Diffuse Mesothelioma Of The Pleura And Asbestos - (1965)

Authors: P.C. Elmes,W.T.E. McCaughey,O.L. Wade
Published In: British Medical Journal

Diffuse Mesothelioma of the Pleura and Asbestos: A Legal Perspective on Groundbreaking Research

Abstract The study "Diffuse Mesothelioma of the Pleura and Asbestos" by P.C. Elmes, W.T. McCaughey, and O.L. Wade, published in the British Medical Journal on February 6, 1965, provides critical evidence linking asbestos exposure to diffuse pleural mesothelioma. The researchers analyzed 42 mesothelioma patients and 42 matched controls, focusing on occupational histories and levels of asbestos exposure. The study revealed that 32 of the mesothelioma patients had a history of asbestos exposure, compared to only 9 in the control group. This significant association (P<0.05) underscores the role of asbestos as a causative factor in mesothelioma. The study also highlights the long latency period of the disease, often exceeding 40 years, and the challenges in obtaining accurate occupational histories. These findings remain consistent with modern medical understanding of asbestos-related diseases.


Legal Relevance This study is a cornerstone for asbestos-related legal claims, offering robust evidence of the link between asbestos exposure and mesothelioma. The findings support claims of employer negligence by demonstrating that asbestos exposure was a known risk factor for mesothelioma as early as the 1960s. The study’s emphasis on the long latency period is particularly relevant in countering defense arguments that attempt to disconnect past exposure from current illness. Additionally, the challenges in documenting occupational histories highlighted in the study can be used to address claims that a lack of documented exposure negates liability. The research also identifies crocidolite asbestos as particularly carcinogenic, strengthening causation arguments in cases involving this fiber type.


Occupation Groups at Risk The study identifies several occupational groups at high risk of asbestos exposure, including:

  • Shipyard Workers: Frequent exposure to asbestos insulation and materials used in shipbuilding.
  • Construction Workers: Regular contact with asbestos-containing materials like cement, tiles, and insulation.
  • Plumbers and Pipefitters: Exposure to asbestos in pipe insulation and repair work.
  • Industrial Workers: Handling asbestos in manufacturing or production settings.
  • Boilermakers: Exposure to asbestos in boilers and related equipment. These groups faced significant exposure due to the widespread use of asbestos in industrial and construction applications, often without adequate protective measures.

Current Medical Understanding The study aligns with current medical knowledge, which confirms the strong association between asbestos exposure and mesothelioma. Modern research continues to validate the carcinogenic nature of asbestos, particularly crocidolite, and its role in causing mesothelioma and other diseases. Advances in diagnostic techniques and exposure assessments have further strengthened the evidence base, addressing some of the limitations of earlier studies.


Citation Elmes, P.C., McCaughey, W.T., & Wade, O.L. (1965). Diffuse Mesothelioma of the Pleura and Asbestos. British Medical Journal, 1(5431), 350-353. https://doi.org/10.1136/bmj.1.5431.350


National Library of Medicine Link For additional context and credibility, the full study can be accessed via the National Library of Medicine: Diffuse Mesothelioma of the Pleura and Asbestos.


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