Epidemiology of Malignant Pleural Mesothelioma in the Americas
Pp. 53-71 (19)
Bruce W. Case
Mesothelioma mortality statistics, and to a lesser extent incidence, are
reliable for Canada and the United States only over the last two decades. Difficulties
still exist, and in the rest of the Americas available statistics are not reliable. A brief
history of the recognition, diagnosis, and development of knowledge about
mesothelioma in North America is presented. Cohort studies important to mesothelioma
epidemiology are discussed, with particular emphasis on Quebec miners and millers,
textile workers in the Carolinas, and asbestos insulators in the United States. These
studies are highly influential in current risk assessments for asbestos-related disease.
Finally, there is a country-by-country selected epidemiological and related
investigations of mesothelioma in the countries of North and South America. These
emphasize new observations of apparent lack of compensation for registered cases in
Canada, and studies of regulatory and public health importance in the United States.
Although little work has been published from Latin American countries, some
observations of interest include those related to asbestos mining and cement
manufacture in Brazil, crocidolite exploitation in Bolivia and the recent identification of
naturally occurring erionite causing disease in one locality in Mexico.
Asbestos, epidemiology, occupational disease.
Department of Pathology and Epidemiology Biostatictic, McGill University, Occupational Health, and the School of Environment, Montreal, Quebec, Canada.