Source: Asbestos.com
In Contra Costa County 1,198 asbestos-related deaths were reported from 1999 and 2017 at a rate of 63 deaths per year.
By Jonathan Sharp, Environmental Litigation Group, P.C.
Mesothelioma is a rare type of cancer triggered by exposure to asbestos. Each year, around 3,000 diagnoses are made in America, from which 900 are discovered in veteran populations. Exposure in this population occurred while serving in the army, as the military used asbestos across facilities as an insulator and fireproof material. Other cases similarly link directly to professional exposure because asbestos was used for decades in many industries, from the 1960s up until the 1990s, when its harmful effects were fully documented.
As the condition is rare, research progress to improve diagnosis and treatment is slow. It has been estimated that errors in diagnosing mesothelioma span between 14% and over 80%, where this condition is confused with other lung cancers or pneumonia. As a result, there are substantial delays in treatment, and mesothelioma is allowed to spread.
To address the high rates of misdiagnosis for mesothelioma, the Center for Disease Control and Prevention (CDC) proposed in 2019 the development of a shared database for all identified cases. This database is the National Mesothelioma Registry, and among its proposals is the use of a case-finding methodology, where populations at risk would receive periodic screening. The national registry would also function as a common database where researchers could get early access to diagnosed patients, expanding the available population pool for clinical trials that could improve current treatments and diagnosis procedures.
How Misdiagnosis Can Impact Claims
Over 80% of all mesothelioma cases can be traced back to professional exposure, while only around 12% can be attributed to a genetic mutation. Subsequently, the vast majority of people developing mesothelioma are entitled to claims, either from the government or from companies that did not offer sufficient protection to their workers while handling asbestos.
However, getting these claims can be a real struggle. The condition has a high mortality rate and short survival period, not only due to the aggressiveness of this cancer but also because of significantly high rates of misdiagnosis.
To date, claims are granted for veterans under the PACT Act following evaluation by a health commission. The commission’s analysis process can take up to four and a half months. Survival rates for pleural mesothelioma, which is the most aggressive and common form of this cancer, rarely expand past the one-year mark. For veterans, this means that accessing the healthcare benefits they need to improve care and their quality of life may come too late. For other professional categories, lengthy lawsuits can mean the same thing: healthcare and financial support that comes in too late.
Mesothelioma Epidemiology in Contra Costa County, California
California has one of the highest rates of mesothelioma and asbestos-related deaths in the country. As a natural material, asbestos was intensely mined across the state, hence resulting in an increased risk for local populations. Veterans were impacted the most, especially in coastal states, such as California, where the U.S. Navy used asbestos extensively for shipbuilding and insulation. These jobs were performed by soldiers with little to no protective equipment, albeit at the time, there was sufficient data the Navy was aware of to indicate that asbestos had a strong carcinogenic potential.
Data on asbestos mortality rates in the state indicate that between 1999 and 2017, a total of 27,080 asbestos-related deaths were recorded, of which 5,100 occurred due to mesothelioma. More recent data indicates that between 2015 and 2019, 317 died because of mesothelioma in California. In Contra Costa County, 1,198 asbestos-related deaths were reported, at a rate of 63 deaths per year.
With such high mortality rates, asbestos is considered an important public health issue in California. This state banned paintings and interior materials containing asbestos as early as 1977. Other asbestos products were banned, and asbestos mines were closed in 2002. However, since mesothelioma emerges decades after exposure, cases are very likely to continue being identified across the state.
Improving Diagnosis and Access to Claims for Veterans
Veterans can file for benefits under the PACT Act and have their documents analyzed by a health commission. Notably, this analysis can take a significantly long time. With a late diagnosis, waiting so long may not be an option for many. Nonetheless, the National Mesothelioma Registry has the potential to change this.
With more research and development on mesothelioma, veterans may be able to receive a diagnosis much sooner and initiate the benefits claim faster. This will not only speed up access to medical resources but would also ensure that each veteran would get a chance at an extended life expectancy resulting from an early diagnosis and intervention.
About the Author
Jonathan Sharp is the CFO of the Environmental Litigation Group, P.C., conducting asset oversight, financial analysis, and case evaluations for victims of toxic exposure.
