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. 2023 Jan 4;20(2):936.
doi: 10.3390/ijerph20020936.

The Italian Experience in the Development of Mesothelioma Registries: A Pathway for Other Countries to Address the Negative Legacy of Asbestos

Corrado Magnani  1   2 , Carolina Mensi  3 , Alessandra Binazzi  4 , Daniela Marsili  5 , Federica Grosso  6 , Juan Pablo Ramos-Bonilla  2   7 , Daniela Ferrante  1 , Enrica Migliore  8 , Dario Mirabelli  8 , Benedetto Terracini  2   8 , Dario Consonni  3 , Daniela Degiovanni  9 , Michela Lia  6 , María Fernanda Cely-García  7 , Margarita Giraldo  7 , Benjamin Lysaniuk  10 , Pietro Comba  2 , Alessandro Marinaccio  2   4
Affiliations

The Italian Experience in the Development of Mesothelioma Registries: A Pathway for Other Countries to Address the Negative Legacy of Asbestos

Corrado Magnani et al. Int J Environ Res Public Health. .

Abstract

Asbestos (all forms, including chrysotile, crocidolite, amosite, tremolite, actinolite, and anthophyllite) is carcinogenic to humans and causally associated with mesothelioma and cancer of the lung, larynx, and ovary. It is one of the carcinogens most diffuse in the world, in workplaces, but also in the environment and is responsible for a very high global cancer burden. A large number of countries, mostly with high-income economies, has banned the use of asbestos which, however, is still widespread in low- and middle-income countries. It remains, thus, one of the most common occupational and environmental carcinogens worldwide. Italy issued an asbestos ban in 1992, following the dramatic observation of a large increase in mortality from mesothelioma and other asbestos-related diseases in exposed workers and also in subjects with non-occupational exposure. A mesothelioma registry was also organized and still monitors the occurrence of mesothelioma cases, conducting a case-by-case evaluation of asbestos exposure. In this report, we describe two Italian communities, Casale Monferrato and Broni, that faced an epidemic of mesothelioma resulting from the production of asbestos cement and the diffuse environmental exposure; we present the activity and results of the Italian mesothelioma registry (ReNaM), describe the risk-communication activities at the local and national level with a focus on international cooperation and also describe the interaction between mesothelioma registration and medical services specialized in mesothelioma diagnosis and treatment in an area at high risk of mesothelioma. Finally, we assess the potential application of the solutions and methods already developed in Italy in a city in Colombia with high mesothelioma incidence associated with the production of asbestos-cement materials and the presence of diffuse environmental asbestos pollution.

Keywords: asbestos; mesothelioma; mesothelioma registry.

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Conflict of interest statement

The authors declare no conflict of interest. The following authors or working group components reported that they served as expert witness in court trials on asbestos-related diseases: C.M. (Corrado Magnani), C.M. (Carolina Mensi), D.M. (Dario Mirabelli), D.C. and P.C.

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