Environmental exposure to asbestos and risk of pleral mesothelioma- review and meta-analysis - (2000)

Authors: P. Pisani,P. Boffetta,V. Bourdès

Environmental Exposure to Asbestos and Risk of Pleural Mesothelioma: A Comprehensive Summary for Legal Support

Abstract The study titled "Environmental exposure to asbestos and risk of pleural mesothelioma: review and meta-analysis", published in the European Journal of Epidemiology, provides a detailed examination of the risks associated with non-occupational asbestos exposure. Conducted by researchers Valérie Bourdès, Paolo Boffetta, and Paola Pisani, the study reviewed eight epidemiological studies to assess the risk of pleural mesothelioma from household and neighborhood asbestos exposure. Using a random-effects model, the meta-analysis revealed a significant increase in risk, with relative risks (RRs) ranging from 4.0 to 23.7 for household exposure and 5.1 to 9.3 for neighborhood exposure. The summary risk estimates were 8.1 (95% CI: 5.3-12) for household exposure and 7.0 (95% CI: 4.7-11) for neighborhood exposure. The findings underscore the substantial health risks posed by high environmental asbestos exposure, particularly in areas near asbestos mines, cement plants, or other industrial sources.


Legal Relevance This study provides critical evidence for individuals pursuing asbestos-related legal claims. The findings demonstrate a clear link between environmental asbestos exposure and pleural mesothelioma, supporting claims for compensation in cases of non-occupational exposure. Key legal implications include:

  1. Evidence Pathways: The study's robust meta-analysis offers quantifiable risk estimates, which can be used to establish causation in legal cases involving environmental asbestos exposure.
  2. Occupational History Relevance: While the study focuses on non-occupational exposure, it highlights the heightened risks for individuals living near industrial asbestos sources, which may overlap with occupational exposure scenarios.
  3. Counterarguments to Defense Claims: Defense teams often argue that mesothelioma cases stem from occupational exposure or other unrelated factors. This study counters such claims by demonstrating significant risks from household and neighborhood exposure, even in the absence of direct occupational contact.

By providing a scientific basis for the dangers of environmental asbestos exposure, this study strengthens the legal position of individuals seeking justice for asbestos-related illnesses.


Occupation Groups at Risk The study's findings highlight the dangers of environmental asbestos exposure, which often overlaps with occupational risks. The following groups are particularly vulnerable:

  1. Construction Workers: Proximity to asbestos cement plants and the use of asbestos-containing materials in construction increase exposure risks.
  2. Miners and Quarry Workers: Living near asbestos mines or geological sites with asbestos deposits significantly elevates the risk of pleural mesothelioma.
  3. Shipyard Workers: Asbestos was widely used in shipbuilding, and individuals living near shipyards may face environmental exposure.
  4. Factory Workers: Those working in or living near factories producing asbestos textiles, brakes, or insulation materials are at high risk.
  5. Family Members of Workers: Household exposure often occurs when workers bring asbestos fibers home on their clothing, exposing family members to dangerous levels of asbestos.

These groups are frequently exposed to asbestos through both occupational and environmental pathways, making them prime candidates for legal claims related to asbestos exposure.


Current Medical Understanding The study aligns with current medical knowledge, which recognizes asbestos as a potent carcinogen linked to pleural mesothelioma. It reinforces the understanding that all forms of asbestos, including chrysotile and amphiboles (e.g., amosite, crocidolite), pose significant health risks. The study's findings on the higher risks associated with amphibole asbestos are consistent with existing research, though the statistical significance of this difference remains a topic of ongoing investigation. Additionally, the study's acknowledgment of potential publication bias and overestimation of risks in industrialized countries reflects a balanced and nuanced approach to the data.


Citation Bourdès, V., Boffetta, P., & Pisani, P. (2000). Environmental exposure to asbestos and risk of pleural mesothelioma: review and meta-analysis. European Journal of Epidemiology, 16(5), 411-417. https://doi.org/10.1023/a:1007691003600


National Library of Medicine Link For further details, you can access the study on the National Library of Medicine's website: Environmental exposure to asbestos and risk of pleural mesothelioma.


Contact Us Today If you or a loved one has been diagnosed with mesothelioma, lung cancer, stomach cancer, throat cancer, colon cancer, asbestosis, or pleural plaques due to asbestos exposure, our legal team is here to help. We specialize in securing compensation for individuals affected by asbestos-related diseases, whether from occupational or environmental exposure. Contact us today for a free consultation and let us fight for the justice and compensation you deserve.