Asbestos Material Removal

We have a preemie who is still in the NICU with Chronic Lung Disease. Will our basement apartment be a good environment for her when she comes home? And what do I have to do to keep our apartment safe for her condition?
We don’t have the funds to move. Our landlords have given us a break on rent to save our money to go back and forth to the cities.

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The doctor says I have restrictive lung disease and am having difficulty to find that all the information. I am REALLY curious about this. I had a dry cough, half-back, lower abdominal pain, painful, dry lifts and my oxygen levels remain at around 80 - 90 percent. Any help at all would be greatly appreciated.

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Man has used asbestos for centuries. However, it is over the last 100 or so years that its use has been widespread – an estimated 500,000 buildings in the UK still contain asbestos-containing materials (ACMs) within their fabric.

The dangers of asbestos have long been known. First commercially mined in Canada, in 1879, it had been added to a list of dangerous dusts by the UK and French governments by the early 1900s and in 1918 one insurance company, recognising the connection between asbestos and lung disease, refused to provide life cover to asbestos workers. It wasn’t, however, until 1993 when most insurance companies removed asbestos cover from their public liability policies.

The health risks associated with exposure to asbestos include asbestosis, lung cancer and mesothelioma. These diseases have relatively long latency periods of between 15 – 40 years and the problems created in the recent past will continue to have a significant impact for the foreseeable future. There are some estimates that the mortality rate for asbestos-related diseases will continue to rise from the current 4,000 per year to 10,000 deaths per year by 2016. These deaths are not limited to asbestos workers but include persons accidentally and unknowingly exposed to the harmful fibres released when asbestos containing materials are disturbed. The HSE recently announced that 20 tradesmen, including 4 electricians and 6 plumbers, die every week as a direct result of exposure to asbestos – often because they do not understand the risks of exposure.

These frightening statistics are what has driven the HSE’s commitment to redraw the regulations surrounding these harmful products.

Since 2004, duty holders (owners, occupiers, managers and those with responsibility for non-domestic premises) have had a responsibility to locate, identify, assess and manage all asbestos-containing materials on their non-domestic premises. It should be remembered that this is a duty to manage, not simply a duty to survey or provide a register, and over 500 local authority officers have now been trained in the requirements of the law and been instructed to raise the issue of asbestos management at every premises they visit. Should an officer be unsatisfied with the answers they receive, they will be taking action, which could result in improvement and prohibition notices or even prosecution. Recent cases where employers had failed to manage asbestos on their premises have resulted in fines ranging from £20,000 to £50,000 even though surveys or registers were in place.

Having had a survey carried out by a competent person, duty holders are expected to devise a written management plan outlining what action they intend to take to address high and medium risks, including a budget for the works. They must also state how they intend to monitor the condition of those ACMs they intend to leave in position and draw up emergency procedures to deal with any disturbance or release of harmful fibres.

The most recent legislation placed a requirement upon employers to ensure that any employees likely to encounter asbestos as part of their work receive suitable asbestos awareness training in an effort to eliminate accidental and unknowing exposure. There has been some concern over the last few years regarding who carries out this training and what it should include, and employers must satisfy themselves of the competency of the training providers. One way to do this is to check that they are affiliated to UKATA, ARCA or NDTG, where they will have been audited.

A health and safety consultancy service can help you establish the presence, location, quantity, nature and condition of any asbestos on your premises by undertaking an asbestos site survey and reporting on the findings. This report will indicate whether further intrusive investigation is required.

After analyzing the asbestos survey report health and safety consultants can then put together a management system to allow you to properly discharge your obligations.

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Mesothelioma is touted as deadly because most of the cases are diagnosed when in advanced stage and doctors have little solace to offer by then. Still doctors try to do their best to relieve the patients from severe pain of mesothelioma using advanced treatments.

Surgery

Before considering surgery as one of the propositions for the treatment of malignant cancer, the health of the patient needs to be carefully evaluated. The tests are performed to check whether the cancer has spread to other parts of the body or not. Also evaluation of the patient’s lung and heart functions is done. In case of the former, a mesothelioma surgery cannot be performed. Both the heart and lungs need to be properly functioning state for surgery to take place.

Surgery is of two types: aggressive surgery (long-term control) and palliative procedures (relief of symptoms). Let’s define each of them separately.

Aggressive surgery

Aggressive surgery involves removal of the lung, the pleura, the diaphragm and the pericardium by a procedure, which is known as extra pleural pneumonectomy. The intention to follow this method is to physically remove as much of the tumor as possible. It is in fact adopting a bold method to do away with the disease—hence the name is “Aggressive surgery”.

This surgery is extremely complicated and involves high risk. This is because of the fact that there are possible chances of death due to the same within a month. Extra pleural pneumonectomy is therefore normally performed on younger patients who are in good health and are in a position to tolerate the surgery.

Palliative Procedures

Palliative procedures are normally performed when the cancer is in its advanced form. These procedures are performed to control the symptoms of mesothelioma rather than cure them. Pleurectomy (also decortications) is the process to surgically remove the pleura. This method reduces the pain caused by the cancerous mass and may also prevent the recurrence of pleural effusion (fluid collection which causes tremendous breathlessness). For patients suffering from peritoneal mesothelioma, complete surgical removal of the entire tumor is not entirely possible. In this case the surgery aims to extenuate the symptoms, such as ascites,

Chemotherapy

Chemotherapy is the method in which drugs are used to treat mesothelioma. It has been observed that this method is partially succesfull. This is because the patient recovers partially after using drugs or combination of drugs (In fact the efficacy of this method increases, if combination of drugs are used at the same time.) Some of these combinations have proved successful and new drugs are being developed for the treatment of this cancer.

Radiation Therapy

In this method the tumor is killed by using radiation doses. However, with the help of this procedure, killing the tumor cells is quite difficult. This is because of the fact that it is difficult to specifically locate the malignant cells. Also the heart, lungs and other organs may surround the same, and they are at the risk of getting damaged by the radiation dosage. However lower doses of radiation can be used to reduce the disease to a certain extent.

Dual Therapy

Both chemotherapy and radiation are used in conjunction after the performance of the surgery. They both help in killing any remaining tumor cells that were not removed by surgery and may also help in relieving symptoms of the disease like chest pain.

The treatment methods, which are described above, are direct ways of treating a person suffering from mesothelioma. However doctors and researchers are always on the lookout for new ways to treat mesothelioma. The necessity for the evolution of alternative ways to treat patients suffering from mesothelioma arises because of the complex nature of different types of cancers, and because patients respond differently to various types of medical care.

Some of them are as follows:

Immunoagumentive Therapy (IAT)

The goal of IAT is to strengthen the body’s own immune system. The same is done by balancing four different proteins found in the blood.

Intraoperative Photodynamic Therapy (IPT)

This method of treatment is being used to cure early stages of mesothelioma in the chest. IPT uses special drugs and light to kill cancer cells during surgery. A drug that makes tumor cells more sensitive to light is injected into a vein several days before surgery. During surgery, a special light is used to locate the cancer.

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Asbestos is a naturally-occuring fibrous mineral of metamorpic hydrous magnesium silicate. The term “metamorphic” is used to describe a process of extreme heat and pressure which creates specific secondary patterns of minerals with new chemical and/or physical properties. As the primary rock is heated and recooled, silicate crystals align in long rows of mineral fibers, which easily separate into tiny shards thinner than a human hair. Asbestos fibers are not a health risk as long as they are undisturbed. However, when asbestos is undergoes natural weathering, or is mined and processed, the microscopic particles waft into the air and cause disease if they are inhaled.

Asbestosis occurs when an inhaled asbestos particle irritates the body’s natural defence mechanisms, causing inflammation and scarring which eventually restricts lung function. Mesothelioma is a malignant tumor of the membranes surrounding the heart, lungs and abdominal cavity. Asbestos can also cause cancer of the mouth, throat, esophagus, larynx, stomach, lung and lymphoid tissue.

Asbestos exposure can also cause non-fatal illnesses such as asbestos warts, caused when asbestos fibers are lodged in the skin, causing lumps of scar tissue to form around the irritant in the same manner as they do in the lungs to cause asbestosis; pleural plaques, discrete, sometimes calcified fibrous lesions which can be seen on X-rays but are too small to cause breathing impairment; and diffuse pleural thickening, which can cause breathing impairment if it is extensive.

Due to its fire resistant properties, asbestos has been used historically for household and industrial purposes. It has been found woven into burial cloths in ancient Egypt, and Charlemagne reportedly had a tablecloth made of asbestos which he would throw into a fire to clean.

In World War II asbestos was considered so important by the War Department that it was considered a strategic material, and many American workers were exposed in the World War II boom in shipbuilding. After the war, it was widely used in the construction industry.

In modern Western society, it was used for such diverse purposes as lamp wicks, brake shoes, oven insulation, electrical hotplate wiring and home insulation, roofing and flooring. For instance, some kinds of vermiculite used in home insulation into the 1970s contained asbestos. The EPA banned this product in 1977.

When a home owner discovers asbestos in an old home, it should not be a cause for immediate panic. If the asbestos looks intact and is not pulverized, it is best to leave it alone. However, because of legal liability, schools and businesses containing asbestos usually must undergo a costly removal process, hazardous in itself because disturbing the stable asbestos product causes fibers to fill the air. Special equipment must be used to insure that the removal process does not cause health problems where non existed before.

Most industrialized nations have reduced or banned the use of asbestos for at least 30 years and now use fiberglass or woven ceramic fiber as a substitute, but since asbestos-caused disease has a latency period of up to 50 years, patients are still presenting with these illness today. Every year in America, approximately 3000 new cases of mesothelioma are diagnosed, and 550 deaths occurs due to asbestosis. According to the March 1991 Report of the Judicial Conference Ad Hoc Committee on Asbestos Litigation, asbestos exposure has caused the deaths of approximately 200,000 to 265,000 Americans.

Asbestos use peaked in the United States in 1973, when 1 million tons of the material were used. The EPA attempted to institute a complete legal ban on the use of asbestos products in 1989; however, this ban was largely eviscerated by the US 5th Circuit Court of Appeals in 1991, and some restricted use of asbestos, albeit in fewer products than than before, resumed. Therefor, even today some workers are being exposed to this toxic material.

Asbestos is a serious continuing concern to the Environmental Protection Agency, and their website has detailed information on asbestos and its removal.

Concerns about the health risks of asbestos exposure date back to 1898, when the Chief Inspector of Factories of the United Kingdom reported to Parliament in his Annual Report about the “evil effects of asbestos dust”. He noted that the “sharp, glass like nature of the particles” when allowed to remain suspended in the air, “have been found to be injurious, as might have been expected”. In 1906 a British Parliamentary Commission confirmed the first cases of asbestos-related deaths in Bristish factories and called for improved ventilation and other safety measures. In 1918 an American insurance company produced a study showing premature deaths in the asbestos industry in the United States and in 1926 the Massachusetts Industrial Accidents Board processed the first successful compensation claim by a sick asbestos worker.

Today, lawsuits claiming compensation for asbestos-related illnesses are a growth industry in the legal profession. An internet search of “mesothelioma lawyer” yields 1,910,000 results. The original manufacturers of asbestos products have long since been driven into Chapter 11 bankruptcy; plaintiffs have now turned to suing corporations with peripheral connections to asbestos products. More than 70 American corporations have filed Chapter 11 bankruptcy in due to asbestos liability claims.

Since the 1970’s, approximateley 6% of all lawsuits filed in American courts have been asbestos-related. The lawsuits now facing the courts have been described as “an elephantine mass” by the US Supreme Court, and are expected to cost between 200 to 275 billion dollars to settle. Asbestos liability is one of the largest issues facing the global insurance industry today.

Most epidemiological studies expected the number of lawsuits to peak in the 1990s, but this has not occurred, either because of the long latency period of asbestos-related diseases, or because legal action is becoming more popular among asbestos-exposed members of the public due to high-profile legal cases and widespread advertising by attorneys who specialize in such cases.

Many complaints have been made by representatives of industries facing lawsuits and the insurance companies who will be expected to pay them that the asbestos-lawsuit industry is rife with fraud, with less that half of all payouts reaching the plaintiffs. Aggressive, ambulance-chasing lawyers are said to exaggerate medical disability and coach clients on their testimony.

The group of plaintiffs includes not only ill people, but also those who have merely have a history of asbestos exposure and want compensation for potential future health risks. According to the American Academy of Acturaries Mass Tort Work Group, more than 100 million Americans have been exposed to asbestos in their workplace during the past century.

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A chronic medical condition, which affects the tissue of the lungs, is known as asbestosis. Mine workers and several other professionals suffers from this disease, which occurs due to heavy exposure to asbestos over a long period. Shortness of breath is the most common complaint from those affected by asbestosis and ultimately they end with various types of cancer of the lung.

During the early part of this century, the link between cancer, exposure to asbestos and asbestosis was established and the governments enforced strict safety measures. In 1929, asbestos manufacturers faced the first lawsuit. Afterwards there was a deluge of lawsuits against employers and manufacturing for neglecting the safety regulations.

According to various allegations, training and information regarding detection, removal, diseases, dangers and other issues connected with asbestos are not provided to managers and employers. To implement the wide range of regulations properly, managers and employers are pleading for relevant information and training.

From the sheer magnitude of lawsuits and complaints by people suffering from asbestosis, the liability reached billions of dollars. Many court cases fought over the issue of method and amount of compensation and their allocation. In June 1982, James Cavett, a retired boilermaker was awarded a record compensation of 2.3 million US dollars as compensation and 1.5 million US dollars as punitive damages.

In the history of the United States, one of the most expensive and longest mass torts is asbestos litigation. Currently there are 600000 claimants and 6000 defendants connected with asbestos litigation. According to the current trends, there will be a sizeable increase in the number of people being diagnosed with asbestosis during the next decade.

There was a heavy toll on industry and insurance due to the litigation connected with asbestosis and asbestos. Unfortunately, to obtain a just compensation against the employers and manufacturers of asbestos, litigation is the only recourse.

By employing a lawyer experienced in mesothelioma and asbestosis, substantial compensation can be obtained by individuals exposed to asbestos and subsequently suffering from asbestos related diseases.

In the United States, mesothelioma is known to be caused only by exposure to asbestos and by proving the exposure, which subsequently led to the disease, legal compensation can be easily won. At the same time, it should be noted that the asbestos industry fights these cases by engaging some of the best legal brain available. They not only try to deny compensation but also drag and delay the process of justice to the asbestosis victims.

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Mesothelioma is a rare form of cancer primarily caused by asbestos exposure. There is a higher incidence of mesothelioma among U.S. Navy personnel, shipyard workers, etc. due to asbestos exposure on Navy ships. In addition, family members and others closely associated to those exposed to asbestos may also be at risk (for example the wife who washed her husband’s work clothes). The cancer typically has a latency period of 20 to 50 years.

The mesothelium is a membrane that covers and protects most of the internal organs of the body. It is composed of two layers of cells: One layer immediately surrounds the organ; the other forms a sac around it. The mesothelium produces a lubricating fluid that is released between these layers, allowing moving organs (such as the beating heart and the expanding and contracting lungs) to glide easily against adjacent structures.

The mesothelium has different names, depending on its location in the body. The peritoneum is the mesothelial tissue that covers most of the organs in the abdominal cavity. The pleura is the membrane that surrounds the lungs and lines the wall of the chest cavity. The pericardium covers and protects the heart. The mesothelial tissue surrounding the male internal reproductive organs is called the tunica vaginalis testis. The tunica serosa uteri covers the internal reproductive organs in women.

Symptoms :

Symptoms of mesothelioma may not appear until 30 to 50 years after exposure to asbestos. Shortness of breath and pain in the chest due to an accumulation of fluid in the pleura are often symptoms of pleural mesothelioma. Symptoms of peritoneal mesothelioma include weight loss and abdominal pain and swelling due to a buildup of fluid in the abdomen. Other symptoms of peritoneal mesothelioma may include bowel obstruction, blood clotting abnormalities, anemia, and fever. If the cancer has spread beyond the mesothelium to other parts of the body, symptoms may include pain, trouble swallowing, or swelling of the neck or face. These symptoms may be caused by mesothelioma or by other, less serious conditions. It is important to see a doctor about any of these symptoms. Only a doctor can make a diagnosis.

Diagnosis :

Diagnosing mesothelioma is often difficult, because the symptoms are similar to those of a number of other conditions. Diagnosis begins with a review of the patient’s medical history, including any history of asbestos exposure. A complete physical examination may be performed, including x-rays of the chest or abdomen and lung function tests. A CT (or CAT) scan or an MRI may also be useful. A CT scan is a series of detailed pictures of areas inside the body created by a computer linked to an x-ray machine. In an MRI, a powerful magnet linked to a computer is used to make detailed pictures of areas inside the body. These pictures are viewed on a monitor and can also be printed.

A biopsy is needed to confirm a diagnosis of mesothelioma. In a biopsy, a surgeon or a medical oncologist (a doctor who specializes in diagnosing and treating cancer) removes a sample of tissue for examination under a microscope by a pathologist. A biopsy may be done in different ways, depending on where the abnormal area is located. If the cancer is in the chest, the doctor may perform a thoracoscopy. In this procedure, the doctor makes a small cut through the chest wall and puts a thin, lighted tube called a thoracoscope into the chest between two ribs. Thoracoscopy allows the doctor to look inside the chest and obtain tissue samples. If the cancer is in the abdomen, the doctor may perform a peritoneoscopy. To obtain tissue for examination, the doctor makes a small opening in the abdomen and inserts a special instrument called a peritoneoscope into the abdominal cavity. If these procedures do not yield enough tissue, more extensive diagnostic surgery may be necessary.

If the diagnosis is mesothelioma, the doctor will want to learn the stage (or extent) of the disease. Staging involves more tests in a careful attempt to find out whether the cancer has spread and, if so, to which parts of the body. Knowing the stage of the disease helps the doctor plan treatment.

Mesothelioma is described as localized if the cancer is found only on the membrane surface where it originated. It is classified as advanced if it has spread beyond the original membrane surface to other parts of the body, such as the lymph nodes, lungs, chest wall, or abdominal organs.

Treatment :

Treatment for mesothelioma depends on the location of the cancer, the stage of the disease, and the patient’s age and general health. Standard treatment options include surgery, radiation therapy, and chemotherapy. Sometimes, these treatments are combined.

Surgery is a common treatment for mesothelioma. The doctor may remove part of the lining of the chest or abdomen and some of the tissue around it. For cancer of the pleura (pleural mesothelioma), a lung may be removed in an operation called a pneumonectomy. Sometimes part of the diaphragm, the muscle below the lungs that helps with breathing, is also removed.

Radiation therapy, also called radiotherapy, involves the use of high-energy rays to kill cancer cells and shrink tumors. Radiation therapy affects the cancer cells only in the treated area. The radiation may come from a machine (external radiation) or from putting materials that produce radiation through thin plastic tubes into the area where the cancer cells are found (internal radiation therapy).

Chemotherapy is the use of anticancer drugs to kill cancer cells throughout the body. Most drugs used to treat mesothelioma are given by injection into a vein (intravenous, or IV). Doctors are also studying the effectiveness of putting chemotherapy directly into the chest or abdomen (intracavitary chemotherapy).

To relieve symptoms and control pain, the doctor may use a needle or a thin tube to drain fluid that has built up in the chest or abdomen. The procedure for removing fluid from the chest is called thoracentesis. Removal of fluid from the abdomen is called paracentesis. Drugs may be given through a tube in the chest to prevent more fluid from accumulating. Radiation therapy and surgery may also be helpful in relieving symptoms.

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Lung cancer is now the most common form of cancer in the United States. Lung cancer causes more death than any other cancer cases among men and women in this country. Fourteen percent of all cancer records in the United States are lung cancer cases and twenty-eight percent of cancer deaths are from lung cancer patients.

Major causes of lung cancers are cigarette smoking and breathing impure air including asbestos exposure. Asbestos exposure can lead to Mesothelioma, a cancer in the lining of the lungs or abdominal cavity.

Severity of lung cancer depends greatly to the amount of time a person spent smoking. As compared to non-smokers, smokers are at high risk of lung cancer. In fact, smokers are twenty-two percent more at risk of acquiring lung cancer than their non-smoking counterpart.

Additionally, because lung cancer symptoms do not manifest until it is already on its advanced stage, minor lung cancer symptoms are often ignored.

This is because minor lung cancer symptom such as frequent coughing is often associated with itchiness in the throat. Smokers believe that this is an ordinary occurrence among smokers, thus they are not alarmed until they feel more severe lung cancer symptoms.

When this happens, truly the lung cancer symptom shows because of the advanced stage of the cancer. The uncontrolled growth of abnormal cells in the lungs is already manifesting through the lung cancer symptoms and by this time, secondary cancer cells are already developing in other organs of the body.

Severe lung cancer symptoms include persistent coughing, chronic chest pain, which is associated with shortness of breathing, wheezing and hoarseness of the voice.

Often, because of the similarity of lung cancer symptoms to bronchial asthma, people who self medicate usually try to treat the shortness of breathing with asthma medication.

The medication is thus useless because it is not working on the actual disease. It is thus imperative that minor discomforts such as shortness of breathing be brought to the attention of a competent doctor for evaluation. This will avoid treating a disease with a different medication such as in self-medicating patients.

Other lung cancer symptoms are blood in sputum, recurring cases of pneumonia or bronchitis, neck and facial swelling, sudden weight loss and constant feeling of fatigue. All these lung cancer symptoms occur on the terminal stage of the cancer, and this makes it almost impossible to manage lung cancer and it symptoms.

Additionally, because there is still no known cure for lung cancer, treatments especially on its advanced stage are done to lessen the severity of the lung cancer symptoms. Remission of the disease may no longer happen on the advanced stage.

Thus, it is imperative that minor lung cancer symptoms be monitored. It is still easier to manage lung cancer at this stage, other than in the advanced stage.

Finally, as mentioned earlier, smoking is the major cause of lung cancer, if you cease smoking, this effort will help you slow down the possibility of lung cancer. Even for those long time smokers, withdrawing from smoking will help lessen the possibility of acquiring the disease.

Keeping a healthy body and strong immune system will help avoid lung cancer for smokers or non-smokers alike.

Smokers may cease from smoking to help ensure they will not suffer lung cancer in the future. Then, they will not have to worry about lung cancer symptoms because halting smoking will also halt the possibility of acquiring this deadly disease.

Regular exercise will help ensure your immune system will be strong enough to fight lung cancer and thus no lung cancer symptoms will ever occur.

Living a healthy and active lifestyle, and avoiding smoking will ensure you will leave longer and better.

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The lung diseases asbestosis and mesothelioma have been proven for decades to be a result of asbestos exposure. Yet, asbestos continues to be mined, and employers still fail to protect workers from the dangers of asbestos. Faint warnings to the public have been made barely audible, and a deadly global health epidemic is looming on the horizon.

Asbestosis and mesothelioma are the subjects of 21st century international reports warning international officials, advocacy workers, and the general public of an impending epidemic of these two devastating diseases. Asbestosis and mesothelioma, which are caused by exposure to asbestos, take decades to surface symptoms, and the retired workers of yesteryear’s thriving asbestos industries are beginning to suffer from asbestos related diseases today.

In countries like Brazil, workers suffered decades under corrupt politics, medical care was discouraged, workers were randomly dismissed from employment, and diagnostic tests were not made available to support any identification or claim for asbestosis or mesothelioma. It is only recently that unions protecting workers have surfaced, but for thousands of asbestos workers, it is too late to avoid succumbing to the harsh lung disease of asbestosis or the fatal cancer of mesothelioma.

As workers and innocent home dwellers continue to be exposed to asbestos, the death estimates due to asbestos related diseases will continue to reach into the next half century. Factories in China spew asbestos from their factories into neighboring cities. In Africa, a state of emergency has been requested in asbestos filled territories where hundred-mile stretches are filled with residents living, working and sleeping while surrounded by airborne asbestos fibers.

In India, the European Asbestos Removal Association (EARA) issued a 2008 report titled “India’s Asbestos Time Bomb” which warns of India’s future burden of caring for tens of thousands of asbestosis and mesothelioma patients as a result of India’s infatuation with asbestos products. In this asbestos removal report, comparisons are made between the export levels of India and the UK. In just two decades, India’s asbestos imports surpassed the levels that the UK used in their entire industrial history. The UK is now facing record levels of occupational disease, with thousands dying from mesothelioma every year. Despite the UK’s forewarning of the future, India continues to import massive tons of asbestos products annually, and corporations with significant monetary interest encourage unsuspecting consumers to embrace the use of asbestos products.

Even with indiscriminate medical records that deflate the actual deaths due to asbestosis and mesothelioma, the World Health Organization estimates that asbestosis and mesothelioma will be responsible for 90,000 deaths around the world in a single year. As long as asbestos continues to be mined, imported and exported – the numbers will continue to rise over the next century.

Asbestosis and mesothelioma are not diseases that are easily recognized by physicians or the lay citizen. The public must be made aware of the dangers of working with, and living with, asbestos made products. Scientists and manufacturers must race to discover the economic answer to replace asbestos products with a safer alternative. But with or without change, the next decade will surface the consequences of haphazard occupational healthcare as the children of tomorrow care for the asbestos workers of today

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