Asbestos in Buildings and Health Effects Alan M. Ducatman, MD, MSc Chair, Department of  Community Medicine [email_address]
Asbestos-Containing Building Materials (ACBM) Source:  www.tradewinderealty.com  , via the Google Images Library, 2006.
Asbestos-Containing Building Materials (ACBM) Source:  www.committeeforbetterschools.org , via Google Images Library, 2006.
Examples of ACBM <ul><li>Pipe coatings and coverings </li></ul><ul><li>Spray-on and textured materials, including acoustic...
Examples of ACBM <ul><li>Vinyl floor tiles, flooring sheets, and adhesive </li></ul><ul><li>Building insulation </li></ul>...
Trades with Exposure Risk <ul><li>pipefitters </li></ul><ul><li>insulators </li></ul><ul><li>electricians </li></ul><ul><l...
Trades with Lesser Exposure Risk <ul><li>mechanics </li></ul><ul><li>painters </li></ul><ul><li>custodians </li></ul>
Chrysotile Source:  Chrysotile Institute, 2006.
Amphibole Electron micrograph of amphibole particles, from  www.nature.com , via  the Google Images Library, 2006.
American Lung Association, 2006
White Blood Cell Ingesting Asbestos Fiber Image of lung macrophages (a type of white blood cell) ingesting asbestos fibers...
Asbestos fibers lodged in lungs, ATSDR web site,   http://www.atsdr.cdc.gov/asbestos/asbestos/health_effects/  . Accessed ...
Normal lung cells,  http://medocs.ucdavis.edu/PMD/study_aid/OrganPages/respiratory/respiratory.htm , via Google Images Lib...
Pulmonary Function Test A portrayal of a pulmonary function test, from  www.slate.com ,  via the Google Images Library, 2006
Abnormal chest x-ray showing changes of asbestosis.  Rachel Rubin, MD, Cook County Hospital, Chicago, IL, 2006.
Normal chest x-ray,  www.szote.u-szeged.hu/radio/mellk1/mellk2b/gif , via Google Images Library, 2006.
Lung x-ray showing pleural plaque. Rachel Rubin, MD, Cook County Hospital, Chicago, IL, 2006.
Scanning electron micrograph of lung cancer cells, ATSDR web site,  http://www.atsdr.cdc.gov/asbestos/asbestos/health_effe...
Malignant Mesothelioma Source:  www.41-mesothelioma.com/pleural.htm , via the Google Images Library, 2006
Malignant Mesothelioma Source: University of Utah Library of Medicine, 2006.
Source:  Pathology Lecture, Alan M. Ducatman, MD.
Source:  Pathology Lecture, Alan M. Ducatman, MD.
Source:  Pathology Lecture, Alan M. Ducatman, MD.
Source:  Pathology Lecture, Alan M. Ducatman, MD.
Source:  Pathology Lecture, Alan M. Ducatman, MD.
Source:  Pathology Lecture, Alan M. Ducatman, MD.
A Vignette <ul><li>The 71-year-old parking guard at the hospital presents with excruciating inspiratory pain.  </li></ul><...
Source: Pathology Lecture, Alan M. Ducatman, MD.
WVU Buildings Containing Asbestos <ul><li>Most buildings and homes built prior to 1980 were constructed with asbestos-cont...
Agricultural Sciences Building Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
Agricultural Sciences Building: Textured Ceiling (15% asbestos) and Floor Tile (5% asbestos) Source: Craig Lefevre, WVU Of...
Percival Hall Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
Percival Hall:  Tank Insulation (65% asbestos) Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
Percival Hall:  Pipe Insulation (45% asbestos) Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
Mountainlair Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
Mountainlair: Floor Tile (5% asbestos) Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
List of WVU Buildings <ul><li>http://www.hsc.wvu.edu/som/cmed/extra/asbestos_buildings.asp  yields a list of buildings who...
Enclosure for asbestos removal, from Google Images Library, 2006.
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Asbestos in Buildings and Health Effects

  1. 1. Asbestos in Buildings and Health Effects Alan M. Ducatman, MD, MSc Chair, Department of Community Medicine [email_address]
  2. 2. Asbestos-Containing Building Materials (ACBM) Source: www.tradewinderealty.com , via the Google Images Library, 2006.
  3. 3. Asbestos-Containing Building Materials (ACBM) Source: www.committeeforbetterschools.org , via Google Images Library, 2006.
  4. 4. Examples of ACBM <ul><li>Pipe coatings and coverings </li></ul><ul><li>Spray-on and textured materials, including acoustics </li></ul><ul><li>Textured paints, patching and joint compounds </li></ul><ul><li>Shingles and siding </li></ul><ul><li>Boiler/furnace insulation </li></ul>
  5. 5. Examples of ACBM <ul><li>Vinyl floor tiles, flooring sheets, and adhesive </li></ul><ul><li>Building insulation </li></ul><ul><li>Sealants and coatings </li></ul><ul><li>Fireproof textiles and lab equipment </li></ul><ul><li>Heat register tape and fuse box liners </li></ul><ul><li>Gaskets </li></ul>
  6. 6. Trades with Exposure Risk <ul><li>pipefitters </li></ul><ul><li>insulators </li></ul><ul><li>electricians </li></ul><ul><li>mill and foundry workers </li></ul><ul><li>boiler makers </li></ul><ul><li>laborers </li></ul><ul><li>carpenters </li></ul><ul><li>heating/ventilation workers </li></ul><ul><li>masons </li></ul><ul><li>welders </li></ul>
  7. 7. Trades with Lesser Exposure Risk <ul><li>mechanics </li></ul><ul><li>painters </li></ul><ul><li>custodians </li></ul>
  8. 8. Chrysotile Source: Chrysotile Institute, 2006.
  9. 9. Amphibole Electron micrograph of amphibole particles, from www.nature.com , via the Google Images Library, 2006.
  10. 10. American Lung Association, 2006
  11. 11. White Blood Cell Ingesting Asbestos Fiber Image of lung macrophages (a type of white blood cell) ingesting asbestos fibers. University of Utah Library of Medicine, 2006
  12. 12. Asbestos fibers lodged in lungs, ATSDR web site, http://www.atsdr.cdc.gov/asbestos/asbestos/health_effects/ . Accessed 6/20/06.
  13. 13. Normal lung cells, http://medocs.ucdavis.edu/PMD/study_aid/OrganPages/respiratory/respiratory.htm , via Google Images Library, 2006.
  14. 14. Pulmonary Function Test A portrayal of a pulmonary function test, from www.slate.com , via the Google Images Library, 2006
  15. 15. Abnormal chest x-ray showing changes of asbestosis. Rachel Rubin, MD, Cook County Hospital, Chicago, IL, 2006.
  16. 16. Normal chest x-ray, www.szote.u-szeged.hu/radio/mellk1/mellk2b/gif , via Google Images Library, 2006.
  17. 17. Lung x-ray showing pleural plaque. Rachel Rubin, MD, Cook County Hospital, Chicago, IL, 2006.
  18. 18. Scanning electron micrograph of lung cancer cells, ATSDR web site, http://www.atsdr.cdc.gov/asbestos/asbestos/health_effects/ . Accessed 6/20/06.
  19. 19. Malignant Mesothelioma Source: www.41-mesothelioma.com/pleural.htm , via the Google Images Library, 2006
  20. 20. Malignant Mesothelioma Source: University of Utah Library of Medicine, 2006.
  21. 21. Source: Pathology Lecture, Alan M. Ducatman, MD.
  22. 22. Source: Pathology Lecture, Alan M. Ducatman, MD.
  23. 23. Source: Pathology Lecture, Alan M. Ducatman, MD.
  24. 24. Source: Pathology Lecture, Alan M. Ducatman, MD.
  25. 25. Source: Pathology Lecture, Alan M. Ducatman, MD.
  26. 26. Source: Pathology Lecture, Alan M. Ducatman, MD.
  27. 27. A Vignette <ul><li>The 71-year-old parking guard at the hospital presents with excruciating inspiratory pain. </li></ul><ul><li>Physical examination reveals LLL effusion and probable consolidation. </li></ul><ul><li>There is pleural thickening. </li></ul><ul><li>Tap shows possibly malignant cells of undetermined type. </li></ul>
  28. 28. Source: Pathology Lecture, Alan M. Ducatman, MD.
  29. 29. WVU Buildings Containing Asbestos <ul><li>Most buildings and homes built prior to 1980 were constructed with asbestos-containing building materials. </li></ul><ul><li>For example. . . . </li></ul>
  30. 30. Agricultural Sciences Building Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
  31. 31. Agricultural Sciences Building: Textured Ceiling (15% asbestos) and Floor Tile (5% asbestos) Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
  32. 32. Percival Hall Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
  33. 33. Percival Hall: Tank Insulation (65% asbestos) Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
  34. 34. Percival Hall: Pipe Insulation (45% asbestos) Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
  35. 35. Mountainlair Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
  36. 36. Mountainlair: Floor Tile (5% asbestos) Source: Craig Lefevre, WVU Office of Environmental Health and Safety, 2006.
  37. 37. List of WVU Buildings <ul><li>http://www.hsc.wvu.edu/som/cmed/extra/asbestos_buildings.asp yields a list of buildings whose materials may contain 1% or more asbestos. </li></ul>
  38. 38. Enclosure for asbestos removal, from Google Images Library, 2006.
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