Download What is Asbetos? - University of Montana

ASBESTOS
AWARENESS
Pharmacy 557
Public Health
Service Learning Project
2005
Jessica Sholey
Rebecca Mattson
Mary Beth Borgstadt
Rosanne Erickson
Rob Nilsson
Kyle Austin
Catherine Matthews
Course Contacts
This slide show was created as part of a
service learning project for students enrolled
in a pharmacy course at the University of
Montana. The course instructor was Dr. Jean
Carter and the project supervisor was Dr.
Elizabeth Putnam. For questions about the
project contact Dr. Putnam at
[email protected]
HEADLINES
Louisiana Jury Awards $4.5
Million in Asbestos-Related
Death Case
http://www.asbestos-issues.com
HEADLINES
Railroad Worker's Estate,
Family Win $11.43 Million in
Asbestos Suit
http://www.asbestos-issues.com
HEADLINES
Asbestos Spread Following
Sawmill Fire in Montana
http://www.asbestos-issues.com
HEADLINES
Health-care administrator to
Libby residents: “You're not
so sick.”
http://www.asbestos-issues.com
What is Asbestos?
http://www-admn.csun.edu/ehos/safeshop/ASBESTOS%20AWARENESS.ppt
 Mineral Fibers
 Long & Thin
 Strong
 Flame/Heat resistant
 Durable
 Friable
 Detectable only with a
microscope
http://www.atsdr.cdc.gov/asbestos/asbestos_whatis.html
http://www-admn.csun.edu/ehos/safeshop/ASBESTOS%20AWARENESS.ppt
Is Asbestos Still Around?
 Siding and Roofing
 Cement
 Insulation
 Gaskets
 Friction products –
http://www-admn.csun.edu/ehos/safeshop/ASBESTOS%20AWARENESS.ppt
brake pads
 New uses banned in 1989
 Damage to structures

Fibers become airborne
http://www-admn.csun.edu/ehos/safeshop/ASBESTOS%20AWARENESS.ppt
Asbestos is inhaled, how do fibers get
into the air?
 When asbestos is
disturbed particles can
become airborne
 Asbestos is most
dangerous when friable
 Friable means it can be
easily crushed or
crumbled
http://www.trine-metcalf.com/asbestos/scarring.html
Health Hazards of Exposure
 High blood pressure
in your lungs
 Heart problems




Asbestosis
Lung Cancer
Malignant Mesothelioma
Progressive Respiratory
Insufficiency
 Other cancers
Health Hazards of Exposure Pulmonary Hypertension
 Arteries of the lung become
blocked or narrow due to
asbestosis-related scar
tissue.
http://chickscope.beckman.uiuc.edu/explore/embryology/day15/alveoli.gif
http:www.nlm.nih.gov/medplus/ency/imagepages/9596.htm
Health Hazards of Exposure Heart Problems – Cor Pulmonale
 Excess pressure in the
http://health.allrefer.com/health/cor-pulmonale-cor-pulmonale.htl
lungs causes the right
ventricle, which is
responsible for bringing
the oxygen poor blood
into the lungs, to work
harder to pump the
blood.
 Causing the right
ventricle to weaken and
possibly fail.
Health Hazards of Exposure


High blood pressure in your lungs
Heart problems
 Asbestosis




Lung Cancer
Malignant Mesothelioma
Progressive Respiratory Insufficiency
Other cancers
Health Hazards of Exposure Asbestosis
 Chronic, non-cancerous
 Progressive
 Leads to disability or
death
 Asbestos fibers cause
the lung tissues to scar,
scarring spreads
making it harder to
breathe
 Symptoms – shortness of
breath, a cough, blood in
fluid coughed up from lungs,
pain in chest or abdomen,
significant weight loss,
difficulty swallowing
http://www.meso-lungcancer.com/ASBillnessess.htn
Health Hazards of Exposure



High blood pressure in your lungs
Heart problems
Asbestosis
 Lung Cancer



Malignant Mesothelioma
Progressive Respiratory Insufficiency
Other cancers
Health Hazards of Exposure Lung Cancer
 Lung cancer causes the
largest number of
deaths related to
asbestos exposure
 The risk can be 90
times higher if you
smoke and have
asbestos exposure.
http://www.meso-lungcancer.com/ASBillnessess.htn
Health Hazards of Exposure




High blood pressure in your lungs
Heart problems
Asbestosis
Lung Cancer
 Malignant
Mesothelioma


Progressive Respiratory Insufficiency
Other cancers
Health Hazards of Exposure Mesothelioma
Mesothelioma
 a rare form of cancer of
the lining of the lungs,
chest and abdomen.
 it spreads very quickly
and eventually the
patient cannot breathe.
 it is painful and always
fatal.
http://www.meso-lungcancer.com/ASBillnessess.htn
Health Hazards of Exposure






High blood pressure in your lungs
Heart problems
Asbestosis
Lung Cancer
Malignant Mesothelioma
Progressive Respiratory Insufficiency
 Other cancers
Health Hazards of Exposure - Other
Cancers
Fibers can enter the
mouth and be
swallowed causing
cancers in the:






 This can happen if you are
careless with food and drinks
in contaminated areas.
Esophagus
Larynx
Oral cavity
Stomach
Colon
Kidney
http://www.poy.org/59/16/1601plonb02.html
Who is at Risk?
 Nearly everyone is exposed
to asbestos
 Brief exposure probably
won’t cause harm
 Most illness caused by
regular exposure, at a job or
through substantial
environmental contact
 Paraoccupational exposure
– exposure to asbestos
fibers brought into homes on
shoes, clothing, skin and hair
of workers
http://www.atsdr.cdc.gov/asbestos/libby_gallery/frameset.html
Libby, Montana
http://en.wikipedia.org/wiki/Libby,_Montana
Libby, Montana
 Mining began in 1920

W.R. Grace 1963-1990
 Vermiculite Mines

Found in ores and rocks
 1979-1998
Libby mortality rates: 40
times higher than the rest
of Montana and 60 times
the national rate
 1999



http://www.atsdr.cdc.gov/asbestos/vermiculite_overview.html
EPA begins to respond
to local health concerns
ATSDR sets up a
screening center in
Libby
What’s different about Libby?
 Most vermiculite does not




http://www.atsdr.cdc.gov/asbestos/libby_gallery/frameset.html
contain detectable levels of
asbestos…the vermiculite in
Libby does
Vermiculite “pops” when
heated
Libby supplied 80% of
vermiculite used worldwide
Libby sits in the Kootenai
River Valley
Environmental exposure a
significant cause of the
illness in Libby
Prevention
 Avoid exposure
Identify asbestos – kits,
professionals
Have it removed or
contained
Stay away if friable
 Stop smoking, avoid 2nd
http://www.poy.org/59/16/1601plonb05.html
hand smoke, pulmonary
sensitizers and irritants
 Get regular medical
care
http://www.sign.co.za/P1.htm
Diagnosis
 Abnormal lung function




– crackles with
stethoscope
Chest X-ray
CT Scan
Biopsy
History of Exposure
http://www/shands.org/health/imagepages/1628.htm
http://www.strokecenter.org/pat/diagnosis/ct.htm
Treatment
Non-malignant disease - Asbestosis:
 No cure
 Treatment involves preventing further complications
and treating the symptoms
 Prevent further exposure
 Stop smoking!!!!
 Vaccinations – flu and pneumonia
 Medications – hypertension, blood thinners, pain
 Supplemental oxygen – makes breathing easier
 Lung transplant
Treatment
 Malignant disease:



Resection (surgical removal of a part)
Chemotherapy
Radiation
http://www.ucsf.edu/dpsl/image/chemo2.jpg
http://www.fotosearch.com/ARP105/op_room
Fact or Myth?
You can tell that a material contains
asbestos just by looking at it.
Fact
It is not possible to tell if something contains
asbestos just by looking at it. The only way to
tell for sure if a material contains asbestos is to
have a sample of it tested at a lab.
Fact or Myth?
A common end result of asbestos related
disease is difficulty breathing.
Fact or Myth?
The symptoms of asbestos
disease will begin to appear
immediately or soon after
exposure.
Fact
The latency period for the
development of asbestos disease is
generally 10-40 years after the
initial exposure.
References
Agency for Toxic Substances and Disease Registry. Asbestos exposure and your health (2003). Available:
http://www.atsdr.cdc.gov/asbestos/index.html. Accessed October 1, 2005.
Agency for Toxic Substances and Disease Registry. Asbestos exposure in Libby, Montana (2005). Available:
http://www.atsdr.cdc.gov/asbestos/asbestos_study.html. Accessed October 1, 2005.
U.S Environmental Protection Agency. Libby asbestos (2005). Available: http://www.epa.gov/region8/superfund/libby/. Accessed October 1, 2005.
U.S Environmental Protection Agency. Mortality in Libby, Montana, 1979-1998(2003). Available:
http://www.atsdr.cdc.gov/asbestos/mortality_in_libby.html. Accessed October 2, 2005.
Asbestos Awareness Training. Available: http://www-admn.csun.edu/ehos/safeshop/ ASBESTOS%20AWARENESS.ppt. Accessed October 1, 2005.
Asbestos – An overview of properties, health effects and WISHA rules. Available: http://wisha-training.Ini.wa.gov/training/presentations/asbestos/pps.
Accessed October 1, 2005.
Asbestosis (2005). Mayo Clinic Web Site. Available: http://www.mayoclinic.com/invoke.cfm?id=DS00482. Accessed October 3, 2005.
Asbestos & Libby Health (n.d.). Available: http://www2.umt.edu/libbyhealth/default.htm. Accessed October 5, 2005.
Asbestos Poisoning and Cancer News (n.d.). Available: http://www.asbestos-issues.com. Accessed October 16,2005.
American Heart Association, Pulmonary hypertension. Available at: http://www.americanheart.org/presenter.jhtml?identifier=11076 Accessed October
27, 2005.
MedlinePlus Medical Encyclopedia. Cor pulmonale. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/000129.htm Accessed October 27,
2005.
The Wllness Community. What is lung cancer? Available at:
http://www.thewellnesscommunity.com/programs/frankly/lung/understanding/what_is_lung.asp. Accessed October 27, 2005.
Lung Cancer. Mesothelioma, cancer of the lung lining. Available at : www.cancer.gov/cancertopics/factsheet/Sites-Types/mesothelioma. Accessed
October 27, 2005.