Occupational Burden of Asbestos-related Cancer in Argentina, Brazil, Colombia, and Mexico

Background: An estimate at the national level of the occupational cancer burden brought about by the industrial use of <a title="Learn more about Asbestos" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/asbestos">asbestos</a> requires detailed routi...

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Main Authors: Roberto Pasetto, Benedetto Terracini, Daniela Marsili, Pietro Comba
Format: Article
Language:English
Published: Ubiquity Press 2014-11-01
Series:Annals of Global Health
Subjects:
Online Access:https://annalsofglobalhealth.org/articles/2055
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author Roberto Pasetto
Benedetto Terracini
Daniela Marsili
Pietro Comba
author_facet Roberto Pasetto
Benedetto Terracini
Daniela Marsili
Pietro Comba
author_sort Roberto Pasetto
collection DOAJ
description Background: An estimate at the national level of the occupational cancer burden brought about by the industrial use of <a title="Learn more about Asbestos" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/asbestos">asbestos</a> requires detailed routine information on such uses as well as on vital statistics of good quality. A causal association with asbestos exposure has been established for <a title="Learn more about Mesothelioma" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/mesothelioma">mesothelioma</a> and cancers of the lung, <a title="Learn more about Larynx" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/larynx">larynx</a>, and ovary. Objectives: The aim of this study was to provide estimates of the occupational burden of asbestos-related cancer for the Latin American countries that are or have been the highest asbestos consumers in the region: Argentina, Brazil, Colombia, and Mexico. Methods: The burden of multifactorial cancers has been estimated through the approach suggested for the World Health Organization using the population attributable fraction. The following data were used: • Proportion of workforce employed in each economic sector • Proportion of workers exposed to asbestos in each sector • Occupational turnover • Levels of exposure • Proportion of the population in the workforce • Relative risk for each considered disease for 1 or more levels of exposure Data on the proportion of workers exposed to asbestos in each sector are not available for Latin American countries; therefore, data from the European CAREX database (carcinogen exposure database) were used. Findings: Using mortality data of the World Health Organization Health Statistics database for the year 2009 and applying the estimated values for population attributable fractions, the number of estimated deaths in 5 years for mesothelioma and for lung, larynx, and ovary cancers attributable to occupational asbestos exposures, were respectively 735, 233, 29, and 14 for Argentina; 340, 611, 68, and 43 for Brazil; 255, 97, 14, and 9 for Colombia, and 1075, 219, 18, and 22 for Mexico. Conclusions: The limitations in compiling the estimates highlight the need for improvement in the quality of asbestos-related environmental and health data. Nevertheless, the figures are already usable to promote a ban on asbestos use.
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spelling doaj.art-229b12b740534f568adcafc82be04f912022-12-21T21:36:16ZengUbiquity PressAnnals of Global Health2214-99962014-11-0180426326810.1016/j.aogh.2014.09.0031953Occupational Burden of Asbestos-related Cancer in Argentina, Brazil, Colombia, and MexicoRoberto Pasetto0Benedetto Terracini1Daniela Marsili2Pietro Comba3Istituto Superiore di Sanità, Rome, ItalyUniversity of Turin, (Retired), Turin, ItalyIstituto Superiore di Sanità, Rome, ItalyIstituto Superiore di Sanità, Rome, ItalyBackground: An estimate at the national level of the occupational cancer burden brought about by the industrial use of <a title="Learn more about Asbestos" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/asbestos">asbestos</a> requires detailed routine information on such uses as well as on vital statistics of good quality. A causal association with asbestos exposure has been established for <a title="Learn more about Mesothelioma" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/mesothelioma">mesothelioma</a> and cancers of the lung, <a title="Learn more about Larynx" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/larynx">larynx</a>, and ovary. Objectives: The aim of this study was to provide estimates of the occupational burden of asbestos-related cancer for the Latin American countries that are or have been the highest asbestos consumers in the region: Argentina, Brazil, Colombia, and Mexico. Methods: The burden of multifactorial cancers has been estimated through the approach suggested for the World Health Organization using the population attributable fraction. The following data were used: • Proportion of workforce employed in each economic sector • Proportion of workers exposed to asbestos in each sector • Occupational turnover • Levels of exposure • Proportion of the population in the workforce • Relative risk for each considered disease for 1 or more levels of exposure Data on the proportion of workers exposed to asbestos in each sector are not available for Latin American countries; therefore, data from the European CAREX database (carcinogen exposure database) were used. Findings: Using mortality data of the World Health Organization Health Statistics database for the year 2009 and applying the estimated values for population attributable fractions, the number of estimated deaths in 5 years for mesothelioma and for lung, larynx, and ovary cancers attributable to occupational asbestos exposures, were respectively 735, 233, 29, and 14 for Argentina; 340, 611, 68, and 43 for Brazil; 255, 97, 14, and 9 for Colombia, and 1075, 219, 18, and 22 for Mexico. Conclusions: The limitations in compiling the estimates highlight the need for improvement in the quality of asbestos-related environmental and health data. Nevertheless, the figures are already usable to promote a ban on asbestos use.https://annalsofglobalhealth.org/articles/2055asbestosburden of diseaseLatin Americaneoplasmsoccupation
spellingShingle Roberto Pasetto
Benedetto Terracini
Daniela Marsili
Pietro Comba
Occupational Burden of Asbestos-related Cancer in Argentina, Brazil, Colombia, and Mexico
Annals of Global Health
asbestos
burden of disease
Latin America
neoplasms
occupation
title Occupational Burden of Asbestos-related Cancer in Argentina, Brazil, Colombia, and Mexico
title_full Occupational Burden of Asbestos-related Cancer in Argentina, Brazil, Colombia, and Mexico
title_fullStr Occupational Burden of Asbestos-related Cancer in Argentina, Brazil, Colombia, and Mexico
title_full_unstemmed Occupational Burden of Asbestos-related Cancer in Argentina, Brazil, Colombia, and Mexico
title_short Occupational Burden of Asbestos-related Cancer in Argentina, Brazil, Colombia, and Mexico
title_sort occupational burden of asbestos related cancer in argentina brazil colombia and mexico
topic asbestos
burden of disease
Latin America
neoplasms
occupation
url https://annalsofglobalhealth.org/articles/2055
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