Asbestos removal

Are you being exposed to asbestos?

General industry employees may be exposed to asbestos during the manufacture of asbestos-containing products or when performing brake and clutch repairs. In the construction industry, exposure occurs when workers disturb asbestos-containing materials during the renovation or demolition of buildings. Employees in the maritime environment also may be

exposed when renovating or demolishing ships constructed with asbestos-containing materials. In addition, custodial workers may be exposed through contact with deteriorating asbestos-containing materials in buildings.

What are the dangers of asbestos exposure to workers?

The inhalation of asbestos fibers by workers can cause serious diseases of the lungs and other organs that may not appear until years after the exposure has occurred. For instance, asbestosis can cause a buildup of scar-like tissue in the lungs and result in loss of lung function that often progresses to disability and death. Asbestos fibers associated with these health risks are too small to be seen with the naked eye, and smokers are at higher risk of developing some asbestos-related diseases.

Stages of malignant mesothelioma - explanation

Once malignant mesothelioma is found, more tests will be done to find out if cancer cells have spread to other parts of the body. This is called staging. A doctor needs to know the stage of the cancer to plan treatment. The following stages are used for malignant mesothelioma.

• Localized malignant mesothelioma
  

Stage I

The cancer is found in the lining of the chest cavity near the lung and heart or in the diaphragm or the lung.

• Advanced malignant mesothelioma
  

Stage II

The cancer has spread beyond the lining of the chest to lymph nodes in the chest.

Stage III

Cancer has spread into the chest wall, center of the chest, heart, through the diaphragm, or abdominal lining, and in some cases into nearby lymph nodes.

Stage IV

Cancer has spread to distant organs or tissues.

Recurrent malignant mesothelioma

Recurrent disease means that the cancer has come back (recurred) after it has been treated. It may come back in the lining of the chest or abdomen or in another part of the body.

How malignant mesothelioma is treated?

There are treatments for all patients with malignant mesothelioma. Three kinds of treatment are used:

• Surgery (taking out the cancer).
• Radiation therapy (using high-dose x-rays or other high-energy rays to kill cancer cells).
• Chemotherapy (using drugs to fight the cancer).
• Drug : Alimta recently approved by FDA

Surgery is a common treatment of malignant mesothelioma. The doctor may remove part of the lining of the chest or abdomen and some of the tissue around it. Depending on how far the cancer has spread, a lung also may be removed in an operation called a pneumonectomy. Sometimes part of the diaphragm, the muscle below the lungs that helps with breathing, is also removed.

Radiation therapy uses high-energy x-rays to kill cancer cells and shrink tumors. Radiation may come from a machine outside the body (external radiation therapy) or from putting materials that produce radiation (radioisotopes) through thin plastic tubes in the area where the cancer cells are found (internal radiation therapy).

If fluid has collected in the chest or abdomen, the doctor may drain the fluid out of the body by putting a needle into the chest or abdomen and using gentle suction to remove the fluid. If fluid is removed from the chest, this is called thoracentesis. If fluid is removed from the abdomen, this is called paracentesis. The doctor may also put drugs through a tube into the chest to prevent more fluid from accumulating.

Chemotherapy uses drugs to kill cancer cells. Chemotherapy may be taken by pill, or it may be put into the body by a needle in the vein or muscle. Chemotherapy is called a systemic treatment because the drug enters the bloodstream, travels through the body, and can kill cancer cells throughout the body. In mesothelioma, chemotherapy may be put directly into the chest (intrapleural chemotherapy).

Intraoperative photodynamic therapy is a new type of treatment that uses special drugs and light to kill cancer cells during surgery. A drug that makes cancer cells more sensitive to light is injected into a vein several days before surgery. During surgery to remove as much of the cancer as possible, a special light is used to shine on the pleura. This treatment is being studied for early stages of mesothelioma in the chest.

Treatment by stage

Treatment depends on where the cancer is, how far it has spread, and the patients age and general health.

Standard treatment may be considered because of its effectiveness in patients in past studies, or participation in a clinical trial may be considered. Not all patients are cured with standard therapy and some standard treatments may have more side effects than are desired. For these reasons, clinical trials are designed to find better ways to treat cancer patients and are based on the most up-to-date information. Clinical trials are ongoing in many parts of the country for many patients with malignant mesothelioma.

Asbestosis?

Asbestosis is a chronic inflammatory medical condition affecting the parenchymal tissue of the lungs. It occurs after long-term, heavy exposure to asbestos, e.g. in mining, and is therefore regarded as an occupational lung disease. Sufferers have severe dyspnea (shortness of breath) and are at an increased risk regarding several different types of lung cancer.
As clear explanations are not always stressed in non-technical literature, care should be taken to distinguish between several forms of relevant diseases. According to the World Health Organisation (WHO), these may be defined as; asbestosis (the subject of this article), lung cancer, and mesothelioma (generally a very rare form of cancer, but increasing in frequency as people exposed to asbestos age).

The primary symptom of asbestosis is generally the slow onset of shortness of breath on exertion. In severe, advanced cases, this may lead to respiratory failure. Coughing is not usually a typical symptom, unless the patient has other, concomitant respiratory tract diseases.
People with extensive occupational exposure to the mining, manufacturing, handling or removal of asbestos are at risk of developing asbestosis. There is also an increased risk of lung cancer and mesothelioma. Asbestosis and lung cancer require prolonged exposure to asbestos. However, cases of mesothelioma have been documented with even 1-3 months of exposure, and only indirect exposure (through air ventilation system.) Most cases of asbestosis do not become apparent until 5-10 years after the initial exposure to the material.

Asbestos: Types

Six minerals are defined as "asbestos" including: chrysotile, amosite, crocidolite, tremolite, anthophyllite and actinolite.

White

Chrysotile, CAS No. 12001-29-5, is obtained from serpentine rocks which are common throughout the world. Chrysotile fibers are curly as opposed to fibers from amosite, crocidolite, tremolite, actinolite, and anthophyllite which are needlelike. Chrysotile, along with other types of asbestos, has been banned in dozens of countries and is only allowed in the United States and Europe in very limited circumstances. Chrysotile has been used more than any other type and accounts for about 95% of the asbestos found in buildings in America.Applications where chrysotile might be used include the use of joint compound. It is more flexible than amphibole types of asbestos; it can be spun and woven into fabric. The most common use is within corrugated asbestos cement roof sheets typically used for outbuildings, warehouses and garages. It is also found as flat sheets used for ceilings and sometimes for walls. Numerous other items have been made containing chrysotile including brake linings, cloth behind fuses (for fire protection), pipe insulation, in floor tiles and in rope seals to boilers.

Brown

Amosite, CAS No. 12172-73-5, is a trade name for the amphiboles belonging to the Cummingtonite - Grunerite solid solution series, commonly from Africa, named as an acronym from Asbestos Mines of South Africa. One formula given for amosite is Fe7Si8O22(OH)2. It is found most frequently as a fire retardant in thermal insulation products and ceiling tiles.

Blue

Crocidolite, CAS No. 12001-28-4 is an amphibole found primarily in southern Africa, but also in Australia. It is the fibrous form of the amphibole riebeckite. One formula given for crocidolite is Na2Fe2+3Fe3+2Si8O22(OH)2. Notes: chrysotile commonly occurs as soft friable fibers. Asbestiform amphibole may also occur as soft friable fibers but some varieties such as amosite are commonly straighter. All forms of asbestos are fibrillar in that they are composed of fibers with widths less than 1 micrometer that occur in bundles and have very long lengths. Asbestos with particularly fine fibers is also referred to as "amianthus". Amphiboles such as tremolite have a crystal structure containing strongly bonded ribbonlike silicate anion polymers that extend the length of the crystal. Serpentine (chrysotile) has a sheetlike silicate anion which is curved and which rolls up like a carpet to form the fiber.

Other materials

Other regulated asbestos minerals, such as tremolite asbestos, CAS No. 77536-68-6, Ca2Mg5Si8O22(OH)2; actinolite asbestos (or smaragdite), CAS No. 77536-66-4, Ca2(Mg, Fe)5(Si8O22)(OH)2; and anthophyllite asbestos, CAS No. 77536-67-5, (Mg, Fe)7Si8O22(OH)2; are less commonly used industrially but can still be found in a variety of construction materials and insulation materials and have been reported in the past to occur in a few consumer products.

Other natural and not currently regulated asbestiform minerals, such as richterite, Na(CaNa)(Mg, Fe++)5(Si8O22)(OH)2, and winchite, (CaNa)Mg4(Al, Fe3+)(Si8O22)(OH)2, may be found as a contaminant in products such as the vermiculite containing zonolite insulation manufactured by W.R. Grace and Company. These minerals are thought to be no less harmful than tremolite, amosite, or crocidolite, but since they are not regulated, they are referred to as "asbestiform" rather than asbestos although may still be related to diseases and hazardous.

Substitutes for asbestos in construction

Fiberglass insulation was invented in 1938 and is now the most commonly used type of insulation material. In Europe stone- and glasswool are the main insulators in houses.

Many companies that produced asbestos-cement products that were reinforced with asbestos fibres have developed products incorporating organic fibres. One such product was known as Eternit and another "Everite" now use "Nutec" fibres which consist of organic fibres, portland cement and silica. Cement-bonded wood fiber is another substitute. Stonefibres are used in gaskets and friction materials.

Another potential fiber is Polybenzimidazole or PBI fiber. Polybenzimidazole fiber is a synthetic fiber with high melting point of 760 °C that also does not ignite. Due to its exceptional thermal and chemical stability, it is often used by fire departments and space agencies.

Asbestos construction

Asbestos construction in developed countries

The use of asbestos in new construction projects has been banned for health and safety reasons in many developed countries, including the European Union, Australia, Japan, and New Zealand. A notable exception is the United States, where asbestos continues to be used in construction such as cement asbestos pipes.

Prior to the ban, asbestos was widely used in the construction industry. Many older buildings contain asbestos. In the United States, there is a minimum standard for asbestos surveys as described by ASTM Standard E 2356-04. The U.S. Environmental Protection Agency includes some but not all asbestos-contaminated facilities on the Superfund National Priorities list (NPL). Renovation and demolition of asbestos contaminated buildings is subject to EPA NESHAP and OSHA Regulations. Asbestos is not a material covered under CERCLA's innocent purchaser defense.

Asbestos construction in developing countries

Some developing countries, such as India and China, have continued widespread use of asbestos. The most common is corrugated asbestos-cement sheets or "A/C Sheets" for roofing and for side walls. Millions of homes, factories, schools or sheds and shelters continue to use asbestos. Cutting these sheets to size and drilling holes to receive 'J' bolts to help secure the sheets to roof framing is done on site. There has been no significant change in production and use of A/C Sheets in developing countries following the widespread restrictions in developed nations.

Asbestos: Health iusses

Chrysotile asbestos, like all other forms of industrial asbestos, has produced tumors in animals. Mesotheliomas have been observed in people who were occupationally exposed to chrysotile, family members of the occupationally exposed, and residents who lived close to asbestos factories and mines.Brown asbestos, like all asbestos, is hazardous. Blue asbestos is commonly thought of as the most dangerous type of asbestos. Tremolite often contaminates chrysotile asbestos, thus creating an additional hazard.

Asbestos exposure becomes a health concern when high concentrations of asbestos fibers are inhaled over a long time period.People who become ill from asbestos are almost always those who are exposed on a day-to-day basis in a job where they work directly with the material. As a person's exposure to fibers increases, either by breathing more fibers or by breathing fibers for a longer time, that person's risk of disease also increases. Disease is very unlikely to result from a single, high-level exposure, or from a short period of exposure to lower levels.

Other asbestos-related diseases

Asbestos warts – caused when the sharp fibers lodge in the skin and are overgrown causing benign callus-like growths.

Pleural plaques – discrete fibrous or partially calcified thickened area which can be seen on X-rays of individuals exposed to asbestos. They do not become malignant or cause other lung impairment.

Diffuse pleural thickening – similar to above and can sometimes be associated with asbestosis. Usually no symptoms shown but if extensive can cause lung impairment.

Mesothelioma cancer?

Mesothelioma is a form of cancer that is almost always caused by previous exposure to asbestos!!!

Mesothelioma is one of the deadliest diseases known to man; the average life span of an inflicted person from the time of diagnosis until death is less than 24 months. It’s a disease that strikes approximately 3,000 United States citizens each and every year; hard working people who have labored for a lifetime to provide for their families, doing the work that keeps this country running and a great place to live. They worked in factories, at shipyards, in mines, for the US military, as engineers, as pipefitters, as steel workers, as auto mechanics, and in so many other professions. They came home to their loved ones exhausted and covered in dirt and dust; tired, but content that they had a job and were providing for their family. Content that they were putting food on the table and a house over their loved one’s heads. Content that they were working to make a better life for their families in this generation and the next...

But what they didn’t know was that while they were working so hard, they were not only slowly killing themselves, but those that they were working so hard to help; their family, their loved ones.

Mesothelioma is a disease that is almost 100% preventable; the only known cause is via exposure to the deadly mineral Asbestos. It comes from inhaling the particles of dust as the asbestosdegrades; eating away at the lining of your lungs and developing into a deadly cancer. Dust that was inhaled in clouds of white powder, dust that was carried home on the clothes of the men who built this country, dust that was cleaned from the clothes by the wives and children who supported their sole provider at home, dust that was packed around the heating systems in houses and offices and schools, dust that carried a deadly price; and dust made a fortune in blood money for the companies that produced it.

Unfortunately, the effects of asbestos on the human body were known to be deadly for years by the companies who employed the ‘greatest generation’ and made hundreds of millions, if not billions, of dollars off of their backs. But instead of taking simple steps to alleviate the problem and save the lives of thousands of their workers, they choose to do nothing and continue to make a “healthy” profit with a “deadly” product. Many even went so far as to hide the truth from their workers and their families. And because the normal latency period for Mesothelioma (The time from exposure until the patient falls ill) is 20 to 30 years, many got away with this for years. We are only now beginning to see the full effects of the disease, and feel the terrible outcry of the people against those who put profits before human lives to a degree that is simply unfathomable.

Symptoms of Mesothelioma

• Difficulty breathing & shortness of breath
  
• Constant cough
  
• Chest, or abdominal pains
  
• Fluid in lungs, chest, or abdomen
  
• Lack of appetite
  
• Abnormal weight loss
  
• Sleeplessness
  
• Hoarse voice
  
• Problem swallowing
  

Asbestos : historic usage

Asbestos was named by the ancient Greeks who also recognized certain hazards of the material.The Greek geographer Strabo and the Roman naturalist Pliny the Elder noted that the material damaged lungs of slaves who wove it into cloth. Charlemagne, the first Holy Roman Emperor, is said to have had a tablecloth made of asbestos.

Wealthy Persians, who bought asbestos imported over the Hindu Kush, amazed guests by cleaning the cloth by simply exposing it to fire. According to Biruni in his book of Gems, any cloths made of asbestos (Persian: آذرشست, āzarshast or Persian: آذرشب, āzarshab) were called (Persian: شستكه) shastakeh. Some of the Persians believed the fiber was fur from an animal (named samandar, Persian: سمندر) that lived in fire and died when exposed to water.

Some archeologists believe that ancients made shrouds of asbestos, where in they burned the bodies of their kings, in order to preserve only their ashes, and prevent their being mixed with those of wood or other combustible materials commonly used in funeral pyres.

Others assert that the ancients used asbestos to make perpetual wicks for sepulchral or other lamps. In more recent centuries, asbestos was indeed used for this purpose. Although asbestos causes skin to itch upon contact, ancient literature indicates that it was prescribed for diseases of the skin, and particularly for the itch. It is possible that they used the term asbestos for alumen plumosum, because the two terms have often been confused throughout history.

Asbestos became more widespread during the industrial revolution; in the 1860s it was used as insulation in the U.S. and Canada. Development of the first commercial asbestos mine began in 1879 in the Appalachian foothills of Quebec. By the mid 20th century uses included fire retardant coatings, concrete, bricks, pipes and fireplace cement, heat, fire, and acid resistant gaskets, pipe insulation, ceiling insulation, fireproof drywall, flooring, roofing, lawn furniture, and drywall joint compound.

Approximately 100,000 people in the United States have died, or will die, from asbestos exposure related to ship building. In the Hampton Roads area, a shipbuilding center, mesothelioma occurrence is seven times the national rate.Thousands of metric tons of asbestos were used in World War II ships to wrap the pipes, line the boilers, and cover engine and turbine parts. There were approximately 4.3 million shipyard workers in the United States during WWII; for every thousand workers about fourteen died of mesothelioma and an unknown number died from asbestosis.

Asbestos fibers were once used in automobile brake pads and shoes. Since the mid-1990s, a majority of brake pads, new or replacement, have been manufactured instead with linings made of ceramic, carbon, metallic and Aramid fiber (Twaron or Kevlar—the same material used in bulletproof vests).

Kent, the first filtered cigarette on the market, used crocidolite asbestos in its "Micronite" filter from 1952 to 1956.

The first documented death related to asbestos was in 1906.In the early 1900s researchers began to notice a large number of early deaths and lung problems in asbestos mining towns. The first diagnosis of asbestosis was made in England in 1924. By the 1930s, England regulated ventilation and made asbestosis an excusable work related disease, about ten years sooner than the U.S.The term Mesothelioma was not used in medical literature until 1931, and was not associated with asbestos until sometime in the 1940s.

The United States government and asbestos industry have been criticized for not acting quickly enough to inform the public of dangers, and to reduce public exposure. In the late 1970s court documents proved that asbestos industry officials knew of asbestos dangers and tried to conceal them.

In Japan, particularly after World War II, asbestos was used in the manufacture of ammonium sulfate for purposes of rice production, sprayed upon the ceilings, iron skeletons, and walls of railroad cars and buildings (during the 1960s), and used for energy efficiency reasons as well. Production of asbestos in Japan peaked in 1974 and went through ups and downs until about 1990, when production began to drop severely.