Cent Eur J Public Health 2020 Oct;28 Suppl:S37-S42 | DOI: 10.21101/cejph.a6297

Occurrence of asbestos-related occupational diseases in the Czech Republic in the last 20 years

Magdaléna Janošíková1,2, Marie Nakládalová1,2, Ladislav Štěpánek1,2, Alena Boriková1,2, Helena Vildová2, Matyáš Fošum1,3
1 Department of Occupational Medicine, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic
2 Department of Occupational Medicine, University Hospital Olomouc, Olomouc, Czech Republic
3 Ministry of Health, Prague, Czech Republic

Objectives: Asbestos-related diseases are still a current problem worldwide. What is their occurrence in the Czech Republic? The answer is the subject of this study, which aims to provide a general and regional overview of the situation over the last 20 years with a more detailed focus on mesothelioma, the development of which is highly associated with asbestos exposure and the issue of their recognition as an occupational disease.

Methods: In its retrospective reviews, the study is based on analyses of data from the Institute of Health Information and Statistics of the Czech Republic and data from the Czech National Cancer Registry, which also interconnects.

Results: In the last 20 years, 512 new cases of occupational diseases from asbestos have been reported, namely 228 cases of pleural thickening, 133 mesotheliomas, 92 asbestoses, and 59 cases of lung cancer. In the last 5 years, mesotheliomas (n = 39) predominated among the reported diseases with a 45% proportion in the total number of 86 cases. The trend in their incidence, as the only one among asbestos-related diseases, is not declining. There was a significant difference in the overall incidence of mesothelioma in a general population and the incidence of occupational mesotheliomas. At the national level, occupational aetiology was acknowledged in only 11.3% of cases of mesothelioma on average. The highest proportion of occupational mesotheliomas and the highest incidence of all asbestos-related diseases were found in regions where the largest asbestos processing plants were located.

Conclusion: The authors emphasize the importance of work history for the diagnostic process of asbestos-related diseases and also the need to perform follow-up examinations for their early detection.

Keywords: asbestos-related disease, malignant mesothelioma, incidence, occupational disease

Received: May 18, 2020; Revised: August 2, 2020; Accepted: August 2, 2020; Published: October 18, 2020  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Janošíková M, Nakládalová M, Štěpánek L, Boriková A, Vildová H, Fošum M. Occurrence of asbestos-related occupational diseases in the Czech Republic in the last 20 years. Cent Eur J Public Health. 2020;28(Supplement):S37-42. doi: 10.21101/cejph.a6297. PubMed PMID: 33069179.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. World Health Organization. Asbestos: elimination of asbestos-related diseases [Internet]. Geneva: WHO; 2018 [cited 2020 Apr 14]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/asbestos-elimination-of-asbestos-related-diseases.
    2. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Overall evaluations of carcinogenicity: an updating of IARC Monographs volumes 1 to 42. IARC Monogr Eval Carcinog Risks Hum. 1987;Suppl 7:1-440.
    3. International Labour Organization. Resolution concerning asbestos, 2006 [Internet]. Geneva: ILO; 2006 [cited 2020 Apr 14]. Available from: https://www.ilo.org/safework/info/standards-and-instruments/WCMS_108556/lang--en/index.htm.
    4. Furuya S, Chimed-Ochir O, Takahashi K, David A, Takala J. Global asbestos disaster. Int J Environ Res Public Health. 2018 May 16;15(5):1000. doi: 10.3390/ijerph15051000. Go to original source... Go to PubMed...
    5. Abós-Herràndiz R, Rodriguez-Blanco T, Garcia-Allas I, Rosell-Murphy IM, Albertí-Casas C, Tarrés J, et al. Risk factors of mortality from all asbestos-related diseases: a competing risk analysis. Can Respir J. 2017;2017:9015914. doi: 10.1155/2017/9015914. Go to original source... Go to PubMed...
    6. International Ban Asbestos Secretariat. Current Asbestos Bans [Internet]. IBAS; 2019 [cited 2020 Apr 14]. Available from: http://www.ibasecretariat.org/lka_alpha_asb_ban_280704.php.
    7. Ogunseitan OA. The asbestos paradox: global gaps in the translational science of disease prevention. Bull World Health Organ. 2015 May 1;93(5):359-60. Go to original source... Go to PubMed...
    8. Neumann V, Löseke S, Nowak D, Herth FJ, Tannapfel A. Malignant pleural mesothelioma: incidence, etiology, diagnosis, treatment, and occupational health. Dtsch Arztebl Int. 2013;110(18):319-26. Go to original source... Go to PubMed...
    9. Attanoos RL, Churg A, Galateau-Salle F, Gibbs AR, Roggli VL. Malignant mesothelioma and its non-asbestos causes. Arch Pathol Lab Med. 2018;142(6):753-60. Go to original source... Go to PubMed...
    10. Marsh GM, Riordan AS, Keeton KA, Benson SM. Non-occupational exposure to asbestos and risk of pleural mesothelioma: review and meta-analysis. Occup Environ Med. 2017;74(11):838-46. Go to original source... Go to PubMed...
    11. Government Decree No. 168 of August 6, 2014, amending Decree No. 290/1995 Dig., wherein is set the list of occupational diseases in the wording of Decree No. 114/2011 Dig. Sbírka zákonů ČR. 2014 Aug 18; Pt 70:1853. (In Czech)
    12. Act No. 46 on remuneration of occupational diseases of March 5, 1947. Sbírka zákonů ČR. 1947 Apr 4;Pt 23:349-52. (In Czech.)
    13. Government Order No 290/1995. Laws For People [Internet]. [cited 2020 Apr 14]. Available from: https://www.zakonyprolidi.cz/cs/1995-290/zneni-0. (In Czech.)
    14. Government Decree No. 114 of April 6, 2011, amending Decree No. 290/1995 Dig., whereby is set the list of occupational diseases. Sbírka zákonů ČR. 2011 Apr 27;Pt 42:1090-6. (In Czech.)
    15. World Health Organization. Outline for the development of national programmes for elimination of asbestos-related diseases [Internet]. Geneva: WHO; 2007 [cited 2020 Apr 14]. Available from: https://www.who.int/occupational_health/publications/asbestosdoc/en/.
    16. National Institute of Public Health. Occupational diseases in the Czech Republic [Internet]. Prague: NIPH [cited 2020 Apr 14]. Available from: http://www.szu.cz/publikace/data/nemoci-z-povolani-a-ohrozeni-nemoci-z-povolani-v-ceske-republice?highlightWords=nzp. (In Czech.)
    17. Institute of Health Information and Statistics of the Czech Republic. National Cancer Registry. Neoplasms [Internet]. Prague: IHIS CR [cited 2020 Apr 14]. Available from: https://www.uzis.cz/index.php?pg=registry-sber-dat--narodni-zdravotni-registry--narodni-onkologicky-registr#publikace. (In Czech, English.)
    18. Dušek L, Mužík J, Kubásek M, Koptíková J, Žaloudík J, Vyzula R. Epidemiology of malignant tumors in the Czech Republic [Internet]. Brno: Masaryk University [cited 2020 Apr 14]. Available from: https://www.svod.cz/. (In Czech.)
    19. Swiatkowska B, Szeszenia-Dabrowska N. Long-term epidemiological observation of asbestos-related diseases in Poland, 1970-2015. Occup Med (Lond). 2017;67(3):182-7. Go to original source... Go to PubMed...
    20. Pelclová D, Fenclová Z, Urban P. Asbestos exposure, legislation and diseases in the Czech Republic. Cent Eur J Public Health. 2007;15(3):99-102. Go to original source... Go to PubMed...
    21. Pelclova D, Fenclova Z, Urban P. Occupational cancer in the Czech Republic - a tip of the iceberg? Eur J Oncol. 2011;16:149-61.
    22. Lehnert M, Kraywinkel K, Heinze E, Wiethege T, Johnen G, Fiebig J, et al. Incidence of malignant mesothelioma in Germany 2009-2013. Cancer Causes Control. 2017 Feb;28(2):97-105. Go to original source... Go to PubMed...
    23. Gogou E, Hatzoglou C, Zarogiannis SG, Malli F, Jagirdar RM, Gourgoulianis KI. Mesothelioma mortality rates in Greece for the period 2005-2015 is increased compared to previous decades. Medicina (Kaunas). 2019;55(8):419. doi: 10.3390/medicina55080419. Go to original source... Go to PubMed...
    24. Garabrant DH, Pastula ST. A comparison of asbestos fiber potency and elongate mineral particle (EMP) potency for mesothelioma in humans. Toxicol Appl Pharmacol. 2018;361:127-36. Go to original source... Go to PubMed...
    25. Marinaccio A, Binazzi A, Cauzillo G, Cavone D, Zotti RD, Ferrante P, et al.; Italian Mesothelioma Register (ReNaM) Working Group. Analysis of latency time and its determinants in asbestos related malignant mesothelioma cases of the Italian register. Eur J Cancer. 2007 Dec;43(18):2722-8. Go to original source... Go to PubMed...
    26. Hilliard AK, Lovett JK, McGavin CR. The rise and fall in incidence of malignant mesothelioma from a British Naval Dockyard, 1979-1999. Occup Med (Lond). 2003;53(3):209-12. Go to original source... Go to PubMed...
    27. Bianchi C, Bianchi T. Malignant mesothelioma: global incidence and relationship with asbestos. Ind Health. 2007;45(3):379-87. Go to original source... Go to PubMed...
    28. Marinaccio A, Binazzi A, Cauzillo G, Chellini E, De Zotti R, Gennaro V, et al.; Gruppo di lavoro ReNaM. Epidemiological surveillance of malignant mesothelioma cases in Italy: incidence and asbestos exposure figures by the Italian mesothelioma registry (ReNaM)]. Epidemiol Prev. 2007 Jul-Aug;31(4 Suppl 1):23-6. (In Italian.)

    Return to the content