Regulatory Toxicology and Pharmacology

About the journal

Publisher: Elsevier
Published: 1981 to the present, Netherlands
Language: English
ISSN: 0273-2300 (print), 1096-0295 (electronic)
Its record in the NLM Catalog

2020s

Confidence interval function analysis to evaluate the risk of mesothelioma among an expanded international cohort of cosmetic talc miners and millers. G.M. Marsh, A.M. Ierardi. 2020;115:104696. PubMed · Publisher

Abstract

We used pooled data from international cosmetic talc miner/miller cohorts to determine whether hypothesized increased mesothelioma risks are consistent with the observed data. We evaluated the confidence interval function for the observed pooled mesothelioma SMRs (observed = 1; expected = 3.17, 3.34, or 3.60), and calculated the value of α for the upper 100(1 - 2α)% confidence limit that equals various SMRs of interest (1.5, 2.0, 2.5, 3.0). Using the mid-value estimate of expected number of cases (3.34), the probability (α) that the true mesothelioma SMR is at or above 2.0, or at or above 3.0 is 0.0096 and 0.0005, respectively. Thus, a mesothelioma SMR ≥2.0 is not compatible with the observed pooled data, providing further support for our conclusion that cosmetic talc exposure is not associated with an elevated risk of mesothelioma.

Copyright © 2020 Elsevier Inc. All rights reserved.
Systematic review and meta-analysis of epidemiological literature evaluating the association between exposure to man-made vitreous fibers and respiratory tract cancers. N. Suder Egnot, S.M. Benson, M.F. Vater, et al. 2020;112:104585. Meta-analysis · Systematic review PubMed · Publisher

Abstract

We conducted a systematic review and meta-analysis of epidemiological studies that evaluated occupational exposure to man-made vitreous fibers (MMVF) including glass, rock, and slag wools, and respiratory tract cancers (RTC) including cancers of the larynx, trachea, bronchus, and lung. The MEDLINE/PubMed and Web of Science databases were searched in order to identify epidemiological studies that evaluated the association between occupational MMVF exposure and RTCs. We performed random-effects meta-analyses of relevant studies identified by our literature search, and evaluated sources of between-study heterogeneity. The pooled relative risk (RR) of RTC among workers exposed to MMVFs was 1.09 (95% CI = 0.97, 1.22). The RR was closer to 1.0 when limiting the analysis to effect estimates from studies that accounted for the main a priori risk factors for RTC, asbestos exposure and smoking (RR = 1.03, 95% CI = 0.90, 1.18). Overall, our synthesis of the epidemiological literature suggests that occupational MMVF exposure is not associated with risk of RTC.

Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

2010s

Evaluation of airborne asbestos exposure from routine handling of asbestos-containing wire gauze pads in the research laboratory. E. Garcia, D. Newfang, J.P. Coyle, et al. 2018;96:135-141. PubMed · Publisher

Abstract

Three independently conducted asbestos exposure evaluations were conducted using wire gauze pads similar to standard practice in the laboratory setting. All testing occurred in a controlled atmosphere inside an enclosed chamber simulating a laboratory setting. Separate teams consisting of a laboratory technician, or technician and assistant simulated common tasks involving wire gauze pads, including heating and direct wire gauze manipulation. Area and personal air samples were collected and evaluated for asbestos consistent with the National Institute of Occupational Safety Health method 7400 and 7402, and the Asbestos Hazard Emergency Response Act (AHERA) method. Bulk gauze pad samples were analyzed by Polarized Light Microscopy and Transmission Electron Microscopy to determine asbestos content. Among air samples, chrysotile asbestos was the only fiber found in the first and third experiments, and tremolite asbestos for the second experiment. None of the air samples contained asbestos in concentrations above the current permissible regulatory levels promulgated by OSHA. These findings indicate that the level of asbestos exposure when working with wire gauze pads in the laboratory setting is much lower than levels associated with asbestosis or asbestos-related lung cancer and mesothelioma.

Copyright © 2018. Published by Elsevier Inc.
Historical evolution of regulatory standards for occupational and consumer exposures to industrial talc. D.A. Drechsel, C.A. Barlow, J.L. Bare, et al. 2018;92:251-267. Review PubMed · Publisher

Abstract

Talc has been used historically in a wide range of industrial applications and consumer products. The composition and purity of talc used for industrial purposes can vary greatly depending on the source and may contain asbestos minerals. The developing science associated with the health risks of asbestos had an effect on the talc industry throughout the 20th century. This review presents a detailed analysis of the evolution of regulatory standards impacting the use of industrial talc in the U.S. from the early 20th century through the 1990s. While it was recognized by the 1930s that airborne exposures to talc dust at high concentrations could cause lung disease, it was not until later that concerns were raised about the health risks associated with potential occupational exposures to asbestos from industrial talc. Regulatory agencies adopted occupational standards for industrial talc in the early 1970s, but the terminology used to define and characterize talc and other associated minerals varied between agencies. In addition, the complex and varying mineralogy of industrial talc led to inconsistent and imprecise interpretation of studies concerning health risk and occupational health standards among individual agencies.

Copyright © 2017 Elsevier Inc. All rights reserved.
Corrigendum to "Airborne Asbestos Exposures Associated with Gasket and Packing Replacement: A Simulation Study of Flange and Valve Repair Work and an Assessment of Exposure Variables" [Regul. Toxicol. Pharmacol. 71 (1) (2014) 35-51]. A.K. Madl, K.D. Devlin, A.L. Perez, et al. 2017;88:365-366. PubMed · Publisher
A comparison of the results from intra-pleural and intra-peritoneal studies with those from inhalation and intratracheal tests for the assessment of pulmonary responses to inhalable dusts and fibres. G. Drummond, R. Bevan, P. Harrison. 2016;81:89-105. Review PubMed · Publisher

Abstract

The aim of this paper is to compare results from inhalation studies with those from intraperitoneal and intrapleural tests, where available, for a number of fibrous and particulate test materials. The objective is to determine how well intraperitoneal/intrapleural studies predict the pathological responses observed in more standard in vivo studies of pulmonary toxicity, with a particular focus on carcinogenicity. Published toxicity data was obtained for a number of materials including asbestos, wollastonite, MMVFs (including glass fibres, stone wools and RCF), silicon carbide whiskers, potassium octatitanate, quartz, kevlar, polypropylene and titanium dioxide. For some of the fibrous material reviewed, there is conformity between the results of intraperitoneal and inhalation tests such that they are either consistently positive or consistently negative. For the remaining fibrous materials reviewed, intraperitoneal and inhalation tests give different results, with positive results in the intraperitoneal test not being reflected by positive inhalation results. It is suggested that the intraperitoneal test can be used to exonerate a dust or fibre (because if negative in the intraperitoneal test it is extremely unlikely to be positive in either inhalation or intratracheal tests) but should not be used to positively determine that a dust or fibre is carcinogenic by inhalation. We would argue against the use of intraperitoneal tests for human health risk assessment except perhaps for the purpose of exoneration of a material from classification as a carcinogen.

Copyright Â© 2016 Elsevier Inc. All rights reserved.
Comment on "Exposure-response modeling of non-cancer effects in humans exposed to Libby Amphibole Asbestos; update" by Benson et al. (2015). J.E. Goodman, K. Zu, G. Tao, et al. 2016;80:268-9. Letter · Comment PubMed · Publisher
Response to comment on "Exposure-response modeling of non-cancer effects in humans exposed to Libby Amphibole Asbestos; update" by Benson et al. (2015) submitted by Goodman et al. (2016). R. Benson, D. Berry, J. Lockey, et al. 2016;80:270-1. Letter · Comment PubMed · Publisher
Airborne asbestos exposures associated with gasket and packing replacement: a simulation study of flange and valve repair work and an assessment of exposure variables. A.K. Madl, K.D. Devlin, A.L. Perez, et al. 2015;71(1):35-51. PubMed · Publisher

Abstract

A simulation study was conducted to evaluate worker and area exposure to airborne asbestos associated with the replacement of asbestos-containing gaskets and packing materials from flanges and valves and assess the influence of several variables previously not investigated. Additionally, potential of take home exposures from clothing worn during the study was characterized. Our data showed that product type, ventilation type, gasket location, flange or bonnet size, number of flanges involved, surface characteristics, gasket surface adherence, and even activity type did not have a significant effect on worker exposures. Average worker asbestos exposures during flange gasket work (PCME=0.166 f/cc, 12-59 min) were similar to average worker asbestos exposures during valve overhaul work (PCME=0.165 f/cc, 7-76 min). Average 8-h TWA asbestos exposures were estimated to range from 0.010 to 0.062 f/cc. Handling clothes worn during gasket and packing replacement activities demonstrated exposures that were 0.71% (0.0009 f/cc 40-h TWA) of the airborne asbestos concentration experienced during the 5 days of the study. Despite the many variables considered in this study, exposures during gasket and packing replacement occur within a relatively narrow range, are below current and historical occupational exposure limits for asbestos, and are consistent with previously published data.

Copyright © 2014 Elsevier Inc. All rights reserved.
Analysis of workplace compliance measurements of asbestos by the U.S. Occupational Safety and Health Administration (1984-2011). D.M. Cowan, T.J. Cheng, M. Ground, et al. 2015;72(3):615-29. Historical article PubMed · Publisher

Abstract

The United States Occupational Safety and Health Administration (OSHA) maintains the Chemical Exposure Health Data (CEHD) and the Integrated Management Information System (IMIS) databases, which contain quantitative and qualitative data resulting from compliance inspections conducted from 1984 to 2011. This analysis aimed to evaluate trends in workplace asbestos concentrations over time and across industries by combining the samples from these two databases. From 1984 to 2011, personal air samples ranged from 0.001 to 175 f/cc. Asbestos compliance sampling data associated with the construction, automotive repair, manufacturing, and chemical/petroleum/rubber industries included measurements in excess of 10 f/cc, and were above the permissible exposure limit from 2001 to 2011. The utility of combining the databases was limited by the completeness and accuracy of the data recorded. In this analysis, 40% of the data overlapped between the two databases. Other limitations included sampling bias associated with compliance sampling and errors occurring from user-entered data. A clear decreasing trend in both airborne fiber concentrations and the numbers of asbestos samples collected parallels historically decreasing trends in the consumption of asbestos, and declining mesothelioma incidence rates. Although air sampling data indicated that airborne fiber exposure potential was high (>10 f/cc for short and long-term samples) in some industries (e.g., construction, manufacturing), airborne concentrations have significantly declined over the past 30 years. Recommendations for improving the existing exposure OSHA databases are provided.

Copyright © 2015. Published by Elsevier Inc.
Exposure-response modeling of non-cancer effects in humans exposed to Libby Amphibole Asbestos; update. R. Benson, D. Berry, J. Lockey, et al. 2015;73(3):780-9. PubMed · Publisher

Abstract

The United States Environmental Protection Agency (EPA) developed a quantitative exposure-response model for the non-cancer effects of Libby Amphibole Asbestos (LAA) (EPA, 2014). The model is based on the prevalence of localized pleural thickening (LPT) in workers exposed to LAA at a workplace in Marysville, Ohio (Lockey et al., 1984; Rohs et al., 2008). Recently, Lockey et al. (2015a) published a follow-up study of surviving Marysville workers. The data from this study increases the number of cases of LPT and extends the observation period for a number of workers, thereby providing a strengthened data set to define and constrain the optimal exposure-response model for non-cancer effects from inhalation exposure to LAA. The new data were combined with the previous data to update the exposure-response modeling for LPT. The results indicate that a bivariate model using cumulative exposure and time since first exposure is appropriate, and the benchmark concentration is similar to the findings previously reported by EPA (2014). In addition, the data were also used to develop initial exposure-response models for diffuse pleural thickening (DPT) and small interstitial opacities (SIO).

Published by Elsevier Inc.
Airborne asbestos exposures associated with gasket and packing replacement: a simulation study and meta-analysis. A.K. Madl, D.M. Hollins, K.D. Devlin, et al. 2014;69(3):304-19. Meta-analysis PubMed · Publisher

Abstract

Exposures to airborne asbestos during the removal and installation of internal gaskets and packing associated with a valve overhaul were characterized and compared to published data according to different variables (e.g., product, equipment, task, tool, setting, duration). Personal breathing zone and area samples were collected during twelve events simulating gasket and packing replacement, clean-up and clothing handling. These samples were analyzed using PCM and TEM methods and PCM-equivalent (PCME) airborne asbestos concentrations were calculated. A meta-analysis was performed to compare these data with airborne asbestos concentrations measured in other studies involving gaskets and packing. Short-term mechanic and assistant airborne asbestos concentrations during valve work averaged 0.013f/cc and 0.008f/cc (PCME), respectively. Area samples averaged 0.008f/cc, 0.005f/cc, and 0.003f/cc (PCME) for center, bystander, and remote background, respectively. Assuming a tradesman conservatively performs 1-3 gasket and/or packing replacements daily, an average 8-h TWA was estimated to be 0.002-0.010f/cc (PCME). Combining these results in a meta-analysis of the published exposure data showed that the majority of airborne asbestos exposures during work with gaskets and packing fall within a consistent and low range. Significant differences in airborne concentrations were observed between power versus manual tools and removal versus installation tasks. Airborne asbestos concentrations resulting from gasket and packing work during a valve overhaul are consistent with historical exposure data on replacement of asbestos-containing gasket and packing materials involving multiple variables and, in nearly all plausible scenarios, result in average airborne asbestos concentrations below contemporaneous occupational exposure limits for asbestos.

Copyright © 2014 Elsevier Inc. All rights reserved.
Electricians' chrysotile asbestos exposure from electrical products and risks of mesothelioma and lung cancer. J.E. Goodman, M.K. Peterson, L.A. Bailey, et al. 2014;68(1):8-15. Review PubMed · Publisher

Abstract

Both mechanistic and epidemiology studies indicate chrysotile asbestos has a threshold below which it does not cause mesothelioma or lung cancer. We conducted a critical review to determine whether electricians are at increased risk for these cancers and, if so, whether their exposure to chrysotile in electrical products could be responsible. We found that most, but not all, epidemiology studies indicate electricians are at increased risk for both cancers. Studies that evaluated electricians' exposure to asbestos during normal work tasks have generally reported low concentrations in air; an experimental study showed that grinding or drilling products containing encapsulated chrysotile resulted in exposures to chrysotile fibers far below the OSHA permissible exposure limit and the cancer no observed adverse effect level. Studies of other craftsmen who often work in the vicinity of electricians, such as insulators, reported asbestos (including amphibole) exposures that were relatively high. Overall, the evidence does not indicate that exposure to chrysotile in electrical products causes mesothelioma or lung cancer in electricians. Rather, the most likely cause of lung cancer in electricians is smoking, and the most likely cause of mesothelioma is exposure to amphibole asbestos as a result of renovation/demolition work or working in the proximity of other skilled craftsmen.

Copyright © 2013 Elsevier Inc. All rights reserved.
History and evolution of warning labels for automotive friction products. L.M. Kopelovich, K.A. Thuett, P.S. Chapman, et al. 2014;68(3):402-11. Historical article PubMed · Publisher

Abstract

There have been claims over the years that asbestos-containing product manufacturers did not sufficiently warn end users early enough regarding the potential health hazards associated with their products (1930s-1990s). To address this issue, we compared the content of the warnings associated with asbestos-containing friction products (brakes, clutches, and gaskets) manufactured by the US automotive industries to what was expected by regulatory agencies during the time period in which an understanding of asbestos health hazards was being developed. We ended our evaluation around 1990, since asbestos-containing manufacturer supplied automotive products were functionally removed from commerce by 1985 in the United States. We assessed the warnings issued in users' manuals, technical service bulletins, product packaging materials, and labels placed on products themselves. Based on our evaluation, regulatory agencies had no guidelines regarding specific warning language for finished friction products, particularly when a product contained encapsulated asbestos fibers (i.e., modified by a bonding agent). Even today, federal regulations do not require labeling on encapsulated products when, based on professional judgment or sampling, user exposure is not expected to exceed the OSHA PEL. We concluded that, despite limited regulatory guidance, the US automotive industry provided adequate warnings with regards to its friction products.

Copyright © 2014 Elsevier Inc. All rights reserved.
Letter concerning the paper by Finley and colleagues: dx.doi.org/10.1016/j.yrtph.2012.05.015. M.M. Finkelstein. 2013;65(1):178-9. Letter · Comment PubMed · Publisher
Response to a letter to the editor by Dr. Murray M. Finkelstein regarding the article by Finley et al. (2012). B.L. Finley, J.S. Pierce, D.J. Paustenbach, et al. 2013;65(1):180-1. Letter · Comment PubMed · Publisher
Asbestos exposure from the overhaul of a Pratt & Whitney R2800 engine. S.P. Mlynarek, D.R. Van Orden. 2012;64(2):189-94. PubMed · Publisher

Abstract

This study assessed the asbestos exposures of airplane piston engine mechanics while performing overhaul work on a Pratt & Whitney R2800 radial engine, with tools and practices in use since the time these engines were manufactured. Approximately 40% of the bulk samples collected during this test were found to contain chrysotile. Air samples were collected during the overhaul and were analyzed by phase contrast microscopy (PCM) and transmission electron microscopy (TEM). The average worker exposure during disassembly was 0.0272f/ml (PCM) and ranged from 0.0013 to 0.1240f/ml (PCM) during an average sample collection time of 188min. The average worker exposure during reassembly was 0.0198f/ml (PCM) and ranged from 0.0055 to 0.0913f/ml (PCM) during an average sample collection time of 222min. Only one worker sample (during reassembly) was found to contain asbestos at a concentration of 0.0012f/ml (PCME). Similar results should be found in other aircraft piston engines that use metal clad and non-friable asbestos gaskets, which are the current standard in aircraft piston engines.

Copyright © 2012 Elsevier Inc. All rights reserved.
Assessment of potential asbestos exposures from jet engine overhaul work. S.P. Mlynarek, D.R. Van Orden. 2012;63(1):78-83. PubMed · Publisher

Abstract

Asbestos fibers have been used in a wide variety of products and numerous studies have shown that exposures from the use or manipulation of these products can vary widely. Jet engines contained various components (gaskets, clamps, o-rings and insulation) that contained asbestos that potentially could release airborne fibers during routine maintenance or during an engine overhaul. To evaluate the potential exposures to aircraft mechanics, a Pratt & Whitney JT3D jet engine was obtained and overhauled by experienced mechanics using tools and work practices similar to those used since the time this engine was manufactured. This study has demonstrated that the disturbance of asbestos-containing gaskets, o-rings, and other types of asbestos-containing components, while performing overhaul work to a jet engine produces very few airborne fibers, and that virtually none of these aerosolized fibers is asbestos. The overhaul work was observed to be dirty and oily. The exposures to the mechanics and bystanders were several orders of magnitude below OSHA exposure regulations, both current and historic. The data presented underscore the lack of risk to the health of persons conducting this work and to other persons in proximity to it from airborne asbestos.

Copyright © 2012 Elsevier Inc. All rights reserved.
Malignant pleural mesothelioma in US automotive mechanics: reported vs expected number of cases from 1975 to 2007. B.L. Finley, J.S. Pierce, D.J. Paustenbach, et al. 2012;64(1):104-16. Review PubMed · Publisher

Abstract

Until the 1980s, chrysotile asbestos was a component of automotive brakes manufactured in the US. The current OSHA Bulletin (2006) for brake repair cites a single study (Lemen, 2004) which concluded that the number of mesothelioma cases reported in the literature in "end-product users of friction materials" indicated an asbestos-related risk for auto mechanics. However, Lemen (2004) did not compare the reported number of cases to an "expected" value, even though pleural mesothelioma occurs in the general population in the absence of asbestos exposure. We compare the number of malignant pleural mesothelioma (MPM) cases reported in the US literature among auto mechanics between 1975-2007 to an expected value derived from estimated numbers of current and former auto mechanics. A total of 106 cases categorized as mesothelioma or malignant neoplasm of the pleura were found in the literature. Using background incidence rates for MPM of two and three cases per million individuals per year, we estimated that a range of 278-515 cases of non-asbestos-related MPM, respectively, would have occurred in current or former auto mechanics from 1975-2007. Our findings are consistent with the numerous epidemiology studies that have found no increased risk of MPM in auto mechanics.

Copyright © 2012 Elsevier Inc. All rights reserved.
Product stewardship and science: safe manufacture and use of fiber glass. T.W. Hesterberg, R. Anderson, D.M. Bernstein, et al. 2012;62(2):257-77. PubMed · Publisher

Abstract

This paper describes a proactive product stewardship program for glass fibers. That effort included epidemiological studies of workers, establishment of stringent workplace exposure limits, liaison with customers on safe use of products and, most importantly, a research program to evaluate the safety of existing glass fiber products and guide development of new even safer products. Chronic inhalation exposure bioassays were conducted with rodents and hamsters. Amosite and crocidolite asbestos produced respiratory tract cancers as did exposure to "biopersistent" synthetic vitreous fibers. "less biopersistent" glass fibers did not cause respiratory tract cancers. Corollary studies demonstrated the role of slow fiber dissolution rates and biopersistence in cancer induction. These results guided development of safer glass fiber products and have been used in Europe to regulate fibers and by IARC and NTP in classifying fibers. IARC concluded special purpose fibers and refractory ceramic fibers are "possibly carcinogenic to humans" and insulation glass wool, continuous glass filament, rock wool and slag wool are "not classifiable as to their carcinogenicity to human." The NTP's 12th report on carcinogens lists "Certain Glass Wool Fibers (Inhalable)" as "reasonably anticipated to be a human carcinogen." "Certain" in the descriptor refers to "biopersistent" glass fibers and excludes "less biopersistent" glass fibers.

Copyright Â© 2012 Elsevier Inc. All rights reserved.
Airborne asbestos exposures associated with work on asbestos fire sleeve materials. C.L. Blake, S.C. Harbison, G.T. Johnson, et al. 2011;61(2):236-42. PubMed · Publisher

Abstract

Asbestos-containing fire sleeves have been used as a fire protection measure for aircraft fluid hoses. This investigation was conducted to determine the level of airborne asbestos fiber exposure experienced by mechanics who work with fire sleeve protected hoses. Duplicate testing was performed inside a small, enclosed workroom during the fabrication of hose assemblies. Personal air samples taken during this work showed detectable, but low airborne asbestos fiber exposures. Analysis of personal samples (n=9) using phrase contract microscopy (PCM) indicated task duration airborne fiber concentrations ranging from 0.017 to 0.063 fibers per milliliter (f/ml) for sampling durations of 167-198 min, and 0.022-0.14 f/ml for 30 min samples. Airborne chrysotile fibers were detected for four of these nine personal samples, and the resulting asbestos adjusted airborne fiber concentrations ranged from 0.014 to 0.025 f/ml. These results indicate that work with asbestos fire sleeve and fire sleeve protected hose assemblies, does not produce regulatory noncompliant levels of asbestos exposure for persons who handle, cut and fit these asbestos-containing materials.

Copyright © 2011 Elsevier Inc. All rights reserved.
Assessment of airborne asbestos exposure at an asbestos cement sheet and pipe factory in Iran. H. Marioryad, H. Kakooei, S.J. Shahtaheri, et al. 2011;60(2):200-5. PubMed · Publisher

Abstract

Iran imports nearly 55,000 metric tons of asbestos per year, and asbestos cement (AC) plants contribute nearly 94% of the total national usage. In the present study, asbestos fiber concentrations during AC sheet and pipe manufacturing were measured by phase-contrast microscopy (PCM) and polarized light microscopy (PLM) in 98 personal air samples. The fiber type and its chemical composition were also evaluated by scanning electron microscopy (SEM) and energy-dispersive X-ray analysis (EDX). Personal monitoring of fiber levels indicated a range from 0.02 to 0.55PCM f/ml (0.02-0.69PLM f/ml). The AC workers' geometric mean asbestos exposure was 0.09 PCM f/ml (0.11 PLM f/ml), with arithmetic mean of 0.13 PCM f/ml (0.16 PLM f/ml). The observed fiber concentrations in many processes were higher than the threshold limit value (TLV) proposed by the American Conference of Governmental Industrial Hygienists (ACGIH), which is 0.1 f/ml. Based on these findings, the PLM values were approximately 25% higher than PCM values. The SEM data demonstrate that fibrous particles contained chrysotile. The thinnest fiber recognized by SEM had a diameter of 0.2μm. Mean exposure exceeded the TLV for asbestos in pipe molding and finishing (100%) as well as sheet molding and finishing (45.5-83.3%). In conclusion exposure control may be needed to be in compliance with the ACGIH TLV and other guidance levels. Also, with regard to PCM limitations for airborne fiber analysis, the use of microscopic methods other than PCM can be used to improve the techniques used presently.

Copyright © 2011 Elsevier Inc. All rights reserved.
Evaluation of exposure to the airborne asbestos in an automobile brake and clutch manufacturing industry in Iran. H. Kakooei, H. Marioryad. 2010;56(2):143-7. PubMed · Publisher

Abstract

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.

(c) 2009 Elsevier Inc. All rights reserved.
Extensive changes to occupational exposure limits in Korea. J.Y. Jeong, S. Choi, Y.L. Kho, et al. 2010;58(2):345-8. PubMed · Publisher

Abstract

Occupational exposure limits (OELs) are used as an important tool to protect workers from adverse chemical exposures and its detrimental effects on their health. The Ministry of Labor (MOL) can establish and publish OELs based on the Industrial Safety and Health Act in Korea. The first set of OELs was announced by the MOL in 1986. At that time, it was identical to the Threshold Limit Values of the American Conference of Governmental Industrial Hygienists. Until 2006, none the first OELs except for those of three chemicals (asbestos, benzene, and 2-bromopropane) were updated during the last twenty years. The Hazardous Agents Review Committee established under the MOL selected 126 chemicals from 698 chemicals covered by OELs using several criteria. From 2005 to 2006, the MOL provided research funds for academic institutions and toxicological laboratories to gather the evidence documenting the need to revise the outdated OELs. Finally, the MOL notified the revised OELs for 126 chemicals from 2007 to 2008. The revised OELs of 58 substances from among these chemicals were lowered to equal or less than half the value of the original OELs. This is the most substantial change in the history of OEL revisions in Korea.

Copyright © 2010 Elsevier Inc. All rights reserved.

2000s

Airborne asbestos exposure during light aircraft brake replacement. C.L. Blake, G.T. Johnson, R.D. Harbison. 2009;54(3):242-6. PubMed · Publisher

Abstract

Asbestos containing materials are a component of many vehicle brake systems, including those found in some light aircraft. To characterize the asbestos exposure that results from the installation and maintenance of these components, an aircraft fitted with asbestos containing brake pads had brake changes performed while both area and personal air samples were taken. The brake changing process took place in a closed, unventilated aircraft hanger and all operations were performed according to the manufacturer's recommended procedure. Personal air samples did not detect any measurable amount of asbestos fibers during the brake changing or subsequent cleanup procedures. Analysis of personal samples (n=9) using phase contrast microscopy indicated airborne fiber concentrations at or below 0.003f/ml as 8-h time weighted averages (TWAs) and less than 0.069f/ml averaged over 28-30min sampling periods. Airborne chrysotile fibers were detected by two area air samples with fiber concentrations remaining at or below 0.0013f/ml over an 8-h TWA. These results indicate that normal brake changing work practices on aircraft with asbestos containing brake pads does not produce a harmful level of asbestos exposure for aircraft mechanics.
Cytotoxicity study of rock wool by cell magnetometric evaluation. Y. Kudo, M. Kotani, Y. Aizawa. 2009;55(2):151-7. PubMed · Publisher

Abstract

The cytotoxicity of rock wool (RW), an asbestos substitute, was evaluated by cell magnetometry. Alveolar macrophages were isolated from male Fisher rats. Following addition of triiron tetraoxide (Fe(3)O(4)) to macrophages, RW was added. Then, the remnant magnetic field strength was measured for 20min after magnetization by an external field. Relaxation, an indicator of decay of cytotoxicity, was observed by cell magnetometry immediately postmagnetization in the group to which RW was added. In general, materials phagocytosed by macrophages are ingested into phagosomes and digested while migrating. This migration of phagosomes occurs by polymerization and depolymerization of the cytoskeleton. As a result of evaluation, relaxation was not delayed by addition of RW, since RW caused no effect on the cytoskeleton. It was suggested that RW has no cytotoxicity as evaluated by cell magnetometry.
A review of carcinogenicity studies of asbestos and non-asbestos tremolite and other amphiboles. J. Addison, E.E. McConnell. 2008;52(1 Suppl):S187-99. Review PubMed · Publisher

Abstract

Experimental animal studies comparing asbestos and non-asbestos varieties of tremolite indicate tremolite asbestos is markedly more carcinogenic. By direct analogy, the differences in carcinogenicity between tremolite asbestos and non-asbestos prismatic tremolite should be the same for the other types of amphibole that also crystallize in the asbestos and non-asbestos habits. The earliest of the experiment animal studies, done more than 25 years ago, have design limitations by modern standards including the use of injection or surgical implantation as the route of administration rather than the more relevant route of inhalation. However, the differences in the carcinogenicity of amphibole asbestos and non-asbestos amphiboles are sufficiently large to be clearly discernable even with the study limitations. Together with later studies on these and related minerals, there is strong evidence of a much lower hazard associated with the shorter, thicker fibers of the non-asbestos amphiboles, than is found for the asbestos analogues of the same mineral. It is possible that the non-asbestos amphiboles are no more hazardous than other silicate minerals widely considered nuisance dusts.
A study of airborne chrysotile concentrations associated with handling, unpacking, and repacking boxes of automobile clutch discs. G.C. Jiang, A.K. Madl, K.J. Ingmundson, et al. 2008;51(1):87-97. PubMed · Publisher

Abstract

Although automotive friction products (brakes and manual clutches) historically contained chrysotile asbestos, industrial hygiene surveys and epidemiologic studies of auto mechanics have consistently shown that these workers are not at an increased risk of developing asbestos-related diseases. Airborne asbestos levels during brake repair and brake parts handling have been well-characterized, but the potential exposure to airborne asbestos fibers during the handling of clutch parts has not been examined. In this study, breathing zone samples on the lapel of a volunteer worker (n=100) and area samples at bystander (n=50), remote area (n=25), and ambient (n=9) locations collected during the stacking, unpacking, and repacking of boxes of asbestos-containing clutches, and the subsequent cleanup and clothes handling, were analyzed by phase contrast microscopy (PCM) and transmission electron microscopy (TEM). In addition, fiber morphology and size distribution was evaluated using X-ray diffraction, polarized light microscopy, and ISO analytical methods. It was observed that the (1) airborne asbestos concentrations increased with the number of boxes unpacked and repacked, (2) repetitive stacking of unopened boxes of clutches resulted in higher asbestos concentrations than unpacking and repacking the boxes of clutches, (3) cleanup and clothes handling tasks yielded very low asbestos concentrations. Fiber size and morphology analyses showed that amphibole fibers were not detected in the clutches and that the vast majority (>95%) of the airborne chrysotile fibers were less than 20 microm in length. Applying the ratio of asbestos fibers:total fibers (including non-asbestos) as determined by TEM to the PCM results, it was found that 30-min average airborne chrysotile concentrations (PCM adjusted) were 0.026+/-0.004 f/cc or 0.100+/-0.017 f/cc for a worker unpacking and repacking 1 or 2 boxes of clutches, respectively. The 30-min PCM adjusted average airborne asbestos concentrations at bystander locations ranged from 0.002+/-0.001 f/cc and 0.004+/-0.002 f/cc when 1 or 2 boxes of clutches were handled, respectively. Estimated 8-h TWA asbestos exposures for a worker handling 1 or 2 boxes of clutches over a workday ranged from 0.002 to 0.006 f/cc. The 30-min PCM adjusted average airborne asbestos concentration for a worker continuously stacking unopened boxes of clutches was 0.212+/-0.014 f/cc; the 8-h TWA was 0.013 f/cc. Additionally, 30-min PCM adjusted average airborne asbestos concentrations following cleanup and clothing handling were 0.002+/-0.001 f/cc and 0.002+/-0.002 f/cc, respectively, both resulting in estimated 8-h TWA asbestos exposures of 0.0001 f/cc. The results of this study indicate that the handling, unpacking, and repacking of clutches, and the subsequent cleanup and clothes handling by a worker within a short-term period or over the entire workday, result in exposures below the historical and current short-term and 8-h occupational exposure limits for asbestos.
Airborne asbestos in buildings. R.J. Lee, D.R. Van Orden. 2008;50(2):218-25. PubMed · Publisher

Abstract

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.
An evaluation of the risks of lung cancer and mesothelioma from exposure to amphibole cleavage fragments. J.F. Gamble, G.W. Gibbs. 2008;52(1 Suppl):S154-86. Review PubMed · Publisher

Abstract

Amphiboles are hydrated mineral silicates five of which occur in asbestiform habits as asbestos grunerite (amosite) asbestos, riebeckite (crocidolite) asbestos, anthophyllite asbestos, tremolite asbestos and actinolite asbestos] and non-asbestiform habits (grunerite, riebeckite, anthophyllite, tremolite and actinolite). The asbestiform varieties are characterized by long, thin fibers while non-asbestiform varieties such as cleavage fragments form short fibers with larger widths. The U.S. regulatory method for counting asbestos fibers (aspect ratio > or = 3:1, length > or = 5 microm) does not distinguish between asbestos and cleavage fragments. The method biases toward increased counts of non-asbestiform cleavage fragments compared to long, thin asbestos fibers. One consequence of this regulatory approach is that workers can be erroneously classified as exposed to concentrations of asbestos (asbestiform amphiboles) above the U.S. 0.1 f/mL exposure standard when in fact they are not exposed to asbestos at all but non-asbestiform amphibole cleavage fragments. Another consequence is that the known carcinogenic effects of asbestos may be falsely attributed to non-asbestiform amphibole cleavage fragments of the same mineral. The purpose of this review is to assess whether amphibole cleavage fragments pose the same risk of lung cancer and mesothelioma characteristic of amphibole asbestos fibers. We identified three groups of workers exposed to non-asbestiform amphiboles: two groups exposed to grunerite (Homestake gold miners and taconite miners) and one group exposed to industrial talc containing non-asbestiform tremolite and anthophyllite in St. Lawrence County, NY. In addition to assessing strength of association and exposure-response trends in the non-asbestiform amphibole cohorts, comparisons were also made with cohorts exposed to the asbestiform counterpart (positive control) and cohorts exposed to the mineral (e.g. talc) that does not contain amphiboles (negative controls). The cohorts exposed to non-asbestiform amphiboles had no excesses of lung cancer or mesothelioma. Similar results were observed in the negative control groups, in stark contrast to the excess risks of asbestos-related disease found in the asbestos cohorts. The only possible exception is the twofold increased risk of lung cancer where exposure was to industrial talc containing cleavage fragments of tremolite and anthophyllite. However, this risk is not considered attributable to the talc or amphibole cleavage fragments for several reasons. A similar increased risk of lung cancer was found in Vermont talc workers, studied in the same time period. Their exposure was to relatively pure talc. There was no relationship between lung cancer mortality and exposure measured as mg/m(3)years and years worked. A case-control study reported that all the lung cancer cases were smokers (or former smokers) and attributed the excess to smoking. There were two mesothelioma cases among the NY State talc workers exposed to cleavage fragments of tremolite and anthophyllite, but talc is not a plausible cause because of too short latency and potential for previous asbestos exposure. The positive controls of tremolite asbestos and anthophyllite asbestos exposed workers showed excess risks of both lung cancer and mesothelioma and positive exposure-response trends. St. Lawrence, NY talc does not produce mesotheliomas in animals while amphibole asbestos does. In sum, the weight of evidence fully supports a conclusion that non-asbestiform amphiboles do not increase the risk of lung cancer or mesothelioma.
An overview of the risk of lung cancer in relation to exposure to asbestos and of taconite miners. G. Berry, G.W. Gibbs. 2008;52(1 Suppl):S218-22. Review PubMed · Publisher

Abstract

Exposure-response relationships between the relative risk of lung cancer and quantitative measures of exposure to asbestos are available from a number of epidemiological studies. Meta-analyses of these relationships have been published by Lash et al. (1997) [Lash, T.L., Crouch, E.A.C., Green, L.C., 1997. A meta-analysis of the relation between cumulative exposure to asbestos and relative risk of lung cancer. Occup. Environ. Med. 54, 254-263] and Hodgson and Darnton (2000) [Hodgson, J.T., Darnton, A., 2000. The quantitative risks of mesothelioma and lung cancer in relation to asbestos exposure. Ann. Occup. Hyg. 44, 565-601]. In this paper, the risks derived in these meta-analyses have been compared. Lash et al., concentrated on process and found that the risk of lung cancer increased as the asbestos is refined by processing. Hodgson and Darnton concentrated on fibre type and found that the risk was highest for exposure to amphibole asbestos (crocidolite and amosite), lowest for chrysotile and intermediate for mixed exposure. Some of the differences between the conclusions from the two meta-analyses are a consequence of the choice of studies included. The range of asbestos types included in the studies in the analysis of Hodgson and Darnton was wider than that in Lash et al., enabling differences between fibre types to be analyzed more readily. There are situations where occupational exposure to chrysotile asbestos has shown no detectable increase in risk of lung cancer. Taconite miners have shown no increased risk of mortality due to lung cancer.
Assessment of the pathogenic potential of asbestiform vs. nonasbestiform particulates (cleavage fragments) in in vitro (cell or organ culture) models and bioassays. B.T. Mossman. 2008;52(1 Suppl):S200-3. PubMed · Publisher · Free full text

Abstract

Asbestos fibers are highly fibrous silicate fibers that are distinguished by having a large aspect (length to diameter) ratio and are crystallized in an asbestiform habit that causes them to separate into very thin fibers or fibrils. These fibers are distinct from nonasbestiform cleavage fragments and may appear as thick, short fibers which break along cleavage planes without the high strength and flexibility of asbestiform fibers. Since cleavage fragments of respirable dimensions have generally proven nonpathogenic in animal studies, little data exists on assessing well-characterized preparations of cleavage fragments in in vitro models. The available studies show that cleavage fragments are less bioreactive and cytotoxic than asbestiform fibers.
Environmental mesothelioma associated with tremolite asbestos: lessons from the experiences of Turkey, Greece, Corsica, New Caledonia and Cyprus. S.H. Constantopoulos. 2008;52(1 Suppl):S110-5. PubMed · Publisher

Abstract

Mediterranean regions such as Greece, Turkey, Cyprus, Corsica and New Caledonia have experienced epidemics of malignant mesothelioma as a result of non-occupational, "domestic" exposure to tremolite asbestos and fibrous erionite. This exposure to tremolite asbestos and fibrous erionite is typified "domestic" due to its prevalence in regions with natural deposits of tremolite asbestos (or fibrous erionite) where the material from tremolite asbestos or fibrous erionite is used for domestic applications such as whitewashing. However, these exposures may be useful in examining the potential consequences of even small amounts of amphibole asbestos fibers in the ambient air. It can also elucidate the effects of fibers that behave like amphibole asbestos. However, this type of exposure is not useful for studying the potential effects of small amounts of asbestos in the ambient air of big cities due to the differing nature of the fiber types and modes of exposure between the regions.
Evaluation of asbestos exposure within the automotive repair industry: a study involving removal of asbestos-containing body sealants and drive clutch replacement. C.L. Blake, G.S. Dotson, R.D. Harbison. 2008;52(3):324-31. PubMed · Publisher

Abstract

Two independent assessments were performed of airborne asbestos concentrations generated during automotive repair work on vintage vehicles . The first involved removal of asbestos-containing seam sealant, and the second involved servicing of a drive clutch. Despite the relatively high concentrations (5.6-28%) of chrysotile fibers detected within bulk samples of seam sealant, the average asbestos concentration for personal breathing zone (PBZ) samples during seam sealant removal was 0.006 f/cc (fibers/cubic centimeter of air). Many other air samples contained asbestos at or below the analytical limit of detection (LOD). Pneumatic chiseling of the sealant material during removal resulted in 69% of area air samples containing asbestos. Use of this impact tool liberated more asbestos than hand scraping. Asbestos fibers were only detected in air samples collected during the installation of a replacement clutch. The highest asbestos corrected airborne fiber concentration observed during clutch installation was 0.0028 f/cc. This value is approximately 100 times lower than Occupational Safety and Health Administration's (OSHA) permissible exposure limit (PEL) of 0.1f/cc. The airborne asbestos concentrations observed during the servicing of vintage vehicles with asbestos-containing seam sealant and clutches are comparable to levels reported for repair work involving brake components and gaskets.
Exposure to airborne amphibole structures and health risks: Libby, Montana. B. Price. 2008;52(1 Suppl):S97-S109. PubMed · Publisher

Abstract

Libby, Montana is the site of a large vermiculite deposit that was mined between 1920 and 1990 to extract vermiculite for commercial applications such as insulation, gardening products, and construction materials. The Libby vermiculite deposit also contains amphibole minerals including tremolite, actinolite, richterite, and winchite. Historically, Libby mine workers experienced high exposures to amphibole structures, and, as a group, have experienced the health consequences of those occupational exposures. It has been suggested that Libby residents also have been and continue to be exposed to amphibole structures released during the vermiculite mining operations and therefore are at increased risk for disease. The Agency for Toxic Substance and Disease Registry (ATSDR) conducted two epidemiological-type studies of residents living in Libby and the surrounding areas to assess these risks. The Environmental Protection Agency (EPA) collected and analyzed exposure data in Libby and used those data to project risks of asbestos-associated disease for Libby residents. The EPA has placed the Libby Asbestos Site, which includes the mine and the town of Libby, on its National Priority List of hazardous waste sites in need of clean up. This article presents a review of the exposure studies conducted in Libby and an analysis of health risks based on the data collected in those studies. Libby mine workers have experienced elevated levels of asbestos-associated disease as a consequence of their occupational exposures to amphibole structures. Libby residents' exposures typically are substantially lower than mine workers' historical exposures, and the health risk projections for residents are, accordingly, substantially lower.
Health effects of amosite mining and milling in South Africa. J. Murray, G. Nelson. 2008;52(1 Suppl):S75-81. Historical article PubMed · Publisher

Abstract

This study focuses on the amosite mining region in South Africa and associated health effects, compared to other mined asbestos fiber types. Historically, dust and fiber levels were high in the amosite mills and mines, and many miners and members of the surrounding communities were exposed to the fibers. Research has shown that amosite produces both benign and malignant disease. Nevertheless, the mesotheliomagenic potential of amosite is several fold lower than crocidolite. The risk of disease associated with amosite exposure is difficult to quantify. Reasons for this include the scarcity of available information, including fiber measurements, and case ascertainment, as well as the juxtaposition of the amosite and crocidolite asbestos seams in South Africa.
Human health effects associated with the commercial use of grunerite asbestos (amosite): Paterson, NJ; Tyler, TX; Uxbridge, UK. J. Ribak, G. Ribak. 2008;52(1 Suppl):S82-90. Review PubMed · Publisher

Abstract

Grunerite asbestos (amosite) has been shown in epidemiological and experimental animal studies to cause lung cancer, mesothelioma and pulmonary fibrosis commonly referred to as asbestosis. An overview of the human and experimental animal studies describing the health hazards of grunerite asbestos (amosite) is presented. Of the many human studies describing the health hazards of asbestos, only three factories using mainly, if not exclusively, grunerite asbestos (amosite) have been studied. The first is a series of reports on a cohort of 820 workers from a plant located in Paterson, NJ. Among this cohort, 18.7% died of lung cancer and 17 mesotheliomas occurred. The Paterson factory closed in 1954 and moved to Tyler, Texas where it operated until 1972. Among the 1130 former workers in the Tyler plant 6 mesotheliomas were reported with 15.8% lung cancer mortality. The third grunerite asbestos (amosite) exposed cohort was an insulation board manufacturing facility in Uxbridge, United Kingdom. Here 17.1% of the workers died of lung cancer and 5 mesotheliomas occurred. The lung content from 48 Uxbridge workers was analyzed by analytical transmission electron microscopy for mineral fibers. The relationship between grunerite asbestos (amosite) concentrations in the lung correlated with grades of fibrosis and asbestos bodies and was lower than the concentration found in the cases with malignant tumors. The lung cancer cases contained more grunerite asbestos (amosite) than mesothelioma cases, and in the cases of non-malignant disease the concentrations were still lower. In both types of malignancies the concentration of grunerite asbestos (amosite) was very high-over a billion fibers per gram of dried lung tissue. Occupational exposure to airborne concentrations of between 14 and 100 fibers of grunerite asbestos (amosite) per milliliter after 20 year latency causes marked increases in lung cancer, mesothelioma and pulmonary fibrosis (asbestosis).
Identification and enumeration of asbestos fibers in the mining environment: mission and modification to the Federal Asbestos Standard. A.M. Langer. 2008;52(1 Suppl):S207-17. PubMed · Publisher

Abstract

Since the promulgation of the first Federal Asbestos Standard by the Occupational Safety and Health Administration in 1972, other federal agencies have modified the standard to better carry on their own unique missions. The instruments used to identify and measure asbestos, the sampling protocol, and the criteria used to define asbestos, have been modified to some degree. The Mine Safety and Health Administration regulates and controls asbestos dust in the mining and mineral commodity industries. However, crushed stone and processed ores contain mineral fragments that are frequently difficult to distinguish from asbestos. Mineral nomenclature, instruments for particle analysis, and sampling strategy must be accommodated to some degree to make asbestos control workable and meaningful. Precedent in other agencies has made consideration of these changes possible. Newly identified amphibole asbestos minerals have further complicated the agency's regulatory charge. Changes in its Asbestos Standard are now being considered. Crushed taconite ore in the Eastern Mesabi highlights many of these issues.
International symposium on the health hazard evaluation of fibrous particles associated with taconite and the adjacent duluth complex. Introduction. R.P. Nolan. 2008;52(1 Suppl):S4. Editorial PubMed · Publisher
Investigation of exposures to commercial asbestos in northeastern Minnesota iron miners who developed mesothelioma. W.M. Brunner, A.N. Williams, A.P. Bender. 2008;52(1 Suppl):S116-20. PubMed · Publisher

Abstract

A 70% excess of mesothelioma, an asbestos-related cancer, has been reported among men in northeastern Minnesota, where iron mining has been the major industry. The Minnesota Department of Health has studied iron miners who developed mesothelioma to identify possible sources of asbestos exposure. A database of all Minnesota residents diagnosed with mesothelioma between 1988 and 1996 was linked to a database of approximately 72,000 current and former Minnesota iron-mining employees to identify cases who had ever worked in the mining industry. The job histories of the cases were examined to determine if any of their jobs could have involved exposure to commercial asbestos. Seventeen individuals diagnosed with mesothelioma in Minnesota between 1988 and 1996 were found to have worked in the iron mining industry. Of the 15 for whom adequate work histories were available, 14 had identifiable sources of exposure to commercial asbestos in jobs held both inside and outside of the mining industry. The time between employment in these asbestos-exposed occupations and the diagnosis of mesothelioma is consistent with the 20 or more year latency period that has been observed in other studies of this cancer.
Letter to the editor re: "Mesothelioma and asbestos". M.E. Wagner, L.B. Travis. 2008;52(3):353-4; author reply 355. Comment · Letter PubMed · Publisher
Mesothelioma and asbestos. G.W. Gibbs, G. Berry. 2008;52(1 Suppl):S223-31. Review PubMed · Publisher

Abstract

The current state of knowledge concerning mesothelioma risk estimates is reviewed. Estimates of the risk of mesothelioma exist for the commercial asbestos fiber types chrysotile, amosite and crocidolite. Data also exist on which to assess risks for winchite (sodic tremolite) and anthophyllite asbestos. Uncertainty in estimates is primarily related to limitations in measurements of exposure. Differences in the dimensions of the various fiber types and of the same fiber types at different stages of processing add a further complication. Never-the-less, in practical terms, crocidolite presents the highest asbestos related mesothelioma risk. The risk associated with sodic tremolite (winchite) appears to be similar. In chrysotile miners and millers, the mesothelioma risk has been linked with exposure to asbestiform tremolite. Exposure to chrysotile in a pure form seems likely to present a very low if any risk of mesothelioma. While the majority of mesothelial tumors result from exposure to the asbestos minerals, there are other well established and suspected etiological agents. While a practical threshold seems to exist for exposure to chrysotile, it is unlikely to exist for the amphibole asbestos minerals, especially for crocidolite. To date there is no indication of an increased risk of mesothelioma resulting from non-commercial fiber exposure in the taconite industry.
Mineralogical and microscopic evaluation of coarse taconite tailings from Minnesota taconite operations. L.M. Zanko, H.B. Niles, J.A. Oreskovich. 2008;52(1 Suppl):S51-65. PubMed · Publisher

Abstract

Eighteen coarse taconite tailings samples were collected in 2000-2001 from five western Mesabi Range taconite (iron ore) operations located in northern Minnesota, i.e., EVTAC, Hibbing Taconite (Hibtac), USX Minntac, Ispat Inland (Minorca), and National Steel Pellet Company (NSPC), to test their physical, geological, chemical, and mineralogical properties [Zanko, L.M., Niles, H.B., Oreskovich, J.A., 2003. Properties and aggregate potential of coarse taconite tailings from five Minnesota taconite operations, Minnesota Department of Transportation, Local Road Research Board, St. Paul, MN, Report No. 2004-06 (also as Natural Resources Research Institute technical report, NRRI/TR-2003/44)]. The goal was to assemble a body of technical data that could be used to better assess the potential of using a crushed taconite mining byproduct like coarse tailings for more widespread construction aggregate purposes, primarily in roads and highways. An important part of the mineralogical assessment included X-ray diffraction (XRD) analyses and microscopic (polarized light microscopy, scanning electron microscopy, and transmission electron microscopy, i.e., PLM, SEM, and TEM, respectively) evaluation of the size and shape (morphological) characteristics of potentially respirable microscopic mineral particles and fragments. Quantitative mineralogy, based on XRD analyses, showed that the dominant mineral in all samples was quartz (55-60%), followed by much smaller amounts of iron oxides, carbonates, and silicates. Specialized microscopic analyses and testing performed by the RJ Lee Group, Monroeville, PA, on both pulverized (-200 mesh, or 0.075mm) and as-is sample composites showed that no regulated asbestos minerals or amphibole minerals were detected in the western Mesabi Range samples. A small number (26) of non-asbestos and non-amphibole mineral cleavage fragments/mineral fibers were detected by SEM out of 1000 fields analyzed, but most were identified as minnesotaite and talc, silicate minerals common to the Biwabik Iron Formation. Amphibole minerals, absent in coarse tailings samples from the five western Mesabi Range taconite operations, were present in a single eastern Biwabik Iron Formation sample collected in 2003 for Lake County from the Cliffs Northshore operation in Silver Bay, MN. Importantly, the Superfund Method for the Determination of Releasable Asbestos in Soils and Bulk Materials [United States Environmental Protection Agency (USEPA), 1997. Superfund method for the determination of releasable asbestos in soils and bulk materials, EPA 540-R-97-028, U.S. Environmental Protection Agency, Washington], as modified by Berman and Kolk [Berman, D.W., Kolk, A.J., 2000. Modified elutriator method for the determination of asbestos in soils and bulk materials, Revision 1: Submitted to the U.S. Environmental Protection Agency, Region 8, May 23, 2000] failed to generate any protocol fibers, i.e., fibers longer than 5mum and thinner than 0.5mum, from either the western coarse tailings samples or the single eastern Biwabik Iron Formation sample. The combined findings suggest coarse tailings and other taconite mining byproducts should be treated with the same common sense safety and industrial hygiene approach practiced for all mineral-based materials that have the potential to generate respirable dust.
Rapporteur's Report Session 2: characterization of fibrous minerals. A.M. Langer. 2008;52(1 Suppl):S73-4. PubMed · Publisher
Rapporteur's Report Session 3: exposure to grunerite (amosite) asbestos: historical perspectives of the health effects. G.W. Gibbs. 2008;52(1 Suppl):S91. PubMed · Publisher
Rapporteur's Report Session 4: grunerite asbestos (amosite) and tremolite-ferroactinolite asbestos: risk of environmental mesothelioma. J.F. Gamble. 2008;52(1 Suppl):S121-3. PubMed · Publisher
Rapporteur's Report Session 5: assessment of health risk associated with exposure to non-asbestiform amphiboles including ingestion studies. B. Price. 2008;52(1 Suppl):S204-6. PubMed · Publisher
Rapporteur's Report Session 6: risk assessment of asbestos and other fibrous mineral particulates. R.P. Nolan, A.M. Langer. 2008;52(1 Suppl):S246-8. PubMed · Publisher
Risk assessment due to environmental exposures to fibrous particulates associated with taconite ore. R. Wilson, E.E. McConnell, M. Ross, et al. 2008;52(1 Suppl):S232-45. PubMed · Publisher

Abstract

In the early 1970s, it became a concern that exposure to the mineral fibers associated taconite ore processed in Silver Bay, Minnesota would cause asbestos-related disease including gastrointestinal cancer. At that time data gaps existed which have now been significantly reduced by further research. To further our understanding of the types of airborne fibers in Silver Bay we undertook a geological survey of their source the Peter Mitchell Pit, and found that there are no primary asbestos minerals at a detectable level. However we identified two non-asbestos types of fibrous minerals in very limited geological locales. Air sampling useful for risk assessment was done to determine the type, concentrations and size distribution of the population of airborne fibers around Silver Bay. Approximately 80% of the airborne fibers have elemental compositions consistent with cummingtonite-grunerite and the remaining 20% have elemental compositions in the tremolite-actinolite series. The mean airborne concentration of both fiber types is less than 0.00014 fibers per milliliter that is within the background level reported by the World Health Organization. We calculate the risk of asbestos-related mesothelioma and lung cancer using a variety of different pessimistic assumptions. (i) that all the non-asbestos fibers are as potent as asbestos fibers used in the EPA-IRIS listing for asbestos; with a calculated risk of asbestos-related cancer for environmental exposure at Silver Bay of 1 excess cancer in 28,500 lifetimes (or 35 excess cancers per 1,000,000 lifetimes) and secondly that taconite associated fibers are as potent as chrysotile the least potent form of asbestos. The calculated risk is less than 0.77 excess cancer case in 1,000,000 lifetimes. Finally, we briefly review the epidemiology studies of grunerite asbestos (amosite) focusing on the exposure conditions associated with increased risk of human mesothelioma.
Risk of gastrointestinal cancers from inhalation and ingestion of asbestos. J. Gamble. 2008;52(1 Suppl):S124-53. Review PubMed · Publisher

Abstract

This paper summarizes the weight of epidemiological evidence to evaluate the hypothesis that asbestos exposure is causally associated with increased risk of gastrointestinal (GI) cancers as suggested by Selikoff in an early study of insulation workers. This review looks at populations that develop GI cancers, namely stomach, colorectal, colon and rectal. Guidelines for assessing causality are strength of association, biological gradient and consistency of the associations. Exposure-response (E-R) was evaluated using three methods to estimate exposure. Rate Ratios (RRs) for lung cancer and percent of mesothelioma are used as surrogate measures of asbestos exposure for all the cohorts of exposed workers. Quantitative or semi-quantitative estimates of cumulative exposure to asbestos were also used to assess E-R trends and were compared to E-R trends for lung cancer and mesothelioma in individual studies. Surrogate measures are important since there are few individual studies that have assessed E-R. None of the various methods to estimate asbestos exposure yielded consistent E-R trends and the strength of the associations were consistently weak or non-existent for the four types of GI cancers. The epidemiological evidence detracts from the hypothesis that occupational asbestos exposure increases the risk of stomach, colorectal, colon, and rectal cancer. Findings are briefly summarized below.
South African experience with asbestos related environmental mesothelioma: is asbestos fiber type important?. N. White, G. Nelson, J. Murray. 2008;52(1 Suppl):S92-6. PubMed · Publisher

Abstract

South Africa (SA), a country in which all three commercially important asbestos minerals have been mined and milled, has retained proven cases of mesothelioma linked with environmental exposure to asbestos. This study illustrates the importance of fiber type in the occurrence of environmental mesothelioma. Four studies have reviewed the source of occupational or environmental asbestos exposure in 504 histologically proven cases of mesothelioma in South Africa. One hundred and eighteen cases (23%) were thought to be related to environmental exposure to asbestos. In the vast majority of these cases, exposure was linked to crocidolite mining activities in the Northern Cape Province. Two cases were thought to have occurred in relation to amosite and Transvaal crocidolite exposure in the Limpopo Province. In the balance of cases there was some uncertainty. No cases were reported with exposure to South African chrysotile. Consequently, in the vast majority of cases of mesothelioma, environmental exposure to asbestos occurred in the Northern Cape Province, in proximity to mines, mills and dumps where crocidolite was processed. Crocidolite appears to be far more mesotheliomagenic than amosite, and chrysotile has not been implicated in the disease. This is true for both occupationally and environmentally exposed individuals.
The mineral nature of asbestos. M. Ross, A.M. Langer, G.L. Nord, et al. 2008;52(1 Suppl):S26-30. PubMed · Publisher

Abstract

Fibrous minerals are common in nature but asbestiform minerals are rare. The unique mineralogical characteristic common to all the asbestos minerals is their morphologic form (or habit of crystallization) as polyfilamentous fiber bundles. The individual fibrils within the bundles have a tendency to be very long with a narrow range of diameters and grow with their long fiber axis in parallel orientation to the bundle length. The asbestiform habit imparts to the asbestos minerals sufficient flexibility and tensile strength so that most can be woven into cloth. In the past application has focused on their ability to insulate against the transfer of heat. However, these minerals possess other properties which make them useful in many industrial applications.
The origins of public concern with taconite and human health: Reserve Mining and the asbestos case. M.E. Berndt, W.C. Brice. 2008;52(1 Suppl):S31-9. PubMed · Publisher

Abstract

Asbestos first became an issue to Minnesota's iron industry when it was revealed that mineral fibers similar to those in Reserve Mining's tailings were being found in drinking water for several communities that used Lake Superior as their primary water source. This discovery turned what had largely been an environmental court battle into a case concerning public health. The courts listened to much conflicting and uncertain scientific testimony on the size and distribution of the mineral fibers and on the potential health effects imposed by them. In April 1974, the plant was ordered to shut down by a federal judge but the company quickly appealed the decision. The appeals court granted a stay and ultimately ruled that the plant's closure could not be justified based on the unknown health effects of the mineral fibers since the consequences of such an action would have immediate and severe social and economic impacts. The plant was allowed to continue operation, but ordered to abate emissions to air around the plant and to switch to a land-based tailings disposal system. Much of the scientific uncertainty and public concern over mineral fibers in Minnesota's taconite industry remain today.
The search for asbestos within the Peter Mitchell Taconite iron ore mine, near Babbitt, Minnesota. M. Ross, R.P. Nolan, G.L. Nord. 2008;52(1 Suppl):S43-50. PubMed · Publisher

Abstract

Asbestos crystallizes within rock formations undergoing intense deformation characterized by folding, faulting, shearing, and dilation. Some of these conditions have prevailed during formation of the taconite iron ore deposits in the eastern Mesabi Iron Range of Minnesota. This range includes the Peter Mitchell Taconite Mine at Babbitt, Minnesota. The mine pit is over 8 miles long, up to 1 mile wide. Fifty three samples were collected from 30 sites within areas of the pit where faulting, shearing and folding occur and where fibrous minerals might occur. Eight samples from seven collecting sites contain significant amounts of ferroactinolite amphibole that is partially to completely altered to fibrous ferroactinolite. Two samples from two other sites contain ferroactinolite degraded to ropy masses of fibers consisting mostly of ferrian sepiolite as defined by X-ray diffraction and TEM and SEM X-ray spectral analysis. Samples from five other sites contain unaltered amphiboles, however some of these samples also contain a very small number of fiber bundles composed of mixtures of grunerite, ferroactinolite, and ferrian sepiolite. It is proposed that the alteration of the amphiboles was caused by reaction with water-rich acidic fluids that moved through the mine faults and shear zones. The fibrous amphiboles and ferrian sepiolite collected at the Peter Mitchell Mine composes a tiny fraction of one percent of the total rock mass of this taconite deposit; an even a smaller amount of these mineral fragments enter the ambient air during mining and milling. These fibrous minerals thus do not present a significant health hazard to the miners nor to those non-occupationally exposed. No asbestos of any type was found in the mine pit.
Assessment of airborne asbestos exposure during the servicing and handling of automobile asbestos-containing gaskets. C.L. Blake, G.S. Dotson, R.D. Harbison. 2006;45(2):214-22. PubMed · Publisher

Abstract

Five test sessions were conducted to assess asbestos exposure during the removal or installation of asbestos-containing gaskets on vehicles. All testing took place within an operative automotive repair facility involving passenger cars and a pickup truck ranging in vintage from late 1960s through 1970s. A professional mechanic performed all shop work including engine disassembly and reassembly, gasket manipulation and parts cleaning. Bulk sample analysis of removed gaskets through polarized light microscopy (PLM) revealed asbestos fiber concentrations ranging between 0 and 75%. Personal and area air samples were collected and analyzed using National Institute of Occupational Safety Health (NIOSH) methods 7400 [phase contrast microscopy (PCM)] and 7402 [transmission electron microscopy (TEM)]. Among all air samples collected, approximately 21% (n = 11) contained chrysotile fibers. The mean PCM and phase contrast microscopy equivalent (PCME) 8-h time weighted average (TWA) concentrations for these samples were 0.0031 fibers/cubic centimeters (f/cc) and 0.0017 f/cc, respectively. Based on these findings, automobile mechanics who worked with asbestos-containing gaskets may have been exposed to concentrations of airborne asbestos concentrations approximately 100 times lower than the current Occupational Safety and Health Administration (OSHA) Permissible Exposure Limit (PEL) of 0.1 f/cc.
The health effects of chrysotile: current perspective based upon recent data. D.M. Bernstein, J.A. Hoskins. 2006;45(3):252-64. Review PubMed · Publisher

Abstract

This review substantiates kinetically and pathologically the differences between chrysotile and amphiboles. The serpentine chrysotile is a thin walled sheet silicate while the amphiboles are double-chain silicates. These different chemistries result in chrysotile clearing very rapidly from the lung (T(1/2)=0.3 to 11 days) while amphiboles are among the slowest clearing fibers known (T(1/2)=500 days to infinity). Across the range of mineral fiber solubilities chrysotile lies towards the soluble end of the scale. Chronic inhalation toxicity studies with chrysotile in animals have unfortunately been performed at very high exposure concentrations resulting in lung overload. Consequently their relevance to human exposures is extremely limited. Chrysotile following subchronic inhalation at a mean exposure of 76 fibers L>20 microm/cm(3) (3413 total fibers/cm(3)) resulted in no fibrosis (Wagner score 1.8-2.6), at any time point and no difference with controls in BrdU response or biochemical and cellular parameters. The long chrysotile fibers were observed to break apart into small particles and smaller fibers. Toxicologically, chrysotile which rapidly falls apart in the lung behaves more like non-fibrous mineral dusts while response to amphibole asbestos reflects its insoluble fibrous structure. Recent quantitative reviews of epidemiological studies of mineral fibers have determined the potency of chrysotile and amphibole asbestos for causing lung cancer and mesothelioma in relation to fiber type have also differentiated between these two minerals. The most recent analyses also concluded that it is the longer, thinner fibers that have the greatest potency as has been reported in animal inhalation toxicology studies. However, one of the major difficulties in interpreting these studies is that the original exposure estimates rarely differentiated between chrysotile and amphiboles. Not unlike some other respirable particulates, to which humans are, or have been heavily occupationally exposed, there is evidence that heavy and prolonged exposure to chrysotile can produce lung cancer. The value of the present and other similar studies is that they show that low exposures to pure chrysotile do not present a detectable risk to health. Since total dose over time decides the likelihood of disease occurrence and progression, they also suggest that the risk of an adverse outcome may be low if even any high exposures experienced were of short duration.
Asbestos exposure from gaskets during disassembly of a medium duty diesel engine. L.R. Liukonen, F.W. Weir. 2005;41(2):113-21. PubMed · Publisher

Abstract

Diesel engines have historically used asbestos-containing gaskets leading to concerns of fiber release and mechanic exposure. Other published studies regarding asbestos fiber release during gasket removal have reported on short-duration events; were conducted under simulated work conditions; or had other limitations. There are no comprehensive studies relating to diesel engine gaskets under conditions similar to those reported herein, evaluating asbestos fiber release from gaskets during all facets of a complete disassembly and cleaning of a medium duty diesel engine in a busy repair and service shop by a journeyman mechanic. Asbestos content of all gaskets was identified; all disassembly tasks were described and timed; and personal and area air monitoring was conducted for each task. Twenty seven of thirty three gaskets contained chrysotile asbestos in concentrations that ranged from 5 to 70%. All but one air monitoring sample reported results below the limit of reliable detection even though plumes of visible dust were evident during various removal, cleaning, and buffing procedures. The detection limit for airborne asbestos fibers in this investigation was influenced by the presence of other shop dust in the air. Our investigation demonstrates that using shop-standard procedures in an established repair facility, a journeyman mechanic has very little potential for exposure to airborne asbestos fibers during disassembly of an engine, approximately 10% or less than that currently considered to be acceptable by OSHA.
Classification of man-made vitreous fibers: Comments on the revaluation by an IARC working group. P. Wardenbach, K. Rödelsperger, M. Roller, et al. 2005;43(2):181-93. PubMed · Publisher

Abstract

In 2001, an IARC working group revaluated the carcinogenic risks of man-made vitreous fibers (MMVF). Compared with the IARC evaluation in 1987, the overall evaluations of insulation glass wool, rock (stone) wool, and slag wool were changed from Group 2B to Group 3. These changes ensued from an alteration in the evidence for cancer in humans and in experimental animals: Instead of "sufficient," the evidence for cancer in experimental animals is now looked upon as "limited" if there is a carcinogenic response after intraperitoneal injection but not after recently conducted inhalation experiments. For these studies, it is argued that they did properly address the technological limitations of earlier inhalation experiments. For Maxim and McConnell [Maxim L.D., McConnell E.E., 2001. Interspecies comparisons of the toxicity of asbestos and synthetic vitreous fibers: a weight-of-the-evidence approach. Regul. Toxicol. Pharmacol. 33, 319-342], well-conducted inhalation studies are very sensitive and rats may be more sensitive than humans in detecting the carcinogenic potential of MMVF. However, their arguments are highly questionable. The explanations of the IARC working group for preferring the newer inhalation studies are not sufficiently supported by the published data. Having in mind the higher sensitivity of humans compared to rats after inhalation of asbestos, more emphasis should have been given to the carcinogenic response after intraperitoneal injection.
Airborne asbestos concentration from brake changing does not exceed permissible exposure limit. C.L. Blake, D.R. Van Orden, M. Banasik, et al. 2003;38(1):58-70. PubMed · Publisher

Abstract

The use in the past, and to a lesser extent today, of chrysotile asbestos in automobile brake systems causes health concerns among professional mechanics. Therefore, we conducted four separate tests in order to evaluate an auto mechanic's exposure to airborne asbestos fibers while performing routine brake maintenance. Four nearly identical automobiles from 1960s having four wheel drum brakes were used. Each automobile was fitted with new replacement asbestos-containing brake shoes and then driven over a predetermined public road course for about 2253 km. Then, each car was separately brought into a repair facility; the brakes removed and replaced with new asbestos-containing shoes. The test conditions, methods, and tools were as commonly used during the 1960s. The mechanic was experienced in brake maintenance, having worked in the automobile repair profession beginning in the 1960s. Effects of three independent variables, e.g., filing, sanding, and arc grinding of the replacement brake shoe elements, were tested. Personal and area air samples were collected and analyzed for the presence of fibers, asbestos fibers, total dust, and respirable dust. The results indicated a presence in the air of only chrysotile asbestos and an absence of other types of asbestos. Airborne chrysotile fiber exposures for each test remained below currently applicable limit of 0.1 fiber/ml (eight-hour time-weighted average).
Dioxin and cancer: a critical review. P. Cole, D. Trichopoulos, H. Pastides, et al. 2003;38(3):378-88. Review PubMed · Publisher

Abstract

2,3,7,8-tetrachlordibenzo-p-doxin (TCDD) would not have been designated as a Group 1 carcinogen by IARC had there not been a change in the criteria used for inclusion in this category. Furthermore, there is no precedent for indicating, as did IARC, that a single chemical acts as a pluripotential carcinogen by modestly increasing human risk for all cancer while not increasing the risk for any single cancer at least moderately. IARC moved TCDD to Group 1 based on mechanistic considerations focusing on the Ah receptor. However, while occupancy of the Ah receptor by TCDD may be necessary for its toxicity, it is not sufficient for toxicity or for potential carcinogenicity. Animal evidence relating TCDD exposure to cancer is much stronger than that for humans. However, the large inter-species variation in the relevant dose-response slopes severely limits generalizations from animals to humans. The epidemiologic studies of occupational exposures, pesticide applicators, and community exposures following industrial accidents, notably Seveso, have generated overall relative risks of all cancer of about 1.0. Only case-control studies of soft-tissue sarcoma and non-Hodgkin's lymphoma, all by the same investigator, reported elevated risk from TCDD exposure. However, these results have not been replicated. The representation that a chemical compound (TCDD) would be a late-stage carcinogen for all types of cancer has no precedent and lacks biological foundation. Virtually all late-stage or promoting carcinogens (e.g., hepatitis-C virus, asbestos, and estrogens) cause a very limited number of forms of cancer. The exposure-response meta-analysis of TCDD and cancer developed by the United States Environmental Protection Agency (USEPA) is seriously compromised by its failure to adequately fit the data. The studies used by the USEPA also likely underestimate TCDD body burdens and may be confounded by smoking and other occupational exposures. Furthermore, the use of a linear dose-response model by the USEPA is scientifically unjustified since the underlying model of TCDD as a human carcinogen is based primarily on its supposed receptor-mediated, non-genotoxic (or promotional) mode of action. There are few examples of an agent being suspected as a human carcinogen for decades and then eventually moving into the category of "known" human carcinogens. In contrast, there are hundreds of compounds that remain for decades on lists of "suspected" human carcinogens despite the lack of confirming evidence. The long-term accumulation of negative, weak, and inconsistent findings suggests that TCDD eventually will be recognized as not carcinogenic for humans.
Reduction of the biological potential of chrysotile asbestos arising from conditions of service on brake pads. A.M. Langer. 2003;38(1):71-7. Review PubMed · Publisher

Abstract

Data exist that show that chrysotile asbestos does not retain its mineral properties, or biological activity, at temperatures far below the olivine transformation point. Temperatures hundreds of degrees below this point cause the mineral to lose structural water with accompanying crystal structure degradation. The loss of structure is accompanied by modification of its surface and reduction or loss of biological activity. Using heating studies and milling as an approximation of thermal and mechanical shear stress that chrysotile is subjected to on a brake lining, biological blunting is shown to begin much earlier than the olivine transformation process. Minimal degradation of the chrysotile surface structure imparts a disproportionately great effect on its biological activity. Biological and epidemiological data for brake workers exposed to chrysotile asbestos should be viewed in context with the conditions of service to which the product was subjected over a lower range of temperatures than previously considered important.
Cosmetic talc should not be listed as a carcinogen: comments on NTP's deliberations to list talc as a carcinogen. A.P. Wehner. 2002;36(1):40-50. Review PubMed · Publisher

Abstract

Concerns that cosmetic talc might be carcinogenic are addressed and shown to lack persuasive scientific support. These concerns are based (1). on several, but not all, retrospective epidemiological, statistically barely significant case-control studies of questionable biological import (Their results lack dose-response relationships, are inconsistent and ambiguous, and are therefore inconclusive. Whether inanimate talc particles can translocate from the perineum to the ovaries, a precondition if they were to cause ovarian cancer, remains unresolved.); (2). on one inhalation study in animals whose results, according to a panel of experts, "cannot be considered as relevant predictors of human risk," a position shared by other experts in the field; and (3). on elevated incidence of lung cancer in pottery workers. These workers were occupationally exposed several decades ago to nowadays impermissible concentrations of aerosols comprising a multitude of industrial dusts. To construe a risk for the consumer of pure cosmetic or pharmaceutical-grade talc under consumer conditions, based on these findings, lacks scientific support. Talc is not genotoxic, is not carcinogenic when injected into ovaries of rats, does not cause cancer decades after pleurodesis, and induces apoptosis in vitro in human mesothelioma cells but not in normal mesothelial cells. There is no credible evidence of a cancer risk from inhalation of cosmetic talc by humans. Considering talc a carcinogen lacks convincing scientific documentation.
Risk analysis for mortality from respiratory tumors in a cohort of refractory ceramic fiber workers. A.M. Walker, L.D. Maxim, M. Utell. 2002;35(1):95-104. Review PubMed · Publisher

Abstract

Although workers in refractory ceramic fibers (RCF) manufacturing facilities have experienced no elevations in lung cancer or mesothelioma rates, the historical experience of asbestos together with animal studies of RCF have led to ongoing studies of the respiratory health of RCF workers. We have compared lung cancer and mesothelioma in the accumulated mortality experience of a cohort of male RCF production workers (Lemasters et al., 2001, submitted for publication) to that which would have been expected if RCF had a carcinogenic potency similar to that of various forms of asbestos. To accomplish this, we used risk models recently formalized by Hodgson and Darnton (2000, Ann. Occup. Hyg. 41, 13-36) for asbestos cohorts together with the RCF exposure measurements and historical reconstructions of Rice and colleagues (1997, Appl. Occup. Environ. Hyg. 12, 54-61). Deaths from lung cancer in the RCF cohort are statistically significantly below that which would be expected if RCF had the potency of either crocidolite or amosite. The mortality is also lower than would be expected if RCF had the potency of chrysotile, but the difference is not statistically significant. For mesothelioma, the anticipated numbers of deaths under hypotheses of asbestos-like potency are too small to be rejected by the zero cases seen in the RCF cohorts. The current epidemiologic studies do not rule out risk, but they clearly do rule out lung cancer risks like those of crocidolite or amosite. The residual uncertainty justifies ongoing workplace surveillance.

© 2002 Elsevier Science (USA).
Interspecies comparisons of the toxicity of asbestos and synthetic vitreous fibers: a weight-of-the-evidence approach. L.D. Maxim, E.E. McConnell. 2001;33(3):319-42. Review PubMed · Publisher

Abstract

This analysis reviews the available literature on interspecies comparisons of the toxicity of asbestos and synthetic vitreous fibers (SVFs). This topic is of substantial practical importance because most quantitative risk analyses on the effects of inhalation of SVFs are based upon extrapolation of data from rodent inhalation studies. Available information on interspecies comparisons for both dosimetry (the relation between exposure concentration and fiber lung burden) and potency (the relation between lung burden and disease) is summarized. Dosimetry models indicate that, on a normalized basis, fiber deposition and clearance rates are lower in humans than rats. Potency is less well understood than dosimetry, in part because the source of relevant human data is asbestos studies, which are adequate to demonstrate hazard, but are problematic in other regards. There are significant interspecies differences between the mouse, hamster, rat, and human. The available evidence suggests that the rat is preferable as a model for the human. Rats develop fibrosis at comparable lung burdens [10(6) long (> 20 microm length) fibers per gram of dry lung] to those in humans. This analysis concludes that, on a weight-of-evidence basis, there is no reason to conclude that humans are more sensitive to fibers than rats with respect to the development of lung cancer.

Copyright 2001 Academic Press.
Malignant mesothelioma and asbestos exposure among auto mechanics: appraisal of scientific evidence. O. Wong. 2001;34(2):170-7. Review PubMed · Publisher

Abstract

In 1986 the U.S. Environmental Protection Agency (EPA) issued an official guideline on the prevention of asbestos disease among auto mechanics. In the EPA guideline, malignant mesothelioma was listed as a consequence of exposure to asbestos fibers from brake linings and clutch facings among auto mechanics. EPA formulated its 1986 opinion by relying solely on a few outdated case reports and not on epidemiologic studies. A review of the literature indicates that there are six epidemiologic studies providing relevant information on malignant mesothelioma among auto mechanics. Three of the six studies had already been published by 1986, the year in which EPA issued its guideline. The results of the six studies were remarkably consistent in that all six studies reported no increased risk of malignant mesothelioma among auto mechanics. The relative risks reported in the six studies ranged from 0.62 to 1.00. Based on a meta-analysis of the combined data of all six studies consisting of approximately 1500 malignant mesothelioma cases, the mesothelioma relative risk for auto mechanics is 0.90 (95% confidence interval 0.66-1.23). An application of Hill's causation criteria to epidemiologic data of malignant mesothelioma among auto mechanics clearly demonstrates that auto mechanics do not have an increased risk of malignant mesothelioma as a result of exposure to asbestos fibers from brake linings and clutch facings. However, in spite of the scientific evidence, EPA has not modified or revised its 1986 guideline. Occupational regulatory policies and guidelines, when based on proper scientific evidence, are invaluable and can prevent avoidable diseases in workers or other exposed individuals in the general public. On the other hand, it is the regulators' responsibility to develop, modify, and revise policies and guidelines in accordance with the most relevant and the latest scientific data. In this instance EPA as a regulator has not fulfilled its responsibility of providing the most accurate and up-to-date information to the workers or the general public.

Copyright 2001 Academic Press.

1990s

A risk assessment for exposure to glass wool. R. Wilson, A.M. Langer, R.P. Nolan. 1999;30(2 Pt 1):96-109. Review PubMed · Publisher

Abstract

Synthetic vitreous fibers (SVFs) have been widely used as insulation material in places where asbestos was used many years ago and therefore the hazards have been compared. Since the three principal types of asbestos fibers types have caused lung cancer at high exposures, there is a widely held belief that all fibers are carcinogenic if inhaled in large enough doses. Hence, on a morphological basis, SVFs have been studied for their carcinogenic potential. However, there is considerable evidence that differences exist among fibers in their potency to produce a carcinogenic response. In this attempt to carry out a numerical risk assessment for the installers of blown glass wool (fiber) insulation, we start with a characterization of the material; then we review the exposures both in manufacturing and installation. Neither the epidemiological studies of human exposure nor the animal studies have shown a marked hazardous effect from glass wool and we can therefore be sure that any effect that might exist is small. But in this case, as in many other situations where there is a potential hazard, society desires further reassurance and therefore we have made a mechanistic calculation. There are good estimates of the risk associated with exposure to chrysotile asbestos at high exposures and doses. We have therefore taken these numbers and discussed how much less risky an exposure to glass wool fibers might be. We conclude that for a given fiber count, glass wool is five to ten times less risky (and of course the risk might be zero). The risk for a nonsmoking installer of glass wool fiber insulation who wears a respirator is about 6 in a million (and might be zero) per year. This means that out of a million installers there might be six lung cancers from this cause every year or out of 10,000 installers there might be one in 16 years. The low risk of 6 in a million per year of a worker blowing glass wool is consistent with the fact that no one has found any of cancer attributable to the manufacture or installation of glass wool fibers in spite of diligent searches. This is compared with several other occupational risks. Nonetheless common prudence suggests that any installer of blown glass wool fiber insulation wear a respirator.

Copyright 1999 Academic Press.
Asbestos exposure of building maintenance personnel. S. Mlynarek, M. Corn, C. Blake. 1996;23(3):213-24. PubMed · Publisher

Abstract

The exposures of building maintenance personnel and occupants to airborne asbestos fibers, and the effects of operations and maintenance programs on those exposures, continue to be an important public health issue. The subject of this investigation was a large metropolitan county with numerous public buildings which routinely conducted air sampling for asbestos. A total of 302 personal air samples in nine task categories collected during maintenance worker activities in proximity to asbestos-containing materials were analyzed; 102 environmental air samples in four task categories were also analyzed. The arithmetic means of the 8-hr time weighted average exposures for personal sampling for each task category were all below the Occupational Safety and Health Administration permissible exposure level of 0.1 fibers (f)/cc > 5 microm. The highest mean 8-hr time weighted average exposure was 0.030 f/cc > 5 microm for ceiling tile replacement. The maximum asbestos concentration during sample collection for environmental samples was 0.027 f/cc > 5 microm. All asbestos-related maintenance work was done within the framework of an Operations and Maintenance Program (OMP) which utilized both personal protective equipment and controls against fiber release/dispersion. Results are presented in association with specific OMP procedures or controls. These results support the effectiveness of using Operations and Maintenance Programs to manage asbestos in buildings without incurring unacceptable risk to maintenance workers performing maintenance tasks.
A review of perineal talc exposure and risk of ovarian cancer. B.L. Harlow, P.A. Hartge. 1995;21(2):254-60. Review PubMed · Publisher

Abstract

The authors provide a detailed review of the events that led to the interest in talc as a possible ovarian carcinogen, the epidemiological studies published to date, and their perspective on the interpretation of the findings including potential limitations, biases, and issues surrounding the plausibility of a causal association. The authors conclude that the range of relative risk estimates from epidemiology, 1.0 to 1.8, is plausible, but that additional epidemiologic studies, especially prospective investigations are needed. In addition, clinicopathological studies are needed to confirm or deny the reports of talc embedded in human ovarian tissue and reports of talc migration through the human female reproductive tract.
Evaluation of ambient asbestos concentrations in buildings following the Loma Prieta earthquake. D.R. van Orden, R.J. Lee, K.M. Bishop, et al. 1995;21(1):117-22. PubMed · Publisher

Abstract

On October 17, 1989, an earthquake struck central, coastal California including San Francisco and the Bay Area, damaging many buildings. Because of concern over the possible exposure to asbestos in the damaged buildings, building owners/managers hired several Bay Area industrial hygiene firms to collect air samples in suspect buildings. RJ Lee Group analyzed a total of 419 air samples from 55 buildings (25 school, 3 university, 20 commercial, 5 public, and 2 residential buildings) using transmission electron microscopy and has compiled the results. The data from each building were averaged and grouped accordingly into three classifications: indoor buildings, buildings with asbestos abatement in progress at the time of the earthquake, and buildings where sampling was performed to monitor clean-up of debris. Several buildings were sampled on more than 1 day. The results indicate that asbestos levels differed little from outdoor levels, even immediately after the earthquake. Exceptions to this were samples collected in the vicinity of debris clean-up and in buildings undergoing abatement which were higher than the indoor or outdoor samples. However, these samples generally had concentrations below the AHERA clearance levels and all were well below the OSHA action limit.
Talc: occurrence, characterization, and consumer applications. R. Zazenski, W.H. Ashton, D. Briggs, et al. 1995;21(2):218-29. Review PubMed · Publisher

Abstract

Talc is a mineral compound with unique attributes and significant commercial importance. As used in consumer products, talc has a long and proven history of safe use. Direct consumer applications include body powders, other cosmetic formulations, pharmaceutical tableting, and some confectionery food products. Production, characterization, and consumer applications of FDA-regulated talc products, particularly cosmetics, are described. The implementation of stringent safety and quality control measures designed to ensure the absence of asbestos fibers from consumer talc products is discussed. Consumer exposure to talc-containing products is at least 350 times lower than permissible industrial exposure.
Vermiculite: a review of the mineralogy and health effects of vermiculite exploitation. J. Addison. 1995;21(3):397-405. Review PubMed · Publisher

Abstract

Vermiculite is a mica-type mineral that is being used in increasing quantities for insulation, in composite cements, and in horticulture. No serious health risks have been found resulting from the exposure to vermiculite alone nor are any anticipated in view of its long-term chemical durability, even with respect to fibers of vermiculite. Vermiculite ores may contain a variety of other minerals including asbestos, which, if present in significant quantities, could pose a health risk to producers and end users. A variety of regulations are in place that should prevent inadvertent exposure to asbestos in vermiculites, but great care is needed if true asbestos hazards are to be correctly identified. At the same time, vermiculites containing any of a variety amphibole minerals should not be excluded from use because of mistaken identification of these minerals as asbestos. A variety of test methods that have been developed are described and recommendations are made with respect to appropriate action levels for asbestos in vermiculites or other raw materials.
Asbestos in New York City public school buildings--public policy: is there a scientific basis?. R. Wilson, A.M. Langer, R.P. Nolan, et al. 1994;20(2):161-9. PubMed · Publisher

Abstract

The most recent of New York City's asbestos emergencies occurred in the late summer of 1993. It prevented schools from opening that fall, precipitated much media excitement, and caused a flurry of widespread abatement activities. This resulted in large measure from the U.S. Environmental Protection Agency's subjective school building inspection policy concerning identification of asbestos hazards in buildings and the subsequent Asbestos Hazard Emergency Response Act mandate for inspection. Data on concentrations of asbestos in the air, important for the calculation of risk to building occupants, were not required and therefore not obtained, as part of the abatement strategy or priority setting. Based on fiber-in-air measurements obtained elsewhere, the calculated risk to NYC school children, using the most pessimistic models, was less than six excess cancer deaths per million lifetimes equivalent to smoking less than a dozen cigarettes in a lifetime. The NYC administration responded to pressure from parent groups concerned with perceived asbestos risks to their children by closing the schools. The hysteria occurred because much of EPA's policy lacked a scientific basis for risk evaluation and assessment.
Asbestos fibers in parenteral medication. J. Addison, K. Browne, J.M. Davis, et al. 1993;18(3):371-80. Review PubMed · Publisher

Abstract

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.
Comment on "Exposure to airborne asbestos in buildings". D.R. Van Orden. 1993;18(3):481. Comment · Letter PubMed · Publisher
Exposure to airborne asbestos in buildings. R.J. Lee, D.R. Van Orden, M. Corn, et al. 1992;16(1):93-107. PubMed · Publisher

Abstract

The concentration of airborne asbestos in buildings and its implication for the health of building occupants is a major public health issue. A total of 2892 air samples from 315 public, commercial, residential, school, and university buildings has 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 of exposure to the presence of asbestos containing materials (ACM). The average concentration of all asbestos structures was 0.02 structures/ml (s/ml) and the average concentration of asbestos greater than or equal to 5 microns long was 0.00013 fibers/ml (f/ml). The concentration of asbestos was higher in schools than in other buildings. In 48% of indoor samples and 75% of outdoor samples, no asbestos fibers were detected. The observed airborne concentration in 74% of the indoor samples and 96% of the outdoor samples is below the Asbestos Hazard Emergency Response Act clearance level of 0.01 s/ml. Finally, using those fibers which could be seen optically, all indoor samples and all outdoor samples are below the Occupational Safety and Health Administration permissible exposure level of 0.1 f/ml for fibers greater than or equal to 5 microns in length. These results provide substantive verification of the findings of the U.S. Environmental Protection Agency public building study which found very low ambient concentrations of asbestos fibers in buildings with ACM, irrespective of the condition of the material in the buildings.
Airborne concentrations of asbestos in 71 school buildings. M. Corn, K. Crump, D.B. Farrar, et al. 1991;13(1):99-114. PubMed · Publisher

Abstract

A total of 473 air samples from 71 schools scheduled for abatement (328 indoor static samples, 51 personal samples, and 94 outdoor samples) were analyzed by transmission electron microscopy techniques. Six measures of asbestos-in-air concentration were considered: (1) total asbestos structures per cubic centimeter: (2) chrysotile structures per cubic centimeter; (3) amphibole structures per cubic centimeter; (4) structures per cubic centimeter at least 0.5 micron long and at least five times wide; (5) structures per cubic centimeter at least 5 microns long; and (6) structures per cubic centimeter at least 5 microns long and at least 0.2 micron wide. The average concentration of chrysotile structures in indoor air samples was 0.017 structures/cm3; the average concentration of amphibole structures was 0.0015 structure/cm3. Ninety-five percent of structures found were chrysotile. The average concentrations of all structures were significantly higher indoors than outdoors (P less than 0.001). The average concentration of structures more than 5 microns long indoors was 0.00023 structure/cm3. None of the following factors were significantly correlated with asbestos concentrations in air: type of asbestos-containing materials (ACM) present, condition of ACM, accessibility of ACM to students, whether ACM were covered, air flow, or whether sweeping was noted during sample collection. In addition, asbestos-in-air concentrations were not significantly different in different types of schools (high, intermediate or elementary) or in schools constructed in different time periods. Lastly, there was no correlation between the mineral type of asbestos found in the air and the type found in samples of bulk material.
Asbestos-related mesothelioma: evidence for a threshold in animals and humans. E.B. Ilgren, K. Browne. 1991;13(2):116-32. Review PubMed · Publisher

Abstract

A threshold for mesothelioma for the major asbestos fiber types becomes not only plausible but also very likely in view of the existence of a distinct background incidence of spontaneously occurring and non-asbestos-related mesotheliomas; the high occupational doses associated with the appearance of mesotheliomas in humans; and the large number of "tumorigenic" fibers required to produce significant numbers of mesotheliomas in animals. Even when the duration of exposure associated with the appearance of mesotheliomas in humans has been brief, the exposure itself has been intense. The review of the relevant animal and human literature cited herein supports the concept of mesothelioma threshold.
Background incidence of mesothelioma: animal and human evidence. E.B. Ilgren, J.C. Wagner. 1991;13(2):133-49. Review PubMed · Publisher

Abstract

Evidence is presented showing that mesotheliomas can have causes other than exposure to asbestos dust, in both experimental animals and humans. In experimental animals, for example, results from two major experimental laboratories suggest that at least 10% may be taken for background incidence, whereas a third laboratory suggests that the experimental group must have a rate exceeding 30% "Background" also includes mesotheliomas found in association with nonfibrous and fibrous nonasbestiform agents. Mesotheliomas in humans can be broadly classified in a manner similar to those of experimental animals: (1) spontaneously occurring, (2) those with a latent period less than 10 years, (3) childhood mesotheliomas, (4) familial cases, (5) cases before the 20th century, (6) mineralogically negative mesotheliomas, and (7) mesotheliomas caused by nonasbestiform agents. The importance of the acceptance of these "background" cases lies in the fact that a basis is provided for the study of the incidence of disease associated with various types of asbestos.
Carcinogenicity of the insulation wools: reassessment of the IARC evaluation. R.C. Brown, J.M. Davis, D. Douglas, et al. 1991;14(1):12-23. Review PubMed · Publisher

Abstract

In assessing the health evidence concerning man-made mineral fibers, the chemical composition, surface activity, durability, and size of fibers have to be taken into account. Special-purpose fine glass fibers need to be separated from the insulation wools (glass, rock, and slag wool). The epidemiological evidence is sufficient to conclude that there has been no mesothelioma risk to workers producing or using glass wool, rock wool, or slag wool. The epidemiological studies have been large and powerful, and they show no evidence of a cause-effect relationship between lung cancer and exposure to glass wool, rock wool, or slag wool fibers. There is some evidence of a small cancer hazard attached to the manufacturing process in slag wool plants 20 to 50 years ago, when asbestos was used in some products and other carcinogenic substances were present. However, this hazard is not associated with any index of exposure to slag wool itself. Animal inhalation studies of ordinary insulation wools also show that there is no evidence of hazard associated with exposure to these relatively coarse, soluble fibers. The evidence of carcinogenicity is limited to experiments with special-purpose fine durable glass fibers or experimental fibers, and only when these fibers are injected directly into the pleural or peritoneal cavity. Multiple chronic inhalation studies of these same special-purpose fine glass fibers have not produced evidence of carcinogenicity. It is suggested that the present IARC evaluation of the carcinogenic risk of insulation wools should be revised to Category 3: not classifiable as to carcinogenicity to humans.
Effect of exposure route on potency of carcinogens. W.E. Pepelko. 1991;13(1):3-17. PubMed · Publisher

Abstract

To compare the effectiveness of different exposure routes for the induction of cancer in experimental animals, the estimated dose associated with a 25% additional risk of cancer (RRD(25)) was calculated using a group of carcinogenic agents for which both inhalation and oral ingestion cancer bioassays were available. Comparisons were made of 14 agents in rats and 9 in mice. Seven of the nine compared in mice were also compared in rats. Among rats, 8 of 14 agents were more effective via the oral route, while 7 of 9 were more effective via the oral route in mice. The variation in RRD(25) values with route, however, was less than 10-fold for all the agents tested in mice and for 11 of 14 tested in rats. An overall difference in potency with route could not be detected statistically. In rats, differences in potency greater than 10-fold were found for asbestos, vinyl chloride, and hydrazine. In the case of asbestos, the agent was in the form of relatively insoluble particulate matter. The greater potency via inhalation is likely due to longer residence time of the particles in the deep lung than in the gut, allowing for a greater degree of particle dissolution with an accompanying increase in bioavailability. Vinyl chloride was generally tested by inhalation at doses high enough to saturate activation pathways, resulting in underestimates of low-dose potency. Many of the smaller potency differences with route, as well as those for hydrazine, were considered likely to be the result of variability in the design and/or quality of studies. It was concluded that, if the design and conduct of the experiments were adequate, if agents in the form of relatively insoluble particulate matter are eliminated, and if corrections are made to account for incomplete activation, then large errors during route extrapolation are unlikely to occur.
Facts or fears: the need for appropriate responses. A.C. Kolbye. 1991;13(2):115. Editorial PubMed · Publisher
Human risk assessment of carcinogens from an administrative perspective. I. Tesseraux, A. Lommel, I. Ollroge, et al. 1990;11(1):63-7. Review PubMed · Publisher

Abstract

For evaluation of the carcinogenic potency of an environmental chemical or a mixture of chemicals, epidemiological or workplace studies, animal studies, and in vitro tests are the three major strategies used. Asbestos fibers and 1,2-dichloroethane are chosen as examples. They illustrate that the strategies may enable the implementation of measures by health authorities.

1980s

Nongenotoxic carcinogens in the regulatory environment. B.E. Butterworth. 1989;9(3):244-56. Review PubMed · Publisher

Abstract

The biological activity of many carcinogens is to directly induce mutational events, thereby altering the information encoded in the DNA. Short-term tests for potential carcinogens and risk assessment models generally rely on the assumption that the agent in question will operate through a genotoxic mechanism. However, carcinogenesis is a multistep process, and it is increasingly clear that the primary biological effect for many carcinogenic chemicals involves events other than direct DNA reactivity. For many experimental rodent models as well as human cancers, nongenotoxic mechanisms appear to be the driving force in the formation of tumors. Many of these nongenotoxic mechanisms are highly species-specific. Thus, it is increasingly important to ask if the rodent model applies to the human situation at all, in addition to the examination of appropriate, hypothetical, mathematical risk assessment models. More research is now being focused to better define the mechanisms by which the many distinctly different classes of nongenotoxic carcinogens are acting. This understanding will become the basis for new predictive assays and more realistic risk assessment models. If specific conditions are met, then a no observed effect level with a safety factor may be the most appropriate risk model for some carcinogens.
Statistical analysis of data on airborne asbestos levels collected in an EPA survey of public buildings. K.S. Crump, D.B. Farrar. 1989;10(1):51-62. PubMed · Publisher

Abstract

Data from a recent EPA study of airborne asbestos levels in 49 buildings occupied by the General Services Administration (GSA) are statistically analyzed. The study focuses on differences between indoor and outdoor levels, and on differences among buildings with no asbestos-containing material (ACM) (6 buildings), buildings with ACM generally in good condition (6 buildings), and buildings containing damaged ACM (37 buildings). Seven indoor samples and a single outdoor sample were collected from most buildings and analyzed by TEM (transmission electron microscopy) using a direct preparation method. No statistically significant differences were detected in asbestos levels between indoors and outdoors or among the three categories of buildings. The average indoor concentration of asbestos was 0.00073 fibers/cc (f/cc) for all fibers and 0.00007 f/cc for fibers 5 microns or longer. The current OSHA occupational standard is 0.2 f/cc for fibers 5 microns or longer as measured by phase-contrast microscopy.
EPA as a public health agency. B.D. Goldstein. 1988;8(3):328-34. PubMed · Publisher

Abstract

Much of EPA's actions are driven by concerns for public health. The public's perception of the potential adverse consequences to their health of chemical and physical agents in the general environment is a common motivating force in setting EPA's agenda and in making regulatory decisions. Despite its responsibilities in public health, and the major role that public health plays in its decision making, EPA is not part of the Department of Health and Human Services, the federal cabinent-level department with primary responsibility for human health. Rather, EPA is an independent agency with its own Administrator who is the decision maker for over a dozen legislative acts, many of which are based on public health concerns. For very few of these laws is there more than a minimal tie to the activities of classic public health agencies in the Department of Health and Human Services. Unfortunately, this organizational approach has led to a relative lack of individuals trained in the discipline of public health which hinders EPA's ability to approach public health problems. While there are many good reasons to keep EPA a separate entity from the Department of Health and Human Services, it is imperative there be close cooperation between EPA and the appropriate units of the U.S. Public Health Service. Most importantly, the number of people within EPA who are trained in public health disciplines must be increased. As a corollary there must be a concerted effort to educate students in a manner responsive to the need for public health manpower at EPA and at State and local agencies active directly or indirectly in environmental health issues.
Exposures to carcinogens and consequences of listing of carcinogens in the Swedish working environment. L. Holm, B. Holmberg. 1987;7(2):185-99. PubMed · Publisher

Summary

The authors, of Sweden's National Board of Occupational Safety and Health (NBOSH), described how carcinogens were listed and regulated in the Swedish working environment and what was known about the resulting exposures. A list of recognized carcinogens had been published with the limit values since 1974. Carcinogens were divided into three classes. Class A comprised 13 substances prohibited for occupational use. Class B comprised 32 substances requiring a permit from the Labour Inspectorate. Class C comprised 24 substances or groups given a limit value. Using exemptions and permits granted up to May 1985, the authors reported quantities handled, types of users and numbers of persons involved. Exemptions had been granted for 11 of the 13 class A substances, almost entirely to cancer research and analytical laboratories, and a little more than 200 persons handled them. About 2600 persons handled class B compounds. For class C, historical and current exposure data were presented for arsenic, asbestos, benzene, chromic acid and vinyl chloride. Crocidolite was prohibited in 1975 and all forms of asbestos in 1981, with permits possible. The asbestos limit value was 1 fiber/ml from 1978 and 0.5 fiber/ml from January 1, 1985. Asbestos imports fell markedly, and exposure levels were generally low but still detectable. The authors concluded that most class C limit values had fallen no more than those for noncarcinogens, with asbestos and benzene as exceptions.

PubMed has no abstract for this study, and the article doesn't print one. We wrote this summary from the full article with the help of AI. It is not the authors' wording.
Making decisions from numbers. E. Somers. 1987;7(1):35-42. PubMed · Publisher

Abstract

Regulatory agencies require numbers to provide health protection. The manner in which these numbers are derived from animal experiments and human epidemiology is considered together with the limitations and inadequacies of these numbers. Some recent examples of risk assessment in Canada are given including asbestos, drinking water, and indoor air quality. The value of these numbers in providing a measure of the hazard in a wider perspective is stressed, although they can never be the sole determinant of public policy.
Causation and financial compensation. P. Kotin. 1986;6(2):108-15. PubMed · Publisher
Prediction in the face of uncertainty: the United States versus Reserve Mining Company. A.L. Brown. 1986;6(2):75-9. PubMed · Publisher
Evaluation by electron microscopy techniques of asbestos contamination in industrial, cosmetic, and pharmaceutical talcs. L. Paoletti, S. Caiazza, G. Donelli, et al. 1984;4(3):222-35. PubMed · Publisher

Abstract

Talc powders from national and international markets were analyzed in order to assess their fiber contents and the proportion of asbestos in the fibrous material. Samples of talc powders used as excipients in pharmaceutical and cosmetic preparations demonstrated fiber contents up to 30% of total particles. About a half of the talc powders revealed the presence of asbestos: in five samples chrysotile (a serpentine asbestos) was present, in the other ones tremolite and anthophyllite (an amphibole asbestos). The amounts of asbestos vary up to 90% in the different samples of the fibrous fraction. About 75% of observed asbestos fibers were thinner than 0.4 micron, i.e., below the resolving power of light microscopy which until now was the most utilized technique for evaluating the environmental pollution due to asbestos.

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