Incidence of Mesothelioma
Page Medically Reviewed and Edited by Anne Courtney, AOCNP, DNP This page has been fact-checked by a Doctor of nursing practice specializing in Oncology and has experience working with mesothelioma patients.
Sources of information are listed at the bottom of the article. We make every attempt to keep our information accurate and up-to-date.
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The incidence of mesothelioma measures the number of new cases diagnosed over a certain period of time and may specify a certain population. In the United States, the overall incidence of mesothelioma has reached a peak and is now tapering off thanks to restrictions on asbestos use. About 3,000 cases are diagnosed per year in the U.S.
Mesothelioma Incidence by Age and Gender
Researchers can form a picture of who is at risk and why by looking at the incidence of certain diseases in specific populations. Understanding incidence also helps pinpoint causes for a disease. Here are some mesothelioma incidence facts by gender:[1]
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- According to the National Cancer Institute, the incidence of mesothelioma in the United States is consistently higher in men than women.
- Incidence peaked for both in the 1990s. Since then, there has been a considerable downward trend.
- In 2017, the mesothelioma rate in men was about 1.4 per 100,000.
- In women, it was about 0.4.
Incidence also varies by age:
- The incidence of mesothelioma is higher for older Americans.
- Between 2016 and 2017, the incidence for men over 85 was 16.1.
- For men between 55 and 64, it was only 1.1.
- Men between the ages of 65 and 74 showed an incidence of 6.0.
- For those between 75 and 84, it was 13.5.
- For women, the incidence also rises with age: 0.7 for ages 55 to 64, 1.3 for ages 65 to 74, 3.1 for ages 75 to 84, and 2.0 for women over 85.
The difference in incidence between men and women is typically explained by the major risk factor for mesothelioma. More men than women have worked in industries that put them at risk of asbestos exposure.
By age, the incidence grows as the population gets older because mesothelioma has a long latency period. It can take decades to develop symptoms and receive a diagnosis.
Incidence of Mesothelioma by Job
Occupation is a major factor in the incidence of mesothelioma. The main cause of mesothelioma is asbestos exposure. Workers in industries that commonly used asbestos have a higher risk of developing mesothelioma.
While the link between asbestos and mesothelioma is now common knowledge, there was a time the connection was not so clear. High incidence rates in industries with asbestos helped clarify the role it plays in this disease.
The Centers for Disease Control and Prevention (CDC) listed the occupations with the highest incidences of mesothelioma. These occupations are:
- Construction workers
- Plumbers
- Pipefitters
- Steamfitters
- Janitors
- Cleaners
- Managers
- Workers in chemical industries
In the United Kingdom, a country with higher rates of mesothelioma, occupations with the highest incidences include carpenters, joiners, construction workers, electricians, plumbers, metal workers, and heating and ventilation workers.
Incidence in Shipyards
Construction workers, pipefitters, steamfitters, plumbers, electricians, and others have higher risks of developing mesothelioma, particularly in one industry: shipbuilding and repair.
An epidemiological study of Virginia’s coastal shipyards found the incidence of mesothelioma was four times higher for shipbuilders than the national average.
Understanding incidence in specific industries, occupations, and regions, helps pinpoint exactly where people are at risk. By discovering the high incidence of mesothelioma in Virginia shipyard workers, researchers provided information that led to safer working conditions in the industry.
Incidence by Geography
Epidemiological studies of mesothelioma have discovered certain areas are more affected than the rest of the country. New Jersey, for instance, has one of the highest incidences of mesothelioma.[2]
The Johns Manville Corporation is most likely responsible. This company operated an asbestos plant in Manville, New Jersey for decades. The incidence of mesothelioma among Manville workers was twenty-five times higher than the national average.
Other areas with higher incidences of mesothelioma include areas of Washington, Louisiana, Connecticut, New Mexico, California, Utah, and Detroit, Michigan. Some of these are explained by the presence of asbestos mines, shipyards, or other industries that used asbestos.[2]
New York City is expected to see an increase in the incidence of mesothelioma in the coming decades as people exposed to dust from the World Trade Center attacks develop the disease.
Worldwide Incidence
For most of the United States, the incidence of mesothelioma has reached a peak and begun to decline. This decrease is due to increased regulations on asbestos use and workplace safety.
Other countries are still experiencing an upward trend, including developed nations like the United Kingdom and Australia. The overall incidence is still rising around the world.
According to a study of mesothelioma diagnoses from 1990 to 2017, the worldwide incidence continues to rise. The researchers recorded 34,625 new cases and 29,909 deaths in 2017. More than 70% of these were in men.[3]
The study also found that mesothelioma incidence declined in countries with total asbestos bans. The decrease in cases began about 20 years after the implementation of a ban.[3]
Understanding the incidence of a disease like mesothelioma is important for understanding the disease itself. Incidence helps explain the causes of the disease. It also helps those at risk by shedding light on risk factors, such as age, gender, industry, occupation, and geographical location.
Page Medically Reviewed and Edited by Anne Courtney, AOCNP, DNP
Anne Courtney has a Doctor of Nursing Practice degree and is an Advanced Oncology Certified Nurse Practitioner. She has years of oncology experience working with patients with malignant mesothelioma, as well as other types of cancer. Dr. Courtney currently works at University of Texas LIVESTRONG Cancer Institutes.