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Cited by 62Occupational and environmental lung diseasesOccupational Health and Global JusticeInterstitial Lung Diseases and Idiopathic Pulmonary Fibrosis

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Malignant pleural mesothelioma from nonoccupational asbestos exposure in Metsovo (north-west Greece): slow end of an epidemic?

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Sakellariou, K, Malamou-Mitsi, V, Haritou, A, Koumpaniou, C, Stachouli, C, Dimoliatis, ID, Constantopoulos, SH·1996·European Respiratory Journal
DOI 10.1183/09031936.96.09061206
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Abstract

Inhabitants of the Metsovo area, north-west Greece have been exposed since childhood to inhalation of asbestos, from a material containing tremolite, used for whitewashing ("luto soil"). This has resulted in endemic pleural calcifications (47% of adult population) and increased incidence of malignant pleural mesothelioma (MPM). In 1987, we reported that the incidence of MPM between 1981-1985 was around 300 times higher than expected in a nonasbestos exposed population (seven cases in 5 yrs in a population of 4,000-5,000). The present study is an updated report regarding this "mesothelioma epidemic", in conjunction with the diminished use and final abandonment of "luto soil" in the early 1980s. It appears that the incidence of MPM in Metsovo has dropped considerably since our first report. Between 1985-1994, we diagnosed six such cases (incidence rate = 1.4 cases per 10,000 person-years), whilst between 1980-1984 eight cases had been diagnosed (incidence rate = 3.7 cases per 10,000 person-years). Although, because of the small number of cases, this did not reach statistical significance (p = 0.08), we note that the incidence is now considerably lower than before. Had it remained unchanged, we would have expected 17 cases of MPM instead of six. This drop follows the diminished use of "luto" whitewash (by 92% of the population in 1950 and only 18% in 1980). If we take into account a 30-40 year latency period for mesothelioma, we expect that the "Metsovo mesothelioma epidemic" will fade away by the year 2020-2030, since the material has not been used since 1985.

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Research works printed but not linked: 2

  1. [18]18. Hillerdal G. Malignant mesothelioma, 198: review of 4,710 published cases. Br J Dis Chest 1983; 77: 321-343.
  2. [23]23. Health Effects Institute. Asbestos research. Asbestos in public and commercial building: a literature review and synthesis of current knowledge. Cambridge, MA; Health Effects Institute, 1991.

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Metadata

Authors
Sakellariou, K., Malamou-Mitsi, V, Haritou, A., Koumpaniou, C., Stachouli, C., Dimoliatis, I., & Constantopoulos, S.
Affiliations
University of Ioannina (GR)
Venue
European Respiratory Journal
Publisher
European Respiratory Society (ERS)
Published
1996-06-01
Volume
9
Issue
6
Pages
1206-1210
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
DOI
10.1183/09031936.96.09061206
OpenAlex
W2114909334
Semantic Scholar
f09d519ef89070eaea25e1e0c6e758eeb807379a
Cited by
62
References
23
Citations by year
2025: 1 · 2024: 3 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 2 · 2015: 4 · 2014: 1 · 2013: 3 · 2012: 2
FWCI
1.21
Type
journal article
Language
en
Open access
Locations
  • European Respiratory Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Occupational and environmental lung diseases
  • Social Sciences › Health › Occupational Health and Global Justice
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
Keywords
malignant pleural mesothelioma, tremolite, white wash, Metsovo, mesothelioma incidence, incidence decline, latency period, asbestos removal
MeSH terms
Adult, Aged, Asbestos, Environmental Exposure, Female, Greece, Humans, Male, Mesothelioma, Middle Aged, Pleural Neoplasms, Risk Factors, Incidence, Chi-Square Distribution, Asbestos, Amphibole

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