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BMC Public Health

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Open Access 01-12-2012 | Research article

Mesothelioma incidence surveillance systems and claims for workers’ compensation. Epidemiological evidence and prospects for an integrated framework

Authors: Alessandro Marinaccio, Alberto Scarselli, Enzo Merler, Sergio Iavicoli

Published in: BMC Public Health | Issue 1/2012

Abstract

Background

Malignant mesothelioma is an aggressive and lethal tumour strongly associated with exposure to asbestos (mainly occupational). In Italy a large proportion of workers are protected from occupational diseases by public insurance and an epidemiological surveillance system for incident mesothelioma cases.

Methods

We set up an individual linkage between the Italian national mesothelioma register (ReNaM) and the Italian workers’ compensation authority (INAIL) archives. Logistic regression models were used to identify and test explanatory variables.

Results

We extracted 3270 mesothelioma cases with occupational origins from the ReNaM, matching them with 1625 subjects in INAIL (49.7%); 91.2% (1,482) of the claims received compensation. The risk of not seeking compensation is significantly higher for women and the elderly. Claims have increased significantly in recent years and there is a clear geographical gradient (northern and more developed regions having higher claims rates). The highest rates of compensation claims were after work known to involve asbestos.

Conclusions

Our data illustrate the importance of documentation and dissemination of all asbestos exposure modalities. Strategies focused on structural and systematic interaction between epidemiological surveillance and insurance systems are needed.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/12/314/prepub

Title: Mesothelioma incidence surveillance systems and claims for workers’ compensation. Epidemiological evidence and prospects for an integrated framework
Authors: Alessandro Marinaccio
Alberto Scarselli
Enzo Merler
Sergio Iavicoli
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-12-314

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Springer Medicine

Mesothelioma incidence surveillance systems and claims for workers’ compensation. Epidemiological evidence and prospects for an integrated framework

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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