Asbestos Consumption in Mongolia: 1996-2014

Global, regional, and national burden of non-communicable diseases attributable to occupational asbestos exposure 1990-2019 and prediction to 2035: worsening or improving?

Understanding the burden associated with occupational asbestos exposure on a global and regional scale is necessary to implement coordinated prevention and control strategies. By the GBD Study 2019, we conducted a comprehensive assessment of the non-communicable diseases burden attributable to occupational asbestos exposure. In 2019, 239,330 deaths and 4,189,000 disability-adjusted life years (DALYs) worldwide due to occupational asbestos exposure occurred. 1990-2019, deaths and DALYs attributed to occupational asbestos exposure increased by 65.65% and 43.66%, respectively. Age-standardized mortality rate (ASMR) and age-standardized DALYs rate (ASDR) decreased, with the most rapid declines in high Socio-Demographic Index (SDI) regions, with average annual percent change (AAPC) of - 1.05(95%CI: -1.2, -0.89) and -1.53(95%CI: -1.71, -1.36), respectively. Lung cancer, mesothelioma and ovarian cancer were the top three contributors to the increase in deaths and DALYs, accounting for more than 96%. AAPCs of ASMR and ASDR were positively associated with SDI. Global deaths from occupational asbestos exposure were predicted to increase and ASMR to decrease by 2035, mostly in males. Due consideration should be given to the susceptibility of the elderly, the lag of asbestos onset, and the regional differences, and constantly improve the prevention and control measures of occupational asbestos exposure and related diseases.

Mongolia: Failure of Total Banning of Asbestos

The primary uses of asbestos in Mongolia are in thermal power plants, construction and at railway companies. There is, however, limited data on both asbestos consumption and asbestos related disease (ARD) in Mongolia. The purpose of this paper is to report on the failure to completely ban asbestos in Mongolia. To write this paper, available asbestos related literature, published nationally and internationally, and legal regulations, national standards and guidelines on asbestos control were reviewed. Mongolia consumed a total of 44,421.9 metric tons of asbestos containing materials (AMCs) between 1996 and 2014. As a key indicator of ARD, 54 cases of mesothelioma were diagnosed at the National Cancer Center by pathological testing of tissue samples between 1994 and 2013. In 2010, The government made the decision to stop all types of asbestos use under the Law on Toxic and Hazardous Substances. However, there was no nationwide action plan to gradually reduce asbestos use, promote substitutes and raise awareness of health hazards and economic burdens in the future from asbestos use. There was also no planning for safe removal of asbestos currently in place. After the banning of asbestos, thermal power plants told the government that they could not produce electricity without insulation of AMCs and substitution materials were economically not feasible. Due to pressure from the energy sector and inadequate awareness of asbestos hazards, the government changed the legal status on asbestos in 2011 as a restricted chemical. Asbestos is still allowed to be used, and workers and the general community are still unnecessarily exposed to this carcinogen.

Hazard Recognition Patterns Demonstrated by Construction Workers

Construction workers fail to recognize a large number of safety hazards. These unrecognized safety hazards can lead to unintended hazard exposure and tragic safety incidents. Unfortunately, traditional hazard recognition interventions (e.g., job hazard analyses and safety training) have been unable to tackle the industry-wide problem of poor hazard recognition levels. In fact, emerging evidence has demonstrated that traditional hazard recognition interventions have been designed without a proper understanding of the challenges workers experience during hazard recognition efforts. Interventions and industry-wide efforts designed based on a more thorough understanding of these challenges can yield substantial benefits—including superior hazard recognition levels and lower injury rates. Towards achieving this goal, the current investigation focused on identifying hazard categories that workers are more proficient in recognizing and others that they are less proficient in recognizing (i.e., hazard recognition patterns). For the purpose of the current study, hazards were classified on the basis of the energy source per Haddon’s energy release theory (e.g., gravity, motion, electrical, chemical, etc.). As part of the study, 287 workers representing 57 construction workplaces in the United States were engaged in a hazard recognition activity. Apart from confirming previous research findings that workers fail to recognize a disproportionate number of safety hazards, the results demonstrate that the workers are more proficient in recognizing certain hazard types. More specifically, the workers on average recognized roughly 47% of the safety hazards in the gravity, electrical, motion, and temperature hazard categories while only recognizing less than 10% of the hazards in the pressure, chemical, and radiation hazard categories. These findings can inform the development of more robust interventions and industry-wide initiatives to tackle the issue of poor hazard recognition levels in the construction industry.

Global use of asbestos - legitimate and illegitimate issues

BACKGROUND

Exposure to asbestos causes non-malignant and malignant diseases including asbestosis, lung cancer, and mesothelioma. The modern history of such diseases goes back more than a century.

MAIN TEXT

While much is known about the ability of asbestos to cause disease, the carcinogenic mechanism is not yet understood. Continuing legitimate scientific questions include such issues as potential differential toxicity and carcinogenicity of different fiber types. Illegitimate issues include the supposed "safe" use of asbestos, and the chrysotile hypothesis.

CONCLUSION

Asbestos disease issues are highly politicized and vested economic interests perpetuate false issues regarding the hazards of asbestos.