Asbestos Related Death is not Merely an American Phenomenon

Saturday, August 20, 2011
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Mesothelioma and other takes the lives of thousands every year.  It is not only a difficulty in the United States, but also other parts of the world. One fascinating study is known as, "Predictions of future instances of asbestos-related illness amongst former miners and millers of crocidolite in Western Australia." By
de Klerk NH, Armstrong BK, Musk AW, Hobbs MS. - Med J Aust. 1989 Dec 4-18151(11-12):616.  Here is an excerpt: "Abstract - In a cohort of 6502 male and 410 female former workers from the crocidolite (blue asbestos) mining and milling works at Wittenoom, Western Australia, there were 94 instances of (12 situations of peritoneal mesothelioma), 141 cases and 356 profitable for asbestosis to the end of 1986. Soon after adjusting for measured covariate effects by means of proportional hazards regression analysis, smooth curves were fitted to the resulting "underlying" incidence rates for malignant mesothelioma, lung cancer and asbestosis, separately, and for mortality of any trigger. By the use of these curves and individual risk estimates, predictions have been produced of the future incidence of these diseases to the year 2020. With the assumption that all subjects who were not recognized to be dead or departed overseas still were alive at December 31, 1986, and excluding persons of a lot more than 85 years of age, the number of new situations of mesothelioma is expected to rise to a peak of around 25 cases per year in 2010, with an expected total number of 692 situations of mesothelioma (95% confidence interval [CI], 394-990 cases) between 1987 and 2020. A total of 2898 deaths (95% CI, 2284-3511 deaths) of any cause is expected in the same period. New situations of lung cancer and asbestosis are expected to continue at roughly the current rates of eight and 17 cases per year, respectively, just before declining soon after the year 2000, leading to totals of 183 cases (95% CI, 34-335 situations) and 482 circumstances (95% CI, 236-728 instances), respectively, being expected by the year 2020. Predictions that had been based on the censoring of subjects at the date that they last were identified to be alive resulted in slightly greater, but probably much less accurate, estimates.
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A different intriguing study is referred to as, "Mutations in the p53 gene in lung cancer are connected with cigarette smoking and asbestos exposure." By X Wang, D C Christiani, J K Wiencke, M Fischbein, X Xu, T J Cheng, E Mark, J C Wain and K T Kelsey - Cancer Epidemiology, Biomarkers & Prevention July 1995 4 543.  Here is an excerpt: "Abstract - It has been proposed that the patterns of mutations in the p53 tumor suppressor gene will provide clues to the mechanisms of cancer occurrence. Cigarette smoking is known to be the greatest risk factor for lung cancer. Epidemiological evidence has also implicated radon and asbestos as exposures that substantially boost this illness risk asbestos exposure synergistically enhances the lung cancer risk of smokers. Previous studies of the mutational spectra of the p53 gene in lung cancer have shown cigarette smoke and radon exposure to be connected with the induction of specific lesions or classes of lesions. We have investigated the p53 gene in surgically resectable lung cancers in 85 patients from the Massachusetts Common Hospital. We identified 25 (29%) patients to have somatic p53 mutations in their tumors. The patients with p53 mutations who were existing smokers had been significantly older (75.1 versus 59.8 years P < .01 and had smoked for substantially more years (56.8 versus 41.2 years P < .01) than had those without p53 modifications. Consistent with other reports, we observed a sizeable quantity (40%) of G:C to T:A transversion mutations, noting that their occurrence increased with increasing cumulative exposure to cigarette smoke. Interestingly, we also discovered that p53 mutations occurred significantly alot more frequently in patients with a history of occupational exposure to asbestos [3 of 60 (5%) for patients without having p53 mutations versus 5 of 25 (20%) of those with p53 mutations"

"Abstract - Few substances have produced as a lot interest, fear, and misunderstanding as asbestos. In 1971, asbestos became the initially material to be regulated by the Occupational Safety and Health Administration. In 1982, lawsuits filed on behalf of workers suffering from asbestos-related pulmonary disease led 1 asbestos merchandise producer to file for bankruptcy, primarily as a result of claims for asbestos injury from asbestos items his enterprise produced. Even as of the 21st century, controversies exist concerning the toxicity and prospective well being effects of asbestos. Dail and Hammar's Pulmonary Pathology - 2008, 950-1031, DOI: 10.1007/978--387-68792-6_27 - Samuel P. Hammar and Ronald F. Dodson.

We all owe a debt of gratitude to these researchers.  If you located any of these excerpts interesting, please read the studies in their entirety.

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