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Asbestos Facts: What is Asbestos

What is Asbestos?

Asbestos is the name given to a group of minerals that occur naturally in the environment as bundles of fibers and can be separated into thin, durable threads. These fibers are resistant to heat, fire, and chemicals and do not conduct electricity. For these reasons, Asbestos has been widely used in many industries.

There are two subgroups of Asbestos: chrysotile, which has curly fibers and is in the serpentine family of minerals; and amphibole Asbestos, which has straight, needle-like fibers and includes actinolite, tremolite, anthophyllite, crocidolite, and amosite Asbestos. Chrysotile Asbestos is the form that has been used predominantly in commercial applications worldwide.

How is Asbestos used?

Asbestos was mined and used commercially in North America beginning in the late 1800s. Its use increased greatly during World War II. Since then, Asbestos has been used in many industries. For example, the building and construction industry has used it for strengthening cement and plastics as well as for insulation, roofing, fireproofing, and sound absorption. The shipbuilding industry has used Asbestos to insulate boilers, steampipes, and hot water pipes. The automotive industry uses Asbestos in vehicle brakeshoes and clutch pads. Asbestos has also been used in ceiling and floor tile; paints, coatings, and adhesives; and plastics. In addition, Asbestos has been found in vermiculite-containing consumer garden products and some talc-containing crayons.

In the late 1970s, the U.S. Consumer Product Safety Commission (CPSC) banned the use of Asbestos in wallboard patching compounds and gas fireplaces because the Asbestos fibers in these products could be released into the environment during use. Additionally, in 1979, manufacturers of electric hairdryers voluntarily stopped using Asbestos in their products. In 1989, the U.S. Environmental Protection Agency (EPA) banned all new uses of Asbestos; uses established prior to 1989 are still allowed. The EPA also established regulations that require school systems to inspect for damaged Asbestos and to eliminate or reduce the exposure to occupants by removing the Asbestos or encasing it.

In June 2000, the CPSC concluded that the risk of children’s exposure to Asbestos fibers in crayons was extremely low. However, the U.S. manufacturers of these crayons agreed to eliminate talc from their products. In August 2000, the EPA responded to reports it received about the adverse human health effects associated with exposure to Asbestos-contaminated vermiculite by conducting a series of tests to evaluate the extent of the risk. The EPA investigation concluded that the potential exposure to Asbestos from some vermiculite products poses only a minimal health risk to consumers. The EPA recommended that consumers reduce the low risk associated with the occasional use of vermiculite during gardening activities by limiting the amount of dust produced during use. Specifically, the EPA suggested that consumers use vermiculite outdoors or in a well-ventilated area; keep vermiculite damp while using it; avoid bringing dust from vermiculite use into the home on clothing; and use premixed potting soil, which is less likely to generate dust.

The regulations described above and other actions, coupled with widespread public concern about the health hazards of Asbestos, have resulted in a significant annual decline in U.S. use of Asbestos. Domestic consumption of Asbestos amounted to about 803,000 metric tons in 1973, but it had dropped to about 2,400 metric tons by 2005.

What are the health hazards of exposure to Asbestos?

People may be exposed to Asbestos in their workplace, their communities, or their homes. If products containing Asbestos are disturbed, tiny Asbestos fibers are released into the air. When Asbestos fibers are breathed in, they may get trapped in the lungs and remain there for a long time. Over time, these fibers can accumulate and cause scarring and inflammation, which can affect breathing and lead to serious health problems.

Asbestos has been classified as a known human carcinogen (a substance that causes cancer) by the U.S. Department of Health and Human Services, the EPA, and the International Agency for Research on Cancer. Studies have shown that exposure to Asbestos may increase the risk of lung cancer and mesothelioma (a relatively rare cancer of the thin membranes that line the chest and abdomen). Although rare, mesothelioma is the most common form of cancer associated with Asbestos exposure. In addition to lung cancer and mesothelioma, some studies have suggested an association between Asbestos exposure and gastrointestinal and colorectal cancers, as well as an elevated risk for cancers of the throat, kidney, esophagus, and gallbladder. However, the evidence is inconclusive.

Asbestos exposure may also increase the risk of Asbestosis (a chronic lung disease that can cause shortness of breath, coughing, and permanent lung damage) and other nonmalignant lung and pleural disorders, including pleural plaques (changes in the membrane surrounding the lung), pleural thickening, and pleural effusions (abnormal collections of fluid between the thin layers of tissue lining the lung and the wall of the chest cavity). Although pleural plaques are not precursors to lung cancer, evidence suggests that people with pleural disease caused by Asbestos exposure may be at increased risk for lung cancer.

Who is at risk for an Asbestos-related disease?

Everyone is exposed to Asbestos at some time during their life. Low levels of Asbestos are present in the air, water, and soil. However, most people do not become ill from their exposure. People who become ill from Asbestos are usually those who are exposed to it on a regular basis, most often in a job where they work directly with the material or through substantial environmental contact.

Since the early 1940s, millions of American workers have been exposed to Asbestos. Health hazards from Asbestos fibers have been recognized in workers exposed in shipbuilding trades, Asbestos mining and milling, manufacturing of Asbestos textiles and other Asbestos products, insulation work in the construction and building trades, and a variety of other trades. Demolition workers, drywall removers, Asbestos removal workers, firefighters, and automobile workers also may be exposed to Asbestos fibers. However, recent studies do not support an increased risk of lung cancer or mesothelioma among automobile mechanics exposed to Asbestos through brake repair. As a result of Government regulations and improved work practices, today’s workers (those without previous exposure) are likely to face smaller risks than did those exposed in the past.

Those involved in the rescue, recovery, and cleanup at the site of the September 11, 2001, attacks on the World Trade Center (WTC) in New York City are another group at risk of developing an Asbestos-related disease. Because Asbestos was used in the construction of the North Tower of the WTC, when the building was attacked, hundreds of tons of Asbestos were released into the atmosphere. Those at greatest risk include firefighters, police officers, paramedics, construction workers, and volunteers who worked in the rubble at Ground Zero. Others at risk include residents in close proximity to the WTC towers and those who attended schools nearby. These populations will need to be followed to determine the long-term health consequences of their exposure.

One study found that nearly 70 percent of WTC rescue and recovery workers suffered new or worsened respiratory symptoms while performing work at the WTC site. The study describes the results of the WTC Worker and Volunteer Medical Screening Program, which was established to identify and characterize possible WTC-related health effects in responders. The study found that about 28 percent of those tested had abnormal lung function tests, and 61 percent of those without previous health problems developed respiratory symptoms. However, it is important to note that these symptoms may be related to exposure to debris components other than Asbestos.

Although it is clear that health risks from Asbestos exposure increase with heavier exposure and longer exposure time, investigators have found Asbestos-related diseases in individuals with only brief exposures. Generally, those who develop Asbestos-related diseases show no signs of illness for a long time after their first exposure. It can take from 10 to 40 years or more for symptoms of an Asbestos-related condition to appear.

There is some evidence that family members of workers heavily exposed to Asbestos face an increased risk of developing mesothelioma. This risk is thought to result from exposure to Asbestos fibers brought into the home on the shoes, clothing, skin, and hair of workers. To decrease these exposures, Federal law regulates work practices to limit the possibility of Asbestos being brought home in this way. Some employees may be required to shower and change their clothes before they leave work, store their street clothes in a separate area of the workplace, or wash their work clothes at home separately from other clothes.

Cases of mesothelioma have also been seen in individuals without occupational exposure, but who live close to Asbestos mines or have been exposed to fibers carried home by family members working with Asbestos.

What factors affect the risk of developing an Asbestos-related disease?

Several factors can help to determine how Asbestos exposure affects an individual, including:

  • Dose (how much Asbestos an individual was exposed to).
  • Duration (how long an individual was exposed).
  • Size, shape, and chemical makeup of Asbestos fibers.
  • Source of exposure.
  • Individual risk factors, such as smoking and pre-existing lung disease.

Although all forms of Asbestos are considered hazardous, different types of Asbestos fibers may be associated with different health risks. For example, results of several studies suggest that amphibole forms of Asbestos may be more harmful than chrysotile, particularly for mesothelioma risk, because they tend to stay in the lungs for a longer period of time. All common commercial types of Asbestos have been associated with lung cancer.

How does smoking affect risk?

Many studies have shown that the combination of smoking and Asbestos exposure is particularly hazardous. Smokers who are also exposed to Asbestos have a risk of developing lung cancer that is greater than the individual risks from Asbestos and smoking added together. There is evidence that quitting smoking will reduce the risk of lung cancer among Asbestos-exposed workers. Smoking combined with Asbestos exposure does not appear to increase the risk of mesothelioma. However, people who were exposed to Asbestos on the job at any time during their life or who suspect they may have been exposed should not smoke.

How are Asbestos-related diseases detected?

Individuals who have been exposed (or suspect they have been exposed) to Asbestos fibers on the job, through the environment, or at home via a family contact should inform their doctor of their exposure history, whether or not they experience any symptoms. The symptoms of Asbestos-related diseases may not become apparent for many decades after exposure. It is particularly important to check with a doctor if any of the following symptoms develop:

  • Shortness of breath, wheezing, or hoarseness.
  • A persistent cough that gets worse over time.
  • Blood in the sputum (fluid) coughed up from the lungs.
  • Pain or tightening in the chest.
  • Difficulty swallowing.
  • Swelling of the neck or face.
  • Loss of appetite.
  • Weight loss.
  • Fatigue or anemia.

A thorough physical examination, including a chest x-ray and lung function tests, may be recommended. The chest x–ray is currently the most common tool used to detect Asbestos-related diseases. However, it is important to note that chest x-rays cannot detect Asbestos fibers in the lungs, but they can help identify any early signs of lung disease resulting from Asbestos exposure.

Studies have shown that computed tomography (CT) (a series of detailed pictures of areas inside the body taken from different angles; the pictures are created by a computer linked to an x-ray machine) may be more effective than conventional chest x-rays at detecting Asbestos-related lung abnormalities in individuals who have been exposed to Asbestos.

A lung biopsy, which detects microscopic Asbestos fibers in pieces of lung tissue removed by surgery, is the most reliable test to confirm the presence of Asbestos-related abnormalities. A bronchoscopy is a less invasive test than a biopsy and detects Asbestos fibers in material that is rinsed out of the lungs. It is important to note that these tests cannot determine how much Asbestos an individual may have been exposed to or whether disease will develop. Asbestos fibers can also be detected in urine, mucus, or feces, but these tests are not reliable for determining how much Asbestos may be in an individual’s lungs.

How can workers protect themselves from Asbestos exposure?

The Occupational Safety and Health Administration (OSHA) is a component of the U.S. Department of Labor (DOL) and is the Federal agency responsible for health and safety regulations in maritime, construction, manufacturing, and service workplaces. OSHA established regulations dealing with Asbestos exposure on the job, specifically construction work, shipyards, and general industry, that employers are required to follow. In addition, the Mine Safety and Health Administration (MSHA), another component of the DOL, enforces regulations related to mine safety. Workers should use all protective equipment provided by their employers and follow recommended work practices and safety procedures. For example, National Institute for Occupational Safety and Health (NIOSH)-approved respirators that fit properly should be worn by workers when required.

Workers who are concerned about Asbestos exposure in the workplace should discuss the situation with other employees, their employee health and safety representative, and their employers. If necessary, OSHA can provide more information or make an inspection. Regional offices of OSHA are listed in the "United States Government" section of a telephone directory’s blue pages (under "Department of Labor").

Is there legislation to help victims of Asbestos-related health diseases?

No Federal legislation has been enacted yet to compensate victims of Asbestos-related diseases or to protect people from Asbestos exposure. However, in 2005, the Fairness in Asbestos Injury Resolution (FAIR) Act (Senate bill 852) was introduced into Congress. This bill would create a national trust fund to compensate victims suffering from Asbestos-related diseases. The proposed trust fund would be administered by the DOL, outside of the courts, through a claims process whereby all those with certain medical symptoms and evidence of Asbestos-related disease would be compensated. Funding for the trust would come from insurance companies and companies that mined, manufactured, and sold Asbestos or Asbestos products. Under the bill, individuals affected by Asbestos exposure would no longer be able to pursue awards for damages in any Federal or state court.

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