Asbestos-related diseases of the lungs and pleura: uses, trends and management over the last century

Asbestos-related diseases of the lungs and pleura: uses, trends and management over the last century

Author Becklake, M. R. Google Scholar
Bagatin, Edileia Autor UNIFESP Google Scholar
Neder, Jose Alberto Autor UNIFESP Google Scholar
Institution McGill Univ
Universidade Estadual de Campinas (UNICAMP)
Jundiai Sch Med
Universidade Federal de São Paulo (UNIFESP)
Abstract Asbestos is a descriptive term for a group of naturally occurring minerals known to mankind since ancient times. The main types of asbestos (chrysotile, and the amphiboles crocidolite and amosite) differ in chemical structure, biopersistence in human tissue and toxicity. Commercial exploitation, with little thought for environmental controls, increased over the twentieth century, particularly after World War H, to accommodate globalisation and the demands of the world's burgeoning cities. As its ill-health effects, both non-malignant (fibrosis of the lungs or asbestosis; pleural effusion, plaques and thickening) and malignant (mesothelioma, lung and other cancers), became evident, public pressure rose to control its use. The last decades of the last century saw decreases in exposure and rates of asbestosis in industrialised and in some less-industrialised countries, where pleural plaques and malignant mesothelioma are currently the most frequent manifestations of asbestos exposure. Longer follow-up of asbestos-exposed cohorts in mining and manufacturing has also strengthened the evidence of a fibre gradient in toxicity, with chrysotile exhibiting lower toxicity than the amphiboles, and amosite lower toxicity than crocidolite. The last decades of the twentieth century saw stabilisation and/or declines in mesothelioma rates in several industrialised countries. In less-industrialised countries, data on disease are sparse, exposure generally high and rates may peak in the future. Management of asbestos-related disease in the workplace requires collaboration between workers and unions (responsible for monitoring workplace dust levels, to which they must have access) and companies (responsible for engineering controls), reinforced by appropriate government regulations and by community support.
Keywords asbestos
diseases of the lung and pleura
trends in disease
industrialised and less-industrialised countries
Language English
Date 2007-04-01
Published in International Journal Of Tuberculosis And Lung Disease. Paris: Int Union Against Tuberculosis Lung Disease (i U A T L D), v. 11, n. 4, p. 356-369, 2007.
ISSN 1027-3719 (Sherpa/Romeo, impact factor)
Publisher Int Union Against Tuberculosis Lung Disease (i U A T L D)
Extent 356-369
Origin http://www.ingentaconnect.com/contentone/iuatld/ijtld/2007/00000011/00000004/art00002
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000245388300002
URI http://repositorio.unifesp.br/11600/44115

Show full item record




File

File Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account