• An unjustified prognosis of the number of asbestos-related lung cancer cases caused by an increase in airborne asbestos concentrations as a result of removing of asbestos-cement products.

      Szeszenia-Dabrowska, Neonila; Swiatkowska, Beata; Nofer Institute of Occupational Medicine, Lodz, Poland (2015-03-22)
      We have read the recently published article under an interesting title “Environmentally Related Diseases and the Possibility of Valuation ofTheir Social Costs” by I. Hajok et al. [1], the main objective of which was “to estimate the risks of the morbidity of the asbestos-related lung cancer in the general population of Poles as the result of increased exposure to asbestos fibers which occurs during the removal and disposal of asbestos-cement products in Poland.” Contrary to mesothelioma, considered to be a neoplasm specific to environmental exposure to asbestos [2–6], the risk of lung cancer is rarely a subject of analysis in the context of environmental exposure of residents. It is, among others, due to having no features of neoplasm that enable the indication of asbestos as a causative factor, as well as numerous competitive factors of the incidence of this neoplasm. According to the recommendations of the experts of WHO, in the case of this kind of neoplasm, the only practical approach is to use the population attributable fraction (PAF) [7, 8]. Therefore, the published article is even more noteworthy; its contents raise a number of questions and doubts concerning both substantive bases and methodological approach to the analysis.