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Sample records for inhaled asbestos exacerbates

  1. Intrapulmonary distribution of inhaled chrysotile and crocidolite asbestos: ultrastructural features.

    PubMed Central

    Oghiso, Y.; Kagan, E.; Brody, A. R.

    1984-01-01

    Although all commercial types of asbestos can cause pulmonary fibrosis, little is known about ultrastructural differences in the evolution of pulmonary lesions induced by amphiboles and serpentines. The present study was designed to compare the histological and ultrastructural effects produced by chronic inhalation of either crocidolite (amphibole) or chrysotile (serpentine) asbestos in the rat. Animals, exposed by intermittent inhalation for 3 months, were killed after 2 to 16 months. When inhaled, both types of asbestos caused thickened alveolar duct bifurcations associated with macrophage aggregates. Crocidolite inhalation also produced subpleural collections of alveolar macrophages and lymphocytes. Electron microscopy revealed some similarities, but also distinct differences, in the pulmonary distribution of inhaled chrysotile and crocidolite. Whereas both asbestos varieties were identified within the pulmonary interstitium, only crocidolite was detected inside alveolar macrophages. Chrysotile fibres were seen infrequently within the vascular compartment. Microcalcifications were noted after chrysotile inhalation, but were never observed following crocidolite exposure. Both asbestos types induced slight pulmonary fibrosis. These findings indicate that crocidolite and chrysotile produce different pathogenetic features, although both are fibrogenic. Images Fig. 4 Fig. 7 Fig. 8 Fig. 5 Fig. 1 Fig. 2 Fig. 3 Fig. 6 Fig. 9 Fig. 10 Fig. 11 Fig. 12 PMID:6087872

  2. Withdrawal of inhaled glucocorticoids and exacerbations of COPD.

    PubMed

    Magnussen, Helgo; Disse, Bernd; Rodriguez-Roisin, Roberto; Kirsten, Anne; Watz, Henrik; Tetzlaff, Kay; Towse, Lesley; Finnigan, Helen; Dahl, Ronald; Decramer, Marc; Chanez, Pascal; Wouters, Emiel F M; Calverley, Peter M A

    2014-10-02

    Treatment with inhaled glucocorticoids in combination with long-acting bronchodilators is recommended in patients with frequent exacerbations of severe chronic obstructive pulmonary disease (COPD). However, the benefit of inhaled glucocorticoids in addition to two long-acting bronchodilators has not been fully explored. In this 12-month, double-blind, parallel-group study, 2485 patients with a history of exacerbation of COPD received triple therapy consisting of tiotropium (at a dose of 18 μg once daily), salmeterol (50 μg twice daily), and the inhaled glucocorticoid fluticasone propionate (500 μg twice daily) during a 6-week run-in period. Patients were then randomly assigned to continued triple therapy or withdrawal of fluticasone in three steps over a 12-week period. The primary end point was the time to the first moderate or severe COPD exacerbation. Spirometric findings, health status, and dyspnea were also monitored. As compared with continued glucocorticoid use, glucocorticoid withdrawal met the prespecified noninferiority criterion of 1.20 for the upper limit of the 95% confidence interval (CI) with respect to the first moderate or severe COPD exacerbation (hazard ratio, 1.06; 95% CI, 0.94 to 1.19). At week 18, when glucocorticoid withdrawal was complete, the adjusted mean reduction from baseline in the trough forced expiratory volume in 1 second was 38 ml greater in the glucocorticoid-withdrawal group than in the glucocorticoid-continuation group (P<0.001); a similar between-group difference (43 ml) was seen at week 52 (P=0.001). No change in dyspnea and minor changes in health status occurred in the glucocorticoid-withdrawal group. In patients with severe COPD receiving tiotropium plus salmeterol, the risk of moderate or severe exacerbations was similar among those who discontinued inhaled glucocorticoids and those who continued glucocorticoid therapy. However, there was a greater decrease in lung function during the final step of glucocorticoid

  3. Characterization of inhaled asbestos fibers in the lung of baboons

    SciTech Connect

    Murai, Y.; Hiroshima, K.; Suzuki, Y.; Goldstein, B.; Webster, I. National Center for Occupational Health, Johannesburg )

    1991-03-15

    The histopathological changes of the lungs of 7 baboons after exposure to asbestos fibers were studied, and the size distribution of the fibers was determined by electron microscopy using 25 {mu} paraffin sections and low temperature-ashing method. The size distribution of the fibers in four locations in the lung, peribronchiolar area, alveolar area, subpleural area, and interlobular connective tissue was studied. Both amosite and chrysotile induced pulmonary asbestosis and pleural thickening. Asbestosis occurred more severely in amosite-exposed animals than in chrysotile-exposed ones, and one pleural mesothelioma was found 49 months after exposure to amosite and after another 59 months of recovery in non-dusting conditions. The length, width and aspect ratios of the UICC standard sample fibers used had geometric means (G.M.) of 3.3 {mu} 0.28 {mu}, 11.8 for amosite and 1.1 {mu}, 0.12{mu}, 9.8 for chrysotile. As a whole, intrapulmonary amosite fibers were shorter than the UICC standard samples in the four baboons dusted. After 48 months exposure with or without recovery, amosite fibers found in the lungs were thinner when compared to the standard samples. For chrysotile, the length of fibers after 13 months and 26 months exposure was longer than those of standard samples of 8.5 months exposure. After inhalation, the width of the chrysotile fibers were thinner than the standard sample fibers. The size distribution of amosite fibers found in the lung and in the mesotheliomatous tissue was not significantly different.

  4. Brief inhalation of asbestos compromises superoxide production in cells from bronchoalveolar lavage.

    PubMed

    Petruska, J M; Marsh, J; Bergeron, M; Mossman, B T

    1990-02-01

    Production of superoxide (O-.2) was measured in alveolar macrophages (AM) exposed to asbestos in vitro and in cells obtained from bronchoalveolar lavage (BAL) of rats inhaling asbestos. Steady state levels of O-.2 released by AM in vitro were dose and time dependent in response to crocidolite, chrysotile, and opsonized zymosan, a particulate used to trigger O-.2 generation. In contrast, an inhalation exposure for 1 h to crocidolite or for 6 days to either crocidolite or chrysotile asbestos resulted in a decreased production of O-.2 by BAL cells. Likewise, BAL cells from rats inhaling chrysotile for 1 h or crocidolite for 9 days exhibited a diminished capacity to secrete O-.2 when challenged with the particulate opsonized zymosan. Diminished generation of O-.2 by asbestos occurred in BAL cell populations containing either significantly increased numbers of polymorphonuclear leukocytes and lymphocytes (6- and 9-day exposures) or 99% AM (1-h exposure). Thus, these novel observations suggest that short-term inhalation of asbestos compromises the ability of BAL cells to produce O-.2 in the presence or absence of an additional phagocytic stimulus.

  5. Asbestos

    MedlinePlus

    ... ceiling and floor tiles, paper products, and asbestos cement products), friction products (automobile clutch, brake, and transmission ... asbestos from natural sources or from asbestos-containing cement pipes. top How can asbestos affect my health? ...

  6. Deposition of Crocidolite asbestos and glass microfibers inhaled by the beagle dog

    SciTech Connect

    Griffis, L.C.; Pickrell, J.A.; Carpenter, R.L.; Wolff, R.K.; McAllen, S.J.; Yerkes, K.L.

    1983-01-01

    The respiratory tract deposition of neutron activated Crocidolite asbestos and glass microfibers was determined in two groups of four Beagle dogs. The dogs were given 60-minute, nose-only inhalation exposures to an aerosol of either asbestos or glass fibers. The radioactivity in tissues and excreta four days after exposure was used to determine the fraction of inhaled fibers deposited in the upper respiratory tract and the deep lung. The activity median aerodynamic diameter (AMAD), count median diameter (CMD) and count median length (CML) were determined from fibers sampled during exposure. Crocidolite asbestos fibers had an AMAD of 1.8 ..mu..m, a CMD of 0.25 ..mu..m and a CML < 5 ..mu..m. The fraction of inhaled mass deposited in deep lung was 13-19%, while total deposition in the respiratory tract was 54-72%. Glass microfibers had an AMAD of 2.5 ..mu..m, a CMD of 0.15 ..mu..m and a CML of 5.4 ..mu... Five to 17% of the mass of glass fiber was deposited in the deep lung; total respiratory tract deposition was 45-64%. The deposition patterns were similar for these small asbestos and glass fibers inhaled by dogs and in good agreement with previous predictions made for man. 24 references, 4 figures, 5 tables.

  7. Exposure versus internal dose: Respiratory tract deposition modeling of inhaled asbestos fibers in rats and humans (Presentation Poster)

    EPA Science Inventory

    Exposure to asbestos is associated with respiratory diseases, including asbestosis, lung cancer and mesothelioma. Internal fiber dose depends on fiber inhalability and orientation, fiber density, length and width, and various deposition mechanisms (DM). Species-specific param...

  8. Exposure versus internal dose: Respiratory tract deposition modeling of inhaled asbestos fibers in rats and humans (Presentation Poster)

    EPA Science Inventory

    Exposure to asbestos is associated with respiratory diseases, including asbestosis, lung cancer and mesothelioma. Internal fiber dose depends on fiber inhalability and orientation, fiber density, length and width, and various deposition mechanisms (DM). Species-specific param...

  9. Effects of inhaled asbestos, asbestos plus cigarette smoke, asbestos-cement and talc baby powder in hamsters.

    PubMed

    Wehner, A P

    1980-01-01

    Chronic exposure of hamsters to chrysotile asbestos resulted in severe asbestosis in all animals and in increased mortality; concomitant exposure to cigarette smoke did not affect type or severity of asbestotic lesions. Chronic exposure to asbestos-cement dust increased the number of macrophages and ferruginous bodies. Exposure to talc baby powder caused no significant changes. Deposition of talc particles in the lungs was demonstrated by X-ray fluorescence and X-ray diffraction and by a study with neutron-activated talc. No malignant tumours were observed in any of these studies.

  10. Pulmonary Endpoints (Lung Carcinomas and Asbestosis) Following Inhalation Exposure to Asbestos

    PubMed Central

    Mossman, Brooke T.; Lippmann, Morton; Hesterberg, Thomas W.; Kelsey, Karl T.; Barchowsky, Aaron; Bonner, James C.

    2011-01-01

    Lung carcinomas and pulmonary fibrosis (asbestosis) occur in asbestos workers. Understanding the pathogenesis of these diseases is complicated because of potential confounding factors, such as smoking, which is not a risk factor in mesothelioma. The modes of action (MOA) of various types of asbestos in the development of lung cancers, asbestosis, and mesotheliomas appear to be different. Moreover, asbestos fibers may act differentially at various stages of these diseases, and have different potencies as compared to other naturally occurring and synthetic fibers. This literature review describes patterns of deposition and retention of various types of asbestos and other fibers after inhalation, methods of translocation within the lung, and dissolution of various fiber types in lung compartments and cells in vitro. Comprehensive dose-response studies at fiber concentrations inhaled by humans as well as bivariate size distributions (lengths and widths), types, and sources of fibers are rarely defined in published studies and are needed. Species-specific responses may occur. Mechanistic studies have some of these limitations, but have suggested that changes in gene expression (either fiber-catalyzed directly or by cell elaboration of oxidants), epigenetic changes, and receptor-mediated or other intracellular signaling cascades may play roles in various stages of the development of lung cancers or asbestosis. PMID:21534086

  11. Interstitial accumulation of inhaled chrysotile asbestos fibers and consequent formation of microcalcifications.

    PubMed Central

    Brody, A. R.; Hill, L. H.

    1982-01-01

    Previous studies have shown that inhaled chrysotile asbestos impacts initially at the bifurcations of alveolar ducts in the lungs of rats. Asbestos fibers are transported through alveolar epithelial cells at these bifurcation regions to the interstitium during the 24-hour period after a 1-hour exposure. To further these studies, white rats were exposed to an aerosol of chrysotile asbestos for 1 hour. Animals were sacrificed, and the lungs were fixed by vascular perfusion immediately after and 1 month after exposure. Blocks of tissue were prepared for light and electron microscopy. We report here, at 1 month after exposure, that numerous asbestos fibers had accumulated within the lung interstitium at alveolar duct bifurcations. Many of these interstitial fibers were found in te center of intracellular microcalcifications. The presence of calcifications was proven by X-ray energy spectrometric analysis of the inclusions in situ. Clear X-ray peaks for calcium and phosphorus were demonstrated. The authors propose that 1 month after a 1-hour exposure to chrysotile asbestos, fiber-induced membrane injury in cells of the lung interstitium leads to formation of microcalcifications. This may represent the presence of early cell injury in the initial pathogenetic sequence of asbestosis. Images Figure 3 Figure 4 Figure 5 Figure 1 Figure 2 Figure 6 Figure 7 PMID:7124904

  12. Asbestos.

    ERIC Educational Resources Information Center

    Smither, W. J.

    1978-01-01

    Explains the structure and properties of asbestos, its importance in industry, and its world-wide use and production. Discusses asbestos-related diseases and suggests ways of preventing them, adding that current research is trying to make working with asbestos safer. (GA)

  13. Asbestos.

    ERIC Educational Resources Information Center

    Smither, W. J.

    1978-01-01

    Explains the structure and properties of asbestos, its importance in industry, and its world-wide use and production. Discusses asbestos-related diseases and suggests ways of preventing them, adding that current research is trying to make working with asbestos safer. (GA)

  14. Asbestos

    USGS Publications Warehouse

    Virta, Robert

    2011-01-01

    The term asbestos is a generic designation referring usually to six types of naturally occurring mineral fibers that are or have been commercially exploited. These fibers belong to two mineral groups: serpentines and amphiboles. The serpentine group is represented by a single asbestiform variety-chrysotile. There also are five commercial asbestiform varieties of amphiboles-anthophyllite asbestos, cummingtonite-grunerite asbestos (amosite), riebeckite asbestos (crocidolite), tremolite asbestos, and actinolite asbestos. Amosite and crocidolite are no longer mined. Nearly all of the asbestos mined after the mid-1990s was chrysotile. Only very small amounts of actinolite, anthophyllite, and tremolite asbestos may be mined in a few countries. Asbestos was mined in Argentina, Brazil, Canada, China, India, Kazakhstan, and Russia in 2010; world production was estimated to be 1.97 × 106 tons. Properties that made asbestos valuable for industrial applications were their thermal, electrical, and sound insulation properties; inflammability; matrix reinforcement (cement, plastic, and resins); adsorption capacity (filtration, liquid sterilization); wear and friction properties (friction materials such as brakes and clutches); and chemical inertia (except in acids). These properties led to the use of asbestos in about 3,000 products by the 1960s. Since about 1995, asbestos-cement products, including pipe and sheets, accounted for more than 95% of global asbestos consumption as other uses of asbestos have declined. Global consumption of asbestos was estimated to have been about 1.98 × 106 tons in 2009. The leading consuming countries in 2009 were Brazil, China, India, Russia, and Thailand, each with more than 100,000 tons of consumption.

  15. Asbestos inhalation induces reactive nitrogen species and nitrotyrosine formation in the lungs and pleura of the rat.

    PubMed Central

    Tanaka, S; Choe, N; Hemenway, D R; Zhu, S; Matalon, S; Kagan, E

    1998-01-01

    To determine whether asbestos inhalation induces the formation of reactive nitrogen species, three groups of rats were exposed intermittently over 2 wk to either filtered room air (sham-exposed) or to chrysotile or crocidolite asbestos fibers. The rats were killed at 1 or 6 wk after exposure. At 1 wk, significantly greater numbers of alveolar and pleural macrophages from asbestos-exposed rats than from sham-exposed rats demonstrated inducible nitric oxide synthase protein immunoreactivity. Alveolar macrophages from asbestos-exposed rats also generated significantly greater nitrite formation than did macrophages from sham-exposed rats. Strong immunoreactivity for nitrotyrosine, a marker of peroxynitrite formation, was evident in lungs from chrysotile- and crocidolite-exposed rats at 1 and 6 wk. Staining was most evident at alveolar duct bifurcations and within bronchiolar epithelium, alveolar macrophages, and the visceral and parietal pleural mesothelium. Lungs from sham-exposed rats demonstrated minimal immunoreactivity for nitrotyrosine. Significantly greater quantities of nitrotyrosine were detected by ELISA in lung extracts from asbestos-exposed rats than from sham-exposed rats. These findings suggest that asbestos inhalation can induce inducible nitric oxide synthase activation and peroxynitrite formation in vivo, and provide evidence of a possible alternative mechanism of asbestos-induced injury to that thought to be induced by Fenton reactions. PMID:9664087

  16. Osteopontin Modulates Inflammation, Mucin Production, and Gene Expression Signatures After Inhalation of Asbestos in a Murine Model of Fibrosis

    PubMed Central

    Sabo-Attwood, Tara; Ramos-Nino, Maria E.; Eugenia-Ariza, Maria; MacPherson, Maximilian B.; Butnor, Kelly J.; Vacek, Pamela C.; McGee, Sean P.; Clark, Jessica C.; Steele, Chad; Mossman, Brooke T.

    2011-01-01

    Inflammation and lung remodeling are hallmarks of asbestos-induced fibrosis, but the molecular mechanisms that control these events are unclear. Using laser capture microdissection (LCM) of distal bronchioles in a murine asbestos inhalation model, we show that osteopontin (OPN) is up-regulated by bronchiolar epithelial cells after chrysotile asbestos exposures. In contrast to OPN wild-type mice (OPN+/+) inhaling asbestos, OPN null mice (OPN−/−) exposed to asbestos showed less eosinophilia in bronchoalveolar lavage fluids, diminished lung inflammation, and decreased mucin production. Bronchoalveolar lavage fluid concentrations of inflammatory cytokines (IL-1β, IL-4, IL-6, IL-12 subunit p40, MIP1α, MIP1β, and eotaxin) also were significantly less in asbestos-exposed OPN−/− mice. Microarrays performed on lung tissues from asbestos-exposed OPN+/+ and OPN−/− mice showed that OPN modulated the expression of a number of genes (Col1a2, Timp1, Tnc, Eln, and Col3a1) linked to fibrosis via initiation and cross talk between IL-1β and epidermal growth factor receptor-related signaling pathways. Novel targets of OPN identified include genes involved in cell signaling, immune system/defense, extracellular matrix remodeling, and cell cycle regulation. Although it is unclear whether the present findings are specific to chrysotile asbestos or would be observed after inhalation of other fibers in general, these results highlight new potential mechanisms and therapeutic targets for asbestosis and other diseases (asthma, smoking-related interstitial lung diseases) linked to OPN overexpression. PMID:21514415

  17. Inhalation of chrysotile asbestos induces rapid cellular proliferation in small pulmonary vessels of mice and rats

    SciTech Connect

    McGavran, P.D.; Moore, L.B.; Brody, A.R. )

    1990-03-01

    Asbestos inhalation in mice and rats causes a rapid proliferative response in epithelial and interstitial cells, followed by the development of an interstitial lesion at the first alveolar duct bifurcations where fiber deposition and alveolar macrophage accumulation occur. Here we report that endothelial and smooth muscle cells of arterioles and venules near the bifurcations incorporated significantly increased levels of 3H-TdR 19 to 72 hours after chrysotile exposure. As many as 28% of the vessels had labeled cells 31 hours after exposure. No labeled cells were observed in vessels from sham-exposed or iron-exposed controls. This proliferative response resulted in a doubling of both the number of smooth muscle cells and the thickness of the smooth muscle cell layer, determined by ultrastructural morphometry 1 month after exposure. The fact that a variety of cell types incorporates 3H-TdR so rapidly after asbestos inhalation leads us to speculate that the response involves the release of diffusible growth factors.

  18. Asbestos

    USGS Publications Warehouse

    Virta, R.L.

    1998-01-01

    Part of a special section on the state of industrial minerals in 1997. The state of the asbestos industry in 1997 is discussed. World production of asbestos in 1997 was estimated to be 2.07 Mt. Consumption in the U.S. fell 3 percent to 21 kt, and it is expected to continue to decline at a rate of 2–4 percent per year.

  19. Inhaled nitric oxide exacerbated phorbol-induced acute lung injury in rats.

    PubMed

    Lin, Hen I; Chu, Shi Jye; Hsu, Kang; Wang, David

    2004-01-01

    In this study, we determined the effect of inhaled nitric oxide (NO) on the acute lung injury induced by phorbol myristate acetate (PMA) in isolated rat lung. Typical acute lung injury was induced successfully by PMA during 60 min of observation. PMA (2 microg/kg) elicited a significant increase in microvascular permeability, (measured using the capillary filtration coefficient Kfc), lung weight gain, lung weight/body weight ratio, pulmonary arterial pressure (PAP) and protein concentration of the bronchoalveolar lavage fluid. Pretreatment with inhaled NO (30 ppm) significantly exacerbated acute lung injury. All of the parameters reflective of lung injury increased significantly except PAP (P<0.05). Coadministration of Nomega-nitro-L-arginine methyl ester (L-NAME) (5 mM) attenuated the detrimental effect of inhaled NO in PMA-induced lung injury, except for PAP. In addition, L-NAME (5 mM) significantly attenuated PMA-induced acute lung injury except for PAP. These experimental data suggest that inhaled NO significantly exacerbated acute lung injury induced by PMA in rats. L-NAME attenuated the detrimental effect of inhaled NO.

  20. Asbestos

    Integrated Risk Information System (IRIS)

    Asbestos ; CASRN 1332 - 21 - 4 Human health assessment information on a chemical substance is included in the IRIS database only after a comprehensive review of toxicity data , as outlined in the IRIS assessment development process . Sections I ( Health Hazard Assessments for Noncarcinogenic Effects

  1. Chronic inhalation study of fiber glass and amosite asbestos in hamsters: twelve-month preliminary results.

    PubMed Central

    Hesterberg, T W; Axten, C; McConnell, E E; Oberdörster, G; Everitt, J; Miiller, W C; Chevalier, J; Chase, G R; Thevenaz, P

    1997-01-01

    The effects of chronic inhalation of glass fibers and amosite asbestos are currently under study in hamsters. The study includes 18 months of inhalation exposure followed by lifetime recovery. Syrian golden hamsters are exposed, nose only, for 6 hr/day, 5 day/week to size-selected test fibers: MMVF10a (Schuller 901 insulation glass); MMVF33 (Schuller 475 durable glass); amosite asbestos (three doses); or to filtered air (controls). Here we report interim results on airborne fiber characterization, lung fiber burden, and pathology (preliminary) through 12 months. Aerosolized test fibers averaged 15 to 20 microns in length and 0.5 to 1 micron in diameter. Target aerosol concentrations of World Health Organization (WHO) fibers (longer than 5 microns) were 250 fibers/cc for MMVF10a and MMVF33, and 25, 125, or 250 fibers/cc for amosite. WHO fiber lung burdens showed time-dependent and (for amosite) dose-dependent increases. After a 12-month exposure, lung burdens of fibers longer than 20 microns were greatest with amosite high and mid doses, similar for low-dose amosite and MMVF33, and smaller for MMVF10a. Biological responses of animals exposed for 12 months to MMVF10a were limited to nonspecific pulmonary inflammation. However, exposures to MMVF33 and each of three doses of amosite were associated with lung fibrosis and possible mesotheliomas (1 with MMVF33 and 2, 3, and 1 with amosite low, mid, and high doses, respectively). Pulmonary and pleural changes associated with amosite were qualitatively and quantitatively more severe than those associated with MMVF33. As of the 12-month time point, this study demonstrates that two different fiber glass compositions with similar fiber dimensions but different durabilities can have distinctly different effects on the hamster lung and pleura after inhalation exposure. (Preliminary tumor data through 18 months of exposure and 6 weeks of postexposure recovery became available as this manuscript went to press: No tumors were

  2. Inhalation and injection studies in rats using dust samples from chrysotile asbestos prepared by a wet dispersion process.

    PubMed Central

    Davis, J. M.; Addison, J.; Bolton, R. E.; Donaldson, K.; Jones, A. D.

    1986-01-01

    Long term inhalation studies and intraperitoneal injection studies in rats were undertaken with a series of chrysotile asbestos dusts. Three dust samples were generated from chrysotile modified by the wet dispersion process (WDC) and one was from unmodified chrysotile. Following a 1 year inhalation period, all the chrysotile samples proved extremely fibrogenic and carcinogenic and there were no significant differences between the WDC dusts and normal chrysotile. In all experimental groups approximately 25% of animals developed pulmonary carcinomas and in the oldest rats advanced interstitial fibrosis occupied on average 10% of all lung tissue. In the injection studies all the dust samples produced mesotheliomas in over 90% of animals. Very little chrysotile remained in the lungs of the animals that survived longest following dust inhalation and what there was was present as individual chrysotile fibrils. It is suggested that chrysotile is potentially the most harmful variety of asbestos as shown in these and other animal studies but that it is removed from lung tissue quite rapidly. In the long lived human species this may mean that except where exposure levels are very high and of long duration, chrysotile should be less hazardous than other asbestos types. Images Fig. 7 Fig. 8 Fig. 4 Fig. 5 Fig. 6 PMID:3004552

  3. Distinct Metabolic Profile of Inhaled Budesonide and Salbutamol in Asthmatic Children during Acute Exacerbation.

    PubMed

    Quan-Jun, Yang; Jian-Ping, Zhang; Jian-Hua, Zhang; Yong-Long, Han; Bo, Xin; Jing-Xian, Zhang; Bona, Dai; Yuan, Zhang; Cheng, Guo

    2017-03-01

    Inhaled budesonide and salbutamol represent the most important and frequently used drugs in asthmatic children during acute exacerbation. However, there is still no consensus about their resulting metabolic derangements; thus, this study was conducted to determine the distinct metabolic profiles of these two drugs. A total of 69 children with asthma during acute exacerbation were included, and their serum and urine were investigated using high-resolution nuclear magnetic resonance (NMR). A metabolomics analysis was performed using a principal component analysis and orthogonal signal correction-partial least squares using SIMCA-P. The different metabolites were identified, and the distinct metabolic profiles were analysed using MetPA. A high-resolution NMR-based serum and urine metabolomics approach was established to study the overall metabolic changes after inhaled budesonide and salbutamol in asthmatic children during acute exacerbation. The perturbed metabolites included 22 different metabolites in the serum and 21 metabolites in the urine. Based on an integrated analysis, the changed metabolites included the following: increased 4-hydroxybutyrate, lactate, cis-aconitate, 5-hydroxyindoleacetate, taurine, trans-4-hydroxy-l-proline, tiglylglycine, 3-hydroxybutyrate, 3-methylhistidine, glucose, cis-aconitate, 2-deoxyinosine and 2-aminoadipate; and decreased alanine, glycerol, arginine, glycylproline, 2-hydroxy-3-methylvalerate, creatine, citrulline, glutamate, asparagine, 2-hydroxyvalerate, citrate, homoserine, histamine, sn-glycero-3-phosphocholine, sarcosine, ornithine, creatinine, glycine, isoleucine and trimethylamine N-oxide. The MetPA analysis revealed seven involved metabolic pathways: arginine and proline metabolism; taurine and hypotaurine metabolism; glycine, serine and threonine metabolism; glyoxylate and dicarboxylate metabolism; methane metabolism; citrate cycle; and pyruvate metabolism. The perturbed metabolic profiles suggest potential metabolic

  4. Efficacy of metered-dose inhalers for children with acute asthma exacerbations.

    PubMed

    Goh, Anne Eng Neo; Tang, Jenny Poh Lin; Ling, Ho; Hoe, Teoh Oon; Chong, Ng Kee; Moh, Chay Oh; Huak, Chan Yiong

    2011-05-01

    To compare the effectiveness of the administration of inhaled beta-agonists delivered via a metered-dose inhaler (MDI) with spacers--as part of an evidence-based asthma pathway developed to manage acute asthma exacerbations in children at the emergency room level and in inpatient management--against administration via nebulization. Case with historical control. KK Women's and Children's Hospital (Singapore). A total of 19,951 children (infants to older children) aged 18 years and younger who attended the emergency room for asthma exacerbations. Average length of stay, proportion admitted to high dependency or intensive care, proportion readmitted for unresolved symptoms within 72 hr, cost per patient and overall. There was no increase in the mean proportion of emergency room attendances admitted to inpatient care with use of an MDI (mean difference 0.97%, 95% CI: -1.6-3.5%, P = 0.447), nor of children admitted to intensive care (0.21 vs. 0.20 pre- and post-pathway, P = 0.827) or to high dependency units (2.21 vs. 1.37 pre- and post-pathway, P = 0.200) but a significant reduction in the within 72 hr re-attendance rate (mean difference 1.4%, 95% CI: 0.78-2.0%, P < 0.001) with use of an MDI. The average length and cost per patient for an inpatient stay for acute asthma exacerbations was reduced with use of an MDI. The use of an MDI with spacer as part of an evidence-based asthma pathway was effective in the management of acute asthma exacerbations in the emergency room setting and for inpatient management. Copyright © 2010 Wiley-Liss, Inc.

  5. Asbestos in the Home.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC.

    The United States Government is concerned about asbestos-containing products in the home because sometimes asbestos fibers can be released from these produces. If asbestos fibers are inhaled, certain types of cancer may later develop. Asbestos in homes poses several problems. Household members have little or no protection from exposure to asbestos…

  6. Asbestos in the Home.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC.

    The United States Government is concerned about asbestos-containing products in the home because sometimes asbestos fibers can be released from these produces. If asbestos fibers are inhaled, certain types of cancer may later develop. Asbestos in homes poses several problems. Household members have little or no protection from exposure to asbestos…

  7. Does roflumilast decrease exacerbations in severe COPD patients not controlled by inhaled combination therapy? the REACT study protocol

    PubMed Central

    Calverley, Peter MA; Martinez, Fernando J; Fabbri, Leonardo M; Goehring, Udo-Michael; Rabe, Klaus F

    2012-01-01

    Background Many patients with chronic obstructive pulmonary disease (COPD) continue to suffer exacerbations, even when treated with maximum recommended therapy (eg, inhaled combinations of long-acting β2-agonist and high dose inhaled corticosteroids, with or without a long-acting anticholinergic [long-acting muscarinic antagonist]). Roflumilast is approved to treat severe COPD in patients with chronic bronchitis – and a history of frequent exacerbations – as an add-on to bronchodilators. Purpose The REACT (Roflumilast in the Prevention of COPD Exacerbations While Taking Appropriate Combination Treatment) study (identification number RO-2455-404-RD, clinicaltrials. gov identifier NCT01329029) will investigate whether roflumilast further reduces exacerbations when added to inhaled combination therapy in patients still suffering from frequent exacerbations. Patients and methods REACT is a 1-year randomized, double-blind, multicenter, phase III/IV study of roflumilast 500 μg once daily or placebo on top of a fixed long-acting β2-agonist/inhaled corticosteroid combination. A concomitant long-acting muscarinic antagonist will be allowed at stable doses. The primary outcome is the rate of moderate or severe COPD exacerbations. Using a Poisson regression model with a two-sided significance level of 5%, a sample size of 967 patients per treatment group is needed for 90% power. COPD patients with severe to very severe airflow limitation, symptoms of chronic bronchitis, and at least two exacerbations in the previous year will be recruited. Conclusion It is hypothesized that because roflumilast (a phosphodiesterase-4 inhibitor) has a different mode of action to bronchodilators and inhaled corticosteroids, it may provide additional benefits when added to these treatments in frequent exacerbators. REACT will be important to determine the role of roflumilast in COPD management. Here, the design and rationale for this important study is described. PMID:22791991

  8. Does roflumilast decrease exacerbations in severe COPD patients not controlled by inhaled combination therapy? The REACT study protocol.

    PubMed

    Calverley, Peter M A; Martinez, Fernando J; Fabbri, Leonardo M; Goehring, Udo-Michael; Rabe, Klaus F

    2012-01-01

    Many patients with chronic obstructive pulmonary disease (COPD) continue to suffer exacerbations, even when treated with maximum recommended therapy (eg, inhaled combinations of long-acting β2-agonist and high dose inhaled corticosteroids, with or without a long-acting anticholinergic [long-acting muscarinic antagonist]). Roflumilast is approved to treat severe COPD in patients with chronic bronchitis--and a history of frequent exacerbations--as an add-on to bronchodilators. The REACT (Roflumilast in the Prevention of COPD Exacerbations While Taking Appropriate Combination Treatment) study (identification number RO-2455-404-RD, clinicaltrials. gov identifier NCT01329029) will investigate whether roflumilast further reduces exacerbations when added to inhaled combination therapy in patients still suffering from frequent exacerbations. REACT is a 1-year randomized, double-blind, multicenter, phase III/IV study of roflumilast 500 μg once daily or placebo on top of a fixed long-acting β2-agonist/inhaled corticosteroid combination. A concomitant long-acting muscarinic antagonist will be allowed at stable doses. The primary outcome is the rate of moderate or severe COPD exacerbations. Using a Poisson regression model with a two-sided significance level of 5%, a sample size of 967 patients per treatment group is needed for 90% power. COPD patients with severe to very severe airflow limitation, symptoms of chronic bronchitis, and at least two exacerbations in the previous year will be recruited. It is hypothesized that because roflumilast (a phosphodiesterase-4 inhibitor) has a different mode of action to bronchodilators and inhaled corticosteroids, it may provide additional benefits when added to these treatments in frequent exacerbators. REACT will be important to determine the role of roflumilast in COPD management. Here, the design and rationale for this important study is described.

  9. Amphibole asbestos in tree bark--a review of findings for this inhalational exposure source in Libby, Montana.

    PubMed

    Ward, Tony J; Spear, Terry M; Hart, Julie F; Webber, James S; Elashheb, Mohamed I

    2012-01-01

    In June 2009, the U.S. Environmental Protection Agency (EPA) designated the town of Libby, Montana, a public health emergency--the first and only time the EPA has made such a determination under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). From about 1920 until 1990, the leading source of vermiculite ore for the United States and the world was from a mine near Libby. This vermiculite ore was contaminated with fibrous and asbestiform amphibole in veins throughout the deposit. Today, areas surrounding the abandoned vermiculite processing/mining facilities and much of the town of Libby are contaminated with these asbestos fibers, contributing to an outbreak of asbestos-related diseases in the Libby population. Trees in Libby and in forested areas surrounding the abandoned mine have accumulated amphibole asbestos fibers on their bark surface, providing for inhalational exposures. Several studies have been conducted to further understand this exposure pathway. To address exposures to the public, Libby amphibole (LA) was measured in personal breathing zone and Tyvek surface wipe samples collected during firewood harvesting simulations, as well as in the ash and emissions of woodstoves when amphibole-contaminated firewood was combusted. Occupational studies simulating wildland firefighting and routine U.S. Department of Agriculture (USDA) Forest Service activities have also been conducted in the forested areas surrounding the abandoned mine, demonstrating the potential for inhalational exposures during common regional workplace activities. We present a review of the findings of this emerging environmental health concern impacting not only the residents of Libby but applicable to other populations living near asbestos-contaminated areas.

  10. Genetic associations of the response to inhaled corticosteroids in children during an asthma exacerbation.

    PubMed

    Keskin, Ozlem; Uluca, Ünal; Birben, Esra; Coşkun, Yavuz; Ozkars, Mehmet Yasar; Keskin, Mehmet; Kucukosmanoglu, Ercan; Kalayci, Omer

    2016-08-01

    Genetic associations of the response to inhaled corticosteroids (ICSs) during an asthma exacerbation are unknown. To evaluate the role of genetic variants in the therapeutic response to high-dose ICS in children with moderate-to-severe asthma exacerbations. Eighty-two children (56 boys/26 girls, mean age 9.6 ± 3.2 years) with moderate-severe asthma exacerbation were genotyped for eight single-nucleotide polymorphisms that were a priori associated with ICS response in chronic asthma treatment: glucocorticosteroid receptor (NR3C1) rs41423247; corticotrophin-releasing hormone receptor1 (CRHR1) rs242939, rs242941, and rs1876828; T-box 21 (TBX21) rs2240017; glucocorticoid-induced transcript 1 (GLCCl1); and T gene rs3099266 and rs2305089. Children were treated with a single high-dose (4000 μg) fluticasone propionate given by a nebulizer followed by 1000 μg/day of inhaled fluticasone propionate for 6 days. Primary outcome measure was the improvement in FEV1 at 4 h. Mean FEV1 was 71.7 ± 14.2% at presentation. Overall, fluticasone treatment resulted in a significant improvement in asthma score and FEV1 (p < 0.0001 for both). Children with the GG genotype at NR3C1 rs41423247 (n = 26) had a higher improvement in FEV1 [24.2% (interquartile range 11.5-36.3)] compared to those with CG+CC (n = 19), [7.9% (interquartile range 6.1-24.6) (p = 0.006)]. Homozygosity for the G allele at rs41423247 of the glucocorticosteroid receptor (NR3C1) gene is associated with a higher improvement in FEV1 at 4 h in children with moderate-to-severe asthma exacerbation treated with high-dose ICS. This observation may have important clinical implications especially for children who use systemic steroids frequently for recurrent asthma exacerbations. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  11. Metered dose inhaler with spacer versus dry powder inhaler for delivery of salbutamol in acute exacerbations of asthma: a randomized controlled trial.

    PubMed

    Lodha, Rakesh; Gupta, Gaurav; Baruah, Bedanta Prakash; Nagpal, Rajiv; Kabra, S K

    2004-01-01

    Delivery of various drugs by aerosol inhalation is the mainstay of treatment of asthma. Many delivery systems have been developed for children, each having its own advantages and disadvantages. Studies comparing the clinical efficacy of metered dose inhalers (MDI) and dry powder inhalers (DPI) in the treatment of acute exacerbations of asthma in children are limited. We conducted a study to compare the response to salbutamol inhalation delivered by metered dose inhaler with a spacer versus rotahaler (DPI) in children presenting with mild or moderate acute exacerbations of asthma. Children in the age group of 5-15 years who presented with a mild or moderate acute exacerbation of asthma were randomized to receive 400 micrograms salbutamol by either a MDI with spacer or a DPI. The changes in the wheezing and accessory muscle scores, SaO2, and PEFR were recorded and subjected to statistical tests for significance. One hundred and fifty three children were studied; 78 were assigned to the MDI-spacer group and 75 to rotahaler (DPI) group. After receiving treatment, the PEFR improved by about 11% in both the groups. The oxygen saturation increased by 2% in both the groups. Within each group, the improvement in PEFR, SaO2, wheeze and accessory muscle score after the treatment was statistically significant. In both the groups the children co-operated equally well. Metered dose inhaler with spacer and dry powder inhaler have equal efficacy in delivering salbutamol in therapy of mild to moderate acute exacerbations of bronchial asthma in children between 5-15 years of age.

  12. Risk factors for COPD exacerbations in inhaled medication users: the COPDGene study biannual longitudinal follow-up prospective cohort.

    PubMed

    Busch, Robert; Han, MeiLan K; Bowler, Russell P; Dransfield, Mark T; Wells, J Michael; Regan, Elizabeth A; Hersh, Craig P

    2016-02-10

    Despite inhaled medications that decrease exacerbation risk, some COPD patients experience frequent exacerbations. We determined prospective risk factors for exacerbations among subjects in the COPDGene Study taking inhaled medications. 2113 COPD subjects were categorized into four medication use patterns: triple therapy with tiotropium (TIO) plus long-acting beta-agonist/inhaled-corticosteroid (ICS ± LABA), tiotropium alone, ICS ± LABA, and short-acting bronchodilators. Self-reported exacerbations were recorded in telephone and web-based longitudinal follow-up surveys. Associations with exacerbations were determined within each medication group using four separate logistic regression models. A head-to-head analysis compared exacerbation risk among subjects using tiotropium vs. ICS ± LABA. In separate logistic regression models, the presence of gastroesophageal reflux, female gender, and higher scores on the St. George's Respiratory Questionnaire were significant predictors of exacerbator status within multiple medication groups (reflux: OR 1.62-2.75; female gender: OR 1.53 - OR 1.90; SGRQ: OR 1.02-1.03). Subjects taking either ICS ± LABA or tiotropium had similar baseline characteristics, allowing comparison between these two groups. In the head-to-head comparison, tiotropium users showed a trend towards lower rates of exacerbations (OR = 0.69 [95 % CI 0.45, 1.06], p = 0.09) compared with ICS ± LABA users, especially in subjects without comorbid asthma (OR = 0.56 [95% CI 0.31, 1.00], p = 0.05). Each common COPD medication usage group showed unique risk factor patterns associated with increased risk of exacerbations, which may help clinicians identify subjects at risk. Compared to similar subjects using ICS ± LABA, those taking tiotropium showed a trend towards reduced exacerbation risk, especially in subjects without asthma. ClinicalTrials.gov NCT00608764, first received 1/28/2008.

  13. Persistent Effects of Libby Amphibole and Amosite Asbestos Following Subchronic Inhalation in Rats

    EPA Science Inventory

    Background: Human exposure to Libby amphibole (LA) asbestos increases risk of lung cancer, mesothelioma, and non-malignant respiratory disease. This study evaluated potency and time course effects of LA and positive control amosite (AM) asbestos fibers in male F344 rats following...

  14. Persistent Effects of Libby Amphibole and Amosite Asbestos Following Subchronic Inhalation in Rats

    EPA Science Inventory

    Background: Human exposure to Libby amphibole (LA) asbestos increases risk of lung cancer, mesothelioma, and non-malignant respiratory disease. This study evaluated potency and time course effects of LA and positive control amosite (AM) asbestos fibers in male F344 rats following...

  15. Relative lung deposition of salbutamol following inhalation from a spacer and a Sidestream jet nebulizer following an acute exacerbation.

    PubMed

    Mazhar, Syed H R; Ismail, Nahlah E; Newton, Duncan A G; Chrystyn, Henry

    2008-03-01

    What is already known about this subject. Studies have shown that a large volume spacer attached to a metered dose inhaler provides similar bronchodilator effects to nebulized dosing during the management of patients following an acute exacerbation. Due to the high doses used, these effects could be measured at the top of the dose-response relationship and the response limited due to the patient's exacerbation. Although clinical end-points are the gold standard to show comparability, some indication of similar lung deposition is useful to consolidate any claims. What this study adds. The urinary pharmacokinetic method we have used postinhalation provides an index of lung deposition for inhalation methods that can be incorporated into the routine management of patients with an acute exacerbation. This is the first study to identify and compare lung deposition and systemic delivery for inhalation methods within the setting of the routine management of asthma and chronic obstructive pulmonary disease patients following hospitalization due to an acute exacerbation. The study highlights the comparability of the doses for the two inhalation methods evaluated with respect to lung deposition, systemic delivery and bronchodilator response. Studies comparing inhalation methods in acute exacerbations have not assessed lung deposition. Five 100-mug salbutamol doses were inhaled from a metered dose inhaler plus spacer (MDI + SP) and 5 mg was nebulized (NEB) following acute exacerbation hospitalization. Urinary salbutamol excretion was determined at 30 min (USAL0.5) and over 24 h (USAL24) postinhalation together with forced expiratory volume in 1 s (FEV(1)). The USAL0.5 mean ratio (90% confidence interval) post MDI + SP and NEB [n = 19 asthma, 11 chronic obstructive pulmonary disease (COPD)] was 1.01 (0.81, 1.26). USAL24 was less (P < 0.001) following MDI + SP, whereas FEV(1) was similar. Only a small difference between asthmatics and COPD patients was observed for the MDI + SP

  16. New insights on the biomineralisation process developing in human lungs around inhaled asbestos fibres.

    PubMed

    Bardelli, Fabrizio; Veronesi, Giulia; Capella, Silvana; Bellis, Donata; Charlet, Laurent; Cedola, Alessia; Belluso, Elena

    2017-03-23

    Once penetrated into the lungs of exposed people, asbestos induces an in vivo biomineralisation process that leads to the formation of a ferruginous coating embedding the fibres. The ensemble of the fibre and the coating is referred to as asbestos body and is believed to be responsible for the high toxicological outcome of asbestos. Lung tissue of two individuals subjected to prolonged occupational exposure to crocidolite asbestos was investigated using synchrotron radiation micro-probe tools. The distribution of K and of elements heavier than Fe (Zn, Cu, As, and Ba) in the asbestos bodies was observed for the first time. Elemental quantification, also reported for the first time, confirmed that the coating is highly enriched in Fe (~20% w/w), and x-ray absorption spectroscopy indicated that Fe is in the 3+ oxidation state and that it is present in the form of ferritin or hemosiderin. Comparison of the results obtained studying the asbestos bodies upon removing the biological tissue by chemical digestion and those embedded in histological sections, allowed unambiguously distinguishing the composition of the asbestos bodies, and understanding to what extent the digestion procedure altered their chemical composition. A speculative model is proposed to explain the observed distribution of Fe.

  17. New insights on the biomineralisation process developing in human lungs around inhaled asbestos fibres

    PubMed Central

    Bardelli, Fabrizio; Veronesi, Giulia; Capella, Silvana; Bellis, Donata; Charlet, Laurent; Cedola, Alessia; Belluso, Elena

    2017-01-01

    Once penetrated into the lungs of exposed people, asbestos induces an in vivo biomineralisation process that leads to the formation of a ferruginous coating embedding the fibres. The ensemble of the fibre and the coating is referred to as asbestos body and is believed to be responsible for the high toxicological outcome of asbestos. Lung tissue of two individuals subjected to prolonged occupational exposure to crocidolite asbestos was investigated using synchrotron radiation micro-probe tools. The distribution of K and of elements heavier than Fe (Zn, Cu, As, and Ba) in the asbestos bodies was observed for the first time. Elemental quantification, also reported for the first time, confirmed that the coating is highly enriched in Fe (~20% w/w), and x-ray absorption spectroscopy indicated that Fe is in the 3+ oxidation state and that it is present in the form of ferritin or hemosiderin. Comparison of the results obtained studying the asbestos bodies upon removing the biological tissue by chemical digestion and those embedded in histological sections, allowed unambiguously distinguishing the composition of the asbestos bodies, and understanding to what extent the digestion procedure altered their chemical composition. A speculative model is proposed to explain the observed distribution of Fe. PMID:28332562

  18. New insights on the biomineralisation process developing in human lungs around inhaled asbestos fibres

    NASA Astrophysics Data System (ADS)

    Bardelli, Fabrizio; Veronesi, Giulia; Capella, Silvana; Bellis, Donata; Charlet, Laurent; Cedola, Alessia; Belluso, Elena

    2017-03-01

    Once penetrated into the lungs of exposed people, asbestos induces an in vivo biomineralisation process that leads to the formation of a ferruginous coating embedding the fibres. The ensemble of the fibre and the coating is referred to as asbestos body and is believed to be responsible for the high toxicological outcome of asbestos. Lung tissue of two individuals subjected to prolonged occupational exposure to crocidolite asbestos was investigated using synchrotron radiation micro-probe tools. The distribution of K and of elements heavier than Fe (Zn, Cu, As, and Ba) in the asbestos bodies was observed for the first time. Elemental quantification, also reported for the first time, confirmed that the coating is highly enriched in Fe (~20% w/w), and x-ray absorption spectroscopy indicated that Fe is in the 3+ oxidation state and that it is present in the form of ferritin or hemosiderin. Comparison of the results obtained studying the asbestos bodies upon removing the biological tissue by chemical digestion and those embedded in histological sections, allowed unambiguously distinguishing the composition of the asbestos bodies, and understanding to what extent the digestion procedure altered their chemical composition. A speculative model is proposed to explain the observed distribution of Fe.

  19. In situ microscopic analysis of asbestos and synthetic vitreous fibers retained in hamster lungs following inhalation.

    PubMed Central

    Rogers, R A; Antonini, J M; Brismar, H; Lai, J; Hesterberg, T W; Oldmixon, E H; Thevenaz, P; Brain, J D

    1999-01-01

    Hamsters breathed, nose-only, for 13 weeks, 5 days/week, 6 hr/day, either man-made vitreous fiber (MMVF)10a, MMVF33, or long amosite asbestos at approximately 300 World Health Organization (WHO) fibers/cc or long amosite at 25 WHO fibers/cc. [World Health Organization fibers are longer than 5 microm and thicker than 3 microm, with aspect ratio >3.] After sacrifice, fiber burden was estimated (left lungs) by ashing and scanning electron microscopy (ashing/SEM) or (right middle lobes) by confocal laser scanning microscopy (CLSM) in situ. In situ CLSM also provided three-dimensional views of fibers retained, undisturbed, in lung tissue. Fibers of each type were lodged in alveoli and small airways, especially at airway bifurcations, and were seen fully or partly engulfed by alveolar macrophages. Amosite fibers penetrated into and through alveolar septa. Length densities of fibers in parenchyma (total length of fiber per unit volume of lung) were estimated stereologically from fiber transsections counted on two-dimensional optical sections and were 30.5, 25.3, 20.0, and 81.6 mm/mm3 for MMVF10a, MMVF33, and low- and high-dose amosite, respectively. Lengths of individual fibers were measured in three dimensions by tracking individual fibers through series of optical sections. Length distributions of amosite fibers aerosolized, but before inhalation versus after retention in the lung were similar, whether determined by ashing/SEM or in situ CLSM. In contrast, the fraction of short MMVF10a and MMVF33 fibers increased and the geometric mean fiber lengths of both MMVFs decreased by approximately 60% during retention. Most likely due to fiber deposition pattern and differences in sampling, fiber burdens [MMVF10a, MMVF33, and amosite (high dose; 269 WHO fibers/cc)] determined by ashing/SEM were 1.4, 1. 5, and 3.5 times greater, respectively, than those calculated from in situ CLSM data. In situ CLSM is able to provide detailed information about the anatomic sites of fiber

  20. Influence of salmeterol/fluticasone via single versus separate inhalers on exacerbations in severe/very severe COPD.

    PubMed

    Hagedorn, Cordula; Kässner, Frank; Banik, Norbert; Ntampakas, Paris; Fielder, Karin

    2013-04-01

    Patients with severe or very severe chronic obstructive pulmonary disease (COPD) frequently suffer repeated exacerbations generating high health care utilization costs. Combined corticosteroid and bronchodilator treatment using a single inhaler might - via improved compliance - reduce exacerbation rates. Our aim was to obtain descriptive data on exacerbation rates in patients with severe or very severe COPD (GOLD Stages III and IV as per GOLD 2009 classification) receiving salmeterol xinafoate/fluticasone propionate via a single inhaler (SFC) or via separate inhalers (Sal/FP) in addition to individual existing therapy in order to investigate the potential benefit of a fixed combination device as compared with two separate devices due to potentially improved patients' compliance. This prospective, randomized, open-label, parallel-group, multi-center, exploratory study was conducted in Germany in 2007-2009. Patients were required to have suffered ≥ 2 moderate/severe exacerbations in the preceding year. 213 patients (SFC: 108 patients, Sal/FP: 105 patients) from 23 centers were evaluated. Approximately 25% of patients showed COPD Stage IV. On average patients had suffered 2.3 ± 0.6 moderate/severe exacerbations in the preceding year. The annual rate of moderate/severe exacerbations observed in the study was similar in both treatment groups (SFC: 0.86 ± 0.13; Sal/FP: 0.86 ± 0.14; exacerbation rate ratio SFC/Sal/FP: 1.00; p = 0.73; negative binomial model). Compliance was high and comparable in both groups. Besides COPD exacerbations, pneumonia (5.6%) and nasopharyngitis (5.2%) were the most common adverse events. Observed exacerbation rates were lower than those reported at baseline. No substantial difference was observed between administration of salmeterol xinafoate/fluticasone propionate via a single inhaler and separate inhalers. Treatment was safe and well tolerated. ClinicalTrials.gov Identifier: NCT00527826. Copyright © 2013 Elsevier Ltd. All

  1. Lung proliferative and clearance responses to inhaled para-aramid RFP in exposed hamsters and rats: comparisons with chrysotile asbestos fibers.

    PubMed Central

    Warheit, D B; Snajdr, S I; Hartsky, M A; Frame, S R

    1997-01-01

    This study compared pulmonary effects of para-aramid respirable-sized, fiber-shaped particles (RFP) (p-aramid fibrils) and chrysotile asbestos fiber exposures in rats. Additional p-aramid inhalation studies were conducted in hamsters to compare species responses. The hamster results are preliminary. The parameters studied were clearance/biopersistence of inhaled p-aramid RFP or size-separated asbestos fibers as well as pulmonary cell proliferation and inflammation indices after 2-week inhalation exposures. Rats were exposed nose only to chrysotile asbestos fibers at concentrations of 459 and 782 fibers/ml or to p-aramid RFP at 419 or 772 fibrils/ml. Hamsters were exposed whole body to p-aramid RFP at concentrations of 358 and 659 fibrils/ml. Subsequently, animals were assessed immediately (time 0) as well as 5 days (10 days for hamsters), 1, 3, 6, and 12 months postexposure. Lung burdens for the p-aramid-exposed rats were 4.8 x 10(7) and 7.6 x 10(7) fibrils/lung, with similar numbers of chrysotile fibers > 5 microns recovered from the lungs of asbestos-exposed rats. In comparison, 1.4 x 10(6) fibrils/lung were recovered in the high-dose hamster group. Biopersistence studies in p-aramid-exposed rats and hamsters demonstrated an initial increase (relative to time 0) in retained p-aramid fibrils during the first month postexposure, which indicated breakage or shortening of inhaled fibrils. This result was associated with a progressive reduction, and increased residence time in the lung, in the mean lengths of the fibrils, which signified biodegradability of inhaled p-aramid fibrils in both species. In contrast, clearance of short chrysotile asbestos fibers was rapid, but clearance of the long chrysotile fibers was slow or insignificant, as evidenced by a progressive increase over time in the mean lengths of fibers recovered from the lungs of exposed rats. Two-week, high-dose exposures to p-aramid in both rats and hamsters produced transient increases in pulmonary

  2. Inhaled asbestos fibers induce p53 expression in the rat lung.

    PubMed

    Mishra, A; Liu, J Y; Brody, A R; Morris, G F

    1997-04-01

    Humans and rodents exposed to an aerosol of asbestos fibers develop lung injury that can lead to a fibroproliferative response culminating in excessive scarring and impaired lung function. To define the early events that precede asbestos-induced fibrotic lung disease, rats were exposed to an aerosol of chrysotile asbestos fibers for 5 h. At various times after exposure, the lungs of the asbestos-exposed animals were evaluated immunohistochemically for expression of the p53 tumor suppressor protein, a growth regulatory protein. p53 became detectable by immunostaining at the predicted sites of fiber deposition (the bronchiolar-alveolar duct bifurcations) by 24 h after exposure. The number of cells positive for p53 immunostaining increased to a maximal level at 8 days after exposure, decreased by 14 days and returned to a low basal level at the 30-day time point. Control groups of rats that were unexposed or exposed to an aerosol of iron beads were negative for p53 immunostaining throughout the 30-day assessment period. Simultaneous detection of the proliferating cell nuclear antigen (PCNA) at the sites of fiber deposition in the asbestos-exposed animals agrees with our previous finding that p53 binds and regulates the PCNA promoter.

  3. INHALATION EXPOSURE OF RATS TO LIBBY AMPHIBOLE (LA) AND AMOSITE ASBESTOS

    EPA Science Inventory

    Inhalation toxicology studies are being conducted to inform the risk assessment ofLibby amphibole. The overall purpose of these studies is to compare the toxicity of inhaled Libby amphibole fibers to a positive control fiber sample (UICC amosite). A 2-week study was conducted to ...

  4. INHALATION EXPOSURE OF RATS TO LIBBY AMPHIBOLE (LA) AND AMOSITE ASBESTOS

    EPA Science Inventory

    Inhalation toxicology studies are being conducted to inform the risk assessment ofLibby amphibole. The overall purpose of these studies is to compare the toxicity of inhaled Libby amphibole fibers to a positive control fiber sample (UICC amosite). A 2-week study was conducted to ...

  5. Innate immune activation by inhaled lipopolysaccharide, independent of oxidative stress, exacerbates silica-induced pulmonary fibrosis in mice.

    PubMed

    Brass, David M; Spencer, Jennifer C; Li, Zhuowei; Potts-Kant, Erin; Reilly, Sarah M; Dunkel, Mary K; Latoche, Joseph D; Auten, Richard L; Hollingsworth, John W; Fattman, Cheryl L

    2012-01-01

    Acute exacerbations of pulmonary fibrosis are characterized by rapid decrements in lung function. Environmental factors that may contribute to acute exacerbations remain poorly understood. We have previously demonstrated that exposure to inhaled lipopolysaccharide (LPS) induces expression of genes associated with fibrosis. To address whether exposure to LPS could exacerbate fibrosis, we exposed male C57BL/6 mice to crystalline silica, or vehicle, followed 28 days later by LPS or saline inhalation. We observed that mice receiving both silica and LPS had significantly more total inflammatory cells, more whole lung lavage MCP-1, MIP-2, KC and IL-1β, more evidence of oxidative stress and more total lung hydroxyproline than mice receiving either LPS alone, or silica alone. Blocking oxidative stress with N-acetylcysteine attenuated whole lung inflammation but had no effect on total lung hydroxyproline. These observations suggest that exposure to innate immune stimuli, such as LPS in the environment, may exacerbate stable pulmonary fibrosis via mechanisms that are independent of inflammation and oxidative stress.

  6. The pathogenicity of long versus short fibre samples of amosite asbestos administered to rats by inhalation and intraperitoneal injection.

    PubMed Central

    Davis, J. M.; Addison, J.; Bolton, R. E.; Donaldson, K.; Jones, A. D.; Smith, T.

    1986-01-01

    For many years it has been accepted that fibre dimensions are the most important factor in the development of asbestos related disease with long fibres being more dangerous than short for all types of asbestos. This information has been derived from in vitro experiments and injection or implantation experiments since the kilogramme quantities of specially prepared dusts that are necessary for long term inhalation have not been available. The present study has taken advantage of the availability of a sample of amosite produced so that almost all fibres were less than 5 micron in length. The effects of this dust were compared to dust prepared from raw amosite that contained a very high proportion of long fibres. Previous data from studies with UICC amosite, which was intermediate in length, were also available for comparison. At the end of 12 months of dust inhalation, significantly more short fibre amosite was present in the lung tissue compared to the long but while the long fibre dust caused the development of widespread pulmonary fibrosis, no fibrosis at all was found in animals treated with short fibre. One third of animals treated with long fibre dust developed pulmonary tumours or mesotheliomas but no pulmonary neoplasms were found in animals treated with short fibre dust. Following intraperitoneal injection, the long fibre amosite produced mesotheliomas in 95% of animals with a mean induction period of approximately 500 days. With short fibre dust, only a single mesothelioma developed after 837 days. In previous inhalation studies with UICC amosite, relatively little pulmonary fibrosis had developed and only two benign pulmonary tumours. This would suggest that to produce a significant carcinogenic response in rat lung tissue amosite fibres must be longer than those in the UICC preparation. Following the injection of UICC amosite, however, mesotheliomas developed in the same proportion of animals and with the same mean induction period as with long fibre dust

  7. Cost-effectiveness of metered-dose inhalers for asthma exacerbations in the pediatric emergency department.

    PubMed

    Doan, Quynh; Shefrin, Allan; Johnson, David

    2011-05-01

    To compare the incremental cost and effects (averted admission) of using a metered-dose inhaler (MDI) against wet nebulization to deliver bronchodilators for the treatment of mild to moderately severe asthma in pediatric emergency departments (EDs). We measured the incremental cost-effectiveness from the perspective of the hospital, by creating a model using outcome characteristics from a Cochrane systematic review comparing the efficacy of using MDIs versus nebulizers for the delivery of albuterol to children presenting to the ED with asthma. Cost data were obtained from hospitals and regional authorities. We determined the incremental cost-effectiveness ratio and performed probabilistic sensitivity analyses using Monte Carlo simulations. Using MDIs in the ED instead of wet nebulization may result in net savings of Can$154.95 per patient. Our model revealed that using MDIs in the ED is a dominant strategy, one that is more effective and less costly than wet nebulization. Probabilistic sensitivity analyses revealed that 98% of the 10 000 iterations resulted in a negative incremental cost-effectiveness ratio. Sensitivity analyses around the costs revealed that MDI would remain a dominant strategy (90% of 10 000 iterations) even if the net cost of delivering bronchodilators by MDI was Can$70 more expensive than that of nebulized bronchodilators. Use of MDIs with spacers in place of wet nebulizers to deliver albuterol to treat children with mild-to-moderate asthma exacerbations in the ED could yield significant cost savings for hospitals and, by extension, to both the health care system and families of children with asthma.

  8. TWO-WEEK INHALATION EXPOSURE OF RATS TO LIBBY AMPHIBOLE (LA) AND AMOSITE ASBESTOS

    EPA Science Inventory

    The relative potency of LA compared to UICC amosite was assessed in a subacute inhalation study designed to set exposure levels for a future subchronic study. Male F344 rats (n=7/group) were exposed nose-only to air (control), 3 concentrations of LA, or I concentration of amosite...

  9. SUBCHRONIC INHALATION EXPOSURE OF RATS TO LIBBY AMPHIBOLE AND AMOSITE ASBESTOS

    EPA Science Inventory

    Exposure to Libby amphibole (LA) is associated with significant increases in asbestosis, lung cancer, and mesothelioma. To support biological potency assessment and dosimetry model development, a subchronic nose-only inhalation exposure study (6 hr/d, 5 d/wk, 13 wk) was conducted...

  10. TWO-WEEK INHALATION EXPOSURE OF RATS TO LIBBY AMPHIBOLE (LA) AND AMOSITE ASBESTOS

    EPA Science Inventory

    The relative potency of LA compared to UICC amosite was assessed in a subacute inhalation study designed to set exposure levels for a future subchronic study. Male F344 rats (n=7/group) were exposed nose-only to air (control), 3 concentrations of LA, or I concentration of amosite...

  11. SUBCHRONIC INHALATION EXPOSURE OF RATS TO LIBBY AMPHIBOLE AND AMOSITE ASBESTOS

    EPA Science Inventory

    Exposure to Libby amphibole (LA) is associated with significant increases in asbestosis, lung cancer, and mesothelioma. To support biological potency assessment and dosimetry model development, a subchronic nose-only inhalation exposure study (6 hr/d, 5 d/wk, 13 wk) was conducted...

  12. Evaluation of the deposition, translocation and pathological response of brake dust with and without added chrysotile in comparison to crocidolite asbestos following short-term inhalation: Interim results

    SciTech Connect

    Bernstein, David M.; Rogers, Rick; Sepulveda, Rosalina; Kunzendorf, Peter; Bellmann, Bernd; Ernst, Heinrich; Phillips, James I.

    2014-04-01

    Chrysotile has been frequently used in the past in manufacturing brakes and continues to be used in brakes in many countries. This study was designed to provide an understanding of the biokinetics and potential toxicology following inhalation of brake dust following short term exposure in rats. The deposition, translocation and pathological response of brake dust derived from brake pads manufactured with chrysotile were evaluated in comparison to the amphibole, crocidolite asbestos. Rats were exposed by inhalation 6 h/day for 5 days to either brake dust obtained by sanding of brake-drums manufactured with chrysotile, a mixture of chrysotile and the brake dust or crocidolite asbestos. No significant pathological response was observed at any time point in either the brake dust or chrysotile/brake dust exposure groups. The long chrysotile fibers (> 20 μm) cleared quickly with T{sub 1/2} estimated as 30 and 33 days, respectively in the brake dust and the chrysotile/brake dust exposure groups. In contrast, the long crocidolite fibers had a T{sub 1/2} > 1000 days and initiated a rapid inflammatory response in the lung following exposure resulting in a 5-fold increase in fibrotic response within 91 days. These results provide support that brake dust derived from chrysotile containing brake drums would not initiate a pathological response in the lung following short term inhalation. - Highlights: • We evaluated brake dust w/wo added chrysotile in comparison to crocidolite asbestos. • Persistence, translocation, pathological response in the lung and pleural cavity. • Chrysotile cleared rapidly from the lung while the crocidolite asbestos persisted. • No significant pathology observed at any time point in the brake-dust groups. • Crocidolite produced pathological response - Wagner 4 interstitial fibrosis by 32d.

  13. Asbestos consumption, asbestos exposure and asbestos-related occupational diseases in Germany.

    PubMed

    Hagemeyer, O; Otten, H; Kraus, T

    2006-09-01

    Like in most industrial countries, asbestos is a leading cause of occupational diseases, especially malignant diseases, in Germany. Following the increased consumption of asbestos after World War I, the recognition of asbestos related diseases developed. At the end of the 1930s, Germany was the first country to accept lung cancer in combination with asbestosis as an occupational disease and to initiate the endeavor for reduction of asbestos dust exposure. Nevertheless after World War II the usage of asbestos increased dramatically. The ban of asbestos first came into force in 1993. Until this time several hundreds of thousands of workers had inhaled asbestos and the number of asbestos related diseases increased. In this review the history and current status on asbestos consumption, asbestos exposure and asbestos related occupational diseases in Germany is presented.

  14. Addition of Montelukast to Low-Dose Inhaled Corticosteroid Leads to Fewer Exacerbations in Older Patients Than Medium-Dose Inhaled Corticosteroid Monotherapy

    PubMed Central

    Ye, Young-Min; Kim, Sang-Ha; Hur, Gyu-Young; Kim, Joo-Hee; Park, Jung-Won; Shim, Jae Jeong; Jung, Ki-Suck; Lee, Hyun-Young

    2015-01-01

    Purpose There have been few reports regarding the efficacy of antiasthmatics in older patients. To compare the efficacy of the addition of montelukast to low-dose inhaled budesonide (MON-400BUD) versus increasing the dose of inhaled steroid (800BUD) on asthma control in older asthmatics. Methods A randomized, open-label, parallel-designed trial was conducted for 12 weeks. The primary endpoint was the rate of patients who reached "well-controlled asthma status" after the 12-week treatment period. Additionally, asthma exacerbations, sputum inflammatory cells, asthma control test (ACT) and physical functioning scale (PFS), and adverse reactions were monitored. Results Twenty-four (36.9%) and 22 (34.9%) subjects in the MON-400BUD (n=65) and 800BUD (n=63) groups had well-controlled asthma at the end of the study, respectively. The numbers of asthma exacerbations requiring oral corticosteroid treatment (20 vs 9, respectively, P=0.036) and the development of sore throat (22 vs 11, respectively, P=0.045) were significantly higher in the 800BUD group than in the MON-400BUD group. Body mass index and changes in ACT, FEV1%, 6-min walk distance and PFS from baseline were all significant determinants for distinguishing subjects with well-controlled and partly controlled asthma from those with uncontrolled asthma (P<0.05) at the end of the study. Conclusions The efficacy of 12-week treatment with MON-400BUD in older asthmatics was comparable to that of 800BUD on asthma control but associated with reduced frequency of asthma exacerbations requiring oral steroids and sore throat events. Changes in ACT and PFS can be useful predictors of asthma control status in older patients. PMID:26122504

  15. Persistence with inhaled corticosteroids reduces the risk of exacerbation among adults with asthma: A real-world investigation.

    PubMed

    Corrao, Giovanni; Arfè, Andrea; Nicotra, Federica; Ghirardi, Arianna; Vaghi, Adriano; De Marco, Roberto; Pesci, Alberto; Merlino, Luca; Zambon, Antonella

    2016-08-01

    Real-world evidence suggests that persistence with inhaled corticosteroids (ICS), the mainstay of asthma drug therapy, is generally poor. The effect of persistence with ICS on the risk of asthma exacerbation was addressed in a population-based study. The cohort of 2335 beneficiaries of the National Health Service provided by the Italian Region of Lombardy, aged 18-40 years and newly treated with ICS during 2005-2008, was followed from their first ICS dispensation until 2010. Discontinuation of treatment with ICS and starting oral corticosteroid therapy during follow-up were respectively regarded as proxies of poor persistence with asthma medication and asthma exacerbation (outcomes). A proportional hazards model was fitted to identify predictors of ICS discontinuation. Case-crossover and case-case-time-control designs and conditional logistic regressions were used to estimate the association between persistence with ICS and asthma exacerbation. Cumulative incidences of discontinuation were 36%, 57% and 78% at 6 months, 1 year and 5 years, respectively. Predictors of poor persistence were female gender, use of antibiotics during follow-up, absence of use of short-acting beta-agonists prior to and after starting treatment with ICS and starting and maintaining ICS monotherapy during follow-up. The odds ratios of asthma exacerbation (and 95% confidence intervals) associated with ICS exposure during the current period, contrasted with exposure during the reference period, were 0.4 (0.2, 0.9) and 0.3 (0.1, 1.0) from case-crossover and case-case-time-control estimates, respectively. Persistence with ICS treatment in adults with asthma reduces the risk of exacerbation in the real-life setting. © 2016 Asian Pacific Society of Respirology.

  16. Asbestos-related lung disease

    SciTech Connect

    Westerfield, B.T. )

    1992-06-01

    Asbestos is a versatile fibrous mineral that can cause lung disease and death. Asbestosis, benign pleural disease, lung cancer, and mesothelioma can all result from inhaling asbestos. The history of disease and exposure risks are discussed. The difficult assessment of risk and the long latency period for development of disease demand evaluation and regular surveillance of asbestos-exposed workers.22 references.

  17. LPS exacerbates functional and inflammatory responses to ovalbumin and decreases sensitivity to inhaled fluticasone propionate in a guinea pig model of asthma.

    PubMed

    Lowe, A P P; Thomas, R S; Nials, A T; Kidd, E J; Broadley, K J; Ford, W R

    2015-05-01

    Asthma exacerbations contribute to corticosteroid insensitivity. LPS is ubiquitous in the environment. It causes bronchoconstriction and airway inflammation and may therefore exacerbate allergen responses. This study examined whether LPS and ovalbumin co-administration could exacerbate the airway inflammatory and functional responses to ovalbumin in conscious guinea pigs and whether these exacerbated responses were insensitive to inhaled corticosteroid treatment with fluticasone propionate (FP). Guinea pigs were sensitized and challenged with ovalbumin and airway function recorded as specific airway conductance by whole body plethysmography. Airway inflammation was measured from lung histology and bronchoalveolar lavage. Airway hyper-reactivity (AHR) to inhaled histamine was examined 24 h after ovalbumin. LPS was inhaled alone or 24 or 48 h before ovalbumin and combined with ovalbumin. FP (0.05-1 mg·mL(-1) ) or vehicle was nebulized for 15 min twice daily for 6 days before ovalbumin or LPS exposure. Ovalbumin inhalation caused early (EAR) and late asthmatic response (LAR), airway hyper-reactivity to histamine and influx of inflammatory cells into the lungs. LPS 48 h before and co-administered with ovalbumin exacerbated the response with increased length of the EAR, prolonged response to histamine and elevated inflammatory cells. FP 0.5 and 1 mg·mL(-1) reduced the LAR, AHR and cell influx with ovalbumin alone, but was ineffective when guinea pigs were exposed to LPS before and with ovalbumin. LPS exposure exacerbates airway inflammatory and functional responses to allergen inhalation and decreases corticosteroid sensitivity. Its widespread presence in the environment could contribute to asthma exacerbations and corticosteroid insensitivity in humans. © 2015 The Authors. British Journal of Pharmacology published by John Wiley & Sons Ltd on behalf of The British Pharmacological Society.

  18. Evaluation of the deposition, translocation and pathological response of brake dust with and without added chrysotile in comparison to crocidolite asbestos following short-term inhalation: interim results.

    PubMed

    Bernstein, David M; Rogers, Rick; Sepulveda, Rosalina; Kunzendorf, Peter; Bellmann, Bernd; Ernst, Heinrich; Phillips, James I

    2014-04-01

    Chrysotile has been frequently used in the past in manufacturing brakes and continues to be used in brakes in many countries. This study was designed to provide an understanding of the biokinetics and potential toxicology following inhalation of brake dust following short term exposure in rats. The deposition, translocation and pathological response of brake dust derived from brake pads manufactured with chrysotile were evaluated in comparison to the amphibole, crocidolite asbestos. Rats were exposed by inhalation 6 h/day for 5 days to either brake dust obtained by sanding of brake-drums manufactured with chrysotile, a mixture of chrysotile and the brake dust or crocidolite asbestos. No significant pathological response was observed at any time point in either the brake dust or chrysotile/brake dust exposure groups. The long chrysotile fibers (>20 μm) cleared quickly with T(½) estimated as 30 and 33 days, respectively in the brake dust and the chrysotile/brake dust exposure groups. In contrast, the long crocidolite fibers had a T(½)>1000 days and initiated a rapid inflammatory response in the lung following exposure resulting in a 5-fold increase in fibrotic response within 91 days. These results provide support that brake dust derived from chrysotile containing brake drums would not initiate a pathological response in the lung following short term inhalation.

  19. Asbestos-related disease.

    PubMed

    Jamrozik, E; de Klerk, N; Musk, A W

    2011-05-01

    Inhalation of airborne asbestos fibres causes several diseases. These include asbestosis, lung cancer, malignant mesothelioma as well as pleural effusion, discrete (plaques) or diffuse benign pleural fibrosis and rolled atelectasis. The lag time between exposure and the development of disease may be many decades, thus the health risks of asbestos continue to be relevant despite bans on the use of asbestos and improvements in safety regulations for those who are still exposed. Asbestos was mined and used extensively in Australia for over 100 years and Australia is now experiencing part of a worldwide epidemic of asbestos-related disease. This review provides insight into the history and epidemiology of asbestos-related disease in Australia and discusses relevant clinical aspects in their diagnosis and management. The past and current medico-legal aspects of asbestos as well as currently evolving areas of research and future projections are summarized.

  20. Single-Center Retrospective Evaluation of Inhaled Corticosteroid Use for Chronic Obstructive Pulmonary Disease Exacerbation Patients Receiving Systemic Corticosteroids.

    PubMed

    Steuber, Taylor; Shiltz, Dane

    2016-11-01

    Purpose: To determine the frequency of inappropriate inhaled corticosteroid (ICS) therapy when it is prescribed concurrently with systemic corticosteroids; to identify cost-savings potential in the setting of chronic obstructive pulmonary disease (COPD) exacerbations. Methods: Patients admitted to 1 of 8 hospital locations utilizing an integrated electronic health record within the health system for COPD exacerbations treated with systemic corticosteroids (equivalent to at least 30 mg of oral prednisone) between July 1, 2013 and June 30, 2014 were included in a retrospective chart review. Endpoints assessed included number of ICS, with or without long-acting beta-2 agonists (LABA), respiratory medications potentially wasted due to overlap therapy with systemic corticosteroids, as well as overall cost attributed to drug product, administration products, and respiratory therapy labor cost from potentially inappropriate overlap therapy. Results were extrapolated based on the number of admissions within the specified time period. Length of stay data were also compared between the 2 groups (overlap therapy vs no overlap therapy) to determine whether overlap therapy results in a reduction of hospital stay. Results: A total of 10,710 admissions were identified and 74 charts were randomly identified for review. Forty-six (62%) patients received at least one dose of overlapping ICS or ICS/LABA. One hundred forty-two nebulized budesonide vials were wasted along with 43 ICS or ICS/LABA inhalers. A total cost of $8,152.75 was attributed to drug product, administration products, and labor cost. Extrapolating to the 10,710 admissions identified, there would potentially be 20,551 wasted budesonide vials and 6,223 wasted ICS or ICS/LABA inhalers, resulting in an estimated annual cost savings of $1,180,090.03 for the health system. Additionally, length of stay was shorter in the group not receiving overlap therapy compared to the group receiving overlap therapy, but it was not

  1. Nebulizers or pressurized metered-dose inhalers in the treatment of asthma exacerbations.

    PubMed

    Radzik, Daniele; Peroni, Diego G; Pescollderungg, Lydia; Piacentini, Giorgio L; Chatzimichail, Atanasio; Boner, Attilio L

    2005-01-01

    The use of inhaled beta2-agonists delivered by a metered-dose inhaler (MDI) with a holding chamber (spacer) actually is considered the best treatment for childhood acute asthma. However, its use in daily practice still seems rather limited. The aim of this study was to investigate, using a questionnaire, the use of a nebulizer or MDI as the first-line method for delivering inhaled beta2-agonists in children with acute asthma. A questionnaire was developed and distributed to 22 pediatric departments and to 131 family pediatricians (FPs) in northeast Italy. We showed that in the hospitals the episodes of acute asthma usually were treated with bronchodilators administered by wet nebulization (95.45%). This was the case also for FPs (70.9%). However, 29.1% of FPs usually advised the use of an MDI/holding chamber to children with acute asthma. Despite the established efficacy of inhaled beta2-agonists administrated with an MDI compared with wet nebulization in acute asthma, this practice still is rather limited. The use of wet nebulization was more evident in hospital settings compared with community medicine. Emergency room visits may represent a missed opportunity to promote an effective method of delivering bronchodilators in childhood asthma.

  2. Inhaled diesel engine emissions reduce bacterial clearance and exacerbate lung disease to Pseudomonas aeruginosa infection in vivo.

    PubMed

    Harrod, Kevin S; Jaramillo, Richard J; Berger, Jennifer A; Gigliotti, Andrew P; Seilkop, Steven K; Reed, Matthew D

    2005-01-01

    Despite experimental evidence supporting an adverse role for air pollution in models of human disease, little has been done in the way of assessing the health effects of inhalation of whole mixtures from defined sources at exposure levels relevant to ambient environmental exposures. The current study assessed the impact of inhaled diesel engine emissions (DEE) in modulating clearance of Pseudomonas aeruginosa (P.a.) and the adverse effects of infection to the pulmonary epithelium. At DEE concentrations representing from high ambient to high occupational exposures, mice were exposed to DEE continuously for one week or six months (6 h/day), and subsequently infected with P.a. by intratracheal instillation. At 18 h following P.a. infection, prior exposure to DEE impaired bacterial clearance and exacerbated lung histopathology during infection. To assess the airway epithelial cell changes indicative of lung pathogenesis, markers of specific lung epithelial cell populations were analyzed by immunohistochemistry. Both ciliated and non-ciliated airway epithelial cell numbers were decreased during P.a. infection by DEE exposure in a concentration-dependent manner. Furthermore, the lung transcription regulator, thyroid transcription factor 1 (TTF-1), was also decreased during P.a. infection by prior exposure to DEE concordant with changes in airway populations. These findings are consistent with the notion that environmental levels of DEE can decrease the clearance of P.a. and increase lung pathogenesis during pulmonary bacterial infection.

  3. Role of Tiotropium in Reducing Exacerbations of Chronic Obstructive Pulmonary Disease When Combined With Long‐Acting β 2‐Agonists and Inhaled Corticosteroids: The OUTPUL Study

    PubMed Central

    Ferroni, Eliana; Belleudi, Valeria; Cascini, Silvia; Di Martino, Mirko; Kirchmayer, Ursula; Pistelli, Riccardo; Patorno, Elisabetta; Formoso, Giulio; Fusco, Danilo; Perucci, Carlo A.; Davoli, Marina

    2016-01-01

    Abstract Combined inhaled therapy in chronic obstructive pulmonary disease (COPD) is commonly used, but its benefits remain controversial. We assessed the effect of tiotropium in reducing COPD exacerbations when combined with long‐acting β2 agonists (LABA) and/or inhaled corticosteroids (ICS). This new‐user cohort study is based on administrative data from 3 Italian regions. We identified adults hospitalized for COPD from 2006 to 2009 who were newly prescribed a fixed LABA/ICS combination (double therapy). We classified patients according to whether tiotropium was also prescribed (triple therapy), using both intention‐to‐treat and as‐treated approaches, and followed them for 1 year. COPD exacerbations were measured as outcomes. Multivariate and propensity score‐adjusted hazard ratios (HRs, 95%CI) were calculated with Cox regression models. We identified 5717 new users of LABA/ICS of which 31.9% initiated triple therapy. In the intention‐to‐treat analysis, the multivariate adjusted HR for moderate, severe, and any exacerbations were 1.02 (95%CI 0.89‐1.16), 0.92 (95%CI 0.76‐1.12), and 1.08 (95%CI 0.91‐1.28), respectively. The propensity score adjustment produced similar results. In the subcohort of patients with previous exacerbations, triple therapy was significantly associated with reduced risk of moderate exacerbations, compared to double therapy (HR 0.68, 95%CI 0.48‐0.98 in intention‐to‐treat approach). In conclusion, the addition of tiotropium to LABA/ICS did not reduce COPD exacerbations compared to LABA/ICS alone. A protective role for moderate exacerbations was found in patients at risk of frequent exacerbations. Given the impact of exacerbations on health status and prognosis, it is crucial to target COPD patients for optimal treatment. PMID:27095425

  4. Role of Tiotropium in Reducing Exacerbations of Chronic Obstructive Pulmonary Disease When Combined With Long-Acting β2 -Agonists and Inhaled Corticosteroids: The OUTPUL Study.

    PubMed

    Ferroni, Eliana; Belleudi, Valeria; Cascini, Silvia; Di Martino, Mirko; Kirchmayer, Ursula; Pistelli, Riccardo; Patorno, Elisabetta; Formoso, Giulio; Fusco, Danilo; Perucci, Carlo A; Davoli, Marina; Agabiti, Nera

    2016-11-01

    Combined inhaled therapy in chronic obstructive pulmonary disease (COPD) is commonly used, but its benefits remain controversial. We assessed the effect of tiotropium in reducing COPD exacerbations when combined with long-acting β2 agonists (LABA) and/or inhaled corticosteroids (ICS). This new-user cohort study is based on administrative data from 3 Italian regions. We identified adults hospitalized for COPD from 2006 to 2009 who were newly prescribed a fixed LABA/ICS combination (double therapy). We classified patients according to whether tiotropium was also prescribed (triple therapy), using both intention-to-treat and as-treated approaches, and followed them for 1 year. COPD exacerbations were measured as outcomes. Multivariate and propensity score-adjusted hazard ratios (HRs, 95%CI) were calculated with Cox regression models. We identified 5717 new users of LABA/ICS of which 31.9% initiated triple therapy. In the intention-to-treat analysis, the multivariate adjusted HR for moderate, severe, and any exacerbations were 1.02 (95%CI 0.89-1.16), 0.92 (95%CI 0.76-1.12), and 1.08 (95%CI 0.91-1.28), respectively. The propensity score adjustment produced similar results. In the subcohort of patients with previous exacerbations, triple therapy was significantly associated with reduced risk of moderate exacerbations, compared to double therapy (HR 0.68, 95%CI 0.48-0.98 in intention-to-treat approach). In conclusion, the addition of tiotropium to LABA/ICS did not reduce COPD exacerbations compared to LABA/ICS alone. A protective role for moderate exacerbations was found in patients at risk of frequent exacerbations. Given the impact of exacerbations on health status and prognosis, it is crucial to target COPD patients for optimal treatment.

  5. Inhalants

    MedlinePlus

    ... Emerging Trends and Alerts Alcohol Club Drugs Cocaine Hallucinogens Heroin Inhalants Marijuana MDMA (Ecstasy/Molly) Methamphetamine Opioids ... Cold Medicine Abuse Electronic Cigarettes (E-cigarettes) Fentanyl Hallucinogens Heroin Inhalants Marijuana Marijuana as Medicine MDMA (Ecstasy/ ...

  6. Inhalants

    MedlinePlus

    ... place a chemical- soaked rag in their mouth. Abusers may also inhale fumes from a balloon or ... by inhalants usually lasts just a few minutes, abusers often try to prolong it by continuing to ...

  7. Inhalants

    MedlinePlus

    ... Drug Facts Chat Day: Inhalants Drug Facts Chat Day: Inhalants Print Can you get high off of ... Cool Order Free Materials National Drugs & Alcohol Chat Day Newsletter Sign up to receive National Drug & Alcohol ...

  8. Evaluation of the fate and pathological response in the lung and pleura of brake dust alone and in combination with added chrysotile compared to crocidolite asbestos following short-term inhalation exposure.

    PubMed

    Bernstein, D M; Rogers, R A; Sepulveda, R; Kunzendorf, P; Bellmann, B; Ernst, H; Creutzenberg, O; Phillips, J I

    2015-02-15

    This study was designed to provide an understanding of the biokinetics and potential toxicology in the lung and pleura following inhalation of brake dust following short term exposure in rats. The deposition, translocation and pathological response of brake-dust derived from brake pads manufactured with chrysotile were evaluated in comparison to the amphibole, crocidolite asbestos. Rats were exposed by inhalation 6h/day for 5 days to either brake-dust obtained by sanding of brake-drums manufactured with chrysotile, a mixture of chrysotile and the brake-dust or crocidolite asbestos. The chrysotile fibers were relatively biosoluble whereas the crocidolite asbestos fibers persisted through the life-time of the animal. This was reflected in the lung and the pleura where no significant pathological response was observed at any time point in the brake dust or chrysotile/brake dust exposure groups through 365 days post exposure. In contrast, crocidolite asbestos produced a rapid inflammatory response in the lung parenchyma and the pleura, inducing a significant increase in fibrotic response in both of these compartments. Crocidolite fibers were observed embedded in the diaphragm with activated mesothelial cells immediately after cessation of exposure. While no chrysotile fibers were found in the mediastinal lymph nodes, crocidolite fibers of up to 35 μm were observed. These results provide support that brake-dust derived from chrysotile containing brake drums would not initiate a pathological response in the lung or the pleural cavity following short term inhalation.

  9. Evaluation of the fate and pathological response in the lung and pleura of brake dust alone and in combination with added chrysotile compared to crocidolite asbestos following short-term inhalation exposure

    SciTech Connect

    Bernstein, D.M.; Rogers, R.A.; Sepulveda, R.; Kunzendorf, P.; Bellmann, B.; Ernst, H.; Creutzenberg, O.; Phillips, J.I.

    2015-02-15

    This study was designed to provide an understanding of the biokinetics and potential toxicology in the lung and pleura following inhalation of brake dust following short term exposure in rats. The deposition, translocation and pathological response of brake-dust derived from brake pads manufactured with chrysotile were evaluated in comparison to the amphibole, crocidolite asbestos. Rats were exposed by inhalation 6 h/day for 5 days to either brake-dust obtained by sanding of brake-drums manufactured with chrysotile, a mixture of chrysotile and the brake-dust or crocidolite asbestos. The chrysotile fibers were relatively biosoluble whereas the crocidolite asbestos fibers persisted through the life-time of the animal. This was reflected in the lung and the pleura where no significant pathological response was observed at any time point in the brake dust or chrysotile/brake dust exposure groups through 365 days post exposure. In contrast, crocidolite asbestos produced a rapid inflammatory response in the lung parenchyma and the pleura, inducing a significant increase in fibrotic response in both of these compartments. Crocidolite fibers were observed embedded in the diaphragm with activated mesothelial cells immediately after cessation of exposure. While no chrysotile fibers were found in the mediastinal lymph nodes, crocidolite fibers of up to 35 μm were observed. These results provide support that brake-dust derived from chrysotile containing brake drums would not initiate a pathological response in the lung or the pleural cavity following short term inhalation. - Highlights: • Evaluated brake dust w/wo added chrysotile in comparison to crocidolite asbestos. • Persistence, translocation, pathological response in the lung and pleural cavity. • Chrysotile cleared rapidly from the lung while the crocidolite asbestos persisted. • No significant pathology in lung or pleural cavity observed at any time point in the brake-dust groups. • Crocidolite quickly

  10. Inhalants

    MedlinePlus

    ... lack of coordination, euphoria (a feeling of intense happiness), and dizziness. Some users also experience lightheadedness, hallucinations ( ... on the type of inhalant used, the harmful health effects will differ. The table below lists some ...

  11. Inhalants

    MedlinePlus

    ... Alerts Alcohol Club Drugs Cocaine Hallucinogens Heroin Inhalants Marijuana MDMA (Ecstasy/Molly) Methamphetamine Opioids Prescription Drugs & Cold ... Notes Articles Adolescent Cigarette, Alcohol Use Declines as Marijuana Use Rises ( February 2013 ) Program Helps Troubled Boys ...

  12. Oral Low-dose Theophylline on Top of Inhaled Fluticasone-Salmeterol Does Not Reduce Exacerbations in Patients With Severe COPD: A Pilot Clinical Trial.

    PubMed

    Cosío, Borja G; Shafiek, Hanaa; Iglesias, Amanda; Yanez, Aina; Córdova, Rocío; Palou, Alexandre; Rodriguez-Roisin, Robert; Peces-Barba, Germán; Pascual, Sergi; Gea, Joaquim; Sibila, Oriol; Barnes, Peter J; Agusti, Alvar

    2016-07-01

    COPD is characterized by chronic inflammation. In vitro and ex vivo observations suggest that this inflammatory response is partially resistant to the effect of corticosteroids and that low-dose theophylline can restore this response via enhancement of histone deacetylase (HDAC) activity. Whether this occurs in vivo and what its potential clinical consequences are is unclear. The objective of this trial was to determine whether low-dose theophylline on top of inhaled long-acting β2-agonists and inhaled corticosteroids (ICS) in patients with COPD (1) enhances HDAC activity and the antiinflammatory effects of ICS in vivo, (2) reduces the concentration of inflammatory markers, and (3) reduces exacerbation frequency. In this prospective, double-blind, placebo-controlled clinical trial, we randomized patients with COPD (FEV1 < 50% predicted plus at least one hospitalization due to exacerbation in the previous year) to ICS plus theophylline 100 mg bid or matched placebo. We determined the following at baseline and at the end of 52 weeks of follow-up: (1) HDAC activity in blood monocytes and sputum macrophages, (2) the concentration of several inflammatory markers (IL-8, IL-6, IL-1β, and tumor necrosis factor -α) in serum and sputum supernatant, and (3) the rates of exacerbations and adverse effects. Seventy patients were randomized-36 to theophylline and 34 to placebo. HDAC activity and inflammatory marker levels were not different in the two arms either at baseline or after 52 weeks. Likewise, the rate of exacerbations during follow-up was similar in both groups. The combination of low-dose oral theophylline and ICS did not enhance the antiinflammatory properties of ICS in vivo or influence exacerbation rate. ClinicalTrials.gov; No.: NCT01599871; URL: www.clinicaltrials.gov. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  13. Comparative efficacy of inhaled corticosteroid and long-acting beta agonist combinations in preventing COPD exacerbations: a Bayesian network meta-analysis

    PubMed Central

    Oba, Yuji; Lone, Nazir A

    2014-01-01

    Background A combination therapy with inhaled corticosteroid (ICS) and a long-acting beta agonist (LABA) is recommended in severe chronic obstructive pulmonary disease (COPD) patients experiencing frequent exacerbations. Currently, there are five ICS/LABA combination products available on the market. The purpose of this study was to systematically review the efficacy of various ICS/LABA combinations with a network meta-analysis. Methods Several databases and manufacturer’s websites were searched for relevant clinical trials. Randomized control trials, at least 12 weeks duration, comparing an ICS/LABA combination with active control or placebo were included. Moderate and severe exacerbations were chosen as the outcome assessment criteria. The primary analyses were conducted with a Bayesian Markov chain Monte Carlo method. Results Most of the ICS/LABA combinations reduced moderate-to-severe exacerbations as compared with placebo and LABA, but none of them reduced severe exacerbations. However, many studies excluded patients receiving long-term oxygen therapy. Moderate-dose ICS was as effective as high-dose ICS in reducing exacerbations when combined with LABA. Conclusion ICS/LABA combinations had a class effect with regard to the prevention of COPD exacerbations. Moderate-dose ICS/LABA combination therapy would be sufficient for COPD patients when indicated. The efficacy of ICS/LABA combination therapy appeared modest and had no impact in reducing severe exacerbations. Further studies are needed to evaluate the efficacy of ICS/LABA combination therapy in severely affected COPD patients requiring long-term oxygen therapy. PMID:24872685

  14. Asbestos Information

    MedlinePlus

    ... Asbestos? There are currently six types of asbestos minerals: Actinolite, Amosite, Anthophyllite, Chrysotile, Crocidolite, Tremolite. However, the ... asbestos doesn't include all the possible fibrous mineral forms of impure magnesium silicate that behave like ...

  15. Use of low-dose oral theophylline as an adjunct to inhaled corticosteroids in preventing exacerbations of chronic obstructive pulmonary disease: study protocol for a randomised controlled trial.

    PubMed

    Devereux, Graham; Cotton, Seonaidh; Barnes, Peter; Briggs, Andrew; Burns, Graham; Chaudhuri, Rekha; Chrystyn, Henry; Davies, Lisa; De Soyza, Anthony; Fielding, Shona; Gompertz, Simon; Haughney, John; Lee, Amanda J; McCormack, Kirsty; McPherson, Gladys; Morice, Alyn; Norrie, John; Sullivan, Anita; Wilson, Andrew; Price, David

    2015-06-10

    Chronic obstructive pulmonary disease (COPD) is associated with high morbidity, mortality, and health-care costs. An incomplete response to the anti-inflammatory effects of inhaled corticosteroids is present in COPD. Preclinical work indicates that 'low dose' theophylline improves steroid responsiveness. The Theophylline With Inhaled Corticosteroids (TWICS) trial investigates whether the addition of 'low dose' theophylline to inhaled corticosteroids has clinical and cost-effective benefits in COPD. TWICS is a randomised double-blind placebo-controlled trial conducted in primary and secondary care sites in the UK. The inclusion criteria are the following: an established predominant respiratory diagnosis of COPD (post-bronchodilator forced expiratory volume in first second/forced vital capacity [FEV1/FVC] of less than 0.7), age of at least 40 years, smoking history of at least 10 pack-years, current inhaled corticosteroid use, and history of at least two exacerbations requiring treatment with antibiotics or oral corticosteroids in the previous year. A computerised randomisation system will stratify 1424 participants by region and recruitment setting (primary and secondary) and then randomly assign with equal probability to intervention or control arms. Participants will receive either 'low dose' theophylline (Uniphyllin MR 200 mg tablets) or placebo for 52 weeks. Dosing is based on pharmacokinetic modelling to achieve a steady-state serum theophylline of 1-5 mg/l. A dose of theophylline MR 200 mg once daily (or placebo once daily) will be taken by participants who do not smoke or participants who smoke but have an ideal body weight (IBW) of not more than 60 kg. A dose of theophylline MR 200 mg twice daily (or placebo twice daily) will be taken by participants who smoke and have an IBW of more than 60 kg. Participants will be reviewed at recruitment and after 6 and 12 months. The primary outcome is the total number of participant-reported COPD exacerbations requiring

  16. Subchronic Inhalation Exposure of Rats to Libby Amphibole and Amosite Asbestos: Effects at 18 Months Post Exposure###

    EPA Science Inventory

    Increased asbestosis, lung cancer, and mesothelioma rates are evident after exposures to Libby amphibole (LA). To support dosimetry model development and compare potency, a subchronic nose-only inhalation study (6 hr/d, 5 d/wk, 13 wk) was conducted in male F344 rats. Rats were ex...

  17. Subchronic inhalation exposure of rats to Libby amphibole and amosite asbestos: Effects at 1 and 3 months post exposure#

    EPA Science Inventory

    Increased asbestosis, lung cancer, and mesothelioma rates are evident in humans after exposures to Libby amphibole (LA). To support dosimetry model development and compare potency, a subchronic nose-only inhalation study (6 hr/d, 5 d/wk, 13 wk) was conducted in male F344 rats. Ra...

  18. Subchronic Inhalation Exposure of Rats to Libby Amphibole and Amosite Asbestos: Effects at 18 Months Post Exposure

    EPA Science Inventory

    Increased asbestosis, lung cancer, and mesothelioma rates are evident after exposures to Libby amphibole (LA). To support dosimetry model development and compare potency, a subchronic nose-only inhalation study (6 hr/d, 5 d/wk, 13 wk) was conducted in male F344 rats. Rats were ex...

  19. Subchronic Inhalation Exposure of Rats to Libby Amphibole and Amosite Asbestos: Effects at 1 and 3 Months Post Exposure**

    EPA Science Inventory

    Increased asbestosis, lung cancer, and mesothelioma rates are evident after exposures to Libby amphibole (LA). To support dosimetry model development and compare potency, a subchronic nose-only inhalation exposure study (6 hr/d, 5 d/wk, 13 wk) was conducted in male F344 rats. Rat...

  20. Subchronic Inhalation Exposure of Rats to Libby Amphibole and Amosite Asbestos: Effects at 18 Months Post Exposure###

    EPA Science Inventory

    Increased asbestosis, lung cancer, and mesothelioma rates are evident after exposures to Libby amphibole (LA). To support dosimetry model development and compare potency, a subchronic nose-only inhalation study (6 hr/d, 5 d/wk, 13 wk) was conducted in male F344 rats. Rats were ex...

  1. Subchronic inhalation exposure of rats to Libby amphibole and amosite asbestos: Effects at 1 and 3 months post exposure#

    EPA Science Inventory

    Increased asbestosis, lung cancer, and mesothelioma rates are evident in humans after exposures to Libby amphibole (LA). To support dosimetry model development and compare potency, a subchronic nose-only inhalation study (6 hr/d, 5 d/wk, 13 wk) was conducted in male F344 rats. Ra...

  2. Subchronic Inhalation Exposure of Rats to Libby Amphibole and Amosite Asbestos: Effects at 1 and 3 Months Post Exposure**

    EPA Science Inventory

    Increased asbestosis, lung cancer, and mesothelioma rates are evident after exposures to Libby amphibole (LA). To support dosimetry model development and compare potency, a subchronic nose-only inhalation exposure study (6 hr/d, 5 d/wk, 13 wk) was conducted in male F344 rats. Rat...

  3. Subchronic Inhalation Exposure of Rats to Libby Amphibole and Amosite Asbestos: Effects at 18 Months Post Exposure

    EPA Science Inventory

    Increased asbestosis, lung cancer, and mesothelioma rates are evident after exposures to Libby amphibole (LA). To support dosimetry model development and compare potency, a subchronic nose-only inhalation study (6 hr/d, 5 d/wk, 13 wk) was conducted in male F344 rats. Rats were ex...

  4. 16 CFR 1145.5 - Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. 1145... Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer associated... regulate the risk of cancer associated with inhalation of asbestos fibers from artificial emberizing...

  5. 16 CFR 1145.4 - Consumer patching compounds containing respirable free-form asbestos; risk of cancer associated...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. 1145.4 Section... compounds containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. (a) The Commission finds that it is in the public interest to regulate the risk of cancer...

  6. 16 CFR § 1145.5 - Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...) containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. Â... § 1145.5 Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer... regulate the risk of cancer associated with inhalation of asbestos fibers from artificial emberizing...

  7. 16 CFR 1145.5 - Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...) containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. 1145... Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer associated... regulate the risk of cancer associated with inhalation of asbestos fibers from artificial emberizing...

  8. 16 CFR 1145.5 - Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. 1145... Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer associated... regulate the risk of cancer associated with inhalation of asbestos fibers from artificial emberizing...

  9. 16 CFR § 1145.4 - Consumer patching compounds containing respirable free-form asbestos; risk of cancer associated...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. § 1145.4... Consumer patching compounds containing respirable free-form asbestos; risk of cancer associated with... risk of cancer associated with inhalation of asbestos fibers from consumer patching compounds...

  10. 16 CFR 1145.4 - Consumer patching compounds containing respirable free-form asbestos; risk of cancer associated...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. 1145.4 Section... compounds containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. (a) The Commission finds that it is in the public interest to regulate the risk of cancer...

  11. 16 CFR 1145.4 - Consumer patching compounds containing respirable free-form asbestos; risk of cancer associated...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. 1145.4 Section... compounds containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. (a) The Commission finds that it is in the public interest to regulate the risk of cancer...

  12. 16 CFR 1145.4 - Consumer patching compounds containing respirable free-form asbestos; risk of cancer associated...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. 1145.4 Section... compounds containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. (a) The Commission finds that it is in the public interest to regulate the risk of cancer...

  13. 16 CFR 1145.5 - Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...) containing respirable free-form asbestos; risk of cancer associated with inhalation of asbestos fibers. 1145... Emberizing materials (embers and ash) containing respirable free-form asbestos; risk of cancer associated... regulate the risk of cancer associated with inhalation of asbestos fibers from artificial emberizing...

  14. The relationship between combination inhaled corticosteroid and long-acting β-agonist use and severe asthma exacerbations in a diverse population.

    PubMed

    Wells, Karen E; Peterson, Edward L; Ahmedani, Brian K; Severson, Richard K; Gleason-Comstock, Julie; Williams, L Keoki

    2012-05-01

    Safety concerns surround the use of long-acting β-agonists (LABAs) for the treatment of asthma, even in combination with inhaled corticosteroids (ICSs) and particularly in high-risk subgroups. To estimate the effect of ICS therapy and fixed-dose ICS/LABA combination therapy on severe asthma exacerbations in a racially diverse population. ICS and ICS/LABA exposure was estimated from pharmacy data for patients with asthma aged 12 to 56 years who were members of a large health maintenance organization. ICS and ICS/LABA use was estimated for each day of follow-up to create a moving window of exposure. Proportional hazard models were used to assess the relationship between ICS and ICS/LABA combination therapy and severe asthma exacerbations (ie, use of oral corticosteroids, asthma-related emergency department visit, or asthma-related hospitalization). Among the 1828 patients who met the inclusion criteria, 37% were African American, 46% were treated with ICS therapy alone, and 54% were treated with an ICS/LABA combination. Models assessing the risk of severe asthma exacerbations among individuals using ICS treatment alone and ICS/LABA combination therapy suggested that the overall protective effect was as good or better for ICS/LABA combination therapy when compared with ICS treatment alone (hazard ratio, 0.65 vs 0.72, respectively). Analyses in several subgroups, including African American patients, showed a similar statistically significant protective association for combination therapy. Treatment with ICS/LABA fixed-dose combination therapy appeared to perform as well as or better than ICS treatment alone in reducing severe asthma exacerbations; this included multiple high-risk subgroups. Copyright © 2012 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.

  15. A comparative study of efficacy of salbutamol via metered dose inhaler with volumatic spacer and via dry powder inhaler, easyhaler, to nebulization in mild to moderate severity acute asthma exacerbation in childhood.

    PubMed

    Vangveeravong, Mukda

    2008-10-01

    Rapid-acting inhaled beta-2 agonist is standard treatment in acute asthmatic patient; it causes smooth muscle dilatation, gives rapid action and has less side effect compared with parenteral and oral form. There are many forms of inhaler including nebulization, MDI and DPI. In Thailand the most common form of salbutamol administration for the treatment of acute exacerbation of asthma is via nebulization. To compare the clinical effectiveness and side effects of salbutamol via MDI with Volumatic spacer and via DPI (Easyhaler), with nebulization in mild to moderate severity of acute asthma exacerbation in childhood. A prospective, randomized controlled study in children, aged 5- 18-years-old with mild to moderate severe asthmatic attack, is done at the Emergency Room, QSNICH during October 2004 to February 2006. These children with acute asthma attack are randomly-assigned to 3 groups of different salbutamol administrations: group 1 via nebulization, group 2 via MDI with volumatic spacer and group 3 via DPI (Easyhaler). Salbutamol is administered and clinical responses: asthma score, oxygen saturation, PR, RR, BP and side effects (tremor and palpitation) are recorded at 0, 20, 40 and 60 minutes after the drug administrations. The drug will be repeated every 20 minutes for the total maximum of 3 times. If there is no clinical improvement, they will be admitted to the hospital for further management. There are 54 asthmatic children, 35 male (64.8%) and 19 female (35.2%). Their mean age is 8.4 +/- 2.3 years. There are 18patients in each group. There is no significant difference in efficacy of salbutamol among the 3 groups as measured by asthma score, O2 saturation, PR, RR and BP Tremor are equally observed in all 3 groups (5.5%) while palpitation are observed in 11.1% of group 1 and 2 only. One patient in group 2 and 3 are admitted while no patient in group 1 is. Rapid-acting inhaled beta-2 agonist via MDI with volumatic spacer and DPI (Easyhaler) can be used

  16. Asbestos: A Lingering Danger. AIO Red Paper #20.

    ERIC Educational Resources Information Center

    Malcolm, Stuart

    Its unique qualities makes asbestos extremely useful in industry, yet it is termed one of the most dangerous and insidious substances in the work place. Composed of mostly fibers, asbestos is readily freed into the atmosphere during handling, constituting a real health risk. There are two ways asbestos can enter the human body: by inhalation or…

  17. Asbestos: A Lingering Danger. AIO Red Paper #20.

    ERIC Educational Resources Information Center

    Malcolm, Stuart

    Its unique qualities makes asbestos extremely useful in industry, yet it is termed one of the most dangerous and insidious substances in the work place. Composed of mostly fibers, asbestos is readily freed into the atmosphere during handling, constituting a real health risk. There are two ways asbestos can enter the human body: by inhalation or…

  18. Vitrification of asbestos wastes

    SciTech Connect

    Blary, F.; Rollin, M.

    1995-12-31

    In 1990, EDF decided to test the use of the plasma torch in waste destruction processes. These tests facilitated the creation of a mobile industrial plant for the vitrification of asbestos waste. Asbestos is valued for its insulating properties and its resistance to fire, but has the formidable drawback that its inhalation causes serious respiratory diseases (cancer) in man. Nowadays therefore this waste, most often originating from the renovation or demolition of contaminated buildings, has to be disposed of. The process developed by INERTAM is vitrification by plasma torch: i.e. high temperature thermal treatment (T > 1,600 C) which fuses and homogenizes materials. INERTAM thus carries out the total destruction of the asbestos fibers by fusion and achieves a significant reduction in specific volume (80%) of the waste and an inert, stable material (the ``vitrificate`` or fusion residue) able to be re-used in road techniques.

  19. Development of the Releasable Asbestos Field Sampler

    EPA Science Inventory

    A risk assessment for intermittent, low-level exposure to asbestos requires personal breathing concentration data. Currently, activity-based sampling (ABS) is the preferred approach to measurement of a person’s inhalation exposure; i.e., asbestos structures per cubic centimeter ...

  20. Development of the Releasable Asbestos Field Sampler

    EPA Science Inventory

    A risk assessment for intermittent, low-level exposure to asbestos requires personal breathing concentration data. Currently, activity-based sampling (ABS) is the preferred approach to measurement of a person’s inhalation exposure; i.e., asbestos structures per cubic centimeter ...

  1. Early response to inhaled bronchodilators and corticosteroids as a predictor of 12-month treatment responder status and COPD exacerbations

    PubMed Central

    Calverley, Peter M; Postma, Dirkje S; Anzueto, Antonio R; Make, Barry J; Eriksson, Göran; Peterson, Stefan; Jenkins, Christine R

    2016-01-01

    Background Early treatment response markers, for example, improvement in forced expiratory volume in 1 second (FEV1) and St George’s Respiratory Questionnaire (SGRQ) total score, may help clinicians to better manage patients with chronic obstructive pulmonary disease (COPD). We investigated the prevalence of clinically important improvements in FEV1 and SGRQ scores after 2-month budesonide/formoterol or formoterol treatment and whether such improvements predict subsequent improvements and exacerbation rates. Methods This post hoc analysis is based on data from three double-blind, randomized studies in patients with moderate-to-very-severe COPD receiving twice-daily budesonide/formoterol or formoterol alone for 6 or 12 months. Prebronchodilator FEV1 and SGRQ total score were measured before treatment and at 2 and 12 months; COPD exacerbation rates were measured during months 2–12. Responders were defined by ≥100 mL improvement in prebronchodilator FEV1 and ≥4-point decrease in SGRQ total score. Results Overall, 2,331 and 1,799 patients were included in the 0–2- and 0–12-month responder analyses, respectively, and 2,360 patients in the 2–12-month exacerbation rate analysis. At 2 months, 35.1% of patients were FEV1 responders and 44.3% were SGRQ responders. The probability of response was significantly greater with budesonide/formoterol than with formoterol or placebo for both parameters. Two-month responders had a greater chance of 12-month response than 2-month nonresponders for both FEV1 (odds ratio, 5.57; 95% confidence interval, 4.14–7.50) and SGRQ (odds ratio, 3.87; 95% confidence interval, 2.83–5.31). Two-month response in FEV1 (P<0.001), but not SGRQ (P=0.11), was associated with greater reductions in exacerbation risk. Conclusion Early FEV1 and SGRQ treatment responses relate to their changes at 12 months. FEV1 response, but not SGRQ response, at 2 months predicts the risk of a future COPD exacerbation in some, but not all patients. This is

  2. Early response to inhaled bronchodilators and corticosteroids as a predictor of 12-month treatment responder status and COPD exacerbations.

    PubMed

    Calverley, Peter M; Postma, Dirkje S; Anzueto, Antonio R; Make, Barry J; Eriksson, Göran; Peterson, Stefan; Jenkins, Christine R

    2016-01-01

    Early treatment response markers, for example, improvement in forced expiratory volume in 1 second (FEV1) and St George's Respiratory Questionnaire (SGRQ) total score, may help clinicians to better manage patients with chronic obstructive pulmonary disease (COPD). We investigated the prevalence of clinically important improvements in FEV1 and SGRQ scores after 2-month budesonide/formoterol or formoterol treatment and whether such improvements predict subsequent improvements and exacerbation rates. This post hoc analysis is based on data from three double-blind, randomized studies in patients with moderate-to-very-severe COPD receiving twice-daily budesonide/formoterol or formoterol alone for 6 or 12 months. Prebronchodilator FEV1 and SGRQ total score were measured before treatment and at 2 and 12 months; COPD exacerbation rates were measured during months 2-12. Responders were defined by ≥100 mL improvement in prebronchodilator FEV1 and ≥4-point decrease in SGRQ total score. Overall, 2,331 and 1,799 patients were included in the 0-2- and 0-12-month responder analyses, respectively, and 2,360 patients in the 2-12-month exacerbation rate analysis. At 2 months, 35.1% of patients were FEV1 responders and 44.3% were SGRQ responders. The probability of response was significantly greater with budesonide/formoterol than with formoterol or placebo for both parameters. Two-month responders had a greater chance of 12-month response than 2-month nonresponders for both FEV1 (odds ratio, 5.57; 95% confidence interval, 4.14-7.50) and SGRQ (odds ratio, 3.87; 95% confidence interval, 2.83-5.31). Two-month response in FEV1 (P<0.001), but not SGRQ (P=0.11), was associated with greater reductions in exacerbation risk. Early FEV1 and SGRQ treatment responses relate to their changes at 12 months. FEV1 response, but not SGRQ response, at 2 months predicts the risk of a future COPD exacerbation in some, but not all patients. This is potentially useful in clinical practice, although

  3. The pathological response and fate in the lung and pleura of chrysotile in combination with fine particles compared to amosite asbestos following short-term inhalation exposure: interim results.

    PubMed

    Bernstein, D M; Rogers, R A; Sepulveda, R; Donaldson, K; Schuler, D; Gaering, S; Kunzendorf, P; Chevalier, J; Holm, S E

    2010-09-01

    The pathological response and translocation of a commercial chrysotile product similar to that which was used through the mid-1970s in a joint compound intended for sealing the interface between adjacent wall boards was evaluated in comparison to amosite asbestos. This study was unique in that it presents a combined real-world exposure and was the first study to investigate whether there were differences between chrysotile and amosite asbestos fibers in time course, size distribution, and pathological response in the pleural cavity. Rats were exposed by inhalation 6 h/day for 5 days to either sanded joint compound consisting of both chrysotile fibers and sanded joint compound particles (CSP) or amosite asbestos. Subgroups were examined through 1-year postexposure. No pathological response was observed at any time point in the CSP-exposure group. The long chrysotile fibers (L > 20 microm) cleared rapidly (T(1/2) of 4.5 days) and were not observed in the pleural cavity. In contrast, a rapid inflammatory response occurred in the lung following exposure to amosite resulting in Wagner grade 4 interstitial fibrosis within 28 days. Long amosite fibers had a T(1/2) > 1000 days and were observed in the pleural cavity within 7 days postexposure. By 90 days the long amosite fibers were associated with a marked inflammatory response on the parietal pleural. This study provides support that CSP following inhalation would not initiate an inflammatory response in the lung, and that the chrysotile fibers present do not migrate to, or cause an inflammatory response in the pleural cavity, the site of mesothelioma formation.

  4. Withdrawal of inhaled corticosteroids can be safe in COPD patients at low risk of exacerbation: a real-life study on the appropriateness of treatment in moderate COPD patients (OPTIMO)

    PubMed Central

    2014-01-01

    Background It has been suggested that withdrawal of inhaled corticosteroids (ICS) in COPD patients on maintenance treatment results in deterioration of symptoms, lung function and exacerbations. The aim of this real-life, prospective, multicentric study was to investigate whether withdrawal of ICS in COPD patients at low risk of exacerbation is linked to a deterioration in lung function and symptoms and to a higher frequency of exacerbations. Methods 914 COPD patients, on maintenance therapy with bronchodilators and ICS, FEV1>50% predicted, and <2 exacerbations/year were recruited. Upon decision of the primary physicians, 59% of patients continued their ICS treatment whereas in 41% of patients ICS were withdrawn and regular therapy was continued with long-acting bronchodilators mostly (91% of patients). FEV1, CAT (COPD Assessment Test), and occurrence of exacerbations were measured at the beginning (T0) and at the end (T6) of the 6 months observational period. Results 816 patients (89.3%) concluded the study. FEV1, CAT and exacerbations history were similar in the two groups (ICS and no ICS) at T0 and at T6. We did not observe any deterioration of lung function symptoms, and exacerbation rate between the two groups at T0 and T6. Conclusions We conclude that the withdrawal of ICS, in COPD patients at low risk of exacerbation, can be safe provided that patients are left on maintenance treatment with long-acting bronchodilators. PMID:25005873

  5. Asbestos publications

    SciTech Connect

    Not Available

    1992-06-01

    NIOSH publications and testimony on the health effects of exposure to asbestos were included in this compilation as full text articles or abstracts. Additional NIOSH publications on asbestos were listed in a bibliography. The information in this report included occupational safety and health guidelines for asbestos from NIOSH; respiratory diseases (asbestosis, lung cancer, mesothelioma); work related lung disease surveillance report; and the NIOSH analytical methods for fibers, asbestos fibers, chrysotile asbestos, and bulk asbestos. Also contained in this report was NIOSH's testimony of January 24, 1991 on OSHA's proposed rule on occupational exposure to asbestos, tremolite, anthophyllite and actinolite; and NIOSH's statement of April 26, 1990 before the Subcommittee on Toxic Substances, Environmental Oversight, Research and Development, Committee on Environment and Public Works.

  6. Comptational comparison of asbestos fibers: Dosimetry model simulations to characterize variabilty and potency (Presentation poster)

    EPA Science Inventory

    Inhaled asbestos fibers result in respiratory diseases such as asbestosis, lung cancer and mesothelioma, but different asbestos fibers exhibit different potency. We applied a recently developed dosimetry model (Asgharian et al., Poster # 104) that describes th...

  7. Comptational comparison of asbestos fibers: Dosimetry model simulations to characterize variabilty and potency (Presentation poster)

    EPA Science Inventory

    Inhaled asbestos fibers result in respiratory diseases such as asbestosis, lung cancer and mesothelioma, but different asbestos fibers exhibit different potency. We applied a recently developed dosimetry model (Asgharian et al., Poster # 104) that describes th...

  8. Treatments of asbestos containing wastes.

    PubMed

    Spasiano, D; Pirozzi, F

    2017-12-15

    Since the second half of the twentieth century, many studies have indicated inhalation of asbestos fibers as the main cause of deadly diseases including fibrosis and cancer. Consequently, since the beginning of the 80s, many countries started banning production and use of asbestos containing products (ACP), although still present in private and public buildings. Due to some extraordinary catastrophic events and/or the aging of these products, people's health and environmental risk associated with the inhalation of asbestos fibers keeps being high even in those countries where it was banned. For these reasons, many communities are developing plans for an environmental and sanitary safe asbestos removal and management. Asbestos containing wastes (ACW) are usually disposed in controlled landfills, but this practice does not definitively eliminate the problems related with asbestos fiber release and conflicts with the ideas of sustainable land use, recycling, and closing material cycles. Consequently, many scientific papers and patents proposed physical, chemical, and biological treatments aimed to the detoxification of ACW (or the reduction of their health effects) and looking for the adoption of technologies, which allow the reuse of the end-products. By including recent relevant bibliography, this report summarizes the status of the most important and innovative treatments of ACW, providing main operating parameters, advantages, and disadvantages. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Detection of chrysotile asbestos in workers urine

    SciTech Connect

    Finn, M.B.; Hallenbeck, W.H.

    1985-03-01

    Urinary asbestos concentrations were evaluated as an indicator of occupational exposure to chrysotile asbestos via inhalation and ingestion. Detection of asbestos in the urine represents the first step in developing a biological indicator of exposure. Such an indicator could be used to supplement exposure data from workplace air sampling. A biological indicator would be particularly valuable in evaluating workers with intermittent airborne asbestos exposures and in determining if airborne exposure results in penetration of asbestos through the lung or gastro-intestinal tract. Transmission electron microscopy was selected as the most sensitive technique for identification of all sizes of asbestos fibers which might appear in the urine. The levels of chrysotile asbestos detected in the urine of five workers were significantly greater than the asbestos concentrations in matched field blanks. Also, the workers urinary asbestos levels were significantly greater than the concentrations found in the control group. Finally, the levels of chrysotile asbestos detected in the urine of two of six controls were significantly greater than those in matched field blanks. Although the project was not specifically designed to correlate urinary and airborne asbestos concentrations, preliminary data indicated that a correlation did not exist between these factors.

  10. Asbestos, the Law.

    ERIC Educational Resources Information Center

    McGovern, Matthew

    1989-01-01

    Describes structure and use of asbestos; diseases associated with asbestos exposure; legislation and regulations concerning asbestos; training requirements of individuals involved in asbestos abatement; sampling and testing whether a material contains asbestos; and liabilities. (MLF)

  11. Asbestos, the Law.

    ERIC Educational Resources Information Center

    McGovern, Matthew

    1989-01-01

    Describes structure and use of asbestos; diseases associated with asbestos exposure; legislation and regulations concerning asbestos; training requirements of individuals involved in asbestos abatement; sampling and testing whether a material contains asbestos; and liabilities. (MLF)

  12. Asbestos fibers in human lung: forensic significance

    SciTech Connect

    Ehrenreich, T.; Selikoff, I.J.

    1981-03-01

    Asbestos is a fibrous mineral which, because of its unique properties, has innumerable applications in many industries and is used in a large variety of consumer products. It has become ubiquitous and is woven, literally and figuratively, into the fabric of our present-day civilization. However, its presence is sometimes unknown and unsuspected by those who are exposed to asbestos by virtue of occupation or environment and inhale its fibers. Exposed workers and even urban dwellers may have a variable lung burden of asbestos fibers. There is indisputable clinical, pathological, experimental and epidemiological proof that, after varying periods of latency, asbestos may cause benign and malignant disease often leading to disability or death. Forensic investigation of suspected asbestos-related deaths includes a life-time occupational history, a complete autopsy, and identification of the asbestos fiber tissue burden. The latter usually requires special procedures.

  13. Inhalation of diesel exhaust does not exacerbate cardiac hypertrophy or heart failure in two mouse models of cardiac hypertrophy.

    PubMed

    Liu, Yonggang; Chien, Wei-Ming; Medvedev, Ivan O; Weldy, Chad S; Luchtel, Daniel L; Rosenfeld, Michael E; Chin, Michael T

    2013-10-05

    Strong associations have been observed between exposure to fine ambient particulate matter (PM2.5) and adverse cardiovascular outcomes. In particular, exposure to traffic related PM2.5 has been associated with increases in left ventricular hypertrophy, a strong risk factor for cardiovascular mortality. As much of traffic related PM2.5 is derived from diesel exhaust (DE), we investigated the effects of chronic DE exposure on cardiac hypertrophy and heart failure in the adult mouse by exposing mice to DE combined with either of two mouse models of cardiac hypertrophy: angiotensin II infusion or pressure overload induced by transverse aortic banding. Wild type male C57BL/6 J mice were either infused with angiotensin II (800 ng/kg/min) via osmotic minipump implanted subcutaneously for 1 month, or underwent transverse aortic banding (27 gauge needle 1 week for observing acute reactions, 26 gauge needle 3 months or 6 months for observing chronic reactions). Vehicle (saline) infusion or sham surgery was used as a control. Shortly after surgery, mice were transferred to our exposure facility and randomly assigned to either diesel exhaust (300 or 400 μg/m(3)) or filtered air exposures. After reaching the end of designated time points, echocardiography was performed to measure heart structure and function. Gravimetric analysis was used to measure the ventricular weight to body weight ratio. We also measured heart rate by telemetry using implanted ambulatory ECG monitors. Both angiotensin II and transverse aortic banding promoted cardiac hypertrophy compared to vehicle or sham controls. Transverse aortic banding for six months also promoted heart failure in addition to cardiac hypertrophy. In all cases, DE failed to exacerbate the development of hypertrophy or heart failure when compared to filtered air controls. Prolonged DE exposure also led to a decrease in average heart rate. Up to 6-months of DE exposure had no effect on cardiac hypertrophy and heart function induced by

  14. Quantification of the pathological response and fate in the lung and pleura of chrysotile in combination with fine particles compared to amosite-asbestos following short-term inhalation exposure.

    PubMed

    Bernstein, D M; Rogers, R A; Sepulveda, R; Donaldson, K; Schuler, D; Gaering, S; Kunzendorf, P; Chevalier, J; Holm, S E

    2011-06-01

    The marked difference in biopersistence and pathological response between chrysotile and amphibole asbestos has been well documented. This study is unique in that it has examined a commercial chrysotile product that was used as a joint compound. The pathological response was quantified in the lung and translocation of fibers to and pathological response in the pleural cavity determined. This paper presents the final results from the study. Rats were exposed by inhalation 6 h/day for 5 days to a well-defined fiber aerosol. Subgroups were examined through 1 year. The translocation to and pathological response in the pleura was examined by scanning electron microscopy and confocal microscopy (CM) using noninvasive methods. The number and size of fibers was quantified using transmission electron microscopy and CM. This is the first study to use such techniques to characterize fiber translocation to and the response of the pleural cavity. Amosite fibers were found to remain partly or fully imbedded in the interstitial space through 1 year and quickly produced granulomas (0 days) and interstitial fibrosis (28 days). Amosite fibers were observed penetrating the visceral pleural wall and were found on the parietal pleural within 7 days postexposure with a concomitant inflammatory response seen by 14 days. Pleural fibrin deposition, fibrosis, and adhesions were observed, similar to that reported in humans in response to amphibole asbestos. No cellular or inflammatory response was observed in the lung or the pleural cavity in response to the chrysotile and sanded particles (CSP) exposure. These results provide confirmation of the important differences between CSP and amphibole asbestos.

  15. Quantification of the pathological response and fate in the lung and pleura of chrysotile in combination with fine particles compared to amosite-asbestos following short-term inhalation exposure

    PubMed Central

    Bernstein, DM; Rogers, RA; Sepulveda, R; Donaldson, K; Schuler, D; Gaering, S; Kunzendorf, P; Chevalier, J; Holm, SE

    2011-01-01

    The marked difference in biopersistence and pathological response between chrysotile and amphibole asbestos has been well documented. This study is unique in that it has examined a commercial chrysotile product that was used as a joint compound. The pathological response was quantified in the lung and translocation of fibers to and pathological response in the pleural cavity determined. This paper presents the final results from the study. Rats were exposed by inhalation 6 h/day for 5 days to a well-defined fiber aerosol. Subgroups were examined through 1 year. The translocation to and pathological response in the pleura was examined by scanning electron microscopy and confocal microscopy (CM) using noninvasive methods.The number and size of fibers was quantified using transmission electron microscopy and CM. This is the first study to use such techniques to characterize fiber translocation to and the response of the pleural cavity. Amosite fibers were found to remain partly or fully imbedded in the interstitial space through 1 year and quickly produced granulomas (0 days) and interstitial fibrosis (28 days). Amosite fibers were observed penetrating the visceral pleural wall and were found on the parietal pleural within 7 days postexposure with a concomitant inflammatory response seen by 14 days. Pleural fibrin deposition, fibrosis, and adhesions were observed, similar to that reported in humans in response to amphibole asbestos. No cellular or inflammatory response was observed in the lung or the pleural cavity in response to the chrysotile and sanded particles (CSP) exposure. These results provide confirmation of the important differences between CSP and amphibole asbestos. PMID:21639706

  16. Exacerbations of COPD

    PubMed Central

    Pavord, Ian D; Jones, Paul W; Burgel, Pierre-Régis; Rabe, Klaus F

    2016-01-01

    Exacerbations of chronic obstructive pulmonary disease (COPD) are defined as sustained worsening of a patient’s condition beyond normal day-to-day variations that is acute in onset, and that may also require a change in medication and/or hospitalization. Exacerbations have a significant and prolonged impact on health status and outcomes, and negative effects on pulmonary function. A significant proportion of exacerbations are unreported and therefore left untreated, leading to a poorer prognosis than those treated. COPD exacerbations are heterogeneous, and various phenotypes have been proposed which differ in biologic basis, prognosis, and response to therapy. Identification of biomarkers could enable phenotype-driven approaches for the management and prevention of exacerbations. For example, several biomarkers of inflammation can help to identify exacerbations most likely to respond to oral corticosteroids and antibiotics, and patients with a frequent exacerbator phenotype, for whom preventative treatment is appropriate. Reducing the frequency of exacerbations would have a beneficial impact on patient outcomes and prognosis. Preventative strategies include modification of risk factors, treatment of comorbid conditions, the use of bronchodilator therapy with long-acting β2-agonists or long-acting muscarinic antagonists, and inhaled corticosteroids. A better understanding of the mechanisms underlying COPD exacerbations will help to optimize use of the currently available and new interventions for preventing and treating exacerbations. PMID:26937187

  17. Efficacy of salbutamol by nebulizer versus metered dose inhaler with home-made non-valved spacer in acute exacerbation of childhood asthma.

    PubMed

    Yasmin, S; Mollah, A H; Basak, R; Islam, K T; Chowdhury, Y S

    2012-01-01

    This study was done to evaluate and to compare the efficacy of jet nebulizer and metered dose inhaler (MDI) with home-made non-valved spacer (HM NVS) to deliver aerosolized salbutamol in acute exacerbation of asthma in children. HM NVS was made by 500ml plastic mineral water bottle. It was perforated at the bottom for the insertion of MDI and proximal end was cut for placing the mouth. This prospective randomized study was conducted in the department of Pediatrics, Dhaka Medical College Hospital, during April 2007 to March 2008 with 50 known cases (2-12 years) of bronchial asthma with acute exacerbation. After randomized enrollment, each patient received three doses of salbutamol either through a jet nebulizer or through a HM NVS. Oxygen saturation (SaO2), wheeze, heart rate, respiratory rate were recorded throughout the treatment period. Data were analyzed with SPSS for Windows 10.0 at p value <0.05 was considered significant. The mean age of patients was 59.8 months in nebulizer group versus 69.4 months in MDI with HM NVS group. Baseline clinical characteristics in nebulizer group were SaO2 87.7±2.5 versus 89.0±1.8 percent, RR 59.2±7.3 vs. 63.2±4.8 per minute, HR 155.4±11.8 versus 149.0±10.8 per minute and wheeze in 22(88.0%) cases versus 21(84.0%) cases respectively (p>0.05). After therapy improvement was noted among the nebulizer group (SaO2 87.7±2.5 vs. 94.3±2.8 percent; RR 59.2±7.3 vs. 39.3±4.9 per minute; HR 155.4±11.8 vs. 151.60±17.3 per minute; wheeze 88% vs. 8%) as well as in the MDI with HM NVS group (SaO2 89.0±1.8 vs. 94.8±1.8 percent; RR 63.2±4.8 vs. 38.7±6.4 per minute; HR 149.0±10.8 vs. 144.5±13.5 per minute; wheeze 84% vs. 16%) [p<0.001; CI:95%]. However, these improvements did not differ significantly between the nebulizer group and HM NVS group (SaO2 94.3±2.8 vs. 94.8±1.8 percent, RR 39.3±4.9 vs. 38.7±6.4 per minute, HR 151.60±17.3 vs. 144.5±13.5 per minute and wheeze persisted in 2(8.0%) cases versus 4(16.0%) cases

  18. Asbestos exposure indices

    SciTech Connect

    Lippmann, M.

    1988-06-01

    The ability of inhaled asbestos to produce asbestosis, lung cancer, and mesothelioma in both humans and animals is well established, and asbestos exposures in the occupational and general community environment are recognized as significant hazards. However, it has not been possible to establish realistic and credible dose-response relationships, primarily because of the authors inability to define which constituents of the aerosols produce or initiate the pathological responses. It is generally acknowledged that the responses are associated with the fibers rather than the nonfibrous silicate mineral of the same chemical composition. Available data from experimental studies experimental studies in animals exposed by injection and inhalation to fibers of defined size distributions are reviewed, along with data from studies of fiber distributions in lungs of exposed humans in relation to the effects associated with the retained fibers. It is concluded that asbestosis is most closely related to the surface area of retained fibers, that mesothelioma is most closely associated with numbers of fibers longer than approx. 5 ..mu..m and thinner than approx. 0.1 ..mu..m, and that lung cancer is most closely associated with fibers longer than approx. 10 ..mu..m and thicker than approx. 0.15 ..mu..m. The implications of these conclusions on methods for fiber sampling and analyses are discussed.

  19. [Immunological aspects of asbestos-related diseases].

    PubMed

    Kanceljak-Macan, Bozica

    2009-11-01

    Asbestos is a generic name for a group of silicate minerals. The most common are chrysotile, crocidolite, amosite, tremolite and anthophyllite. Exposure to asbestos may cause asbestos-related non-malignant diseases of the lung and pleura, including asbestosis, pleural plaques, diffuse pleural fibrosis, small airway disease, and malignant diseases such as lung cancer and malignant mesothelioma. Inhaled asbestos fibres deposit in the distal regions of the respiratory system where they interact with epithelial cells and alveolar macrophages, and trigger active immunological response which leads to a slowly progressing lung fibrosis. Asbestos may affect immunocompetent cells and induce malignant transformation of mesothelial cells. It is still not clear whether asbestos causes mesothelioma directly or indirectly. There is a general opinion that malignant mesothelioma is a complex tumour that results from the accumulation of multiple genetic alterations over many years. There is no specific antibody for malignant mesothelioma as yet which could act as a single diagnostic tool. Recent studies have demonstrated that asbestos acts on peripheral T cells as superantigen and that in malignant mesothelioma patients there is an overexpression of the Bcl-2 gene on peripheral CD4+ T cells. These findings contribute to better understanding of biological effects of asbestos in respect to the duration and intensity of exposure.

  20. Free radical generation in the toxicity of inhaled mineral particles: the role of iron speciation at the surface of asbestos and silica.

    PubMed

    Fenoglio, I; Prandi, L; Tomatis, M; Fubini, B

    2001-01-01

    Free radical generation at the particle/biological fluid interface is one of the chemical processes that contributes to pathogenicity. In order to investigate the role played by iron, fibres of crocidolite asbestos have been modified by thermal treatments to alter their surface iron content. Two radical mechanisms, HO* from H2O2 and cleavage of a C-H bond, which are both active on the original fibres, have been tested on the modified fibres. C-H cleavage is dependent on Fe(II) abundance and location and is suppressed by surface oxidation while HO* release appears independent of the oxidation state of iron. Quartz specimens with different levels of iron impurities have been tested in a similar manner. A commercially available quartz (Min-U-Sil 5) containing trace levels of iron is also active in both tests, but reactivity is not fully suppressed by treatment with desferrioxamine, which should remove/inactivate iron. The radical yield attained is close to the level produced by a pure quartz dust, suggesting the presence of active sites other than iron. Ascorbic acid reacts with both crocidolite and quartz, with subsequent depletion of the level of antioxidant defences when particle deposition occurs in the lung lining layer. Following treatment with ascorbic acid the radical yield increases with quartz, but decreases with asbestos. Selective removal of iron and silicon from the surface may account for the differences in behaviour of the two particulates.

  1. Comparison of the efficacy and safety of beclometasone dipropionate suspension for nebulization and beclometasone dipropionate via a metered-dose inhaler in paediatric patients with moderate to severe exacerbation of asthma.

    PubMed

    Bisca, N; Cernatescu, I; Dragomir, D; Iacomi, A; Mirceau, M; Orascanu, D

    2003-02-01

    Nebulization simplifies the administration of effective inhaled medications to young asthmatics who experience hand-to-lung co-ordination problems and inspiratory difficulties associated with metered-dose and dry-powder inhalers, respectively. The objective of this double-blind, double-dummy multicentre, randomized, parallel-group study was to compare the efficacy and safety of corticosteroids given by nebulization or metered-dose inhalation in paediatric patients with exacerbation of asthma. Following a 24-h run-in period, 151 patients, aged 6-16years, with moderate to severe exacerbation of asthma were randomized to one of two treatment groups for 4 weeks: beclometasone dipropionate (BDP) suspension for nebulization 1,600 microg day(-1) b.i.d. given via a nebulizer (n = 75), or BDP spray 800 microg day(-1) b.i.d. given via a metered-dose inhaler (MDI) plus spacer (BDP MDI) (n = 76). Superimposable and statistically significant improvements over baseline were noted at study end for the two treatment groups in the various efficacy parameters evaluated (pulmonary function tests, asthma symptoms scores, and the use of rescue salbutamol). The primary efficacy endpoint was the morning pulmonary expiratory flow rate (PEFR). In the BDP nebulization group, mean morning PEFR increased statistically significantly from 233.2 +/- 86.31 min(-1) to 322.0 +/- 101.81 min(-1), while in the BDP MDI group the increase was from 222.9 +/- 87.31 min(-1) to 314.9 +/- 96.61 min(-1). Moreover, an additional 4-week treatment period at half doses, completed by 26 patients, demonstrated that improvements were maintained or further enhanced. The two treatments were equally well tolerated. A total of 25 and 26 patients in the BDP nebulization and BDP MDI groups, respectively reported adverse events during the treatment period, and these were generally mild. In conclusion, the results of this study demonstrate that BDP suspension for nebulization 1,600 microg day(-1) given via a nebulizer and

  2. Asbestos: Protect Your Family

    MedlinePlus

    ... Facebook Twitter Google+ Pinterest Contact Us Protect Your Family How to Identify Materials That May Contain Asbestos ... Improper removal may actually increase your and your family’s exposure to asbestos fibers. Top of Page Asbestos ...

  3. Asbestos: No Easy Solutions.

    ERIC Educational Resources Information Center

    Figlio, Mary Ellen

    1979-01-01

    Asbestos in the schools has become a serious problem. Current activity in inspecting for asbestos and plans for corrective action are discussed. Suggestions are offered administrators in choosing contractors for asbestos removal. (MLF)

  4. Asbestos: No Easy Solutions.

    ERIC Educational Resources Information Center

    Figlio, Mary Ellen

    1979-01-01

    Asbestos in the schools has become a serious problem. Current activity in inspecting for asbestos and plans for corrective action are discussed. Suggestions are offered administrators in choosing contractors for asbestos removal. (MLF)

  5. Asbestos and Cancer Risk

    MedlinePlus

    ... be exposed to asbestos in older buildings, water pipes, and other settings. Asbestos use has been banned ... such as water that flows through asbestos cement pipes). It can also occur when people cough up ...

  6. Asbestos in buildings: what standards are needed

    SciTech Connect

    Ellis, W.; Lieff, M.

    1985-06-01

    The reaction of school jurisdictions over the known hazards of airborne asbestos inhalation points out the need for better standards and inspection requirements. A National Institute of Building Sciences (NIBS) report emphasizes the need for standards in several areas, and a Canadian study concurred on the need for standards even though it found the risk from exposure to asbestos in buildings was not significant. The author notes other laboratory tests and efforts to develop a standard for friable asbestos containing materials and encapsulants for asbestos building materials when a hazard is identified. Consensus standards will provide uniform and coherent procedures for controlling the problem to replace the emotion, confusion, and unnecessary costs of the affected interests.

  7. The efficacy of single-high dose inhaled corticosteroid versus oral prednisone treatment on exhaled leukotriene and 8-isoprostane levels in mild to moderate asthmatic children with asthma exacerbation.

    PubMed

    Keskin, O; Uluca, U; Keskin, M; Gogebakan, B; Kucukosmanoglu, E; Ozkars, M Y; Kul, S; Bayram, H; Coskun, Y

    2016-01-01

    The anti-inflammatory effect of high-dose inhaled corticosteroids (ICS) in children with asthma exacerbation is unknown. We aimed to investigate the efficacy of single-high dose ICS versus oral prednisone treatment followed by a course of six day high-dose ICS or oral prednisone (P) treatment on the concentrations of Cys-LTs and 8-isoprostane levels in the exhaled breath condensate (EBC) of children with asthma exacerbation. Ninety-four children with moderate-severe asthma exacerbation were evaluated with asthma scores, peak expiratory flow rate (PEF), forced expiratory volume in first second (FEV1) and exhaled Cys-LT and 8-isoprostane levels before and after treatment. EBC was collected from 52 patients before and four hours after treatment with inhaled fluticasone propionate (FP) (4000 μg) or P and after six days of treatment with FP-1000 μg/day or P. Cys-LTs and 8-isoprostane concentrations were determined using a specific immunoassay kit. Both single high-dose FP (n=59) and p (n=35) treatment resulted in a significant improvement in asthma score (p<0.0001), PEF (p<0.0001), and FEV1 (p<0.0001). Cys-LT concentration in the EBC decreased significantly both after the initial treatment (p=0.001), and at the end of the six-day period in the FP group (p<0.0001). 8-Isoprostane concentration was lower only after six days of treatment with FP-1000 μg/day in the FP group (p=0.023). There was a significant decrease in exhaled Cys-LTs after four hours (p=0.012) and six days of P treatment (p=0.018) in children with asthma exacerbation. High-dose ICS treatment may be useful in the treatment of children with asthma exacerbation. The effects start as early as after four hours. The suppression of Cys-LTs production contributes to the early effects. Suppression of both Cys-LTs and oxidants may favourably contribute to the effects observed later. Copyright © 2015 SEICAP. Published by Elsevier Espana. All rights reserved.

  8. MALIGNANT PLEURAL MESOTHELIOMA WITHOUT ASBESTOS EXPOSURE WITH DISTANT METASTASIS IN A PERIPHERAL LYMPH NODE: A CASE REPORT

    PubMed Central

    Kant, Surya; Verma, Sanjay Kumar; Sanjay

    2008-01-01

    SUMMARY Malignant mesothelioma is an uncommon pleural neoplasm and usually associated with inhalation exposure to asbestos. About 20% of the patients have no demonstrable exposure to asbestos. It rarely metastasizes in peripheral lymph nodes. Here is a case report of malignant pleural mesothelioma without asbestos exposure with cervical lymph node metastasis PMID:20396658

  9. DEFINITION FOR ASBESTOS.

    USGS Publications Warehouse

    Ross, Malcolm; Kuntze, Richard A.; Clifton, Robert A.; ,

    1984-01-01

    A definition of asbestos is proposed. Under this definition, the term asbestos applies to six naturally occurring minerals exploited commercially for their desirable physical properties, which are in part derived from their asbestiform habit. The six minerals are the serpentine mineral chrysotile and the amphibole minerals grunerite asbestos (also referred to as amosite), riebeckite asbestos (also referred to as crocidolite), anthophyllite asbestos, tremolite asbestos, and actinolite asbestos. Individual mineral particles, however processed and regardless of their mineral name, are not demonstrated to be asbestos if the length-to-width ratio is less than 20:1.

  10. Grand rounds: asbestos-related pericarditis in a boiler operator.

    PubMed

    Abejie, Belayneh A; Chung, Eugene H; Nesto, Richard W; Kales, Stefanos N

    2008-01-01

    Occupational and environmental exposures to asbestos remain a public health problem even in developed countries. Because of the long latency in asbestos-related pathology, past asbestos exposure continues to contribute to incident disease. Asbestos most commonly produces pulmonary pathology, with asbestos-related pleural disease as the most common manifestation. Although the pleurae and pericardium share certain histologic characteristics, asbestos-related pericarditis is rarely reported. We present a 59-year-old man who worked around boilers for almost 30 years and was eventually determined to have calcific, constrictive pericarditis. He initially presented with an infectious exacerbation of chronic bronchitis. Chest radiographs demonstrated pleural and pericardial calcifications. Further evaluation with cardiac catheterization showed a hemodynamic picture consistent with constrictive pericarditis. A high-resolution computerized tomography scan of the chest demonstrated dense calcification in the pericardium, right pleural thickening and nodularity, right pleural plaque without calcification, and density in the right middle lobe. Pulmonary function testing showed mild obstruction and borderline low diffusing capacity. Based on the patient's occupational history, the presence of pleural pathology consistent with asbestos, previous evidence that asbestos can affect the pericardium, and absence of other likely explanations, we concluded that his pericarditis was asbestos-related. Similar to pleural thickening and plaque formation, asbestos may cause progressive fibrosis of the pericardium.

  11. Grand Rounds: Asbestos-Related Pericarditis in a Boiler Operator

    PubMed Central

    Abejie, Belayneh A.; Chung, Eugene H.; Nesto, Richard W.; Kales, Stefanos N.

    2008-01-01

    Context Occupational and environmental exposures to asbestos remain a public health problem even in developed countries. Because of the long latency in asbestos-related pathology, past asbestos exposure continues to contribute to incident disease. Asbestos most commonly produces pulmonary pathology, with asbestos-related pleural disease as the most common manifestation. Although the pleurae and pericardium share certain histologic characteristics, asbestos-related pericarditis is rarely reported. Case presentation We present a 59-year-old man who worked around boilers for almost 30 years and was eventually determined to have calcific, constrictive pericarditis. He initially presented with an infectious exacerbation of chronic bronchitis. Chest radiographs demonstrated pleural and pericardial calcifications. Further evaluation with cardiac catheterization showed a hemodynamic picture consistent with constrictive pericarditis. A high-resolution computerized tomography scan of the chest demonstrated dense calcification in the pericardium, right pleural thickening and nodularity, right pleural plaque without calcification, and density in the right middle lobe. Pulmonary function testing showed mild obstruction and borderline low diffusing capacity. Discussion Based on the patient’s occupational history, the presence of pleural pathology consistent with asbestos, previous evidence that asbestos can affect the pericardium, and absence of other likely explanations, we concluded that his pericarditis was asbestos-related. Relevance to clinical practice Similar to pleural thickening and plaque formation, asbestos may cause progressive fibrosis of the pericardium. PMID:18197304

  12. Asbestos-induced lung diseases: an update

    PubMed Central

    KAMP, DAVID W.

    2009-01-01

    Asbestos causes asbestosis (pulmonary fibrosis caused by asbestos inhalation) and malignancies (bronchogenic carcinoma and mesothelioma) by mechanisms that are not fully elucidated. Despite a dramatic reduction in asbestos use worldwide, asbestos-induced lung diseases remain a substantial health concern primarily because of the vast amounts of fibers that have been mined, processed, and used during the 20th century combined with the long latency period of up to 40 years between exposure and disease presentation. This review summarizes the important new epidemiologic and pathogenic information that has emerged over the past several years. Whereas the development of asbestosis is directly associated with the magnitude and duration of asbestos exposure, the development of a malignant clone of cells can occur in the setting of low-level asbestos exposure. Emphasis is placed on the recent epidemiologic investigations that explore the malignancy risk that occurs from nonoccupational, environmental asbestos exposure. Accumulating studies are shedding light on novel mechanistic pathways by which asbestos damages the lung. Attention is focused on the importance of alveolar epithelial cell (AEC) injury and repair, the role of iron-derived reactive oxygen species (ROS), and apoptosis by the p53- and mitochondria-regulated death pathways. Furthermore, recent evidence underscores crucial roles for specific cellular signaling pathways that regulate the production of cytokines and growth factors. An evolving role for epithelial-mesenchymal transition (EMT) is also reviewed. The translational significance of these studies is evident in providing the molecular basis for developing novel therapeutic strategies for asbestos-related lung diseases and, importantly, other pulmonary diseases, such as interstitial pulmonary fibrosis and lung cancer. PMID:19304273

  13. Asbestos Surveillance Program

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Background on asbestos is presented including the different types and the important medical distinctions between those different types. The four diseases associated with asbestos exposure are discussed: mesothelioma, lung cancer, asbestosis, and benign pleural disorders. The purpose of the LeRC Asbestos Surveillance Program is outlined, and the specifics of the Medical Surveillance Program for Asbestos Monitoring at LeRC are discussed.

  14. Persistent increases in inflammatory cytokines, Akt, and MAPK/ERK pathways after inhalation exposure of rats to Libby amphibole (LA) or amosite: comparison to effects after intratracheal exposure to LA or naturally occurring asbestos.

    EPA Science Inventory

    Human exposure to LA and other mined or processed asbestos increases risk of lung inflammation, fibrosis, and cancer. Health risks from exposure to naturally occurring asbestos (NOA) are not as well-understood. Mechanisms of long-term toxicity were compared in male F344 rats expo...

  15. Persistent increases in inflammatory cytokines, Akt, and MAPK/ERK pathways after inhalation exposure of rats to Libby amphibole (LA) or amosite: comparison to effects after intratracheal exposure to LA or naturally occurring asbestos.

    EPA Science Inventory

    Human exposure to LA and other mined or processed asbestos increases risk of lung inflammation, fibrosis, and cancer. Health risks from exposure to naturally occurring asbestos (NOA) are not as well-understood. Mechanisms of long-term toxicity were compared in male F344 rats expo...

  16. Exposure and risks from wearing asbestos mitts

    PubMed Central

    Cherrie, John W; Tindall, Matthew; Cowie, Hilary

    2005-01-01

    Background Very high fibre inhalation exposure has been measured while people were wearing personal protective equipment manufactured from chrysotile asbestos. However, there is little data that relates specifically to wearing asbestos gloves or mitts, particularly when used in hot environments such as those found in glass manufacturing. The aim of this study was to assess the likely personal exposure to asbestos fibres when asbestos mitts were used. Results Three types of work activity were simulated in a small test room with unused mitts and artificially aged mitts. Neither pair of mitts were treated to suppress the dust emission. The measured respirable fibre exposure levels ranged from <0.06 to 0.55 fibres/ml, with no significant difference in fibre exposure between aged and unused mitts. The use of high localised ventilation to simulate convective airflows from a furnace reduced exposure levels by about a factor of five. Differences between tasks were statistically significant, with simulated "rowing" of molten glass lowest and replacement of side seals on the furnace highest. Estimated lifetime cancer risk from 20 years exposure at the upper end of the exposure range measured during the study is less than 22 per 100,000. Conclusion People who wore asbestos mitts were likely to have been exposed to relatively low levels of airborne chrysotile asbestos fibres, certainly much lower than the standards that were accepted in the 1960's and 70's. The cancer risks from this type of use are likely to be very low. PMID:16202137

  17. [Exposure to asbestos and the indoor environment].

    PubMed

    Billon-Galland, M-A; Martinon, L; Andujar, P; Ameille, J; Paris, C; Brochard, P; Pairon, J-C

    2011-06-01

    A link between the inhalation of asbestos fibres and the outcome of benign and malignant respiratory diseases has been established from numerous epidemiological data in occupational settings. Occupational exposure limit values have been established with a gradual lowering of these over time. Conversely, there are few epidemiological data dealing with exposure in the indoor environment. However, numerous materials and products containing asbestos (MPCA) are present in the indoor environment, due to their widespread use in the construction sector in the years between 1960 and 1990. The regulations were changed from the late 1990s, leading to a systematic inventory of the presence of asbestos-containing materials in buildings. The aim of this manuscript is to clarify the different types of MPCA encountered in the indoor environment, to describe the techniques used to highlight asbestos depending on the nature of the materials, the regulatory requirements relating to asbestos in non-occupational situations, and to update on the state of knowledge on asbestos-related diseases in the indoor environment.

  18. How to recycle asbestos containing materials (ACM)

    SciTech Connect

    Jantzen, C.M.

    2000-04-11

    The current disposal of asbestos containing materials (ACM) in the private sector consists of sealing asbestos wetted with water in plastic for safe transportation and burial in regulated land fills. This disposal methodology requires large disposal volumes especially for asbestos covered pipe and asbestos/fiberglass adhering to metal framework, e.g. filters. This wrap and bury technology precludes recycle of the asbestos, the pipe and/or the metal frameworks. Safe disposal of ACM at U.S. Department of Energy (DOE) sites, likewise, requires large disposal volumes in landfills for non-radioactive ACM and large disposal volumes in radioactive burial grounds for radioactive and suspect contaminated ACM. The availability of regulated disposal sites is rapidly diminishing causing recycle to be a more attractive option. Asbestos adhering to metal (e.g., pipes) can be recycled by safely removing the asbestos from the metal in a patented hot caustic bath which prevents airborne contamination /inhalation of asbestos fibers. The dissolution residue (caustic and asbestos) can be wet slurry fed to a melter and vitrified into a glass or glass-ceramic. Palex glasses, which are commercially manufactured, are shown to be preferred over conventional borosilicate glasses. The Palex glasses are alkali magnesium silicate glasses derived by substituting MgO for B{sub 2}O{sub 3} in borosilicate type glasses. Palex glasses are very tolerant of the high MgO and high CaO content of the fillers used in forming asbestos coverings for pipes and found in boiler lashing, e.g., hydromagnesite (3MgCO{sub 3} Mg(OH){sub 2} 3H{sub 2}O) and plaster of paris, gypsum (CaSO{sub 4}). The high temperate of the vitrification process destroys the asbestos fibers and renders the asbestos non-hazardous, e.g., a glass or glass-ceramic. In this manner the glass or glass-ceramic produced can be recycled, e.g., glassphalt or glasscrete, as can the clean metal pipe or metal framework.

  19. Acute exacerbation of COPD.

    PubMed

    Ko, Fanny W; Chan, Ka Pang; Hui, David S; Goddard, John R; Shaw, Janet G; Reid, David W; Yang, Ian A

    2016-10-01

    The literature of acute exacerbation of chronic obstructive pulmonary disease (COPD) is fast expanding. This review focuses on several aspects of acute exacerbation of COPD (AECOPD) including epidemiology, diagnosis and management. COPD poses a major health and economic burden in the Asia-Pacific region, as it does worldwide. Triggering factors of AECOPD include infectious (bacteria and viruses) and environmental (air pollution and meteorological effect) factors. Disruption in the dynamic balance between the 'pathogens' (viral and bacterial) and the normal bacterial communities that constitute the lung microbiome likely contributes to the risk of exacerbations. The diagnostic approach to AECOPD varies based on the clinical setting and severity of the exacerbation. After history and examination, a number of investigations may be useful, including oximetry, sputum culture, chest X-ray and blood tests for inflammatory markers. Arterial blood gases should be considered in severe exacerbations, to characterize respiratory failure. Depending on the severity, the acute management of AECOPD involves use of bronchodilators, steroids, antibiotics, oxygen and noninvasive ventilation. Hospitalization may be required, for severe exacerbations. Nonpharmacological interventions including disease-specific self-management, pulmonary rehabilitation, early medical follow-up, home visits by respiratory health workers, integrated programmes and telehealth-assisted hospital at home have been studied during hospitalization and shortly after discharge in patients who have had a recent AECOPD. Pharmacological approaches to reducing risk of future exacerbations include long-acting bronchodilators, inhaled steroids, mucolytics, vaccinations and long-term macrolides. Further studies are needed to assess the cost-effectiveness of these interventions in preventing COPD exacerbations.

  20. Caution: asbestos dust is hazardous to your health

    SciTech Connect

    Not Available

    1987-01-01

    This pamphlet is designed to bring current awareness of the asbestos hazard to the general public. Asbestos is defined as a mineral and the properties of its various types are depicted. Uses for asbestos are listed for the construction industry, automotive industry, textile industry, and other fields where the substance has been used to strengthen metals exposed to heat. The danger from asbestos stems from inhaling the fibrous dust particles. The danger varies according to the intensity of the dust inhaled, the susceptibility of the exposed individual, the size and variety of the fibers, and the presence of other pollutants inhaled as well. The latency period before symptoms appear is discussed and the diseases of asbestosis, mesothelioma, cancer of the respiratory system, and asbestos corns are described. Groups of workers who may be exposed are listed. While there is no known treatment for asbestos-related diseases, regular checkups are urged and the need for controlling on-the-job exposure is stressed. Safety standards are listed and safety practices including labeling of hazardous materials, use of personal safety equipment, on the job housekeeping, medical surveillance, and education of employers and employees are discussed.

  1. Comparison of salbutamol efficacy in children--via the metered-dose inhaler (MDI) with Volumatic spacer and via the dry powder inhaler, Easyhaler, with the nebulizer--in mild to moderate asthma exacerbation: a multicenter, randomized study.

    PubMed

    Direkwatanachai, Chalerat; Teeratakulpisarn, Jamaree; Suntornlohanakul, Somchai; Trakultivakorn, Muthita; Ngamphaiboon, Jarungchit; Wongpitoon, Nares; Vangveeravong, Mukda

    2011-03-01

    Beta(2) agonist administered via a nebulizer is the standard treatment for acute asthma exacerbation. There are some limitations for the use of nebulization. We conducted a study to determine the efficacy of salbutamol administered via the pMDI with Volumatic spacer and the Easyhaler (DPI) compared to nebulization in mild to moderate asthma exacerbations in children. A multicenter, randomized, controlled study was conducted in children between 5 and 18 years of age who presented at an emergency or outpatient department. They were randomized to receive either 6 puffs of salbutamol via the pMDI with Volumatic spacer, or via the Easyhaler, or 0.15 mg/kg of salbutamol nebulized via oxygen (or compressed air). The primary outcome was the clinical response which was assessed using the modified Wood's asthma score. The secondary outcomes were: hospitalization, asthma revisit within 3 days, systemic corticosteroid use and adverse events. The clinical score, oxygen saturation, PR, RR, BP and adverse events were recorded at time 0 (before treatment) and 20, 40 and 60 minutes after drug administration. There were no statistically significant differences in the clinical response between the three groups at the 1st, 2nd or 3rd dose or for the SpO(2) or the respiratory rate while the children in the Easyhaler group had significantly less tachycardia after the 2nd dose. No significant adverse events were noted among the three groups. Salbutamol administered via pMDI with Volumatic spacer or DPI (Easyhaler) are as effective as salbutamol given via a nebulizer in providing effective relief of mild to moderate severity acute asthma exacerbation in children between 5 and 18 years of age.

  2. Asbestos in Our Schools. Taming the Silent Killer. A Handbook for Association Leaders Produced by NEA.

    ERIC Educational Resources Information Center

    National Education Association, Washington, DC.

    In 1984, the U. S. Environmental Protection Agency (EPA) estimated that friable asbestos-containing materials were present in 31,000 school buildings throughout the country. Once inhaled, asbestos fibers may remain in the lungs indefinitely and can lead to various diseases. This handbook is intended to provide administrators--in nontechnical…

  3. Working with asbestos

    SciTech Connect

    Headrick, L.A.; Duncan, D.T.

    1981-05-15

    Adverse health effects associated with the overexposure to airborne asbestos fibers are asbestosis, a nonmalignant scarring of lung tissue, mesothelioma, and respiratory cancer. Controls used to prevent excessive exposure to airborne asbestos fibers are discussed and illustrated. (JGB)

  4. Contact Us about Asbestos

    EPA Pesticide Factsheets

    How to contact EPA for more information on asbestos, including state and regional contacts, EPA’s Asbestos Abatement/Management Ombudsman and the Toxic Substances Control Act (TSCA) Assistance Information Service (TSCA Hotline).

  5. Novel selective dyeing method for chrysotile asbestos detection in concrete materials.

    PubMed

    Oke, Yoshihiko; Yamasaki, Nakamichi; Amamoto, Go Y; Sasaki, Kazuhiro; Maeta, Naomi; Fujimaki, Hirokazu; Hashida, Toshiyuki

    2008-03-01

    There are a tremendous number of asbestos-containing buildings without any surveys on the presence of asbestos because of the difficulty to detect asbestos in building materials simply and quickly, although a great deal of worldwide effort was put into removing asbestos of which inhalation causes serious diseases. In this study, we newly developed a simple dyeing method to detect chrysotile asbestos, the most commonly used type of asbestos, in asbestos-cement composite materials using magnesium-chelating organic dyes. As an essential process for selective dyeing of chrysotile asbestos, special pretreatment with a calcium-chelating agent was developed to prevent the dyes from reacting with calcium, which is the major component of concrete materials. Our developed selective dyeing method was shown to possess sufficient sensitivity for detecting chrysotile asbestos in an amount greater than 0.1 mass% in concrete specimens, and there was an approximately linear relationship between the area fraction of dyed spots and the mass fraction of chrysotile asbestos. Our results may provide a basis for further development of a simple on-site detection method for chrysotile asbestos in building materials and may facilitate the progress of control and removal of asbestos in the environment.

  6. Fiber inhalability and head deposition in rats and humans.

    EPA Science Inventory

    Due to their dimensions and long durability, inhaled asbestos fibers clear slowly from lung airways. Retained fibers may injure the epithelium, interact with macrophages, or translocate to the interstitium to result in various respiratory diseases. Therefore, calculations of fibe...

  7. Fiber inhalability and head deposition in rats and humans.

    EPA Science Inventory

    Due to their dimensions and long durability, inhaled asbestos fibers clear slowly from lung airways. Retained fibers may injure the epithelium, interact with macrophages, or translocate to the interstitium to result in various respiratory diseases. Therefore, calculations of fibe...

  8. Asbestos in Colorado Schools.

    ERIC Educational Resources Information Center

    Baldwin, Cynthia A.

    This study determined, by means of a random sample, how many of Colorado's public schools have asbestos materials and estimated the potential risk of exposure presented by these materials. Forty-one schools were surveyed. Bulk samples of possible asbestos materials were collected and analyzed using the K-squared Asbestos Screening Test to…

  9. Asbestos-related malignancy

    SciTech Connect

    Talcott, J.A.; Antman, K.H.

    1988-05-01

    Asbestos-associated malignancies have received significant attention in the lay and medical literature because of the increasing frequency of two asbestos-associated tumors, lung carcinoma and mesothelioma; the wide distribution of asbestos; its status as a prototype environmental carcinogen; and the many recent legal compensation proceedings, for which medical testimony has been required. The understanding of asbestos-associated carcinogenesis has increased through study of animal models, human epidemiology, and, recently, the application of modern molecular biological techniques. However, the detailed mechanisms of carcinogenesis remain unknown. A wide variety of malignancies have been associated with asbestos, although the strongest evidence for a causal association is confined to lung cancer and mesothelioma. Epidemiological studies have provided evidence that both the type of asbestos fiber and the industry in which the exposure occurs may affect the rates of asbestos-associated cancers. It has been shown that asbestos exerts a carcinogenic effect independent of exposure to cigarette smoking that, for lung cancers, is synergistically enhanced by smoking. Other questions remain controversial, such as whether pulmonary fibrosis necessarily precedes asbestos-associated lung cancer and whether some threshold level of exposure to asbestos (including low-dose exposures that may occur in asbestos-associated public buildings) may be safe. Mesothelioma, the most closely asbestos-associated malignancy, has a dismal natural history and has been highly resistant to therapy. However, investigational multi-modality therapy may offer benefit to some patients. 179 references.

  10. Asbestos in Colorado Schools.

    ERIC Educational Resources Information Center

    Baldwin, Cynthia A.

    This study determined, by means of a random sample, how many of Colorado's public schools have asbestos materials and estimated the potential risk of exposure presented by these materials. Forty-one schools were surveyed. Bulk samples of possible asbestos materials were collected and analyzed using the K-squared Asbestos Screening Test to…

  11. [A Forensic Autopsy Case Applied for Asbestos-Related Disease].

    PubMed

    Makihara, Kosuke; Hamada, Tetsuo; Kasai, Kentaro; Tanaka, Toshiko; Sato, Hiroaki

    2016-03-01

    We had a forensic autopsy case that required additive pathological examination for the asbestos-related lung disease compensatory application afterwards. A man in his sixties with a history of occupational asbestos inhalation who had neither visited a hospital nor received a physical examination received forensic autopsy because of his death from unknown cause. An inmate said, "He developed cough and dyspnea, and died in the progression of the symptoms." The autopsy revealed widespread pleural plaques on both sides of the parietal pleura and multiple tumors in both sides of the lungs. The cause of death was diagnosed as lung cancer. Additional pathological examination was asked by his family to certify that he had suffered from asbestos-related lung disease in order to apply to the Asbestos-related Damage Relief Law. The Japanese criteria of the compensation law of asbestos-related lung cancer is the detection of more than 5,000 asbestos bodies per gram of dry lung tissue, while his number of asbestos bodies was 4,860. Asbestos bodies were reported to be accumulated in the distal lung parenchyma with no pathological changes. The present lung samples were collected from proximal section around the tumor, which might have made the number of asbestos bodies less than the criteria. Both the number of patients suffering from asbestos-related lung disease and the number of forensic autopsy cases have increased in Japan. Collecting lung samples from the appropriate lung section is essential and should be noted when the lung cancer is suspected at forensic autopsy in order to apply for asbestos-related lung disease compensation.

  12. Asbestos in the natural environment

    SciTech Connect

    Schreier, H.

    1989-01-01

    This book consists of six chapters which cover asbestos types and health effects; asbestos properties, mineralogy, distribution, and analysis; asbestos in the aquatic environment; asbestos in the soil environment; asbestos and plant growth; and other environmental concerns. The book is useful and is recommended for those interested in asbestos in soil and water and in a general review of asbestos sources. The book is not recommended for those interested in asbestos sampling and analysis or in a critical review of human health effects resulting from asbestos exposure. 400 refs.

  13. Patterns of pulmonary dysfunction in asbestos workers: a cross-sectional study

    PubMed Central

    2010-01-01

    Background Restrictive patterns of pulmonary function abnormalities associated with asbestos exposure are well described. Studies are less consistent, however, regarding the association of asbestos inhalation with airway dysfunction and obstructive impairment. Methods We compared pulmonary function test results between 277 chrysotile exposed workers (22% non-smokers) and 177 unexposed controls (50.3% non-smokers). Information on exposure and smoking were collected using a standardized questionnaire. Standardized spirometric and DCLO Measurement methods were utilized. CXRs were read based on ILO pneumoconiosis guidelines. Results Asbestos exposed subjects had significantly reduced FVC, FEV1, FEV1/FVC and DLCO. Restricting the analysis to non-smokers, asbestos workers still had about 3% lower FEV1/FVC ratio than controls, but this difference did not reach statistical significance. Among exposed workers, the presence of radiographic evidence of asbestosis further lowered FVC and DLCO but not FEV1/FVC compared to asbestos exposure without radiographic asbestosis. Additionally, smoking asbestos workers had significantly lower DLCO compared to non-smoking workers. Conclusion Asbestos exposure, especially when radiographic evidence of interstitial fibrosis from asbestosis is present, leads to significant decreases in FVC, FEV1 and the DLCO. However, asbestos exposure alone is not significantly associated with a reduction of the FEV1/FVC. Smoking-asbestos workers had significantly lower DLCO than their non-smoking counterparts. Whether asbestos interacts with smoking additively or synergistically on DLCO needs further investigation. Similarly, further studies are needed to assess the progression and clinical significance of asbestos induced airway dysfunction. PMID:20525229

  14. [Pulmonary disease due to asbestos in steel industry workers].

    PubMed

    Zurbriggen, Rita; Capone, Lilian

    2013-01-01

    Asbestos-related diseases are caused by the inhalation of asbestos fibers in their variety chrysotile or white asbestos. Although the ban in Argentina dates from 2003, there are numerous industries where work continues with this mineral, including iron and steel industries. It is currently known the high pathogenicity of this material, so that in many countries there are programs to monitoring the exposed workers. Here we describe the general characteristics and pulmonary manifestations in 27 patients who had worked in a very huge steel factory in South America. The diagnosis of asbestos-related diseases was made by a medical-occupational record, history of asbestos exposure, additional studies of lung function and chest images. Then the sources of exposure (occupational, domestic and environmental), exposure time and latency period were analyzed, in those patients in whom a related disease was detected. Smoking history was also taken into account. Twenty-two patients had benigns pathologies (81.4%), sixteen of them with lesions localyzed in pleura, and other six pulmonary asbestosis. The malignant pathologies occurred in five patients (18.5%), in four of them mesothelioma and in other one lung cancer. The problem of asbestos exposure has contemporary relevance. Hence the need for a surveillance program in workers exposed to asbestos in the past or currently, to detect, report, record and investigate the characteristics of these pathologies.

  15. Dysregulation of the immune system caused by silica and asbestos.

    PubMed

    Maeda, Megumi; Nishimura, Yasumitsu; Kumagai, Naoko; Hayashi, Hiroaki; Hatayama, Tamayo; Katoh, Minako; Miyahara, Naomi; Yamamoto, Shoko; Hirastuka, Junichi; Otsuki, Takemi

    2010-01-01

    Silica and asbestos cause pneumoconioses known as silicosis and asbestosis, respectively, that are each characterized by progressive pulmonary fibrosis. While local effects of inhaled silica particles alter the function of alveolar macrophages and sequential cellular and molecular biological events, general systemic immunological effects may also evolve. One well-known health outcome associated with silica exposure/silicosis is an increase in the incidence of autoimmune disorders. In addition, while exposure to silica--in the crystalline form--has also been seen to be associated with the development of lung cancers, it remains unclear as to whether or not silicosis is a necessary condition for the elevation of silica-associated lung cancer risks. Since asbestos is a mineral silicate, it would be expected to also possess generalized immunotoxicological effects similar to those associated with silica particles. However, asbestos-exposed patients are far better known than silicotic patients for development of malignant diseases such as lung cancer and mesothelioma, and less so for the development of autoimmune disorders. With both asbestos and crystalline silica, one important dysregulatory outcome that needs to be considered is an alteration in tumor immunity that allows for silica- or asbestos- (or asbestos-associated agent)-induced tumors to survive and thrive in situ. In this review, the immunotoxicological effects of both silica and asbestos are presented and contrasted in terms of their abilities to induce immune system dysregulation that then are manifest by the onset of autoimmunity or by alterations in host-tumor immunity.

  16. Asbestos exposure increases human bronchial epithelial cell fibrinolytic activity.

    PubMed

    Gross, T J; Cobb, S M; Gruenert, D C; Peterson, M W

    1993-03-01

    Chronic exposure to asbestos fibers results in fibrotic lung disease. The distal pulmonary epithelium is an early target of asbestos-mediated injury. Local plasmin activity may be important in modulating endoluminal inflammatory responses in the lung. We studied the effects of asbestos exposure on cell-mediated plasma clot lysis as a marker of pericellular plasminogen activation. Exposing human bronchial epithelial (HBE) cells to 100 micrograms/ml of asbestos fibers for 24 h resulted in increased plasma clot lysis. Fibrinolytic activity was augmented in a dose-dependent fashion, was not due to secreted protease, and occurred only when there was direct contact between the plasma clot and the epithelial monolayer. Further analysis showed that asbestos exposure increased HBE cell-associated urokinase-type plasminogen activator (uPA) activity in a time-dependent manner. The increased cell-associated PA activity could be removed by acid washing. The increase in PA activity following asbestos exposure required new protein synthesis because it was abrogated by treatment with either cycloheximide or actinomycin D. Therefore, asbestos exposure increases epithelial-mediated fibrinolysis by augmenting expression of uPA activity at the cell surface by mechanisms that require new RNA and protein synthesis. These observations suggest a novel mechanism whereby exposure of the distal epithelium to inhaled particulates may result in a chronic inflammatory response that culminates in the development of fibrotic lung disease.

  17. Bioanalytical techniques for detecting biomarkers of response to human asbestos exposure

    PubMed Central

    Mesaros, Clementina; Worth, Andrew J; Snyder, Nathaniel W; Christofidou-Solomidou, Melpo; Vachani, Anil; Albelda, Steven M; Blair, Ian A

    2015-01-01

    Asbestos exposure is known to cause lung cancer and mesothelioma and its health and economic impacts have been well documented. The exceptionally long latency periods of most asbestos-related diseases have hampered preventative and precautionary steps thus far. We aimed to summarize the state of knowledge on biomarkers of response to asbestos exposure. Asbestos is not present in human biological fluids; rather it is inhaled and trapped in lung tissue. Biomarkers of response, which reflect a change in biologic function in response to asbestos exposure, are analyzed. Several classes of molecules have been studied and evaluated for their potential utility as biomarkers of asbestos exposure. These studies range from small molecule oxidative stress biomarkers to proteins involved in immune responses. PMID:26039812

  18. Bioanalytical techniques for detecting biomarkers of response to human asbestos exposure.

    PubMed

    Mesaros, Clementina; Worth, Andrew J; Snyder, Nathaniel W; Christofidou-Solomidou, Melpo; Vachani, Anil; Albelda, Steven M; Blair, Ian A

    2015-01-01

    Asbestos exposure is known to cause lung cancer and mesothelioma and its health and economic impacts have been well documented. The exceptionally long latency periods of most asbestos-related diseases have hampered preventative and precautionary steps thus far. We aimed to summarize the state of knowledge on biomarkers of response to asbestos exposure. Asbestos is not present in human biological fluids; rather it is inhaled and trapped in lung tissue. Biomarkers of response, which reflect a change in biologic function in response to asbestos exposure, are analyzed. Several classes of molecules have been studied and evaluated for their potential utility as biomarkers of asbestos exposure. These studies range from small molecule oxidative stress biomarkers to proteins involved in immune responses.

  19. Asbestos fibers in parenteral medication.

    PubMed

    Addison, J; Browne, K; Davis, J M; Gruber, U F

    1993-12-01

    The adequacy of current regulations for the control of particulate matter in injectable medicines has been brought into question by a recent television program which reported that asbestos fibers had been found in a number of such preparations. The fibers were identified as chrysotile, which occurs very widely as a secondary mineral in rocks, and is almost ubiquitous among minerals derived from natural erosion. Fibers are found in almost all drinking water and air samples unrelated to any contamination of fiber resulting from industrial exploitation. Because of this, even extreme laboratory precautions may fail to eliminate every fine fiber. A normal person living in an urban environment inhales about 10(5) asbestos fibers daily and ingests 10(10). There is evidence that a small proportion of these fibers regularly enters the circulation, and some fibers may be excreted in the urine. Elimination also occurs because retained chrysotile fibers fragment and disappear relatively quickly from human tissues, probably through macrophage action. Fiber length and dose are also important in disease causation. Established evidence on fiber length, durability, and quantitative exposure required for disease production does not indicate that the fibers reported to have been found in parenteral preparations constitute any hazard.

  20. The global spread of asbestos.

    PubMed

    Frank, Arthur L; Joshi, T K

    2014-01-01

    Asbestos continues to be used in large quantities around the world and to be an important commodity in global trade. To assess and quantify current global patterns of asbestos production, export and use; to examine global patterns of asbestos-related disease; and to examine barriers to an asbestos ban. Review of the biomedical literature describing patterns of asbestos exposure and disease; review of documents from national governments, UN agencies, and NGOs on asbestos production and use. Despite widespread knowledge of the hazards of asbestos and bans on any use of asbestos in more than 50 countries, an estimated 2 million tons of asbestos continue to be used around the world each year. Although this amount is significantly less than peak annual consumption of nearly 5 million tons two decades ago, significant amounts of asbestos are still used in India, China, Russia, and some developing countries. This use of asbestos is responsible for disease today and will cause still more asbestos-related disease in the years ahead. Real and artificially manufactured controversies regarding asbestos such as arguments about the relative hazards of different asbestos fiber types and fiber sizes have impeded bans on asbestos. All forms of asbestos pose grave dangers to human health. All are proven human carcinogens. There is no continued justification for the use of asbestos. Its production and use should be banned worldwide. Copyright © 2014 Icahn School of Medicine at Mount Sinai. Published by Elsevier Inc. All rights reserved.

  1. Asbestos in water sources of the Bazhenovskoye chrysotile asbestos deposit.

    PubMed

    Kashansky, Sergey V; Slyshkina, Tatiana V

    2002-01-01

    The paper provides measurements of asbestos fiber levels in water sources from the area of the Bazhenovskoye chrysotile asbestos deposit. All study water samples contained asbestos fibers at concentrations one to three orders below the values standardized in the USA (7 x 10(6) fibers/liter). All the identified fibers belonged to chrysotile asbestos and no amphibole asbestos, such as tremolite asbestos, has been identified. The anthropogenic load of asbestos fibers in Asbest City's environment is increasing in the volume of 5.770 x 10(14) fibers/liter or 10.2 kg of chrysotile asbestos. The authors consider it advisable to continue studies to measure asbestos levels in the water sources in the areas located in the vicinity of other Russian asbestos deposits.

  2. Asbestos health problems force insulation removal

    SciTech Connect

    Fleming, J.

    1982-08-09

    Employee health concerns linked to asbestos insulation at industrial facilities will require costly containment or removal. Although the 15,000 pending lawsuits target 250 manufacturers and vendors, building owners and managers foresee possible liability in the future because of prior knowledge that the material may cause inflammation or cancer of the lungs after inhalation over a period of time. At least five of the nine major manufacturers no longer make asbestos insulation. Cost estimates for abatement range from $2.00 to $20 per square foot for treating and encapsulating the material or disposing of its. No decision has been made on who is financially responsible for the costs. A directory lists 81 suppliers of industrial insulation. (DCK)

  3. All about Asbestos

    ERIC Educational Resources Information Center

    Roy, Ken

    2005-01-01

    Asbestos has been used in the construction of elementary, middle, and high school ceilings, floor tile adhesives, pipe and structural beam insulations, science laboratory benches, wire gauss on ring stands, fume hood panels, general insulation, and more during the 1950s through early 1970s. Why? Primarily asbestos was selected because of its…

  4. Releasable Asbestos Field Sampler

    EPA Science Inventory

    Asbestos aerosolization (or releasability) is the potential for fibrous asbestos structures that are present in a material or on a solid surface to become airborne when the source is disturbed by human activities or natural forces. In turn, the magnitude of the airborne concentra...

  5. Asbestos in the Classroom.

    ERIC Educational Resources Information Center

    Becker, Susan

    1984-01-01

    Thousands of schools contain dangerous asbestos which threatens the safety of students and teachers. The Environmental Protection Agency can be contacted to inspect and advise on this problem. Suggestions are offered for school personnel who suspect their school may contain asbestos. (DF)

  6. All about Asbestos

    ERIC Educational Resources Information Center

    Roy, Ken

    2005-01-01

    Asbestos has been used in the construction of elementary, middle, and high school ceilings, floor tile adhesives, pipe and structural beam insulations, science laboratory benches, wire gauss on ring stands, fume hood panels, general insulation, and more during the 1950s through early 1970s. Why? Primarily asbestos was selected because of its…

  7. Releasable Asbestos Field Sampler

    EPA Science Inventory

    Asbestos aerosolization (or releasability) is the potential for fibrous asbestos structures that are present in a material or on a solid surface to become airborne when the source is disturbed by human activities or natural forces. In turn, the magnitude of the airborne concentra...

  8. Asbestos in the Classroom.

    ERIC Educational Resources Information Center

    Becker, Susan

    1984-01-01

    Thousands of schools contain dangerous asbestos which threatens the safety of students and teachers. The Environmental Protection Agency can be contacted to inspect and advise on this problem. Suggestions are offered for school personnel who suspect their school may contain asbestos. (DF)

  9. Asbestos. LC Science Tracer Bullet.

    ERIC Educational Resources Information Center

    Evans, Joanna, Comp.

    Asbestos is a generic term that refers to several silicate materials occurring naturally as fibrous rocks. Insignificant amounts of asbestos fiber can be found in ambient air, but this, and materials containing hard asbestos, usually do not create problems. Soft materials, however, can release high amounts of asbestos fibers into the air, and…

  10. ABCs of Asbestos in Schools.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC.

    Information about asbestos in the schools is provided in this pamphlet. The document describes the nature and dangers of asbestos and the passage of the Asbestos Hazard Emergency Response Act in 1986. The responsibilities of school boards and other school officials to protect students and employees from asbestos exposure are explained as well as…

  11. Asbestos banned in Argentina.

    PubMed

    Rodriguez, Eduardo J

    2004-01-01

    In 1997, Argentina gave priority to asbestos in its National Plan for the Sound Management of Chemicals, and it was the subject of a Technical Task Force on Occupational Cancer. After five years of public hearings in which government, workers, industry advocates, environmentalists, clinicians, scientists, and consumers participated, it was agreed that asbestos exposure is a risk factor for both workers and the general population, and that Argentina should provide to its people the same protections adopted by many developed countries. Pressure from asbestos industry groups initially delayed the inclusion of chrysotile asbestos in the proposed ban, but on January 1, 2003, the mining and import of all forms of asbestos were banned in Argentina.

  12. Asbestos in Asia.

    PubMed

    Leong, Su Lyn; Zainudin, Rizka; Kazan-Allen, Laurie; Robinson, Bruce W

    2015-05-01

    Asbestos is a global killer. Despite lessons learned in the developed world on the use of asbestos and its hazardous pulmonary consequences, its use continues to increase in Asia. Although some countries such as Japan, Korea and Singapore have curtailed the use of this mineral, there are numerous countries in Asia that continue to mine, import and use this fibre, particularly China, which is one of the largest consumers in the world. Numerous factors ranging from political and economic to the lack of understanding of asbestos and the management of asbestos-related lung disease are keys to this observed trend. Awareness of these factors combined with early intervention may prevent the predicted Asian 'tsunami' of asbestos diseases. © 2015 Asian Pacific Society of Respirology.

  13. Experimental asbestos studies in the UK: 1912-1950.

    PubMed

    Greenberg, Morris

    2017-11-01

    The asbestos industry originated in the UK in the 1870s. By 1898, asbestos had many applications and was reported to be one of the four leading causes of severe occupational disease. In 1912, the UK government sponsored an experimental study that reported that exposure to asbestos produced no more than a modicum of pulmonary fibrosis in guinea pigs. In the 1930s, the newly established Medical Research Council, with assistance from industry, sponsored a study of the effects of exposing animals to asbestos by injection (intratracheal and subcutaneous) and by inhalation in the factory environment. Government reports, publications, and contemporary records obtained by legal discovery have been reviewed in the context of the stage of scientific development and the history of the times. Experimenters were engaged in a learning process during the 1912-1950 period, and their reports of the effects of asbestos were inconsistent. Pathologists who studied the effects of asbestos experimentally, at whole animal, tissue and cellular levels, advanced experimental methodology and mechanistic knowledge. In the hands of public relations experts, however, research was exploited to preserve an industry and perpetuate preventable diseases, a practice that continues to this day. © 2017 Wiley Periodicals, Inc.

  14. The asbestos cancer epidemic.

    PubMed Central

    LaDou, Joseph

    2004-01-01

    The asbestos cancer epidemic may take as many as 10 million lives before asbestos is banned worldwide and exposures are brought to an end. In many developed countries, in the most affected age groups, mesothelioma may account for 1% of all deaths. In addition to mesotheliomas, 5-7% of all lung cancers can be attributed to occupational exposures to asbestos. The asbestos cancer epidemic would have been largely preventable if the World Health Organization (WHO) and the International Labor Organization (ILO) had responded early and responsibly. The WHO was late in recognizing the epidemic and failed to act decisively after it was well under way. The WHO and the ILO continue to fail to address the problem of asbestos mining, manufacturing, and use and world trade of a known human carcinogen. Part of the problem is that the WHO and the ILO have allowed organizations such as the International Commission on Occupational Health (ICOH) and other asbestos industry advocates to manipulate them and to distort scientific evidence. The global asbestos cancer epidemic is a story of monumental failure to protect the public health. PMID:14998741

  15. Airborne asbestos in buildings.

    PubMed

    Lee, R J; Van Orden, D R

    2008-03-01

    The concentration of airborne asbestos in buildings nationwide is reported in this study. A total of 3978 indoor samples from 752 buildings, representing nearly 32 man-years of sampling, have been analyzed by transmission electron microscopy. The buildings that were surveyed were the subject of litigation related to suits alleging the general building occupants were exposed to a potential health hazard as a result the presence of asbestos-containing materials (ACM). The average concentration of all airborne asbestos structures was 0.01structures/ml (s/ml) and the average concentration of airborne asbestos > or = 5microm long was 0.00012fibers/ml (f/ml). For all samples, 99.9% of the samples were <0.01 f/ml for fibers longer than 5microm; no building averaged above 0.004f/ml for fibers longer than 5microm. No asbestos was detected in 27% of the buildings and in 90% of the buildings no asbestos was detected that would have been seen optically (> or = 5microm long and > or = 0.25microm wide). Background outdoor concentrations have been reported at 0.0003f/ml > or = 5microm. These results indicate that in-place ACM does not result in elevated airborne asbestos in building atmospheres approaching regulatory levels and that it does not result in a significantly increased risk to building occupants.

  16. Dry removal of asbestos.

    PubMed

    Elias, J D

    1981-08-01

    A method for the dry removal of friable asbestos has been developed. The Workplace Safety and Health Branch in Manitoba's Limited have co-operated in the production of an improved procedure. It was employed for the first time in the fall of 1979 when the Industrial Hygiene Section was asked for advice about removal of asbestos from a Winnipeg School Division warehouse. Fans were used to maintain the work area under negative pressure to prevent the spread of asbestos throughout the building. The exhaust air was filtered to prevent environmental contamination, and special precautions were taken to protect workers.

  17. Some Facts About Asbestos

    USGS Publications Warehouse

    Virta, R.L.

    2001-01-01

    For information on historic asbestos mines, historic prospects and natural asbestos occurrences in the U.S., see: Eastern U.S. ---> Open-File Report 2005-1189 (http://pubs.usgs.gov/of/2005/1189/); Central U.S. ---> Open-File Report 2006-1211 (http://pubs.usgs.gov/of/2006/1211/); Rocky Mountain States ---> Open-File Report 2007-1182 (http://pubs.usgs.gov/of/2007/1182/); Southwest U.S. ---> Open-File Report 2008-1095 (http://pubs.usgs.gov/of/2008/1095/). For commodity statistics and information see: http://minerals.usgs.gov/minerals/pubs/commodity/asbestos/

  18. A risk assessment for exposure to grunerite asbestos (amosite) in an iron ore mine

    PubMed Central

    Nolan, R. P.; Langer, A. M.; Wilson, Richard

    1999-01-01

    The potential for health risks to humans exposed to the asbestos minerals continues to be a public health concern. Although the production and use of the commercial amphibole asbestos minerals—grunerite (amosite) and riebeckite (crocidolite)—have been almost completely eliminated from world commerce, special opportunities for potentially significant exposures remain. Commercially viable deposits of grunerite asbestos are very rare, but it can occur as a gangue mineral in a limited part of a mine otherwise thought asbestos-free. This report describes such a situation, in which a very localized seam of grunerite asbestos was identified in an iron ore mine. The geological occurrence of the seam in the ore body is described, as well as the mineralogical character of the grunerite asbestos. The most relevant epidemiological studies of workers exposed to grunerite asbestos are used to gauge the hazards associated with the inhalation of this fibrous mineral. Both analytical transmission electron microscopy and phase-contrast optical microscopy were used to quantify the fibers present in the air during mining in the area with outcroppings of grunerite asbestos. Analytical transmission electron microscopy and continuous-scan x-ray diffraction were used to determine the type of asbestos fiber present. Knowing the level of the miner’s exposures, we carried out a risk assessment by using a model developed for the Environmental Protection Agency. PMID:10097051

  19. Differential protein folding and chemical changes in lung tissues exposed to asbestos or particulates.

    PubMed

    Pascolo, Lorella; Borelli, Violetta; Canzonieri, Vincenzo; Gianoncelli, Alessandra; Birarda, Giovanni; Bedolla, Diana E; Salomé, Murielle; Vaccari, Lisa; Calligaro, Carla; Cotte, Marine; Hesse, Bernhard; Luisi, Fernando; Zabucchi, Giuliano; Melato, Mauro; Rizzardi, Clara

    2015-07-10

    Environmental and occupational inhalants may induce a large number of pulmonary diseases, with asbestos exposure being the most risky. The mechanisms are clearly related to chemical composition and physical and surface properties of materials. A combination of X-ray fluorescence (μXRF) and Fourier Transform InfraRed (μFTIR) microscopy was used to chemically characterize and compare asbestos bodies versus environmental particulates (anthracosis) in lung tissues from asbestos exposed and control patients. μXRF analyses revealed heterogeneously aggregated particles in the anthracotic structures, containing mainly Si, K, Al and Fe. Both asbestos and particulates alter lung iron homeostasis, with a more marked effect in asbestos exposure. μFTIR analyses revealed abundant proteins on asbestos bodies but not on anthracotic particles. Most importantly, the analyses demonstrated that the asbestos coating proteins contain high levels of β-sheet structures. The occurrence of conformational changes in the proteic component of the asbestos coating provides new insights into long-term asbestos effects.

  20. Differential protein folding and chemical changes in lung tissues exposed to asbestos or particulates

    PubMed Central

    Pascolo, Lorella; Borelli, Violetta; Canzonieri, Vincenzo; Gianoncelli, Alessandra; Birarda, Giovanni; Bedolla, Diana E.; Salomé, Murielle; Vaccari, Lisa; Calligaro, Carla; Cotte, Marine; Hesse, Bernhard; Luisi, Fernando; Zabucchi, Giuliano; Melato, Mauro; Rizzardi, Clara

    2015-01-01

    Environmental and occupational inhalants may induce a large number of pulmonary diseases, with asbestos exposure being the most risky. The mechanisms are clearly related to chemical composition and physical and surface properties of materials. A combination of X-ray fluorescence (μXRF) and Fourier Transform InfraRed (μFTIR) microscopy was used to chemically characterize and compare asbestos bodies versus environmental particulates (anthracosis) in lung tissues from asbestos exposed and control patients. μXRF analyses revealed heterogeneously aggregated particles in the anthracotic structures, containing mainly Si, K, Al and Fe. Both asbestos and particulates alter lung iron homeostasis, with a more marked effect in asbestos exposure. μFTIR analyses revealed abundant proteins on asbestos bodies but not on anthracotic particles. Most importantly, the analyses demonstrated that the asbestos coating proteins contain high levels of β-sheet structures. The occurrence of conformational changes in the proteic component of the asbestos coating provides new insights into long-term asbestos effects. PMID:26159651

  1. Assessment of asbestos in drinking water in alexandria, egypt.

    PubMed

    Hosny, Gihan; Akel, Mekkawy

    2006-01-01

    Over the past several years, the presence of fibrous asbestos particulates has been observed in a number of municipal water supplies throughout the USA, Canada, and several other regions all over the world. The possible health hazards which these fibers present have spurred a great deal of interest in the problems of detection and removal of the submicroscopic particulates in water. Asbestos is a group of fibrous metamorphic silicate minerals that is ubiquitous in the environment as a result of its extensive industrial use and the dissemination of fibers from natural sources. The health hazards associated with inhalation of asbestos in the occupational environment have long been recognized including asbestosis, bronchial carcinoma, malignant mesothelioma of the pleura and peritoneum, and possibly cancers of the gastrointestinal tract and larynx. It is introduced into water by the dissolution of asbestos-containing minerals and ores, and from industrial effluents, atmospheric pollution and erosion of asbestos-cement (A/C) pipes in the distribution systems of drinking water. In Alexandria, most of the pipes in the distribution systems of drinking water are asbestos-cement (A/C) pipe system. Drinking water samples (1 liter each) were collected in glass containers from different regions in Alexandria and filtered in cellulose filters (mixed cellulose ester type filters of pore size 0.2 mum) within less than 48 hours. Filters were allowed to dry, gold plated and scanned microscopically. Asbestos fibers were detected in all water samples collected from regions having A/C pipe drainage system. No fibers detected in regions, where the pipe distribution system was poly venyl pipe system or changed from A/C pipe to cast iron pipe system. The determination of asbestos fibers in drinking water of Alexandria should have particular concern because of the health hazards that might be associated with their presence.

  2. Report on cancer risks associated with the ingestion of asbestos

    SciTech Connect

    Not Available

    1987-06-01

    This report is an assessment of all available literature that pertains to the potential risk of cancer associated with ingestion of asbestos. It was compiled by a working group to assist policy makers in the Department of Health and Human Services determine if adequate information was available for a definitive risk assessment on this potential problem and evaluate if the weight of evidence was sufficient to prioritize this issue for new policy recommendations. The work group considered the basis for concern over this problem, the body of toxicology experiments, the individual epidemiologic studies which have attempted to investigate this issue, and the articles that discuss components of risk assessment pertaining to the ingestion of asbestos. In the report, the work group concluded: (1) that no direct, definitive risk assessment can be conducted at this time; (2) that further epidemiologic investigations will be very costly and only possess sufficient statistical power to detect relatively large excesses in cancers related to asbestos ingestion; and (3) that probably the most pertinent toxicologic experiments relate to resolving the differences in how inhaled asbestos, which is eventually swallowed, is biologically processed by humans, compared to how ingested asbestos, which is eventually swallowed, is biologically processed by humans, compared to how ingested asbestos is processed. The work group believes that the cancer risk associated with asbestos ingestion should not be perceived as one of the most pressing potential public health hazards facing the nation. However, the work group does not believe that information was sufficient to assess the level of cancer risks associated with the ingestion and therefore, this potential hazard should not be discounted, and ingestion exposure to asbestos should be eliminated whenever possible.

  3. Domestic Asbestos Exposure: A Review of Epidemiologic and Exposure Data

    PubMed Central

    Goswami, Emily; Craven, Valerie; Dahlstrom, David L.; Alexander, Dominik; Mowat, Fionna

    2013-01-01

    Inhalation of asbestos resulting from living with and handling the clothing of workers directly exposed to asbestos has been established as a possible contributor to disease. This review evaluates epidemiologic studies of asbestos-related disease or conditions (mesothelioma, lung cancer, and pleural and interstitial abnormalities) among domestically exposed individuals and exposure studies that provide either direct exposure measurements or surrogate measures of asbestos exposure. A meta-analysis of studies providing relative risk estimates (n = 12) of mesothelioma was performed, resulting in a summary relative risk estimate (SRRE) of 5.02 (95% confidence interval [CI]: 2.48–10.13). This SRRE pertains to persons domestically exposed via workers involved in occupations with a traditionally high risk of disease from exposure to asbestos (i.e., asbestos product manufacturing workers, insulators, shipyard workers, and asbestos miners). The epidemiologic studies also show an elevated risk of interstitial, but more likely pleural, abnormalities (n = 6), though only half accounted for confounding exposures. The studies are limited with regard to lung cancer (n = 2). Several exposure-related studies describe results from airborne samples collected within the home (n = 3), during laundering of contaminated clothing (n = 1) or in controlled exposure simulations (n = 5) of domestic exposures, the latter of which were generally associated with low-level chrysotile-exposed workers. Lung burden studies (n = 6) were also evaluated as a surrogate of exposure. In general, available results for domestic exposures are lower than the workers’ exposures. Recent simulations of low-level chrysotile-exposed workers indicate asbestos levels commensurate with background concentrations in those exposed domestically. PMID:24185840

  4. Asbestos Removal Case History.

    ERIC Educational Resources Information Center

    Haney, Stanley J.

    1986-01-01

    The engineer for a California school district describes the asbestos removal from the ceilings of El Camino High School. Discusses forming a design team, use of consultants, specifications, relations with contractors, and staff notification. (MLF)

  5. Controlling Asbestos in Schools.

    ERIC Educational Resources Information Center

    EPA Journal, 1979

    1979-01-01

    Spurred by recent medical findings, the Environmental Protection Agency has initiated a program to help educators check their schools for asbestos-containing materials and correct any hazardous conditions which are found. (Author/RE)

  6. Controlling Asbestos in Schools.

    ERIC Educational Resources Information Center

    EPA Journal, 1979

    1979-01-01

    Spurred by recent medical findings, the Environmental Protection Agency has initiated a program to help educators check their schools for asbestos-containing materials and correct any hazardous conditions which are found. (Author/RE)

  7. Asbestos Removal Case History.

    ERIC Educational Resources Information Center

    Haney, Stanley J.

    1986-01-01

    The engineer for a California school district describes the asbestos removal from the ceilings of El Camino High School. Discusses forming a design team, use of consultants, specifications, relations with contractors, and staff notification. (MLF)

  8. Asbestos, lung cancers, and mesotheliomas: from molecular approaches to targeting tumor survival pathways.

    PubMed

    Heintz, Nicholas H; Janssen-Heininger, Yvonne M W; Mossman, Brooke T

    2010-02-01

    Fifteen years have passed since we published findings in the AJRCMB demonstrating that induction of early response fos/jun proto-oncogenes in rodent tracheal and mesothelial cells correlates with fibrous geometry and pathogenicity of asbestos. Our study was the first to suggest that the aberrant induction of signaling responses by crocidolite asbestos and erionite, a fibrous zeolite mineral associated with the development of malignant mesotheliomas (MMs) in areas of Turkey, led to altered gene expression. New data questioned the widely held belief at that time that the carcinogenic effects of asbestos in the development of lung cancer and MM were due to genotoxic or mutagenic effects. Later studies by our group revealed that proto-oncogene expression and several of the signaling pathways activated by asbestos were redox dependent, explaining why antioxidants and antioxidant enzymes were elevated in lung and pleura after exposure to asbestos and how they alleviated many of the phenotypic and functional effects of asbestos in vitro or after inhalation. Since these original studies, our efforts have expanded to understand the interface between asbestos-induced redox-dependent signal transduction cascades, the relationship between these pathways and cell fate, and the role of asbestos and cell interactions in development of asbestos-associated diseases. Of considerable significance is the fact that the signal transduction pathways activated by asbestos are also important in survival and chemoresistance of MMs and lung cancers. An understanding of the pathogenic features of asbestos fibers and dysregulation of signaling pathways allows strategies for the prevention and therapy of asbestos-related diseases.

  9. Asbestos effects on superoxide production: an in vitro study of hamster alveolar macrophages

    SciTech Connect

    Case, B.W.; Ip, M.P.C.; Padilla, M.; Kleinerman, J.

    1986-04-01

    Inhaled asbestos induces accumulation of alveolar macrophages (AM) and polymorphonuclear leukocytes (PMN) in lung. Asbestos-enhanced production of superoxide anion (O-/sub 2/) by AM and/or PMN may be involved in the pathogenesis of asbestos-induced fibrosis, either through direct effects on collagen synthesis or via mediation of tissue injury and repair. In in vivo experiments, bronchoalveolar lavage (BAL) 3 to 8 weeks following intratracheal asbestos infections showed increases in both PMN and AM, with AM representing 78 to 82% of cells recovered. Inhalation models, generally regarded as more analogous to human exposures, have confirmed AM as the predominant component of the cellular response to inhaled asbestos. In this study, the in vitro effects of asbestos fiber on O-/sub 2//sup -/ production by AM have been determined in cell populations derived from the Syrian golden hamster. AM for in vitro study were obtained by BAL. O-/sub 2//sup -/ production was monitored as superoxide dismutase (SOD) - inhibitable cytochrome c reduction. Significant rises in O-/sub 2//sup -/ release by AM were noted in the presence of 0.4 mg/ml crocidolite. Chrysotile induced levels of O-/sub 2//sup -/ release in AM which were similar to those evoked by crocidolite.

  10. Asbestos and Gastrointestinal Cancer

    PubMed Central

    Morgan, Robert W.; Foliart, Donna E.; Wong, Otto

    1985-01-01

    Exposure to asbestos is among several factors cited as possible causes of esophageal, gastric and colorectal cancer. More than 45 published studies have presented mortality data on asbestos-exposed workers. For each cohort, we listed the observed and expected rates of deaths from types of gastrointestinal cancer based on the latest published follow-up. Summary standardized mortality ratios (SMRs) were then derived. Finally, we calculated summary SMRs for total gastrointestinal tract cancer for three occupational groups: asbestos factory workers, insulators/shipyard workers and asbestos miners. Statistically significant elevations in summary SMRs were found for esophageal, stomach and total gastrointestinal tract cancer in all asbestos-exposed workers. Esophageal cancer summary SMRs remained significantly elevated when data were reanalyzed to include only those cohorts with death certificate diagnoses for cause of observed deaths. However, summary SMRs were not statistically significant for stomach and total gastrointestinal tract cancer after reanalysis. Summary SMRs by occupational group showed a significant elevation for total gastrointestinal cancer in insulators/shipyard workers. The elevation was not significant after reanalysis. Based on the results after reanalysis, the elevations in summary SMRs for stomach and total gastrointestinal tract cancer are of a magnitude that could result from diagnostic and investigator error. We conclude that more studies are required before stomach and colorectal cancers are documented as asbestos-related diseases. PMID:4036114

  11. The asbestos war.

    PubMed

    Kazan-Allen, Laurie

    2003-01-01

    That asbestos is still being sold despite overwhelming evidence linking it to debilitating and fatal diseases is testament to the effectiveness of a campaign, spear-headed by Canadian interests, to promote a product already banned in many developed countries. Blessed by government and commercial support, asbestos apologists have implemented a long-term coordinated strategy targeting new consumers in Asia, the Far East and Latin America. At industry-backed "conferences" and on government-funded junkets, they spin a web of deceit, telling all who will listen that "chrysotile (white asbestos) can be used safely." The fact that Canada exports over 95% of all the chrysotile it mines suggests that while chrysotile is supposedly safe enough for foreigners, it is not safe enough for Canadians. Asbestos victims in many countries have struggled to gain public recognition of the human cost of asbestos use. In recent years, nongovernmental organizations working with these groups have created a global anti-asbestos virtual network; with the commitment and support of thousands of "virtual members," this network challenges industry's propaganda and exposes the forces that support its cynical attempt to offload this dangerous substance on developing countries.

  12. [Asbestos and respiratory diseases].

    PubMed

    Scherpereel, Arnaud

    2016-01-01

    Previous occupational asbestos exposure (more rarely environmental or domestic exposure) may induce various pleural and/or pulmonary, benign or malignant diseases, sometimes with a very long latency for malignant mesothelioma (MM). Asbestos has been widely extracted and used in Western countries and in emerging or developing countries, resulting in a peak of MM incidence in France around 2020 and likely in a world pandemic of asbestos-induced diseases. These patients have mostly benign respiratory diseases (pleural plugs) but may also be diagnosed with lung cancer or malignant pleural mesothelioma, and have a global poor outcome. New therapeutic tools (targeted therapies, immunotherapy…) with first promising results are developed. However, it is crucial to obtain a full ban of asbestos use worldwide, and to do a regular follow-up of asbestos-exposed subjects, mostly if they are already diagnosed with benign respiratory diseases. Finally, new cancers (larynx and ovary) were recently added to the list of asbestos-induced tumors. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  13. Mineralogy of asbestos.

    PubMed

    Sporn, Thomas A

    2011-01-01

    The term asbestos collectively refers to a group of naturally occurring fibrous minerals which have been exploited in numerous commercial and industrial settings and applications dating to antiquity. Its myriad uses as a "miracle mineral" owe to its remarkable properties of extreme resistance to thermal and chemical breakdown, tensile strength, and fibrous habit which allows it to be spun and woven into textiles. Abundant in nature, it has been mined considerably, and in all continents save Antarctica. The nomenclature concerning asbestos and its related species is complex, owing to the interest held therein by scientific disciplines such as geology, mineralogy and medicine, as well as legal and regulatory authorities. As fibrous silicates, asbestos minerals are broadly classified into the serpentine (chrysotile) and amphibole (crocidolite, amosite, tremolite, anthophyllite, actinolite) groups, both of which may also contain allied but nonfibrous forms of similar or even identical chemical composition, nonpathogenic to humans. Recently, fibrous amphiboles, not historically classified or regulated as asbestos (winchite, richterite), have been implicated in the causation of serious disease due to their profusion as natural contaminants of vermiculite, a commercially useful and nonfibrous silicate mineral. Although generally grouped, classified, and regulated collectively as asbestos, the serpentine and amphibole groups have different geologic occurrences and, more importantly, significant differences in crystalline structures and chemical compositions. These in turn impart differences in fiber structure and dimension, as well as biopersistence, leading to marked differences in relative potency for causing disease in humans for the group of minerals known as asbestos.

  14. How EPA's Asbestos Regulations Apply to Asbestos-Containing Vermiculite

    EPA Pesticide Factsheets

    Letters and guidance that detail the requirements of asbestos National Emissions Standard for Hazardous Air Pollutants as is applies to vermiculite asbestos-containing material during residential demolitions

  15. "Naturally occurring asbestos

    NASA Astrophysics Data System (ADS)

    Cagnard, F.; Lahondère, D.; Blein, O.; Lahfid, A.; Wille, G.

    2012-04-01

    The term asbestos refers to six silicate minerals from amphibole and serpentine groups. By definition, it consists in bundles of thin and flexible long fibers, with high-tensile strength, and chemical and heat resistance. In contrast to asbestos found within commercial products and mining, the specific term ''naturally occurring asbestos'' (NOA) refers to asbestiform minerals occurring within rocks or soils that can be released by human activities or weathering processes. The fact that the exposure to asbestos is related to lung pathologies is now widely demonstrated (e.g. asbestosis, mesothelioma and lung cancer). However, if health risks associated with exposure to NOA exist, they are not yet well documented. The crystallization of natural asbestos occurs in specific Mg-rich lithologies associated with peculiar structural and metamorphic conditions. By recognizing and combining such specific geologic criteria, the presence or the absence of asbestos in bedrock terrains can be reasonably predicted and maps of NOA hazard can be drawn. We present here new results of geological mapping and petrological study concerning the evaluation of the NOA hazard in the Alps and Corsica, in France. The three folds approach consists in (1) a determination of lithologies with potential NOA from a bibliographic compilation and extraction of target zones from a geological geodatabase (2) a geological mapping of the target zones followed by a petrological characterization of sampled asbestiform minerals in the laboratory (optical microscopy, TEM, SEM, and Raman spectroscopy technics), and (3) the drawing of the final map of NOA hazard, at regional-scale. Occurrence criteria can be retained as follows: 1. NOA are abundant in the internal zones of the Alps and Corsica, especially within ophiolitic complexes. Natural asbestos are mostly concentrated within ultramafic rocks but can also occur within basic lithologies such as Mg-metagabbros, metabasalts and meta-pillow-lavas, 2. Asbestos

  16. Effects of long term inhalation of alumina fibres in rats.

    PubMed Central

    Pigott, G. H.; Gaskell, B. A.; Ishmael, J.

    1981-01-01

    Groups of rats were exposed by inhalation to atmospheres containing a refractory alumina fibre (Saffil Fibres, I.C.I.) either as manufactured or in a thermally aged form. Similar groups were exposed to UICC chrysotile A asbestos or clean air to serve as positive and negative controls respectively. Exposures continued for 86 weeks after which the animals were maintained to 85% mortality. Pulmonary reaction to both forms of alumina fibre was minimal; chrysotile asbestos provoked the expected progressive fibrosis. Pulmonary tumours (both benign and malignant) were confined to rats dosed with asbestos. The results support the predicted inert nature of these alumina fibres. Images Fig. 2 PMID:7248173

  17. [Treatment of patients with acute asthma exacerbation].

    PubMed

    Ostojić, Jelena; Mose, Jakov

    2009-01-01

    Asthma is a chronic inflammatory disease of the airways. The global prevalence of asthma ranges from 1% to 18% of the population, so it remains a common problem with enormous medical and economic impacts. In majority of patients, asthma can be well controlled with simple regimens of inhaled anti-inflammatory and bronchodilating medications. However, some patients tend to suffer from poorly controlled disease in terms of chronic symptoms with episodic severe exacerbations. Major factors that may be related to the emergency department visits and hospitalisation include prior severe attacks, nonadherence to therapeutic regimens, inadequate use of inhaled corticosteroids, poor self-management skills, frequent use of inhaled short-acting beta-agonists, cigarette smoking, poor socioeconomic status and age over 40 years. Severe exacerbations of asthma are life-threatening medical emergencies and require careful brief assesment, treatment according to current GINA (Global Initiative for Asthma) guidelines with periodic reassesment of patient's response to therapy usually in an emergency department.

  18. Pulmonary toxicology of silica, coal and asbestos.

    PubMed Central

    Heppleston, A G

    1984-01-01

    Mineral particles are customarily inhaled as mixtures, though one component may predominate and determine the response. Although the lesions often possess a characteristic structure, according to the main type of particle deposited, morphology affords little indication of pathogenesis. Being a major element in the evolution of dust lesions, macrophage behavior has been examined extensively in vitro after treatment with mineral particles, attention being directed to membrane and biochemical changes; however, no clear lead to the origin of the lesions has emerged. Pulmonary fibrosis, as one of the ultimate consequences of dust accumulation, required a direct in vitro approach in which the products of the macrophage-particle interaction were utilized to provoke collagen formation by fibroblasts in a two-phase system. By this means, silica and asbestos stimulated connective tissue formation and application of the technique to coal dusts appears promising. Coal workers may develop a peculiar type of emphysema in relation to lesions whose fibrous content is comparatively small. Type II alveolar epithelium is also stimulated by inhaled particles and lipid accumulation follows. Alveolar lipidosis interferes with the fibrotic response by preventing contact between macrophage and particles. This phenomenon may account in part for anomalies, apparent in coal workers, between epidemiological findings and dust composition. Carcinogenesis is a well-recognized feature of asbestos exposure, but, as with fibrosis, risk prediction on the basis of in vitro tests of cytotoxicity is premature and may not be valid. PMID:6329672

  19. Pulmonary toxicology of silica, coal and asbestos

    SciTech Connect

    Heppleston, A.G.

    1984-04-01

    Mineral particles are customarily inhaled as mixtures, though one component may predominate and determine the response. Although the lesions often possess a characteristic structure, according to the main type of particle deposited, morphology affords little indication of pathogenesis. Being a major element in the evolution of dust lesions, macrophage behavior has been examined extensively in vitro after treatment with mineral particles, attention being directed to membrane and biochemical changes; however, no clear lead to the origin of the lesions has emerged. Pulmonary fibrosis, as one of the ultimate consequences of dust accumulation, required a direct in vitro approach in which the products of the macrophage-particle interaction were utilized to provoke collagen formation by fibroblasts in a two-phase system. By this means, silica and asbestos stimulated connective tissue formation and application of the technique to coal dusts appears promising. Coal workers may develop a peculiar type of emphysema in relation to lesions whose fibrous content is comparatively small. Type II alveolar epithelium is also stimulated by inhaled particles and lipid accumulation follows. Alveolar lipidosis interferes with the fibrotic response by preventing contact between macrophage and particles. This phenomenon may account in part for anomalies, apparent in coal workers, between epidemiological findings and dust composition. Carcinogenesis is a well-recognized feature of asbestos exposure, but, as with fibrosis, risk prediction on the basis of in vitro tests of cytotoxicity is premature and may not be valid. 197 references.

  20. Asbestos-induced endothelial cell activation and injury. Demonstration of fiber phagocytosis and oxidant-dependent toxicity.

    PubMed

    Garcia, J G; Gray, L D; Dodson, R F; Callahan, K S

    1988-10-01

    Vascular endothelial cell injury is important in the development of a variety of chronic interstitial lung disorders. However, the involvement of such injury in the inflammatory response associated with the inhalation of asbestos fibers is unclear and the mechanism of asbestos fiber cytotoxicity remains unknown. In the present study, human umbilical vein endothelial cells were challenged with amosite asbestos and several parameters of cellular function were examined. Electron microscopic examination revealed that endothelial cell exposure to asbestos resulted in active phagocytosis of these particulates. Biochemical evidence of dose-dependent asbestos-mediated endothelial cell activation was indicated by increased metabolism of arachidonic acid. For example, amosite asbestos (500 micrograms/ml) produced a ninefold increase in prostacyclin (PGI2) levels over those levels in non-exposed cells. Incubation of human endothelial cells with asbestos fibers induced specific 51Cr release in both a dose- and time-dependent fashion indicative of cellular injury. Injury induced by amosite asbestos was not significantly attenuated by treatment of the endothelial cell monolayer with either the iron chelator deferoxamine, which prevents hydroxyl radical (.OH) formation, or by the superoxide anion (O2-) scavenger, superoxide dismutase. However, significant dose-dependent protection was observed with the hydrogen peroxide (H2O2) scavenger, catalase. Chelation of elemental iron present within amosite asbestos fibers by deferoxamine produced a 33% reduction in asbestos cytotoxicity, suggesting a potential role for hydroxyl radical-mediated injury via the iron-catalyzed Haber-Weiss reaction.(ABSTRACT TRUNCATED AT 250 WORDS)

  1. Superfund Record of Decision (EPA Region 9): Coalinga Asbestos Mine, Fresno County, CA. (Second remedial action), September 1990. Final report

    SciTech Connect

    Not Available

    1990-09-21

    The 557-acre Coalinga Asbestos Mine site, a former asbestos processing area and chromite mine, comprises part of the Johns Manville Coalinga Asbestos Mill site in western Fresno County, California. This rural mountainous area is used primarily for recreational purposes. From 1962 to 1974, asbestos ore from several local mines was processed and sorted onsite, and the resulting asbestos mill tailings were periodically bulldozed into an intermittent stream channel. Subsequently, from 1975 to 1977, a chromite milling operation was conducted onsite. Tailings were often washed downstream during periods of stream flow, and the resuspension of asbestos fibers from the tailings into the air produced a significant inhalation hazard. As a result of these activities, approximately 450,000 cubic yards of mill tailings and asbestos ore remain onsite within a large tailing pile. In 1980 and 1987, State investigations indicated that the site was contributing a significant amount of asbestos into the surface water. The site will be remediated as two Operable Units (OU). The Record of Decision (ROD) addresses the remedial action for OU2, the Johns Manville Coalinga Asbestos Mill Area. The primary contaminant of concern affecting the surface water is asbestos.

  2. Asbestos exposure in buildings

    SciTech Connect

    Gaensler, E.A. )

    1992-06-01

    Asbestos-related diseases are dose-related. Among these, asbestosis has occurred only with the heavy exposures of the past, is a disappearing disease, and is of no concern with the very small exposures from building occupancy. A possibly increased incidence of lung cancer has been included in risk analysis, but probably is also related to high exposure in that both epidemiologic and experimental data suggest a link between the process of alveolar inflammation and fibrogenesis and carcinogenesis. The major concern has been mesothelioma in that it has occurred with much lower household and neighborhood exposure. Additionally, anxiety concerning buildings with ACM has been heightened by finding of friable asbestos in about 20% of public buildings, discovery of environmental asbestos fibers and asbestos bodies in autopsies, and demonstration of a linear relationship between exposure and lung cancer risk in occupational groups, inviting extrapolation to a much lower dose. Legislative and regulatory mandates, promotional activities of abatement companies, adverse court decisions placing the onus of repairs on asbestos manufacturers, and a pandemic of mediagenic disease' all have contributed to panic among building owners, school boards, insurers, and others. In that there is neither clinical nor epidemiologic support for asbestos-related disease from building occupancy, risk estimates have been based on extrapolation from past experience with generally high-dose occupational exposure. However, only a few epidemiologic studies have contained quantitative estimates of exposure, and these have been measured in terms of all particles, with conversion to asbestos fibers uncertain and the fiber type and dimension largely unknown.

  3. Asbestos: From Beginning to End.

    ERIC Educational Resources Information Center

    McMullin, Richard C.; Cain, Gary K.

    In conjunction with a bond proposal for energy related items, the North County Public Schools (Missouri) undertook the task of removing friable asbestos Missouri school district undertook the task of removing friable asbestos from schools. Specifications for asbestos abatement prepared by the district administrative office were reviewed by the…

  4. Asbestos: From Beginning to End.

    ERIC Educational Resources Information Center

    McMullin, Richard C.; Cain, Gary K.

    In conjunction with a bond proposal for energy related items, the North County Public Schools (Missouri) undertook the task of removing friable asbestos Missouri school district undertook the task of removing friable asbestos from schools. Specifications for asbestos abatement prepared by the district administrative office were reviewed by the…

  5. Legal Issues in Asbestos Litigation.

    ERIC Educational Resources Information Center

    Olson, Kristin

    Because asbestos exposure poses a serious health threat to school children, Congress enacted the Asbestos School Hazard Detection and Control Act in 1980, authorizing federal funds for local programs to locate and remove asbestos-containing materials. No funds have been made available as yet, however, and two-thirds of the affected schools have…

  6. Asbestos: The Case for Encapsulation.

    ERIC Educational Resources Information Center

    Russek, William F.

    1980-01-01

    Encapsulation has proven to be the safest, surest, and most permanent method of treating sprayed asbestos on ceilings and walls. Federal aid is available to help pay for inspection of school buildings for asbestos and for asbestos removal. (Author/MLF)

  7. A Report on Asbestos Management.

    ERIC Educational Resources Information Center

    Centifonti, Gary J.; Gerber, Donald R.

    1997-01-01

    A series of studies in New Jersey schools documented asbestos abatement and management activities in 17 schools representing 20 abatement sites. Findings demonstrate that school officials must increase their awareness of asbestos issues, improve the oversight of asbestos abatement and management programs, and improve lines of communication among…

  8. Legal Issues in Asbestos Litigation.

    ERIC Educational Resources Information Center

    Olson, Kristin

    Because asbestos exposure poses a serious health threat to school children, Congress enacted the Asbestos School Hazard Detection and Control Act in 1980, authorizing federal funds for local programs to locate and remove asbestos-containing materials. No funds have been made available as yet, however, and two-thirds of the affected schools have…

  9. Asbestos in Schools: A Dilemma.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC.

    Asbestos, a mineral known to cause cancer in humans, is present in an unknown number of schools where it may be hazardous to the health of students and employees. Although the Federal Government has programs designed to address the asbestos situation, it has not determined in what specific circumstances asbestos is a hazard. Therefore, State and…

  10. A Report on Asbestos Management.

    ERIC Educational Resources Information Center

    Centifonti, Gary J.; Gerber, Donald R.

    1997-01-01

    A series of studies in New Jersey schools documented asbestos abatement and management activities in 17 schools representing 20 abatement sites. Findings demonstrate that school officials must increase their awareness of asbestos issues, improve the oversight of asbestos abatement and management programs, and improve lines of communication among…

  11. Asbestos: The Case for Encapsulation.

    ERIC Educational Resources Information Center

    Russek, William F.

    1980-01-01

    Encapsulation has proven to be the safest, surest, and most permanent method of treating sprayed asbestos on ceilings and walls. Federal aid is available to help pay for inspection of school buildings for asbestos and for asbestos removal. (Author/MLF)

  12. Asbestos substitutes: A closer look at potential health hazards

    SciTech Connect

    Myers, G.E.

    1987-01-01

    It appears that, with the possible exception of some relatively minor, specialized uses, the need for asbestos in industrial and consumer products has come to an end. Although there are apparent cost or performance penalties in some applications, adequate substitute materials have been found. It seems likely that these penalties will diminish with time. The existence of asbestos materials in older structures, however, will require continued vigilance. Although no material is completely safe under all conditions of exposure, the health hazards of many asbestos substitutes are relatively minor. Mica and perlite are low hazard materials, unless the perlite has >1% free silica. Vermiculite is presumed to be of low hazard potential, unless it is contaminated with asbestos fibers. Ordinary fibrous glass is one of the most common substitute materials, and it is of low inhalation hazard. Ultrafine glass fibers may be hazardous, but their use is thus far limited to special applications. Mineral wools are considered to be of low hazard by an acknowledged authority, ACGIH; however, some mineral wools have a high fraction of thin fibers, and these may be of higher hazard potential. Thin ceramic fiber material is presumed by many to be as hazardous as the asbestos it replaces, but a recently-completed animal study found no excess cancers. The uses of carbon fiber material are highly specialized, and there is little information on health effects as yet. Organic fibers appear to be of very low hazard potential. 8 refs.

  13. Chemoprevention of asbestos-linked cancers: a systematic review.

    PubMed

    Neri, Monica; Ugolini, Donatella; Boccia, Stefania; Canessa, Pier Aldo; Cesario, Alfredo; Leoncini, Giacomo; Mutti, Luciano; Bonassi, Stefano

    2012-03-01

    Asbestos has been used extensively and, in spite of many countries having banned most of its uses, professional, domestic and environmental exposure has not ceased worldwide. Inhaled asbestos fibers can lead to malignant mesothelioma, lung cancer and non-cancerous conditions, while the substance persists indefinitely in the lung and pleural tissue, resulting in continuous damage. Exposed individuals may be offered medical surveillance or compensation, but nothing is currently being done to lower their specific cancer risk: chemoprevention seems a promising approach. A web search and a PubMed review of the literature on chemoprevention trials in individuals exposed to asbestos have been conducted. Forty-six articles on five projects were found and newly reviewed but, surprisingly, no novel trials have been set up for twenty years, although considerable advances have been gained in cancer chemoprevention. A re-consideration of possibilities offered by chemoprevention should be encouraged. New trials based on the most recently characterized molecules should be planned, taking into account specific issues such as the need for a very large number of participants and a long follow up or, alternatively, the use of biomarkers as surrogate endpoints. The long latency of asbestos related diseases may offer delayed intervention opportunities. The lack of chemoprevention trials for asbestos exposure highlights the urgent need for research in this field.

  14. The need to control asbestos fibers in potable water supply systems.

    PubMed

    Millette, J R; Boone, R L; Rosenthal, M T; McCabe, L J

    1981-04-01

    Occupational studies have shown that asbestos is a human carcinogen. Because many inhaled asbestos fibers deposited in the lung are cleared and swallowed, workers are also exposed through ingestion. Of the millions of current and former workers who have been heavily exposed to asbestos, one in ten will die from cancer of the gastrointestinal tract. A number on the order of 1 in 1,000 ingested asbestos fibers penetrate the digestive tract and ingested fibers have been recovered in such tissues as kidney, intestine, liver, and urine. One animal study showed tumor production related to ingestion of asbestos-containing material but, in general, the results of seven animal feeding studies have been inconclusive. A statistically significant relationship between male lung and stomach cancer and female peritoneal, gall bladder, and esophageal cancer and asbestos counts in drinking water was determined in one epidemiology study. Increased rates for male stomach and lung, and female pancreatic cancer related to asbestos in drinking water were reported in another study but possible occupational exposure made it difficult to draw conclusions. Data on excess gastrointestinal cancer among occupational groups has been used to estimate that drinking water containing 300,000 asbestos fibers per liter over a lifetime will result in one additional cancer among 100,000 people.

  15. Asbestos and gastrointestinal cancer

    SciTech Connect

    Morgan, R.W.; Foliart, D.E.; Wong, O.

    1985-07-01

    Exposure to asbestos is among several factors cited as possible causes of esophageal, gastric and colorectal cancer. More than 45 published studies have presented mortality data on asbestos-exposed workers. For each cohort, the authors listed the observed and expected rates of deaths from types of gastrointestinal cancer based on the latest published follow-up. Summary standardized mortality ratios (SMRs) were then derived. Finally, summary SMRs were calculated for total gastrointestinal tract cancer for three occupational groups: asbestos factory workers, insulators/shipyard workers and asbestos miners. Statistically significant elevations in summary SMRs were found for esophageal, stomach and total gastrointestinal tract cancer in all asbestos-exposed workers. Esophageal cancer summary SMR remained significantly elevated when data were reanalyzed to include only those cohorts with death certificate diagnoses for cause of observed deaths. However, summary SMRs were not statistically significant for stomach and total gastrointestinal tract cancer after reanalysis. Summary SMRs by occupational group showed a significant elevation for total gastrointestinal cancer in insulators/shipyard workers. The elevation was not significant after reanalysis. 59 references, 5 tables.

  16. Autoimmunity and Asbestos Exposure

    PubMed Central

    Pfau, Jean C.; Serve, Kinta M.; Noonan, Curtis W.

    2014-01-01

    Despite a body of evidence supporting an association between asbestos exposure and autoantibodies indicative of systemic autoimmunity, such as antinuclear antibodies (ANA), a strong epidemiological link has never been made to specific autoimmune diseases. This is in contrast with another silicate dust, crystalline silica, for which there is considerable evidence linking exposure to diseases such as systemic lupus erythematosus, systemic sclerosis, and rheumatoid arthritis. Instead, the asbestos literature is heavily focused on cancer, including mesothelioma and pulmonary carcinoma. Possible contributing factors to the absence of a stronger epidemiological association between asbestos and autoimmune disease include (a) a lack of statistical power due to relatively small or diffuse exposure cohorts, (b) exposure misclassification, (c) latency of clinical disease, (d) mild or subclinical entities that remain undetected or masked by other pathologies, or (e) effects that are specific to certain fiber types, so that analyses on mixed exposures do not reach statistical significance. This review summarizes epidemiological, animal model, and in vitro data related to asbestos exposures and autoimmunity. These combined data help build toward a better understanding of the fiber-associated factors contributing to immune dysfunction that may raise the risk of autoimmunity and the possible contribution to asbestos-related pulmonary disease. PMID:24876951

  17. Management and prevention of exacerbations of COPD.

    PubMed

    Aaron, Shawn D

    2014-09-22

    Patients with chronic obstructive pulmonary disease (COPD) are prone to acute respiratory exacerbations, which can develop suddenly or subacutely over the course of several days. Exacerbations have a detrimental effect on patients' health status and increase the burden on the healthcare system. Initial treatment is unsuccessful in 24-27% of patients, who have a relapse or a second exacerbation within 30 days of the initial event. No obvious benefit has been seen in recent clinical trials of anti-tumour necrosis factor therapy, anti-leukotriene therapy, intensive chest physiotherapy, or early inpatient pulmonary rehabilitation for treatment of exacerbations. By contrast, clinical trials of prevention rather than acute treatment have shown promising results. Long acting β agonist (LABA) or long acting anti-muscarinic (LAMA) bronchodilators and inhaled corticosteroid-LABA combinations prevent exacerbations in patients at risk, with relative risk reductions averaging 14-27% for each of these drugs relative to placebo. Triple therapy with inhaled corticosteroid-LABA plus LAMA may provide additional benefit, although study results to date are heterogeneous and more studies are needed. Pneumonia is an important complication of treatment with inhaled corticosteroid-LABA products, and the risk of pneumonia seems to be doubled in patients with COPD who use fluticasone. The addition of azithromycin to usual COPD therapy prevents exacerbations, although it may prolong the Q-T interval and increase the risk of death from cardiovascular disease in patients prone to arrhythmia. New potential drugs--including mitogen activated protein kinase inhibitors, phosphodiesterase 3 inhibitors, and monoclonal antibodies to the interleukin 1 receptor--offer additional hope for treatments that may prevent exacerbations in the future.

  18. Inhalation Injuries

    MedlinePlus

    ... you can inhale that can cause acute internal injuries. Particles in the air from fires and toxic ... and lung diseases worse. Symptoms of acute inhalation injuries may include Coughing and phlegm A scratchy throat ...

  19. Inhalant abuse.

    PubMed

    Williams, Janet F; Storck, Michael

    2007-05-01

    Inhalant abuse is the intentional inhalation of a volatile substance for the purpose of achieving an altered mental state. As an important, yet-underrecognized form of substance abuse, inhalant abuse crosses all demographic, ethnic, and socioeconomic boundaries, causing significant morbidity and mortality in school-aged and older children. This clinical report reviews key aspects of inhalant abuse, emphasizes the need for greater awareness, and offers advice regarding the pediatrician's role in the prevention and management of this substance abuse problem.

  20. Plasma vitrification of asbestos fibers

    SciTech Connect

    Camacho, S.L.

    1995-12-31

    Asbestos is a mineral in the form of long, thread-like fibers. Asbestos fibers have been among the best insulators of pipes, boilers, ducts, tanks, etc., in buildings, ships, and industrial furnaces. Over 150,000 metric tons of asbestos were consumed in the United States in 1984. The Environmental Protection Agency has declared asbestos fibers a known human carcinogen. And today, asbestos insulators are being replaced by manmade non-hazardous fibers. Millions of tons of replaced asbestos fiber insulators are in storage, awaiting the demonstration of effective alternative disposal technologies. Plasma vitrification has been demonstrated during May, June and July 1995 as a viable, cost-effective, safe technology for asbestos fiber disposal. A low-mass plasma arc heater is submerged under the waste asbestos insulating materials, and the intense heat of the plasma flame heats and melts the fibers. The by-product is dark, non-hazardous glass pellets. The vitrification process renders the asbestos waste safe for use as road construction aggregates or other fill materials. This paper will describe the results of start-up of a 1 ton-per-hour Plasma Mobile Asbestos Vitrification (MAV) Plant at a DOD Site in Port Clinton, Ohio. The Plasma MAV Plant is being demonstrated for the on-site disposal of 1.5 million pounds of Amosite asbestos fibers.

  1. Glovebags handle asbestos abatement

    SciTech Connect

    Ross, K.

    1997-12-01

    Regulations from OSHA mean that industry can use glovebags to perform many asbestos maintenance operations in less time, at less cost, and with less chance of personnel being exposed. The regulations became effective July 10, 1995, with some clarifications issued since that date. The standards allow glovebags to be used in maintenance operations or removal of asbestos from straight runs of pipe without any size limitations. They can also be used on elbows and other connections if the glovebags are designed for a particular configuration. The paper discusses potential savings, construction activities, procedures that must be followed when using glovebags, and training.

  2. Inhalant Abuse

    MedlinePlus

    ... to every organ over time.Also, if your child abuses inhalants, he or she is likely to try ... How can I start a discussion about inhalant abuse with my child? Other organizationsNational Inhalant Prevention Coalition (NIPC)National Institute ...

  3. 30 CFR 71.702 - Asbestos standard.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Asbestos standard. 71.702 Section 71.702... Contaminants § 71.702 Asbestos standard. (a) Definitions. Asbestos is a generic term for a number of... fibrils. Asbestos means chrysotile, cummingtonite-grunerite asbestos (amosite), crocidolite, anthophylite...

  4. Nonpulmonary Outcomes of Asbestos Exposure

    PubMed Central

    Bunderson-Schelvan, Melisa; Pfau, Jean C.; Crouch, Robert; Holian, Andrij

    2011-01-01

    The adverse pulmonary effects of asbestos are well accepted in scientific circles. However, the extrapulmonary consequences of asbestos exposure are not as clearly defined. In this review the potential for asbestos to produce diseases of the peritoneum, immune, gastrointestinal (GIT), and reproductive systems are explored as evidenced in published, peer-reviewed literature. Several hundred epidemiological, in vivo, and in vitro publications analyzing the extrapulmonary effects of asbestos were used as sources to arrive at the conclusions and to establish areas needing further study. In order to be considered, each study had to monitor extrapulmonary outcomes following exposure to asbestos. The literature supports a strong association between asbestos exposure and peritoneal neoplasms. Correlations between asbestos exposure and immune-related disease are less conclusive; nevertheless, it was concluded from the combined autoimmune studies that there is a possibility for a higher-than-expected risk of systemic autoimmune disease among asbestos-exposed populations. In general, the GIT effects of asbestos exposure appear to be minimal, with the most likely outcome being development of stomach cancer. However, IARC recently concluded the evidence to support asbestos-induced stomach cancer to be “limited.” The strongest evidence for reproductive disease due to asbestos is in regard to ovarian cancer. Unfortunately, effects on fertility and the developing fetus are under-studied. The possibility of other asbestos-induced health effects does exist. These include brain-related tumors, blood disorders due to the mutagenic and hemolytic properties of asbestos, and peritoneal fibrosis. It is clear from the literature that the adverse properties of asbestos are not confined to the pulmonary system. PMID:21534087

  5. Asbestos and silicate pollution (excluding workplace pollution). January 1970-February 1987 (Citations from the NTIS data base). Report for January 1970-February 1987

    SciTech Connect

    Not Available

    1988-12-01

    This bibliography contains citations concerning the occurance and effects of asbestos and silicate pollution outside of the workplace. Topics include increased cancer risk associated with asbestos pollution, and the hazards of silica-dust inhalation and silicate effects on water resources. Included are pollutant sources, and sampling techniques and test results of analyses of indoor air samples, drinking water, and ground water for these pollutants. Asbestos and silicate pollution in the workplace and asbestos-removal technology are considered in other bibliographies. (This updated bibliography contains 378 citations, none of which are new entries to the previous edition.)

  6. Asbestos and silicate pollution (excluding workplace pollution). March 1987-December 1989 (Citations from the NTIS data base). Report for March 1987-December 1989

    SciTech Connect

    Not Available

    1989-12-01

    This bibliography contains citations concerning the occurrence and effects of asbestos and silicate pollution outside of the workplace. Topics include increased cancer risk associated with asbestos pollution, and the hazards of silica-dust inhalation and silicate effects on water resources. Included are pollutant sources, and sampling techniques and test results of analyses of indoor air samples, drinking water, and ground water for these pollutants. Asbestos and silicate pollution in the workplace and asbestos-removal technology are considered in other bibliographies. (This updated bibliography contains 78 citations, 11 of which are new entries to the previous edition.)

  7. Asbestos and silicate pollution (excluding workplace pollution). March 1987-December 1988 (Citations from the NTIS data base). Report for March 1987-December 1988

    SciTech Connect

    Not Available

    1988-12-01

    This bibliography contains citations concerning the occurance and effects of asbestos and silicate pollution outside of the workplace. Topics include increased cancer risk associated with asbestos pollution, and the hazards of silica-dust inhalation and silicate effects on water resources. Included are pollutant sources, and sampling techniques and test results of analyses of indoor air samples, drinking water, and ground water for these pollutants. Asbestos and silicate pollution in the workplace and asbestos-removal technology are considered in other bibliographies. (This updated bibliography contains 67 citations, all of which are new entries to the previous edition.)

  8. Asbestos in commercial cosmetic talcum powder as a cause of mesothelioma in women

    PubMed Central

    Gordon, Ronald E; Fitzgerald, Sean; Millette, James

    2014-01-01

    Background: Cosmetic talcum powder products have been used for decades. The inhalation of talc may cause lung fibrosis in the form of granulomatose nodules called talcosis. Exposure to talc has also been suggested as a causative factor in the development of ovarian carcinomas, gynecological tumors, and mesothelioma. Purpose: To investigate one historic brand of cosmetic talcum powder associated with mesothelioma in women. Methods: Transmission electron microscope (TEM) formvar-coated grids were prepared with concentrations of one brand of talcum powder directly, on filters, from air collections on filters in glovebox and simulated bathroom exposures and human fiber burden analyses. The grids were analyzed on an analytic TEM using energy-dispersive spectrometer (EDS) and selected-area electron diffraction (SAED) to determine asbestos fiber number and type. Results: This brand of talcum powder contained asbestos and the application of talcum powder released inhalable asbestos fibers. Lung and lymph node tissues removed at autopsy revealed pleural mesothelioma. Digestions of the tissues were found to contain anthophyllite and tremolite asbestos. Discussion: Through many applications of this particular brand of talcum powder, the deceased inhaled asbestos fibers, which then accumulated in her lungs and likely caused or contributed to her mesothelioma as well as other women with the same scenario. PMID:25185462

  9. Asbestos in commercial cosmetic talcum powder as a cause of mesothelioma in women.

    PubMed

    Gordon, Ronald E; Fitzgerald, Sean; Millette, James

    2014-10-01

    Cosmetic talcum powder products have been used for decades. The inhalation of talc may cause lung fibrosis in the form of granulomatose nodules called talcosis. Exposure to talc has also been suggested as a causative factor in the development of ovarian carcinomas, gynecological tumors, and mesothelioma. To investigate one historic brand of cosmetic talcum powder associated with mesothelioma in women. Transmission electron microscope (TEM) formvar-coated grids were prepared with concentrations of one brand of talcum powder directly, on filters, from air collections on filters in glovebox and simulated bathroom exposures and human fiber burden analyses. The grids were analyzed on an analytic TEM using energy-dispersive spectrometer (EDS) and selected-area electron diffraction (SAED) to determine asbestos fiber number and type. This brand of talcum powder contained asbestos and the application of talcum powder released inhalable asbestos fibers. Lung and lymph node tissues removed at autopsy revealed pleural mesothelioma. Digestions of the tissues were found to contain anthophyllite and tremolite asbestos. Through many applications of this particular brand of talcum powder, the deceased inhaled asbestos fibers, which then accumulated in her lungs and likely caused or contributed to her mesothelioma as well as other women with the same scenario.

  10. Inhaled or nebulised ciprofloxacin for the maintenance treatment of bronchiectasis.

    PubMed

    Cartlidge, Manjit K; Hill, Adam T

    2017-09-01

    Inhaled or nebulised antibiotics are a major topic of ongoing research interest in reducing exacerbations in bronchiectasis. There are no licenced inhaled or nebulised antibiotics currently in bronchiectasis. Areas covered: Inhaled or nebulised ciprofloxacin as a long-term treatment in bronchiectasis. Expert opinion: Results from the Phase III ongoing trials on inhaled or nebulised ciprofloxacin will be key for the outcome of the drugs but additionally, cost-effectiveness and longer-term studies will be necessary to determine the viability of the drug. Head to head studies are needed to decide on the optimum inhaled or nebulised antibiotic and their place with or without long term macrolide therapy. It is also important to determine what treatment is viable for acute exacerbations due to P. aeruginosa. Ciprofloxacin is the only currently available oral agent for exacerbations due to P. aeruginosa. The concern is that using inhaled or nebulised ciprofloxacin will prevent the use and efficacy of its oral equivalent, by developing resistance.

  11. Libby Amphibole asbestos

    Integrated Risk Information System (IRIS)

    EPA / 635 / R - 11 / 002F www.epa.gov / iris TOXICOLOGICAL REVIEW OF LIBBY AMPHIBOLE ASBESTOS In Support of Summary Information on the Integrated Risk Information System ( IRIS ) December 2014 ( Note : This document is an assessment of the noncancer and cancer health effects associated with the inha

  12. Arizona's School Asbestos Program.

    ERIC Educational Resources Information Center

    Charette, Mike L.

    1982-01-01

    The state of Arizona Department of Education operates a successful program to remove asbestos-containing building materials from schools, drawing from the expertise of the Department of Health Services, Bureau of Environmental Hygiene and Sanitation, Bureau of Waste Control, and eliciting cooperation of school officials. Includes an asbestos…

  13. Arizona's School Asbestos Program.

    ERIC Educational Resources Information Center

    Charette, Mike L.

    1982-01-01

    The state of Arizona Department of Education operates a successful program to remove asbestos-containing building materials from schools, drawing from the expertise of the Department of Health Services, Bureau of Environmental Hygiene and Sanitation, Bureau of Waste Control, and eliciting cooperation of school officials. Includes an asbestos…

  14. Airborne asbestos in public buildings

    SciTech Connect

    Chesson, J.; Hatfield, J.; Schultz, B.; Dutrow, E.; Blake, J. )

    1990-02-01

    The U.S. Environmental Protection Agency sampled air in 49 government-owned buildings (six buildings with no asbestos-containing material, six buildings with asbestos-containing material in generally good condition, and 37 buildings with damaged asbestos-containing material). This is the most comprehensive study to date of airborne asbestos levels in U.S. public buildings during normal building activities. The air outside each building was also sampled. Air samples were analyzed by transmission electron microscopy using a direct transfer preparation technique. The results show an increasing trend in average airborne asbestos levels; outdoor levels are lowest and levels in buildings with damaged asbestos-containing material are highest. However, the measured levels and the differences between indoors and outdoors and between building categories are small in absolute magnitude. Comparable studies from Canada and the UK, although differing in their estimated concentrations, also conclude that while airborne asbestos levels may be elevated in buildings that contain asbestos, levels are generally low. This conclusion does not eliminate the possibility of higher airborne asbestos levels during maintenance or renovation that disturbs the asbestos-containing material.

  15. Innate Immune Activation Through Nalp3 Inflammasome Sensing of Asbestos and Silica

    PubMed Central

    Dostert, Catherine; Pétrilli, Virginie; Van Bruggen, Robin; Steele, Chad; Mossman, Brooke T; Tschopp, Jürg

    2008-01-01

    The inhalation of airborne pollutants, such as asbestos or silica, is linked to inflammation of the lung, fibrosis, and lung cancer. How the presence of pathogenic dust is recognized and how chronic inflammatory diseases are triggered are poorly understood. Here, we show that asbestos and silica are sensed by the Nalp3 inflammasome, whose subsequent activation leads to interleukin 1β secretion. Inflammasome activation is triggered by reactive oxygen species, which are generated by a NADPH oxidase upon particle phagocytosis (NADPH is the reduced form of nicotinamide adenine dinucleotide phosphate). In a model of asbestos inhalation, Nalp3−/− mice showed diminished recruitment of inflammatory cells to the lungs, paralleled by lower cytokine production. Our findings implicate the Nalp3 inflammasome in particulate matter–related pulmonary diseases and support its role as a major proinflammatory “danger” receptor. PMID:18403674

  16. In vitro depression of human lymphocyte mitogen response (phytohaemagglutinin) by asbestos fibres.

    PubMed Central

    Barbers, R G; Shih, W W; Saxon, A

    1982-01-01

    Asbestosis is a fibrotic lung disease associated with chronic inhalation of asbestos dust. The response of peripheral blood mononuclear cells (PBM) to phytohaemagglutinin (PHA) in asbestosis patients has been reported to be impaired, suggesting a disturbance in the cell-mediated response of chronically exposed individuals. We demonstrated that PHA responses of normal PBM are also depressed when exposed to various forms of asbestos fibres in vitro. Furthermore, we showed the primary effect of the fibres to be on lymphoid (non-adherent) populations rather than monocytes (adherent cells). Exposure as brief as 1 hr affected the subsequent PHA response of the cells. This effect did not appear to involve suppressor cell activation nor was it mediated by soluble factors. Our findings therefore offer an explanation for the alterations in the cellular immune response observed in humans as a result of lymphoid cells coming into transient contact with inhaled asbestos fibres residing in the lung. Images Fig. 6 PMID:7116687

  17. Substance use - inhalants

    MedlinePlus

    Substance abuse - inhalants; Drug abuse - inhalants; Drug use - inhalants; Glue - inhalants ... symptoms and may include: Strong cravings for the drug Having mood swings from feeling depressed to agitated ...

  18. Clinical aspects of asbestos-related diseases--what are the unresolved topics?

    PubMed

    Banks, Daniel E

    2014-10-01

    Despite awareness of the health risks associated with asbestos fiber inhalation and the decline in U.S. utilization (about 0.1% of the yearly peak amount), illnesses associated with exposure persist. Those with disease typically describe excessive exposures in the remote past, yet excessive exposures can occur today, most likely related to careless asbestos abatement procedures. The intent is to address unanswered questions associated with asbestos exposure. The author summarizes clinical information addressing the case definition of asbestosis, the world-wide rate of mesothelioma, and clinical follow-up for those with exposure. The author describes information relevant to issues which remain unresolved. Perhaps somewhat surprisingly, even though there have been a great number of manuscripts reporting on the health risks of asbestos exposure, there remain unanswered questions regarding the pathogenesis of this disease.

  19. Risk factors associated with asbestos-related diseases: a community-based case–control study

    PubMed Central

    2013-01-01

    Background Asbestos is a first level carcinogen. However, few epidemiological studies analyse the risk and protective factors associated with asbestos-related diseases and follow up these conditions in the general population. Pleural mesothelioma, caused by inhalation of asbestos fibres at work, at home or in the environment, is the most representative asbestos-related disease. The objectives of this study are to analyse the risk and protective factors associated with asbestos-related diseases and to investigate the incidence of new clinical manifestations in patients already diagnosed with some form of ARD. Methods/Design We have designed a matched case–control study with follow up of both cohorts from a population of a health district of the Barcelona province that has been exposed to asbestos for a period of 90 years. Discussion A better understanding of asbestos-related diseases should improve i) the clinical and epidemiological follow up of patients with this condition; ii) the design of new treatment strategies; iii) and the development of preventive activities. At the end of the study, the two cohorts created in this study (affected cases and healthy controls) will constitute the basis for future research. PMID:23915043

  20. Biopersistence and potential adverse health impacts of fibrous nanomaterials: what have we learned from asbestos?

    PubMed Central

    Sanchez, Vanesa C.; Pietruska, Jodie R.; Miselis, Nathan R.; Hurt, Robert H.; Kane, Agnes B.

    2010-01-01

    Human diseases associated with exposure to asbestos fibers include pleural fibrosis and plaques, pulmonary fibrosis (asbestosis), lung cancer, and diffuse malignant mesothelioma. The critical determinants of fiber bioactivity and toxicity include not only fiber dimensions, but also shape, surface reactivity, crystallinity, chemical composition, and presence of transition metals. Depending on their size and dimensions, inhaled fibers can penetrate the respiratory tract to the distal airways and into the alveolar spaces. Fibers can be cleared by several mechanisms, including the mucociliary escalator, engulfment, and removal by macrophages, or through splitting and chemical modification. Biopersistence of long asbestos fibers can lead to inflammation, granuloma formation, fibrosis, and cancer. Exposure to synthetic carbon nanomaterials, including carbon nanofibers and carbon nanotubes (CNTs), is considered a potential health hazard because of their physical similarities with asbestos fibers. Respiratory exposure to CNTs can produce an inflammatory response, diffuse interstitial fibrosis, and formation of fibrotic granulomas similar to that observed in asbestos-exposed animals and humans. Given the known cytotoxic and carcinogenic properties of asbestos fibers, toxicity of fibrous nanomaterials is a topic of intense study. The mechanisms of nanomaterial toxicity remain to be fully elucidated, but recent evidence suggests points of similarity with asbestos fibers, including a role for generation of reactive oxygen species, oxidative stress, and genotoxicity. Considering the rapid increase in production and use of fibrous nanomaterials, it is imperative to gain a thorough understanding of their biologic activity to avoid the human health catastrophe that has resulted from widespread use of asbestos fibers. PMID:20049814

  1. Biopersistence and potential adverse health impacts of fibrous nanomaterials: what have we learned from asbestos?

    PubMed

    Sanchez, Vanesa C; Pietruska, Jodie R; Miselis, Nathan R; Hurt, Robert H; Kane, Agnes B

    2009-01-01

    Human diseases associated with exposure to asbestos fibers include pleural fibrosis and plaques, pulmonary fibrosis (asbestosis), lung cancer, and diffuse malignant mesothelioma. The critical determinants of fiber bioactivity and toxicity include not only fiber dimensions, but also shape, surface reactivity, crystallinity, chemical composition, and presence of transition metals. Depending on their size and dimensions, inhaled fibers can penetrate the respiratory tract to the distal airways and into the alveolar spaces. Fibers can be cleared by several mechanisms, including the mucociliary escalator, engulfment, and removal by macrophages, or through splitting and chemical modification. Biopersistence of long asbestos fibers can lead to inflammation, granuloma formation, fibrosis, and cancer. Exposure to synthetic carbon nanomaterials, including carbon nanofibers and carbon nanotubes (CNTs), is considered a potential health hazard because of their physical similarities with asbestos fibers. Respiratory exposure to CNTs can produce an inflammatory response, diffuse interstitial fibrosis, and formation of fibrotic granulomas similar to that observed in asbestos-exposed animals and humans. Given the known cytotoxic and carcinogenic properties of asbestos fibers, toxicity of fibrous nanomaterials is a topic of intense study. The mechanisms of nanomaterial toxicity remain to be fully elucidated, but recent evidence suggests points of similarity with asbestos fibers, including a role for generation of reactive oxygen species, oxidative stress, and genotoxicity. Considering the rapid increase in production and use of fibrous nanomaterials, it is imperative to gain a thorough understanding of their biologic activity to avoid the human health catastrophe that has resulted from widespread use of asbestos fibers.

  2. Innovative approach to asbestos removal

    SciTech Connect

    Kahal, E J

    1984-01-01

    The most common asbestos materials used at the Savannah River site include: steam pipe insulation; powerhouse boiler insulation; wallboards; roofing materials; and cement products. Asbestos was also found in a number of other materials: aprons; gaskets; laboratory hot pads; and talcum powder used for gloves. Techniques for removal; personnel training; mechanical ventilation; and personnel isolation techniques are described for completing asbestos removal safely and without boiler downtime. (PSB)

  3. Examination of Susceptibility to Libby Amphibole Asbestos-Induced Injury in Rat Models of Cardiovascular Disease

    EPA Science Inventory

    Although cardiovascular disease (CVD) is considered a risk factor for the exacerbation of air pollution health effects, no studies have been done assessing the influence of the disease on the development of lung injury induced by asbestos exposure. In this study we examined lung ...

  4. Examination of Susceptibility to Libby Amphibole Asbestos-Induced Injury in Rat Models of Cardiovascular Disease

    EPA Science Inventory

    Although cardiovascular disease (CVD) is considered a risk factor for the exacerbation of air pollution health effects, no studies have been done assessing the influence of the disease on the development of lung injury induced by asbestos exposure. In this study we examined lung ...

  5. Inhaled matters of the heart

    PubMed Central

    Zaky, Ahmed; Ahmad, Aftab; Dell’Italia, Louis J; Jahromi, Leila; Reisenberg, Lee Ann; Matalon, Sadis; Ahmad, Shama

    2015-01-01

    Inhalations of atmospheric pollutants, especially particulate matters, are known to cause severe cardiac effects and to exacerbate preexisting heart disease. Heart failure is an important sequellae of gaseous inhalation such as that of carbon monoxide. Similarly, other gases such as sulphur dioxide are known to cause detrimental cardiovascular events. However, mechanisms of these cardiac toxicities are so far unknown. Increased susceptibility of the heart to oxidative stress may play a role. Low levels of antioxidants in the heart as compared to other organs and high levels of reactive oxygen species produced due to the high energetic demand and metabolic rate in cardiac muscle are important in rendering this susceptibility. Acute inhalation of high concentrations of halogen gases is often fatal. Severe respiratory injury and distress occurs upon inhalation of halogens gases, such as chlorine and bromine; however, studies on their cardiac effects are scant. We have demonstrated that inhalation of high concentrations of halogen gases cause significant cardiac injury, dysfunction, and failure that can be critical in causing mortalities following exposures. Our studies also demonstrated that cardiac dysfunction occurs as a result of a direct insult independent of coexisting hypoxia, since it is not fully reversed by oxygen supplementation. Therefore, studies on offsite organ effects of inhaled toxic gases can impact development of treatment strategies upon accidental or deliberate exposures to these agents. Here we summarize the knowledge of cardiovascular effects of common inhaled toxic gases with the intent to highlight the importance of consideration of cardiac symptoms while treating the victims. PMID:26665179

  6. History of asbestos related disease.

    PubMed

    Bartrip, P W J

    2004-02-01

    The first medical article on the hazards of asbestos dust appeared in the British Medical Journal in 1924. Following inquiries by Edward Merewether and Charles Price, the British government introduced regulations to control dangerous dust emissions in UK asbestos factories. Until the 1960s these appeared to have addressed the problem effectively. Only then, with the discoveries that mesothelioma was an asbestos related disease and that workers other than those employed in the dustiest parts of asbestos factories were at risk, were the nature and scale of the hazard reassessed. In Britain, America, and elsewhere new and increasingly strict regulations were enacted.

  7. History of asbestos related disease

    PubMed Central

    Bartrip, P

    2004-01-01

    The first medical article on the hazards of asbestos dust appeared in the British Medical Journal in 1924. Following inquiries by Edward Merewether and Charles Price, the British government introduced regulations to control dangerous dust emissions in UK asbestos factories. Until the 1960s these appeared to have addressed the problem effectively. Only then, with the discoveries that mesothelioma was an asbestos related disease and that workers other than those employed in the dustiest parts of asbestos factories were at risk, were the nature and scale of the hazard reassessed. In Britain, America, and elsewhere new and increasingly strict regulations were enacted. PMID:14970292

  8. Dealing with asbestos

    SciTech Connect

    Onderick, W.A. )

    1994-03-01

    Asbestos management is one of the toughest jobs facing a plant engineer or environmental manager. OSHA proposed a Permissible Exposure Limit (PEL) for fibrous glass, refractory ceramic fibers, and mineral wool fibers. The new limit will be 1 fiber/cc over an 8-hr TWA (time weighted average) for these respirable fibers if passed as part of the comprehensive OSHA reform bill in 1994. Now, other insulation materials besides asbestos are being viewed as potential carcinogens. New regulations are increasing the burden on those responsible for compliance. Much confusion exists about how to best manage these issues, especially in plant settings. The paper discusses written policy, the many concerns of industry in trying to comply with all the regulations, potential problems, staying state-of-the-art, and the current law.

  9. Alternative Asbestos Control Method and the Asbestos Releasability Research

    EPA Science Inventory

    Alternative Asbestos Control Method shows promise in speed, cost, and efficiency if equally protective. ORD conducted side by side test of AACM vs NESHAP on identical asbestos-containing buildings at Fort Chaffee. This abstract and presentation are based, at least in part, on pr...

  10. Alternative Asbestos Control Method and the Asbestos Releasability Research

    EPA Science Inventory

    Alternative Asbestos Control Method shows promise in speed, cost, and efficiency if equally protective. ORD conducted side by side test of AACM vs NESHAP on identical asbestos-containing buildings at Fort Chaffee. This abstract and presentation are based, at least in part, on pr...

  11. [Expectations after ban on asbestos].

    PubMed

    Sarić, Marko

    2009-11-01

    This article brings a brief review of asbestos exposure and asbestos-related diseases in Croatia in view of the asbestos ban. The first cases of asbestosis were diagnosed in workers from an asbestos-cement factory in 1961. Between 1990 and 2007, 403 cases of asbestosis had been registered as occupational disease: 300 with parenchymal fibrosis and the rest with parenchymal and pleural changes, or pleural plaques. As a rule, asbestos-related changes were diagnosed at an early stage thanks to regular checkups of the exposed workers. Pleural plaques, considered to be the consequence of asbestos exposure, were also occasionally found in subjects who lived in areas with asbestos processing plants, but were not occupationally exposed. Early epidemiological studies on respiratory and gastrointestinal tract tumours in areas with an asbestos processing plant (1994) and an asbestos-cement plant (1995, 1996) focused on the occurrence of malignant tumours in persons exposed to asbestos at work or in the environment. More recently, the focus has shifted to the malignant pleural mesotelioma (MPM). An epidemiological study published in 2002 showed that the MPM incidence was significantly higher in the coastal area than in the rest of the country. About two thirds of patients with the tumour were occupationally exposed to asbestos. This uneven distribution of the tumour incidence is obviously related to shipbuilding and other industrial sources of asbestos exposure located in the coastal Croatia. Sources of environmental exposure to asbestos also have to be taken into account. The second part of this article ventures into the issues ahead of us, after asbestos has been banned in the country. The long latency period of cancers, and particularly of asbestos-related mesothelioma, implies that the incidence of this tumour will not drop over the next few decades. In Croatia, the average annual rate of MPM between 1991 and 2006 was 40, and ranged between 20 in 1991 to 61 in 1999. In 2006

  12. Urinary asbestos fibers and inorganic particles in past asbestos workers.

    PubMed

    Zaina, Sara; Mastrangelo, Giuseppe; Ballarin, Maria Nicoletta; Scoizzato, Luca; Carradori, Giorgio; Fedeli, Ugo; Capella, Silvana; Belluso, Elena

    2016-05-03

    To assess the validity of the procedure as a test of asbestos exposure, we compared urinary asbestos fibers with occupational and environmental exposure data in a random sample of 48 subjects with high past asbestos exposure. Occupational and environmental exposure was estimated on questionnaire, pleural plaques were diagnosed with computed tomography, and inorganic fibers and particles were identified by scanning electron microscope with an energy-dispersive spectrometry. Few urinary asbestos fibers (in 15% of workers and 17% of cases with pleural plaques) and high amount of urinary silicate (particularly nonfibrous particles) were detected. Asbestos undergoes dissolution in lung tissues, but the secondary minerals are largely unknown. These materials, possibly nonfibrous silicates or metals, could be excreted with urine. Therefore, another study including a control group is warranted to discriminate the occupational origin of minerals in the urine.

  13. Inhalant abuse

    PubMed Central

    Baydala, L

    2010-01-01

    Inhalant abuse – also known as volatile substance abuse, solvent abuse, sniffing, huffing and bagging – is the deliberate inhalation of a volatile substance to achieve an altered mental state. Inhalant abuse is a worldwide problem that is especially common in individuals from minority and marginalized populations, and is strongly correlated with the social determinants of health. It often affects younger children, compared with other forms of substance abuse, and crosses social and ethnic boundaries. Inhalants are pharmacologically diverse products that are selected for their low price, legal and widespread availability, and ability to rapidly induce euphoria. Chronic abuse is associated with serious and often irreversible effects. Widespread screening and early referrals to treatment programs have resulted in significant improvements in the mental, physical and social conditions of those affected. The present statement reviews critical aspects of inhalant abuse, highlighting new information and data that pertain to Aboriginal children and youth, and provides recommendations for treatment and prevention. PMID:21886449

  14. Asbestos Abatement in Oklahoma Schools.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Education, Oklahoma City.

    The intent of this paper is to provide the information necessary to develop and implement an acceptable asbestos removal plan. The information is taken from current (September 1980) federal and state regulations and recommendations. The information describing asbestos removal operations is organized chronologically to simplify using this document…

  15. Asbestos Abatement: Start to Finish.

    ERIC Educational Resources Information Center

    Makruski, Edward D.

    1984-01-01

    An EPA survey of the largest school districts in the nation revealed that over 50 percent have not inspected for asbestos and two-thirds have failed to notify parents adequately. Seven steps are therefore provided for successful asbestos abatement, in anticipation of tougher regulations now under consideration. (TE)

  16. Asbestos Abatement--Practical Considerations.

    ERIC Educational Resources Information Center

    Sedrel, Roy A.

    Illinois Senate Bill 1644, the recently passed "Asbestos Abatement Act," requires all schools in the state, public and private alike, to remove friable asbestos by whichever comes first: July 1, 1989, or 3 years following the establishment of a system for state funding for corrective action. This document addresses practical…

  17. Asbestos Abatement--Practical Considerations.

    ERIC Educational Resources Information Center

    Sedrel, Roy A.

    Illinois Senate Bill 1644, the recently passed "Asbestos Abatement Act," requires all schools in the state, public and private alike, to remove friable asbestos by whichever comes first: July 1, 1989, or 3 years following the establishment of a system for state funding for corrective action. This document addresses practical…

  18. Asbestos Abatement: Start to Finish.

    ERIC Educational Resources Information Center

    Makruski, Edward D.

    1984-01-01

    An EPA survey of the largest school districts in the nation revealed that over 50 percent have not inspected for asbestos and two-thirds have failed to notify parents adequately. Seven steps are therefore provided for successful asbestos abatement, in anticipation of tougher regulations now under consideration. (TE)

  19. Asbestos Abatement in Oklahoma Schools.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Education, Oklahoma City.

    The intent of this paper is to provide the information necessary to develop and implement an acceptable asbestos removal plan. The information is taken from current (September 1980) federal and state regulations and recommendations. The information describing asbestos removal operations is organized chronologically to simplify using this document…

  20. Asbestos Workshop: Sampling, Analysis, and Risk Assessment

    DTIC Science & Technology

    2012-03-01

    that cause asbestosis and have been implicated as causes of certain cancers, and that have been used especially formerly as fireproof insulating...Asbestos-cement flat sheet Asbestos-cement pipe Asbestos-cement shingle Roof coatings Flooring felt Pipeline wrap Roofing felt Asbestos clothing Non-roof

  1. Iron in asbestos chemistry and carcinogenicity

    SciTech Connect

    Hardy, J.A.; Aust, A.E.

    1995-01-01

    This article reviews the various aspects regarding the carcinogenicity of asbestos and associated reactions catalyzed by iron. Attention is focused on the following: structure of asbestos; physical properties of asbestos involved in carcinogenesis; reactions catalyzed by iron; reactions catalyzed by asbestos; fiber inactivation; physiological effects; and mutations and cancer. 183 refs.

  2. Calcium Free Asbestos for Fuel Cells

    NASA Technical Reports Server (NTRS)

    Snitzer, B. A.

    1983-01-01

    Organic-acid salt removes unwanted calcium without weakening asbestos. Asbestos mixed with disodium ethylene diamine tetraacetic acid (disodium EDTA) in water and agitated for 2 hours. After disodium EDTA solution is drained away, asbestos contains only 0.02 to 0.1 percent calcium. Fiber structure of asbestos unaffected.

  3. The relationship between fibrosis and cancer in experimental animals exposed to asbestos and other fibers

    SciTech Connect

    Davis, J.M.G.; Cowie, H.A. )

    1990-08-01

    The association between occupational asbestos exposure and the development of both pulmonary fibrosis or asbestosis and pulmonary carcinomas is well documented. It has been suggested that the two pathological conditions are associated with asbestos-related carcinomas developing from areas of asbestosis and not occurring when exposure has been too low to produce this type of pulmonary scarring. Experimental inhalation studies so far published have not been designed to examine this association specifically, but many publications have reported that asbestos samples producing high levels of fibrosis in experimental animals are also very carcinogenic. Samples of asbestos or man-made fibers that produce little fibrosis also produce few tumors. These works are reviewed. In order to examine the association between fibrosis and tumor production in more detail, groups of animals with and without pulmonary tumors and with individual fibrosis measurements were assembled from a number of inhalation studies undertaken over a period of years at this Institute. It was found that animals with pulmonary tumors had almost double the amount of pulmonary fibrosis as animals of similar age that did not. In a few of the animals where tumors were found at an early stage of development, their origin from fibrotic areas could be confirmed, although in most cases where tumor deposits were widespread this was not possible. Experimental confirmation of the site of origin of most pulmonary tumors in asbestos-treated rats would require new studies with rats examined specifically at an age when early tumors would be expected.

  4. The relationship between fibrosis and cancer in experimental animals exposed to asbestos and other fibers.

    PubMed Central

    Davis, J M; Cowie, H A

    1990-01-01

    The association between occupational asbestos exposure and the development of both pulmonary fibrosis or asbestosis and pulmonary carcinomas is well documented. It has been suggested that the two pathological conditions are associated with asbestos-related carcinomas developing from areas of asbestosis and not occurring when exposure has been too low to produce this type of pulmonary scarring. Experimental inhalation studies so far published have not been designed to examine this association specifically, but many publications have reported that asbestos samples producing high levels of fibrosis is experimental animals are also very carcinogenic. Samples of asbestos or man-made fibers that produce little fibrosis also produce few tumors. These works are reviewed. In order to examine the association between fibrosis and tumor production in more detail, groups of animals with and without pulmonary tumors and with individual fibrosis measurements were assembled from a number of inhalation studies undertaken over a period of years at this Institute. It was found that animals with pulmonary tumors had almost double the amount of pulmonary fibrosis as animals of similar age that did not. In a few of the animals where tumors were found at an early stage of development, their origin from fibrotic areas could be confirmed, although in most cases where tumor deposits were widespread this was not possible. Experimental confirmation of the site of origin of most pulmonary tumors in asbestos-treated rats would require new studies with rats examined specifically at an age when early tumors would be expected. PMID:2272327

  5. The ingestion of asbestos fibers

    PubMed Central

    Webster, I.

    1974-01-01

    Feeding of baboons with crocidolite showed small numbers of asbestos needles 0.5–1 μm in ashed tissue of the gut wall, which probably came from iron-containing macrophages. It is suggested that pleural plaques and hyaline nodules in the peritoneum represent a hypersensitivity reaction to ferritin protein coating on asbestos fibers. In South Africa only a few peritoneal mesotheliomas come from the asbestos areas, and the incidence of gastrointestinal carcinomas is no greater than normal. Intrapleural and intraperitoneal injection produces unrealistic situations. Calcium salts are deposited on asbestos cement pipes from hard water and organic material from soft water. It is difficult to envisage asbestos contamination of the water so reticulated. ImagesFIGURE 1.FIGURE 2.FIGURE 3.FIGURE 4.FIGURE 5.FIGURE 6.FIGURE 7. PMID:4470936

  6. [Asbestos-related lung cancer].

    PubMed

    Lotti, M

    2010-01-01

    Lung cancer is the leading cause of tumour death and a large percentage of it is associated with tobacco smoking. Epidemiology has shown that asbestos cumulative exposures increase the risk of lung cancer to a variable extent, depending on the manufacturing process and the specific job. The risk appears relatively small (< or = 2) and is detectable after massive exposures only. Clinical diagnosis of asbestos-related lung cancer is based upon medical history (exposures > 25 ff.ml years double the risk), possible lung fibrosis and counts of asbestos bodies and fibers in bronchoalveolar lavage and lung tissues. Pleural plaques do not correlate with the cumulative exposures that are associated with lung cancer. The multiplicative interaction between smoke and asbestos is only detectable when the risk associated with asbestos exposure is increased, i.e. after high exposures.

  7. Asbestos/NESHAP adequately wet guidance

    SciTech Connect

    Shafer, R.; Throwe, S.; Salgado, O.; Garlow, C.; Hoerath, E.

    1990-12-01

    The Asbestos NESHAP requires facility owners and/or operators involved in demolition and renovation activities to control emissions of particulate asbestos to the outside air because no safe concentration of airborne asbestos has ever been established. The primary method used to control asbestos emissions is to adequately wet the Asbestos Containing Material (ACM) with a wetting agent prior to, during and after demolition/renovation activities. The purpose of the document is to provide guidance to asbestos inspectors and the regulated community on how to determine if friable ACM is adequately wet as required by the Asbestos NESHAP.

  8. Severe exacerbations and decline in lung function in asthma.

    PubMed

    O'Byrne, Paul M; Pedersen, Søren; Lamm, Carl Johan; Tan, Wan C; Busse, William W

    2009-01-01

    To evaluate the association between asthma exacerbations and the decline in lung function, as well as the potential effects of an inhaled corticosteroid, budesonide, on exacerbation-related decline in patients with asthma. To determine whether severe asthma exacerbations are associated with a persistent decline in lung function. The START (inhaled steroid treatment as regular therapy in early asthma) study was a 3-year, randomized, double-blind study of 7,165 patients (5-66 yr) with persistent asthma for less than 2 years, to determine whether early intervention with low-dose inhaled budesonide prevents severe asthma-related events (exacerbations requiring hospitalization or emergency treatment) and decline in lung function. There were 315 patients who experienced at least one severe asthma exacerbation, of which 305 were analyzable, 190 in the placebo group and 115 in the budesonide group. In the placebo group, the change in post-bronchodilator FEV(1) % predicted from baseline to the end of the study, in patients who did or did not experience a severe exacerbation was -6.44% and -2.43%, respectively (P < 0.001). A significant difference was seen in both children and in adults, but not in adolescents. In the budesonide group, the change in the post-bronchodilator FEV(1) % predicted in patients who did or did not experience a severe exacerbation was -2.48% and -1.72%, respectively (P = 0.57). The difference in magnitude of reduction afforded by budesonide, in patients who experienced at least one severe asthma-related event compared with those who did not, was statistically significant (P = 0.042). Severe asthma exacerbations are associated with a more rapid decline in lung function. Treatment with low doses of inhaled corticosteroid is associated with an attenuation of the decline.

  9. [Evaluation of exposure of workers to asbestos dust in asbestos-processing plants].

    PubMed

    Stroszejn-Mrowca, G; Wiecek, E

    1985-01-01

    Working environments have been tested in plants producing asbestos products, asbestos-cement products, textile asbestos products, asbestos-caoutchouc plates, asbestos boards and asbestos frictional materials for automotive industry, Measurements of total dust concentrations and concentrations of asbestos fibres 5 micron long supported workers' exposure investigations. Basing on literature data on the working environment at the Mining Metallurgical Plant in Szklary, the health risk for workers producing nickel from ores containing asbestos mixtures has been analysed. The asbestos-exposure in asbestos-processing plants has been found to be still considerable despite modernization of the plants. Particularly dangerous to health have been regarded the conditions at asbestos spinning-mills and the Mining-Metallurgical Plant at Szklary, where even average asbestos concentrations considerably exceed the threshold limit values.

  10. Asbestos/NESHAP regulated asbestos-containing-materials guidance

    SciTech Connect

    Shafer, R.; Throwe, S.; Salgado, O.; Garlow, C.; Hoerath, E.

    1990-12-01

    In the initial Asbestos NESHAP rule promulgated in 1973, a distinction was made between building materials that would readily release asbestos fibers when damaged or disturbed and those materials that were unlikely to result in significant fiber release. The terms friable and nonfriable were used to make this distinction. EPA has since determined that, if severely damaged, otherwise nonfriable materials can release significant amounts of asbestos fibers. Regulated Asbestos-Containing Material (RACM) is (a) friable asbestos material, (b) Category 1 nonfriable ACM that has become friable, (c) Category 1 nonfriable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (d) Category 2 nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations. The purpose of the document is to assist asbestos inspectors and the regulated community in determining whether or not a material is RACM and thus subject to the Asbestos NESHAP.

  11. COPD exacerbations . 2: aetiology.

    PubMed

    Sapey, E; Stockley, R A

    2006-03-01

    Exacerbations of COPD are thought to be caused by complex interactions between the host, bacteria, viruses, and environmental pollution. These factors increase the inflammatory burden in the lower airways, overwhelming the protective anti-inflammatory defences leading to tissue damage. Frequent exacerbations are associated with increased morbidity and mortality, a faster decline in lung function, and poorer health status, so prevention or optimal treatment of exacerbations is a global priority. In order to evolve new treatment strategies there has been great interest in the aetiology and pathophysiology of exacerbations, but progress has been hindered by the heterogeneous nature of these episodes, vague definitions of an exacerbation, and poor stratification of known confounding factors when interpreting results. We review how an exacerbation should be defined, its inflammatory basis, and the importance of exacerbations on disease progression. Important aetiologies, with their potential underlying mechanisms, are discussed and the significance of each aetiology is considered.

  12. Investigation and analysis of asbestos fibers and accompanying minerals in biological materials.

    PubMed

    Le Bouffant, L

    1974-12-01

    A method is described for isolating asbestos fibers contained in biological tissues. It consists in incinerating the biological material in activated oxygen at 150 degrees C, and attacking the ash by 1N HC1 for 18 hr. The residue is then filtered on a membrane covered with a carbon film. Electron microscope examination of the deposit makes it possible to determine fiber concentrations when the weight or volume of primary material is known, and to make size analyses. By x-ray diffraction, the mineralogical nature of the asbestos is determined by comparison with an aluminum reference diagram. For x-ray diffraction, a micromethod is used, with an ash sample of about 10 mug. These techniques are used for identifying and counting asbestos fibers in small fragments of lungs or other organs. It was found that asbestos fibers generally go along with other minerals which may be abundant. Most fibers found in lung are less than 5 mum long. Counts on lungs of asbestos workers give concentrations often greater than 10(7) particles per gram of dry tissue. The evolution of inhaled chrysotile seems to be different from that of amphiboles. In the case of pleural mesothelioma, a comparison of fibers within the tumor with fibers in the adjacent parenchyma shows only slight differences in the particle sizes, but marked differences in their nature, with a chrysotile enrichment in the pleural zone. Pleural plaques were analyzed in the same way. After decalcification, many small sized asbestos fibers were found. The same technique is now being used for determining ingested particles. A great number of observations concerning fiber counts, their nature and sizes, and the presence of various clays minerals will be necessary to establish the role of the different factors in the formation of lesions caused by the inhalation or the ingestion of asbestos fibers.

  13. Overview of Asbestos Issues in Korea

    PubMed Central

    2009-01-01

    Asbestos is a carcinogen that causes diseases such as mesothelioma and lung cancer in humans. There was a sharp increase in the use of asbestos in Korea in the 1970s as Korea's economy developed rapidly, and asbestos was only recently banned from use. Despite the ban of its use, previously applied asbestos still causes many problems. A series of asbestos-related events that recently occurred in Korea have caused the general public to become concerned about asbestos. Therefore, it is necessary to take proper action to deal with asbestos-related events, such as mass outbreaks of mesothelioma among residents who lived near asbestos textile factories or asbestos mines. Although there have been no rapid increases in asbestos-related illnesses in Korea to date, such illnesses are expected to increase greatly due to the amount of asbestos used and long latency period. Decreasing the asbestos exposure level to levels as low as possible is the most important step in preventing asbestos-related illnesses in the next few decades. However, there is a lack of specialized facilities for the analysis of asbestos and experts to diagnose and treat asbestos-related illnesses in Korea; therefore, national-level concern and support are required. PMID:19543418

  14. Overview of asbestos issues in Korea.

    PubMed

    Kim, Hyoung Ryoul

    2009-06-01

    Asbestos is a carcinogen that causes diseases such as mesothelioma and lung cancer in humans. There was a sharp increase in the use of asbestos in Korea in the 1970s as Korea's economy developed rapidly, and asbestos was only recently banned from use. Despite the ban of its use, previously applied asbestos still causes many problems. A series of asbestos-related events that recently occurred in Korea have caused the general public to become concerned about asbestos. Therefore, it is necessary to take proper action to deal with asbestos-related events, such as mass outbreaks of mesothelioma among residents who lived near asbestos textile factories or asbestos mines. Although there have been no rapid increases in asbestos-related illnesses in Korea to date, such illnesses are expected to increase greatly due to the amount of asbestos used and long latency period. Decreasing the asbestos exposure level to levels as low as possible is the most important step in preventing asbestos-related illnesses in the next few decades. However, there is a lack of specialized facilities for the analysis of asbestos and experts to diagnose and treat asbestos-related illnesses in Korea; therefore, national-level concern and support are required.

  15. Railways and asbestos in Japan (1928-1987)--epidemiology of pleural plaques, malignancies and pneumoconioses-.

    PubMed

    Hosoda, Yutaka; Hiraga, Youmei; Sasagawa, Sumiko

    2008-01-01

    Asbestos has been an indispensable insulating material for railway industries, especially steam locomotives (SLs). This review (1928-1987) consists of three parts. 1) Pleural plaques: Since the 1970s, pleural plaques have been regarded as evidence of past asbestos inhalation, and more recently recognized as a risk factor of asbestos-related malignancies. For diagnostic criteria on plain radiographs, the modified ILO 1980 International Classification of Radiographs of Pneumoconioses was used. Most cases had pleural plaques with normal lungs. Large plant workers showed a significantly higher rate of plaques than workers in smaller plants. Bilateral plaques were dominant followed by the left, then the right lung, and chest wall plaques were dominant over the diaphragm. The manifestation of pleural plaques was more correlated to years since the onset of the asbestos exposure than the sum of asbestos work years, although the result was not significant. The boilermen of railway ferry steamers had a significantly higher plaque rate than other seamen. CT studies on plaques started in 1978. 2) Asbestos-related malignancies: Five retrospective cohort studies 1960-1970 were made on primary lung cancer incidence and mortality among 350,000 active railway men with smoking information. The follow-up period was 20 yr at the longest. Almost all plant workers showed a tendency of higher incidence or mortality than the controls. Two cases of mesothelioma were reported in 1980. 3) Pneumoconioses: Most studies (1928-1975) had relatively low prevalence rates among SL-related workers.

  16. Lung cancer and mesothelioma risk assessment for a population environmentally exposed to asbestos.

    PubMed

    Bourgault, Marie-Hélène; Gagné, Michelle; Valcke, Mathieu

    2014-03-01

    Asbestos-related cancer risk is usually a concern restricted to occupational settings. However, recent published data on asbestos environmental concentrations in Thetford Mines, a mining city in Quebec, Canada, provided an opportunity to undertake a prospective cancer risk assessment in the general population exposed to these concentrations. Using an updated Berman and Crump dose-response model for asbestos exposure, we selected population-specific potency factors for lung cancer and mesothelioma. These factors were evaluated on the basis of population-specific cancer data attributed to the studied area's past environmental levels of asbestos. We also used more recent population-specific mortality data along with the validated potency factors to generate corresponding inhalation unit risks. These unit risks were then combined with recent environmental measurements made in the mining town to calculate estimated lifetime risk of asbestos-induced lung cancer and mesothelioma. Depending on the chosen potency factors, the lifetime mortality risks varied between 0.7 and 2.6 per 100,000 for lung cancer and between 0.7 and 2.3 per 100,000 for mesothelioma. In conclusion, the estimated lifetime cancer risk for both cancers combined is close to Health Canada's threshold for "negligible" lifetime cancer risks. However, the risks estimated are subject to several uncertainties and should be confirmed by future mortality rates attributed to present day asbestos exposure.

  17. [Environmental interstitial pneumonia caused by asbestos. Study of a Turkish family exposed to tremolite].

    PubMed

    Larrouy, C; Tandjaoui-Lambiotte, H; Mellat, M; Fabre, C; Defrejacques, C; Adotti, F; Piquet, J

    1990-01-01

    Environmental exposure to asbestos, as observed in Anatolia (Turkey), usually results in pleural pathology (plaques and mesothelioma). We report the case of a 50-year old woman who, until the age of 50, had lived in Eregli, central Anatolia, a region where inhalation of environmental asbestos is responsible for a high prevalence of pleural diseases. Radiology showed diffuse interstitial pneumonia without pleural involvement. Bronchoalveolar lavage brought back asbestos bodies (AB) in concentrations of 4,250 per millilitre. All were made of tremolite, a non-commercial variety of asbestos. The patient's family was investigated by chest radiography and search for AB in sputum. The husband, who came from the same town as his wife and had been exposed until the age of 45, had the classical response with bilateral pleural thickening but no parenchymal abnormalities; 2 AB were found in his sputum. The 3 sons, exposed for 10, 13 and 20 years respectively, had normal radiograms and no AB in their sputum, except for the older (3 AB) who had been exposed for 20 years. These cases illustrate the importance of environmental exposure to asbestos which may produce lesions similar to those observed in industrial exposure. Only mineralogical examinations can determine whether the asbestos is environmental or industrial.

  18. Asthma Inhalers

    MedlinePlus

    ... reduce the release of chlorofluorocarbons (CFCs) into the atmosphere when taking certain asthma medications. Until recently, most ... hydrofluoroalkane (HFA) inhalers, that do not rob the atmosphere of ozone. “The FDA [Food and Drug Administration] ...

  19. Inhaled Steroids

    MedlinePlus

    ... side effects with inhaled steroids are thrush (a yeast infection of the mouth or throat that causes ... There have been concerns regarding the possibility of growth suppression in children. Recent studies have not shown ...

  20. Asbestos products, hazards, and regulation.

    PubMed

    Castleman, Barry

    2006-01-01

    Asbestos is present in the United States in a multitude of products used in past decades, and in some products that continue to be imported and domestically produced. We have limited information on the hazards posed by some of these individual products and no information at all on most of them. Legal discovery of corporate documents has shed some light on the use of asbestos in some products and exposures from asbestos in others, sometimes adding considerably to what was in the published literature. But liability concerns have motivated corporate efforts to curtail governmental public health guidance on long-recognized hazards to workers. Liability considerations have also evidently led, in the case of asbestos brake linings, to the support of publication in the scientific literature of review articles denying in the 21st century what had been widely accepted and established in health policy in the 20th century. This report is an effort to illustrate the suppression and emergence of scientific knowledge in a climate of regulation and liability. Examples discussed are vinyl-asbestos flooring, feminine hygiene products, automotive friction materials, and asbestos contamination of other minerals such as talc and vermiculite. Global efforts to deal with the hazards of continuing marketing of asbestos products are also discussed.

  1. Long-term effects of carbon containing engineered nanomaterials and asbestos in the lung: one year postexposure comparisons

    PubMed Central

    Yanamala, Naveena; Kisin, Elena R.; Tkach, Alexey V.; Murray, Ashley R.; Hubbs, Ann; Chirila, Madalina M.; Keohavong, Phouthone; Sycheva, Lyudmila P.; Kagan, Valerian E.; Castranova, Vincent

    2013-01-01

    The hallmark geometric feature of single-walled carbon nanotubes (SWCNT) and carbon nanofibers (CNF), high length to width ratio, makes them similar to a hazardous agent, asbestos. Very limited data are available concerning long-term effects of pulmonary exposure to SWCNT or CNF. Here, we compared inflammatory, fibrogenic, and genotoxic effects of CNF, SWCNT, or asbestos in mice 1 yr after pharyngeal aspiration. In addition, we compared pulmonary responses to SWCNT by bolus dosing through pharyngeal aspiration and inhalation 5 h/day for 4 days, to evaluate the effect of dose rate. The aspiration studies showed that these particles can be visualized in the lung at 1 yr postexposure, whereas some translocate to lymphatics. All these particles induced chronic bronchopneumonia and lymphadenitis, accompanied by pulmonary fibrosis. CNF and asbestos were found to promote the greatest degree of inflammation, followed by SWCNT, whereas SWCNT were the most fibrogenic of these three particles. Furthermore, SWCNT induced cytogenetic alterations seen as micronuclei formation and nuclear protrusions in vivo. Importantly, inhalation exposure to SWCNT showed significantly greater inflammatory, fibrotic, and genotoxic effects than bolus pharyngeal aspiration. Finally, SWCNT and CNF, but not asbestos exposures, increased the incidence of K-ras oncogene mutations in the lung. No increased lung tumor incidence occurred after 1 yr postexposure to SWCNT, CNF, and asbestos. Overall, our data suggest that long-term pulmonary toxicity of SWCNT, CNF, and asbestos is defined, not only by their chemical composition, but also by the specific surface area and type of exposure. PMID:24213921

  2. Long-term effects of carbon containing engineered nanomaterials and asbestos in the lung: one year postexposure comparisons.

    PubMed

    Shvedova, Anna A; Yanamala, Naveena; Kisin, Elena R; Tkach, Alexey V; Murray, Ashley R; Hubbs, Ann; Chirila, Madalina M; Keohavong, Phouthone; Sycheva, Lyudmila P; Kagan, Valerian E; Castranova, Vincent

    2014-01-01

    The hallmark geometric feature of single-walled carbon nanotubes (SWCNT) and carbon nanofibers (CNF), high length to width ratio, makes them similar to a hazardous agent, asbestos. Very limited data are available concerning long-term effects of pulmonary exposure to SWCNT or CNF. Here, we compared inflammatory, fibrogenic, and genotoxic effects of CNF, SWCNT, or asbestos in mice 1 yr after pharyngeal aspiration. In addition, we compared pulmonary responses to SWCNT by bolus dosing through pharyngeal aspiration and inhalation 5 h/day for 4 days, to evaluate the effect of dose rate. The aspiration studies showed that these particles can be visualized in the lung at 1 yr postexposure, whereas some translocate to lymphatics. All these particles induced chronic bronchopneumonia and lymphadenitis, accompanied by pulmonary fibrosis. CNF and asbestos were found to promote the greatest degree of inflammation, followed by SWCNT, whereas SWCNT were the most fibrogenic of these three particles. Furthermore, SWCNT induced cytogenetic alterations seen as micronuclei formation and nuclear protrusions in vivo. Importantly, inhalation exposure to SWCNT showed significantly greater inflammatory, fibrotic, and genotoxic effects than bolus pharyngeal aspiration. Finally, SWCNT and CNF, but not asbestos exposures, increased the incidence of K-ras oncogene mutations in the lung. No increased lung tumor incidence occurred after 1 yr postexposure to SWCNT, CNF, and asbestos. Overall, our data suggest that long-term pulmonary toxicity of SWCNT, CNF, and asbestos is defined, not only by their chemical composition, but also by the specific surface area and type of exposure.

  3. Induction of Food Allergy in Mice by Allergen Inhalation

    DTIC Science & Technology

    2014-10-01

    14. ABSTRACT The purpose of this project is to test the hypothesis that food allergy may develop in response to antigen inhalation. Studies in a...relative timing of antigen ingestion vs. antigen inhalation to lead to food allergy development. We are also testing whether exposure to aerosolized...antigen will reverse or exacerbate established food allergy to that antigen. Studies in year 1 of this project demonstrate that: 1) initial inhalation

  4. Progress and New Problems Mark Your Battle Against School Asbestos.

    ERIC Educational Resources Information Center

    McCormick, Kathleen

    1985-01-01

    Reviews a survey of asbestos in the schools and the status of asbestos regulations enforcement policy. Reviews the status of asbestos litigation and recovery of abatement costs. Provides suggestions for choosing asbestos abatement contractors. (MD)

  5. Progress and New Problems Mark Your Battle Against School Asbestos.

    ERIC Educational Resources Information Center

    McCormick, Kathleen

    1985-01-01

    Reviews a survey of asbestos in the schools and the status of asbestos regulations enforcement policy. Reviews the status of asbestos litigation and recovery of abatement costs. Provides suggestions for choosing asbestos abatement contractors. (MD)

  6. Assessment of Autoimmune Responses Associated with Asbestos Exposure in Libby, Montana, USA

    PubMed Central

    Pfau, Jean C.; Sentissi, Jami J.; Weller, Greg; Putnam, Elizabeth A.

    2005-01-01

    Systemic autoimmune responses are associated with certain environmental exposures, including crystalline particles such as silica. Positive antinuclear antibody (ANA) tests have been reported in small cohorts exposed to asbestos, but many questions remain regarding the prevalence, pattern, and significance of autoantibodies associated with asbestos exposures. The population in Libby, Montana, provides a unique opportunity for such a study because of both occupational and environmental exposures that have occurred as a result of the mining of asbestos-contaminated vermiculite near the community. As part of a multifaceted assessment of the impact of asbestos exposures on this population, this study explored the possibility of exacerbated autoimmune responses. Age- and sex-matched sets of 50 serum samples from Libby and Missoula, Montana (unexposed), were tested for ANA on HEp-2 cells using indirect immunofluorescence. Data included frequency of positive tests, ANA titers, staining patterns, and scored fluorescence intensity, all against known controls. Serum immunoglobulin A (IgA), rheumatoid factor, and antibodies to extractable nuclear antigen (ENA) were also tested. The Libby samples showed significantly higher frequency of positive ANA and ENA tests, increased mean fluorescence intensity and titers of the ANAs, and higher serum IgA, compared with Missoula samples. In the Libby samples, positive correlations were found between ANA titers and both lung disease severity and extent of exposure. The results support the hypothesis that asbestos exposure is associated with autoimmune responses and suggests that a relationship exists between those responses and asbestos-related disease processes. PMID:15626643

  7. Asbestos Exposure Assessment Database

    NASA Technical Reports Server (NTRS)

    Arcot, Divya K.

    2010-01-01

    Exposure to particular hazardous materials in a work environment is dangerous to the employees who work directly with or around the materials as well as those who come in contact with them indirectly. In order to maintain a national standard for safe working environments and protect worker health, the Occupational Safety and Health Administration (OSHA) has set forth numerous precautionary regulations. NASA has been proactive in adhering to these regulations by implementing standards which are often stricter than regulation limits and administering frequent health risk assessments. The primary objective of this project is to create the infrastructure for an Asbestos Exposure Assessment Database specific to NASA Johnson Space Center (JSC) which will compile all of the exposure assessment data into a well-organized, navigable format. The data includes Sample Types, Samples Durations, Crafts of those from whom samples were collected, Job Performance Requirements (JPR) numbers, Phased Contrast Microscopy (PCM) and Transmission Electron Microscopy (TEM) results and qualifiers, Personal Protective Equipment (PPE), and names of industrial hygienists who performed the monitoring. This database will allow NASA to provide OSHA with specific information demonstrating that JSC s work procedures are protective enough to minimize the risk of future disease from the exposures. The data has been collected by the NASA contractors Computer Sciences Corporation (CSC) and Wyle Laboratories. The personal exposure samples were collected from devices worn by laborers working at JSC and by building occupants located in asbestos-containing buildings.

  8. Mineralogy and geochemistry of asbestos observed in soils developed within San Severino Lucano village (Southern Italy)

    NASA Astrophysics Data System (ADS)

    Bloise, Andrea; Punturo, Rosalda; Ricchiuti, Claudia; Apollaro, Carmine

    2017-04-01

    Concerns of potential health effects from disturbed natural occurrences of asbestos (NOA) have resulted in environmental investigations worldwide, including Basilicata region (Southern Italy). Indeed, in this region, an increased number of lung disease were related to the environmental exposure to asbestos tremolite soils sources. On the basis of the effects of asbestos on biological systems, several authors ascribe the asbestos-fibres toxicity to the synergetic effect of fibre size, crystal habit, surface reactivity, ability to generate Reactive Oxygen Species (ROS), biopersistence and chemical composition. The human health risks are based on the potential fibres inhalation, when they become airborne through rocks (e.g. serpentinite) weathering or human activities producing dust. In this frame, this paper reports the results of a detailed study on soils that developed on serpentinite bedrocks cropping out within the San Severino Lucano village (Basilicata region, Italy) in order to assess the presence of NOA potentially hazardous to human health (Bloise et al., 2016a). Twelve soil samples have been collected within the village and characterized by using different analytical techniques such as X-ray Fluorescence (XRF), X-ray powder diffraction (XRPD), scanning and transmission electron microscopy combined with energy dispersive spectrometry, analytical electron microscopy (SEM/EDS and TEM/AEM) and thermal analysis (TG, DTG, DSC, DDSC). Results pointed out as the collected soil samples contain asbestos minerals, clay minerals, diopside, quartz, and Fe-Cr oxides in various amounts. High amounts of chrysotile and asbestos tremolite were found in soils, suggesting that human activities can disturb and provoke the release of inhalable asbestos in the atmosphere, triggering thus mechanisms of hazardous exposition for population. Results also showed a high content of Fe and Cr in chrysotile in some samples, while high amount of Ni was predominantly found in asbestos

  9. Wanted: The perfect asbestos substitute

    SciTech Connect

    Not Available

    1993-01-01

    The quest continues for commercially viable asbestos replacements. To date, no single product has emerged that is as inert, strong or incombustible as thin fibrous silicate mineral. Traditionally, asbestos has been woven into cloths and garments, compressed into boards, gaskets, and pipe coverings, and used as a filler and reinforcement in paint, asphalt, cement and plastic. Ever since health concerns began to surface about this fibrous mineral, industrial use has been on the wane. The paper describes the many materials being tested for various purposes as an asbestos substitute.

  10. Asbestos-related morbidity in India.

    PubMed

    Joshi, Tushar Kant; Gupta, Rohit K

    2003-01-01

    In India, locally mined asbestos is not enough for its current needs, hence a great deal of asbestos is imported from Canada. Asbestos products manufacturers have prevailed upon the government to reduce tariffs on imported material. The efforts of the health and safety professionals who joined with nongovernmental organizations to form the Ban Asbestos Network of India (BANI) are being consistently sabotaged by the industry, using its influence and false propaganda that chrysotile asbestos can be safely used in a controlled manner. Weak legislation and lack of data are being exploited by the industry to convince policymakers that asbestos use in India has caused no major health problems. Despite this, the ban-asbestos movement has gained momentum and was able to persuade government to consider banning asbestos use. With the growing strength of the movement it is expected that asbestos manufacturers may find it increasingly difficult to manipulate the government in the future.

  11. Lung cinescintigraphy in the dynamic assessment of ventilation and mucociliary clearance of asbestos cement workers.

    PubMed Central

    Di Lorenzo, L; Mele, M; Pegorari, M M; Fratello, A; Zocchetti, C; Capozzi, D

    1996-01-01

    OBJECTIVES: To verify in vivo whether lung cinescintigraphy confirms the effect of asbestos on the patency of the smallest airways and on the efficiency of mucociliary clearance in asbestos cement workers. METHODS: 39 male subjects were examined: 30 asbestos cement workers and nine workers never exposed to occupational respiratory irritants. All subjects had a chest radiograph (International Labour Organisation (ILO) 1980); standard questionnaire on chronic bronchitis; spirometry; arterial blood gas analysis; carbon monoxide transfer factor (TLcosb); pulmonary O2 and CO2 ductances (DuO2, DuCO2); electrocardiogram; and lung cinescintigraphy after radioaerosol inhalation for the measurement of mucociliary clearance time in vivo in the smallest ciliated airways and for the assessment of radioaerosol deposition in alveoli (alveolar deposition index). RESULTS: Apart from nine non-exposed subjects, the 30 asbestos cement workers were so classified on the basis of chest radiography: nine of them as healthy exposed, 10 with pleural plaques, and 11 with asbestosis. The four groups had similar ages, work seniority, and smoking habits. Exercise dyspnoea was significantly more frequent in asbestos cement workers. Lung function variables of workers with effects related to asbestos were significantly lower than the other two groups. The PaO2, TLcOsb and DuO2 mean values were significantly lower in exposed workers than non-exposed. The mean PacO2 value was significantly higher in the asbestosis group than in the other three groups. Workers with effects related to asbestos showed a significantly lower alveolar deposition index and a significantly higher mucociliary clearance time than the other two groups. Subjects with asbestosis showed similar differences from those with pleural plaques. CONCLUSIONS: Lung cinescintigraphy confirms in vivo the effects of asbestos on bronchiolar and alveolar patency and on efficiency of mucociliary clearance in the smallest ciliated airways

  12. Asbestos-Induced Gastrointestinal Cancer: An Update

    PubMed Central

    Kim, Seok Jo; Williams, David; Cheresh, Paul; Kamp, David W

    2016-01-01

    Asbestos-related diseases, such as malignancies and asbestosis, remain a significant occupational and public health concern. Asbestos is still widely used in many developing countries despite being a recognized carcinogen that has been banned over 50 countries. The prevalence and mortality from asbestos-related diseases continue to pose challenges worldwide. Many countries are now experiencing an epidemic of asbestos-related disease that is the legacy of occupational exposure during the 20th century because of the long latency period (up to 40 years) between initial asbestos exposure and exhibition of disease. However, the gastrointestinal (GI) cancers resulting from asbestos exposure are not as clearly defined. In this review, we summarize some of the recent epidemiology of asbestos-related diseases and then focus on the evidence implicating asbestos in causing GI malignancies. We also briefly review the important new pathogenic information that has emerged over the past several years that may account for asbestos-related gastrointestinal cancers. All types of asbestos fibers have been implicated in the mortality and morbidity from GI malignancies but the collective evidence to date is mixed. Although the molecular basis of GI cancers arising from asbestos exposure is unclear, there have been significant advances in our understanding of mesothelioma and asbestosis that may contribute to the pathophysiology underlying asbestos-induced GI cancers. The emerging new evidence into the pathogenesis of asbestos toxicity is providing insights into the molecular basis for developing novel therapeutic strategies for asbestos-related diseases in future management. PMID:27158561

  13. Fiber inhalability and head deposition in rats and humans. ...

    EPA Pesticide Factsheets

    Due to their dimensions and long durability, inhaled asbestos fibers clear slowly from lung airways. Retained fibers may injure the epithelium, interact with macrophages, or translocate to the interstitium to result in various respiratory diseases. Therefore, calculations of fiber inhalability, deposition, and retention in respiratory tract regions of both rats and humans are crucial, both to assess the health risk of fiber exposures and to facilitate inferences from rat inhalation studies. Rat inhalation experiments are underway at the EPA and NIEHS. A model of fiber inhalability and initial deposition in the human and rat nasal cavity was developed. Existing models for particles were extended to fibers by replacing particle diameter with an equivalent fiber diameter. Since fiber inhalability into the respiratory tract and deposition in the extra thoracic airways depended mainly on its inertia, equivalent impaction diameters were derived and substituted in expressions for spherical particle diameter to determine fiber inhalability and nasal losses. Fiber impaction diameter depended strongly on its orientation in the air. Highest inhalability was obtained when fibers were aligned perpendicular to the flow streamlines in the inhaled air. However, detailed calculations of fiber transport in slow moving air such as that in the atmosphere and in lung airways showed that fibers stayed primarily aligned (parallel) to the flow. Therefore, for inhalability calculations,

  14. Erdosteine for COPD exacerbations.

    PubMed

    2008-10-01

    The mucolytic drug erdosteine (Erdotin - Galen) is licensed in the UK as treatment for up to 10 days "for the symptomatic treatment of acute exacerbations of chronic bronchitis in adults". This indication differs from that for carbocisteine and mecysteine, two older mucolytic drugs that are licensed for adjunctive treatment in respiratory disorders characterised by viscous mucus, and typically used for longer to prevent exacerbations of chronic obstructive pulmonary disease (COPD). Does erdosteine have a role for people with COPD exacerbations?

  15. Asbestos in Poland: occupational health problems.

    PubMed

    Szeszenia-Dąbrowska, Neonila; Swiątkowska, Beata; Szubert, Zuzanna; Wilczyńska, Urszula

    2011-06-01

    The presentation addresses current problems of health risk and health effects associated with exposure to asbestos, including data on historical exposure and on currently valid occupational exposure limits. The quantity and types of the raw material used for the production of various asbestos products have also been discussed in relation to the particular types of asbestos-induced occupational diseases. The authors describe the medical care system for former asbestos workers and those currently exposed during removal of asbestos-containing products. The national system for medical certification of occupational asbestos-related diseases and the compensation procedure have been outlined as well. According to the parliamentary Act of 1997, importing, manufacture and sale of asbestos and asbestos-containing materials are prohibited in Poland. Thus, the assessment of asbestos exposure and the monitoring of health conditions of workers at asbestos-processing plants have become irrelevant. However, the delayed health effects attributable to past exposure continue to be the matter of concern for public health. Likewise, the environmental pollution from asbestos waste landfills in the vicinity of asbestos-processing plants (where high levels of asbestos fibre in ambient air have been recorded) will continue to be a serious public health problem. Presently, two programmes aimed at minimising the adverse effects of asbestos on population health are underway. One of them is the governmental programme for "Elimination of asbestos and asbestos-containing products used in Poland, 2002-2032". The programme was updated in 2009 to cover the workers contracted to perform demolition works and provide protective covers to asbestos waste landfills. This will be the exposed group who need prophylactic health care. The other is a programme of prophylactic examinations for former asbestos workers and is referred to as the AMIANTUS programme. Both programmes have been briefly described.

  16. In Vitro Dissolution of Libby Amphibole, Amosite Asbestos, and MMVF Using Acid and Synthetic Lung Fluid Media.

    EPA Science Inventory

    Toxicity of inhaled fibers is dependent in part on biopersistence due to changes in size distribution after deposition and clearance in the respiratory tract. To model this in vivo behavior, respirable (PM2.5) Libby amphibole (LA) and amosite asbestos, and a reference material gl...

  17. ASBESTOS AND RELATED DURABLE FIBERS: TOO UBIQUITOUS, TOO PERSISTENT, TOO COMPLEX TO PUT HEALTH RISKS TO REST?

    EPA Science Inventory

    Asbestos was used for centuries before its health risks become publicly known. Health concerns for non-occupational exposures rose at EPA's inception and these concerns quickly expanded to include risks from inhalation and ingestion of durable mineral and synthetic fibers that ...

  18. In Vitro Dissolution of Libby Amphibole, Amosite Asbestos, and MMVF Using Acid and Synthetic Lung Fluid Media.

    EPA Science Inventory

    Toxicity of inhaled fibers is dependent in part on biopersistence due to changes in size distribution after deposition and clearance in the respiratory tract. To model this in vivo behavior, respirable (PM2.5) Libby amphibole (LA) and amosite asbestos, and a reference material gl...

  19. ASBESTOS AND RELATED DURABLE FIBERS: TOO UBIQUITOUS, TOO PERSISTENT, TOO COMPLEX TO PUT HEALTH RISKS TO REST?

    EPA Science Inventory

    Asbestos was used for centuries before its health risks become publicly known. Health concerns for non-occupational exposures rose at EPA's inception and these concerns quickly expanded to include risks from inhalation and ingestion of durable mineral and synthetic fibers that ...

  20. Asbestos Exposure and Cancer Risk

    MedlinePlus

    ... clutch pads. Asbestos has also been used in ceiling and floor tiles; paints, coatings, and adhesives; and ... for employment-related injuries and diseases. Benefits include wage replacement, payment for medical care, and, where necessary, ...

  1. [Benign pleural pathology of asbestos].

    PubMed

    Chailleux, E; Rembeaux, A; de Lajartre, A Y; Delumeau, J

    1988-01-01

    The most frequent benign lesions of the pleura created by asbestos are fibro-hyaline plaques, i.e. thick areas of collagen located on the parietal pleura and gradually becoming calcified. Less common is benign pleural effusion the cause of which is not always easy to determine. To these must be added an extensive pleural fibrosis with functional repercussions that are not negligible, and round pseudotumoral atelectasias. These pleural asbestos-induced lesions are often observed after a low intensity exposure, but they appear as a rule after more than 20 years of latency. While they betray a previous exposure to asbestos, they also raise the problem of possible asbestos-induced lung cancer and mesothelioma.

  2. Minerals yearbook, 1990: Asbestos. Annual report

    SciTech Connect

    Virta, R.L.

    1990-01-01

    The first stage of a regulation enacted by the Environmental Protection Agency (EPA) that phases out the use of asbestos went into effect on August 27, 1990. Health and liability issues continued to be a major factor in determining the economic stability of several former producers of asbestos products. The number of firms that produce asbestos-containing products continued to decline in response to these issues. Domestic asbestos production increased slightly from that of 1989, but consumption decreased 25%, from 55,306 to 41,348 tons. Asbestos was consumed domestically for roofing products, 37%; friction products, 26%; asbestos-cement pipe, 15%; packing and gaskets, 8%; and other, 14%.

  3. AMI cautions against attacks on asbestos replacements

    SciTech Connect

    Not Available

    1988-07-01

    The asbestos industry claims that alternative materials pose risks comparable to asbestos are not only unfounded, they have users of substitutes by limiting the options available if asbestos is banned. EPA will determine if the millions of tons of asbestos still imported into the US each year represents an unreasonable risk. Risk involves issues of toxicity and exposure. There are no data indicating that alternatives are comparable to asbestos. Rather, the information we do have shows that alternative materials are safe substitutes for asbestos.

  4. Seasonal Risk Factors for Asthma Exacerbations among Inner City Children

    PubMed Central

    Teach, Stephen J.; Gergen, Peter J.; Szefler, Stanley J.; Mitchell, Herman E.; Calatroni, Agustin; Wildfire, Jeremy; Bloomberg, Gordon; Kercsmar, Carolyn; Liu, Andrew H.; Makhija, Melanie; Matsui, Elizabeth; Morgan, Wayne; O'Connor, George; Busse, William W.

    2015-01-01

    Background Exacerbations of asthma remain common even in children and adolescents despite optimal medical management. Identification of host risk factors for exacerbations is incomplete, particularly for seasonal episodes. Objective Define host risk factors for asthma exacerbations unique to their season of occurrence. Methods This is a retrospective analysis of patients aged 6-20 years who comprised the control groups of the Asthma Control Evaluation trial and the Inner City Anti-IgE Therapy for Asthma trial. Univariate and multivariate models were constructed to determine if patient demographic and historical factors, allergic sensitization, fractional exhaled nitric oxide, spirometric measurements, asthma control, and treatment requirements were associated with seasonal exacerbations. Results The analysis included 400 patients (54.5% male; 59.0% African American; median age 13 years). Exacerbations occurred in 37.5% of participants over the periods of observation and were most common in the fall (28.8% of participants). In univariate analysis, impaired pulmonary function was significantly associated with greater odds of exacerbations for all seasons, as was an exacerbation in the previous season for all seasons except spring. In multivariate analysis, exacerbation in the previous season was the strongest predictor in fall and winter while a higher requirement for inhaled corticosteroids was the strongest predictor in spring and summer. The multivariate models had the best predictive power for fall exacerbations (30.5% variance attributed). Conclusions Among a large cohort of inner city children with asthma, patient risk factors for exacerbations vary by season. Thus, individual patient information may be beneficial in strategies to prevent these seasonal events. Clinical Implications Inner city children remain at risk for asthma exacerbations despite appropriate therapy. Because their risk factors vary by season, strategies to prevent them may need to differ as

  5. Asbestos and its lethal legacy.

    PubMed

    Tweedale, Geoffrey

    2002-04-01

    Asbestos has become the leading cause of occupationally related cancer death, and the second most fatal manufactured carcinogen (after tobacco). In the public's mind, asbestos has been a hazard since the 1960s and 1970s. However, the knowledge that the material was a mortal health hazard dates back at least a century, and its carcinogenic properties have been appreciated for more than 50 years.

  6. Prospective study of asbestos-related diseases incidence cases in primary health care in an area of Barcelona province

    PubMed Central

    2010-01-01

    Background Asbestos related diseases include a number of conditions due to inhalation of asbestos fibres at work, at home or in the environment, such as pleural mesothelioma, asbestosis and calcified pleural plaques. Few epidemiological studies have established the incidence of asbestos related diseases in our area. The present proposal is based on a retrospective study externally funded in 2005 that is currently taking place in the same area and largely carried out by the same research team. The aim of the study is to achieve a comprehensive and coordinated detection of all new cases of Asbestos Related Diseases presenting to primary care practitioners. Methods/design This is a multicentre, multidisciplinary and pluri-institutional prospective study. Setting 12 municipalities in the Barcelona province within the catchment area of the health facilities that participate in the study. Sample This is a population based study, of all patients presenting with diseases caused by asbestos in the study area. Measurements A clinical and epidemiological questionnaire will be filled in by the trained researchers after interviewing the patients and examining their clinical reports. Discussion Data on the incidence of the different Asbestos Related Diseases in this area will be obtained and the most plausible exposure source and space-time-patient profile will be described. The study will also improve the standardization of patient management, the coordination between health care institutions and the development of preventive activities related with asbestos exposure and disease. PMID:20412567

  7. Managing asbestos: Ten costly sins

    SciTech Connect

    Denson, F.A.; Onderick, W.A.

    1993-01-01

    This article describes how to build an ongoing, continuous, and improved asbestos management program. Asbestos management is one of the toughest jobs facing a plant or environmental engineer today; even seasoned engineers can make mistakes. Much confusion exists about how best to manage this issue, especially in plant settings. Whether the company is small, medium, or large, asbestos has the power to steal from profits if not managed properly. To help POWER readers examine their current asbestos management programs, here are 10 common errors that could be stopped or avoided by practicing preventive techniques. The 10 costly sins presented are not mutually exclusive, and they certainly are not all-inclusive. They are offered as a way to stimulate ideas on how to build an ongoing, continuous, and improved asbestos management program. These include Sin 1: No written policy. Sin 2: Lack of corporate guidance. Sin 3: Not complying with regulations. Sin 4: Not worrying about other respirable fibers. Sin 5: Lawsuits--not culpable. Sin 6: No visible emissions, no problems. Sin 7: Managing asbestos manually.

  8. Ultrastructure of the lung in the rat following exposure to crocidolite asbestos and quartz.

    PubMed

    Miller, K; Webster, I; Handfield, R I; Skikne, M I

    1978-01-01

    Lung tissue from rats that had inhaled U.I.C.C. crocidolite asbestos or quartz particles showed thickening of the interstitial tissue and the presence of collagen fibres. Aggregates of macrophages in the alveolar spaces were a dominant feature of all the sections examined from asbestos exposed rats. According to the ultrastructural studies described here, all the macrophages were mature cells, indicating that the ingested crocidolite asbestos was non-toxic. Lung sections of rats exposed to quartz particles were significantly different. Single cells were found in the alveolar spaces and many macrophages showed a characteristic pattern of vacuole formation. Other cells contained intracellular membranous lamellated bodies, similar to those found in Type II pneumocytes. Cells containing lamellated bodies were also found in the interstitial tissue. These findings suggest that the two mineral dusts have quite different biological effects on the macrophage and that the development of pulmonary fibrosis may, to some extent, be caused by a different mechanism in each instance.

  9. Asbestos exposure and neoplasia

    SciTech Connect

    Selikoff, I.J.; Churg, J.; Hammond, E.C.

    1984-07-06

    Builiding trades insulation workers have relatively light, intermittent, exposure to asbestos. Of 632 insulation workers, who entered the trade before 1943 and were traced through 1962, forty-five died of cancer of the lung or pleura, whereas only 6.6 such deaths were expected. Three of the pleural tumors were mesotheliomas; there was also one peritoneal mesothelioma. Four mesotheliomas in a total of 255 deaths is an exceedingly high incidence for such a rare tumor. In addition, an unexpectedly large number of men died of cancer of the stomach, colon, or rectum (29 compared with 9.4 expected). Other cancers were not increased; 20.5 were expected, 21 occurred. Twelve men died of asbestosis. This landmark article appeared originally in this journal 188:22-26, 1964.

  10. Oversight Hearings on Asbestos Health Hazards to Schoolchildren. Hearings before the Subcommittee on Elementary, Secondary, and Vocational Education of the Committee on Education and Labor. House of Representatives, Ninety-Sixth Congress, First Session on H.R. 1435 and H.R. 1524 (January 8, 16, and February 22, 1979).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    Testimony and prepared statements presented during three days of hearings in January and February, 1979, concern the problems of asbestos in school buildings. Medical research indicates that the inhalation of asbestos dust vastly increases a person's chances of contacting fatal diseases such as lung cancer, mesothelioma, and asbestosis. Asbestos…

  11. Reported historic asbestos mines, historic asbestos prospects, and other natural occurrences of asbestos in California

    USGS Publications Warehouse

    Van Gosen, Bradley S.; Clinkenbeard, John P.

    2011-01-01

    The map (Plate.pdf), pamphlet (Pamphlet.pdf), and the accompanying datasets in this report provide information for 290 sites in California where asbestos occurs in natural settings, using descriptions found in the geologic literature. Data on location, mineralogy, geology, and relevant literature for each asbestos site are provided. Using the map and digital data in this report, the user can examine the distribution of previously reported asbestos and their geological characteristics in California. This report is part of an ongoing study by the U.S. Geological Survey to identify and map sites where asbestos mineralization occurs in the United States, which includes similar maps and datasets of natural asbestos localities within the Eastern United States (http://pubs.usgs.gov/of/2005/1189/), the Central United States (http://pubs.usgs.gov/of/2006/1211/), the Rocky Mountain States (http://pubs.usgs.gov/of/2007/1182/), the Southwestern United States (http://pubs.usgs.gov/of/2008/1095/), and the Northwestern United States (Oregon and Washington) (http://pubs.usgs.gov/of/2010/1041/). These reports are intended to provide State and local government agencies and other stakeholders with geologic information on reported asbestos mineralization in the United States.

  12. Global problems from exposure to asbestos.

    PubMed Central

    Frank, A L

    1993-01-01

    Considerable human-derived data the health consequences of asbestos exposure are available. Usually, less information is available from laboratory models of asbestos-related health effects. Animal data mirror the experience in man, and cellular studies help in to understand the mechanistic changes related to asbestos. Although it is clearly carcinogenic, asbestos has shown much variability when examined for its mutagenic activity. Asbestos, a commercial term referring to a family of six naturally occurring mineral fibers, has been widely used around the world. Disease has been recognized into the last century, and at this time every occupational group that has been examined for possible asbestos-related disease has demonstrated it. Disease associated with asbestos makes no distinction based on race or geography, and wherever asbestos is handled it produces disease. With shifting global commercial patterns, disease patterns can be expected to shift also. PMID:8143612

  13. Guidance for Catastrophic Emergency Situations Involving Asbestos

    EPA Pesticide Factsheets

    This document addresses the types of asbestos issues that may arise during catastrophic events and how EPA has addressed such issues. It replaces the Guidelines for Catastrophic Emergency Situations Involving Asbestos which was issued in 1992.

  14. Discovery of Asbestos After Demolition is Underway

    EPA Pesticide Factsheets

    Asbestos National Emissions Standard for Hazardous Air Pollutants Applicability Determination about additional friable asbestos material that arises during renovation or demolition being subject to the regulations from the time of creation or discovery

  15. Environmental projects. Volume 4: Asbestos survey

    NASA Technical Reports Server (NTRS)

    Kushner, L.

    1988-01-01

    The Goldstone Deep Space Communications Complex (GDSCC), near Barstow, California, operates in support of six large parabolic dish antennas. Many of the buildings and structures at the GDSCC were erected before it became known that asbestos posed a hazard to human health. Thus, because of concern with asbestos, two field surveys were conducted at the GDSCC in October/November 1986 and in September 1987 to locate, classify, and quantify all asbestos-containing materials in buildings, structures, roofs and boilers. The report describes the results of the two surveys and describes methods for both asbestos management and asbestos abatement. The surveys found that GDSCC practices involving asbestos are conscientious and forward-thinking. A program, due to start in FY 1988 and to be completed in FY 1990, is planned to remove all friable (easily pulverized) asbestos-containing materials discovered during the two field surveys for asbestos at the GDSCC.

  16. Asbestos in Schools--A Special Report.

    ERIC Educational Resources Information Center

    School Business Affairs, 1988

    1988-01-01

    A magazine insert contains six short articles that deal with school district compliance with the Asbestos Hazard Emergency Response Act (AHERA). Display advertisements by asbestos-related firms accompany the insert. (MLF)

  17. Reinforcement of polymeric structures with asbestos fibrils

    NASA Technical Reports Server (NTRS)

    Rader, C. A.; Schwartz, A. M.

    1970-01-01

    Investigation determines structural potential of asbestos fibrils. Methods are developed for dispersing macrofibers of the asbestos into colloidal-sized ultimate fibrils and incorporating these fibrils in matrices without causing reagglomeration.

  18. Asbestos in Schools--A Special Report.

    ERIC Educational Resources Information Center

    School Business Affairs, 1988

    1988-01-01

    A magazine insert contains six short articles that deal with school district compliance with the Asbestos Hazard Emergency Response Act (AHERA). Display advertisements by asbestos-related firms accompany the insert. (MLF)

  19. [Peritoneal mesothelioma: an inusual clinical presentation in a patient without exposure to asbestos].

    PubMed

    Ponce Lorenzo, J; Giménez Ortiz, A; Aparisi Aparisi, F; Fleitas Kanonnikoff, T; Montalar Salcedo, J

    2007-02-01

    Malignant mesothelioma is an insidious neoplasm arising from the mesotelial surfaces, of the pleural and peritoneal cavities, the tunica vaginalis, or the pericardium. The predominant cause is inhalation exposure to asbestos. We present a rare case of primary malignant mesothelioma of the peritoneum in a 64 year old man without history of inhalation exposure to asbestos. The initial symptoms were constitutional syndrome and right pleural effusion. Positron emission tomography combined with computed tomography (PET/TC) was useful for a supporting diagnosis and to determine the extension. The patient received treatment with systemic palliative chemotherapy, cisplatin-pemetrexed. After three cycles, partial response was observed, but the evolution was fatal due to secondary toxicity of chemotherapy.

  20. Asbestos use and carcinogenicity in Germany and a comparison with animal studies.

    PubMed

    Pott, F

    1994-08-01

    The centralized structure of economic affairs in the former German Democratic Republic (East Germany) and the isolation from the free market led to the situation that imported asbestos was almost exclusively chrysotile. More than 90% came from the Kiembay mining area in the Ural Mountains, and about 7% was long-fibre chrysotile from Canada. Sturm and co-workers detected 1082 mesothelioma cases from 1960 to 1990 in the counties of Magdeburg and Halle. In 843 of these cases an exposure to asbestos was evident. Seventy-two cases were exposed to chrysotile only. Suspected exposure to amphiboles imported before World War II or to fibre contained in talc could not be substantiated. Up to now, there have been no analyses of lung fibre burdens from such cases. Reviewing the carcinogenicity studies in rats performed by inhalation or intra-cavitary injection of chrysotile, amosite and crocidolite fibres, the results give no clear indication of a lower carcinogenic potency per chrysotile fibre than per amphibole fibre if equal fibre numbers and fibre sizes are applied, although the chrysotile content of the lungs is relatively low. Also the mesothelioma rates after inhalation exposure to extremely high concentrations of the different asbestos fibre types are similar for chrysotile and the amphiboles and in the region of 5%. Compared with the asbestos-related cancer rates in chrysotile textile workers, rats have to be exposed to a more than 100-fold higher fibre concentration than humans to induce the same lung tumour incidence.

  1. Inhalation Injury.

    DTIC Science & Technology

    1994-01-01

    alpha,-antitrypsin resulting cur most often as the result of tracheal in prolonged action of proteases such as or laryngeal damage from the endotra... curs is determined by physicochemical Turbulent airflow, such as at bifurca- properties of the inhaled substance, its tions of the airway, separates

  2. Composition and method to remove asbestos

    DOEpatents

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of phosphoric acid, and from about 0.1 to about 4% by weight of a source of fluoride ions. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  3. Replacement of Asbestos Aboard Naval Aircraft.

    DTIC Science & Technology

    1981-11-10

    wlicit the number was assigned the seque nmber of Ut. report widtij the specific calender Year. and the official 2-dii correspondoanPI code of the...all types Gakets (for sealing nonmoving parts) Asbestos, asbetos-metallic, and asbetos-ubber Packing (except leather, rubber , and metal) and abestos...Insulations Asbestos compreecl sheet Packing (for sealing moving parts) Asbestos, betos-metallIc, and asbestos- rubber Insulation materials containing

  4. Composition and method to remove asbestos

    SciTech Connect

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of phosphoric acid, and from about 0.1 to about 4% by weight of a source of fluoride ions. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  5. Composition and method to remove asbestos

    SciTech Connect

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of a boron tetrafluoride salt, free of or having only small amounts of an inorganic acid, an inorganic acid salt or a mixture thereof. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  6. Composition and method to remove asbestos

    SciTech Connect

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of an inorganic acid, and from about 0.1 to about 4% by weight of a tetrafluoroborate of ammonia, an alkali metal or an alkaline earth metal. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  7. Composition and method to remove asbestos

    SciTech Connect

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of a hexafluorosilicate salt, and free of or having only small amounts of an inorganic acid, an inorganic acid salt or a mixture thereof. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  8. Composition and method to remove asbestos

    DOEpatents

    Block, Jacob

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed, wherein the composition comprises water, at least about 30% by weight of a boron tetrafluoride salt, free of or having only small amounts of an inorganic acid, an inorganic acid salt or a mixture thereof. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  9. Composition and method to remove asbestos

    DOEpatents

    Block, Jacob

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed, wherein the composition comprises water, at least about 30% by weight of a hexafluorosilicate salt, and free of or having only small amounts of an inorganic acid, an inorganic acid salt or a mixture thereof. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  10. Composition and method to remove asbestos

    DOEpatents

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of an inorganic acid, and from about 0.1 to about 4% by weight of a hexafluorosilicate of ammonia, an alkali metal or an alkaline earth metal. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  11. Composition and method to remove asbestos

    DOEpatents

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of a boron tetrafluoride salt, free of or having only small amounts of an inorganic acid, an inorganic acid salt or a mixture thereof. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  12. Composition and method to remove asbestos

    DOEpatents

    Block, Jacob

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed, wherein the composition comprises water, at least about 30% by weight of an inorganic acid, and from about 0.1 to about 4% by weight of a tetrafluoroborate of ammonia, an alkali metal or an alkaline earth metal. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  13. Composition and method to remove asbestos

    DOEpatents

    Block, Jacob

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed, wherein the composition comprises water, at least about 30% by weight of an inorganic acid, and from about 0.1 to about 4% by weight of a hexafluorosilicate of ammonia, an alkali metal or an alkaline earth metal. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  14. Composition and method to remove asbestos

    DOEpatents

    Block, Jacob

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed, wherein the composition comprises water, at least about 30% by weight of phosphoric acid, and from about 0.1 to about 4% by weight of a source of fluoride ions. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  15. Composition and method to remove asbestos

    DOEpatents

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of a hexafluorosilicate salt, and free of or having only small amounts of an inorganic acid, an inorganic acid salt or a mixture thereof. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  16. Composition and method to remove asbestos

    DOEpatents

    Block, J.

    1998-05-19

    A composition for transforming a chrysotile asbestos-containing material into a non-asbestos material is disclosed. The composition comprises water, at least about 30% by weight of an inorganic acid, and from about 0.1 to about 4% by weight of a tetrafluoroborate of ammonia, an alkali metal or an alkaline earth metal. A method of transforming the asbestos-containing material into a non-asbestos material using the present composition also is disclosed.

  17. [Diagnosis and therapy of COPD exacerbation].

    PubMed

    Bauer, T T; Nilius, G; Grüning, W; Rasche, K

    2012-04-01

    The acute exacerbation of COPD (AECOPD) is a life-threatening clinical situation. This review summarizes the definition of AECOPD, the severity assessment, typical clinical signs and symptoms, and refers to clinical pitfalls of diagnosis and therapy. Important aspects of clinical history and physical examination in severe exacerbations are reported. The necessary accompanying examinations like chest X-ray, blood gas analysis, ECG and echocardiography and their differential diagnosis as well as therapeutic significance are described. The most important lab examinations are summarized and controversial parameters, e.g., procalcitonin, are commented upon. The differentiated need for a microbiological sputum screening is emphasized. The authors place special weight on the essential components of the therapeutic management of severe AECOPD. Practical aspects of uncontrolled oxygen therapy, drug selection, and application form of inhalative acute therapy, dose, and duration of glucocorticoids, the indication for antibiotics, mechanical ventilation, and also opiates are summarized.

  18. OVERVIEW ON ALTERNATIVE ASBESTOS CONTROL METHOD RESEARCH

    EPA Science Inventory

    The alternative asbestos control method (AACM) is an experimental approach to building demolition. Unlike the NESHAP method, the AACM allows some regulated asbestos-containing material to remain in the building and a surfactant-water solution is used to suppress asbestos fibers ...

  19. OVERVIEW ON ALTERNATIVE ASBESTOS CONTROL METHOD RESEARCH

    EPA Science Inventory

    The alternative asbestos control method (AACM) is an experimental approach to building demolition. Unlike the NESHAP method, the AACM allows some regulated asbestos-containing material to remain in the building and a surfactant-water solution is used to suppress asbestos fibers ...

  20. Releasable Asbestos Field Sampler (RAFS) Operation Manual

    EPA Science Inventory

    The Releasable Asbestos Field Sampler (RAFS) is a field instrument that provides an in-situ measurement of asbestos releasability from consistent and reproducible mechanical agitation of the source material such as soil. The RAFS was designed to measure concentration (asbestos st...

  1. Asbestos' Impact on Indoor Air Quality

    EPA Pesticide Factsheets

    Asbestos is a mineral fiber that has been used commonly in a variety of building construction materials for insulation and as a fire-retardant. EPA and CPSC have banned several asbestos products. Manufacturers have also voluntarily limited uses of asbesto

  2. Earth mineral resource of the month: asbestos

    USGS Publications Warehouse

    Virta, Robert L.

    2010-01-01

    The article discusses the characteristics and feature of asbestos. According to the author, asbestos is a generic name for six needle-shaped minerals that possess high tensile strengths, flexibility, and resistance to chemical and thermal degradation. These minerals are actinolite, amosite, anthophyllite, chrysolite, crocilodite and tremolite. Asbestos is used for strengthening concrete pipe, plastic components, and gypsum plasters.

  3. Asbestos: Geology, Mineralogy, Mining, and Uses

    USGS Publications Warehouse

    Virta, Robert L.

    2002-01-01

    The term asbestos is a generic designation referring usually to six types of naturally occurring mineral fibers that are or have been commercially exploited. These fibers belong to two mineral groups: serpentines and amphiboles. The serpentine group contains a single asbestiform variety: chrysotile; five asbestiform varieties of amphiboles are known: anthophyllite asbestos, grunerite asbestos (amosite), riebeckite asbestos (crocidolite), tremolite asbestos, and actinolite asbestos. These fibrous minerals share several properties which qualify them as asbestiform fibers: they are found in bundles of fibers which can be easily separated from the host matrix or cleaved into thinner fibers; the fibers exhibit high tensile strengths, they show high length: diameter (aspect) ratios, from a minimum of 20 up to greater than 1000; they are sufficiently flexible to be spun; and macroscopically, they resemble organic fibers such as cellulose. Since asbestos fibers are all silicates, they exhibit several other common properties, such as incombustibility, thermal stability, resistance to biodegradation, chemical inertia toward most chemicals, and low electrical conductivity. The term asbestos has traditionally been attributed only to those varieties that are commercially exploited. The industrial applications of asbestos fibers have now shifted almost exclusively to chrysotile. Two types of amphiboles, commonly designated as amosite and crocidolite are no longer mined. The other three amphibole varieties, anthophyllite asbestos, actinolite asbestos, and tremolite asbestos, have no significant industrial applications presently.

  4. Releasable Asbestos Field Sampler (RAFS) Operation Manual

    EPA Science Inventory

    The Releasable Asbestos Field Sampler (RAFS) is a field instrument that provides an in-situ measurement of asbestos releasability from consistent and reproducible mechanical agitation of the source material such as soil. The RAFS was designed to measure concentration (asbestos st...

  5. Thermal removal of asbestos pipeline coating

    SciTech Connect

    Stevens, W.H.

    1997-03-01

    A heat (thermal) technique, not previously used in the US for removing external pipe coating was used to remove asbestos-wrapped coating from 17 miles of 24-inch-diameter pipe. The process was conducted in compliance with all asbestos and air quality regulations, and produced asbestos-free pipe at timely and cost-effective rates.

  6. Asbestos Imperative: What You Must Do.

    ERIC Educational Resources Information Center

    AGB Reports, 1986

    1986-01-01

    Under federal regulation, all friable asbestos must be removed from buildings before undertaking major renovation or demolition. The American Council on Education is filing a national voluntary class action suit to recover from asbestos manufacturers the costs of removing asbestos-containing materials. (MLW)

  7. Asbestos Testing: Is the EPA Misleading You?

    ERIC Educational Resources Information Center

    Levins, Hoag

    1983-01-01

    Experts warn that only electron microscopes can see the smaller fibers of asbestos that are known to cause the most cancers, though the Environmental Protection Agency still endorses optical microscopes for asbestos removal verification. Asbestos testing methods are explained and sources of information are provided. (MLF)

  8. Uncle Sam Flunks Asbestos Control in Schools.

    ERIC Educational Resources Information Center

    Gough, Michael

    1988-01-01

    Discusses the problem of using asbestos to insulate heating and air-conditioning systems in schools and mixing asbestos into ceiling plaster for fireproofing and noise control. Suggests that the Environmental Protection Agency's plan for asbestos removal may be causing problems where none exist. (TW)

  9. Asbestos in Plaster and Wall Systems

    EPA Pesticide Factsheets

    This collection of letters and clarification on final rules provides guidance on Asbestos National Emissions Standard for Hazardous Air Pollutants for asbestos-containing join compounds, and asbestos-containing materials found in plaster and wall systems.

  10. Asbestos Training Curriculum Project. [Draft Copy.

    ERIC Educational Resources Information Center

    Sharman, Ron

    This package contains two types of asbestos training materials: (1) an instructor's guide for "Asbestos in the Home: A Homeowner's Course"; and (2) "Asbestos Abatement Certification: Small-Scale Worker Student Manual," a 16-hour course, with instructor's guide. The instructor's guide for the 6-hour homeowner's course contains…

  11. Asbestos Testing: Is the EPA Misleading You?

    ERIC Educational Resources Information Center

    Levins, Hoag

    1983-01-01

    Experts warn that only electron microscopes can see the smaller fibers of asbestos that are known to cause the most cancers, though the Environmental Protection Agency still endorses optical microscopes for asbestos removal verification. Asbestos testing methods are explained and sources of information are provided. (MLF)

  12. Asbestos Imperative: What You Must Do.

    ERIC Educational Resources Information Center

    AGB Reports, 1986

    1986-01-01

    Under federal regulation, all friable asbestos must be removed from buildings before undertaking major renovation or demolition. The American Council on Education is filing a national voluntary class action suit to recover from asbestos manufacturers the costs of removing asbestos-containing materials. (MLW)

  13. Alternative Asbestos Control Method (AACM), Washington

    EPA Science Inventory

    This presentation describes the status to date of the Alternative Asbestos Control Method research, which is intended as a possible alternative technology for use in the demolition of buildings that contain asbestos and are covered under the regulatory requirements of the Asbesto...

  14. Alternative Asbestos Control Method (AACM) Research

    EPA Science Inventory

    This presentation describes the status to date of the Alternative Asbestos Control Method research, which is intended as a possible alternative technology for use in the demolition of buildings that contain asbestos and are covered under the regulatory requirements of the Asbesto...

  15. Uncle Sam Flunks Asbestos Control in Schools.

    ERIC Educational Resources Information Center

    Gough, Michael

    1988-01-01

    Discusses the problem of using asbestos to insulate heating and air-conditioning systems in schools and mixing asbestos into ceiling plaster for fireproofing and noise control. Suggests that the Environmental Protection Agency's plan for asbestos removal may be causing problems where none exist. (TW)

  16. The epidemiology of asbestos-related diseases.

    PubMed

    Niklinski, Jacek; Niklinska, Wieslawa; Chyczewska, Elzbieta; Laudanski, Jerzy; Naumnik, Wojciech; Chyczewski, Lech; Pluygers, Eric

    2004-08-01

    Asbestos has been recognised as a potential health hazard since the 1940s. Of the two major species of asbestos; white asbestos (chrysotile) and blue asbestos (crocidolite), both of which are hazardous. The workers at extraction facilities are at the greatest risk of exposure to asbestos and, therefore, the development of asbestos-related diseases, commonly mesothelioma. However, other individuals at a high risk of exposure include asbestos-cement workers, insulation workers and ship-yard workers. Environmental exposure to asbestos can occur as a result of living in areas either characterised by natural outcrops of asbestos or asbestos-related materials, or those close to asbestos-producing or -using plants. Unfortunately, man-made fibre alternatives to asbestos, such as rock and slag-wool and glass wool, have also been shown to have a detrimental effect on human health. A characteristic of mesothelioma is that there is a long latency period (20-30 years) before the signs and symptoms of the disease become apparent. In addition, diagnosis of the disease can be difficult. The use of biological markers, such as tissue polypeptide antigen, may play a useful role in the early detection of the disease in individuals at risk.

  17. Fluoro-edenite and carbon nanotubes: The health impact of ‘asbestos-like’ fibres

    PubMed Central

    MIOZZI, EDOARDO; RAPISARDA, VENERANDO; MARCONI, ANDREA; COSTA, CHIARA; POLITO, IRENE; SPANDIDOS, DEMETRIOS A.; LIBRA, MASSIMO; FENGA, CONCETTINA

    2016-01-01

    Several decades have passed since Wagner et al demonstrated a causal link between asbestos fibre inhalation and the development of pleural mesothelioma in 1960. It was later suggested that pleural plaques are a benign consequence of exposure to these fibres. Most recently, a significant association between exposure to asbestos and cancer diagnosed at various sites, such as the peritoneum, stomach, pharynx, colon and ovaries has been demonstrated. The great concerns about public health that arose from the scientific evidence presented above have led to the banning of asbestos in several countries. Over the years, the suspicion that particles with a high aspect ratio may have asbestos-like pathogenicity has been supported by increasing evidence. Natural occurring minerals, as well as man-made fibres, have proven capable of inducing either chronic inflammation of serous membranes, or, in some cases, the development of peritoneal and pleural mesothelioma. The pathogenic role of both fluoro-edenite and carbon nanotubes, two ‘asbestos-like’ fibres is summarized and discussed in this review. The data presented herein support the notion that occupational exposure to these two types of fibre contributes to the development of different types of cancer. PMID:26889212

  18. A novel decomposition technique of friable asbestos by CHClF2-decomposed acidic gas.

    PubMed

    Yanagisawa, Kazumichi; Kozawa, Takahiro; Onda, Ayumu; Kanazawa, Masazumi; Shinohara, Junichi; Takanami, Tetsuro; Shiraishi, Masatsugu

    2009-04-30

    Asbestos was widely used in numerous materials and building products due to their desirable properties. It is, however, well known that asbestos inhalation causes health damage and its inexpensive decomposition technique is necessary to be developed for pollution prevention. We report here an innovative decomposition technique of friable asbestos by acidic gas (HF and HCl) generated from the decomposition of CHClF(2) by the reaction with superheated steam at 800 degrees C. Chrysotile-asbestos fibers were completely decomposed to sellaite and magnesium silicofluoride hexahydrate by the reaction with CHClF(2)-decomposed acidic gas at 150 degrees C for 30 min. At high temperatures beyond 400 degrees C, sellaite and hematite were detected in the decomposed product. In addition, crocidolite containing wastes and amosite containing wastes were decomposed at 500 degrees C and 600 degrees C for 30 min, respectively, by CHClF(2)-decomposed acidic gas. The observation of the reaction products by phase-contrast microscopy (PCM) and scanning electron microscopy (SEM) confirmed that the resulting products did not contain any asbestos.

  19. Fluoro-edenite and carbon nanotubes: The health impact of 'asbestos-like' fibres.

    PubMed

    Miozzi, Edoardo; Rapisarda, Venerando; Marconi, Andrea; Costa, Chiara; Polito, Irene; Spandidos, Demetrios A; Libra, Massimo; Fenga, Concettina

    2016-01-01

    Several decades have passed since Wagner et al demonstrated a causal link between asbestos fibre inhalation and the development of pleural mesothelioma in 1960. It was later suggested that pleural plaques are a benign consequence of exposure to these fibres. Most recently, a significant association between exposure to asbestos and cancer diagnosed at various sites, such as the peritoneum, stomach, pharynx, colon and ovaries has been demonstrated. The great concerns about public health that arose from the scientific evidence presented above have led to the banning of asbestos in several countries. Over the years, the suspicion that particles with a high aspect ratio may have asbestos-like pathogenicity has been supported by increasing evidence. Natural occurring minerals, as well as man-made fibres, have proven capable of inducing either chronic inflammation of serous membranes, or, in some cases, the development of peritoneal and pleural mesothelioma. The pathogenic role of both fluoro-edenite and carbon nanotubes, two 'asbestos-like' fibres is summarized and discussed in this review. The data presented herein support the notion that occupational exposure to these two types of fibre contributes to the development of different types of cancer.

  20. Re-evaluation of Non-regulatory Asbestos Group Minerals for Regulatory Agencies

    NASA Astrophysics Data System (ADS)

    Dogan, M.; Dogan, A.

    2013-05-01

    There are established rules and regulations for some asbestos group minerals - amphibole group minerals of actinolite, amosite, anthophyllite, crocidolite, tremolite; and serpentine group minerals of chrysotile- called "regulatory". There are also "non-regulatory" naturally occurring asbestos (NOA) group minerals as constituent of rocks and soil, including richterite, winchite, fluoro-edenite, balangeroite, carlosturanite, gageite, arfvedsonite, and magnesio-arfvedsonite. Strong evidences for carcinogenicity of these NOA minerals in later cohorts of cancer patients demonstrated the risks associated with these minerals. In addition, although the chrysotile asbestos regulated by some organizations such as WHO, World Trade Organization, United Nations, US EPA, International Labour Organization, and EU Countries; however, controversies still continue surrounding the use of chrysotile. Determinations of polymineralic fibrous veins, mixed particles, amphibole cleavage fragments, and genetic predisposition are also important issues (i.e. Dogan et al., 2006).Therefore, accurate characterizations of chemical composition, morphology, structure, and defects are necessary in order to find out mechanism(s) of carcinogenicity of all asbestos group minerals. Calculation methods of chemical composition are still under debate because of assumption of no vacancies at any sites and intergrowth of minerals. Substitution(s) may cause deviations from the ideal chemical formula and wide variations in chemical compositions. Detail morphological and chemical quantification of individual asbestos group minerals in micro- and nano-scale may help to evaluate its true carcinogenetic mechanism(s), and consequently prevention and possibly treatment of related diseases. we propose that nonregulatory asbestos minerals and the chrysotile should be re-evaluated. The amount of fibers inhaled, in terms of weight percent and number, need also be re-evaluated by mineralogists. Finally, Regulatory

  1. Inhaled hyperosmolar agents for bronchiectasis.

    PubMed

    Hart, Anna; Sugumar, Karnam; Milan, Stephen J; Fowler, Stephen J; Crossingham, Iain

    2014-05-12

    Mucus retention in the lungs is a prominent feature of bronchiectasis. The stagnant mucus becomes chronically colonised with bacteria, which elicit a host neutrophilic response. This fails to eliminate the bacteria, and the large concentration of host-derived protease may contribute to the airway damage. The sensation of retained mucus is itself a cause of suffering, and the failure to maintain airway sterility probably contributes to the frequent respiratory infections experienced by many patients.Hypertonic saline inhalation is known to accelerate tracheobronchial clearance in many conditions, probably by inducing a liquid flux into the airway surface, which alters mucus rheology in a way favourable to mucociliary clearance. Inhaled dry powder mannitol has a similar effect. Such agents are an attractive approach to the problem of mucostasis, and deserve further clinical evaluation. To determine whether inhaled hyperosmolar substances are effective in the treatment of bronchiectasis. We searched the Cochrane Airways Group Specialised Register, trials registries, and the reference lists of included studies and review articles. Searches are current up to April 2014. Any randomised controlled trial (RCT) using hyperosmolar inhalation in patients with bronchiectasis not caused by cystic fibrosis. Two review authors assessed studies for suitability. We used standard methods recommended by The Cochrane Collaboration. Eleven studies met the inclusion criteria of the review (1021 participants).Five studies on 833 participants compared inhaled mannitol with placebo but poor outcome reporting meant we could pool very little data and most outcomes were reported by only one study. One 12-month trial on 461 participants provided results for exacerbations and demonstrated an advantage for mannitol in terms of time to first exacerbation (median time to exacerbation 165 versus 124 days for mannitol and placebo respectively (hazard ratio (HR) 0.78, 95% confidence interval (CI) 0

  2. Elemental and immunohistochemical analysis of the lungs and hilar lymph node in a patient with asbestos exposure, a pilot study.

    PubMed

    Koga, Yasuhiko; Satoh, Takahiro; Kaira, Kyoichi; Koka, Masashi; Hisada, Takeshi; Hirato, Junko; Altan, Bolag; Yatomi, Masakiyo; Ono, Akihiro; Kamide, Yosuke; Shimizu, Yasuo; Aoki-Saito, Haruka; Tsurumaki, Hiroaki; Shimizu, Kimihiro; Mogi, Akira; Ishizuka, Tamotsu; Yamada, Masanobu; Dobashi, Kunio

    2016-11-01

    Studies have shown that inhaled mine dust, such as asbestos, can be translocated to various organs including the lymph nodes. Recently, we have established a protocol that enables us to identify inhaled elements using paraffin embedded lung specimens by in-air microparticle-induced X-ray emission (micro-PIXE). However, little research has examined the concentration of these inhaled fibers in various organs or the mechanisms of their translocation. In this study, we compared the concentration of inhaled fibers in the lung parenchyma to the concentration in the hilar lymph node as well as to determine the elemental spatial distribution of the inhaled fibers in a patient with occupational asbestos exposure. Lung tissues and hilar lymph node in a patient with asbestos exposure were used in this study. Elemental analysis was performed by in-air micro-PIXE. Immunohistochemical analysis was performed using anti CD163, smooth muscle actin, vimentin and β-catenin antibody. The analysis revealed that the amount of inhaled silicon was approximately 6 times higher in the lymph node than in the lungs. The spatial analysis showed that silicon, iron and aluminium were co-localized in the hilar lymph node. The immunohistochemical analysis showed localized agreement of the inhaled fibers with macrophages, smooth muscle actin, and vimentin in the hilar lymph node. This study showed that in-air micro-PIXE could be useful for analyzing the elemental distribution and quantification of inhaled fibers in the human body. Furthermore, immunohistochemistry in combination with in-air micro-PIXE analyses may help to determine the mechanism of mine dust distribution in vivo.

  3. Interactions of chrysotile asbestos with erythrocyte membranes.

    PubMed

    Brody, A R; Hill, L H

    1983-09-01

    Chrysotile asbestos causes lysis of red blood cells. It has been proposed that the mechanism of hemolysis is mediated through interactions between asbestos and cell membrane glycoproteins. Our studies support this concept and the following results are reported. Electron microscopy shows that asbestos fibers distort red blood cells and bind to cell membranes which may become wrapped around the fibers. This reaction is prevented by pretreatment of the cells with neuraminidase. The distribution of lectins which bind to membrane glycoproteins is altered by treating the cells with asbestos. Cell distortion and membrane deformation consequent to asbestos treatment correlate with a clear increase in the ratio of intracellular Na+:K+ ions.

  4. Circulating immune complexes in asbestos workers

    SciTech Connect

    Zone, J.J.; Rom, W.N.

    1985-08-01

    Circulating immune complexes, rheumatoid factor, and antinuclear antibodies were evaluated in 25 asbestos insulation workers and 32 brick mason controls. There were 10 asbestos workers with radiographic parenchymal or pleural changes, consistent with their asbestos exposure. There were no differences in antinuclear antibodies or rheumatoid factor between asbestos workers and controls. The asbestos workers had significantly increased levels of IgG and IgA circulating immune complexes. There was a significant correlation between IgA circulating immune complexes and radiographic changes.

  5. Inhalation therapy in mechanical ventilation

    PubMed Central

    Maccari, Juçara Gasparetto; Teixeira, Cassiano; Gazzana, Marcelo Basso; Savi, Augusto; Dexheimer-Neto, Felippe Leopoldo; Knorst, Marli Maria

    2015-01-01

    Patients with obstructive lung disease often require ventilatory support via invasive or noninvasive mechanical ventilation, depending on the severity of the exacerbation. The use of inhaled bronchodilators can significantly reduce airway resistance, contributing to the improvement of respiratory mechanics and patient-ventilator synchrony. Although various studies have been published on this topic, little is known about the effectiveness of the bronchodilators routinely prescribed for patients on mechanical ventilation or about the deposition of those drugs throughout the lungs. The inhaled bronchodilators most commonly used in ICUs are beta adrenergic agonists and anticholinergics. Various factors might influence the effect of bronchodilators, including ventilation mode, position of the spacer in the circuit, tube size, formulation, drug dose, severity of the disease, and patient-ventilator synchrony. Knowledge of the pharmacological properties of bronchodilators and the appropriate techniques for their administration is fundamental to optimizing the treatment of these patients. PMID:26578139

  6. Risk Assessment of Baby Powder Exposure through Inhalation.

    PubMed

    Moon, Min Chaul; Park, Jung Duck; Choi, Byung Soon; Park, So Young; Kim, Dong Won; Chung, Yong Hyun; Hisanaga, Naomi; Yu, Il Je

    2011-09-01

    This study was conducted to assess the exposure risk through inhalation to baby powder for babies and adults under simulated conditions. Baby powder was applied to a baby doll and the amount of baby powder consumed per application was estimated. The airborne exposure to baby powder during application was then evaluated by sampling the airborne baby powder near the breathing zones of both the baby doll and the person applying the powder (the applicator). The average amount of baby powder consumed was 100 mg/application, and the average exposure concentration of airborne baby powder for the applicator and baby doll was 0.00527 mg/m(3) (range 0.00157~0.01579 mg/m(3)) and 0.02207 mg/m(3) (range 0.00780~ 0.04173 mg/m(3)), respectively. When compared with the Occupational Exposure Limit of 2 mg/m(3) set by the Korean Ministry of Labor and the Threshold Limit Value (TLV) of 2 mg/m(3) set by the ACGIH (American Conference of Governmental Industrial Hygienists), the exposure concentrations were much lower. Next, the exposure to asbestos-containing baby powder was estimated and the exposure risk was assessed based on the lung asbestos contents in normal humans. As a result, the estimated lung asbestos content resulting from exposure to asbestos-containing baby powder was found to be much lower than that of a normal Korean with no asbestos-related occupational history.

  7. Risk Assessment of Baby Powder Exposure through Inhalation

    PubMed Central

    Moon, Min Chaul; Park, Jung Duck; Choi, Byung Soon; Park, So Young; Kim, Dong Won; Chung, Yong Hyun; Hisanaga, Naomi

    2011-01-01

    This study was conducted to assess the exposure risk through inhalation to baby powder for babies and adults under simulated conditions. Baby powder was applied to a baby doll and the amount of baby powder consumed per application was estimated. The airborne exposure to baby powder during application was then evaluated by sampling the airborne baby powder near the breathing zones of both the baby doll and the person applying the powder (the applicator). The average amount of baby powder consumed was 100 mg/application, and the average exposure concentration of airborne baby powder for the applicator and baby doll was 0.00527 mg/m3 (range 0.00157~0.01579 mg/m3) and 0.02207 mg/m3 (range 0.00780~ 0.04173 mg/m3), respectively. When compared with the Occupational Exposure Limit of 2 mg/m3 set by the Korean Ministry of Labor and the Threshold Limit Value (TLV) of 2 mg/m3 set by the ACGIH (American Conference of Governmental Industrial Hygienists), the exposure concentrations were much lower. Next, the exposure to asbestos-containing baby powder was estimated and the exposure risk was assessed based on the lung asbestos contents in normal humans. As a result, the estimated lung asbestos content resulting from exposure to asbestos-containing baby powder was found to be much lower than that of a normal Korean with no asbestos-related occupational history. PMID:24278563

  8. Determinants of Toxicity of Environmental Asbestos Fibers ...

    EPA Pesticide Factsheets

    Recent EPA-led studies have addressed the comparative toxicity and pathological mechanisms of environmental asbestos samples from Libby, Montana and other communities in the United States. Longer amosite fibers induce a 4-10 fold greater induction of pro-inflammatory mediators COX-2 and HO-1 than Libby fibers in human airway epithelial cells, as well as a number of other genes involved in cellular stress and toxicity. Similarly, equal mass doses of longer amosite fibers administered intratracheally to F344 rats cause greater pathological effects than Libby fibers, from 1 day to 2 years post-exposure. However, both intratracheal and inhalation studies show comparable effects of Libby fibers and shorter UICC amosite fibers. Dosimetry modeling and potency analysis studies are using these data to predict effects in humans. Libby fibers induce an acute phase response and systemic increases in selected markers of inflammation, and induce components of the NALP-3 inflammasome in the lung, while surface complexed iron inhibits these responses. Libby fibers alter genes involved in inflammation, immune regulation, and cell-cycle control, and also induce autoimmune responses in a rat model. Comparative toxicity studies showed that chrysotile fibers from Sumas Mountain, Washington caused greater lung interstitial fibrosis than Libby fibers, which were significantly more potent than tremolite fibers from El Dorado, California and actinolite “cleavage fragments” from

  9. Hanford Site Asbestos Abatement Plan. Revision 1

    SciTech Connect

    Mewes, B.S.

    1993-09-01

    The Hanford Site Asbestos Abatement Plan (Plan) lists priorities for asbestos abatement activities to be conducted in Hanford Site facilities. The Plan is based on asbestos assessment information gathered in fiscal year 1989 that evaluated all Hanford Site facilities for the presence and condition of asbestos. Of those facilities evaluated, 414 contain asbestos-containing materials and are classified according to the potential risk of asbestos exposure to building personnel. The Plan requires that asbestos condition update reports be prepared for all affected facilities. The reporting is completed by the asbestos coordinator for each of the 414 affected facilities and transmitted to the Plan manager annually. The Plan manager uses this information to reprioritize future project lists. Currently, five facilities are determined to be Class Al, indicating a high potential for asbestos exposure. Class Al and B1 facilities are the highest priority for asbestos abatement. Abatement of the Class A1 and Bl facilities is scheduled through fiscal year 1997. Removal of asbestos in B1 facilities will reduce the risk for further Class ``A`` conditions to arise.

  10. Asbestos induces reduction of tumor immunity.

    PubMed

    Kumagai-Takei, Naoko; Maeda, Megumi; Chen, Ying; Matsuzaki, Hidenori; Lee, Suni; Nishimura, Yasumitsu; Hiratsuka, Junichi; Otsuki, Takemi

    2011-01-01

    Asbestos-related cancers such as malignant mesothelioma and lung cancer are an important issue in the world. There are many conflicts concerning economical considerations and medical evidence for these cancers and much confusion regarding details of the pathological mechanisms of asbestos-induced cancers. For example, there is uncertainty concerning the degree of danger of the iron-absent chrysotile compared with iron-containing crocidolite and amosite. However, regarding bad prognosis of mesothelioma, medical approaches to ensure the recognition of the biological effects of asbestos and the pathological mechanisms of asbestos-induced carcinogenesis, as well as clinical trials to detect the early stage of mesothelioma, should result in better preventions and the cure of these malignancies. We have been investigating the immunological effects of asbestos in relation to the reduction of tumor immunity. In this paper, cellular and molecular approaches to clarify the immunological effects of asbestos are described, and all the findings indicate that the reduction of tumor immunity is caused by asbestos exposure and involvement in asbestos-induced cancers. These investigations may not only allow the clear recognition of the biological effects of asbestos, but also present a novel procedure for early detection of previous asbestos exposure and the presence of mesothelioma as well as the chemoprevention of asbestos-related cancers.

  11. ASSESSMENT OF DIOXIN INHALATION EXPOSURES AND ...

    EPA Pesticide Factsheets

    In the days following the September 11, 2001, terrorist attack on New York City's World Trade Center (WTC) towers, EPA, other federal agencies, and New York City and New York State public health and environmental authorities initiated numerous air monitoring activities to better understand the ongoing impact of emissions from that disaster. Using these data, EPA conducted an inhalation exposure and human health risk assessment. The overall evaluation focused on particulate matter, metals, polychlorinated biphenyls, dioxin-like compounds, asbestos, and volatile organic compounds. This paper reports on the analysis of dioxin-like compounds only.Lorber, M. 2003. Assessment of Dioxin Inhalation Exposures and Potential Health Impacts Following the Collapse of the World Trade Center Towers. Organohalogen Compounds 63 (no page numbers). journal article

  12. Acute myelocytic leukemia after exposure to asbestos

    SciTech Connect

    Kishimoto, T.; Ono, T.; Okada, K.

    1988-08-15

    While the carcinogenicity of asbestos has been established in malignant mesotheliomas and lung cancers, and has recently been suspected in several other types of cancer, asbestos has not been implicated in the pathogenesis of acute leukemias. This article includes two cases of acute myelocytic leukemia in individuals with a long history of exposure to asbestos. Significant numbers of asbestos bodies were detected in specimens of their lungs and bone marrow. In addition, the kind of asbestos in both organs was crocidolite, which is implicated in carcinogenesis. No asbestos bodies were detected in the bone marrow specimens from a control group consisting of ten patients with lung cancer with similar occupational histories. The role of asbestos exposure in the development of leukemia requires further study.

  13. Drywall construction and asbestos exposure.

    PubMed

    Fischbein, A; Rohl, A N; Langer, A M; Selikoff, I J

    1979-05-01

    The rapid development of the drywall construction trade in the United States is described. It is estimated that some 75,000 U.S. construction workers are currently employed in this trade. The use of a variety of spackle and taping compounds is shown to be associated with significant asbestos exposure; air samples taken in the breathing zone by drywall tapers during sanding of taping compounds show fiber concentrations exceeding, by several times, the maximum level permitted by United States Government regulations. These findings are given together with the result of a clinical field survey of drywall construction workers demonstrating that asbestos disease may be an important health hazard in this trade.

  14. Asbestos and metals as carcinogens

    SciTech Connect

    Norseth, T.

    1980-09-01

    Increased incidences of lung carcinoma and pleural mesothelioma in humans exposed to asbestos have been irrefutably established. Different forms of asbestos may have different tumorigenic activities, depending on surface properties, durability, and size of the fibers. A number of metals, such as nickel, chromium and arsenic, are known to be carcinogenic to humans; for beryllium and cadmium the epidemiologic evidence is less extensive. All these metals also induce genetic toxicity in vitro. At present it cannot be concluded that all metals act by the same carcinogenic mechanism, even though direct modification of DNA seems to be the common experimental finding.

  15. The carcinogenicity of chrysotile asbestos

    SciTech Connect

    Harington, J.S. )

    1991-12-31

    In in vitro test systems, chrysotile is markedly toxic, causes chromosomal aberrations, and is capable of inducing morphological and preneoplastic transformation. In carefully designed animal experiments, chrysotile produces lung cancer and mesothelioma as effectively as do the amphiboles tested. Human population studies do not refute these experimental results. Chrysotile asbestos is carcinogenic to humans, especially for the induction of lung cancer and mesothelioma in exposed populations. For cancers of other sites, with the exception of laryngeal and possibly gastrointestinal cancer, the evidence for association with exposure to all forms of asbestos, including chrysotile, is not yet adequate for evaluation.48 references.

  16. MECHANISMS OF ACTION OF INHALED FIBERS, PARTICLES AND NANOPARTICLES IN LUNG AND CARDIOVASCULAR DISEASES

    EPA Science Inventory

    ABSTRACT: A symposium on the mechanisms of action of inhaled airborne particulate matter (PM),pathogenic particles and fibers such as silica and asbestos, and nanomaterials, defined as synthetic particles or fibers less than 100 nm in diameter, was held on October 27 and 28,
    ...

  17. MECHANISMS OF ACTION OF INHALED FIBERS, PARTICLES AND NANOPARTICLES IN LUNG AND CARDIOVASCULAR DISEASES

    EPA Science Inventory

    ABSTRACT: A symposium on the mechanisms of action of inhaled airborne particulate matter (PM),pathogenic particles and fibers such as silica and asbestos, and nanomaterials, defined as synthetic particles or fibers less than 100 nm in diameter, was held on October 27 and 28,
    ...

  18. Bringing Stability to the Chronic Obstructive Pulmonary Disease Patient: Clinical and Pharmacological Considerations for Frequent Exacerbators.

    PubMed

    Gulati, Swati; Wells, J Michael

    2017-03-03

    Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are critical events associated with an accelerated loss of lung function, increased morbidity, and excess mortality. AECOPD are heterogeneous in nature and this may directly impact clinical decision making, specifically in patients with frequent exacerbations. A 'frequent exacerbator' is a sub-phenotype of chronic obstructive pulmonary disease (COPD) and is defined as an individual who experiences two or more moderate-to-severe exacerbations per year. This distinct subgroup has higher mortality and accounts for more than half of COPD-related hospitalizations annually. Thus, it is imperative to identify individuals at risk for frequent exacerbations and choose optimal strategies to minimize risk for these events. New paradigms for using combination inhalers and the introduction of novel oral compounds provide expanded treatment options to reduce the risk and frequency of exacerbations. The goals of managing frequent exacerbators or patients at risk for AECOPD are: (1) maximizing bronchodilation; (2) reducing inflammation; and (3) targeting specific molecular pathways implicated in COPD and AECOPD pathogenesis. Novel inhaler therapies including combination long-acting muscarinic agents plus long-acting beta agonists show promising results compared with monotherapy or a long-acting beta agonist inhaled corticosteroid combination in reducing exacerbation risk among individuals at risk for exacerbations and among frequent exacerbators. Likewise, oral medications including macrolides and phosphodiesterase-4 inhibitors reduce the risk for AECOPD in select groups of individuals at high risk for exacerbation. Future direction in COPD management is based on the identification of various subtypes or 'endotypes' and targeting therapies based on their pathophysiology. This review describes the impact of AECOPD and the challenges posed by frequent exacerbators, and explores the rationale for different

  19. Legal Aspects of Asbestos Abatement. Responses to the Threat of Asbestos-Containing Materials in School Buildings.

    ERIC Educational Resources Information Center

    Olson, Kristin

    Exposure to asbestos in the air poses serious health threats, particularly to children. The use of asbestos in schools after World War II may have exposed millions of persons before regulations controlling asbestos use began appearing in the 1970s. Federal efforts to reduce exposure to asbestos have included passage of the Asbestos School Hazard…

  20. Legal Aspects of Asbestos Abatement. Responses to the Threat of Asbestos-Containing Materials in School Buildings.

    ERIC Educational Resources Information Center

    Olson, Kristin

    Exposure to asbestos in the air poses serious health threats, particularly to children. The use of asbestos in schools after World War II may have exposed millions of persons before regulations controlling asbestos use began appearing in the 1970s. Federal efforts to reduce exposure to asbestos have included passage of the Asbestos School Hazard…

  1. Naturally Occurring Asbestos in Washington State: Swift Creek at the Intersection of Science, Law, and Risk Perception

    NASA Astrophysics Data System (ADS)

    Melious, J. O.

    2012-12-01

    In the northwestern corner of Washington state, a large landslide on Sumas Mountain deposits more than 100,000 cubic yards of soil containing asbestos fibers and heavy metals into Swift Creek every year. Engineers predict that asbestos-laden soils will slide into Swift Creek for at least the next 400 years. Swift Creek joins the Sumas River, which crosses the border into Canada, serving as an international delivery system for asbestos-laden soils. When the rivers flood, as happens regularly, they deliver asbestos into field, yards, and basements. The tools available to address the Swift Creek situation are at odds with the scope and nature of the problem. Asbestos regulation primarily addresses occupational settings, where exposures can be estimated. Hazardous waste regulation primarily addresses liability for abandoned waste products from human activities. Health and environmental issues relating to naturally occurring asbestos (NOA) are fundamentally different from either regulatory scheme. Liability is not a logical lever for a naturally occurring substance, the existence of which is nobody's fault, and exposures to NOA in the environment do not necessarily resemble occupational exposures. The gaps and flaws in the legal regime exacerbate the uncertainties created by uncertainties in the science. Once it is assumed that no level of exposure is safe, legal requirements adopted in very different contexts foreclose the options for addressing the Swift Creek problem. This presentation will outline the applicable laws and how they intersect with issues of risk perception, uncertainty and politics in efforts to address the Swift Creek NOA site.

  2. Ipratropium Oral Inhalation

    MedlinePlus

    ... not use your ipratropium inhaler when you are near a flame or source of heat. The inhaler may explode if it is exposed to very high temperatures.Before you use ipratropium inhalation for the first ...

  3. Beclomethasone Oral Inhalation

    MedlinePlus

    ... not use your beclomethasone inhaler when you are near a flame or source of heat. The inhaler may explode if it is exposed to very high temperatures.Each beclomethasone inhaler is designed to provide 50, ...

  4. Nicotine Oral Inhalation

    MedlinePlus

    Nicotine oral inhalation is used to help people stop smoking. Nicotine oral inhalation should be used together with a ... support groups, counseling, or specific behavioral change techniques. Nicotine inhalation is in a class of medications called ...

  5. Albuterol Oral Inhalation

    MedlinePlus

    ... and airways). Albuterol inhalation aerosol and powder for oral inhalation is also used to prevent breathing difficulties ... years of age and older. Albuterol powder for oral inhalation (Proair Respiclick) is used in children 12 ...

  6. Oxalate deposition on asbestos bodies.

    PubMed

    Ghio, Andrew J; Roggli, Victor L; Richards, Judy H; Crissman, Kay M; Stonehuerner, Jacqueline D; Piantadosi, Claude A

    2003-08-01

    We report on a deposition of oxalate crystals on ferruginous bodies after occupational exposure to asbestos demonstrated in 3 patients. We investigated the mechanism and possible significance of this deposition by testing the hypothesis that oxalate generated through nonenzymatic oxidation of ascorbate by asbestos-associated iron accounts for the deposition of the crystal on a ferruginous body. Crocidolite asbestos (1000 microg/mL) was incubated with 500 micromol H(2)O(2) and 500 micromol ascorbate for 24 hours at 22 degrees C. The dependence of oxalate generation on iron-catalyzed oxidant production was tested with the both the metal chelator deferoxamine and the radical scavenger dimethylthiourea. Incubation of crocidolite, H(2)O(2), and ascorbate in vitro generated approximately 42 nmol of oxalate in 24 hours. Oxalate generation was diminished significantly by the inclusion of either deferoxamine or dimethylthiourea in the reaction mixture. Incubation of asbestos bodies and uncoated fibers isolated from human lung with 500 micromol H(2)O(2) and 500 micromol ascorbate for 24 hours at 22 degrees C resulted in the generation of numerous oxalate crystals. We conclude that iron-catalyzed production of oxalate from ascorbate can account for the deposition of this crystal on ferruginous bodies.

  7. OXALATE DEPOSITION ON ASBESTOS BODIES

    EPA Science Inventory

    The clinical and histopathologic findings in three patients with a deposition of calcium oxalate crystals on ferruginous bodies after occupational exposure to asbestos are provided. In addition, we test the hypothesis that this oxalate can be generated through a nonenzymatic o...

  8. OXALATE DEPOSITION ON ASBESTOS BODIES

    EPA Science Inventory

    The clinical and histopathologic findings in three patients with a deposition of calcium oxalate crystals on ferruginous bodies after occupational exposure to asbestos are provided. In addition, we test the hypothesis that this oxalate can be generated through a nonenzymatic o...

  9. Frequent exacerbators--a distinct phenotype of severe asthma.

    PubMed

    Kupczyk, M; ten Brinke, A; Sterk, P J; Bel, E H; Papi, A; Chanez, P; Nizankowska-Mogilnicka, E; Gjomarkaj, M; Gaga, M; Brusselle, G; Dahlén, B; Dahlén, S-E

    2014-02-01

    Exacerbations represent a major source of morbidity and mortality in asthma and are a prominent feature of poorly controlled, difficult-to-treat disease. The goal of our study was to provide a detailed characterization of the frequent exacerbator phenotype and to identify risk factors associated with frequent and seasonal exacerbations. Ninety-three severe asthmatics (SA) and 76 mild-to-moderate patients (MA) were screened and prospectively followed up for 1 year (NCT00555607). Medical history, baseline clinical data and biomarkers were used to assess risk factors for frequent exacerbations. During the study, 104 exacerbations were recorded in the SA group and 18 in the MA. Frequent exacerbators were characterized by use of higher doses of inhaled (1700 vs. 800 μg) and oral (6.7 vs. 1.7 mg) glucocorticosteroids, worse asthma control (ACQ score 2.3 vs. 1.4), lower quality of life (SGRQ score 48.5 vs. 33.3), higher sputum eosinophils (25.7% vs. 8.2%) and a more rapid decline in FEV1 /FVC ratio (-0.07 vs. -0.01 ΔFEV1 /FVC, frequent vs. non-frequent, respectively, P < 0.05). Exhaled NO > 45 p.p.b. and a history of smoking were associated with an increased risk of frequent exacerbations (odds ratios: 4.32 and 2.90 respectively). We were able to distinguish and characterize a subphenotype of asthma subjects--frequent exacerbators--who are significantly more prone to exacerbations. Patients with FeNO > 45 p.p.b. and a history of smoking are at increased risk of frequent exacerbations and require careful monitoring in clinical practice. © 2013 John Wiley & Sons Ltd.

  10. Potential health hazards associated with exposures to asbestos-containing drywall accessory products: A state-of-the-science assessment.

    PubMed

    Phelka, Amanda D; Finley, Brent L

    2012-01-01

    Until the late 1970s, chrysotile asbestos was an ingredient in most industrial and consumer drywall accessory products manufactured in the US. In 1977, the Consumer Product Safety Commission (CPSC) issued a ban of consumer patching compounds containing "respirable, free-form asbestos" based on their prediction of exceptionally high rates of asbestos-related diseases among individuals using patching compounds for as little as a few days. Although hundreds of thousands of workers and homeowners handling these products may have experienced exposure to asbestos prior to the ban, there has been no systematic effort to summarize and interpret the information relevant to the potential health effects of such exposures. In this analysis, we provide a comprehensive review and analysis of the scientific studies assessing fiber type and dimension, toxicological and epidemiological endpoints, and airborne fiber concentrations associated with joint compound use. We conclude that: 1) asbestos in drywall accessory products was primarily short fiber (< 5 µm) chrysotile, 2) asbestos in inhaled joint compound particulate is probably not biopersistent in the lung, 3) estimated cumulative chrysotile exposures experienced by workers and homeowners are below levels known to be associated with respiratory disease, and 4) mortality studies of drywall installers have not demonstrated a significantly increased incidence of death attributable to any asbestos-related disease. Consequently, contrary to the predictions of the CPSC, the current weight of evidence does not indicate any clear health risks associated with the use of asbestos-containing drywall accessory products. We also describe information gaps and suggest possible areas of future research.

  11. Comparative Proteomics and Pulmonary Toxicity of Instilled Single Walled Carbon Nanotubes, Crocidolite Asbestos and Ultrafine Carbon Black in Mice

    SciTech Connect

    Teeguarden, Justin G.; Webb-Robertson, Bobbie-Jo M.; Waters, Katrina M.; Murray, Ashley; Kisin, Elena; Varnum, Susan M.; Jacobs, Jon M.; Pounds, Joel G.; Zangar, Richard C.; Shvedova, Anna

    2011-03-01

    Reflecting their exceptional potential to advance a range of biomedical, aeronautic, and other industrial products, carbon nanotube (CNT) production, and the potential for human exposure to aerosolized CNT’s, is increasing. CNT’s have toxicologically significant structural and chemical similarities to asbestos, and have repeatedly been shown to cause pulmonary inflammation, granuloma formation and fibrosis after inhalation/instillation/aspiration exposure in rodents, a pattern of effects similar to those observed following exposure to asbestos. To determine the degree to which responses to SWCNT and asbestos are similar or different, the pulmonary response of C57BL/6 mice to repeated exposure to SWCNT, crocidolite asbestos and ultrafine carbon black (UFCB) were compared using high-throughput global HPLC-FTICR-MS proteomics, histopathology and BAL cytokine analyses. Mice were exposed to material suspensions (40 μg/mouse) twice a week, for 3 weeks by pharyngeal aspiration. Histologically, the incidence and severity of inflammatory and fibrotic responses were greatest in mice treated with SWCNT. SWCNT treatment affected the greatest changes in abundance of identified lung tissue proteins. The trend in number of proteins affected (SWCNT (376)>asbestos (231)>UFCB (184)) followed the potency of these materials in 3 biochemical assays of inflammation (cytokines). SWCNT treatment uniquely affected the abundance of 109 proteins, but these proteins largely represent cellular processes affected by asbestos treatment as well, further evidence of broad similarity in the tissue-level response to asbestos and SWCNT. Two high sensitivity markers of inflammation, one (S100a9) observed in humans exposed to asbestos, were found and may be promising biomarkers of human response to SWCNT exposure.

  12. Evaluation of exposure to the airborne asbestos in an automobile brake and clutch manufacturing industry in Iran.

    PubMed

    Kakooei, Hossein; Marioryad, Hossein

    2010-03-01

    About 2000 tons of chrysotile is used annually to produce friction materials in Islamic Republic of Iran. Approximately, 3000 workers are exposed to the asbestos fibers in the different processes of brake and clutch manufacturing. In the current study, asbestos fiber concentrations during brake and clutch manufacture were measured. This study also evaluated the fiber size and morphology distribution according to the Asbestos International Association (AIA) for standardization analytical method for asbestos. The airborne asbestos fiber concentrations and its chemical composition of 92 personal samples were analyzed by phase contrast microscopy (PCM) and scanning electron microscope (SEM) equipped with an energy-dispersive X-ray analyzer (EDX). Personal monitoring of fiber levels demonstrated counts that ranged from 0.31 to 1.3 PCM f/ml (15.5-51.5 SEM f/ml). Geometric means of the asbestos concentrations were 1.3 PCM f/ml (51.5 SEM f/ml) and 0.86 PCM f/ml (42.1 SEM f/ml) according to the brake weighting and mixing and clutch mixing process, respectively. The geometrical mean concentrations were 0.63 PCM f/ml (31 SEM f/ml), which is considerably higher than threshold limit value (TLV) of the American Conference of Governmental Industrial Hygienists (ACGIH) which is 0.1f/ml. The SEM data demonstrate that the fibrous particles consisted, approximately, of chrysotile (50%), tremolite (30%), and actinolite (20%). Based on these findings, the 50% of airborne fibers inhaled by the workers were amphiboles asbestos with fibers equal and greater than 5 microm in length and 0.2 microm in diameter, and thus not included in the PCM-based fiber counts. Therefore, it might be expected that workers who worked in the brake and clutch manufacture will suffer from negative health effects of exposing to the amphibole asbestos fibers.

  13. Asbestos in the Schools: Health Hazard for the Eighties.

    ERIC Educational Resources Information Center

    Russo, Charles J.

    1988-01-01

    Reviews asbestos removal legislation and four appropriate abatement methods. Advises school districts to assist principals to develop constructive asbestos management plans and conduct workshops relevant to the health hazards of asbestos. (MLF)

  14. Asbestos in the Schools: Health Hazard for the Eighties.

    ERIC Educational Resources Information Center

    Russo, Charles J.

    1988-01-01

    Reviews asbestos removal legislation and four appropriate abatement methods. Advises school districts to assist principals to develop constructive asbestos management plans and conduct workshops relevant to the health hazards of asbestos. (MLF)

  15. LOW-DOSE AIRBORNE ENDOTOXIN EXPOSURE ENHANCES BRONCHIAL RESPONSIVENESS TO INHALED ALLERGEN IN ATOPIC ASTHMATICS

    EPA Science Inventory

    Endotoxin exposure has been associated with both protection against development of TH2-immune responses during childhood and exacerbation of asthma in persons who already have allergic airway inflammation.1 Occupational and experimental inhalation exposures to endotoxin have been...

  16. LOW-DOSE AIRBORNE ENDOTOXIN EXPOSURE ENHANCES BRONCHIAL RESPONSIVENESS TO INHALED ALLERGEN IN ATOPIC ASTHMATICS

    EPA Science Inventory

    Endotoxin exposure has been associated with both protection against development of TH2-immune responses during childhood and exacerbation of asthma in persons who already have allergic airway inflammation.1 Occupational and experimental inhalation exposures to endotoxin have been...

  17. Inhalation toxicology.

    PubMed

    MacFarland, H N

    1975-07-01

    Two kinds of problems associated with developing standardized procedures for the safety evaluation of new compounds are identified. The first of these is the question of the desirability of using such standard methods. It is concluded that a basic set of procedures is to be recommended, but this should be supplemented with special tests as may be indicated. The second problem is connected with the technical difficulties of any given type of assay and is normally dealt with in terms of the state of the art at the time. Assays by the inhalation route tend to be custom designed and do not follow standard protocols. One of the causes of this situation is the propensity of individual investigators to design de novo the equipment used to effect exposure of animals to airborne substances. Second, some confusion exists because investigators do not always appreciate that the concentration-time product is not the same as the true dose received by the exposed subjects and this may lead to anomalies when dose-response relationships are being characterized. It is suggested that interlaboratory studies be undertaken to ascertain the variability that might be expected in independent assays of inhalation toxicity.

  18. Prevention of Acute Exacerbations of COPD

    PubMed Central

    Bourbeau, Jean; Diekemper, Rebecca L.; Ouellette, Daniel R.; Goodridge, Donna; Hernandez, Paul; Curren, Kristen; Balter, Meyer S.; Bhutani, Mohit; Camp, Pat G.; Celli, Bartolome R.; Dechman, Gail; Dransfield, Mark T.; Fiel, Stanley B.; Foreman, Marilyn G.; Hanania, Nicola A.; Ireland, Belinda K.; Marchetti, Nathaniel; Marciniuk, Darcy D.; Mularski, Richard A.; Ornelas, Joseph; Stickland, Michael K.

    2015-01-01

    BACKGROUND: COPD is a major cause of morbidity and mortality in the United States as well as throughout the rest of the world. An exacerbation of COPD (periodic escalations of symptoms of cough, dyspnea, and sputum production) is a major contributor to worsening lung function, impairment in quality of life, need for urgent care or hospitalization, and cost of care in COPD. Research conducted over the past decade has contributed much to our current understanding of the pathogenesis and treatment of COPD. Additionally, an evolving literature has accumulated about the prevention of acute exacerbations. METHODS: In recognition of the importance of preventing exacerbations in patients with COPD, the American College of Chest Physicians (CHEST) and Canadian Thoracic Society (CTS) joint evidence-based guideline (AECOPD Guideline) was developed to provide a practical, clinically useful document to describe the current state of knowledge regarding the prevention of acute exacerbations according to major categories of prevention therapies. Three key clinical questions developed using the PICO (population, intervention, comparator, and outcome) format addressed the prevention of acute exacerbations of COPD: nonpharmacologic therapies, inhaled therapies, and oral therapies. We used recognized document evaluation tools to assess and choose the most appropriate studies and to extract meaningful data and grade the level of evidence to support the recommendations in each PICO question in a balanced and unbiased fashion. RESULTS: The AECOPD Guideline is unique not only for its topic, the prevention of acute exacerbations of COPD, but also for the first-in-kind partnership between two of the largest thoracic societies in North America. The CHEST Guidelines Oversight Committee in partnership with the CTS COPD Clinical Assembly launched this project with the objective that a systematic review and critical evaluation of the published literature by clinical experts and researchers in

  19. Iron signature in asbestos-induced malignant pleural mesothelioma: A population-based autopsy study.

    PubMed

    Crovella, Sergio; Bianco, Anna Monica; Vuch, Joseph; Zupin, Luisa; Moura, Ronald Rodrigues; Trevisan, Elisa; Schneider, Manuela; Brollo, Alessandro; Nicastro, Enza Maria; Cosenzi, Alessandro; Zabucchi, Giuliano; Borelli, Violetta

    2016-01-01

    Malignant pleural mesothelioma (MPM) is an aggressive cancer with poor prognosis. The development of MPM is frequently linked to inhalation of asbestos fibers. A genetic component of susceptibility to this disease is suggested by the observation that some individuals develop MPM following lower doses of asbestos exposure, whereas others exposed to higher quantities do not seem to be affected. This hypothesis is supported also by frequent reports of MPM familial clustering. Despite the widely recognized role of iron (Fe) in cellular asbestos-induced pulmonary toxicity, the role of the related gene polymorphisms in the etiology of MPM has apparently not been evaluated. Eighty-six single-nucleotide polymorphisms (SNPs) of 10 Fe-metabolism genes were examined by exploiting formalin-fixed paraffin-embedded postmortem samples from 77 patients who died due to MPM (designated AEM) and compared with 48 who were exposed to asbestos but from died in old age of cause other than asbestos (designated AENM). All subjects showed objective signs of asbestos exposure. Three SNPs, localized in the ferritin heavy polypeptide, transferrin, and hephaestin genes, whose frequencies were distributed differently in AEM and AENM populations, were identified. For ferritin and transferrin the C/C and the G/G genotypes, respectively, representing intronic polymorphisms, were significantly associated with protection against MPM and need to be considered as possible genetic markers of protection. Similarly, the C/C hephaestin SNP, a missense variation of this multicopper ferroxidase encoding gene, may be related, also functionally, with protection against MPM. In conclusion, it is proposed that three Fe metabolism-associated genes, significantly associated with protection against development of MPM, may serve as protective markers for this aggressive tumor.

  20. Asbestos hazard in the reprocessed textile industry

    SciTech Connect

    Quinn, M.M.; Kriebel, D.; Buiatti, E.; Paci, E.; Sini, S.; Vannucchi, G.; Zappa, M.

    1987-01-01

    Epidemiologic studies have identified an excess risk of lung cancer and mesothelioma among workers in the reprocessed textile industry in Prato, Italy. These studies suggested that there may have been asbestos hazard in this industry although exposure was not known to exist. An industrial hygiene investigation was conducted to determine whether there was previous or current asbestos exposure in the industry. Walk-through surveys, environmental sampling, process documentation, and management and worker interviews were conducted in 13 textile reprocessing establishments. Polypropylene bags that once contained asbestos were found in 2 of the 13. Asbestos bags were cut open and used to cover bales of rags which were then distributed throughout the world. Workers were exposed to asbestos while handling the bags which were contaminated with chrysotile, amosite, and crocidolite. Additional sources of asbestos exposure that may have existed in the past in the industry are also discussed.

  1. Asbestos in drinking water: a Canadian view

    SciTech Connect

    Toft, P.; Meek, M.E.

    1983-11-01

    Because of the widespread occurrence of chrysotile asbestos in drinking water supplies in Canada, public health professionals have been faced with evaluating the potential hazards associated with the ingestion of asbestos in food and drinking water. The results of available Canadian monitoring and epidemiologic studies of asbestos in drinking water are reviewed and discussed in light of other published work. The Canadian studies provide no consistent, convincing evidence of increased cancer risks attributable to the ingestion of drinking water contaminated by asbestos, even though the observed asbestos concentrations were relatively high in several communities. Only one study, conducted in the San Francisco Bay Area, has shown evidence of increased cancer incidence associated with the ingestion of asbestos in drinking water. 6 references.

  2. Asbestos pleural effusion: a clinical entity.

    PubMed Central

    Mårtensson, G; Hagberg, S; Pettersson, K; Thiringer, G

    1987-01-01

    In a case-control study asbestos exposure in 64 consecutive men with idiopathic pleural effusion and 129 randomly sampled age matched male controls was compared. Furthermore, seven women and 64 men with idiopathic pleural effusion were studied, including a three year re-examination, in an attempt to identify characteristics that might distinguish asbestos exposed from non-exposed patients. Asbestos exposure was significantly (p less than 0.01) more frequent in men with idiopathic effusions than in controls. The idiopathic effusions seen in asbestos exposed patients were compatible with the diagnosis "asbestos pleural effusion." Two features were characteristic of patients with asbestos pleural effusion: a chest radiograph at the initial examination showing converging pleural linear structures or rounded atelectasis or a history of recurrent pleural effusion, or both. PMID:3686454

  3. Three-dimensional Numerical Simulation of Gas-particulate Flow around Breathing Human and Particulate Inhalation

    NASA Astrophysics Data System (ADS)

    Shimazaki, Yasuhiro; Okubo, Masaaki; Yamamoto, Toshiaki

    2006-05-01

    It is important to predict the environment around the breathing human because inhalation of virus (avian influenza, SARS) is recently severe worldwide problem, and air pollution caused by diesel emission particle (DEP) and asbestos attract a great deal of attention. In the present study, three-dimensional numerical simulation was carried out to predict unsteady flows around a breathing human and how suspended particulate matter (SPM, diameter˜1 μm) reaches the human nose in inhalation and exhalation. In the calculation, we find out smaller breathing angle and the closer distance between the human nose and pollutant region are effective in the inhalation of SPM.

  4. Synchrotron soft X-ray imaging and fluorescence microscopy reveal novel features of asbestos body morphology and composition in human lung tissues

    PubMed Central

    2011-01-01

    Background Occupational or environmental exposure to asbestos fibres is associated with pleural and parenchymal lung diseases. A histopathologic hallmark of exposure to asbestos is the presence in lung parenchyma of the so-called asbestos bodies. They are the final product of biomineralization processes resulting in deposition of endogenous iron and organic matter (mainly proteins) around the inhaled asbestos fibres. For shedding light on the formation mechanisms of asbestos bodies it is of fundamental importance to characterize at the same length scales not only their structural morphology and chemical composition but also to correlate them to the possible alterations in the local composition of the surrounding tissues. Here we report the first correlative morphological and chemical characterization of untreated paraffinated histological lung tissue samples with asbestos bodies by means of soft X-ray imaging and X-Ray Fluorescence (XRF) microscopy, which reveals new features in the elemental lateral distribution. Results The X-ray absorption and phase contrast images and the simultaneously monitored XRF maps of tissue samples have revealed the location, distribution and elemental composition of asbestos bodies and associated nanometric structures. The observed specific morphology and differences in the local Si, Fe, O and Mg content provide distinct fingerprints characteristic for the core asbestos fibre and the ferruginous body. The highest Si content is found in the asbestos fibre, while the shell and ferruginous bodies are characterized by strongly increased content of Mg, Fe and O compared to the adjacent tissue. The XRF and SEM-EDX analyses of the extracted asbestos bodies confirmed an enhanced Mg deposition in the organic asbestos coating. Conclusions The present report demonstrates the potential of the advanced synchrotron-based X-ray imaging and microspectroscopy techniques for studying the response of the lung tissue to the presence of asbestos fibres

  5. Asthma Outcomes: Exacerbations

    PubMed Central

    Fuhlbrigge, Anne; Peden, David; Apter, Andrea J.; Boushey, Homer A.; Camargo, Carlos; Gern, James; Heymann, Peter W.; Martinez, Fernando D.; Mauger, David; Teague, William G.; Blaisdell, Carol

    2013-01-01

    Background The goals of asthma treatment include preventing recurrent exacerbations. Yet there is no consensus about the terminology for describing or defining “exacerbation,” or about how to characterize an episode’s severity. Objective National Institutes of Health (NIH) institutes and other federal agencies convened an expert group to propose how asthma exacerbation should be assessed as a standardized asthma outcome in future asthma clinical research studies. Methods We utilized comprehensive literature reviews and expert opinion to compile a list of asthma exacerbation outcomes, and classified them as either core (required in future studies), supplemental (used according to study aims and standardized), or emerging (requiring validation and standardization). This work was discussed at an NIH-organized workshop in March 2010 and finalized in September 2011. Results No dominant definition of “exacerbation” was found. The most widely used definitions included 3 components, all related to treatment, rather than symptoms: (1) systemic use of corticosteroids, (2) asthma-specific emergency department visits or hospitalization, and (3) use of short-acting β-agonists (SABAs) as quick-relief (sometimes referred to as “rescue” or “reliever”) medications. Conclusions The working group participants propose that the definition of “asthma exacerbation” be “a worsening of asthma requiring the use of systemic corticosteroids to prevent a serious outcome.” As core outcomes, they propose inclusion and separate reporting of several essential variables of an exacerbation. Further, they propose the development of a standardized, component-based definition of “exacerbation” with clear thresholds of severity for each component. PMID:22386508

  6. Measurements Of Scattered Light From Asbestos Particulate

    NASA Astrophysics Data System (ADS)

    Riis, P.; Ballik, E. A.

    1987-09-01

    Light-scattering techniques are potentially very important for the low-level detection and identification of particulate species such as asbestos in aerosol and liquid suspensions. Low-level detection is essential because asbestos is a known carcinogen, even at very-low exposure levels. At present, most asbestos particulate monitoring is used on optical microscopy. If detailed analysis is required, then electron microscopy is employed. Both of these methods are labour intensive. Furthermore, the optical microscopy method is not very reliable. Although the light-scattering techniques described here have general applicability, the emphasis is on asbestos measurements. Ordinary measurements of Mie scattering from asbestos suspensions can provide only limited information on asbestos content. owever, a more sophisticated technique can be employed which relies on the fact that asbestos particulate is fibrous rather than spherical in shape, and that the fibres align in a strong magnetic field (approximately 0.5 T). Particulate other than asbestos is generally non-fibrous in shape. Measurements have been carried out on liquid suspensions of asbestos contained in a small cell placed between the poles of a rotating magnet. The aligned fibres, which rotate about their centre of mass as they follow the field, are illuminated using a laser source. The Mie-scattering intensity is measured as a function of rotation angle, and the resulting data is then analysed with the aid of a microcomputer. Intensity maxima and minima provide reliable information on asbestos concentration, even in the presence of strong scattering from other particulate. In addition, the angular location of the intensity peaks provides information on the type of asbestos present. Each type has a characteristic alignment behaviour in a strong magnetic field. Using relatively-simple equipment, chrysotile asbestos (the most commonly-used type) has been detected at levels below 30 ng/l.

  7. Mineralogical conversion of asbestos containing materials

    SciTech Connect

    Pulsford, S.K.; Foltz, A.D.; Ek, R.B.

    1996-12-31

    The principal objective of the Technical Task Plan (TTP) is to demonstrate a thermal-chemical mineralogical asbestos conversion unit at the Hanford Site, which converts non-radiological asbestos containing materials (ACMs) into an asbestos-free material. The permanent thermal-chemical mineralogical conversion of ACMs to a non-toxic, non-hazardous, potentially marketable end product should not only significantly reduce the waste stream volumes but terminate the {open_quotes}cradle to grave{close_quotes} ownership liabilities.

  8. Physician's guide to asbestos-related diseases

    SciTech Connect

    Not Available

    1984-11-09

    An overview is presented on the health hazards of asbestos. The information is organized as a series of answers to some of the more common questions asked of or by physicians regarding asbestos and health. The common sources of occupational exposure to asbestos are described. Some of the topics of discussion include the diagnosis and treatment of asbestosis, and the relationship between asbestosis and cancer. 12 references, 2 tables.

  9. [Health significance of inhaled particles].

    PubMed

    Gillissen, A; Gessner, C; Hammerschmidt, S; Hoheisel, G; Wirtz, H

    2006-03-24

    Particulates refer to particles, dust, dirt, soot and aerosol mists that has suspended in the surrounding air. They may consist of solids of various forms including fibres or liquids. Long term exposure to silicon dioxide containing dusts (crystalline silica: quartz, tridymite, cristobalite, coesite, stishovite) may cause pneumoconiosis in the form of acute or/either chronic silicosis. Asbestos refers to a divers family of crystalline hydrated fibrous siliates typically exhibiting a greater tha 3:1 length ot diameter ratio. It is subdivided into serpentine (Chrysotile) and amphibole (crocidolite, amosite, anthophyllite, tremolite, actinolite). Exposure to asbestos fibres may cause lung fibrosis and promote cancer of the lung or the pleura. Besides the induction of malignant diseases dust exposure may result in obstructive as well as restrictive lung diseases which may be compensate in case of the recognition as a occupational diseases. Other occupational exposures leading to pneumoconiosis are caused be talc, or metals including aluminium containing dusts. Also the group of man-made mineral (MMMFs) or vitreous fibres (MMVFs), including glass wool, rock wool, slag wool, glass filaments, microfibres, refractory ceramic fibres are bioactive under certain experimental conditions. Although it has been shown that MMMFs may cause malignancies when injected intraperitoneally in high quantities in rodents, inhalation trials and human studies could not reproduce these results in the same precision. Fine particles (particulate matter = PM) comprise one of the most widespread and harmful air pollutants in the industrialized world. PM may cause worsening of asthma and other respiratory diseases, reduce lung function development in children, potentially increased the risk of premature death in the elderly and enhance mortality from cardiac diseases. Because of the small size PM2.5 is seen to be even more hazardous than PM10.

  10. Prevalence of asbestos bodies in a necropsy series in East London: association with disease, occupation, and domiciliary address.

    PubMed

    Doniach, I; Swettenham, K V; Hathorn, M K

    1975-02-01

    The prevalence of asbestos bodies was measured in lung sections in a necropsy series carried out at the London Hospital (1965-66) after exclusion of all known asbestos factory workers and cases of asbestosis and of mesothelioma. Associations were sought between the presence and number of asbestos bodies with the patients' sex, domiciliary address, occupation, industry, and diseases recorded at necropsy. Asbestos bodies were present in 42% of the 216 men in the series and in 30% of the 178 women. The number of bodies in the positive cases was small in comparison with the numbers seen typically in asbestosis; thus there were less than 6 asbestos bodies per 6-75 mm-3 lung tissue in 107 of the total 145 positive cases in contrast to 1 000 or more in asbestosis. In comparison with the overall series, an increased number of asbestos body positives was present in males with carcinoma of stomach and females with carcinoma of breast. In view of this finding lung sections were counted in further post-mortem examples of these carcinomas making a total of 50 males with carcinoma stomach and 82 females with carcinoma breast. Thirty-five positive cases were found in the carcinoma stomach group as against 22-7 expected and 38 in the carcinoma breast group against 26-35 expected. There was no excess of observed over expected asbestos body positives in 51 males with carcinoma of bronchus. There was an excess of asbestos body positives (60-9%) in heavy manual workers and in both heavy and light manual male workers in the shipping (61%), electrical and engineering (56%), and transport (54%) industries. The incidence in male clerical workers was 12-8%. The incidence of asbestos body positives according to home address was highest (53% in males, 45% in females) in patients living in the industrial and cockland area due east of the hospital. The incidence fell in the less industrial areas north-east of the hospital. Consideration of possible environmental sources of the inhaled asbestos

  11. Assessing inhalation injury in the emergency room

    PubMed Central

    Tanizaki, Shinsuke

    2015-01-01

    Respiratory tract injuries caused by inhalation of smoke or chemical products are related to significant morbidity and mortality. While many strategies have been built up to manage cutaneous burn injuries, few logical diagnostic strategies for patients with inhalation injuries exist and almost all treatment is supportive. The goals of initial management are to ensure that the airway allows adequate oxygenation and ventilation and to avoid ventilator-induced lung injury and substances that may complicate subsequent care. Intubation should be considered if any of the following signs exist: respiratory distress, stridor, hypoventilation, use of accessory respiratory muscles, blistering or edema of the oropharynx, or deep burns to the face or neck. Any patients suspected to have inhalation injuries should receive a high concentration of supplemental oxygen to quickly reverse hypoxia and to displace carbon monoxide from protein binding sites. Management of carbon monoxide and cyanide exposure in smoke inhalation patients remains controversial. Absolute indications for hyperbaric oxygen therapy do not exist because there is a low correlation between carboxyhemoglobin levels and the severity of the clinical state. A cyanide antidote should be administered when cyanide poisoning is clinically suspected. Although an ideal approach for respiratory support of patients with inhalation injuries do not exist, it is important that they are supported using techniques that do not further exacerbate respiratory failure. A well-organized strategy for patients with inhalation injury is critical to reduce morbidity and mortality. PMID:27147888

  12. Minerals yearbook, 1991: Asbestos. Annual report

    SciTech Connect

    Virta, R.L.

    1992-09-01

    The U.S. Court of Appeals for the Fifth Circuit overturned the Environmental Protection Agency (EPA) ruling that would have phased out most uses of asbestos by 1997. The court indicated the EPA did not sufficiently evaluate the health risks posed by substitutes or adequately assess the costs and benefits of less burdensome options to a total ban. Domestic asbestos production increased slightly from that of 1990, but consumption decreased 16%, from 41,348 to 34,765 tons. Asbestos was consumed domestically for roofing products, 44%; friction products, 28%; asbestos-cement pipe, 11%; packing and gaskets, 8%; and other, 9%.

  13. Asbestos in drinking water: a Canadian view.

    PubMed Central

    Toft, P; Meek, M E

    1983-01-01

    For several years now, public health professionals have been faced with evaluating the potential hazards associated with the ingestion of asbestos in food and drinking water. In Canada, this is a subject of particular concern, because of the widespread occurrence of chrysotile asbestos in drinking water supplies. The results of available Canadian monitoring and epidemiologic studies of asbestos in drinking water are reviewed and discussed in light of other published work. It is concluded that the risk to health associated with the ingestion of asbestos, at the levels found in municipal drinking water supplies, is so small that it cannot be detected by currently available epidemiologic techniques. PMID:6319117

  14. Asbestos-related diseases in automobile mechanics.

    PubMed

    Ameille, Jacques; Rosenberg, Nicole; Matrat, Mireille; Descatha, Alexis; Mompoint, Dominique; Hamzi, Lounis; Atassi, Catherine; Vasile, Manuela; Garnier, Robert; Pairon, Jean-Claude

    2012-01-01

    Automobile mechanics have been exposed to asbestos in the past, mainly due to the presence of chrysotile asbestos in brakes and clutches. Despite the large number of automobile mechanics, little is known about the non-malignant respiratory diseases observed in this population. The aim of this retrospective multicenter study was to analyse the frequency of pleural and parenchymal abnormalities on high-resolution computed tomography (HRCT) in a population of automobile mechanics. The study population consisted of 103 automobile mechanics with no other source of occupational exposure to asbestos, referred to three occupational health departments in the Paris area for systematic screening of asbestos-related diseases. All subjects were examined by HRCT and all images were reviewed separately by two independent readers; who in the case of disagreement discussed until they reached agreement. Multiple logistic regression models were constructed to investigate factors associated with pleural plaques. Pleural plaques were observed in five cases (4.9%) and interstitial abnormalities consistent with asbestosis were observed in one case. After adjustment for age, smoking status, and a history of non-asbestos-related respiratory diseases, multiple logistic regression models showed a significant association between the duration of exposure to asbestos and pleural plaques. The asbestos exposure experienced by automobile mechanics may lead to pleural plaques. The low prevalence of non-malignant asbestos-related diseases, using a very sensitive diagnostic tool, is in favor of a low cumulative exposure to asbestos in this population of workers.

  15. Biodurability of chrysotile and tremolite asbestos

    NASA Astrophysics Data System (ADS)

    Oze, C.; Solt, K.

    2008-12-01

    Chrysotile and tremolite asbestos represent two mineralogical categories of regulated asbestos commonly evaluated in epidemiological, toxicological, and pathological studies. Lung and digestive fluids are undersaturated with respect to chrysotile and tremolite asbestos (i.e. dissolution is thermodynamically favorable), where the dissolution kinetics control the durability of these minerals in respiratory and gastric systems. Here we examined the biodurability of chrysotile and tremolite asbestos in simulated body fluids (SBFs) as a function of mineral surface area over time. Batch experiments in simulated gastric fluid (SGF; HCl and NaCl solution at pH 1.2) and simulated lung fluid (SLF; a modified Gamble's solution at pH 7.4) were performed at 37°C over 720 hours. The rate-limiting step of Si release for both minerals was used to determine and compare dissolution rates. Chrysotile and tremolite asbestos are less biodurable in SGF compared to SLF. Based on equal suspension densities (surface area per volume of solution, m2 L- 1), chrysotile undergoes dissolution approximately 44 times faster than tremolite asbestos in SGF; however, amphibole asbestos dissolves approximately 6 times faster than chrysotile in SLF. Provided identical fiber dimensions, fiber dissolution models demonstrate that chrysotile is more biodurable in SLF and less biodurable in SGF compared to tremolite asbestos. Overall, the methodology employed here provides an alternative means to evaluate asbestos material fiber lifetimes based on mineral surface considerations.

  16. Reconstituted asbestos matrix for fuel cells

    NASA Technical Reports Server (NTRS)

    Mcbryar, H.

    1975-01-01

    Method is described for reprocessing commercially available asbestos matrix stock to yield greater porosity and bubble pressure (due to increased surface tension), improved homogeneity, and greater uniformity.

  17. Development of the releasable asbestos field sampler.

    PubMed

    Kominsky, John R; Thornburg, Jonathan W; Shaul, Glenn M; Barrett, William M; Hall, Fred D; Konz, James J

    2010-03-01

    The releasable asbestos field sampler (RAFS) was developed as an alternative to activity-based sampling (ABS; personal breathing zone sampling during a simulated activity). The RAFS utilizes a raking motion to provide the energy that releases particulate material from the soil and aerosolizes the asbestos fibers. A gentle airflow laterally transports the generated aerosol inside of a tunnel to one end where filter sampling cassettes or real-time instruments are used to measure asbestos and particulate release. The RAFS was tested in a series of laboratory experiments to validate its performance and then was deployed for field trials in asbestos-contaminated soil at multiple geographical locations. Laboratory data showed the RAFS generated repeatable and representative aerosol particulate concentrations. Field tests showed the RAFS aerosolized asbestos concentrations were statistically correlated with total particle concentrations. Field tests also showed the RAFS aerosolized asbestos concentrations were statistically correlated with asbestos concentrations measured by multiple ABS tests with different activities, different soil/environmental conditions, and at different geographical locations. RAFS provides a direct measurement of asbestos emission from soil in situ without consideration of meteorology and personal activity on the asbestos transport to the breathing zone.

  18. Products liability issues in school asbestos litigation.

    PubMed

    Zelen, M

    1985-01-01

    The hazards posed by deteriorating friable asbestos in the nation's schools are causing serious concerns for public health officials, school boards, parents and school employees. Reports by both the Environmental Protection Agency and the U.S. Attorney General's Office agree that both school children and school employees stand a substantially increased risk of contracting some form of asbestos-related disease as a result of exposure to deteriorating asbestos materials in school buildings. School systems plagued by the asbestos hazards are now filing suits against asbestos manufacturers alleging causes of action in breach of warranty, negligence and strict products liability in tort. Some plaintiffs in school asbestos litigation seek to recover the costs of EPA-mandated asbestos inspection and abatement programs which have already been completed. Still others request injunctions to compel the manufacturers themselves to conduct inspections and finance abatement. This Note examines the school asbestos situation from a legal perspective and focuses primarily on whether the schools' claims should be considered as economic losses or as property damage. It examines the impact of statutes of limitations on these cases under both contract and tort theories. The Note argues that school asbestos claims should be decided under a strict products liability standard.

  19. Non-asbestos-related malignant pleural mesothelioma.

    PubMed

    Kanbay, Asiye; Ozer Simsek, Zuhal; Tutar, Nuri; Yılmaz, Insu; Buyukoglan, Hakan; Canoz, Ozlem; Demir, Ramazan

    2014-01-01

    Malignant pleural mesothelioma (MPM) is an uncommon tumor derived from mesothelial lining cells. MPM has been described as an insidious neoplasm because of its long latency period. The tumor is typically found in patients several decades after asbestos exposure. We herein describe a 26-year-old patient with MPM who presented with pleural effusion. The patient had not been exposed to asbestos or erionite. There are few case reports of non-asbestos-related MPM in young patients. We report this case to remind physicians to consider MPM in the differential diagnosis of pleural effusion in young patients without exposure to asbestos or erionitis.

  20. Early and delayed effects of naturally occurring asbestos on serum biomarkers of inflammation and metabolism.

    PubMed

    Kodavanti, Urmila P; Andrews, Debora; Schladweiler, Mette C; Gavett, Stephen H; Dodd, Darol E; Cyphert, Jaime M

    2014-01-01

    Studies recently showed that intratracheal (IT) instillation of Libby amphibole (LA) increases circulating acute-phase proteins (APP; α-2 macroglobulin, A2M; and α-1 acid glycoprotein, AGP) and inflammatory biomarkers (osteopontin and lipocalin) in rats. In this study, objectives were to (1) compare changes in biomarkers of rats after instillation of different naturally occurring asbestos (NOA) minerals including LA, Sumas Mountain chrysotile (SM), El Dorado Hills tremolite (ED), and Ontario ferroactinolite cleavage fragments (ON), and (2) examine biomarkers after subchronic LA or amosite inhalation exposure. Rat-respirable fractions (aerodynamic diameter approximately 2.5 μm) prepared by water elutriation were delivered via a single IT instillation at doses of 0, 0.5, and 1.5 mg/rat in male F344 rats. Nose-only inhalation exposures were performed at 0, 1, 3.3, and 10 mg/m(3) for LA and at 3.3 mg /m(3) for amosite, 6h/d, 5 d/wk for 13 wk. Inflammation, metabolic syndrome, and cancer biomarkers were analyzed in the serum for up to 18 mo. IT instillation of some asbestos materials significantly increased serum AGP and A2M but to a varying degree (SM = LA > ON = ED). Numerical increases in interleukin (IL)-6 and osteopontin occurred in rats instilled with SM. SM and ED also elevated leptin and insulin at 15 mo, suggesting potential metabolic effects. LA inhalation tended to raise A2M at d 1 but not cytokines. Serum mesothelin appeared to elevate after 18 mo of LA inhalation. These results suggest that the lung injury induced by high levels of asbestos materials may be associated with systemic inflammatory changes and predisposition to insulin resistance.

  1. Flunisolide Oral Inhalation

    MedlinePlus

    ... your flunisolide inhaler while you are near an open flame or a heat source. The inhaler may explode if it is exposed ... Do not store the inhaler near a heat source or an open flame. Protect the inhaler from freezing and direct ...

  2. Ciclesonide Oral Inhalation

    MedlinePlus

    ... your ciclesonide inhaler while you are near an open flame or a heat source. The inhaler may explode if it is exposed ... Do not store the inhaler near a heat source or an open flame. Protect the inhaler from freezing and direct ...

  3. Fluticasone Oral Inhalation

    MedlinePlus

    ... fluticasone aerosol inhaler while you are near an open flame or a heat source. The inhaler may explode if it is exposed ... Do not store the inhaler near a heat source or an open flame. Protect the inhaler from freezing and direct ...

  4. The effects of intermittent high asbestos exposure (peak dose levels) on the lungs of rats.

    PubMed Central

    Davis, J. M.; Beckett, S. T.; Bolton, R. E.; Donaldson, K.

    1980-01-01

    Four groups of rats were treated by inhalation with the UICC preparations of amosite or chrysotile in order to explore the effects of intermittent high dust concentrations (peak dosing). For each of the 2 asbestos types one group of rats was treated for 5 days each week, 7 h a day, for 1 year. Two other groups were treated with amosite or chrysotile at 5 times the previous dose for 1 day each week for 1 year. Results showed that the lung dust levels of both chrysotile or amosite in the lungs of rats after the 12-month inhalation period were similar regardless of whether "peak" or "even" dosing had been used. During the following 6 months, asbestos was cleared from the "peak" chrysotile group more slowly than the "even" chrysotile group but clearance from the "peak" amosite group was faster than that found after "even" dosing with amosite. Levels of early peribronchial fibrosis were generally lower for the "peak" dosing groups than for "even" dosing although levels of interstitial fibrosis were slightly higher following "peak" dosing. The incidence of pulmonary neoplasms did not differ between the "peak"-dosing and "even"-dosing experiments. These findings therefore give no indication that short periods of high dust exposure in an asbestos factory would result in a significantly greater hazard than would be indicated by the raised overall dust counts for the day in question. Images Fig. 3 PMID:7426382

  5. Cytotoxicity induced by exposure to natural and synthetic tremolite asbestos: an in vitro pilot study.

    PubMed

    Pugnaloni, Armanda; Giantomassi, Federica; Lucarini, Guendalina; Capella, Silvana; Bloise, Andrea; Di Primio, Roberto; Belluso, Elena

    2013-03-01

    Mineral fibers are potential carcinogens to humans. In order to help clarify the etiology of the pathological effects of asbestos, cellular reactions to natural and synthetic asbestos fibers were compared using a lung alveolar cancer cell line (A549 epithelial cells), considered the first target of inhaled micro-environmental contaminants. Natural asbestos tremolite (NAT) fibers were collected from rocks in NW Italy. Synthetic asbestos tremolite (SAT) was iron-free and therefore considered as standard tremolite. Both fibers, subjected to mineralogical characterization by X-ray powder diffractometry, electron microscopy and energy dispersive spectrometry, fell within the definition of respirable and potentially carcinogenic fibers. Several signs of functional and structural cell damage were found after treatment with both fibers, documented by viability, motility, and morphological perturbations. Phalloidin labeling showed irregular distribution of cytoskeletal F-actin, whereas immunohistochemical investigations showed abnormal expression of VEGF, Cdc42, β-catenin, assessed as risks indicators for cancer development. Both fibers caused significant loss of viability, even compared to UICC crocidolite, but, while SAT fibers exerted a more direct cytotoxic effect, survival of damaged cells expressing high VEGF levels was detected after NAT contact. This in vitro pilot study outlines potential health risks of NAT fibers in vivo related to their iron content, which could trigger signaling networks connected with cell proliferation and neoplastic transformation.

  6. Assessment of asbestos insulation substitutes

    SciTech Connect

    Fourroux, J.D.; Frank, R.L. Jr.; Newberry, T.W. Jr. )

    1990-03-01

    A state-of-the-art study of asbestos insulation alternatives has been conducted to identify the best substitute material for steam lines in power plants. A survey of utilities across the nation showed that calcium silicate is the most commonly employed material today, followed by mineral wool, fiberglass, and ceramic fibers. However, the calcium silicate was found to be dusty and to become brittle once exposed to elevated temperatures. Although it is asbestos-free, studies on its carcinogenicity are incomplete. Characteristic data on existing substitute materials is compiled and an optimum choice of insulation combination is configured. Potential cost savings of using this combination is evaluated for a major utility. A PC-based computer program is developed to assist utility personnel in selecting the proper insulation materials for steam lines. 31 refs., 8 figs.

  7. A search for covert precipitating clinical parameters in frequent exacerbators of chronic obstructive pulmonary disease.

    PubMed

    Bhatia, Ankit; Prakash, Ved; Kant, Surya; Verma, Ajay Kumar

    2016-01-01

    Acute exacerbations are a significant source of morbidity and mortality associated with chronic obstructive pulmonary disease (COPD). Some patients suffer an inordinate number of exacerbations while others remain relatively protected. The aim of this study was to evaluate the potentially modifiable precipitating parameters of frequent severe exacerbations requiring hospital admission in COPD. Consecutive patients admitted with acute exacerbation of COPD for a period of one year in a tertiary care hospital were evaluated prospectively. Data regarding the number of exacerbations in the previous year, current comorbidities, medications, and clinical and functional status of COPD patients were evaluated. We included 98 COPD patients (81.63% men) admitted consecutively with exacerbations in our department. The mean number of severe exacerbations was (2.42 per patient/per year), and 65% of the patients had frequent severe exacerbations. Multivariate analysis indicated that serum uric acid, serum total IgE, depression and anxiety, gastroesophageal reflux disease symptoms, air pollution, poor adherence to inhaled therapy, and irregular outpatient followup visits were independent predictors of frequent severe exacerbations. COPD patients with frequent exacerbations should be carefully assessed for modifiable confounding risk factors regardless of poor lung function to decrease exacerbation frequency and related poor prognosis. Raised serum total IgE levels may point towards atopy as an additional comorbidity in COPD while uric acid can have a clinically useful role in risk stratification in a primary care setting.

  8. A search for covert precipitating clinical parameters in frequent exacerbators of chronic obstructive pulmonary disease

    PubMed Central

    Bhatia, Ankit; Prakash, Ved; Kant, Surya; Verma, Ajay Kumar

    2016-01-01

    Introduction: Acute exacerbations are a significant source of morbidity and mortality associated with chronic obstructive pulmonary disease (COPD). Some patients suffer an inordinate number of exacerbations while others remain relatively protected. The aim of this study was to evaluate the potentially modifiable precipitating parameters of frequent severe exacerbations requiring hospital admission in COPD. Materials and Methods: Consecutive patients admitted with acute exacerbation of COPD for a period of one year in a tertiary care hospital were evaluated prospectively. Data regarding the number of exacerbations in the previous year, current comorbidities, medications, and clinical and functional status of COPD patients were evaluated. Results: We included 98 COPD patients (81.63% men) admitted consecutively with exacerbations in our department. The mean number of severe exacerbations was (2.42 per patient/per year), and 65% of the patients had frequent severe exacerbations. Multivariate analysis indicated that serum uric acid, serum total IgE, depression and anxiety, gastroesophageal reflux disease symptoms, air pollution, poor adherence to inhaled therapy, and irregular outpatient followup visits were independent predictors of frequent severe exacerbations. Conclusion: COPD patients with frequent exacerbations should be carefully assessed for modifiable confounding risk factors regardless of poor lung function to decrease exacerbation frequency and related poor prognosis. Raised serum total IgE levels may point towards atopy as an additional comorbidity in COPD while uric acid can have a clinically useful role in risk stratification in a primary care setting. PMID:27890987

  9. Minimal clinically important difference--exacerbations of COPD.

    PubMed

    Calverley, Peter M A

    2005-03-01

    Exacerbations of COPD are now recognised as being important events in the natural history of the condition and become more frequent as the disease worsens. Defining a minimum clinically important difference in exacerbation rate is fraught with difficulty. There is substantial between and within subject differences in the occurrence of these events that makes an individual evaluation of their importance problematic. At present, the most widely used definition of an exacerbation identifies an episode where the patient seeks medical help rather than a predefined change in one or more symptoms. Despite these problems, intervention studies with bronchodilator drugs, inhaled corticosteroids, and pulmonary rehabilitation appear to reduce the frequency of exacerbation events. In patients with an FEV1 below 50% predicted there is reasonable consistency about the magnitude of change and a 4-unit improvement in the St George's Respiratory Questionnaire is commonly associated with a 20-25% reduction in the reported number of exacerbations. Individual studies vary depending upon the recruitment protocol. Patients who experience symptomatic benefit may be those in whom a clinically important change in exacerbations occurs but this concept requires testing prospectively. Existing methodologies for estimating clinically important differences are hard to apply with a binary outcome like this, and more work will be needed to develop a robust approach for dealing with this important clinical variable.

  10. Dark chocolate exacerbates acne.

    PubMed

    Vongraviopap, Saivaree; Asawanonda, Pravit

    2016-05-01

    The effects of chocolate on acne exacerbations have recently been reevaluated. For so many years, it was thought that it had no role in worsening acne. To investigate whether 99% dark chocolate, when consumed in regular daily amounts, would cause acne to worsen in acne-prone male subjects, twenty-five acne prone male subjects were asked to consume 25 g of 99% dark chocolate daily for 4 weeks. Assessments which included Leeds revised acne scores as well as lesion counts took place weekly. Food frequency questionnaire was used, and daily activities were recorded. Statistically significant changes of acne scores and numbers of comedones and inflammatory papules were detected as early as 2 weeks into the study. At 4 weeks, the changes remained statistically significant compared to baseline. Dark chocolate when consumed in normal amounts for 4 weeks can exacerbate acne in male subjects with acne-prone skin. © 2015 The International Society of Dermatology.

  11. [Management of acute exacerbations of COPD].

    PubMed

    Rabbat, A; Guetta, A; Lorut, C; Lefebvre, A; Roche, N; Huchon, G

    2010-10-01

    Exacerbations of COPD are common and cause a considerable burden to the patient and the healthcare system. To optimize the hospital care of patients with exacerbations of COPD, clinicians should be aware of some key points: management of exacerbations is broadly based on clinical features and severity. Initial clinical evaluation is crucial to define those patients requiring hospital admission and those who could be managed as outpatients. In hospitalized patients, the appropriate level of care should be determined by the initial severity and response to initial medical treatment. Medical treatment should follow recent recommendations, including rest, titrated oxygen therapy, inhaled or nebulized short-acting bronchodilators (Beta2-agonists and anticholinergic agents), DVT prevention with LMWH, steroids in most severely ill patients, unless there are contraindications and antibiotics in the case of a clear bacterial infectious aetiology. Severe exacerbations may lead to acute hypercapnic respiratory failure. Unless contraindicated, non-invasive ventilation (NIV) should be the first line ventilatory support for these patients. NIV should be commenced early, before severe acidosis ensues, to avoid the need for endotracheal intubation and to reduce mortality and treatment failures. Several randomised controlled clinical trials support the use of NIV in the management of acute exacerbations of COPD, demonstrating a decreased need for mechanical ventilation and an improved survival. In most severe cases, NIV should be provided in ICU. Although it has been shown that for less severe patients (with pH values>7.30), NIV can be administered safely and effectively on general medical wards, a lead respiratory consultant and trained nurses are mandatory. Mechanical ventilation through an endotracheal tube should be considered when patients have contraindications to the use of NIV or fail to improve on NIV. The duration of mechanical ventilation should be shortened as much as

  12. Teratogenicity of asbestos in mice.

    PubMed

    Fujitani, Tomoko; Hojo, Motoki; Inomata, Akiko; Ogata, Akio; Hirose, Akihiko; Nishimura, Tetsuji; Nakae, Dai

    2014-04-01

    Possible teratogenicity of 3 different asbestos (crocidolite, chrysotile and amosite) was assessed in CD1(ICR) mice. Dams on day 9 of gestation were given a single intraperitoneal administration at dose of 40 mg/kg body weight of asbestos suspended in 2% sodium carboxymethyl cellulose solution in phosphate buffered saline, while dams in the control group were given vehicle (10 ml/kg body weight). Dams and fetuses were examined on day 18 of gestation. To compare with the control group, the mean percentage of live fetuses in implantations in the group given crocidolite and the incidence of dams with early dead fetuses in the groups given chrysotile or amosite were increased. While no external or skeletal malformation was observed in the control group, the incidence of external malformation (mainly reduction deformity of limb) in the group given amosite, and the incidences of skeletal malformation (mainly fusion of vertebrae) in the all dosed groups were significantly increased. The result indicated that asbestos (crocidolite, chrysotile and amosite) have fetotoxicity and teratogenicity in mice.

  13. Prevention of Asbestos-Related Disease in Countries Currently Using Asbestos.

    PubMed

    Marsili, Daniela; Terracini, Benedetto; Santana, Vilma S; Ramos-Bonilla, Juan Pablo; Pasetto, Roberto; Mazzeo, Agata; Loomis, Dana; Comba, Pietro; Algranti, Eduardo

    2016-05-12

    More than 40 years of evaluation have consistently confirmed the carcinogenicity of asbestos in all of its forms. This notwithstanding, according to recent figures, the annual world production of asbestos is approximatively 2,000,000 tons. Currently, about 90% of world asbestos comes from four countries: Russia, China, Brazil and Kazakhstan; and the wide use of asbestos worldwide represents a global threat. The purpose of this paper is to present a review of the asbestos health impact and to discuss the role of epidemiological investigations in countries where asbestos is still used. In these contexts, new, "local" studies can stimulate awareness of the size of the problem by public opinion and other stakeholders and provide important information on the circumstances of exposure, as well as local asbestos-related health impacts. This paper suggests an agenda for an international cooperation framework dedicated to foster a public health response to asbestos, including: new epidemiological studies for assessing the health impact of asbestos in specific contexts; socio-cultural and economic analyses for contributing to identifying stakeholders and to address both the local and global implications of asbestos diffusion; public awareness on the health and socio-economic impact of asbestos use and banning.

  14. Prevention of Asbestos-Related Disease in Countries Currently Using Asbestos

    PubMed Central

    Marsili, Daniela; Terracini, Benedetto; Santana, Vilma S.; Ramos-Bonilla, Juan Pablo; Pasetto, Roberto; Mazzeo, Agata; Loomis, Dana; Comba, Pietro; Algranti, Eduardo

    2016-01-01

    More than 40 years of evaluation have consistently confirmed the carcinogenicity of asbestos in all of its forms. This notwithstanding, according to recent figures, the annual world production of asbestos is approximatively 2,000,000 tons. Currently, about 90% of world asbestos comes from four countries: Russia, China, Brazil and Kazakhstan; and the wide use of asbestos worldwide represents a global threat. The purpose of this paper is to present a review of the asbestos health impact and to discuss the role of epidemiological investigations in countries where asbestos is still used. In these contexts, new, “local” studies can stimulate awareness of the size of the problem by public opinion and other stakeholders and provide important information on the circumstances of exposure, as well as local asbestos-related health impacts. This paper suggests an agenda for an international cooperation framework dedicated to foster a public health response to asbestos, including: new epidemiological studies for assessing the health impact of asbestos in specific contexts; socio-cultural and economic analyses for contributing to identifying stakeholders and to address both the local and global implications of asbestos diffusion; public awareness on the health and socio-economic impact of asbestos use and banning. PMID:27187433

  15. Asbestos related diseases among workers of asbestos processing plants in relation to type of production and asbestos use.

    PubMed

    Szeszenia-Dąbrowska, Neonila; Świątkowska, Beata; Sobala, Wojciech; Szubert, Zuzanna; Wilczyńska, Urszula

    2015-01-01

    Asbestos dust is one of the most dangerous pneumoconiotic and carcinogenic agents. The aim of this study was to assess the occurrence of asbestosis and pleural mesothelioma, depending on asbestos consumption and the type of manufactured products, among former asbestos workers in Poland. The study subjects included employees of 18 large state-owned asbestos processing enterprises operating in the Polish market in 1945-1998. The study is based on data obtained from asbestos company records and the Central Register of Occupational Diseases data on the cases of asbestosis and mesothelioma for the period from 1970 till 2012 as well as data from Amiantus Programme. The analysis was performed for 5 sectors comprising plants classified according to the products manufactured and applied production technology. In the study period, 2160 cases of asbestosis and 138 cases of mesothelioma were reported. The plants processed a total of about 2 million tons of asbestos, including about 7.5% of crocidolite. Total asbestosis consumption was a strong predictor of the rate of asbestosis incidence (R2 = 0.68, p = 0.055). The highest risk occurrence of asbestosis was observed in the production of textiles and sealing products. Mesothelioma occurred only in plants where crocidolite had been ever processed. Total asbestos consumption was a strong predictor of the rate of asbestosis incidence. The observation confirms the relationship between exposure to crocidolite and the occurrence of mesothelioma, regardless of the manufactured products, and suggests the absence of such a link for the total volume of asbestos consumption.

  16. Monitoring Natural Occurring Asbestos in ophiolite sequences and derived soils: implication with human activities

    NASA Astrophysics Data System (ADS)

    Punturo, Rosalda; Bloise, Andrea; Cirrincione, Rosolino

    2016-04-01

    The present contribution focuses on soils that developed on serpentinite-metabasite bedrocks, which could potentially be rich in asbestos minerals and, as a consequence, have a negative impact on agricultural activity and on environmental quality. In order to investigate the natural occurrences of asbestos (NOA) on the surface of the soil formed from serpentinites and metabasite, we selected a study area located in Sila Piccola (Calabrian Peloritani Orogen, southern Italy), where previous studies highlighted the presence of asbestiform minerals within the large ophiolitic sequences that crop out (Punturo et al., 2015; Bloise et al., 2015). Agricultural soil samples have been collected mainly close to urban centres and characterized by using different analytical techniques such as X-ray powder diffraction (XRPD), transmission electron microscopy combined with energy dispersive spectrometry (TEM-EDS), thermogravimetry (TG) and differential scanning calorimetry (DSC) Results pointed out as all the collected soil samples contain serpentine minerals (e.g., chrysotile), asbestos amphiboles, clays, chlorite, muscovite, plagioclase and iron oxides in various amounts. Electron microscope images of the soils show that their contain a variety of aggregating agents such as organic matter and clay in which individual fibres of chrysotile and tremolite-actinolite are trapped. The investigation showed that both serpentinite and metabasite rocks act as a perennial source of contamination for the agriculture lands because of the high amount of tremolite-actinolite found in the studied soil samples developed on such lithotypes. Even if asbestiform minerals usually occur in aggregates which cannot be suspended in the air, agricultural activities such as plowing can destroy these soil aggregates with the creation of dust containing inhalable asbestos fibres that evolve into airborne increasing the exposure of population to them. Since the dispersion of fibres could be associated with

  17. Predictors of incorrect inhalation technique in patients with asthma or COPD: a study using a validated videotaped scoring method.

    PubMed

    Rootmensen, Geert N; van Keimpema, Anton R J; Jansen, Henk M; de Haan, Rob J

    2010-10-01

    Inadequate technique reduces the effects of inhalation medication. Errors in inhalation technique have been reported to range up to 85%. Not only various patients' characteristics but also the device has an effect on correct inhalation technique. The purpose of this study was to determine the effect of patients' characteristics and type of inhaler device on inhalation technique in patient with asthma or chronic obstructive pulmonary disease (COPD). A validated scoring method was used that consisted of triple viewing of video-recorded inhalations, using device-specific checklists. The following patient characteristics were investigated: gender, age, education level, diagnosis, treatment by a pulmonary physician, previously received inhalation instruction, exacerbation frequency, knowledge, self-management competence, pulmonary function, and use of multiple inhaler devices. Chi-square statistics were used for univariate associations between potential determinants and correctness of inhalation technique. Relevant determinants were entered into a multivariate logistic regression model. Moreover, inhalation technique errors were examined for six inhaler devices: three prefilled dry powder inhalers, one single-dose dry powder inhaler, a pressurized metered-dose inhaler (pMDI) and a pMDI with a spacer. Overall, 40% of the patients made at least one essential mistake in their inhalation technique. Patients who never received inhalation instruction and patients who used more than one inhaler device made significantly more errors (odds ratio both 2.2). Comparison between devices showed that a correct inhalation technique most likely occurred with the use of prefilled dry powder devices. Incorrect inhalation technique is common among asthma and COPD patients in a pulmonary outpatient clinic. Our study suggests that the use of prefilled dry powder inhalers as well as inhalation instruction increases correct inhalation technique. Simultaneous use of different types of

  18. Report on cancer risks associated with the ingestion of asbestos. DHHS Committee to Coordinate Environmental and Related Programs.

    PubMed Central

    1987-01-01

    This report is an assessment of all available literature that pertains to the potential risk of cancer associated with ingestion of asbestos. It was compiled by a working group to assist policy makers in the Department of Health and Human Services determine if adequate information was available for a definitive risk assessment on this potential problem and evaluate if the weight of evidence was sufficient to prioritize this issue for new policy recommendations. The work group considered the basis for concern over this problem, the body of toxicology experiments, the individual epidemiologic studies which have attempted to investigate this issue, and the articles that discuss components of risk assessment pertaining to the ingestion of asbestos. In the report, the work group concluded: that no direct, definitive risk assessment can be conducted at this time; that further epidemiologic investigations will be very costly and only possess sufficient statistical power to detect relatively large excesses in cancers related to asbestos ingestion; and that probably the most pertinent toxicologic experiments relate to resolving the differences in how inhaled asbestos, which is eventually swallowed, is biologically processed by humans, compared to how ingested asbestos is processed. The work group believes that the cancer risk associated with asbestos ingestion should not be perceived as one of the most pressing potential public health hazards facing the nation. However, the work group does not believe that information was sufficient to assess the level of cancer risk associated with the ingestion and therefore, this potential hazard should not be discounted, and ingestion exposure to asbestos should be eliminated whenever possible. PMID:3304998

  19. Asbestos release during removal of resilient floor covering materials by recommended work practices of the resilient floor covering institute.

    PubMed

    Williams, Marion Glenn; Crossman, Robert N

    2003-06-01

    The release of asbestos during maintenance and removal of resilient floor covering is of concern to health professionals and many regulators. This study assesses the asbestos levels observed during removal of resilient floor covering products using the "Recommended Work Practices" (1995) of the Resilient Floor Covering Institute or other methods requiring containment (Controls). The 1995 "work practices" require wet removal or dry heat removal but do not require the use of respirators. Wet removals of sheet vinyl/separated backing, 12" x 12" vinyl asbestos tile/mastic, and 9" x 9" asphalt tiles/mastic were conducted and the air was sampled during each procedure. Settled dust samples were collected at the sites of RFCI square tile removal and pieces of each type of tile were broken in a mini-enclosure to evaluate asbestos emissions. Analyses of the air samples collected during the removals showed that the RFCI methods did not produce asbestos counts significantly different from the Control methods requiring containment. Only a small number (0.7%) of fibers and structures, counted and measured by Analytical Transmission Electron Microscopy, would have been counted using the rules for Phase Contrast Microscopy in the 7400 method specified by Occupational Safety and Health Administration regulations. This indicates workers in similar situations without respirators are likely to have unknown exposure levels. A high percentage of these fibers and structures are 5 micrometers or less in length, smaller than 0.5 micrometer in diameter, and are easily inhaled. The RFCI air sample and settled dust data may cause regulators to consider requiring respiratory protection, cleanup procedures, and methods to control asbestos migration. Other areas that might be addressed are clearance levels and their measurement, removal area size, bulk sample analysis by transmission electron microscopy if polarized light microscopy reports less than 1 percent asbestos, better worker exposure

  20. Report on cancer risks associated with the ingestion of asbestos. DHHS Committee to Coordinate Environmental and Related Programs

    SciTech Connect

    Not Available

    1987-06-01

    This report is an assessment of all available literature that pertains to the potential risk of cancer associated with ingestion of asbestos. It was compiled by a working group to assist policy makers in the Department of Health and Human Services determine if adequate information was available for a definitive risk assessment on this potential problem and evaluate if the weight of evidence was sufficient to prioritize this issue for new policy recommendations. The work group considered the basis for concern over this problem, the body of toxicology experiments, the individual epidemiologic studies which have attempted to investigate this issue, and the articles that discuss components of risk assessment pertaining to the ingestion of asbestos. In the report, the work group concluded: that no direct, definitive risk assessment can be conducted at this time; that further epidemiologic investigations will be very costly and only possess sufficient statistical power to detect relatively large excesses in cancers related to asbestos ingestion; and that probably the most pertinent toxicologic experiments relate to resolving the differences in how inhaled asbestos, which is eventually swallowed, is biologically processed by humans, compared to how ingested asbestos is processed. The work group believes that the cancer risk associated with asbestos ingestion should not be perceived as one of the most pressing potential public health hazards facing the nation. However, the work group does not believe that information was sufficient to assess the level of cancer risk associated with the ingestion and therefore, this potential hazard should not be discounted, and ingestion exposure to asbestos should be eliminated whenever possible. 70 references.

  1. ALTERNATIVE ASBESTOS CONTROL METHOD (AACM) AT GEBO

    EPA Science Inventory

    This presentation describes the status to date of the AACM research, which is intended as a possible alternative technology for use in the demolition of buildings that contain asbestos and are covered under the regulatory requirements of the Asbestos NESHAP. This abstract and pr...

  2. 29 CFR 1910.1001 - Asbestos.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 6 2011-07-01 2011-07-01 false Asbestos. 1910.1001 Section 1910.1001 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS (CONTINUED) Toxic and Hazardous Substances § 1910.1001 Asbestos. (a) Scope and application. (1) This...

  3. 29 CFR 1910.1001 - Asbestos.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 6 2010-07-01 2010-07-01 false Asbestos. 1910.1001 Section 1910.1001 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS (CONTINUED) Toxic and Hazardous Substances § 1910.1001 Asbestos. (a) Scope and application. (1) This...

  4. ASBESTOS IN DRINKING WATER PERFORMANCE EVALUATION STUDIES

    EPA Science Inventory

    Performance evaluations of laboratories testing for asbestos in drinking water according to USEPA Test Method 100.1 or 100.2 are complicated by the difficulty of providing stable sample dispersions of asbestos in water. Reference samples of a graduated series of chrysotile asbes...

  5. ASBESTOS IN DRINKING WATER PERFORMANCE EVALUATION STUDIES

    EPA Science Inventory

    Performance evaluations of laboratories testing for asbestos in drinking water according to USEPA Test Method 100.1 or 100.2 are complicated by the difficulty of providing stable sample dispersions of asbestos in water. Reference samples of a graduated series of chrysotile asbest...

  6. Asbestos and Asbestosis. LC Science Tracer Bullet.

    ERIC Educational Resources Information Center

    Alderson, Karen L., Comp.

    Asbestos is a naturally occurring mineral found in several forms and because of its temperature-resisting properties, flexibility, and strength, it was widely used in the construction industry, automobile industry, and textile industry. Asbestos becomes dangerous when it crumbles and breaks releasing fibers that can cause asbestosis and certain…

  7. Asbestos-related diseases in automobile mechanics

    PubMed Central

    Ameille, Jacques; Rosenberg, Nicole; Matrat, Mireille; Descatha, Alexis; Mompoint, Dominique; Hamzi, Lounis; Atassi, Catherine; Vasile, Manuela; Garnier, Robert; Pairon, Jean-Claude

    2012-01-01

    Purpose Automobile mechanics have been exposed to asbestos in the past, mainly due to the presence of chrysotile asbestos in brakes and clutches. Despite the large number of automobile mechanics, little is known about the non-malignant respiratory diseases observed in this population. The aim of this retrospective multicenter study was to analyze the frequency of pleural and parenchymal abnormalities on HRCT in a population of automobile mechanics. Methods The study population consisted of 103 automobile mechanics with no other source of occupational exposure to asbestos, referred to three occupational health departments in the Paris area for systematic screening of asbestos–related diseases. All subjects were examined by HRCT and all images were reviewed separately by two independent readers, with further consensus in the case of disagreement. Multiple logistic regression models were constructed to investigate factors associated with pleural plaques. Results Pleural plaques were observed in 5 cases (4.9%) and interstitial abnormalities consistent with asbestosis were observed in 1 case. After adjustment for age, smoking status, and a history of non-asbestos-related respiratory diseases, multiple logistic regression models showed a significant association between the duration of exposure to asbestos and pleural plaques. Conclusions The asbestos exposure experienced by automobile mechanics may lead to pleural plaques. The low prevalence of non-malignant asbestos-related diseases, using a very sensitive diagnostic tool, is in favor of a low cumulative exposure to asbestos in this population of workers. PMID:21965465

  8. 30 CFR 71.702 - Asbestos standard.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MANDATORY HEALTH STANDARDS-SURFACE COAL MINES AND SURFACE WORK AREAS OF UNDERGROUND COAL MINES Airborne... personal exposure to asbestos shall not exceed an 8-hour time-weighted average full-shift airborne... any time to airborne concentrations of asbestos in excess of 1 fiber per cubic centimeter of air (f/cc...

  9. Guidelines for catastrophic emergency situations involving asbestos

    SciTech Connect

    Not Available

    1992-02-01

    These guidelines are intended to assist regional, state, and local agencies in managing potential asbestos hazards resulting from a catastrophic accident or disaster. The guidelines may be used as a reference for advanced planning or, once the emergency presents itself, to help ensure that, to the extent feasible and compatible with other emergency measures, all appropriate steps are taken to safely handle and dispose of all asbestos, while avoiding unnecessary exposures to asbestos. The guidelines provide information that may be helpful to EPA Regional offices and delegated NESHAP agencies that must respond to emergencies involving asbestos. The guidelines review the experiences of EPA Regional and state enforcement agencies in dealing with asbestos during recent emergencies. Information is included on statutes and regulations that may be applicable in emergency situations, including the emergency provisions of the asbestos NESHAP. Lines of communication within EPA and between EPA and emergency management agencies are discussed. A list of contacts responsible at the state level for emergency and disaster activities is provided. Information is provided to help identify potential sources of asbestos releases, and factors are identified that should be considered in planning for the cleanup and disposal of asbestos.

  10. Asbestos in Buildings: What You Should Know.

    ERIC Educational Resources Information Center

    Safe Buildings Alliance, Washington, DC.

    Thirty-one critical questions about asbestos, its use in school buildings, and the risks it poses to health are answered in this booklet. Issued by the Safe Buildings Alliance, an incorporated association of manufacturers that once supplied asbestos-containing materials for building construction, the booklet's purpose is to provide information…

  11. 30 CFR 71.702 - Asbestos standard.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) using the OSHA Reference Method in OSHA's asbestos standard found in 29 CFR 1910.1001, Appendix A, or a... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Asbestos standard. 71.702 Section 71.702... MANDATORY HEALTH STANDARDS-SURFACE COAL MINES AND SURFACE WORK AREAS OF UNDERGROUND COAL MINES Airborne...

  12. Pleural mesothelioma and neighborhood asbestos exposure

    SciTech Connect

    Fischbein, A.; Rohl, A.N.

    1984-07-06

    Widespread use and occupational exposure to asbestos in US shipyards, particularly during World War II, is one reason for the currently high incidence of asbestos-related diseases, including lung cancer and mesothelioma. There is typically a long latency period between asbestos exposure and resulting disease. A case report is presented which lends additional credence to the earlier suggestion that exposure to asbestos in the neighborhood of the shipyard may be related to the development of malignant mesothelioma in this particular patient. The identification of amosite asbestos fibers in the lung tissue of the patient provides plausible evidence for this etiologic connection. Amosite asbestos is not found in the lungs of persons from the general population, and its occurrence, therefore, indicates either an occupational exposure or an exposure to a specific environmental source. Although only a very small portion of the total amount of asbestos used consists of amosite, this asbestos type is commonly used in shipbuilding and repair and was used a great deal in the shipyard adjacent to which our patient worked.

  13. Epidemiology of asbestos-related diseases

    SciTech Connect

    Dement, J.M.

    1981-07-01

    Although there were several anecdotal reports from earlier times, the first well documented case of asbestosis was reported in 1906 in a worker engaged in the production of asbestos textiles. In 1917 a report of ten cases of pulmonary fibrosis occurring at a Pennsylvania facility was published. The first detailed epidemiologic study of asbestos workers was undertaken in Great Britain in 1928. The first indication that asbestos might be a human carcinogen came in 1935 with the report of three independently diagnosed cases of lung cancer detected during autopsy of asbestos workers. Epidemiologic studies have now repeatedly demonstrated an association between asbestos exposure and increased mortality due to asbestosis, lung cancer, pleural and peritoneal mesothelioma, and gastrointestinal cancer. In some studies asbestos exposure has also been associated with increased risks for laryngeal cancer and cancer of the buccal cavity and pharynx. Studies which have been concerned with exposure to crocidolite, amosite, anthophyllite, tremolite, and chrysotile were highlighted. Other topics reviewed included asbestos contamination of other minerals, the combined effects of asbestos exposure and tobacco smoke, mortality and pleural radiographic changes, and mixed fiber exposures.

  14. Asbestos in Buildings: What You Should Know.

    ERIC Educational Resources Information Center

    Safe Buildings Alliance, Washington, DC.

    Thirty-one critical questions about asbestos, its use in school buildings, and the risks it poses to health are answered in this booklet. Issued by the Safe Buildings Alliance, an incorporated association of manufacturers that once supplied asbestos-containing materials for building construction, the booklet's purpose is to provide information…

  15. ALTERNATIVE ASBESTOS CONTROL METHOD (AACM) AT GEBO

    EPA Science Inventory

    This presentation describes the status to date of the AACM research, which is intended as a possible alternative technology for use in the demolition of buildings that contain asbestos and are covered under the regulatory requirements of the Asbestos NESHAP. This abstract and pr...

  16. 30 CFR 71.702 - Asbestos standard.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... concentration of 0.1 fiber per cubic centimeter of air (f/cc). (2) Excursion limit. No miner shall be exposed at any time to airborne concentrations of asbestos in excess of 1 fiber per cubic centimeter of air (f/cc... concentration. Potential asbestos fiber concentration shall be determined by phase contrast microscopy (PCM...

  17. 30 CFR 71.702 - Asbestos standard.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... concentration of 0.1 fiber per cubic centimeter of air (f/cc). (2) Excursion limit. No miner shall be exposed at any time to airborne concentrations of asbestos in excess of 1 fiber per cubic centimeter of air (f/cc... concentration. Potential asbestos fiber concentration shall be determined by phase contrast microscopy (PCM...

  18. 29 CFR 1910.1001 - Asbestos.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 6 2013-07-01 2013-07-01 false Asbestos. 1910.1001 Section 1910.1001 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS (CONTINUED) Toxic and Hazardous Substances § 1910.1001 Asbestos. (a) Scope and application. (1) This...

  19. 29 CFR 1910.1001 - Asbestos.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 6 2014-07-01 2013-07-01 true Asbestos. 1910.1001 Section 1910.1001 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS (CONTINUED) Toxic and Hazardous Substances § 1910.1001 Asbestos. (a) Scope and application. (1) This...

  20. 29 CFR 1910.1001 - Asbestos.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 6 2012-07-01 2012-07-01 false Asbestos. 1910.1001 Section 1910.1001 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS (CONTINUED) Toxic and Hazardous Substances § 1910.1001 Asbestos. (a) Scope and application. (1) This...

  1. Asbestos exposure and upper lobe involvement

    SciTech Connect

    Hillerdal, G.

    1982-12-01

    In a study of 1,251 persons with asbestos-related pleural and parenchymal changes, 16 had slowly progressive changes of the upper lobes, involving both pleura and parenchyma, with shrinkage of the lobes. In addition there were 41 cases with less advanced apical changes. Tuberculosis and other possible causes were excluded. It is hypothesized that the changes rate due to asbestos disease.

  2. Characterization of Asbestos Construction Products at Naval Shore Facilities.

    DTIC Science & Technology

    1980-05-01

    in building construction usually are a blend of 5% to 95% asbestos fibers combined with vermiculite, sand, mineral fibers , bentonite clay binders , or... roofing shingles , corrugated sheets, facings of acoustical products, laboratory table tops, electrical conduits, and laminated panels. Asbestos-cement...probably was never used in Navy construction. However, asbestos siding shingles have been used extensively on wood frame buildings. Asbestos roofing

  3. What You Should Know about Asbestos Health Hazards.

    ERIC Educational Resources Information Center

    PTA Today, 1986

    1986-01-01

    The presence of asbestos health hazards in the schools is particulary serious since children exposed to asbestos are more likely to develop cancer than adults similarly exposed. Health risks of asbestos, scope of the problem, and asbestos testing are discussed. (DF)

  4. Asbestos: Rationale Behind a Proposed Air Quality Standard

    ERIC Educational Resources Information Center

    Bruckman, Leonard; Rubino, Robert A.

    1975-01-01

    This article proposes an asbestos air quality standard for Connecticut lower than proposed Federal regulation. Data are given relating mesothelioma incidence to occupational and non-occupational asbestos exposure. New standards lower asbestos emissions from manufacturing operations thus reducing possible asbestos-related fatalities. Rebuttals and…

  5. What You Should Know about Asbestos Health Hazards.

    ERIC Educational Resources Information Center

    PTA Today, 1986

    1986-01-01

    The presence of asbestos health hazards in the schools is particulary serious since children exposed to asbestos are more likely to develop cancer than adults similarly exposed. Health risks of asbestos, scope of the problem, and asbestos testing are discussed. (DF)

  6. Asbestos: Rationale Behind a Proposed Air Quality Standard

    ERIC Educational Resources Information Center

    Bruckman, Leonard; Rubino, Robert A.

    1975-01-01

    This article proposes an asbestos air quality standard for Connecticut lower than proposed Federal regulation. Data are given relating mesothelioma incidence to occupational and non-occupational asbestos exposure. New standards lower asbestos emissions from manufacturing operations thus reducing possible asbestos-related fatalities. Rebuttals and…

  7. No meeting of the minds on asbestos

    SciTech Connect

    Not Available

    1991-11-15

    The debate on the health hazards of asbestos has become so polarized that researchers from one camp no longer go to the other camp's meetings. One view suggests that a spate of asbestos-triggered diseases would strike thousands of construction workers, firemen, custodians, and other people exposed to microscopic asbestos fibers that crumble from building and pipe insulation, brake pads, and hundreds of other sources. Other researchers believe that chrysotile asbestos, the most commonly used type in the US, poses relatively little health risk to the general public at the levels of exposure generally encountered, and that expensive removal of properly maintained asbestos-containing materials such as insulation and cement is not warranted.

  8. Asbestos-Related Disease in South Africa

    PubMed Central

    Braun, Lundy; Kisting, Sophia

    2006-01-01

    South Africa was the third largest exporter of asbestos in the world for more than a century. As a consequence of particularly exploitative social conditions, former workers and residents of mining regions suffered—and continue to suffer—from a serious yet still largely undocumented burden of asbestos-related disease. This epidemic has been invisible both internationally and inside South Africa. We examined the work environment, labor policies, and occupational-health framework of the asbestos industry in South Africa during the 20th century. In a changing local context where the majority of workers were increasingly disenfranchised, unorganized, excluded from skilled work, and predominantly rural, mining operations of the asbestos industry not only exposed workers to high levels of asbestos but also contaminated the environment extensively. PMID:16809596

  9. Respiratory effects of occupational exposure to asbestos.

    PubMed

    Mukhtar, M S; Rao, G M

    1996-01-01

    Ventilatory capacities of 73 Libyan men working in the Asbestos-Cement Pipe factory in Jenzur, a residential area near Tripoli, Libya and those of 73 age-matched healthy Libyan men unexposed to asbestos were determined. The mean values of forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) for men unexposed to asbestos were 3.89 +/- 0.084 and 3.64 +/- 0.082 liters respectively. The respective values for men exposed to asbestos were 3.62 +/- 0.082 and 3.29 +/- 0.097 liters. Thus, there has been a significant decrease in the ventilatory function of the men exposed to asbestos as compared with age-matched unexposed counterparts.

  10. Environmental asbestos exposure sources in Korea.

    PubMed

    Kang, Dong-Mug; Kim, Jong-Eun; Kim, Ju-Young; Lee, Hyun-Hee; Hwang, Young-Sik; Kim, Young-Ki; Lee, Yong-Jin

    2016-10-01

    Because of the long asbestos-related disease latencies (10-50 years), detection, diagnosis, and epidemiologic studies require asbestos exposure history. However, environmental asbestos exposure source (EAES) data are lacking. To survey the available data for past EAES and supplement these data with interviews. We constructed an EAES database using a literature review and interviews of experts, former traders, and workers. Exposure sources by time period and type were visualized using a geographic information system (ArcGIS), web-based mapping (Google Maps), and OpenWeatherMap. The data were mounted in the GIS to show the exposure source location and trend. The majority of asbestos mines, factories, and consumption was located in Chungnam; Gyeonggi, Busan, and Gyeongnam; and Gyeonggi, Daejeon, and Busan, respectively. Shipbuilding and repair companies were mostly located in Busan and Gyeongnam. These tools might help evaluate past exposure from EAES and estimate the future asbestos burden in Korea.

  11. Asbestos and Asbestos-related Diseases in Vietnam: In reference to the International Labor Organization/World Health Organization National Asbestos Profile

    PubMed Central

    Pham, Van Hai; Lan Tran, Thi Ngoc; Le, Giang Vinh; Movahed, Mehrnoosh; Jiang, Ying; Pham, Nguyen Ha; Ogawa, Hisashi; Takahashi, Ken

    2013-01-01

    This paper describes progress on formulating a national asbestos profile for the country of Vietnam. The Center of Asbestos Resource, Vietnam, formulated a National Profile on Asbestos-related Occupational Health, with due reference to the International Labor Organization/World Health Organization National Asbestos Profile. The Center of Asbestos Resource was established by the Vietnamese Health Environment Management Agency and the National Institute of Labor Protection, with the support of the Australian Agency for International Development, as a coordinating point for asbestos-related issues in Vietnam. Under the National Profile on Asbestos-related Occupational Health framework, the Center of Asbestos Resource succeeded in compiling relevant information for 15 of the 18 designated items outlined in the International Labor Organization/World Health Organization National Asbestos Profile, some overlaps of the information items notwithstanding. Today, Vietnam continues to import and use an average of more than 60,000 metric tons of raw asbestos per year. Information on asbestos-related diseases is limited, but the country has begun to diagnose mesothelioma cases, with the technical cooperation of Japan. As it stands, the National Profile on Asbestos-related Occupational Health needs further work and updating. However, we envisage that the National Profile on Asbestos-related Occupational Health will ultimately facilitate the smooth transition to an asbestos-free Vietnam. PMID:23961336

  12. [Inhalant-related disorder].

    PubMed

    Mizuhara, Yuki; Tsuchida, Hideto; Fukui, Kenji

    2010-08-01

    Inhalant abuse and dependence are prevalent in adolescent population because inhalants are inexpensive, legal and accessible substance for youth. In Japan, the prevalence of inhalant abuse and dependence is gradually declining in these days, although inhalants can still become a "gateway drug" to other dependent substances such as cocaine and cannabinoids. Inhalant abuse causes show serious mental and somatic symptoms, and mortality in acute and chronic phases, while the abusers are ignorant about it. This paper reviews recent studies that investigate the symptoms and the treatments of inhalant abuse and dependence.

  13. Inhalation Therapy in Horses.

    PubMed

    Cha, Mandy L; Costa, Lais R R

    2017-04-01

    This article discusses the benefits and limitations of inhalation therapy in horses. Inhalation drug therapy delivers the drug directly to the airways, thereby achieving maximal drug concentrations at the target site. Inhalation therapy has the additional advantage of decreasing systemic side effects. Inhalation therapy in horses is delivered by the use of nebulizers or pressured metered dose inhalers. It also requires the use of a muzzle or nasal mask in horses. Drugs most commonly delivered through inhalation drug therapy in horses include bronchodilators, antiinflammatories, and antimicrobials.

  14. Evaluation of asbestos levels in two schools before and after asbestos removal. Final report

    SciTech Connect

    Karaffa, M.A.; Chesson, J.; Russell, J.

    1989-03-01

    This report presents a statistical evaluation of airborne asbestos data collected at two schools before and after removal of asbestos-containing material (ACM). Although the monitoring data are not totally consistent with new Asbestos Hazard Emergency Response Act (AHERA) requirements and recent EPA guidelines, the study evaluates these historical data by standard statistical methods to determine if abated work areas meet proposed clearance criteria. The objectives of this statistical analysis were to compare (1) airborne asbestos levels indoors after removal with levels outdoors, (2) airborne asbestos levels before and after removal of asbestos, and (3) static sampling and aggressive sampling of airborne asbestos. The results of this evaluation indicated the following: the effect of asbestos removal on indoor air quality is unpredictable; the variability in fiber concentrations among different sampling sites within the same building indicates the need to treat different sites as separate areas for the purpose of clearance; and aggressive sampling is appropriate for clearance testing because it captures more entrainable asbestos structures. Aggressive sampling lowers the chance of declaring a worksite clean when entrainable asbestos is still present.

  15. Release of asbestos fibers from weathered and corroded asbestos cement products

    SciTech Connect

    Spurny, K.R.

    1989-02-01

    The controversy on whether weathered and corroded asbestos cement products are emitting biologically significant asbestos fiber concentrations in ambient air has not been resolved. Nor is it known if the weathered and corroded asbestos cement products release asbestos fibers which have the same carcinogenic potency as standard chrysotile. The purpose of this research project was to develop a method for sampling and measuring asbestos fiber emissions from solid planar surfaces (i.e., roofs and facades) consisting of asbestos cement products and to develop methods for studying the physical and chemical changes and the carcinogenic potency of the emitted fibers. Using this method asbestos fiber emissions in ambient air have been measured in the FRG during 1984/1986. The emissions of asbestos fibers longer than 5 microns were in the range 10(6) to 10(8) fibers/m2.hr. The ambient air concentrations of these asbestos fibers were for the most part less than 10(3) fibers/m3. It was shown that the emitted asbestos fibers were chemically changed and it was shown with animal experiments that their carcinogenic potency did not differ from the carcinogenicity of standard chrysotile fibers.

  16. [Asbestos clinics and asbestos health examinations--findings from a questionnaire survey of implementing organizations].

    PubMed

    Nagao, Norihisa; Nishikawa, Kunihito; Kiyomoto, Yoshihumi; Todoroki, Miwako; Hoshuyama, Tsutomu; Takahashi, Ken

    2008-09-01

    In June 2005 the press reported that many former employees of a company which used asbestos, and individuals who lived near the company's factory, had been diagnosed with mesothelioma. This finding triggered concern and alarm in Japan. In response, many "asbestos clinics" were formed, and recognized medical institutions began to implement asbestos-related health examinations. We conducted a nationwide questionnaire survey to evaluate the activities in, and the challenges for, these medical institutions. We received 137 valid responses, more than half of which were from clinics and hospital-based "asbestos clinics" instigated after the "Kubota shock." Among the asbestos exposure history interviewing practices, job histories of the interviewee were prioritized, over place of residence, and possible exposure of family members. Standard questionnaires were utilized by over 70% of respondents. The practitioners reported problems with lack of manpower and evaluation of asbestos exposure. Examinees consulted attending physicians on a wide range of matters including asbestos-related diseases, asbestos exposure, and financial compensation. It is predicted that asbestos-related diseases in general, and mesothelioma in particular, will increase in the future. Accordingly, early detection and treatment should be accorded high priority. The organizations we surveyed have important roles to play. Although resources are limited, effective diagnosis and treatment are essential, and a system assisting organizations to make accurate and efficient identification of asbestos exposure hazards is imperative.

  17. Predictors of pulmonary exacerbations in patients with cystic fibrosis infected with multi‐resistant bacteria

    PubMed Central

    Block, J K; Vandemheen, K L; Tullis, E; Fergusson, D; Doucette, S; Haase, D; Berthiaume, Y; Brown, N; Wilcox, P; Bye, P; Bell, S; Noseworthy, M; Pedder, L; Freitag, A; Paterson, N; Aaron, S D

    2006-01-01

    Background This study examined characteristics of adult and adolescent patients with cystic fibrosis (CF) to determine factors associated with an increased risk of pulmonary exacerbations. Methods 249 patients with CF infected with multidrug resistant bacteria were recruited and prospectively followed for up to 4.5 years until they experienced a pulmonary exacerbation severe enough to require intravenous antibiotics. Multivariable regression analyses were used to compare the characteristics of patients who experienced an exacerbation with those who did not. Results 124 of the 249 patients (50%) developed a pulmonary exacerbation during the first year and 154 (62%) experienced an exacerbation during the 4.5 year study period. Factors predictive of exacerbations in a multivariable survival model were younger age (OR 0.98, 95% CI 0.96 to 0.99), female sex (OR 1.45, 95% CI 1.07 to 1.95), lower forced expiratory volume in 1 second (FEV1) (OR 0.98, 95% CI 0.97 to 0.99), and a previous history of multiple pulmonary exacerbations (OR 3.16, 95% CI 1.93 to 5.17). Chronic use of inhaled corticosteroids was associated with an increased risk of exacerbation (OR 1.92, 95% CI 1.00 to 3.71) during the first study year. Conclusions Patients who experience pulmonary exacerbations are more likely to be younger, female, using inhaled steroids, have a lower FEV1, and a history of multiple previous exacerbations. It is hoped that knowledge of these risk factors will allow better identification and closer monitoring of patients who are at high risk of exacerbations. PMID:16844728

  18. Evaluation of tremolite asbestos exposures associated with the use of commercial products.

    PubMed

    Finley, Brent L; Pierce, Jennifer S; Phelka, Amanda D; Adams, Rebecca E; Paustenbach, Dennis J; Thuett, Kerry A; Barlow, Christy A

    2012-02-01

    Tremolite is a noncommercial form of amphibole mineral that is present in some chrysotile, talc, and vermiculite deposits. Inhalation of asbestiform tremolite is suspected to have caused or contributed to an increased incidence of mesothelioma in certain mining settings; however, very little is known about the magnitude of tremolite exposure that occurred at these locations, and even less is known regarding tremolite exposures that might have occurred during consumer use of chrysotile, talc, and vermiculite containing products. The purpose of this analysis is to evaluate the exposure-response relationship for tremolite asbestos and mesothelioma in high exposure settings (mining) and to develop estimates of tremolite asbestos exposure for various product use scenarios. Our interpretation of the tremolite asbestos exposure metrics reported for the Thetford chrysotile mines and the Libby vermiculite deposits suggests a lowest-observed-adverse-effect level (LOAEL) for mesothelioma of 35-73 f/cc-year. Using measured and estimated airborne tremolite asbestos concentrations for simulated and actual product use, we conservatively estimated the following cumulative tremolite asbestos exposures: career auto mechanic: 0.028 f/cc-year; non-occupational use of joint compound: 0.0006 f/cc-year; non-occupational use of vermiculite-containing gardening products: 0.034 f/cc-year; home-owner removal of Zonolite insulation: 0.0002 f/cc-year. While the estimated consumer tremolite exposures are far below the tremolite LOAELs derived herein, this analysis examines only a few of the hundreds of chrysotile- and talc-containing products.

  19. COPD exacerbation: lost in translation.

    PubMed

    Makris, Demosthenes; Bouros, Demosthenes

    2009-01-29

    The introduction and acceptance of a standard definition for exacerbations of COPD can be helpful in prompt diagnosis and management of these events. The latest GOLD executive committee recognised this necessity and it has now included a definition of exacerbation in the guidelines for COPD which is an important step forward in the management of the disease. This definition is pragmatic and compromises the different approaches for exacerbation. However, the inclusion of the "healthcare utilisation" approach (".. may warrant a change in regular medication") in the definition may introduce in the diagnosis of exacerbation factors related to the access to health care services which may not be related to the underlying pathophysiological process which characterizes exacerbations. It should be also noted that the aetiology of COPD exacerbations has not yet been included in the current definition. In this respect, the definition does not acknowledge the fact that many patients with COPD may suffer from additional conditions (i.e. congestive cardiac failure or pulmonary embolism) that can masquerade as exacerbations but they should not be considered as causes of them. The authors therefore suggest that an inclusion of the etiologic factors of COPD exacerbations in the definition. Moreover, COPD exacerbations are characterized by increased airway and systemic inflammation and significant deterioration in lung function. These fundamental aspects should be accounted in diagnosis/definition of exacerbations. This could be done by the introduction of a "laboratory" marker in the diagnosis of these acute events. The authors acknowledge that the use of a test or a biomarker in the diagnosis of exacerbations meets certain difficulties related to performing lung function tests or to sampling during exacerbations. However, the introduction of a test that reflects airway or systemic inflammation in the diagnosis of exacerbations might be another step forward in the management of

  20. Diesel Exhaust Inhalation Increases Cardiac Output, Bradyarrhythmias, and Parasympathetic Tone in Aged Heart Failure-Prone Rats

    EPA Science Inventory

    Acute air pollutant inhalation is linked to adverse cardiac events and death, and hospitalizations for heart failure. Diesel exhaust (DE) is a major air pollutant suspected to exacerbate preexisting cardiac conditions, in part, through autonomic and electrophysiologic disturbance...

  1. Diesel Exhaust Inhalation Increases Cardiac Output, Bradyarrhythmias, and Parasympathetic Tone in Aged Heart Failure-Prone Rats

    EPA Science Inventory

    Acute air pollutant inhalation is linked to adverse cardiac events and death, and hospitalizations for heart failure. Diesel exhaust (DE) is a major air pollutant suspected to exacerbate preexisting cardiac conditions, in part, through autonomic and electrophysiologic disturbance...

  2. The Presence of Asbestos in the Natural Environment is Likely Related to Mesothelioma in Young Individuals and Women from Southern Nevada.

    PubMed

    Baumann, Francine; Buck, Brenda J; Metcalf, Rodney V; McLaurin, Brett T; Merkler, Douglas J; Carbone, Michele

    2015-05-01

    Inhalation of asbestos and other mineral fibers is known causes of malignant mesothelioma (MM) and lung cancers. In a setting of occupational exposure to asbestos, MM occurs four to eight times more frequently in men than in women, at the median age of 74 years, whereas an environmental exposure to asbestos causes the same number of MMs in men and women, at younger ages. We studied the geology of Nevada to identify mineral fibers in the environment. We compared MM mortality in different Nevada counties, per sex and age group, for the 1999 to 2010 period. We identified the presence of carcinogenic minerals in Nevada, including actinolite asbestos, erionite, winchite, magnesioriebeckite, and richterite. We discovered that, compared with the United States and other Nevada counties, Clark and Nye counties, in southern Nevada, had a significantly higher proportion of MM that occurred in young individuals (<55 years) and in women. The elevated percentage of women and individuals younger than 55 years old, combined with a sex ratio of 1:1 in this age group and the presence of naturally occurring asbestos, suggests that environmental exposure to mineral fibers in southern Nevada may be contributing to some of these mesotheliomas. Further research to assess environmental exposures should allow the development of strategies to minimize exposure, as the development of rural areas continues in Nevada, and to prevent MM and other asbestos-related diseases.

  3. The presence of asbestos in the natural environment is likely related to mesothelioma in young individuals and women from Southern Nevada

    PubMed Central

    Baumann, Francine; Buck, Brenda J.; Metcalf, Rodney V.; McLaurin, Brett T.; Merkler, Doug; Carbone, Michele

    2015-01-01

    Background Inhalation of asbestos and other mineral fibers are known causes of malignant mesothelioma (MM) and lung cancers. In a setting of occupational exposure to asbestos, MM occurs 4–8 times more frequently in men than in women, at the median age of 74 years, while an environmental exposure to asbestos causes the same number of MMs in men and women, at younger ages. Methods We studied the geology of Nevada to identify mineral fibers in the environment. We compared MM mortality in different Nevada Counties, per sex and age group, for the 1999–2010 period. Results We identified the presence of carcinogenic minerals in Nevada, including actinolite asbestos, erionite, winchite, magnesioriebeckite and richterite. We discovered that, compared with the US and other Nevada counties, Clark and Nye counties, in southern Nevada, had a significantly higher proportion of MM that occurred in young individuals (<55 years) and in women. Conclusions The elevated percentage of women and individuals younger than 55 years old, combined with a sex ratio of 1:1 in this age group and the presence of naturally occurring asbestos, suggests that environmental exposure to mineral fibers in southern Nevada may be contributing to some of these mesotheliomas. Further research to assess environmental exposures should allow the development of strategies to minimize exposure, as the development of rural areas continues in Nevada, and to prevent MM and other asbestos-related diseases. PMID:25668121

  4. Smoke inhalation injury

    NASA Astrophysics Data System (ADS)

    Birky, M.

    The cause of death by fires was studied. The present results and information are, however, not enough to reduce loss of life or inhalation injury. The magnitude and type of inhalation injury for civilians and firefighters represents the most inadequately defined human element of accidental fires. Little information is available on compounds other than carbon monoxide, which are responsible for respiration injury or toxicological syndrome. Effective treatment methods for inhalation victims and studies on fatalities, inhalation injury and animals are suggested.

  5. Asbestos in drinking water: a status report.

    PubMed

    Cotruvo, J A

    1983-11-01

    The conference is briefly reviewed in the light of its impact on future regulatory decisions regarding the possible control of asbestos fiber in drinking water. The results of animal feeding studies indicate that asbestos fails to demonstrate toxicity in whole-animal lifetime exposures. The epidemiologic evidence of risk from ingestion of water containing asbestos fibers is not convincing, and in view of the lack of confirmation by animal studies, the existence of a risk has not been proven; however occupational gastrointestinal cancer may indicate ingestion risk. Whether or not there is a risk from asbestos in drinking water, however, common sense tells us to deal with an undesirable situation by employing means that are commonly and economically available. Well-known methods can minimize the presence of asbestos fibers in finished drinking water. In the case of natural fiber in raw water, standard or augmented filtration practices are extremely effective. If the source of asbestos fiber is asbestos-cement pipe that is being attacked by corrosive water, then, there is more than sufficient economic reason to correct the corrosivity of the water.

  6. Asbestos in drinking water: a status report.

    PubMed Central

    Cotruvo, J A

    1983-01-01

    The conference is briefly reviewed in the light of its impact on future regulatory decisions regarding the possible control of asbestos fiber in drinking water. The results of animal feeding studies indicate that asbestos fails to demonstrate toxicity in whole-animal lifetime exposures. The epidemiologic evidence of risk from ingestion of water containing asbestos fibers is not convincing, and in view of the lack of confirmation by animal studies, the existence of a risk has not been proven; however occupational gastrointestinal cancer may indicate ingestion risk. Whether or not there is a risk from asbestos in drinking water, however, common sense tells us to deal with an undesirable situation by employing means that are commonly and economically available. Well-known methods can minimize the presence of asbestos fibers in finished drinking water. In the case of natural fiber in raw water, standard or augmented filtration practices are extremely effective. If the source of asbestos fiber is asbestos-cement pipe that is being attacked by corrosive water, then, there is more than sufficient economic reason to correct the corrosivity of the water. PMID:6662086

  7. Unsuspected exposure to asbestos and bronchogenic carcinoma.

    PubMed Central

    Martischnig, K M; Newell, D J; Barnsley, W C; Cowan, W K; Feinmann, E L; Oliver, E

    1977-01-01

    Two hundred and fifty men admitted to a thoracic surgical centre and matched controls were questioned in detail about their occupations after leaving school and their smoking habits. Of 201 men with confirmed bronchial carcinoma 58 gave a history of occupational exposure to asbestos, whereas only 29 out of 201 men matched for age and residential area who were admitted with other diseases gave such a history. This difference was statistically highly significant. The usual association of bronchial carcinoma with heavy smoking was observed, but asbestos exposure increased the risk of carcinoma whatever the level of smoking. These results are consistent with the hypothesis that asbestos exposure and the level of smoking act independently in causing bronchial carcinoma. The patients with carcinoma who had been exposed to asbestos presented on average three years earlier than those who had not been exposed. Asbestos regulations have eliminated the risk of exposure to workers in scheduled industries, so asbestos-induced diseases will probably be increasingly found among the many workers who have had incidental exposure to asbestos. It is therefore important to take a full occupational history. PMID:856382

  8. Exposure to particulate hexavalent chromium exacerbates allergic asthma pathology

    SciTech Connect

    Schneider, Brent C.; Constant, Stephanie L.; Patierno, Steven R.; Jurjus, Rosalyn A.; Ceryak, Susan M.

    2012-02-15

    Airborne hexavalent chromate, Cr(VI), has been identified by the Environmental Protection Agency as a possible health threat in urban areas, due to the carcinogenic potential of some of its forms. Particulate chromates are produced in many different industrial settings, with high levels of aerosolized forms historically documented. Along with an increased risk of lung cancer, a high incidence of allergic asthma has been reported in workers exposed to certain inhaled particulate Cr(VI) compounds. However, a direct causal association between Cr(VI) and allergic asthma has not been established. We recently showed that inhaled particulate Cr(VI) induces an innate neutrophilic inflammatory response in BALB/c mice. In the current studies we investigated how the inflammation induced by inhaled particulate Cr(VI) might alter the pathology of an allergic asthmatic response. We used a well-established mouse model of allergic asthma. Groups of ovalbumin protein (OVA)-primed mice were challenged either with OVA alone, or with a combination of OVA and particulate zinc chromate, and various parameters associated with asthmatic responses were measured. Co-exposure to particulate Cr(VI) and OVA mediated a mixed form of asthma in which both eosinophils and neutrophils are present in airways, tissue pathology is markedly exacerbated, and airway hyperresponsiveness is significantly increased. Taken together these findings suggest that inhalation of particulate forms of Cr(VI) may augment the severity of ongoing allergic asthma, as well as alter its phenotype. Such findings may have implications for asthmatics in settings in which airborne particulate Cr(VI) compounds are present at high levels. -- Highlights: ► Allergic asthma correlated with exposure to certain inhaled particulate chromates. ► Direct causal association between Cr(VI) and allergic asthma not established. ► Cr exacerbated pathology and airway hyperresponsiveness in an OVA-challenged mouse. ► Particulate Cr

  9. Current Best Practices for Preventing Asbestos Exposure Among Brake and Clutch Repair Workers

    EPA Pesticide Factsheets

    Covers concerns about asbestos exposure for mechanics, how to tell if asbestos brake or clutch components contain asbestos, work practices to follow, protecting yourself for home mechanics, disposal of waste that contains asbestos.

  10. 40 CFR 427.60 - Applicability; description of the asbestos roofing subcategory.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... asbestos roofing subcategory. 427.60 Section 427.60 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Roofing Subcategory § 427.60 Applicability; description of the asbestos roofing subcategory....

  11. 40 CFR 427.50 - Applicability; description of the asbestos millboard subcategory.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... asbestos millboard subcategory. 427.50 Section 427.50 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS (CONTINUED) ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Millboard Subcategory § 427.50 Applicability; description of the asbestos...

  12. 40 CFR 427.50 - Applicability; description of the asbestos millboard subcategory.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... asbestos millboard subcategory. 427.50 Section 427.50 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS (CONTINUED) ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Millboard Subcategory § 427.50 Applicability; description of the asbestos...

  13. 40 CFR 427.50 - Applicability; description of the asbestos millboard subcategory.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... asbestos millboard subcategory. 427.50 Section 427.50 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Millboard Subcategory § 427.50 Applicability; description of the asbestos millboard...

  14. 40 CFR 427.60 - Applicability; description of the asbestos roofing subcategory.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... asbestos roofing subcategory. 427.60 Section 427.60 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS (CONTINUED) ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Roofing Subcategory § 427.60 Applicability; description of the asbestos...

  15. 40 CFR 427.60 - Applicability; description of the asbestos roofing subcategory.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... asbestos roofing subcategory. 427.60 Section 427.60 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS (CONTINUED) ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Roofing Subcategory § 427.60 Applicability; description of the asbestos...

  16. 40 CFR 427.60 - Applicability; description of the asbestos roofing subcategory.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... asbestos roofing subcategory. 427.60 Section 427.60 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS (CONTINUED) ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Roofing Subcategory § 427.60 Applicability; description of the asbestos...

  17. 40 CFR 427.50 - Applicability; description of the asbestos millboard subcategory.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... asbestos millboard subcategory. 427.50 Section 427.50 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS (CONTINUED) ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Millboard Subcategory § 427.50 Applicability; description of the asbestos...

  18. 40 CFR 427.50 - Applicability; description of the asbestos millboard subcategory.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... asbestos millboard subcategory. 427.50 Section 427.50 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS ASBESTOS MANUFACTURING POINT SOURCE CATEGORY Asbestos Millboard Subcategory § 427.50 Applicability; description of the asbestos millboard subcategory...

  19. [Health hazards: asbestos--a review (author's transl)].

    PubMed

    Beck, B; Irmscher, G

    1976-01-01

    The health hazards caused by asbestos are reviewed and some conclusions are drawn. Asbestos and the materials containing a high percentage of asbestos cannot completely be substituted by other materials without dangerous health effects. It is to be expected that the use of asbestos will still increase. An important health hazard has become evident among asbestos insulation workers. But also in other branches the application of asbestos is widespread. It seems to be difficult to find substitutes meeting the same requirements for using like asbestos. Rock-wool and glass fibres are used more and more in exchange for asbestos. Registers for asbestos workers and asbestos working places are established in several countries. The main causes of death induced by asbestos among asbestos workers are asbestosis. mesothelioma and cancer. For the evaluation and assessment of cancer risk due to asbestos epidemiological studies have to be conducted. Even a short period of exposure to low quantities of asbestos fibres proves to be a health hazard causing certain diseases (diffuse pulmonary fibrosis, pleural hyalinosis, pleural calcifications, mesothelioma) after more than 20 years. For avoiding occupational disease hazards among asbestos workers the dust level on the working place has to be lowered to acceptable concentrations (maximal allowable concentrations). The identification of dust sources of asbestos, the application of practice codes for handling of asbestos, the substitution of asbestos by materials without dangerous health effects, and dust control at source are the most effective directions of hygienic practice. The health protection requires annual medical examinations of all persons exposed to airborne concentrations of asbestos.

  20. Asbestos ban in India: challenges ahead.

    PubMed

    Joshi, Tushar Kant; Bhuva, Uttpal B; Katoch, Priyanka

    2006-09-01

    Rapidly industrializing India is described by the International Monetary Fund as a young, disciplined, and vibrant economy with a projected growth of 6.7% for 2005. The total workforce of 397 million has only 7% of workers employed in the organized sector with construction, where asbestos exposure is prevalent, employing 4.4%. The domestic production of asbestos declined from 20,111 tons in 1998-1999 to 14,340 tons in 2002-2003. The imports from Russia and Canada increased from 61,474 tons in 1997-1998 to 97,884 tons in 2001-2002. The production of asbestos cement products went up from 0.68 million tons in 1993-1994 to 1.38 million tons in 2002-2003. The asbestos industry has been delicensed since March 2003. The number of asbestos-based units stood at 32, with the western state of Maharashtra having the largest number. According to official figures, the industry employs 8000 workers. The occupational exposure standard is still 2 fibers/mL, worse still, mesothelioma is not recognized as an occupational disease. The latest cancer registry data have no information on mesothelioma. The health and safety legislation does not cover 93% of workers in the unorganized sector where asbestos exposures are extremely high. Workers remain uninformed and untrained in dealing with asbestos exposure. Enforcement agencies are not fully conscious of the risks of asbestos exposure. Industrial hygiene assessment is seldom carried out and pathologists do not receive training in identifying mesothelioma histopathologically. The lack of political will and powerful influence of the asbestos industry are pushing India toward a disaster of unimaginable proportion.