Pleural Mesothelioma In Tidewater Virginia - (1988)

Pleural Mesothelioma in Tidewater Virginia: A Comprehensive Overview for Legal and Medical Insights

Abstract The study "Pleural Mesothelioma in Tidewater Virginia" by Robert A. Houseknecht, Ph.D., published in 1987, investigates the epidemiology of pleural mesothelioma in southeastern Virginia, focusing on occupational asbestos exposure and related host factors. The research analyzed 137 mortality cases of pleural mesothelioma from 1973 to 1984, with 103 cases involving white male residents. The study revealed significantly higher rates of pleural mesothelioma in this demographic compared to national averages. A strong association between asbestos exposure and the disease was established, with a crude odds ratio of 15.0 and an "index of exposure" odds ratio of 12.7, underscoring the cumulative impact of asbestos exposure.

Legal Relevance This study provides critical evidence supporting asbestos-related legal claims, particularly for individuals diagnosed with pleural mesothelioma. Key findings, such as the strong correlation between asbestos exposure and mesothelioma, bolster claims of negligence against employers or manufacturers who failed to protect workers from asbestos exposure. The study's use of an "index of exposure" as a surrogate for cumulative asbestos dose offers a quantifiable pathway to demonstrate causation in legal cases.

Additionally, the study highlights the importance of occupational history in identifying at-risk individuals. By linking specific industries and job roles to higher exposure levels, the research provides a foundation for legal arguments against common defense claims, such as attributing mesothelioma to non-occupational or environmental factors. This evidence can be instrumental in countering arguments that attempt to downplay the role of occupational asbestos exposure.

Occupation Groups at Risk The study identifies several occupational groups at heightened risk of pleural mesothelioma due to asbestos exposure. These groups include:

1. Shipyard Workers: Shipbuilding and repair activities in the Tidewater region often involved extensive use of asbestos for insulation and fireproofing, exposing workers to high levels of asbestos fibers.
2. Construction Workers: Individuals involved in building construction, renovation, or demolition were frequently exposed to asbestos-containing materials such as insulation, roofing, and cement.
3. Industrial Workers: Employees in manufacturing plants, particularly those producing asbestos-containing products, faced significant exposure risks.
4. Pipefitters and Insulators: These trades required direct handling of asbestos materials, leading to prolonged and intense exposure.
5. Military Personnel: Navy veterans stationed in the Tidewater area were often exposed to asbestos aboard ships and in shipyards.

These occupations are particularly relevant for legal claims, as they demonstrate clear pathways of exposure and negligence by employers or manufacturers.

Current Medical Understanding The findings of this study align closely with current medical knowledge regarding asbestos-related health risks. Asbestos exposure is widely recognized as the primary cause of pleural mesothelioma, with a latency period of several decades. The study's emphasis on the cumulative dose of asbestos exposure and its association with disease risk is consistent with contemporary research. However, the study's geographic focus on southeastern Virginia may limit its applicability to broader populations. Nonetheless, it provides valuable insights into the occupational and demographic factors contributing to mesothelioma.

Citation Houseknecht, R. A. (1987). Pleural Mesothelioma in Tidewater Virginia. The University of North Carolina at Chapel Hill.

National Library of Medicine Link Unfortunately, a direct link to the National Library of Medicine's page for this study is not available. However, individuals seeking more information can consult academic databases or contact medical libraries for access to the full study.

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