All types of asbestos fibers are known to cause serious health hazards in humans. The most common diseases associated with chronic exposure to asbestos are asbestosis and mesothelioma. Amosite and crocidolite are considered the most hazardous asbestos fiber types; however, chrysotile asbestos has also produced tumors in animals and is a recognized cause of asbestosis and malignant mesothelioma in humans, and mesothelioma has been observed in people who were occupationally exposed to chrysotile, family members of the occupationally exposed, and residents who lived close to asbestos factories and mines. During the 1980s and again in the 1990s it was suggested at times that the process of making asbestos cement could "neutralize" the asbestos, either via chemical processes or by causing cement to attach to the fibers and changing their physical size; subsequent studies showed that this was untrue, and that decades-old asbestos cement, when broken, releases asbestos fibers identical to those found in nature, with no detectable alteration.
Risks Exposure to asbestos in the form of fibers is always considered dangerous. Working with, or exposure to, material that is friable, or materials or works that could cause release of loose asbestos fibers, is considered high risk. However, in general, people who become ill from inhaling asbestos have been regularly exposed in a job where they worked directly with the material. According to the National Cancer Institute, "A history of asbestos exposure at work is reported in about 70 percent to 80 percent of all cases. However, mesothelioma has been reported in some individuals without any known exposure to asbestos." A paper published in 1998, in the American Journal of Respiratory and Critical Care Medicine, concurs, and comments that asbestosis has been reported primarily in asbestos workers, and appears to require long-term exposure, high concentration for the development of the clinical disease. There is also a long latency period (the time taken between harmful contact and emergence of the actual resulting illness) of about 12 to 20 years, and potentially up to 40 years. The most common diseases associated with chronic exposure to asbestos are asbestosis and mesothelioma. According to OSHA, "there is no 'safe' level of asbestos exposure for any type of asbestos fiber. Asbestos exposures as short in duration as a few days have caused mesothelioma in humans. Every occupational exposure to asbestos can cause injury or disease; every occupational exposure to asbestos contributes to the risk of getting an asbestos related disease."
Asbestos-related diseases
Diseases commonly associated with asbestos include:
Asbestosis: Progressive fibrosis of the lungs of varying severity, progressing to bilateral fibrosis, honeycombing of the lungs on radiological view with symptoms including rales and wheezing. Individuals who have been exposed to asbestos via home, environment, or work should notify their doctors about exposure history. Asbestos warts: caused when the sharp fibers lodge in the skin and are overgrown causing benign callus-like growths. Pleural plaques: discrete fibrous or partially calcified thickened area which can be seen on X-rays of individuals exposed to asbestos. Although pleural plaques are themselves asymptomatic, in some patients this develops into pleural thickening. Diffuse pleural thickening: similar to above and can sometimes be associated with asbestosis. Usually no symptoms shown but if exposure is extensive, it can cause lung impairment. Pneumothorax: Some reports have also linked the condition of pneumothorax to asbestos related diseases. Malignant mesothelioma: an aggressive and incurable tumour arising from mesothelial cells of the pleura (the lining of the thoracic cavity).
Safety and exposure prevention Asbestos exposure becomes an issue if asbestos containing materials become airborne, such as due to deterioration or damage. Building occupants may be exposed to asbestos, but those most at risk are persons who purposely disturb materials, such as maintenance or construction workers. Housekeeping or custodial employees may be at an increased risk as they may potentially clean up damaged or deteriorated asbestos containing materials without knowing that the material contains asbestos. Asbestos abatement or remediation workers and emergency personnel such as firefighters may also become exposed. Asbestos-related diseases have been diagnosed in asbestos workers' family members, and in residents who live close to asbestos mines or processing plants.
Common building materials containing asbestos Currently in the United States, several thousand products manufactured and/or imported today still contain asbestos. In many parts of the industrialized world, particularly the European Union, asbestos was phased out of building products beginning in the 1970s with most of the remainder phased out by the 1980s. Even with an asbestos ban in place, however, asbestos may be found in many buildings that were built and/or renovated from the late 1800s through the present day. Residential building materials containing asbestos include a variety of products, such as: stipple used in textured walls and ceilings; drywall joint filler compound; asbestos contaminated vermiculite, vinyl floor tile; vinyl sheet flooring; window putty; mastic; cement board; asbestos cement pipes and flues; furnace tape; and stucco. Asbestos is widely used in roofing materials, mainly corrugated asbestos cement roof sheets and asbestos shingles sometimes called transite. Other sources of asbestos-containing materials include fireproofing and acoustic materials.
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