Marinaccio Alessandro, Binazzi Alessandra, Cauzillo Gabriella, Chellini Elisabetta, De Zotti Renata, Gennaro Valerio, Menegozzo Massimo, Mensi Carolina, Merler Enzo, Mirabelli Dario, Musti Marina, Pannelli Franco, Romanelli Antonio, Scarselli Alberto, Tosi Sergio, Tumino Rosario, Nesti Massimo
ISPESL, Dipartimento di medicina del lavoro, Laboratorio di epidemiologia, Roma.
Epidemiol Prev. 2007 Jul-Aug;31(4 Suppl 1):23-6.
The Study describes the epidemiological surveillance of mesothelioma cases carried out by the Italian mesothelioma register (ReNaM). A Regional Operating Centre (COR) is present in nearly all Italian regions (17 out of 20) and it collects malignant mesothelioma cases and investigate the modalities of asbestos exposure by using a structured questionnaire. The register produces malignant mesothelioma incidence measures and analyses of the modalities of the asbestos exposure. The standardized incidence rate of malignant mesothelioma in 2001 was 2.98 (in 100,000 inhabitants) among men and 0.98 among women; a professional (certain, probable, possible) exposure has been detected in 67.4% of defined cases. In addition to the conventional sectors (shipbuilding, railways repair and demolition, asbestos-cement production), also textile, building, transport, chemical and glass industries, petroleum and sugar refineries, electricity production and distribution plants are getting involved. Despite the absence of some regions completing the national coverage and the non homogeneity in collecting and coding data, the epidemiological surveillance of malignant mesothelioma carried out by ReNaM is an important tool for the scientific knowledge and the prevention of asbestos-related diseases.
该研究描述了意大利间皮瘤登记处（ReNaM）开展的间皮瘤病例流行病学监测。几乎所有意大利地区（20个中的17个）都设有一个区域运营中心（COR），它收集恶性间皮瘤病例，并通过使用结构化问卷调查石棉暴露方式。该登记处得出恶性间皮瘤发病率测量数据，并对石棉暴露方式进行分析。2001年男性恶性间皮瘤标准化发病率为2.98（每10万居民），女性为0.98；在67.4%的确诊病例中检测到职业性（确定、可能、或许）暴露。除了传统行业（造船、铁路维修与拆除、石棉水泥生产）外，纺织、建筑、运输、化工和玻璃行业、石油和糖精炼厂、发电和配电厂也牵涉其中。尽管有些地区未完成全国覆盖，且在数据收集和编码方面存在不一致情况，但ReNaM开展的恶性间皮瘤流行病学监测仍是获取科学知识和预防石棉相关疾病的重要工具。
