Document 99GbywG8QbdJ7ZaypgnkZO4V5

I PLAINTIFF'S t EXHIBIT f SA-380 NATIONAL INSTITUTE OF OCCUPATIONAL HEALTH AND SAFETY THE INCIDENCE OF MESOTHELIOMA IN AUSTRALIA 1992 to 1994 AUSTRALIAN MESOTHELIOMA REGISTER REPORT, 1996 J. Leigh B. Hull P. Davidson Australian Mesothelioma Register Location: Epidemiology and Surveillance Unit National Institute of Occupational Health and Safety 92 Parramatta Road, Camperdown NSW 2050 Postal Address: GPO Box 58, Sydney 2001  Commonwealth of Australia 1996 ISBN 0 642 24857 5 This work is copyright. Apart from any use as permitted under the Copyright Act 1986 (Cwlth), no part may be produced by any process without written permission from the Australian Government Publishing Service. Requests and inquiries concerning reproduction and rights should be addressed to the Manager, Commonwealth Information Services, Australian Government Publishing Service, GPO Box 84, Canberra ACT 2601. Introduction Statistics List of Publications Figure 1 Table 1 Table 2 Table 3 Table 4 Figure 2 Table 5 Table 6 Table 7 Table 8 Figure 3 Table 9 Table 10 CONTENTS Incident cases of malignant mesothelioma in Australia 1945 - 1995. Male cases of mesothelioma in Australia, 1992, by age and State Female cases of mesothelioma in Australia, 1992, by age and State Age specific incidence rates for mesothelioma per million males in Australia, 1992, by age and State Age specific incidence rates for mesothelioma per million females in Australia, 1992, by age and State Incidence of mesothelioma in Australia, 1992, by age and sex Male cases of mesothelioma in Australia, 1993, by age and State Female cases of mesothelioma in Australia, 1993, by age and State Age specific incidence rates for mesothelioma per million males in Australia, 1993, by age and State Age specific incidence rates for mesothelioma per million females in Australia, 1993, by age and State Incidence of mesothelioma in Australia, 1993, by age and sex Male cases of mesothelioma in Australia, 1994, by age and State Female cases of mesothelioma in Australia, 1994, by age and State 1 1 2 5 6 6 7 7 8 9 9 10 10 11 12 12 Table 11 Table 12 Figure 4 Figure 5 Figure 6 Figure 7 Table 13 Appendix A Age specific incidence rates for mesothelioma per million males in Australia, 1994, by age and State Age specific incidence rates for mesothelioma per million females in Australia, 1994, by age and State Incidence of mesothelioma in Australia, 1994, by age and sex Cases of mesothelioma in Australia, 1992-94, by site of primary lesion Trends in Australian incidence of mesothelioma per million persons, by State, 1982-94, Standardized to World Population>20 yrs Trends in Australian incidence of mesothelioma per million persons, by sex, 1982-94, Standardized to World Population>20 yrs Asbestos exposures as documented in the Australian Mesothelioma Register from 1 January 1986 to 31 March 1995. Australian Mesothelioma Register Notification Form 13 13 14 15 16 17 18 22 INTRODUCTION This document is the eighth report of the Australian Mesothelioma Register, produced by the Epidemiology and Surveillance Unit of The National Institute of Occupational Health and Safety. The report includes data on cases notified to the register and diagnosed in 1992, 1993 and 1994. We are grateful for the continued cooperation of the notification network of State cancer registries, pathologists, clinicians, occupational physicians, hospitals and government divisions of occupational health in ensuring as complete an ascertainment of cases as possible. STATISTICS Incidence in a calendar year is defined as the number of new cases of mesothelioma first occurring* in an Australian State or Territory in that year. Age specific incidence rates are computed from population tables published by the Australian Bureau of Statistics for the estimated resident mid year populations for 1992, 1993 and 1994 (estimates based on Census 30 June, 1991). Standardized incidence rates (SI) were calculated using the "World Standard Population" 20 years of age or greater1. The cumulative incidence rate (CR) is obtained by summing the annual incidence rates (assumed constant in each 5 year group). It can be shown, for rare diseases like mesothelioma, that the cumulative incidence rate approximates the cumulative risk, or probability, of developing the disease in a lifetime2. This can be expressed as a percentage. Thus the figure 0.28 in table 3 for NSW (males) under CR indicates a 0.28% or 0.0028 lifetime (20-75) risk of developing mesothelioma. Therefore, the chance of developing mesothelioma between the ages 20-75 is approximately 1 in 351. * "First occurrence" is the earliest known date of diagnosis (presumptive or confirmed). Cases where a presumptive diagnosis had been rejected before the date of this report (March 30,1996) have been excluded. 1. Waterhouse, J. Muir, C., Shanmugaratnam.K., & Powell, J., eds, Cancer Incidence in Five Continents Volume IV, Lyon (IARC Scientific Publications No 42,1982) pp.671- 674. 2. Breslow, N. & Day, N., Statistical Methods in Cancer Research Volume I, Lyon (IARC Scientific Publications No 32,1980) pp.51-52. LIST OF PUBLICATIONS FROM THE MESOTHELIOMA PROGRAM AND REGISTER Armstrong B.K., Musk A.W., Baker J.E., Hunt J.M., Newall C.C., Henzeil H.R., Blunsdon B.S., Clarke-Hundley M.D. (1984). Epidemiology of malignant mesothelioma in Western Australia. Med. J. Aust. 141:86-88. Baker G., Driscoll T., Daniel S., Thompson R., Lee J, Constance T., Ferguson D., Leigh J. (1991). Clinical features of mesothelioma associated with tumor cell histology. Proceedings of the Thoracic Society of Australia and New Zealand, p.33. Berry G., Ferguson D.A., Fung C., Grimwood A., Major G. (1987) Mesothelioma as a result of occupational exposure to asbestos in Australia. XXII International Congress on Occupational Health, Sydney, Australia, 1987, p.57. Berry G. (1991). Prediction of mesothelioma, lung cancer, and asbestosis in former Wittenoom asbestos workers. Br. J. Ind. Med. 48:793-802. de Klerk N.H., Armstrong B.K., Musk A.W., Hobbs M.S.T. (1989). Predictions of future cases of asbestos-related disease among former miners and millers of crocidolite in Western Australia. Med. J. Aust. 151:616-620. Driscoll T., Leigh J., Thompson R. (1993). Asbestos and non-asbestos factors in the aetiology of malignant mesothelioma: a case-referent study. Proceedings of the 8th international Conference on Occupational Lung Diseases (Prague), 1:319-323. Driscoll T., Baker G., Daniel S., Thompson R., Lee J., Ferguson D.A., Leigh J. (1993). Clinical features of malignant mesothelioma in Australia. Aust. NZ J. Med. 23:19-25. Ferguson D.A. (1990). Low-level asbestos - the priorities are wrong (Letter). Med. J. Aust. 152:617-618. Ferguson D.A. (1989). Malignant mesothelioma - the rising epidemic (Letter). Med. J. Aust. 150:233-235. Ferguson D.A., Berry G., Grimwood A. (1987). The incidence of mesothelioma in Australia. XXII International Congress on Occupational Health, Sydney, Australia, 1987, p.56. Ferguson D.A., Berry G., Jelihovsky T., Andreas S.B., Rogers A.J., Fung S.C., Grimwood A., Thompson R. (1987). The Australian Mesothelioma Surveillance Program 1979-1985. Med. J. Aust. 147:166-172. ' Henderson D.W., Shilkin K.B., Langlois S. Le P,, Whitaker D. (eds.) (1992). Malignant mesothelioma. Hemisphere, New York. Leigh J., Rogers A.J., Berry G., Ferguson D.A., Mulder H.B., Ackad M. (1990). Relationship between lung asbestos fibre type and concentration and relative risk of mesothelioma. XXIII International Congress on Occupational Health, Montreal, Canada, p.160. Leigh J., Corvalan C.F., Grimwood A., Berry G., Ferguson D.A., Thompson R (1991). The incidence of malignant mesothelioma in Australia 1982-1988. Am. J. Ind. Med. 20:643-655. Leigh J., Driscoll T., Baker G., Corvalan C. (1991). The Australian Mesothelioma Program - Recent research results. J Occup Health Safety-Aust NZ, 7:365-371. Leigh J., Rogers A.J., Ferguson D.A., Mulder H.B., Ackad M., Thompson R. (1991). Lung asbestos fiber content and mesothelioma cell type, site, and survival. Cancer 68:135-141. Leigh J. (1991). The Australian Mesothelioma Program and Register. Proc. Worksafe Australia Asbestos Symposium, pp.9-17. Leigh J. (1992). Review of "Malignant mesothelioma". Henderson et al. (eds). Hemisphere, New York. Cancer Forum 16:176-177. Leigh J., Corvalan C.F., Copland P.l. (1993). The incidence of malignant mesothelioma in Australia 1982-92. Proceedings of the 8th International Conference on Occupational Lung Diseases (Prague), 1: 314-318. Leigh J., Corvalan C., Copland P. (1993). Malignant mesothelioma incidence in Australia 1982-1992. Proceedings of the 5th International Congress on Applied Mineralogy (Perth), pp28-30. Leigh J., Hull B., Ruck L., Mandryk J., Rogers A.J. (1993). Lung asbestos fibre content by type and length and mesothelioma site and cell type. Proceedings of the 8th International Conference on Occupational Lung Diseases (Prague), 1:351-356. Leigh J. (1994). The Australian Mesothelioma Program 1979-1994. In: Peters G.A., and Peters, B.J. (eds), The Current Status of the Asbestos Public Health Problem (Vol. 9, Sourcebook on Asbestos Diseases). N.H. Butterworth, ppl-74. Leigh J. (1995). Mesothelioma: is asbestos the only cause? (letter). Med. J. Aust. 163: 105-106. Leigh J. and Davidson P (1995J. Malignant Mesothelioma in Australia 1982-1995. Proceedings of the 5th International Symposium of the iSSA Research Section (Bonn), (in press). Leigh J. (1995). Malignant Mesothelioma in Australia 1982-1995. Epidemiology 6: S73. Leigh J. (1995). Malignant Mesothelioma in Australia 1982-1995. European Respiratory Journal 8 (Supp.19): 437. Leigh J, Davidson P, Hull B.P. (1996). Malignant mesothelioma in Australia 1945-1995. Epidemiology (in press). Musk A.W., Dolin P.J., Armstrong B.K., Ford J.M., de Klerk N.H., Hobbs M.S. (1989). The incidence of malignant mesothelioma in Australia 1947-1980. Med. J. Aust. 150:242 246. Musk A.W., de Klerk N.H., Eccles J.L., et al. (1992). Wittenoom, Western Australia: A modem industrial disaster. Am. J. Ind. Med. 21:735-747. National Institute of Occupational Health and Safety - Epidemiology and Surveillance Unit. Mesothelioma Reports 1989, 1990, 1991, 1992, 1993, 1994, 1995 (Annual series). Canberra, AGPS. Rogers A.J., Leigh J., Berry G., Ferguson D.A., Mulder H.B., Ackad M., Morgan G.G. (1994). Dose-response relationship between airborne and lung asbestos fibre type, length and concentration and the relative risk of mesothelioma. Inhaled particles VII. Ann. Occup. Hyg.,38 (Suppl): 631-638. Rogers A.J. (1984). Determination of mineral fibre in human tissue by light microscopy and transmission electron microscopy. Ann. Occup. Hyg. 28:1-12. Rogers A.J., Leigh J., Berry G., Ferguson D.A., Mulder H.B., Ackad M. (1991). Relationship between lung asbestos fiber type and concentration and relative risk of mesothelioma - A case-control study. Cancer 67:1912-1920. Rogers A.J. (1992). Predictions of mesothelioma in former Wittenoom asbestos workers (Letter). Br. J. Ind. Med. 49:451-452. Rossiter C.E. (1987). Asbestos blues (Letter). Med. J. Aust. 147:162. Incident cases of malignant mesothelioma in Australia 1945 -1995 CO CO CM CM t- seseo jo jequiriN 1945 1950 1955 1960 1965 1970 1975 1980 Year of diagnosis 1985 1990 1995 2000 Table 1 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES TABULATION OF MALE CASES OF MESOTHELIOMA IN AUSTRALIA, 1992 BY AGE AND STATE NSW VIC OLD SA WA TAS NT ACT AUST 00 00000 1 000000 0 00 0000 000 1 000 0000 1 4 2 0 0 4 0 0 0 10 33 2 0 0 0 10 6342 0 0 0 16 7 4 3 4 8 0 0 0 26 15 11 6 7 6 0 0 0 45 23 10 5 7 9 0 0 0 54 11 12 6 4 3 2 0 0 38 11 15 0 11 4 0 0 42 4 3 3 6 3 0 0 0 19 2 20007 86 64 30 44 43 3 0 0 270 Table 2 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES TABULATION OF FEMALE CASES OF MESOTHELIOMA IN AUSTRALIA 1992 BY AGE AND STATE NSW VIC OLD SA WA TAS NT ACT 0000000 0 0000000 0 0000 1 1 00 00 00 0 0 0 01 00 0 0 0 000 1 1 0 00 00 01 000 I 1 000000 10 1 1 000 3 2 2 000 0 0 1 3200000 10 1 0000 0 1 22 000 0 1 00 000 7 9 11 5 6 1 0 0 AUST 0 0 2 1 2 2 2 2 4 7 6 3 6 2 39 Table 3 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES SI CR LIFETIME RISK. 1 in: TABULATION OF AGE SPECIFIC INCIDENCE RATES FOR MESOTHELIOMA PER MILLION MALES IN AUSTRALIA. 1992 BY AGE AND STATE NSW VIC QLD SA WA TAS NT ACT AUST 0.0 0.0 0.0 0.0 18.1 15.6 39.0 53.6 116.9 198.5 128.0 190.0 131.1 124.3 0.0 0.0 0.0 0.0 12.3 21.5 26.4 41.5 117.6 120.0 199.5 362.2 128.0 77.3 7.9 0.0 0.0 0.0 0.0 10.1 51.5 47.5 99.4 91.6 144.8 0.0 200.1 122.6 0.0 0.0 0.0 17.9 0.0 21.7 55.0 125.2 216.0 229.0 174.8 700.8 710.5 224.0 0.0 0.0 14.3 0.0 60.8 36.9 23.7 236.4 190.7 331.4 156.2 299.1 393.3 454.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 303.1 208.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.4 0.0 0.0 0.0 1.4 0.0 1.5 0.0 15.3 0.0 17.8 0.0 ' 35.8 0.0 69.6 0.0 124.4 0.0 166.1 0.0 158.9 0.0 258.7 0.0 214.9 0.0 146.4 41.3 41.3 28.8 85.4 75.2 18.8 0.0 0.0 44.4 37.5 36.6 28.2 68.0 75.5 13.6 0.0 0.0 40.6 0.28 0.27 0.23 0.42 0.53 0.15 0.00 , .0.00 0.30 351 371 442 238 190 660 - - 338 Table 4 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES SI CR LIFETIME RISK. 1 in: TABULATION OF AGE SPECIFIC INCIDENCE RATES FOR MESOTHELIOMA PER MILLION FEMALES IN AUSTRALIA, 1992 BY AGE AND STATE NSW VIC OLD SA WA TAS NT ACT 0.0 0.0 0.0 o.o 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 o.o 14.3 51.3 0.0 0.0 0.0 0.0 8.7 0.0 0.0 0.0 0.0 0.0 0.0 6.1 9.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 22.1 20.0 0.0 0.0 0.0 0.0 0.0 13.8 0.0 25.4 0.0 0.0 0.0 7.8 10.5 0.0 0.0 0.0 0.0 0.0 0.0 7.6 0.0 16.6 30.5 32.4 0.0 0.0 0.0 23.6 21.6 35.2 0.0 0.0 0.0 0.0 0.0 9.4 39.9 41.4 0.0 0.0 0.0 0.0 0.0 12.1 0.0 26.9 45.3 0.0 0.0 0.0 0.0 0.0 24.9 83.2 136.4 79.0 0.0 0.0 0.0 0.0 31.3 0.0 0.0 104.4 0.0 0.0 0.0 3.2 5.6 10.3 9.3 10.4 6.0 0.0 0.0 2.7 4.2 8.3 6.1 9.2 5.1 0.0 0.0 0.02 0.04 0.06 0.03 0.05 0.03 0.00 o:oo 4130 2557 1605 3809 2169 3900 -- AUST 0.0 0.0 2.8 1.5 3.1 3.7 4.7 5.5 11.0 19.8 20.5 13.1 39.6 17.2 6.2 5.0 0.04 2757 Table 5 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES TABULATION OF MALE CASES OF MESOTHELIOMA IN AUSTRALIA, 1993 BY AGE AND STATE NSW VIC OLD SA WA TAS NT ACT 0 00000 0 0 000000 0 0 00 000 0 0 1 0000000 1 3200000 6 20700 0 74 323 00 95335000 18 10 8 5 9 00 14 8 7 2 4 00 13 19 9 5 14 2 0 16 11 5 2 200 3 90 9000 23 3 00 90 73 41 21 55 8 0 AUST 0 0 1 1 6 16 20 25 51 36 63 37 22 11 289 Table 6 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES TABULATION OF FEMALE CASES OF MESOTHELIOMA IN AUSTRALIA 1993 BY AGE AND STATE NSW VIC OLD SA WA TAS NT ACT 00000000 00000000 00000000 00 0 000 10 00000 1 0032000 00002 0 00 1 1 0 000 0020 000 1 20 1 2000 3 2 02 00 0 0301 000 101 1 000 00 I 0 000 8 8 7 8 13 0 0 0 AUST 0 0 0 2 2 6 2 4 3 6 8 5 4 2 44 Table 7 20*24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES SI CR LIFETIME RISK. 1 in: TABULATION OF AGE SPECIFIC INCIDENCE RATES FOR MESOTHELIOMA PER MILLION MALES IN AUSTRALIA, 1993 BY AGE AND STATE NSW VIC QLD SA WA TAS NT ACT AUST 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 7.9 0.0 0.0 0.0 0.0 0.0 1.4 4.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.5 4.6 18.5 17.2 0.0 0.0 0.0 0.0 0.0 9.2 29.6 6.8 18.7 0.0 120.2 0.0 0.0 0.0 26.9 44.7 34.8 37.0 53.7 69.3 82.2 0.0 0.0 . 43.8 67.3 50.9 45.4 92.7 141.5 0.0 0.0 0.0 65.1 143.6 109.0 132.2 158.4 286.0 104.0 0.0 0.0 143.1 119.4 94.1 124.8 64.9 143.6 109.2 0.0 0.0 108.8 145.4 301.8 207.1 210.1 685.5 287.4 0.0 402.9 251.8 273.6 266.4 175.2 126.2 75.3 417.2 0.0 0.0 225.6 93.5 369.0 0.0 113.4 1132.4 0.0 0.0 0.0 237.5 119.7 223.8 112.9 213.9 642.0 707.7 0.0 0.0 219.1 42.8 46.8 38.0 40.4 94.6 49.6 0.0 9.8 46.9 38.8 40.2 36.3 36.3 92.4 41.7 0.0 13.4 42.8 0.28 0.31 0.30 0.29 0.72 0.29 0.00 0.20 0.33 358 325 339 345 138 343 - 496 307 Table 8 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES SI CR LIFETIME RISK. 1 in: TABULATION OF AGE SPECIFIC INCIDENCE RATES FOR MESOTHELIOMA PER MILLION FEMALES IN AUSTRALIA. 1993 BY AGE AND STATE NSW VIC QLD SA WA TAS NT ACT 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 8.4 0.0 14.7 0.0 0.0 0.0 4.6 0.0 8.7 0.0 0.0 0.0 0.0 0.0 5.1 0.0 0.0 62.3 37.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 49.8 0.0 0.0 0.0 7.6 10.3 15.9 0.0 29.4 0.0 0.0 0.0 0.0 0.0 33.3 0.0 32.6 0.0 0.0 0.0 7.8 21.5 0.0 30.1 68.7 0.0 0.0 0.0 27.4 25.6 0.0 68.8 41.2 0.0 0.0 0.0 0.0 50.4 0.0 45.1 53.9 0.0 0.0 0.0 17.8 0.0 39.5 65.6 76.2 0.0 0,0 0.0 0.0 0.0 51.5 0.0 99.2 0.0 0.0 0.0 3.7 4.9 6.4 14.8 22.1 0.0 0.0 ' 0.0 2.9 3.5 5.8 11.3 20.7 0.0 0.0 0.0 0.03 0.03 0.03 0.08 0.14 0.00 0.00 0.00 3801 3486 3016 1241 731 . AUST 0.0 0.0 0.0 2.9 3.1 10.5 4.6 10.7 8.4 16.8 26.4 21.6 25.5 16.5 6.9 5.7 0.04 2400 r _ co o> E o> o ^.S g g o32 E< " H- ~ ^ OC (0 O o <0 0) O) g 5 (0 5 Q- > o e* co 0) = ?E o 0) a \ \ j Table 9 ' 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES TABULATION OF MALE CASES OF MESOTHELIOMA IN AUSTRALIA, 1994 BY AGE AND STATE NSW VIC QLD SA WA TAS NT ACT 00000000 00000000 00000000 00 1 0 00 0 0 2 602 00 0 5343300 1 3 46 1 400 0 13 6 9 2 9 00 88 84820 1 29 8 10 7 6 00 22 9 4 5 5 00 15 5 5 4 7 2 0 0 16 2 3 3 4 0 0 0 432 1 000 115 50 58 30 50 7 0 2 AUST 0 0 0 2 10 19 18 40 39 61 46 38 28 11 312 Table 10 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES TABULATION OF FEMALE CASES OF MESOTHELIOMA IN AUSTRALIA 1994 BY AGE AND STATE NSW VIC QLD SA WA TAS NT ACT 00000000 00000000 1 0000000 00000000 000 2000 0 0 1 00 000 2 200 00 0 1 0000000 0 1 20000 0 0 300 000 1 2 1 30000 2 0 00000 0 1 200 000 00 00 00 00 8 11 3 5 4 0 0 0 AUST 0 0 1 0 2 2 5 1 3 4 7 2 4 0 31 Table 11 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES SI CR LIFETIME RISK. 1 in: TABULATION OF AGE SPECIFIC INCIDENCE RATES FOR MESOTHELIOMA PER MILLION MALES IN AUSTRALIA, 1994 BY AGE AND STATE NSW VIC QLD SA WA TAS NT ACT 0.0 0.0 0.0 0.0 0.0 23.9 18.4 94.8 65.0 245.7 235.6 254.2 472.5 226.0 0.0 0.0 0.0 0.0 12.4 19.7 33.9 59.8 88.3 93.7 135.7 121.2 78.3 213.6 0.0 0.0 0.0 8.2 50.9 35.6 70.1 129.4 132.2 174.4 87.3 171.3 178.1 212.0 0.0 0.0 0.0 0.0 0.0 59.3 26.0 60.7 129.4 227.3 200.8 253.5 321.7 200.4 0.0 0.0 0.0 14.6 30.2 49.1 88.5 243.9 254.3 211.4 229.7 530.5 481.6 202.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 95.3 210.5 109.2 137.3 423.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0. 0.0 0.0 0.0 0.0 87.0 0.0 0.0 . 0.0 0.0 0.0 235.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 54.0 31.8 52.1 57.3 84.4 43.2 0.0 19.1 44.8 29.6 50.5 47.4 82.8 37.5 0.0 24.4 0.34 0.22 0.34 0.35 0.56 0.28 0.00 0.16 293 451 291 284 178 362 - 620 AUST 0.0 0.0 0.0 2.9 15.2 30.7 37.9 101.0 110.8 182.7 175.0 230.3 286.8 207.1 49.9 45.1 0.33 305 able 12 r 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ ALL AGES SI CR LIFETIME RISK. 1 in: TABULATION OF AGE SPECIFIC INCIDENCE RATES FOR MESOTHELIOMA PER MILLION FEMALES IN AUSTRALIA, 1994 BV AGE AND STATE NSW VIC QLD SA WA TAS NT ACT 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 36.9 0.0 0.0 0.0 0.0 0.0 6.7 0.0 0.0 17.6 0.0 0.0 0.0 12.9 17.5 0.0 0.0 23.9 0.0 0.0 0.0 7.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 10.9 33.4 0.0 0.0 0.0 0.0 0.0 0.0 32.4 0.0 0.0 34.0 0.0 0.0 0.0 8.8 24.5 19.2 99.7 0.0 0.0 0.0 0.0 23.9 0.0 0.0 0.0 0.0 0.0 0.0 0.0 17.0 46.5 0.0 0.0 73.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 3.6 6.7 2.6 9.2 6.7 0.0 0.0 0.0 2.8 5.7 2.9 7.0 6.1 0.0 0.0 0.0 0.02 0.05 0.03 0.07 0.04 0.00 0.00 0.00 6033 2172 3809 1464 2648 AUST 0.0 0.0 1.4 0.0 3.1 3.3 11.1 2.6 8.5 11.2 22.2 8.6 24.3 0.0 4.8 4.1 0.03 3159 v-- Cases o f m esotheliom a in A ustralia, 1992-94, by site of prim ary lesion oooooooo If) o U) o U) o U) CO CO CM CM T* ______________J Trends in Australian incidence of mesothelioma per m illion persons by sex, 1982-94. Standardised to World Popn > 20 years Y ear o f d ia g n o s is ASBESTOS EXPOSURES AS DOCUMENTED IN THE AUSTRALIAN MESOTHELIOMA REGISTER FROM 1 JANUARY 1986 TO 31 MARCH 1995 CIRCUMSTANCES OF EXPOSURE NUMBER EXPOSED (WITH NO OTHER EXPOSURES) (Single) NUMBER EXPOSED (WITH OTHER EXPOSURES) (Multiple) TOTAL EXPOSURES . ACOUSTIC ENGINEER AIRCONDITIONING AIRCRAFT ARMED FORCES /WARTIME ASBESTOS BAGGING {NOT WITTENOOM) ASBESTOS BAGS - HANDLED WHICH HAD CONTAINED ASBESTOS CLOTHING WORN ASBESTOS COVERS FOR COOKING ASBESTOS DWELLING/FENCE T BUILT/RENOVATED . ASBESTOS DWELLING - LIVED IN ASBESTOS PRODUCTS FACTORY - LIVED NEAR ASBESTOS PRODUCTS FACTORY - WORKED NEAR ASBESTOS MINE - WORKED/LIVED NEAR (NOT WITTENOOM) ASBESTOS PRODUCT HANDLED IN THE WORKPLACE ASBESTOS PRODUCT MANUFACTURER - WORKED ASBESTOS PRODUCT PART OF WORKPLACE OR SURROUNDS ASBESTOS TAILINGS - PLAYED ON AS A CHILD ASBESTOS /OR PRODUCTS WORKER - LIVED WITH/ WASHED CLOTHES BAKERY (OVENS) BOILERMAKER/CLEANER/ATTENDANT/INSTALLER/ WELDER BRAKE LININGS - MADE/ REPAIRED BRICKLAYER BRICKWORKS BUILDER/ BUILDER'S LABOURER CARPENTER/JOINER 1 7 7 14 2 3 4 1 42 9 6 1 7 31 87 8 1 28 2 59 37 7 8 105 131 . . . 8 - 6 - * 1 6 6 2 1 6 33 6 - 3 - 35 9 1 3 22 28 1 15 7 20 2 3 5 1 48 15 8 1 8 37 120 14 1 31 2 94 46 8 11 127 159 CIRCUMSTANCES OF EXPOSURE CIVIL ENGINEER CEMENT FACTORY WORKER CHEMICAL ENGINEER (CSR) CONCRETING CONSTRUCTION WORKER DEMOLITION DESIGN ENGINEER DIESEL ENGINEER DOCKYARD WORKER ELECTRICAL ENGINEER ELECTRICAL FITTER ELECTRICAL MECHANIC ELECTRICIAN ELECTROPLATER ENGINEER FIREPROOFING FIREDOORS FIREFIGHTER FITTER/TURNER FOUNDRY FURNACE GLASSWORKS/GLAZIERS INDUSTRIAL CHEMIST INDUSTRIAL ENGINEER INSTRUMENT TECHNICIAN INSULATION JEWELLER LABORATORY TECHNICIAN LABOURER LAGGER LAGGING IN WORKPLACE LAUNDRY/DRYCLEANERS LINESMAN LOCKSMITH MACHINE FITTER NO. EXPOSED (WITH NO OTHER EXPOSURES) (Single) NO. EXPOSED (WITH OTHER EXPOSURES) (Multiple) TOTAL EXPOSURES 1 1 4-4 1 -1 2 -2 5 1 -6 3 25 -1 -1 1 1 16 15 31 31 4 10 3 13 2- 2 30 6 -36 -1 1 8- 8 3- 3 3 -3 22 4 27 11 . 38 2 13 4 -4 24- 2 4 1- 1 1- 1 61 7 1- 1 1- 1 15 3 18 21 12 33 11 1 12 9 2 11 4 ... 4 1 -1 1 12 CIRCUMSTANCES OF EXPOSURE MAINTENANCE ELECTRICIAN MACHINE INSPECTOR MACHINE OPERATOR MACHINIST . MAINTENANCE CARPENTER MAINTENANCE ENGINEER MAINTENANCE FITTER MAINTENANCE MECHANIC MAINTENANCE WORKER MARINE ENGINEER MECHANICAL ENGINEER MECHANICAL FITTER METAL FABRICATION METALLURGY NAVY PAINTER/DECORATOR PANELBEATER PAPERMILL PATTERNMAKER PIPES - HANDLED/CUT/STORED/DRILLED PLASTERER PLUMBING POWER STATION WORKER PRESSURE PAK MANUFACTURER PRINTING RAILWAYS RENOVATIONS/MAINTENANCE/LAGGING IN WORKPLACE ROOFING SHEETMETAL SHIPS - BUILDING/REPAIRING/ON SHOP FITTER SITE VISITS/INSPECTIONS SMELTING STEELWORKS NO. EXPOSED (WITH NO OTHER EXPOSURES) (Single) NO. EXPOSED (WITH OTHER EXPOSURES) (Multiple) TOTAL EXPOSURES 2 .2 2 2 1 -. 1 2 -2 1 - 1. 2 2 10 3 13 1 1 72 9 5 6 11 1 -1 224 1 -1 1 1 60 39 99 30 5 35 3 -3 21 3 21 3 12 2 14 9 5 14 44 13 57 59 39 98 1 1 7 *7 63 31 94 13 2 15 22 4 5 9 14 60 47 107 1 -1 426 1 - 1 72 9 CIRCUMSTANCES OF EXPOSURE TELEPHONE TECHNICIAN STOREMAN STOVES SUGAR MILL TANNERY TILER TOOLMAKER TRADES ASSISTANT TRANSPORTING ASBESTOS TRANSPORTING ASBESTOS PRODUCT TYRE FACTORY WATERSIDE WORKER WEIGHING TRUCKS WELDER WHITEWASH -GREECE/CYPRUS WITTENOOM WOOD MACHINIST Asbestos exposure single multiple No apparent asbestos exposure No response to questionnaire Total cases from 1/1/86 - 31/3/95 Proportion of respondents with asbestos exposure NO. EXPOSED (WITH NO OTHER EXPOSURES) (Single) NO. EXPOSED (WITH OTHER EXPOSURES) (Multiple) 52 10 - 2 -. 64 1 331 873 61 74 54 7 1- 13 5 21 114 18 1- TOTAL EXPOSURES 7 10 2 10 .. 1 3 4 8 10 7 11 61 1 18 3 132 1 1,478 280 361 254 2,373 1.758 2,119 =83% NATIONAL INSTITUTE OF OCCUPATIONAL HEALTHY AND SAFETY (WORKSAFE AUSTRALIA) AUSTRALIAN MESOTHELIOMA REGISTER NOTIFICATION Please direct all correspondence to: The Registrar Australian Mesothelioma Register Worksafe Australia GPO Box 58 Sydney NSW 2001 Telephone: (02) 577 9304 Patient details - please supply ALL available information SURNAME:..................................................................... FIRST NAMES:.......................................................... ADDRESS:.............................................................................................................................................................. STATE:......................... POSTCODE:.......................... GENDER: M / F DATE OF BIRTH: / / IF DECEASED, DATE OF DEATH: / / PLACE OF DEATH:...................................................... DATE OF INITIAL DIAGNOSIS: Month ............... Year: ................. HISTOLOGICAL: YES/NO HOSPITAL DIAGNOSED:............................................................. PRIMARY SITE: ....... ................................ CLINICIAN'S NAME:..................................................... NAME OF LOCAL GP:.................................................... ADDRESS:.................................................................... ADDRESS:...................................................................... Please describe briefly main occupation(s) of patient's worklife. OCCUPATION INDUSTRY YEAR 1 ......................................................................... 1............................................................................. 19 - 19 2 ......................................................................... 2............................................................................. 19 - 19 3 ......................................................................... 3............................................................................. 19 - 19 KNOWN ASBESTOS EXPOSURE: YES / NO If "YES" please indicate circumstances and duration: .............................................................................................. Details of person completing this form. NAME:................................................................................................ SIGNATURE:.......................................... ADDRESS:......................................................................................... DATE:..................................................... Please circle the appropriate category: clinician pathologist cancer registry medical records admin DUST DISEASES BOARD OTHER:............................................................... Office Use Only