Prevention of Asbestos-Related Disease in Countries Currently Using Asbestos

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

doi:10.3390/ijerph13050494

Cited by 57 publications

(53 citation statements)

References 64 publications

(72 reference statements)

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“…6 In 2016, about 80% of the global population was living in countries without a total asbestos ban. 11 Because of scant regulation or poor regulatory oversight, people are frequently exposed to hazardous substances at work. The Global Burden of Diseases, Injuries and Risk Factors Study (GBD) estimated that, in 2017, 29 909 people worldwide died from mesothelioma, including 27 447 from occupational causes and 2462 from nonoccupational causes, respectively.…”

Section: Introductionmentioning

confidence: 99%

Implementation of national policies for a total asbestos ban: a global comparison

Lin

Chien

Jimba

et al. 2019

The Lancet Planetary Health

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Background Two international Conventions from the International Labor Organization (ILO; C162 Asbestos Convention) and the UN (Basel Convention) offer governments guidelines for achieving a total asbestos ban policy, but the long-term effect of these Conventions on policy implementation, and the role of government effectiveness, remains unknown. We aimed to investigate associations between government ratification of the ILO and UN international Conventions, government effectiveness, and implementation of a national total asbestos ban. Methods We obtained data for year of a national asbestos ban, year of ratification of one or both international Conventions, and World Bank government effectiveness scores for 108 countries that ever used asbestos. We did a survival analysis for countries with data in the follow-up period (March 22, 1989, to Feb 2, 2018) to assess whether ratification of the international Conventions and greater government effectiveness were associated with time of implementation of a national total asbestos ban. Findings Of 108 countries with data for asbestos consumption, nine were excluded because they implemented an asbestos ban before 1989. Therefore, 99 countries were included in the survival analysis. 26 countries ratified both international Conventions and 73 ratified either one or no Convention. Countries that ratified both Conventions had a shorter time to adoption of a total asbestos ban (mean 8•9 [SD 6•4] years) than did countries that ratified one or no Conventions (16•9 [6•1] years). After controlling for government effectiveness, countries that ratified both Conventions had a significantly higher conditional probability of banning asbestos than did those ratifying one or no Convention (hazard ratio [HR] 41•8, 95% CI 4•5-383•3; p=0•0010). For every 1 point increment in government effectiveness, the percentage change in HR for persistent asbestos consumption significantly increased by 127% (95% CI 13-354; p=0•021). Interpretation This study confirms that adoption of both the C162 Asbestos Convention and the Basel Convention facilitates countries in moving towards a total asbestos ban. The effect was reinforced by government effectiveness. Both international programmes and new agreements towards total asbestos bans and government commitments are needed.

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Section: Introductionmentioning

confidence: 99%

Implementation of national policies for a total asbestos ban: a global comparison

Lin

Chien

Jimba

et al. 2019

The Lancet Planetary Health

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“…The first epidemiological studies of cancer risk in relation to exposure to asbestos were reported in the 1950s (Marsili et al 2016). Until the late 1970s, asbestos was used in construction products such as asbestos insulation, roofing, flooring, adhesives, duct connectors as well as protective clothing, household items, and others.…”

Section: Association Between Potential Health Outcomes and Chemical Hmentioning

confidence: 99%

Identification of Health Risk Factors and Their Parameters

Dovjak

Kukec

2019

Creating Healthy and Sustainable Buildings

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This chapter highlights the importance of identifying health risk factors and their parameters for healthier built environments. In Sect. 3.1, epidemiological terms such as "determinants of health", "health risk" and "health hazards", are introduced. In Sect. 3.2, health risk factors and their main parameters in built environments are further identified and classified into six groups: biological, chemical, physical, psychosocial, personal, and others. Detailed definition of health risk factors and their main parameters, followed by the results of epidemiological studies proving the association between potential health outcomes and health risk factors, are described in Sects. 3.3, 3.4, 3.5, 3.6 and 3.7. Identified and classified health risk factors and their parameters are the basis for the identification of single and multi-group interactions among them, described in Chap. 4.

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“…The first suspected asbestos-related lung cancers were reported by Gloyne in 1935 upon autopsies of two female asbestos textile factory workers who were found to suffer from asbestosis and lung cancer [8]. More cases of asbestos-related cancers have been diagnosed since that time and since 1987 asbestos has been classified by the International Agency for Research on Cancer of the World Health Organization as being carcinogenic to humans [9,10].…”

Section: Introductionmentioning

confidence: 99%

Asbestos-Related Lung Cancer: A Hospital-Based Case-Control Study in Indonesia

Suraya¹,

Nowak

Sulistomo

et al. 2020

IJERPH

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Indonesia has limited data on asbestos-related diseases despite abundant use. This study investigated the risk of occupational asbestos exposure for lung cancer development, utilizing a hospital-based case-control study. Subjects were patients who received a thoracic CT scan at Persahabatan Hospital, Jakarta. The cases had primary lung cancer confirmed by histology, the controls were negative for lung cancer. The cumulative occupational asbestos exposure was calculated by multiplying the exposure intensity by the years of exposure. The exposure intensity was obtained by adopting the weighted arithmetic mean value of asbestos exposure from a job-exposure matrix developed in Korea. The primary data analysis was based on logistic regression. The study included 696 subjects, with 336 cases and 360 controls. The chance of lung cancer for subjects exposed to asbestos was doubled (OR = 2.04, 95% CI = 1.21–3.42) compared with unexposed, and subjects with a cumulative asbestos exposure of 10 fiber-years or more even showed an OR of 3.08 (95% CI = 1.01–9.46). The OR of the combined effect between smoking and asbestos was 8.7 (95% CI = 1.71–44.39); the interaction was consistent with an additive and multiplicative risk model. Asbestos exposure is associated with a higher chance of lung cancer. Improved policies are needed to protect the population from asbestos hazards.

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Prevention of Asbestos-Related Disease in Countries Currently Using Asbestos

Cited by 57 publications

References 64 publications

Implementation of national policies for a total asbestos ban: a global comparison

Implementation of national policies for a total asbestos ban: a global comparison

Identification of Health Risk Factors and Their Parameters

Asbestos-Related Lung Cancer: A Hospital-Based Case-Control Study in Indonesia

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