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RELATED PAGES Mesothelioma Diagnosis Types Prognosis Staging & Metastasis Survivors Support for Patients Causes Cancer Incidence Prevention Genetic Factors Simian Virus 40 Symptoms Statistics & Facts Awareness Mesothelioma was virtually unknown until the 20th century. After decades investigating the disease, medical researchers identified the cause: Asbestos exposure. Mesothelioma rates rose as industries expanded the use of asbestos. Research studies proved inhaling or swallowing microscopic asbestos fibers can start a chain reaction that leads to several types of cancer. The toxic dust can also cause asbestosis, an incurable breathing disorder. In March 2009, the International Agency for Research on Cancer (IARC) reconfirmed asbestos exposure as the leading cause of mesothelioma. All forms of asbestos cause the disease. Two years later, the IARC presented an update on the link between asbestos and cancer at a World Health Organization conference in Spain. They explained the scientific evidence has strengthened over time. There is now overwhelming proof asbestos is carcinogenic to humans, regardless of the type or fiber length. Main Risk Factors for Mesothelioma Working at an asbestos mine or asbestos-processing plant Working in a high-risk occupation such as construction or heavy industry Serving on military ships or facilities built with products containing asbestos Living in a residential area near an asbestos mine or contaminated site Disturbing asbestos products during a home renovation without proper safety measures Apart from the risk factors associated with asbestos, a few other factors could increase your risk of developing mesothelioma. Exposure to the fibrous mineral zeolite may increase the risk for mesothelioma. Previous studies have linked high rates of mesothelioma in remote villages in Turkey to building materials containing erionite — part of the zeolite family of minerals. Exposure to radiation may also contribute to the development of mesothelioma, but the evidence is rare and inconsistent. Some studies show the risk for mesothelioma slightly increases after a person receives radiation therapy as a treatment for other cancers. Other studies suggest people who received a polio vaccine between 1955 and 1963 may have an increased risk of developing mesothelioma. Tens of millions of polio vaccine doses during that nine-year span were contaminated with the simian virus 40 (SV40). Although the largest studies did not find a link between the virus and increased mesothelioma risk, the topic remains controversial as studies continue. Because only a fraction of people exposed to asbestos develop mesothelioma, scientists believe genetics can play a role in a person’s risk. Researchers have confirmed a mutation in a gene called BAP1 increases the likelihood of developing mesothelioma and other cancers. If someone else in your family has mesothelioma, genetic testing may suggest you have an increased risk for developing the cancer. Mesothelioma is more common in men than women and it rarely affects people younger than 45. This is because mesothelioma often takes decades to develop, and men are more likely to work in jobs where asbestos exposure occurs.

Is Smoking a Risk Factor for Mesothelioma? Studies show smoking is not a risk factor for mesothelioma, but those who smoke and are regularly exposed to asbestos are much more likely to develop asbestos-related lung cancer. Some studies reveal the combination of smoking and asbestos exposure raises the risk of lung cancer by approximately 90 percent. Researchers also found smoking can weaken lungs and reduce the body’s ability to dispose of asbestos fibers trapped inside. Smoking also aggravates asbestosis. Differences Between Causes & Risk Factors A risk factor is anything that increases the odds of developing a disease. A cause is the contributing factor that leads to a disease. For example, although men are much more likely to develop mesothelioma than women, gender alone cannot cause the cancer. Often, multiple risk factors are involved in the development of mesothelioma. The duration of asbestos exposure plays a key role. While the World Health Organization says no amount of asbestos exposure is safe, it is usually heavy, repeated exposure over many years that leads to asbestos-related illnesses. A study in the American Journal of Epidemiology found the longer someone works in a job that involves asbestos exposure, the higher their risk of mesothelioma becomes. The link between asbestos exposure and mesothelioma is so strong that it can be difficult for researchers to tell if any other risk factors can cause mesothelioma on their own. Although scientists continue to study this topic, exposure to asbestos remains the most clearly defined cause. Where Does Asbestos Exposure Occur? Where Does Asbestos Exposure Occur? Men in suits removing asbestos from ceiling. Asbestos once filled countless U.S. homes and businesses in the form of insulation and fire-resistant materials. Throughout the construction boom following WWII, asbestos was a key element in thousands of industrial and household products. Examples include drywall, wiring, glues and adhesives, ceiling tiles, cements and shingles. Workers were exposed to the harmful natural mineral while on the job. Others, including workers’ family members, faced secondary exposure at home. Environmental exposure happened in communities that mined or processed asbestos. Some asbestos products remain in old structures and are usually harmless — as long as they’re not disturbed. Firefighters, contractors, demolition workers, electricians and plumbers are at high risk of exposure to asbestos in old buildings. Past Occupational Exposure The risk for asbestos-related illnesses is highest for people who worked with the raw mineral or with asbestos-containing products on a daily basis. Some of the occupations with the highest risk include: Risk Factors in Present-Day Jobs Construction tradesmen and firefighters can be exposed to asbestos while working in old homes and structures built with contaminated materials. Exposure can happen during a renovation, demolition or disaster response. When old buildings are destroyed without safety precautions, airborne asbestos fibers can contaminate the surrounding area. Secondhand Exposure When the asbestos industry was booming, families of workers were also at great risk. Workers often came home with asbestos fibers on their hair, work clothes and tools — exposing family members to the toxic substance and increasing their risk for related diseases. In 1995, the National Institute of Occupational Safety and Health (NIOSH) presented a study of “Workers’ Home Contamination” to Congress. They concluded “families of asbestos-exposed workers have been at increased risk of pleural, pericardial or peritoneal mesothelioma, lung cancer, cancer of the gastrointestinal tract, and nonmalignant pleural and parenchymal abnormalities as well as asbestosis.” Environmental Exposure Because asbestos is a naturally occurring mineral, people living near large deposits in hilly or mountainous regions also face possible exposure. Minimal amounts of the mineral can fill the air in these regions, but environmental exposure is most dangerous near former asbestos mines. Two of the most recognized cities for asbestos exposure problems are Libby, Montana, and El Dorado Hills, California. Libby was home to a vermiculite mine contaminated by naturally occurring asbestos. The mine, controlled by W.R. Grace & Company and operated from 1923 to 1990, is responsible for hundreds of asbestos-related deaths. In June 2009, the U.S. Environmental Protection Agency (EPA) declared a public health emergency in Libby. In El Dorado Hills, the EPA said asbestos levels were “of concern,” according to the agency’s report on the 400-plus air samples gathered there in 2004. Although asbestos mines no longer operate in the U.S., people living near defunct mines continue to develop mesothelioma. In February 2015, reports of exposure to naturally occurring asbestos in southern Nevada made national headlines. Geologists found asbestos in 150 soil samples from Nevada and Arizona, and epidemiology research showed an increased incidence of mesothelioma in the area sampled. Geologists suspect natural erosion and commercial development of asbestos-contaminated land sent asbestos fibers airborne. Geological studies show the asbestos in Nevada is much like the asbestos found in Libby. Officials in Nevada responded by taking measures to protect workers on projects that involve areas contaminated with asbestos.