, Cavone, D, Caputi, A, Delfino, M.C, De Maria, L, Ferri, G.M, Serio, G. Malignant mesothelio-ma in construction workers: The Apulia regional mesothelioma register, Southern Italy. BMC Res. Notes 2019, 12, 636.
20. Serio G, Vimercati L, Pennella A, Gentile M, Cavone D, Buonadonna AL, Scattone A, Fortarezza F, De Palma A, Marzullo A. Genomic changes of chromosomes 8p23.1 and 1q21: Novel mutations in malignant mesothelioma. Lung Cancer. 2018 Dec;126:106-111. https://doi.org/10.1016/j.lungcan.2018.10.012 Epub 2018 Oct 27.
21. Van den Borre L, Deboosere P. Enduring health effects of asbestos use in Belgian industries: a record-linked cohort study of causespecific mortality (2001– 2009). BMJ Open 2015;5: e007384. https://doi.org/10.1136/bmjopen-2014-007384
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Vimercati L, Cavone D, De Maria L, Caputi A, Pentimone F, Sponselli S, et al. Mesothelioma Risk among Construction Workers According to Job Title: Data from the Italian Mesothelioma Register . Med Lav [Internet]. 2023 Jun. 12 [cited 2024 Jul. 18];114(3):e2023025. Available from: https://mattioli1885journals.com/index.php/lamedicinadellavoro/article/view/14538
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Vimercati L, Cavone D, De Maria L, Caputi A, Pentimone F, Sponselli S, et al. Mesothelioma Risk among Construction Workers According to Job Title: Data from the Italian Mesothelioma Register . Med Lav [Internet]. 2023 Jun. 12 [cited 2024 Jul. 18];114(3):e2023025. Available from: https://mattioli1885journals.com/index.php/lamedicinadellavoro/article/view/14538
