WEBVTT

NOTE Machine transcript of the film's sound; not yet checked.

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The world has never been and never will be
free from risk.

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It is inescapable. It is life itself.

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And since the dawn of time, man has
accepted it as a normal part of his daily
activity.

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The perception of risk varies from
situation to situation, from individual to
individual.

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What one person considers safe, another
may perceive as downright foolish,

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illustrating that the perception of risk
is subjective, emotional,

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and often has little basis in fact. All
risks have one thing in common.

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They can

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be measured. There is a name for this
measurement. It's called probability.

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Something is judged safe if its
probability of risk is acceptable.

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However,

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safe does not necessarily mean free from
risk.

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A seemingly safe six-minute canoe

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ride, for example, carries the same risk
of death as a 500 mile per hour commuter

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flight from Washington DC to New York City
traveling the same distance by

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automobile the risk increases fivefold
very few

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things to which we are exposed

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are zero risks but like the automobile and
electricity there are non harmful

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ways to use potentially harmful things
it's simply a matter of probabilities

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few risks are as well publicized and
fraught with anxiety as the risk of

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cancer. While the fear of cancer alters
our perception of risk, it cannot, does

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not, alter the probability of risk.
Cancer, an

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unrestrained growth of cells, is not a

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single disease but a collection of many
diseases caused by agents called

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carcinogens. Asbestos is a carcinogen.

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It is not alone. It shares this
distinction

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with a growing list of common and exotic
substances. As a matter of fact, nearly

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300 organic or inorganic chemicals, many
of them known or potential carcinogens,

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have been identified in drinking water.

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Fact, not speculation, which has prompted
a much closer examination of all pipe
materials

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in common use to determine if any are
above suspicion, since all contain toxic
materials.

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The critical question with any toxic
material is, at what exposure level does
it represent

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a hazard?

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Medical research determines this by a
concept known as dose response.

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The principle is rather

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straightforward. For every dose, there is
a proportionate biological response.

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Alcohol

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is a familiar example. For every dose of
martini you drink, you can anticipate

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a proportionate

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biological response. Let's add another
wrinkle to this concept, and it's a common

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-sense wrinkle.

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There is a dose small enough which will
result in no measurable response.

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This level is called

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a threshold. Threshold effects are common.

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We have thresholds for hearing, pain,
heat,

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and martinis. Everything known about the
potential hazards of

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asbestos indicates

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that it observes the rules of dose
response. Therefore, a practical threshold

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or safe level

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of exposure to asbestos must exist. If it
did not, it would be difficult to
reconcile

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the prevalence of asbestos in the
environment with the absence of related
diseases

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general population. Asbestos-bearing rock
is found throughout the world.

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Geologists

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tell us that 470 million years ago, hot
subterranean water dissolved rock layers

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containing iron,

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magnesium, and silica, creating veins of
liquid minerals.

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As the earth cooled,

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these minerals crystallized into the
fibrous ore we know today as asbestos.

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2,000 years ago, pharaohs and kings used
this unique product of nature.

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Today, you

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don't have to be royalty to use asbestos.
Practically everyone does.

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Over 3,000

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products use asbestos, usually in
combination with other materials.

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With physical properties unmatched

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by any other natural or manmade material,

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asbestos is irreplaceable for the micro
reinforcement

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of high performance products like asbestos
cement pipe.

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Comprising less than 20% of AC pipe,

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these incredibly strong fibers are not
free,

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but encapsulated or locked in the cement
binder.

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Picture, if you will, reinforcing rods in
concrete.

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The distinction between free and bound
asbestos is

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extremely important. Why? It determines
the

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probability of fiber release, which in
turn directly relates to the probability
of exposure.

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It explains why asbestos cement pipe is a
non-harmful use of asbestos.

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The ability of

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asbestos to subdivide into microscopically
small fibers is the key

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to its biological availability. In other
words, its ability to become air or

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waterborne and thereby inhaled or
ingested. The biological effects of

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asbestos are believed to be a function of
fiber shape and size rather than

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chemical composition. Generally, the
longer and thinner the fiber, the greater
the

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potential health risk. While the
relationship between asbestos exposure

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and probability of risk is not a simple
one, we do know this.

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The biological

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response to asbestos depends on dose and
route of entry into the body, that is

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whether it is inhaled or ingested.
Prolonged or heavy exposure

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to airborne

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asbestos can lead to asbestosis, a disease
which impairs breathing.

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In the case of smokers, high risk of lung
cancer.

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And finally, to a much lesser degree,
mesothelioma, a rare cancer of the chest
or

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abdominal cavity.

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To date, all identified occurrences of
these diseases attributed to asbestos have
involved

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exposures in or related to occupational
settings.

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In contrast to inhalation, a cause and
effect relationship between

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ingested asbestos and

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gastrointestinal or GI cancer does not
exist.

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Everything from mice to baboons has

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been watered, forced fed, or dined at will
on asbestos,

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as much as 6% of their total food intake.

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Result, no cancers.

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These then are the risks for exposure to
asbestos.

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High for heavy or prolonged inhalation
exposure,

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solely presumptive with no proven risk for
ingestion.

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Regulatory agencies internationally

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have set safe levels of exposure to
airborne asbestos based on the number of
fibers longer

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than 5 micrometers. The levels established
by the United States Occupational Safety
and

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Health Administration are an eight-hour
time-weighted average of two fibers per

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cubic centimeter

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of air, a peak or ceiling concentration of
10 fibers per cubic centimeter of air.

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A proposal to lower these levels to 0.5
and 5 fibers respectively

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is now under

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consideration. Let's compare the existing
and proposed

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exposure standards to fiber

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levels measured when field cutting or
machining AC pipe.

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Independent industrial

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hygiene studies have confirmed that when
recommended work practices are followed,

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fiber levels are not only far below the
present two-fiber standard, but also meet

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the proposed

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one-half fiber standard. This should come
as no surprise.

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Remember, the asbestos fiber

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is locked in the cement binder. The
infrequency and short duration of

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field operations further

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reduce even these exposures. when
recommended work practices are

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followed, the risk of working with AC pipe
is virtually non-existent.

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Some of

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you are probably thinking that's a real
plus, but what about waterborne asbestos?

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That's the real concern about AC pipe.
Well, let's let the facts speak for

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themselves. The prevalence of asbestos in
soil results in its presence in most

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waters of lake, river, and well origin,
and in distribution systems whether

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fabricated of asbestos cement or other
materials. Surveys by the United States

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Environmental Protection Agency show that
although there are sites with

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asbestos levels below present limits of
detection, natural and treated waters in

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Montana, Oregon, Pennsylvania, California,
Connecticut, Massachusetts, and Georgia

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have levels in the range of millions of
fibers per liter.

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Similar studies in

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Canada concluded there is asbestos in all
surface waters of all

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habited areas of Ontario and perhaps there
always has been some asbestos

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there. Asbestos found in ice core samples
dating back hundreds of years confirms

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that natural weathering and erosion have
in the past and will for generations to

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come release asbestos to surface
watersheds and underground aquifers around
the world.

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Another potential source of waterborne
asbestos can be asbestos-bearing soil

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deposited in

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the pipe during installation or repair.
This can occur whether the pipe is ductile
iron,

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plastic, or asbestos cement. A thorough
flushing of the distribution system easily
eliminates

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any long-term effects of soil
contamination to provide house

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connections water distribution

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mains are tapped approximately once every
140 feet the industry recommends when

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tapping AC

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pipe while under pressure that equipment
with a positive purge be used this

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ejects 99% of

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the asbestos cement chips and downstream
flushing takes care of the rest another

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alternative is the

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use of heavy wall tapped couplings
supplied directly from the factory now

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the critical question does AC pipe
contribute asbestos to drinking water

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conveyed through it a no-nonsense answer
is a simple yes and

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no it depends on the

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water not the pipe as long as AC cement
binder remains intact

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the release if any

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of the locked-in fiber is infinitesimal.
However, certain corrosive or aggressive

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waters will attack even corrosion
resistant asbestos cement.

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The most

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common of these are low hardness or a soft
water and low pH or acidic water.

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Imagine aggressive waters as being hungry
waters, not only hungry for

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calcium and magnesium in cement, but
hungry for iron, lead, copper, zinc, and

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cadmium in metallic pipe, hungry for
organic residuals

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in plastic pipe, polyaromatic hydrocarbons
in coal tar

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linings, and on and on and on.

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Aggressive waters take a staggering
economic toll

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from the waterworks industry every year.

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But the heaviest toll of all may be the
toll in human lives.

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In 1974, a highly significant relationship

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was confirmed between aggressive water

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and cardiovascular diseases such as heart
attacks.

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Cities with the softest

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water had twice the death rate from
coronary disease as cities where the

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water was hardest. Economics alone argues
strongly for treating aggressive waters.

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The loss of life punctuates the urgency.
Though the AC

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pipe industry is not the

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first to spotlight the need for
stabilization, it has been a leader in

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taking positive steps to include
aggressive water

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guidelines in national product
specifications.

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These guidelines do not recommend

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the use of asbestos cement pipe with
highly aggressive waters.

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Measurements taken in the field confirm
EPA laboratory results

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that for moderately and non-aggressive
waters,

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AC pipe does not contribute significant,
or in many cases,

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even measurable amounts of asbestos to
drinking

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water conveyed through it.

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Northeast Illinois, an analysis of 15
public water systems

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containing A.C. pipe of various ages,
lengths, and diameters.

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Conclusion, no significant release of
asbestos from A.C.

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pipe was observed.

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00:13:21.460 --> 00:13:25.160
California, an analysis of water at the
end of long pipe runs

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in a distribution system with over 1,000
miles of A.C.

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pipe.

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00:13:30.120 --> 00:13:33.540
Conclusion, all tests for asbestos,
negative.

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New Mexico, an analysis of asbestos fiber
concentrations in water systems containing

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548 miles of AC pipe. Conclusion, no
evidence of

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asbestos pickup from AC pipe. Texas, Ohio,

200
00:13:50.140 --> 00:13:53.600
and Connecticut, EPA monitorings of AC
pipe systems.

201
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Conclusion, fiber levels either not

202
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statistically significant or below
detectable limits.

203
00:14:01.380 --> 00:14:03.220
Common sense tells us

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00:14:03.220 --> 00:14:07.000
that real-world risk must relate to real-
world exposure.

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For that reason,

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these results are important. They measure
actual exposures to waterborne asbestos

207
00:14:14.620 --> 00:14:20.700
in AC pipe systems. Clearly, the amount of
asbestos, if any, contributed to drinking

208
00:14:20.700 --> 00:14:26.240
water supplied through AC pipe was
infinitesimal, certainly far less than

209
00:14:26.240 --> 00:14:28.560
was found in many natural source waters.

210
00:14:31.270 --> 00:14:33.050
Now what about water systems which

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00:14:33.050 --> 00:14:35.550
have measurable quantities of asbestos
fiber?

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00:14:35.790 --> 00:14:37.590
What's the risk of contracting cancer?

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00:14:38.490 --> 00:14:41.770
There is no evidence that anyone in the
general public

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00:14:41.770 --> 00:14:45.190
has ever contracted any disease from
naturally occurring

215
00:14:45.190 --> 00:14:49.030
asbestos or the minute amounts of fiber
released from AC pipe.

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This is not a judgment of safety.

217
00:14:52.030 --> 00:14:53.810
It is a statement of fact.

218
00:14:53.810 --> 00:14:59.190
Whether it's the extremely small size of
waterborne

219
00:14:59.190 --> 00:15:04.230
asbestos or the sub-threshold dose, one
fact is irrefutable.

220
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If there is a cause-and-effect
relationship between GI cancers, ingested

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00:15:10.470 --> 00:15:12.950
asbestos, or the use of AC pipe,

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00:15:13.250 --> 00:15:18.290
it does not show in state, national, or
world cancer statistics.

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00:15:18.290 --> 00:15:24.020
Duluth, Minnesota, millions of asbestos-
like

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00:15:24.020 --> 00:15:25.400
fibers in its drinking water

225
00:15:25.400 --> 00:15:31.520
and Houston, Texas, with none. A
comparison of tissues from deceased
residents from both

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00:15:31.520 --> 00:15:36.100
cities failed to disclose any asbestos
fibers of waterborne origin.

227
00:15:36.780 --> 00:15:38.800
Duluth again, this time

228
00:15:38.800 --> 00:15:42.840
a comparison with Minneapolis, St. Paul,
which has no asbestos in its water.

229
00:15:43.200 --> 00:15:44.420
No statistical

230
00:15:44.420 --> 00:15:47.480
difference in the incidence of
gastrointestinal cancer.

231
00:15:49.790 --> 00:15:54.470
Switzerland, the highest per capita use of
AC pipe in Western Europe.

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00:15:54.830 --> 00:16:00.430
From 1951, more than 20 years after AC
pipe was introduced, to 1973,

233
00:16:01.010 --> 00:16:06.030
the death rate from GI cancer dropped a
significant 29%.

234
00:16:07.010 --> 00:16:12.890
The United States, during 40 years of
rapidly increasing AC pipe usage,

235
00:16:12.890 --> 00:16:17.790
gastrointestinal cancer rates for the
period 1954 to 1974

236
00:16:17.790 --> 00:16:23.770
declined 33% Tennessee Knoxville

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AC pipe in use since 1938 and Nashville no
AC pipe

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a 20-year comparison shows that Nashville

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with metallic pipe at a 29% higher death
rate from GI cancer than

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Knoxville with asbestos cement pipe

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Connecticut. Results from an extensive
Environmental Protection Agency study

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show no correlation between the incidence
of GI cancer and the use of

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asbestos cement water pipe. This inability
to relate a real-world

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response with a real-world dose again says
that like the amount of asbestos

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contributed to drinking water by AC pipe,
the risk from ingesting that asbestos

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must be infinitely small. An exact number?

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Well, we did say all risks could be
measured.

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Let's create a hypothetical human feeding
experiment based on magnified doses used
in

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00:17:20.860 --> 00:17:26.020
animal feeding studies which failed to
establish a cancer risk from ingested
asbestos.

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00:17:26.420 --> 00:17:27.420
Based on a

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00:17:27.380 --> 00:17:33.060
diet containing 0.27% asbestos, this
amounts to about five pounds of asbestos,

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00:17:33.060 --> 00:17:34.060
roughly the amount

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00:17:33.980 --> 00:17:38.460
of butter you eat in a year. Using the
highest fiber levels found in drinking

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water, you would have to drink 3.8 million
quarts of water per day to

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consume five pounds of asbestos in a year,
or in excess of 50,000 quarts per

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00:17:49.640 --> 00:17:55.440
day for a lifetime. This is preposterous,
but it does provide a

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00:17:55.440 --> 00:17:56.500
roundabout way to

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00:17:56.500 --> 00:18:01.360
quantify and place in perspective the
probability of risk from a real-world

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00:18:01.360 --> 00:18:07.600
dose of ingested asbestos from AC pipe. A
dose which is not uncommonly a billion

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00:18:07.600 --> 00:18:12.920
times less than asbestos levels proven to
be non-carcinogenic in animal feeding

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00:18:12.920 --> 00:18:17.160
studies. One in a billion.

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00:18:17.680 --> 00:18:20.420
That figure probably doesn't register with
most

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00:18:20.420 --> 00:18:25.720
people. In terms of quality, it's one bad
apple in two million barrels.

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00:18:26.100 --> 00:18:27.100
In terms of

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00:18:27.060 --> 00:18:31.440
volume, it's a very, very, very dry
martini.

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00:18:31.680 --> 00:18:35.740
One drop of vermouth in 15,750

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00:18:36.300 --> 00:18:42.160
gallons of gin. In terms of risk, it's a
thousand times safer than

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00:18:42.160 --> 00:18:43.160
smoking one

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00:18:42.880 --> 00:18:46.840
and a half cigarettes or drinking a half
bottle of your favorite wine.

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00:18:47.360 --> 00:18:48.480
This is a

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00:18:48.480 --> 00:18:52.700
statement of fact and certainly a margin
of safety.

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In spite of perceptions and

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00:18:56.420 --> 00:19:01.600
publicity to the contrary these incredibly
low probabilities of risk tell us that

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AC pipe is not

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00:19:03.060 --> 00:19:09.040
and never will be a risk to the public a
judgment confirmed again and

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00:19:09.040 --> 00:19:10.440
again by some of the most

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00:19:10.440 --> 00:19:16.380
respected health authorities in the world
International Agency for Research

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00:19:16.380 --> 00:19:17.380
on Cancer

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00:19:17.880 --> 00:19:23.200
the question is there evidence of an
increased risk of cancer resulting from

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00:19:23.200 --> 00:19:24.200
asbestos fibers

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00:19:24.160 --> 00:19:29.400
present in water beverages food or in the
fluids used for the administration of

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00:19:29.400 --> 00:19:31.220
drugs the answer

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00:19:31.220 --> 00:19:37.380
such evidence as there is does not
indicate any risk Dr.

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00:19:38.820 --> 00:19:40.920
Irving J. Selikoff director of the

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00:19:40.920 --> 00:19:45.960
Environmental Sciences Laboratory, Mount
Sinai School of Medicine there is no

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00:19:45.960 --> 00:19:46.960
evidence at all

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00:19:46.960 --> 00:19:52.180
at this time that the presumably very low
level exposure by ingestion which might

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00:19:52.180 --> 00:19:53.220
occur by intake

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00:19:53.220 --> 00:19:57.660
of water supplied through asbestos cement
pipe has resulted in a recognized

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00:19:57.660 --> 00:20:02.420
health hazard. National Cancer Institute.

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00:20:03.200 --> 00:20:06.480
NCI scientists have found no unusual

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00:20:06.480 --> 00:20:11.640
cancer mortality patterns so far among
persons residing where drinking water is

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00:20:11.640 --> 00:20:17.280
contaminated by asbestos. Select Study
Committee of the American Water Works

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00:20:17.280 --> 00:20:23.100
Association Research Foundation. No firm
evidence shows that the proper use of

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00:20:23.100 --> 00:20:26.660
asbestos cement pipe poses a hazard to
health by reason

296
00:20:26.660 --> 00:20:28.500
of ingestion of asbestos fibers.

297
00:20:28.860 --> 00:20:30.800
The probability of risk to health

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00:20:30.800 --> 00:20:34.700
from the use of such systems is small,
approaching zero.

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00:20:36.790 --> 00:20:39.750
False accusations and guilt by association

300
00:20:40.290 --> 00:20:43.490
have created a perception of risk about AC
pipe.

301
00:20:44.250 --> 00:20:46.910
Scientific measurements and common sense

302
00:20:47.390 --> 00:20:51.170
show this distorted perception has no
basis in fact.

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00:20:51.170 --> 00:20:56.510
designed for value engineered for
performance

304
00:20:56.510 --> 00:21:00.690
AC pipe is the optimum balance between
high

305
00:21:00.690 --> 00:21:06.190
performance long life and cost-
effectiveness quality control

306
00:21:06.190 --> 00:21:08.410
second to none assures high

307
00:21:08.410 --> 00:21:13.150
pressure reliability with sensible factors
of safety consistently

308
00:21:13.150 --> 00:21:16.230
inexpensively and that's a

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00:21:16.230 --> 00:21:21.740
fact. The AC pipe industry has a
commitment,

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00:21:22.000 --> 00:21:25.920
a commitment to quality water. This
commitment

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00:21:25.920 --> 00:21:30.520
encompasses much more than simple
assurance of water quality at the
consumer's tap.

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00:21:31.260 --> 00:21:32.260
Regardless

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00:21:31.980 --> 00:21:37.240
of how bountiful or clean water reserves
might be, whimsical as nature can be,

314
00:21:37.360 --> 00:21:38.980
and short-sighted

315
00:21:38.980 --> 00:21:44.820
as man has been, quality water demands
conservation in use, diligence

316
00:21:44.820 --> 00:21:46.700
in treatment, and economical

317
00:21:46.700 --> 00:21:51.960
reliability in distribution. Providing
distribution pipe of integrity

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00:21:51.960 --> 00:21:53.100
at a

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00:21:53.100 --> 00:21:58.780
cost the user can and will support is the
goal of the AC pipe industry.
