Safety and Health at Work Vol. 13 Issue 3 2022
Analysis of Mortality from Asbestos-Related Diseases in Brazil Using Multiple Health Information Systems, 1996e2017 (Original article)
Dublin Core
Title
Safety and Health at Work Vol. 13 Issue 3 2022
Analysis of Mortality from Asbestos-Related Diseases in Brazil Using Multiple Health Information Systems, 1996e2017 (Original article)
Analysis of Mortality from Asbestos-Related Diseases in Brazil Using Multiple Health Information Systems, 1996e2017 (Original article)
Subject
Asbestos, Asbestosis, Mesothelioma, Occupational exposure, Pleural plaques
Description
Background: In Brazil, asbestos was intensively used from the 1960s until its ban in 2017. Mesothelioma, asbestosis, and pleural plaques are typical asbestos-related diseases (ARD-T). To create an ARD-T national
database, death records from 1996e2017 were retrieved from several health information systems (HIS).
Methods: All national HIS containing coded diagnoses (ICD-10) and death information were obtained. Linkage was performed to create a single database of ARD-T death records, either as underlying or
contributory causes, in adults aged 30 years and older.
Results: A total of 3,057 ARD-T death records were found, 2,405 (76.4%) of which being malignant mesotheliomas (MM). Pleural MM (n 1⁄4 1,006; 41.8%) and unspecified MM (n 1⁄4 792; 32.9%) prevailed. Male
to female MM ratio (M:F) was 1.4:1, and higher ratios were found for non-malignant ARD-T: 3.5:1 for asbestosis and 2.4:1 for pleural plaques. Male crude annual mesothelioma mortality (CMmm x1,000,000) was 0.98 in 1996 and 2.26 in 2017, a 131.1% increment, while for females it was 1.04 and 1.25, a 20.2% increase, correspondingly. The small number of deaths with asbestosis and pleural plaques records precluded conclusive interpretations.
Conclusions: Even with the linkage of several HIS, ARD-T in death records remained in low numbers. MM mortality in men was higher and showed a rapid increase and, along with non-malignant ARD-T, higher
M:F ratios suggested a predominant pattern of work-related exposure. The monitoring of workplace and environmental asbestos exposure needs to be improved, as well as the workers surveillance, following
the recent Brazilian ban.
database, death records from 1996e2017 were retrieved from several health information systems (HIS).
Methods: All national HIS containing coded diagnoses (ICD-10) and death information were obtained. Linkage was performed to create a single database of ARD-T death records, either as underlying or
contributory causes, in adults aged 30 years and older.
Results: A total of 3,057 ARD-T death records were found, 2,405 (76.4%) of which being malignant mesotheliomas (MM). Pleural MM (n 1⁄4 1,006; 41.8%) and unspecified MM (n 1⁄4 792; 32.9%) prevailed. Male
to female MM ratio (M:F) was 1.4:1, and higher ratios were found for non-malignant ARD-T: 3.5:1 for asbestosis and 2.4:1 for pleural plaques. Male crude annual mesothelioma mortality (CMmm x1,000,000) was 0.98 in 1996 and 2.26 in 2017, a 131.1% increment, while for females it was 1.04 and 1.25, a 20.2% increase, correspondingly. The small number of deaths with asbestosis and pleural plaques records precluded conclusive interpretations.
Conclusions: Even with the linkage of several HIS, ARD-T in death records remained in low numbers. MM mortality in men was higher and showed a rapid increase and, along with non-malignant ARD-T, higher
M:F ratios suggested a predominant pattern of work-related exposure. The monitoring of workplace and environmental asbestos exposure needs to be improved, as well as the workers surveillance, following
the recent Brazilian ban.
Creator
Eduardo Algranti, Vilma S. Santana, Felipe Campos, Leonardo Salvi, Cézar A. Saito, Franciana Cavalcante, Heleno R. Correa-Filho
Publisher
Elsevier Korea LLC
Date
September 2022
Contributor
Sri Wahyuni
Format
PDF
Language
English
Type
Text
Coverage
Safety and Health at Work Vol. 13 Issue 3 2022
Files
Citation
Eduardo Algranti, Vilma S. Santana, Felipe Campos, Leonardo Salvi, Cézar A. Saito, Franciana Cavalcante, Heleno R. Correa-Filho, “Safety and Health at Work Vol. 13 Issue 3 2022
Analysis of Mortality from Asbestos-Related Diseases in Brazil Using Multiple Health Information Systems, 1996e2017 (Original article),” Repository Horizon University Indonesia, accessed January 6, 2025, https://repository.horizon.ac.id/items/show/2281.
Analysis of Mortality from Asbestos-Related Diseases in Brazil Using Multiple Health Information Systems, 1996e2017 (Original article),” Repository Horizon University Indonesia, accessed January 6, 2025, https://repository.horizon.ac.id/items/show/2281.