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Research and risk of asbestos
Risk of Asbestos and Cancer
What is asbestos?
Asbestos is a group of minerals that appear naturally as a
fiber bundle. These fibers are found in soil and rocks in many parts of the
world. They are mostly made of silicon and oxygen, but they also contain other
elements. There are 2 main types of asbestos:
Chrysotile asbestos, also known as white asbestos, is the
most common type of asbestos in industrial applications. When viewed under a
microscope, chrysotile asbestos fibers wrap themselves in a spiral, which is
why this form of asbestos is also called serpentine or curly asbestos.
Amphibol asbestos fibers are straight and needle-like. There
are several types of amphibole fibers, including amosite (brown asbestos),
crocidolite (blue asbestos), tremolite, actinolite, and anthophyllite.
Both types of asbestos have been linked to cancer.
Asbestos fibers can be useful because they are strong,
resistant to heat and many chemicals, and do not conduct electricity. As a
result, asbestos has been used as an insulating material since ancient times.
Since the industrial revolution, asbestos has been used to isolate factories,
schools, homes and ships, and to make car brakes and clutch parts, roof
shingles, ceilings and floor tiles, cement, textiles, and hundreds of other
products.
During the first half of the 20th century, more evidence
showed that breathing in asbestos caused scarring in the lungs. Exposure to
asbestos dust in the workplace is not controlled at that time. Starting in
England in the 1930s, steps were taken to protect workers in the asbestos
industry by installing ventilation and disposal systems. However, in an effort
to make large ships during World War II, a large number of workers were exposed
to high levels of asbestos.
When asbestos-related cancers became known in the second
half of the 20th century, steps were taken to reduce exposure, including
setting exposure standards and laws that prohibit the use of asbestos in
construction materials. There has been a dramatic decline in importing and
using asbestos in the United States since the mid-1970s, and alternative
insulation materials have been developed. As a result, asbestos exposure has
dropped dramatically. However, it is still used in some products, and may still
be exposed to asbestos in old buildings, water pipes and other arrangements.
The use of asbestos has been banned in the European Union since 2005, although
the ban does not require the elimination of existing asbestos. Still, heavy use
of asbestos continues to occur in several countries.
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how are
people exposed to asbestos?
People can
be exposed to asbestos in various ways:
Inhaling
asbestos: Most of the exposure comes from breathing in asbestos fibers in the
air. This can occur during mining and processing of asbestos, when making
products containing asbestos, or when installing asbestos insulation. This can
also occur when old buildings are destroyed or renovated, or when old
asbestos-containing materials begin to break down. In this situation, asbestos
fibers tend to make dust made of small particles that can float in the air.
Swallowing
asbestos: Asbestos fibers can also be swallowed. This can occur when people
consume contaminated food or liquids (such as water flowing through asbestos
cement pipes). This can also occur when people cough asbestos they breathe, and
then swallow their saliva.
Many people
are exposed to very low levels of asbestos that occur naturally in the outside
air as a result of erosion of rocks containing asbestos. This risk is higher in
areas where rocks have a higher asbestos content. In some areas, asbestos can
be detected in water supplies and also in the air. It can enter the water
through several sources, such as rock or soil erosion, corrosion of asbestos
cement pipes, or damage to roofing materials containing asbestos which then
enter sewers after rain.
However,
people with the heaviest exposure are those who work in the asbestos industry,
such as shipbuilding and insulation. Many of these people remember working on a
thick cloud of asbestos dust, day after day.
Family
members of asbestos workers can also be exposed to high levels of asbestos
because fiber can be taken home to workers' clothes, and can then be inhaled by
other people in the household.
Asbestos
exposure is also a concern in old buildings. If building materials containing
asbestos (such as longer insulation and ceiling and floor tiles) begin to break
down over time, asbestos fibers can be found in the air in the room and can
pose a health threat. There are no health risks if asbestos is bound to
finished products that are intact, such as walls and tiles. As long as the
material is not damaged or disturbed (for example, by drilling or renovation),
the fiber is not released into the air. Maintenance workers who sweep and
dispose of asbestos dust or handle materials containing damaged asbestos are
often exposed to higher levels than others in these buildings. Removing
asbestos from other homes and buildings can also cause some exposure, although
modern asbestos reduction workers are trained to use appropriate protective
equipment to minimize exposure.
Although
asbestos use has declined in the United States, people can still be exposed to
asbestos in the workplace. In recent years, the US Occupational Health and
Safety Administration (OSHA) estimates that more than one million American
employees in the construction and general industries sectors face significant
asbestos exposure to the work.
Mining and
the use of asbestos also still endanger health in other parts of the world.
Mining in the Russian Federation, China, Kazakhstan, Brazil, Canada and
Zimbabwe accounts for almost all of the world's asbestos production. Much of
what is produced is used in the Russian Federation (and other countries in the
former Soviet Union) and Asia, and its use is increasing in some regions. In
2005, the World Health Organization estimated that around 125 million people
worldwide were exposed to asbestos in the workplace, although it was found to
be related to cancer and other lung diseases for more than 60 years.
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Does
asbestos cause cancer?
The
researchers used two main types of studies to try to find out whether a
substance causes cancer.
Study in
people: One type of study looks at cancer rates in different groups of people.
Such studies can compare cancer rates in a group exposed to a substance with
cancer rates in a group that is not exposed to it, or compare it to cancer
rates in the general population. But it is sometimes difficult to know what the
results of this study mean, because many other factors can influence the
results.
Laboratory
research: In studies conducted in the laboratory, animals are exposed to a
substance (often in very large doses) to see if it causes tumors or other
health problems. The researchers might also expose normal cells on laboratory
plates to substances to see if it causes the type of changes seen in cancer
cells. It is not always clear whether the results of this type of study will
apply to humans, but laboratory studies are a good way to find out whether a substance
might cause cancer.
In most
cases, these two types of studies do not provide their own evidence, so
researchers usually see human and laboratory-based studies when trying to find
out if something causes cancer.
Evidence
from human and laboratory animal studies shows that asbestos can increase the
risk of several types of cancer.
When
asbestos fibers in the air are inhaled, they can stick to mucus in the throat,
trachea (windpipe), or bronchi (large respiratory tract of the lungs) and may
be cleansed by coughing or swallowing. But some fibers reach the ends of small
airways in the lungs or penetrate into the outer layers of the lungs and chest
wall (known as the pleura). This fiber can irritate cells in the lungs or
pleura and eventually cause lung cancer or mesothelioma.
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