This document provides information about asbestos, including what it is, its health risks, and safety measures. Asbestos refers to naturally occurring minerals composed of soft fibers that are highly resistant to heat, corrosion, and electricity. While useful as an insulator, inhaling or ingesting asbestos fibers can cause serious health issues like asbestosis, mesothelioma, or lung cancer decades later. The document outlines who is most at risk of exposure, where asbestos is commonly found in buildings, and precautions like proper training and protective equipment to safely handle asbestos and minimize exposure.
Training presentation geared for contractors dealing with asbestos containing materials. Educational training piece covering what you need to know about asbestos to comply with state and governmental regulating agencies. Asbestos risks, symptoms and safety measures.
Dr. Richard Lemen is a former Assistant Surgeon General of the United States. He served as Acting Director and Deputy Director of the National Institute for Occupational Safety and Health (NIOSH). This superb Keynote presentation on many aspects of asbestos was given by him at the first conference of the European Asbestos Forum in Amsterdam, 2015.
silicate mineral. The physical properties, besides asbestos is a group of six naturally occurring fibrous character, such as, fineness, flexibility, tensile strength & length of fibres, infusibility, low heat conductivity and high resistance to electricity & sound as also to corrosion by acids, make asbestos commercially important. Commercial asbestos is classified into two main mineralogical groups: serpentine asbestos or chrysotile asbestos and amphibole asbestos. The latter includes asbestos minerals, such as, tremolite, actinolite, anthophyllite, amosite and crocidolite. Commercially, chrysotile asbestos is far superior in physical properties and hence more valuable than amphibole asbestos.
India's asbestos requirement is mainly met through imports from Russia, Kazakhstan, Brazil and China. India uses an estimated 350,000 tons of asbestos annually, trailing behind China.
Asbestos – white to greenish and brownish in color with fibrous form. H – 2.5-3, classifies into Long fibre and short fibre.
Training presentation geared for contractors dealing with asbestos containing materials. Educational training piece covering what you need to know about asbestos to comply with state and governmental regulating agencies. Asbestos risks, symptoms and safety measures.
Dr. Richard Lemen is a former Assistant Surgeon General of the United States. He served as Acting Director and Deputy Director of the National Institute for Occupational Safety and Health (NIOSH). This superb Keynote presentation on many aspects of asbestos was given by him at the first conference of the European Asbestos Forum in Amsterdam, 2015.
silicate mineral. The physical properties, besides asbestos is a group of six naturally occurring fibrous character, such as, fineness, flexibility, tensile strength & length of fibres, infusibility, low heat conductivity and high resistance to electricity & sound as also to corrosion by acids, make asbestos commercially important. Commercial asbestos is classified into two main mineralogical groups: serpentine asbestos or chrysotile asbestos and amphibole asbestos. The latter includes asbestos minerals, such as, tremolite, actinolite, anthophyllite, amosite and crocidolite. Commercially, chrysotile asbestos is far superior in physical properties and hence more valuable than amphibole asbestos.
India's asbestos requirement is mainly met through imports from Russia, Kazakhstan, Brazil and China. India uses an estimated 350,000 tons of asbestos annually, trailing behind China.
Asbestos – white to greenish and brownish in color with fibrous form. H – 2.5-3, classifies into Long fibre and short fibre.
Asbestos Awareness: 7 Asbestos Facts You Need to KnowChowdhury Nishat
Asbestos is one of the top ten natural killing agents in the world. There are 125 million people in the world currently exposed to asbestos-related products. In 2004, asbestos caused 107,000 deaths . The UK has flagged ‘Asbestos facts’ as the highest workplace killer. These seven asbestos facts will help you get an understanding of the key facts about asbestos.
Read More : https://www.trainingexpress.org.uk/course/asbestos-awareness-training/
Asbestos continues to be featured in international headlines as it deemed as one of the most dangerous industrial materials. Normally, you will not notice that there is an asbestos-containing material (ACM) in your house or workplace. This dangerous material is made up of very small fibres and not visible to the naked eye. The only way to know if a building contains fibrous materials is by getting it inspected.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
2. Ever heard of asbestosis or mesothelioma? Asbestos is a serious threat to many people who are involved
in the maintenance and repairing jobs of old buildings. Although asbestos exposure does not have an
immediate impact on your health, asbestos fibres can lead to fatal medical complications. In this article,
you can start your journey of asbestos awareness. Also, you will learn about the safety measures
required to save yourself from asbestos contamination.
Asbestos: What is it?
Asbestos refers to six naturally occurring silicate minerals. These minerals are composed of soft and
flexible fibres that are highly resistant to corrosion, heat and electricity. Each fibre of asbestos is made of
many microscopic fibrils. These fibrils can get released into the atmosphere because of erosion and other
processes.
The quality of asbestos makes it an effective insulator. Besides, we can use asbestos in cloth, paper,
cement, plastic and other materials to make them more robust.
Nevertheless, asbestos fibres can have long-term effects on the human body. If someone inhales or
ingests asbestos dust, some of the fibres can remain trapped in the body for a long time. Over time, the
trapped fibres can cause inflammation, scarring and genetic damage. Additionally, inhalation of asbestos
fibres can result in serious lung conditions and cancer.
Explore our course on asbestos awareness
3. The types of asbestos
‘Asbestos’ is a technical term that refers to multiple types of minerals. There are six identified types of
asbestos. Moreover, all these types belong to the amphibole and serpentine mineral families.
Chrysotile
Chrysotile (white asbestos) is the most common form of asbestos. You can find them in the roofs,
ceilings, walls and floors of domestic and nondomestic buildings. In the past, people used chrysotile in
the manufacturing of gaskets and boiler seals, automobile brake linings, and insulation for pipes, ducts
and appliances.
Amosite
Amosite (brown asbestos) was frequently used in cement sheets and pipe insulation. You can also find
them in insulating boards, ceiling tiles and thermal insulation products.
4. Crocidolite
Crocidolite (blue asbestos) was convenient for insulated steam engines. The other usage of blue
asbestos included spray-on coatings, pipe insulation, plastics and cement products.
Actinolite
Actinolite has sharp, needle-like fibres. People can easily inhale or ingest these fibres. This type of
asbestos is generally dark in colour. Actinolite is a formation of other minerals including calcium,
magnesium, iron, silicon. This particular asbestos was utilized in cement, insulation materials, sealants,
paints and drywalls.
5. Anthophyllite
Anthophyllite had limited use for construction materials and insulation products. The colour of these types
of asbestos can be grey, dull green or white.
Tremolite
Tremolite is popular for its heat resistant properties. Tremolite, like other asbestos in the amphibole
family, has sharp fibres that you can ingest or inhale easily. The colour of tremolite varies from milky white
to dark green. You can find this type of asbestos in other minerals such as talc and vermiculite. People
used tremolite in a variety of products: paints, sealants, insulation, roofing and plumbing materials.
6. Asbestos exposure
People get exposed to asbestos as they breathe tiny asbestos fibres within the air. How does the
asbestos get into the air? It can come from the natural deposits of asbestos in the earth. Besides, some
commercial products contain mineral asbestos.
How does asbestos get into air?
Asbestos fibres usually get into the air because of the subsequent reasons:
● Erosion of natural asbestos on the earth’s surface or weathering of old products that contain
asbestos
● Use of natural deposits of asbestos for crushing rocks
● Handling, cutting, or crushing old asbestos-containing products during building projects
● Disturbing soil which is contaminated by old asbestos-containing products during recreational or
other outdoor activities
● Production and distribution of consumer products contaminated with asbestos
● Activities like cleaning that stir up dust containing asbestos from natural deposits or products
● Gardening in asbestos-contaminated soil
Asbestos pollution: Dependencies
The amount of asbestos into the air depends on many aspects, such as:
● The location
● The type of soil or material in which the asbestos exist
● The lifetime and characteristics of the host material
● The weather conditions
● The intensity of activity around the sources of asbestos
7. The asbestos fibres that go into the air act the same regardless of the source of origin. People may
swallow asbestos fibres or get the fibre on their skin. However, the effect of these types of contact is
minimal without a large quantity of exposure. The primary health issues caused by asbestos fibres derive
from breathing exposures.
Who is at risk from asbestos?
Workers who carry out maintenance and repair jobs in older buildings are at particular risk. Why is it so?
It can happen considering they breathe in more asbestos fibres. The people who are at higher risks
include:
● construction and demolition contractors, roofers, electricians, painters and decorators, joiners,
plumbers, gas fitters, plasterers, shopfitters, heating and ventilation engineers, and surveyors;
● workers dealing with electronics, e.g. phone and IT engineers, and alarm installers;
● general maintenance engineers
If the asbestos in a site can be readily disturbed, more people occupying the premises will be at risk.
8. Where do we find asbestos in buildings?
Asbestos was in extensive use previously for building purposes. A list of the asbestos products and the
usage of the products are given below:
Asbestos product What is it used for?
Sprayed asbestos (limpet) Fire protection in ducts and to
structural steelwork, fire breaks in
ceiling voids etc.
Lagging Thermal insulation of pipes and
boilers
Asbestos insulating boards (AIB) Fire protection, thermal insulation,
wall partitions, ducts, soffits, ceiling
and wall panels
Asbestos cement products, flat or
corrugated sheets
Roofing and wall cladding, gutters,
rainwater pipes, water tanks
Certain textured coatings Decorative plasters, paints
Bitumen or vinyl materials Roofing felt, floor and ceiling tiles
Source: Health and Safety Executive
Some Asbestos Containing Materials (ACM) are more open to damages than others. In general, the
materials with a higher proportion of asbestos will give off fibres more easily.
9. The health risks from asbestos exposure
Most of the asbestos-related problems surface after years of repeated and long-term exposure. Yet, it is
important to remember that no level of asbestos exposure is safe for the human body.
Asbestos fibres accumulate in human tissues through repeated exposure. Eventually, the fibres cause
inflammation and DNA damage. Gradually, cellular changes occur in the human body and these changes
can lead to cancer and other malicious diseases.
Effect on different organs of body affected by asbestos fibres
10. Potential diseases from asbestos exposure
Cancer-oriented diseases Non-cancerous diseases
Mesothelioma: A rare and incurable
ancer that develops in the linings of the
ngs or abdomen.
ung cancer: Approximately 4% of all
ng cancers are attributed to asbestos
xposure.
varian cancer: In 2012, the
nternational Agency for Research on
ancer gave evidence that asbestos ca
ause ovarian cancer.
aryngeal cancer: In 2006, the Nationa
nstitutes of Health confirmed that
ryngeal cancer can be caused by
sbestos exposure.
sbestosis: Inflammation and scarring
f lung tissues.
leural plaques: Fibrous thickening of
he lining around the lungs.
leural effusion: Breathing difficulty du
o fluid build-up around the lungs.
iffuse pleural thickening: Extensive
carring that stiffens the pleural lining of
he lungs, causing chest pain and
reathing problems.
leurisy: Acute inflammation of the
eural lining.
Atelectasis: The lungs under-inflate
because of inflammation and
scarring of the pleural lining.
After the initial exposure, it may take 10 – 70 years to develop asbestos-related diseases. While
asbestosis can take as few as 10 years, the relevant cancers will take 20 – 50 years to progress.
11. Asbestos-related regulations in the United Kingdom
The British government tries to exercise rigorous controls on asbestos handling through the Health and
Safety Executive (HSE). According to a report of the HSE, at least 4.000 people die each year in the UK
from mesothelioma and asbestos-related lung cancer.
The government banned blue and brown asbestos materials entirely in 1985. The import, trading and
reuse of white asbestos is under prohibition from 1999.
According to the 2012 Control of Asbestos Regulations, the owners of non-domestic buildings must be
aware of the presence and state of asbestos in their properties. Furthermore, the owners are responsible
for managing asbestos deterioration in their premises. Employers need to provide asbestos training to
their workers annually in relevant industries.
Controlling asbestos exposure: How to stay safe around
asbestos
People who are susceptible to asbestos contamination need to get proper training and wear personal
protective equipment for safety. If you are living in an old home in which asbestos exists in the building
materials, you should:
● Avoid disturbing all the materials that might release asbestos particles including:
1. Pipe and furnace insulation, siding, flooring, and popcorn ceilings installed between
1950 – 1970
2. Vermiculite attic insulation
● Contact the local environmental agency or certified contractors for maintenance and
replacement works
● Seek professional help for any type of repair works and abide by the safety regulations from
HSE
On the other hand, people who live near natural asbestos deposits or in areas contaminated with old
asbestos-containing materials need to:
12. ● Keep asbestos levels low at home —
1. Using wet methods of cleaning and high-efficiency particulate air vacuums
2. Keeping windows closed in windy weather to block asbestos fibres
3. Using doormats and removing shoes outside the entrance
● Minimise dust inhalation out of home —
1. Using water to dampen the soil before gardening or playing
2. Spraying off terraces with water rather than sweeping the areas
3. Remaining on pavements or grounds covered with grass or other artificial layers on
the soil that limit dust
The HSE does not allow any minimum threshold for asbestos exposure. Thus, it is mandatory to minimise
asbestos pollution at any cost. Due to practical reasons, we cannot eliminate asbestos altogether in near
future. Thus, everyone needs to be aware of asbestos exposure, especially those who work around
asbestos.
Have a risk of asbestos exposure? Train with us.