Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Istituto Nazionale per l'Assicurazione Contro gli Infortuni sul Lavoro, 00143 Roma, Italy.
Valle d'Aosta Health Local Unit, Regional Operating Center of Valle d'Aosta (COR Valle d'Aosta), 11100 Aosta, Italy.
Int J Environ Res Public Health. 2021 Dec 26;19(1):235. doi: 10.3390/ijerph19010235.
Notwithstanding the ban in 1992, asbestos exposure for workers in the construction sector in Italy remains a concern. The purpose of this study is to describe the characteristics of malignant mesothelioma (MM) cases recorded by the Italian registry (ReNaM) among construction workers. Incident mesothelioma cases with a definite asbestos exposure have been analyzed. Characteristics of cases and territorial clusters of crude rates of MM in construction workers have been described, as well as the relation between asbestos use before the ban and the historical trend of workforce in the construction sector in Italy. ReNaM has collected 31,572 incident MM cases in the period from 1993 to 2018 and asbestos exposure has been assessed for 24,864 (78.2%) cases. An occupational exposure has been reported for 17,191 MM cases (69.1% of subjects with a definite asbestos exposure). Among them, 3574 had worked in the construction sector, with an increasing trend from 15.8% in the 1993-98 period to 23.9% in 2014-2018 and a ubiquitous territorial distribution. The large use of asbestos in construction sector before the ban makes probability of exposure for workers a real concern still today, particularly for those working in maintenance and removal of old buildings. There is a clear need to assess, inform, and prevent asbestos exposure in this sector.
尽管 1992 年已经颁布禁令，但意大利建筑行业工人接触石棉的情况仍令人担忧。本研究旨在描述意大利注册中心（ReNaM）记录的建筑工人中恶性间皮瘤（MM）病例的特征。分析了有明确石棉暴露史的间皮瘤病例。描述了建筑工人中 MM 粗发病率的病例特征和地区聚集情况，以及禁令前石棉使用情况与意大利建筑行业劳动力历史趋势之间的关系。1993 年至 2018 年期间，ReNaM 共收集了 31572 例间皮瘤病例，其中 24864 例（78.2%）评估了石棉暴露情况。17191 例 MM 病例报告了职业暴露（有明确石棉暴露史的受试者的 69.1%）。其中，3574 人曾在建筑行业工作，该比例从 1993-98 年的 15.8%上升到 2014-2018 年的 23.9%，且分布广泛。在禁令之前，建筑行业大量使用石棉，这使得工人接触石棉的可能性至今仍是一个现实问题，尤其是在那些从事旧建筑维护和拆除工作的工人中。显然，需要在该行业评估、告知和预防石棉暴露。
