• 한국환경보건학회지
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• 제35권6호
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• pp.538-541
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• 2009

Humans have a long history of asbestos use. There are reports from the Roman era, of asbestos victims among the slaves who worked in asbestos mines. The fact that asbestos can induce lung cancer and mesothelioma was verified epidemiologically in the 1960s. Asbestos related diseases are predominantly occupational in nature but can be caused by environmental exposure. Environmental mesothelioma is mainly associated with tremolite asbestos and this information comes from many countries including Turkey, Greece, Corsica, New Caledonia and Cyprus. In 1993, the first case of mesothelioma in Korea was reported in an asbestos textile worker. Recently, some asbestos disease victims who lived near an asbestos factory have their cases before the courts. A series of recent asbestos-related events in Korea, for example, the shocking revelation of asbestos containing talc in baby powders have caused the general public to become aware of the health risks of asbestos exposure. Asbestos related diseases are characterized by a long latency period, especially, mesothelioma which has no threshold of safety. Hence the best strategy for preventing asbestos related diseases is to decrease asbestos exposure levels to as low as possible.

• Safety and Health at Work
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• 제4권2호
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• pp.117-121
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• 2013

This paper describes progress on formulating a national asbestos profile for the country of Vietnam. The Center of Asbestos Resource, Vietnam, formulated a National Profile on Asbestos-related Occupational Health, with due reference to the International Labor Organization/World Health Organization National Asbestos Profile. The Center of Asbestos Resource was established by the Vietnamese Health Environment Management Agency and the National Institute of Labor Protection, with the support of the Australian Agency for International Development, as a coordinating point for asbestos-related issues in Vietnam. Under the National Profile on Asbestos-related Occupational Health framework, the Center of Asbestos Resource succeeded in compiling relevant information for 15 of the 18 designated items outlined in the International Labor Organization/World Health Organization National Asbestos Profile, some overlaps of the information items notwithstanding. Today, Vietnam continues to import and use an average of more than 60,000 metric tons of raw asbestos per year. Information on asbestos-related diseases is limited, but the country has begun to diagnose mesothelioma cases, with the technical cooperation of Japan. As it stands, the National Profile on Asbestos-related Occupational Health needs further work and updating. However, we envisage that the National Profile on Asbestos-related Occupational Health will ultimately facilitate the smooth transition to an asbestos-free Vietnam.

• Safety and Health at Work
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• 제4권2호
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• pp.84-86
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• 2013

Despite the fact that asbestos is a known carcinogen to humans, it is still used in industrialized countries, especially Asian countries. The global incidence of asbestos-related diseases (ARDs) due to the past use of asbestos, continues to increase, although many countries have adopted a total ban on asbestos use. The implementation of effective strategies to eliminate ARDs is therefore an important challenge in Asia, where asbestos is still mined and consumed. Collaborative efforts and strategies at the local and international levels are vital, in the pursuit toward the elimination of ARDs in this region.

• Safety and Health at Work
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• 제1권2호
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• pp.103-106
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• 2010

We develop a theoretical framework for international cooperation that can be used for the elimination of asbestos-related diseases(ARDs). The framework is based on the similarities in the temporal patterns of asbestos use and occurrence of ARDs in diverse countries. The status of each nation can be characterized by observing asbestos use and ARD frequency therein using a time window. Countries that supply technology for prevention of ARDs can be classified as donors and countries that receive these technologies as recipients. We suggest identification of three levels of core preventative technologies. Development of a common platform to gather and manage core preventative technologies will combine the strengths of donor countries and the needs of recipient countries.

• 한국환경보건학회지
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• 제35권2호
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• pp.71-77
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• 2009

In Korea, asbestos related diseases (ARDs) associated with occupational and environmental asbestos exposures have been reported, and commercial products contaminated with asbestos have gathered huge public attentions recently. Review of previous studies was conducted. Whereas asbestos consumptions among developed countries have decreased, those of Asian countries have increased, which showed typical international transfer of hazardous industries. In Korea residents around former asbestos mines had ARDs, which were reported in many countries such as South Africa, Canada and Australia. ARDs among residents around asbestos factories were found in many countries such as United Kingdom, United States and Italia, and increased relative risks were reported among residents around asbestos textile factories in Korea. Increased air asbestos concentrations by environmental asbestos leakages from factories were correlated with higher malignant mesothelioma incidence rates. When air dispersion model applied, excess incidence rate as far as 2.5 km from a factory were observed. As mesothelioma incidence rate, a representative index of ARD, in Korea has not reported systemically, mandatory reporting system by health personnel who diagnose the disease needs to be introduced. It is hard to conclude that commercials with contaminated asbestos do not have adverse health effects, and further studies are needed to solve these public questions.

• Safety and Health at Work
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• 제3권1호
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• pp.17-21
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• 2012

Objectives: Asbestos-related diseases (ARDs) have increased globally over the decades, causing an economic burden and increased health care costs. It is difficult to predict the risk of development of ARDs and of respiratory disability among workers with a history of asbestos exposure. Blood based biomarkers have been reported as promising tools for the early detection of malignant mesothelioma. This study investigated whether serum soluble mesothelin-related peptide (SMRP) would reflect severity of disablement in compensable ARDs. Methods: SMRP levels were measured in a cohort of 514 asbestos-exposed subjects. Severity of ARDs was assessed by a Medical Authority comprising four specially qualified respiratory physicians. Severity of ARDs and SMRP levels were compared. Results: Mean (standard deviation) serum SMRP level in the population with compensable ARDs (n = 150) was 0.95 (0.65) nmol/L, and was positively associated with disability assessment (p = 0.01). Mean SMRP level in healthy asbestos-exposed subjects was significantly lower than those with pleural plaques (p < 0.0001) and in subjects with ARDs who received compensation (p < 0.01). Conclusion: This study indicates that serum SMRP levels correlate with severity of compensable ARDs. Serum SMRP could potentially be applied to monitor progress of ARDs. Further prospective work is needed to confirm the relationship between SMRP and disability assessment in this population.

• Safety and Health at Work
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• 제2권3호
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• pp.201-209
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• 2011

The incidence of asbestos-related diseases (ARD) has increased in the last four decades. In view of the historical use of asbestos in Singapore since the country started banning it in phases in 1989 and the long latency of the disease, the incidence of ARD can be expected to increase further. As occupational exposure to asbestos still occurs, preventive measures to eliminate ARD continue to be required to protect the health of both workers and the public from asbestos exposure. The majority of occupational exposures to asbestos at present occur during the removal of old buildings. Preventive measures have been utilized by different government ministries and agencies in eliminating ARD in Singapore over the past 40 years. These measures have included the enforcement of legislation, substitution with safer materials, and engineering controls during asbestos removal as well as improvements in personal hygiene and the use of personal protective equipment. The existing Workman's Compensation System for ARD should be further refined, given that is currently stipulates that claims for asbestosis and malignant mesothelioma be made within 36 and 12 months after ceasing employment.

• Animal cells and systems
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• 제16권2호
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• pp.95-103
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• 2012

Asbestos exposure has been known to contribute to several lung diseases named asbestosis, malignant mesothelioma and lung cancer, but the disease-related molecular and cellular mechanisms are still largely unknown. To examine the effects of asbestos exposure in human bronchial epithelial cells at gene level, the global gene expression profile was analyzed following chrysotile treatment. The microarray results revealed differential gene expression in response to chrysotile treatment. The genes up- and down-regulated by chrysotile were mainly involved in processes including metabolism, signal transduction, transport, development, transcription, immune response, and other functions. The differential gene expression profiles could provide clues that might be used to understand the pathological mechanisms and therapeutic targets involved in chrysotile-related diseases.

• 한국환경보건학회지
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• 제35권5호
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• pp.426-432
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• 2009

Asbestos is a commercial term of natural occurring silicated minerals and forms long, thin fibers. Chrysotile, the serpentine asbestos, accounts for most use in commercial use. Asbestos is well known health hazard material and it is proved that inhalation of asbestos fibers leads to increased risk of developing several diseases such as lung cancer, mesothelioma, asbestosis. In these days, people most at risk for exposure are maintenance and construction workers and general citizens who are working on and close to the work area at which asbestos containing material is disturbing. Non asbestiform, though its chemical composition is same with regulated asbestos, is known to be less hazardous than asbestiform. Exposure guideline, 0.01 f/ml, is not safe level in terms of health risk. It is reasonable to take preventable action when asbestos is suspicious. In Korea, it is necessary to clarify the concept between hazard and risk, to differentiate asbestiform from non asbestiform, to make regulations for compensation for asbestos related patients, to manage future exposure for general citizens.

• Safety and Health at Work
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• 제11권4호
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• pp.425-430
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• 2020

Background: Asbestos exposure is associated with the development of the cancer malignant mesothelioma (MM). Measurement of soluble mesothelin-related protein (SMRP) has been suggested as a method for detection of MM in its early stages. We prospectively examined SMRP levels in participants with asbestos exposure who are a group at a high risk of development of MM. Methods: This study was a follow-up of our cohort of 322 asbestos-exposed participants. No further participants developed MM or malignancy over the study period. Mean follow-up time was 22.9 months. Results: Mean (standard deviation) SMRP levels at baseline and follow-up were 0.94 (0.79) and 0.91 (0.86) nmol/L (p = 0.1033), respectively. Mean SMRP levels of the healthy individuals exposed to asbestos at baseline was significantly lower than those of participants with asbestosis and pleural plaques alone; similar patterns were found on follow-up measurements. There was a statistically significant effect of age on serial SMRP measurements. Our study confirms higher levels in participants with nonmalignant asbestos-related disorders. Levels decreased in asbestos-related disorders other than asbestosis, where a small increase was observed. We did not detect any further cases of malignancy. Conclusion: Monitoring programs for early detection of MM need to take into account increased SMRP levels found in benign asbestos-related diseases.