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We reviewed the letter submitted by Finkelstein1 regarding our paper evaluating the risk of pleural mesothelioma from non-occupational asbestos exposure.2 Finkelstein indicated that, in addition to two Canadian studies in our analysis,3 4 a third unpublished report was produced in 2004 by Quebec Public Health.5 It is unclear if Finkelstein is suggesting that the Quebec report is an update to both Camus3 and McDonald,4 but it should be noted that although the study populations were similar, case ascertainment was different. Finkelstein1 cited that the historical progression of case ascertainment for pleural mesothelioma among women with neighbourhood exposure in the Quebec mining regions was 0 cases in 1980,4 7 cases in 19983 and 17 cases in 2004.5 However, in 2004, Quebec Public Health only reported a total of 10 cases of pleural mesothelioma among women …
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