Risk Of Asbestos-related Diseases Research Articles

Incidence of Cancer and Asbestos-Related Diseases among Residents Living near Abandoned Asbestos Mines in South Korea: A Retrospective Cohort Study Using National Health Insurance Database.

The use of asbestos has been banned since 2009 in South Korea. However, there is still a risk of exposure to environmental asbestos originating from abandoned asbestos mines. We constructed a retrospective dynamic cohort using the National Health Insurance Database of South Korea. We determined the risk of developing asbestos-related diseases (ARDs) among residents living near asbestos mines compared with those living in the control area and the general population. The risks of asbestosis (adjusted hazards ratio [HR] 65.40, 95% CI = 35.02–122.12) and pleural plaques (adjusted HR 3.55, 95% CI = 1.96–6.41) were significantly increased among residents living near the asbestos mines compared with the control area. The risk of malignant mesothelioma was increased near asbestos mines compared with the control area; however, it was not significant (adjusted HR 1.83, 95% CI = 0.61–5.47). When a separate analysis according to sex was conducted, the risk of mesothelioma among male residents was statistically significant (adjusted HR 8.30, 95% CI = 1.04–66.63), and the standardized incidence ratio (SIR) was significantly increased (SIR 3.48, 95% CI = 1.50–6.85). The risk of ARDs was increased due to environmental asbestos exposure near abandoned asbestos mines in South Korea.

Relationship between the Asbestos Cumulative Exposure Index (ACEI) and the Latency Period of Asbestos Related Diseases (ARD) within an Italian Study Group of Ex-Asbestos Workers

Objectives: The association between asbestos exposure, measured by mean of Asbestos Cumulative Exposure Index (ACEI) and the latency period of non-malignant asbestos-related diseases (ARD) diagnosed according to the American Thoracic Society (ATS) criteria was studied. Methods: 306 exposed asbestos workers in Bari, Italy, were included in a health surveillance program. By means of a standardized questionnaire we assessed asbestos exposure through ACEI. Latency period of Asbestos Related Diseases (ARD) was also assessed. Results: We found a significant inverse correlation between latency and ACEI increasing with ARD severity. ACEI and 30-35 years of age at time of first exposure were inversely associated with the latency period. The risk of ARD increased from baseline to the 2nd follow-up and among subjects exposed for the first time before 1960. Conclusions: The most important factors that caused a reduction in the latency period were the year of first exposure and the ACEI score while smoking habits did not show to play a significant role.

The Continuous Use of Asbestos in Ghana Despite Its Hazards (Case Study Area: Sekondi-Takoradi)

This paper reported on a research work conducted with the aims of investigating the regulatory position regarding the use of asbestos and also of assessing the evidence of the continuous use of asbestos cement products in the construction industries in Ghana, using Sekondi-Takoradi as a case study area. This paper adopted both quantitative and qualitative research approach to seek information from, landlords, and manufacturers of asbestos cement products, parliament and other Government Agencies. Data was obtained through questionnaire, interview and field work survey. In all, a total of 20 questionnaires were distributed. The research emerged that about 1200 housing units roofed with asbestos cement roofing sheet were constructed by the state owned construction company between 1976 and 2000 in the Sekondi-Takoradi Metropolis (about 12,000 nationwide), a period when the risk of asbestos was known in Ghana. The study in the newly developing areas in the Sekondi-Takoradi Metropolis indicated that, out of every 100 housing unit being built, at least 40 of these were roofed with asbestos cement corrugated roofing sheet. It was also emerged from this research that there were no laws prohibiting the use, manufacturing or importation of asbestos products in Ghana. And this exposes maintenance workers in the building construction industries to the risk of asbestos related diseases. The research recommended that those who have asbestos materials present in their premises should take action to manage the risk so that no one will unknowingly disturb it and also provide information about the material to those who are likely to disturb it.

Risk factors associated with asbestos-related lung diseases among different sub-cohorts of formerly asbestos exposed workers in Germany

ObjectivesTo examine the association between work-place exposure to asbestos and risk factors for developing asbestos related diseases using the analysis of a cross-sectional cohort of 8582 formerly asbestos exposed workers...

Effectiveness of Support for Asbestos Health Consultation in Health Centers

In this research, we aimed to evaluate the support for asbestos health consultation in health centers. In this exploratory descriptive study, a self-administered original questionnaire was developed and used. Among all 517 health centers, valid responses were returned from 323 (62.5%) consenting centers. Consultations in the previous year ranged from 0-108 cases, with a facility median of 3.0 cases. Among staff members, 86.4% did not receive training and 35.4% had never used the manual. Workplaces that use asbestos within their jurisdiction were recognized by 39.2% of staff members, and 16.7% of these members always supported consultants psychologically. The staff members were not confident about asbestos health consultation: 71.2% for general questions, 76.2% for questions about asbestos-related diseases, and 76.4% for questions about risk of asbestos-related diseases; 51.4% were not confident about the Asbestos-Related Health Damage Relief System. Health center staff members who were significantly more confident were those who had more staff to work with; dealt with many consultations in the previous year; recognized the workplaces using asbestos within their jurisdiction; often used the manual and often psychologically supported consultants. According to the covariance structure analysis model, the 'use of support systems' consisting of 'the use of manual', 'training attendance' and 'recognition of workplaces that use asbestos' positively affected the frequency of psychological support (p<0.01) which promoted the confidence of staff members (p<0.01). The use of support systems also promoted the confidence of staff members directly (p<0.05). The support systems such as training, use of manual, and a list of workplaces using asbestos were effective in building the confidence of health center staff in relation to asbestos health consultation, although the use of these support systems was low.

An Evaluation of Reported No-Effect Chrysotile Asbestos Exposures for Lung Cancer and Mesothelioma

Numerous investigators have suggested that there is likely to be a cumulative chrysotile exposure below which there is negligible risk of asbestos-related diseases. However, to date, little research has been conducted to identify an actual “no-effect” exposure level for chrysotile-related lung cancer and mesothelioma. The purpose of this analysis is to summarize and present all of the cumulative exposure-response data reported for predominantly chrysotile-exposed cohorts in the published literature. Criteria for consideration in this analysis included stratification of relative risk or mortality ratio estimates by cumulative chrysotile exposure. Over 350 studies were initially evaluated and subsequently excluded from the analysis due primarily to lack of cumulative exposure information, lack of information on fiber type, and/or evidence of significant exposures to amphiboles. Fourteen studies meeting the inclusion criteria were found where lung cancer risk was stratified by cumulative chrysotile exposure; four such studies were found for mesothelioma. All of the studies involved cohorts exposed to high levels of chrysotile in mining or manufacturing settings. The preponderance of the cumulative “no-effects” exposure levels for lung cancer and mesothelioma fall in a range of approximately 25–1000 fibers per cubic centimeter per year (f/cc-yr) and 15–500 f/cc-yr, respectively, and a majority of the studies did not report an increased risk at the highest estimated exposure. Sources of uncertainty in these values include errors in the cumulative exposure estimates, conversion of dust counts to fiber data, and use of national age-adjusted mortality rates. Numerous potential biases also exist. For example, smoking was rarely controlled for and amphibole exposure did in fact occur in a majority of the studies, which would bias many of the reported “no-effect” exposure levels towards lower values. However, many of the studies likely lack sufficient power (e.g., due to small cohort size) to assess whether there could have been a significant increase in risk at the reported no-observed-adverse-effects level (NOAEL); additional statistical analyses are required to address this source of bias and the attendant influence on these values. The chrysotile NOAELs appear to be consistent with exposure-response information for certain cohorts with well-established industrial hygiene and epidemiology data. Specifically, the range of chrysotile NOAELs were found to be consistently higher than upper-bound cumulative chrysotile exposure estimates that have been published for pre-1980s automobile mechanics (e.g., 95th percentile of 2.0 f/ cc-yr), an occupation that historically worked with chrysotile-containing friction products yet has been shown to have no increased risk of asbestos-related diseases. While the debate regarding chrysotile as a risk factor for mesothelioma will likely continue for some time, future research into nonlinear, threshold cancer risk models for chrysotile-related respiratory diseases appears to be warranted.

Asbestos Exposures to Truck Drivers During World Trade Center Cleanup Operations

This article presents results of asbestos air sampling conducted to assess the exposure to truck drivers working at the World Trade Center site. Sampling consisted of a combination of area and personal monitoring of 49 truck drivers and included optical and electron microscopic analyses. Three sampling periods were conducted: October 1–7, 2001, October 17–26, 2001, and April 13–23, 2002. Area sample locations were selected to estimate airborne concentrations around the perimeter of the site, on top of the pile, and in the pit. Air samples were collected using a 50-mm conductive cowl and a 25-mm mixed cellulose ester filter at flow rates ranging from 0.5–2 L/min. Samples were analyzed using a combination of phase contrast microscopy (PCM) NIOSH method 7400, transmission electron microscopy (TEM) NIOSH method 7402, and the direct method specified under the Asbestos Hazardous Emergency Response Act. Sample times and flow rates were adjusted to prevent overloading while maximizing sample volume. Personal sampling results suggest that asbestos fiber exposures to truck drivers at the site were low. Exposures based on TEM results generally ranged from less than detectable to 0.1 structures per cubic centimeter (s/cm3). TEM-based results further indicate that the majority of asbestos fibers were chrysotile and less than 5 μm in length. PCM-based estimates were generally higher than the TEM results. This is likely due to the counting of nonasbestos fibers. This conclusion is supported by the NIOSH 7402 TEM results, which did not detect asbestos fibers longer than 5 μ m. Area sample results were generally less than the personal results (except for the sample collected on top of the rubble pile) and decreased over the course of the cleanup. Our results show low airborne asbestos concentrations and a predominance of short fibers. Given these low concentrations, evidence of short fibers, and the short duration of the exposure (less than 10 months to complete the cleanup), it is likely that truck drivers working at the site are not at an increased risk for asbestos-related disease.

Respiratory impairment due to asbestos exposure in brake-lining workers

There is extensive evidence that exposure to asbestos causes pulmonary parenchymal fibrosis, pleural disease, and malignant neoplasm in asbestos-exposed workers. However, few data concerning brake-lining workers are available in the literature. In this study, we aimed to assess the long-term effects of chrysotile asbestos exposure on lung function and the risk of asbestos-related diseases in brake-lining workers. Seventy-four asbestos-exposed workers who processed brake-lining products and 12 unexposed office workers were offered pulmonary function tests (spirometry and transfer factor) in 1992 and 1999. In 1999, the mean duration of asbestos exposure was 10.00±4.07 and 11.02±4.81 years (7–31 years) in nonsmoking and smoking asbestos workers, respectively. Transfer factor ( T L, CO) and transfer coefficient ( K CO) decline were significant in the 7-year follow-up in both smoking and nonsmoking asbestos workers. However, lung function indices of the control group, whom were all current smokers; were also found to be decreased, including FEF 75, T L, CO and K CO. We found minimal reticular changes in 10 asbestos workers who were all current smokers, they underwent high-resolution computed tomography scans of the chest and we found that they had peribronchial thickening resulting from smoking. As a conclusion, even in the absence of radiographic asbestosis, T L, CO and K CO may decrease after a mean 10-year duration of exposure to asbestos in brake-lining workers and this is more noticeable with cigarette burden.

Exposure to Asbestos During Brake Maintenance of Automotive Vehicles by Different Methods

Asbestos concentrations were measured during the different operations of brake maintenance of passenger cars, trucks and buses in 24 Finnish workplaces. The estimated average asbestos exposure during the workday (8-hr time-weighted average) was 0.1–0.2 fibers/cm3 during brake repair of trucks or buses, and under 0.05 f/cm3 during repair of passenger car brakes when the background concentration was not included in the calculations. The background concentration was estimated to be less than 0.1 f/cm3. During brake maintenance of buses and trucks, heavy exposure, 0.3–125 (mean 56) f/cm3, was observed during machine grinding of new brake linings if local exhaust was not in use. Other short-term operations during which the concentration exceeded 1 f/cm3 were the cleaning of brakes with a brush, wet cloth or compressed air jet. During brake servicing of passenger cars, the concentration of asbestos exceeded 1 f/cm3 only during compressed air blowing without local exhaust. The different methods of decreasing the exposure and the risk of asbestos-related diseases among car mechanics are discussed.

Exposure to asbestos during brake maintenance of automotive vehicles by different methods.

Asbestos concentrations were measured during the different operations of brake maintenance of passenger cars, trucks and buses in 24 Finnish workplaces. The estimated average asbestos exposure during the workday (8-hr time-weighted average) was 0.1-0.2 fibers/cm3 during brake repair of trucks or buses, and under 0.05 f/cm3 during repair of passenger car brakes when the background concentration was not included in the calculations. The background concentration was estimated to be less than 0.1 f/cm3. During brake maintenance of buses and trucks, heavy exposure, 0.3-125 (mean 56) f/cm3, was observed during machine grinding of new brake linings if local exhaust was not in use. Other short-term operations during which the concentration exceeded 1 f/cm3 were the cleaning of brakes with a brush, wet cloth or compressed air jet. During brake servicing of passenger cars, the concentration of asbestos exceeded 1 f/cm3 only during compressed air blowing without local exhaust. The different methods of decreasing the exposure and the risk of asbestos-related diseases among car mechanics are discussed.

Mesothelioma in pet dogs associated with exposure of their owners to asbestos

Pet dogs with spontaneous mesothelioma were used to identify environmental exposures that might increase their owner's risk of asbestos-related disease. These animals share man's domicile environment, yet do not indulge in activities (e.g., smoking, working) which confound interpretation of epidemiologic studies. Eighteen histologically confirmed canine mesotheliomas were diagnosed at the Veterinary Hospital of the University of Pennsylvania, Philadelphia, from April 1977 to December 1981. Sixteen owners of cases and 32 owners of age, breed, and sex-matched controls were interviewed to determine their occupation and medical history and their dog's medical history, life style, diet, and exposure to asbestos. An asbestos-related occupation or hobby of a household member and use of flea repellents on the dog were significantly associated with mesothelioma. In addition, there was a trend indicating an increased risk of mesothelioma with an urban residence. Lung tissue from three dogs with mesothelioma and one dog with squamous cell carcinoma of the lung had higher levels of chrysotile asbestos fibers than lung tissue from control dogs. These findings indicate that well-designed epidemiological studies of spontaneous tumors in pet animals may provide insight into the role of environmental factors in human cancers and serve as a valuable sentinel model to identify environmental health hazards for humans.