@article{fdi:010076658, title = {{A}n asbestos contaminated town in the vicinity of an asbestos-cement facility : the case study of {S}ibate, {C}olombia}, author = {{R}amos-{B}onilla, {J}. {P}. and {C}ely-{G}arcia, {M}. {F}. and {G}iraldo, {M}. and {C}omba, {P}. and {T}erracini, {B}. and {P}asetto, {R}. and {M}arsili, {D}. and {A}scoli, {V}. and {L}ysaniuk, {B}enjamin and {R}odriguez, {M}. {C}. and {M}azzeo, {A}. and {P}anqueva, {R}. {D}. {L}. and {B}aldion, {M}. and {C}anon, {D}. and {G}arcia-{H}erreros, {L}. {G}. and {P}inzon, {B}. and {H}ernandez, {L}. {J}. and {S}ilva, {Y}. {A}.}, editor = {}, language = {{ENG}}, abstract = {{I}ntroduction: {T}he asbestos industry began operations in {C}olombia in 1942, with an asbestos-cement facility located in the municipality of {S}ibate. {I}n recent years residents from {S}ibate have been complaining about what they consider is an unusually large number of people diagnosed with asbestos-related diseases in the town. {A} study to analyze the situation of {S}ibate started in 2015, to verify if the number of asbestos related diseases being diagnosed were higher than expected, and to identify potential asbestos exposure sources in the town. {M}ethods: {A} health and socioeconomic survey was implemented door-to-door to identify potential asbestos-related diseases. {S}everal self-reported mesothelioma cases were identified, and for confirmation purposes, copies of the medical record with the histopathology report were obtained. {A} panel of six physicians analyzed the medical records. {I}nformation of validated cases was used to estimate the male and female age-adjusted incidence rate for {S}ibate. {B}ased on reports of the existence of potential asbestos-contaminated landfills, topographic maps, a digital elevation model, and current satellite images were crossed using a geographic information system to identify potential landfilled areas, and soils samples were collected in some of these areas. {R}esults: {A} total of 355 surveys were completed, and 29 self-reported mesothelioma cases were identified. {T}wenty-five of these cases have been persons who had lived at some moment of their lives in {S}ibate. {I}t was possible to obtain copies of the medical diagnosis for 17 cases. {O}f these, the panel of physicians classified 15 cases as certain pleural mesothelioma, one as probable, and one as not mesothelioma. {B}ased on this information, the estimated age-adjusted incidence rate of mesothelioma in {S}ibate was 3.1 x 10(5) persons-year for males and 1.6 x 10(5) persons-year for females. {T}hese rates are high in comparison to those reported in other cities, regions, and countries of the world. {U}sing geographic information systems, landfilled zones in the urban area of {S}ibate were identified, on top of which a school and different sports facilities were built. {T}he analysis of four soil}, keywords = {{A}sbestos ; {M}alignant pleural mesothelioma ; {A}sbestos cement facility ; {E}nvironmental exposure ; {S}oil contamination ; {S}ibate ; {C}olombia ; {M}esothelioma cluster ; {COLOMBIE} ; {SIBATE}}, booktitle = {}, journal = {{E}nvironmental {R}esearch}, volume = {176}, numero = {}, pages = {art. 108464 [10 p.]}, ISSN = {0013-9351}, year = {2019}, DOI = {10.1016/j.envres.2019.04.031}, URL = {https://www.documentation.ird.fr/hor/fdi:010076658}, }