Abstract
In this chapter, we describe and discuss communities that have a high incidence of mesothelioma. These communities are part of a third wave of asbestos exposures and consequent asbestos-related diseases (ARD). Many of the current paradigms applied to ARD arose to address the first and second waves associated with mining and the industrial use of asbestos, respectively. We examine the lessons from a number of communities where there is an elevated risk of mesothelioma not restricted to specific occupations: Wittenoom, Western Australia, where crocidolite was mined; Libby Montana where amphibole asbestos contaminated vermiculite was mined and processed; Broni Italy, and Ambler Pennsylvania where asbestos-cement products were manufactured; and Karain in Cappadocia Turkey where the asbestiform mineral erionite occurs naturally. In these communities, in addition to occupational exposures, paraoccupational, residential, and environmental lifestyle asbestos exposures appear to contribute to the mesothelioma burden. Finally, we discuss a number of issues germane to non-occupational community mesothelioma risk: age and gender distribution of non-occupational mesothelioma; prevention appropriate to the third wave; shortcomings of the regulatory definition of asbestos; vulnerable groups in the community; diffuse administrative responsibility; diverse community attitudes to risk and prevention; difficulties in quantifying exposures and justifying remediation actions; surveillance, diagnostic and care requirements in high-risk communities; legal responsibilities and compensation for nonoccupational ARD; the application of epidemiology to third wave high-risk communities; differing expressions of ARD from community exposures; and estimating the magnitude of the third mesothelioma wave.
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References
Algrantia E, Saitob CA, Carneiroc APS et al (2015) The next mesothelioma wave: mortality trends and forecast to 2030 in Brazil. Cancer Epidemiol 39:687–692
Amandus HE, Wheeler R, Jankovic J et al (1987) The morbidity and mortality of vermiculite miners and millers exposed to tremolite-actinolite. Part I. Exposure estimates. Am J Ind Med 11:1–14
Amandus HE, Wheeler R (1987) The morbidity and mortality of vermiculite miners and millers exposed to tremolite-actinolite. Part II. Mortality. Am J Ind Med 11:15–26
AMR (Australian Mesothelioma Registry) (2014) Australian Mesothelioma Registry 3rd annual report: Mesothelioma in Australia 2013. Safe Work Australia, Canberra. Available at: http://www.mesothelioma-australia.com/publications-and-data/publications
Armstrong BK, de Klerk NH, Musk AW et al (1988) Mortality in miners and millers of crocidolite in Western Australia. Brit J Ind Med 45:5–13
Artvinli M, Baris YI (1979) Malignant mesotheliomas in a small village in the Anatolian region of Turkey: an epidemiologic study. J Natl Cancer Inst 63:17–22
ATSDR (2002) Health Consultation Libby Asbestos Site, Libby, Lincoln County Montana. Agency for Toxic Substances and Disease Registry, Atlanta, GA
Musk AW, de Klerk NH, Eccles JL et al (1992) Wittenoom, Western Australia: a modern industrial disaster. Am J Ind Med 21:735–747
Baris YI et al (1978) An outbreak of pleural mesothelioma and chronic fibrosing pleurisy in the village of Karain/Urgup in Anatolia. Thorax 33:181–192
Baris YI, Grandjean P (2006) Prospective study of mesothelioma mortality in Turkish villages with exposure to fibrous zeolite. J Natl Cancer Inst 98:414–417
Baris YI, Simonato L, Artvinli M et al (1987) Epidemiological and environmental evidence of health effects of exposure to erionite fibers: a four year study in the Cappodocian region in Turkey. Int J Cancer 39:10–17
Bennett C (2016) The Blue Ghosts of Wittenoom. Watoday.com. http://www.watoday.com.au/interactive/2015/blueGhosts/. Accessed 11 March 2016
Black B, Szeinuk J, Whitehouse AC et al (2014) Rapid progression of pleural disease due to exposure to Libby amphibole: “Not your grandfather’s asbestos related disease.”. Am J Ind Med 57:1197–1206
Case BW, Abraham JL, Meeker G et al (2011) Applying definitions of “asbestos” to environmental and “low-dose” exposure levels and health effects, particularly malignant mesothelioma. J Toxicol Environ Health B Crit Rev 14:3–39
Carbone M, Emri S, Dogan AU et al (2007) A mesothelioma epidemic in Cappadocia: scientific developments and unexpected social outcomes. Nat Rev Cancer 7:147–154
Cumpston AG (1978) The health hazard at Wittenoom. Public Health Department of Western Australia, Perth
Cumpston AG (1979) Exposure to crocidolite at Wittenoom. Public Health Department of Western Australia, Perth
Damhuis RAM, Schroten C, Burgers JA (2012) Population-based survival for malignant mesothelioma after introduction of novel chemotherapy. Eur Respir J 40:185–189
de Klerk N, Alfonso H, Olsen N et al (2013) Familial aggregation of malignant mesothelioma in former workers and residents of Wittenoom, Western Australia. Int J Cancer 136:1423–1428
Dogan AU, Baris YI, Dogan M et al (2006) Genetic predisposition to fiber carcinogenesis causes a mesothelioma epidemic in Turkey. Cancer Res 66:5063–5068
Driscoll T, Nelson DI, Steenland K et al (2005) The global burden of disease due to occupational carcinogens. Am J Ind Med 48:419–431
Dunning KK, Adjei S, Levin L et al (2012) Mesothelioma associated with commercial use of vermiculite containing Libby amphibole. J Occup Environ Med 54:1359–1363
Elder J (1967) Asbestosis in Western Australia. Med J Aust 2:579–583
Emri S, Demir A, Dogan M et al (2002) Lung diseases due to environmental exposures to erionite and asbestos in Turkey. Toxicol Lett 27:251–257
Ferguson DA, Berry G, Jelihovsky T et al (1987) The Australian Mesothelioma Surveillance Program 1979–1985. Med J Aust 147:166–172
Ferrante D, Bertolotti M, Todesco A et al (2007) Cancer mortality and incidence of mesothelioma in a cohort of wives of asbestos workers in Casale Monferrato, Italy. Environ Health Perspect 115:1401–1405
Galateau-Sallé F, Gilg Soit Ilg A, Le Stang N et al (2014) The French mesothelioma network from 1998 to 2013. Ann Pathol 34:51–63
Gilmer J, Serve KM, Davis C et al (2016) Libby amphibole-induced mesothelial cell autoantibodies promote collagen deposition in mice. Am J Physiol Lung Cell Mol Physiol 310:L1071–L1077
Goldberg M, Imbernon E, Rolland P et al (2006) The French National Mesothelioma Surveillance Program. Occup Environ Med 63:390–395
Gordon JRC, Leigh J (2011) Medicolegal aspects of the third wave of asbestos-related disease in Australia. Med J Aust 195:247–248
Goswami E, Craven V, Dahlstrom DL et al (2013) Domestic asbestos exposure: a review of epidemiologic and exposure data. Int J Environ Res Public Health 10:5629–5670
Graham L (1994) Report of the select committee appointed to inquire into Wittenoom. Legislative Assembly of the Parliament of Western Australia, Perth
Greenberg M (1991) Cancer mortality in merchant seamen. Ann N Y Acad Sci 643:321–332
Hansen J, de Klerk NH, Eccles J et al (1993) Malignant mesothelioma after environmental exposure to blue asbestos. Int J Cancer 54:578–581
Hansen J, de Klerk NH, Musk AW et al (1998) Environmental exposure to crocidolite and mesothelioma exposure-response relationships. Am J Respir Crit Care Med 157:69–75
Haque AK, Kanz MF, Mancuso MG et al (1991) Asbestos in the lungs of children. Ann N Y Acad Sci 643:419–429
Henderson DW, Leigh J (2012) The history of asbestos utilization and recognition of asbestos-induced disease. In: Dodson RF, Hammer SP (eds) Asbestos, risk assessment, epidemiology and health, 2nd edn. CRC Press, Boca Raton, FL, pp 1–22
Hobbs MST, Woodward SD, Murphy B et al (1980) The incidence of pneumoconiosis, mesothelioma and other respiratory cancers in men engaged in mining and milling crocidolite in Western Australia. In: Wagner JC (ed) Biological effects of mineral fibers. International Agency for Research on Cancer. IARC Scientific Publication No 30, Lyon
International Agency for Research on Cancer (2012) Asbestos (chrysotile, amosite, crocidolite, tremolite, actinolite, and anthophyllite). IARC Monogr Eval Carcinog Risks Chem Hum 100(Pt C):219–309
International Ban Asbestos Secretariat (2015) Chronology of National Asbestos Bans, Compiled by Laurie Kazan-Allen. http://www.ibasecretariat.org/chron_ban_list.php
International Labour Organization (2006) Resolution concerning asbestos. http://www.ilo.org/safework/info/standards-and-instruments/WCMS_108556/lang--en/index.htm
Khatab K, Felten M, Kandala NB et al (2014) Risk factors associated with asbestos-related diseases: results of the asbestos surveillance programme Aachen. Eur Med J Respir 1:1–9
Naik SL, Lewin M, Young R, et al. (2016) Mortality from asbestos-associated disease in Libby, Montana 1979–2011. J Expo Sci Environ Epidemiol 2 doi: 10.1038/jes.2016.18 [Epub ahead of print]
Landrigan PJ (1991) The third wave of asbestos disease: exposure to asbestos in place–Public health control. Introduction. Ann N Y Acad Sci 643:xv–xvi
Layman L (1983) Work and workers’ response at Wittenoom 1943–1966. Community Health Stud 7:1–18
Leigh J, Driscoll T (2003) Malignant mesothelioma in Australia, 1945–2002. Int J Occup Environ Health 9:206–217
Leigh J, Hull B, Davidson P (1997) Malignant mesothelioma in Australia (1945–1995). Ann Occup Hyg 41:161–167
Lowers HA, Meeker GP (2002) Tabulation of asbestos-related terminology. U.S. Geological Survey open-file report 02–458, Version 1.0. USGS http://pubs.usgs.gov/of/2002/ofr-02-458/OFR-02-458-508
Magnani C, Terracini B, Ivaldi C et al (1993) A cohort study on mortality among wives of workers in the asbestos cement industry in Casale Monferrato, Italy. Br J Ind Med 50:779–784
Magnani C, Terracini B, Ivaldi C et al (1996) Mortalità per tumori e altre cause tra i lavoratori del cemento-amianto a Casale Monferrato. Uno studio di coorte storico. Med Lav 87:133–146
Maltoni C, Pinto C, Mobiglia A (1991) Mesothelioma due to asbestos used in railroads in Italy. Ann N Y Acad Sci 643:347–367
Marchand LS, St-Hilaire S, Putnam EA et al (2012) Mesothelial cell and anti-nuclear autoantibodies associated with pleural abnormalities in an asbestos exposed population of Libby MT. Toxicol Lett 208:168–173
Marinaccio A, Montanaro F, Mastrantonio M et al (2005) Predictions of mortality from pleural mesothelioma in Italy: a model based on asbestos consumption figures supports results from age-period-cohort models. Int J Cancer 115:142–147
Marinaccio A, Binazzi A, Bonafede M et al (2015) Malignant mesothelioma due to non-occupational asbestos exposure from the Italian national surveillance system (ReNaM): epidemiology and public health issues. Occup Environ Med 72:648–655
McDonald JC, McDonald AD, Armstrong B et al (1986) Cohort study of mortality of vermiculite miners exposed to tremolite. Br J Ind Med 43:436–444
McNulty JC (1962) Malignant pleural mesothelioma in an asbestos worker. Med J Aust 49:953–954
Meeker GP, Bern AM, Brownfield HA et al (2003) The composition and morphology of amphiboles from the rainy creek complex, near Libby, Montana. Am Mineral 88:1955–1969
Mensi C, Termine L, Canti Z et al (2007) The Lombardy Mesothelioma Register, Regional Operating Centre (ROC) of National Mesothelioma Register: organizational aspects. Epidemiol Prev 31:283–289
Mensi C, Riboldi L, DeMatteis S et al (2015) Impact of an asbestos cement factory on mesothelioma incidence: global assessment of effects of occupational, familial, and environmental exposure. Environ Int 74:191–199
Metintas M, Hillerdal G, Metintas S (1999) Malignant mesothelioma due to environmental exposure to erionite: follow-up of a Turkish emigrant cohort. Eur Respir J 13:523–526
Mirabelli D, Cavone D, Luberto F et al (2010) Il comparto della produzione di cemento-amianto. In: Marinaccio A et al (eds) Registro Nazionale Mesoteliomi Terzo Rapporto. ISPESL, Roma, pp 105–121
Moulton E (2015) Geotechnical work to begin in Wittenoom to determine how to clean up the contaminated site. News.com.au May 17. http://www.news.com.au/technology/environment/geotechnical-work-to-begin-in-wittenoom-to-determine-how-to-clean-up-the-contaminated-site/news-story/2896d2221712698708836578829b83f7
Nesti M, Adamoli S, Ammirabile F et al (2003) Linee guida per la rilevazione e la definizione dei casi di mesotelioma maligno e la trasmissione delle informazioni all’ISPESL da parte dei Centri Operativi Regionali, Seconda edizione. ISPESL, Roma
Newhouse ML, Thompson H (1965) Mesothelioma of pleura and peritoneum following exposure to asbestos in the London area. Brit J Ind Med 22:262–269
Noonan CW, Pfau JC, Larson TC et al (2006) Nested case-control study of autoimmune disease in an asbestos-exposed population. Environ Health Perspect 114:1243–1247
Noonan CN, Conway K, Landguth EL et al (2015) Multiple pathway asbestos exposure assessment for a Superfund community. J Exposure Sci Environ Epidemiol 25:18–25
Oddone E, Ferrante D, Cena T et al (2014) Asbestos cement factory in Broni (Pavia, Italy): a mortality study. Med Lav 105:15–29
Olsen NJ, Franklin PJ, Reid A et al (2011) Increasing incidence of malignant mesothelioma after exposure to asbestos during home maintenance and renovation. Med J Aust 195:271–274
Peipens LA, Lewin M, Campolucci S et al (2003) Radiographic abnormalities and exposure to asbestos-contaminated vermiculite in the community of Libby, Montana, USA. Environ Health Perspect 111:1753–1759
Pennsylvania Department of Health 2011. Cancer evaluation, Ambler area, Montgomery County. July 11, 2011, Harrisburg, PA
Pfau JC, Sentissi JJ, Weller G et al (2005) Assessment of autoimmune responses associated with asbestos exposure in Libby, Montana, USA. Environ Health Perspect 113:25–30
Pfau JC, Li S, Holland S et al (2011) Alteration of fibroblast phenotype by asbestos-induced autoantibodies. J Immunotoxicol 8:159–169
Pfau JC, Serve KM, Woods L et al (2015) Asbestos exposure and autoimmunity. In: Biological effects of fibrous and particulate substances. Current topics in environmental health and preventive medicine. Springer, Japan
Pirastu R, Zona A, Ancona C et al (2011) Mortality results in SENTIERI Project(Italian). Epidemiol Prev 35:29–152
Quattrone F (2004) Images of America: Ambler. Arcadia Publishing, Charleston, SC
Reid A, de Klerk NH, Magnani C et al (2014) Mesothelioma risk after 40 years since first exposure to asbestos: a pooled analysis. Thorax 69:843–850
Reid A, Hayworth J, de Klerk N et al (2008) The mortality of women exposed environmentally and domestically to blue asbestos at Wittenoom, Western Australia. Occup Environ Med 65:743–749
Reid A, Franklin P, Olsen N et al (2013) All-cause mortality and cancer incidence among adults exposed to blue asbestos during childhood. Am J Ind Med 56:133–145
Rogers A (1990) Cancer mortality and crocidolite. Brit J Ind Med 47:286
Roushdy-Hammady I, Siegel J, Emri S et al (2001) Genetic-susceptibility factor and malignant mesothelioma in the Cappadocian region of Turkey. Lancet 357:444–445
Sebastien P, Gaudichet A, Bignon J et al (1981) Zeolite bodies in human lungs from Turkey. Lab Invest 44:420–425
Selikoff IJ, Churg J, Hammond EC (1965) The occurrence of asbestosis among insulation workers in the United States. Ann N Y Acad Sci 132:139–155
Selikoff IJ, Seidman H (1991) Asbestos-associated deaths among insulation workers in the United States and Canada, 1967–1987. Ann N Y Acad Sci 643:1–14
Serve KM, Black B, Szeinuk J et al (2013) Asbestos-associated mesothelial cell autoantibodies promote collagen deposition in vitro. Inhalation Toxicol 25:774–784
Soeberg MJ, Leigh J, Driscoll T et al (2016) Incidence and survival trends for malignant pleural and peritoneal mesothelioma, Australia, 1982–2009. Occup Environ Med 73:187–194
Taioli E, Wolf AS, Camancho-Rivera M et al (2015) Determinants of survival in malignant pleural mesothelioma: a surveillance, epidemiology, and end results (SEER) study of 14,228 patients. PLoS One 10:e0145039
United States Department of Labor (1975) Occupational exposure to asbestos. Fed Regist 40:47652–47665
USEPA 2009. https://yosemite.epa.gov/opa/admpress.nsf. EPA announces Public Health Emergency in Libby Montana. 06/17/2009
USEPA Superfund, 1988. Record of Decision Ambler Asbestos Piles EPA ID: PAD000436436, OU 1. Ambler, PA; Washington DC. U.S. Environmental Protection Agency.
USEPA Superfund, 1989. Record of Decision Ambler Asbestos Piles EPA ID: PAD000436436, OU 2. Ambler, PA; Washington DC. U.S. Environmental Protection Agency.
Wagner JC, Skidmore JW, Hill RJ et al (1985) Erionite exposure and mesotheliomas in rats. Br J Cancer 51:727–730
Whitehouse AC (2004) Asbestos-related pleural disease due to tremolite associated with progressive loss of lung function: serial observations in 123 miners, family members and residents of Libby Montana. Am J Ind Med 46:219–225
Whitehouse AC, Black CB, Heppe MS et al (2008) Environmental exposure to Libby asbestos and mesotheliomas. Am J Ind Med 51:877–880
Wittenoom’s asbestos history still looms large but some residents won’t leave. The Daily Telegraph, May 11, 2015. http://www.dailytelegraph.com.au/news/wittenooms-asbestos-history-still-looms-large-but-some-residents-wont-leave/news-story/eec0f1fd82bf076ebe84c6e02fb5ac1f
Acknowledgements
Research reported in this publication was supported by National Institute Environmental Health Sciences of the National Institutes of Health under award number P42 ES023720 Penn Superfund Research Program Center Grant. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
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Emmett, E.A., Cakouros, B. (2017). Communities at High Risk in the Third Wave of Mesothelioma. In: Testa, J. (eds) Asbestos and Mesothelioma. Current Cancer Research. Springer, Cham. https://doi.org/10.1007/978-3-319-53560-9_5
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