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Asbestos: Environmental and
   Occupational Exposure Continues
  Asbestos Disease Awareness Organization (ADAO)
                    www.adao.us
                    July 24, 2012
Reinstein 7.24.2012
Speakers
   Dr. Richard Lemen, PhD, Assistant Surgeon General,
   U.S.P.H.S. (ret.)

   Dr. Barry Castleman, ScD, Environmental Consultant

   Linda Reinstein, ADAO President and Co-Founder

   J. Brent Kynoch, Managing Director, Environmental
   Information Association

   Barbara Minty McQueen, mesothelioma widow

Reinstein 7.24.2012
Education. Advocacy. Community.


Reinstein 7.24.2012
    Lemen 7.24.12         www.adao.us
ADAO Memorial Dedication




                                     Larry

                                   1945 – 2012

                               Mesothelioma Victim
                                  United States

www.AsbestosDiseaseAwareness.org
Reinstein 7.26.2012
Update:
                        U.S. Senate Resolution
                                 S. 389

                      Designating the first week of
                        April 2012 as `National
                        Asbestos Awareness Week'.

                      Resolved, that the Senate urges
                        the Surgeon General, as a
                        public health issue, to warn
                        and educate people that
                        asbestos exposure may be
                        hazardous to their health.

Reinstein 7.24.2012
“Consequences of Continued
           Asbestos Use”


                  Richard A. Lemen, Ph.D.

        Assistant Surgeon General, U.S.P.H.S. (ret.)
                       July 24, 2012

Lemen 7.24.2012
What Happens to Asbestos in the Respiratory System
                                Nose Filters out
                                fibers >100µ long


                                                 Cilia Clears mucus
                                                 (and fibers) from lung



 Lung Cancer




                                Free Alveolar Macrophages
                                (FAMs): Phagocytize fibers within
 Mesothelioma
                                lung
  Lemen 7.24.2012
Are Asbestos-Related Diseases a Pandemic?
    A pandemic is the excessive occurrence of
     a disease in a large portion of the world

H1N1 Pandemic                              Asbestos-related diseases
   14,142 Deaths worldwide                   More than 107,000* Deaths
                                               worldwide each year
                                              More than 10,000 Deaths in
                                               the U.S. each year**

*107,000 is probably an underestimate because it doesn’t include other cancers (e.g.
Larynx and Ovary)
**EWG

Lemen 7.24.2012
Asbestosis deaths increased 20-fold from 1960s to 1990s
                    and are continuing
                               1600



                               1400
 Number of Asbestosis Deaths




                               1200
                                      ICD-10
                                      ICD-9
                               1000   ICD-8


                               800



                               600



                               400



                               200



                                 0
                                  68

                                  70

                                  72

                                  74

                                  76

                                  78

                                  80

                                  82

                                  84

                                  86

                                  88

                                  90

                                  92

                                  94

                                  96

                                  98

                                  00

                                  02

                                  04
                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               19

                               20

                               20

                               20
                                               Source: NIOSH
Lemen 7.24.2012
Relative Inhalation Toxicity of Chemicals
            Listed in the EPA’s Toxic Release Inventory
Asbestos (friable) (1332-21-4)              Known Carcinogen    1,000,000
Benzidine (92-87-5)                         Known Carcinogen     480,000
Bis(chloromethyl) ether (542-88-1)          Known Carcinogen     440,000
N-Nitrosodiethylamine (55-18-5)             Known Carcinogen     310,000
Propyleneimine (75-55-8)                    Known Carcinogen     300,000
N-Nitroso-N-ethylurea (759-73-9)            Known Carcinogen     280,000
Diisocyanates (N120)                        Non-Carcinogen       180,000
N-Nitrosodimethylamine (62-75-9)            Known Carcinogen     100,000
Acrolein (107-02-8)                         Non-Carcinogen        90,000

Cadmium and cadmium compounds (7440-43-9)   Known Carcinogen*     90,000
Chromium and chromium compounds (7440-47-
3)                                          Known Carcinogen      86,000

Polybrominated biphenyls (PBBs) (N575)      Known Carcinogen*     71,000


   Lemen 7.24.2012
“U.S. Asbestos Product
          Imports and Contamination”

                      Barry Castleman, ScD

                      Environmental Consultant
                            July 24, 2012
Castleman 7.24.2012
ADAO Product Testing
      5 Products Contaminated
            With Asbestos              Monitoring Needed
                                  Once a ban is enacted, the U.S.
                                  will need to analyze imported
                                  products so that Americans will
                                  not be endangered by unlabeled
                                  asbestos products which may
                                  already be coming in (violating
                                  OSHA regulations).




Castleman 7.24.2012
Contaminated Asbestos in Stone and Minerals


       NIOSH is looking into contaminant asbestos in talc,
        stone, & other minerals.

       The California Air Resource Board (CARB 435) limit
        of 0.25% asbestos in stone and gravel should be able to
        be met nation-wide.




 Castleman 7.24.2012
Safer Substitutions Exist

      No U.S. manufacturers make asbestos brake pads,
       gaskets, and A-C pipes. Banning imports of these
       asbestos products protects U.S. workers and companies.

      Non-asbestos diaphragms and membrane cell
       technology are alternatives to discredited asbestos
       diaphragm and mercury cell technology.




Castleman 7.24.2012
Top Asbestos Facts
  1. The US still imports asbestos from Canada and asbestos
     products from a large number of countries. Monitoring
     of asbestos product imports for OSHA cancer labeling
     is needed.

  2. There are safer substitutes to asbestos that provide equal
     functionality at comparable costs.

  3. 55 countries worldwide have banned asbestos. The
     United States still has not.

Castleman 7.24.2012
“Asbestos, Still Legal and Lethal”


                      Linda Reinstein
               President/Co-Founder
  Asbestos Disease Awareness Organization (ADAO)
                    July 24, 2012

Reinstein 7.24.2012
ADAO Memorial Dedication




                                   Alan Reinstein

                                     1939 - 2006

                               Mesothelioma Victim
                                  United States

www.AsbestosDiseaseAwareness.org
How Small is Asbestos?




                      2-3 rice grains   20,000 Asbestos Fibers




                                        5-6 human hairs



Reinstein 7.24.2012
Asbestos is a Proven Human Carcinogen and
    There is No Safe Level of Exposure




Reinstein 7.24.2012
Reinstein 7.24.2012
Environmental Exposure:
               Natural and Man-made Disasters

                               W.R. Grace Vermiculite Mine




                  Joplin, MO           Libby, MT
Reinstein 7.26.2012
Occupational Exposure
                      Under the Steps of the Capitol




Reinstein 7.26.2012
The Human Face of Disease

   • New Patient Profile
      • Woman
      • Under the age of 50
      • Environmental or Take-Home Exposure

   • 10,000 annual asbestos-caused deaths in the USA

   • 107,000 annual asbestos-caused deaths globally

   • 3,000 new cases of mesothelioma are diagnosed each
     year in the United States
Reinstein 7.26.2012
“Asbestos: See For Yourself ”




Reinstein 7.24.2012
“Asbestos: Regulatory Concerns
           and Violations”

                        J. Brent Kynoch
                     Managing Director, EIA
                         July 24, 2012

       “Our multi-disciplinary membership collects, generates and disseminates
       information about environmental issues in buildings and facilities.”

Kynoch 7.24.2012
Existing Regulations

         TSCA
           • AHERA – Asbestos in Schools Rule.
             Accreditation requirements extended to public and
             commercial buildings.

         NESHAP
          • The 1% rule.
          • All buildings must be inspected for asbestos prior
            to demolition or renovation.

         OSHA – Exposure limits regardless of %.
Kynoch 7.24.12
Enforcement?

        By EPA’s own admission, enforcement is “dismal.”1

        Existing regulations are sufficient to protect worker
         and environmental health.

        Budgets (for inspectors) continue to be cut, but
         “encouragement” can and should be pushed
         downhill.




Kynoch 7.24.2012
Enforcement Issues

        Marco Island, FL – June 5, 2010 settlement - $81,772
         – neither contractor nor city take liability




Kynoch 7.24.2012
What Can Be Done?

        Beef Up TSCA, NESHAP, and OSHA, Enforcement
           •   Current enforcement is handcuffed by red tape and lack of power.
           •   Provides jobs.
           •   Pays for itself.
           •   Enforcement will stem violations that lead to exposures, disease and
               death.


        Increase education and encourage funding.
           • Demolition and renovation permits.
           • Greater involvement at local level




Kynoch 7.24.2012
“Get Off the Bench, Get in the
       Game, and Immediately Ban
                Asbestos”




                    Barbara Minty McQueen
McQueen 7.24.2012         July 24, 2012
ADAO Memorial Dedication


                    Steve McQueen
                         1930 - 1980

                      Mesothelioma Victim
                         United States



McQueen 7.24.2012
Steve McQueen Marine Corps
                Service Records




McQueen 7.24.2012
McQueen 7.24.2012
McQueen 7.24.2012
Reinstein 7.24.2012

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2012 House Staff Briefing: "Asbestos: Environmental and Occupational Exposure Continues"

  • 1. Asbestos: Environmental and Occupational Exposure Continues Asbestos Disease Awareness Organization (ADAO) www.adao.us July 24, 2012 Reinstein 7.24.2012
  • 2. Speakers Dr. Richard Lemen, PhD, Assistant Surgeon General, U.S.P.H.S. (ret.) Dr. Barry Castleman, ScD, Environmental Consultant Linda Reinstein, ADAO President and Co-Founder J. Brent Kynoch, Managing Director, Environmental Information Association Barbara Minty McQueen, mesothelioma widow Reinstein 7.24.2012
  • 3. Education. Advocacy. Community. Reinstein 7.24.2012 Lemen 7.24.12 www.adao.us
  • 4. ADAO Memorial Dedication Larry 1945 – 2012 Mesothelioma Victim United States www.AsbestosDiseaseAwareness.org
  • 6. Update: U.S. Senate Resolution S. 389 Designating the first week of April 2012 as `National Asbestos Awareness Week'. Resolved, that the Senate urges the Surgeon General, as a public health issue, to warn and educate people that asbestos exposure may be hazardous to their health. Reinstein 7.24.2012
  • 7. “Consequences of Continued Asbestos Use” Richard A. Lemen, Ph.D. Assistant Surgeon General, U.S.P.H.S. (ret.) July 24, 2012 Lemen 7.24.2012
  • 8. What Happens to Asbestos in the Respiratory System Nose Filters out fibers >100µ long Cilia Clears mucus (and fibers) from lung Lung Cancer Free Alveolar Macrophages (FAMs): Phagocytize fibers within Mesothelioma lung Lemen 7.24.2012
  • 9. Are Asbestos-Related Diseases a Pandemic? A pandemic is the excessive occurrence of a disease in a large portion of the world H1N1 Pandemic Asbestos-related diseases  14,142 Deaths worldwide  More than 107,000* Deaths worldwide each year  More than 10,000 Deaths in the U.S. each year** *107,000 is probably an underestimate because it doesn’t include other cancers (e.g. Larynx and Ovary) **EWG Lemen 7.24.2012
  • 10. Asbestosis deaths increased 20-fold from 1960s to 1990s and are continuing 1600 1400 Number of Asbestosis Deaths 1200 ICD-10 ICD-9 1000 ICD-8 800 600 400 200 0 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 00 02 04 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 20 20 20 Source: NIOSH Lemen 7.24.2012
  • 11. Relative Inhalation Toxicity of Chemicals Listed in the EPA’s Toxic Release Inventory Asbestos (friable) (1332-21-4) Known Carcinogen 1,000,000 Benzidine (92-87-5) Known Carcinogen 480,000 Bis(chloromethyl) ether (542-88-1) Known Carcinogen 440,000 N-Nitrosodiethylamine (55-18-5) Known Carcinogen 310,000 Propyleneimine (75-55-8) Known Carcinogen 300,000 N-Nitroso-N-ethylurea (759-73-9) Known Carcinogen 280,000 Diisocyanates (N120) Non-Carcinogen 180,000 N-Nitrosodimethylamine (62-75-9) Known Carcinogen 100,000 Acrolein (107-02-8) Non-Carcinogen 90,000 Cadmium and cadmium compounds (7440-43-9) Known Carcinogen* 90,000 Chromium and chromium compounds (7440-47- 3) Known Carcinogen 86,000 Polybrominated biphenyls (PBBs) (N575) Known Carcinogen* 71,000 Lemen 7.24.2012
  • 12. “U.S. Asbestos Product Imports and Contamination” Barry Castleman, ScD Environmental Consultant July 24, 2012 Castleman 7.24.2012
  • 13. ADAO Product Testing 5 Products Contaminated With Asbestos Monitoring Needed Once a ban is enacted, the U.S. will need to analyze imported products so that Americans will not be endangered by unlabeled asbestos products which may already be coming in (violating OSHA regulations). Castleman 7.24.2012
  • 14. Contaminated Asbestos in Stone and Minerals  NIOSH is looking into contaminant asbestos in talc, stone, & other minerals.  The California Air Resource Board (CARB 435) limit of 0.25% asbestos in stone and gravel should be able to be met nation-wide. Castleman 7.24.2012
  • 15. Safer Substitutions Exist  No U.S. manufacturers make asbestos brake pads, gaskets, and A-C pipes. Banning imports of these asbestos products protects U.S. workers and companies.  Non-asbestos diaphragms and membrane cell technology are alternatives to discredited asbestos diaphragm and mercury cell technology. Castleman 7.24.2012
  • 16. Top Asbestos Facts 1. The US still imports asbestos from Canada and asbestos products from a large number of countries. Monitoring of asbestos product imports for OSHA cancer labeling is needed. 2. There are safer substitutes to asbestos that provide equal functionality at comparable costs. 3. 55 countries worldwide have banned asbestos. The United States still has not. Castleman 7.24.2012
  • 17. “Asbestos, Still Legal and Lethal” Linda Reinstein President/Co-Founder Asbestos Disease Awareness Organization (ADAO) July 24, 2012 Reinstein 7.24.2012
  • 18. ADAO Memorial Dedication Alan Reinstein 1939 - 2006 Mesothelioma Victim United States www.AsbestosDiseaseAwareness.org
  • 19. How Small is Asbestos? 2-3 rice grains 20,000 Asbestos Fibers 5-6 human hairs Reinstein 7.24.2012
  • 20. Asbestos is a Proven Human Carcinogen and There is No Safe Level of Exposure Reinstein 7.24.2012
  • 22. Environmental Exposure: Natural and Man-made Disasters W.R. Grace Vermiculite Mine Joplin, MO Libby, MT Reinstein 7.26.2012
  • 23. Occupational Exposure Under the Steps of the Capitol Reinstein 7.26.2012
  • 24. The Human Face of Disease • New Patient Profile • Woman • Under the age of 50 • Environmental or Take-Home Exposure • 10,000 annual asbestos-caused deaths in the USA • 107,000 annual asbestos-caused deaths globally • 3,000 new cases of mesothelioma are diagnosed each year in the United States Reinstein 7.26.2012
  • 25. “Asbestos: See For Yourself ” Reinstein 7.24.2012
  • 26.
  • 27. “Asbestos: Regulatory Concerns and Violations” J. Brent Kynoch Managing Director, EIA July 24, 2012 “Our multi-disciplinary membership collects, generates and disseminates information about environmental issues in buildings and facilities.” Kynoch 7.24.2012
  • 28. Existing Regulations  TSCA • AHERA – Asbestos in Schools Rule. Accreditation requirements extended to public and commercial buildings.  NESHAP • The 1% rule. • All buildings must be inspected for asbestos prior to demolition or renovation.  OSHA – Exposure limits regardless of %. Kynoch 7.24.12
  • 29. Enforcement?  By EPA’s own admission, enforcement is “dismal.”1  Existing regulations are sufficient to protect worker and environmental health.  Budgets (for inspectors) continue to be cut, but “encouragement” can and should be pushed downhill. Kynoch 7.24.2012
  • 30. Enforcement Issues  Marco Island, FL – June 5, 2010 settlement - $81,772 – neither contractor nor city take liability Kynoch 7.24.2012
  • 31. What Can Be Done?  Beef Up TSCA, NESHAP, and OSHA, Enforcement • Current enforcement is handcuffed by red tape and lack of power. • Provides jobs. • Pays for itself. • Enforcement will stem violations that lead to exposures, disease and death.  Increase education and encourage funding. • Demolition and renovation permits. • Greater involvement at local level Kynoch 7.24.2012
  • 32. “Get Off the Bench, Get in the Game, and Immediately Ban Asbestos” Barbara Minty McQueen McQueen 7.24.2012 July 24, 2012
  • 33. ADAO Memorial Dedication Steve McQueen 1930 - 1980 Mesothelioma Victim United States McQueen 7.24.2012
  • 34. Steve McQueen Marine Corps Service Records McQueen 7.24.2012

Editor's Notes

  1. Toxicity weight:is a proportional numerical weight applied to a chemical based on its toxicity. The toxicity of a chemical is assessed using EPA-established standard methodologies. For each exposure route, chemicals are weighted based on their single, most sensitive adverse chronic human health effect (cancer or the most sensitive noncancer effect). In the absence of data, the toxicity weight for one pathway is adopted for the other pathway. The range of toxicity weights is approximately 0.01 to 1,000,000.
  2. The United States imported 1,100 metric tons of asbestos between July 2010 – July 2011. 92% of this asbestos comes from Canada. Though this figure is the lowest amount of asbestos imported by the U.S. since 1909, consumption increased by 6% over this last calendar year. By continuing to allow asbestos to be imported and used within the United States, more and more people will be exposed through everyday products, such as roofing materials
  3. With the help of industrial hygienist Tony Rich, ADAO has started the “Asbestos: See For Yourself” campaign, which aims to educate the public through pictures of asbestos in homes, offices, and of improper removal techniques. Phase I: http://slidesha.re/Jmdytq
  4.  Good morning.  Hi, I'm Barbie McQueen, widow of actor Steve McQueen, who died from mesothelioma.
  5. As is customary with all ADAO speeches and presentations, I would like to begin with a memorial dedication, to my husband, Steve.
  6. These are photocopies of my late husband’s U.S. Marine Corps Service Record Book. Steve served in the Marine Corps from 1947-1950, finding himself in Washington D.C. at the Naval Yard, where he was charged with removing asbestos-filled insulation from massive pipes in the ship’s hold. It is here that Steve and I believe he was first exposed to asbestos, though it is possible he was exposed while on film sets or from the protective suits he wore while racing
  7. Asbestos is a known carcinogen causing terminal illnesses including mesothelioma. The love of my life and soul mate, a global icon and world renowned “King of Cool,” was taken from us because of a preventable disease.Asbestos is already banned in 55 countries around the world and it's time for the United States to get off the bench, get in the game, and immediately ban asbestos.
  8. The medical communities in the United States and around the world, including the US Surgeon General, Environmental Protection Agency, the World Health Organization and International Labour Organization agree asbestos is a human carcinogen and there is no safe level of exposure.