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The "asbestos problem" arises from the fact that asbestos is still abundant in many buildings and represents a hazard for human health. Current strategies adopted by law aiming at mitigating this hazard are far from being ideal. A smarter solution would be an energy sustainable detoxification treatment followed by recycling. If adopted, it would preserve the environment from pollution, natural resources from depletion and human health from hazard. Asbestos-cement slates were thermally deactivated through a sustainable process and reused in mortar for plaster applications. We found that the addition up to 7 wt% of the deactivated product does not affect significantly the water demand; does not affect thixotropy, stickiness and spreadability of the plastic mixture; slightly increases the strength of the mortar; does not compromise mechanical properties after aging. Considering the huge amount of traditional mortar employed worldwide, a rapid end of the "asbestos problem" is envisaged.
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Amianto , Materiais de Construção , Humanos , Reciclagem , Poluição Ambiental , Recursos NaturaisRESUMO
There is no identified risk-free threshold exposure to asbestos. Based on epidemiology and toxicology, asbestos fiber dimensions have been implicated in causing asbestos-related diseases. Phase-contrast microscopy provides only a limited index of exposure to fiber dimensions implicated in mesothelioma induction. Installed asbestos-containing materials (ACMs) create an ongoing risk of intense exposure during natural disasters and remodeling, along with low-level exposure arising from the continual emission of airborne asbestos into the environment arising from weathering of installed ACM. Epidemiological studies have demonstrated a risk of disease associated with proximity to asbestos cement roofing (ACR), while ongoing environmental emissions of asbestos from installed ACR have also been demonstrated. Owing to the limitations of the available data, a precautionary approach is warranted; asbestos-free roofing materials should be used in new construction and existing ACR should be removed at the earliest opportunity.
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Amianto , Mesotelioma Maligno , Mesotelioma , Exposição Ocupacional , Amianto/toxicidade , Materiais de Construção/toxicidade , Humanos , Mesotelioma/epidemiologia , Exposição Ocupacional/efeitos adversos , Saúde Pública , Tempo (Meteorologia)RESUMO
OBJECTIVES: to analyse the asbestos-related diseases risk among the former workers of Sacelit asbestos-cement plant, operating in San Filippo del Mela (Sicily: 1958- 1993). DESIGN: cohort study. SETTING AND PARTICIPANTS: 228 subjects were employed in Sacelit from 1958 to 1993. Due to the available observation periods, the analyses of the different outcomes were performed for the subjects alive at the beginning of the respective follow up periods: mortality (1986-2018) was analysed for 204 subjects (177 men, 27 women), hospitalization (2001-2016) for 164 workers (139 men, 25 women) and the incidence of mesothelioma (1998-2016) was estimated for 178 subjects (153 men, 25 women). MAIN OUTCOMES MEASURES: mortality (Standardized Mortality Ratio: SMR) and hospitalization (Standardized Hospitalization Ratio: SHR) from specific diseases were analysed. Incidence (Standardized Incidence Ratio: SIR) of mesothelioma cases was detected, also. SMR (1986-2014), SHR (2001-2016) and SIR (1998-2016), with 95% Confidence Intervals, were computed with respect to the regional rates, with STATA11. RESULTS: in the men cohort, mortality from lung (17 cases, SMR 2.83) and pleural cancers (5 cases, SMR 30) and from asbestosis (15 cases, SMR 1,930) was in excess. The risk of hospitalization was in excess, in both genders, from lung cancer (men: 6 cases, SHR 4.1; women: 2 cases, SHR 8.6) and asbestosis (men: 17 cases, SHR 1,304; women: 6 cases, SHR 2,455). The incidence of mesothelioma was in excess in men (5 cases, SIR 23.9); no female cases of mesothelioma were observed. CONCLUSIONS: a high occurrence of asbestos-related diseases in the cohort, particularly among men, was observed. The excess of hospitalization from asbestosis and lung cancer was highlighted also in women. The prosecution of the on-going health surveillance plan is particularly appropriated.
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Asbestose/epidemiologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/estatística & dados numéricos , Amianto , Estudos de Coortes , Materiais de Construção , Feminino , Humanos , Masculino , Mesotelioma/epidemiologia , Pessoa de Meia-Idade , Sicília/epidemiologiaRESUMO
Although asbestos has been used throughout Africa in the past decades, no reports of asbestos-related malignant mesothelioma are available from sub-Saharan Africa, except from South Africa and Zimbabwe. We present a case of a 39-year-old man who died from a histologically proven malignant mesothelioma of the peritoneum in Lubumbashi, DR Congo. No occupational exposure to asbestos could be found in his history. In view of his young age, we speculated that he had been exposed to asbestos as a child, which was highly plausible because he had grown up in one of the numerous mining estates of the region. The houses of these estates were often built with asbestos-containing materials, notably roofs made of corrugated asbestos-cement. The possibility of past domestic or environmental exposure to asbestos was substantiated by the identification of chrysotile and crocidolite fibres in samples of asbestos-cement collected from the home where the patient had lived as a child. To our knowledge, this is the first report of malignant mesothelioma from a country in the Central African region. We expect that heightened awareness and improved diagnosis will lead to the detection of more asbestos-related diseases in Africa.
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Amianto , Neoplasias Pulmonares/diagnóstico , Mesotelioma/diagnóstico , Adulto , Congo , Humanos , Masculino , África do SulRESUMO
INTRODUCTION: The asbestos industry began operations in Colombia in 1942, with an asbestos-cement facility located in the municipality of Sibaté. In recent years residents from Sibaté have been complaining about what they consider is an unusually large number of people diagnosed with asbestos-related diseases in the town. A study to analyze the situation of Sibaté started in 2015, to verify if the number of asbestos related diseases being diagnosed were higher than expected, and to identify potential asbestos exposure sources in the town. METHODS: A health and socioeconomic survey was implemented door-to-door to identify potential asbestos-related diseases. Several self-reported mesothelioma cases were identified, and for confirmation purposes, copies of the medical record with the histopathology report were obtained. A panel of six physicians analyzed the medical records. Information of validated cases was used to estimate the male and female age-adjusted incidence rate for Sibaté. Based on reports of the existence of potential asbestos-contaminated landfills, topographic maps, a digital elevation model, and current satellite images were crossed using a geographic information system to identify potential landfilled areas, and soils samples were collected in some of these areas. RESULTS: A total of 355 surveys were completed, and 29 self-reported mesothelioma cases were identified. Twenty-five of these cases have been persons who had lived at some moment of their lives in Sibaté. It was possible to obtain copies of the medical diagnosis for 17 cases. Of these, the panel of physicians classified 15 cases as certain pleural mesothelioma, one as probable, and one as not mesothelioma. Based on this information, the estimated age-adjusted incidence rate of mesothelioma in Sibaté was 3.1â¯×â¯105 persons-year for males and 1.6â¯×â¯105 persons-year for females. These rates are high in comparison to those reported in other cities, regions, and countries of the world. Using geographic information systems, landfilled zones in the urban area of Sibaté were identified, on top of which a school and different sports facilities were built. The analysis of four soil samples collected in landfilled zones, confirmed the existence of an underground layer of friable and non-friable asbestos. CONCLUSION: The collected evidence suggests the presence of a malignant pleural mesothelioma cluster in Sibaté.
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Amianto , Mesotelioma , Exposição Ocupacional , Adulto , Amianto/toxicidade , Cidades , Colômbia , Exposição Ambiental , Feminino , Humanos , Incidência , Masculino , Mesotelioma/epidemiologia , Pessoa de Meia-IdadeRESUMO
BACKGROUND: Despite the available information on cancer risk, asbestos is used in large areas in the world, mostly in the production of asbestos cement. Moreover, questions are raised regarding the shape of the dose response relation, the relation with time since exposure and the association with neoplasms in various organs. We conducted a study on the relationship between cumulative asbestos exposure and mortality from asbestos related diseases in a large Italian pool of 21 cohorts of asbestos-cement workers with protracted exposure to both chrysotile and amphibole asbestos. METHODS: The cohort included 13,076 workers, 81.9% men and 18.1% women, working in 21 Italian asbestos-cement factories, with over 40 years of observation. Exposure was estimated by plant and period, and weighted for the type of asbestos used. Data were analysed with consideration of cause of death, cumulative exposure and time since first exposure (TSFE), and by gender. SMRs were computed using reference rates by region, gender and calendar time. Poisson regression models including cubic splines were used to analyse the effect of cumulative exposure to asbestos and TSFE on mortality for asbestos-related diseases. 95% Confidence Intervals (CI) were computed according to the Poisson distribution. RESULTS: Mortality was significantly increased for 'All Causes' and 'All Malignant Neoplasm (MN)', in both genders. Considering asbestos related diseases (ARDs), statistically significant excesses were observed for MN of peritoneum (SMR: men 14.19; women 15.14), pleura (SMR: 22.35 and 48.10), lung (SMR: 1.67 and 1.67), ovary (in the highest exposure class SMR 2.45), and asbestosis (SMR: 507 and 1023). Mortality for ARDs, in particular pleural and peritoneal malignancies, lung cancer, ovarian cancer and asbestosis increased monotonically with cumulative exposure. Pleural MN mortality increased progressively in the first 40 years of TSFE, then reached a plateau, while peritoneal MN showed a continuous increase. The trend of lung cancer SMRs also showed a flattening after 40 years of TSFE. Attributable proportions for pleural, peritoneal, and lung MN were respectively 96, 93 and 40%. CONCLUSIONS: Mortality for ARDs was associated with cumulative exposure to asbestos. Risk of death from pleural MN did not increase indefinitely with TSFE but eventually reached a plateau, consistently with reports from other recent studies.
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Amianto/efeitos adversos , Asbestose/epidemiologia , Neoplasias/epidemiologia , Exposição Ocupacional/efeitos adversos , Adulto , Asbestose/etiologia , Estudos de Coortes , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Neoplasias/induzido quimicamente , Fatores Sexuais , Fatores de Tempo , Adulto JovemRESUMO
Asbestos-cement was manufactured and used in Lebanon since the early 1950s. Corrugated rooftops of asbestos-cement were mostly spread within residential areas throughout the country. These rooftops are subject to weathering factors which are known to increase friability and risk of hazardous fiber release. This study aimed at assessing the asbestos-cement rooftop friability and the possible emerging risks in the urban-industrial city of Chekka, North Lebanon. The evaluation of the asbestos-cement included two field assessment algorithms and a standardized pull-up test. Hazard of fiber emissions was assessed by a pull-up test method, whereas vulnerability was determined by a level of interaction between people and the rooftops. Geographic object-based image analysis was used to map hazard, vulnerability, and risk of asbestos rooftops in the study area. The field algorithms classified most rooftops in a bad state compared with the pull-up test which ranked most of them as good. The X-ray diffraction analysis showed the presence of serpentine and amphibole fibers, except for crocidolite, in some rooftop samples. Hazard, vulnerability, and risk maps of the sampled area showed how hazard potential was amplified by vulnerability of population to possible fiber emission.
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Asbestos Serpentinas/análise , Amianto/análise , Materiais de Construção/análise , Monitoramento Ambiental/métodos , Humanos , Líbano , Medição de Risco/métodosRESUMO
BACKGROUND: The aim of this study was to describe the mortality of a cohort of asbestos-cement workers in the largest plant in the most industrialized Italian region (Lombardy). METHODS: A cohort study was carried out on 1818 subjects, corresponding to 47 536.1 person-years of observation. Standardized mortality ratios (SMRs) were computed for the major causes of death. RESULTS: Increased SMRs were observed for pleural, peritoneal and lung cancers, and for asbestosis (SMR 26.73, 95% Confidence Interval (CI) 20.99-33.55; 9.15, 95%CI 5.00-15.34; 1.48, 95%CI 1.27-1.72; and 368.05, 95%CI 214.40-589.29, respectively). No excess in mortality for laryngeal cancer was observed (SMR 0.70, 95%CI 0.30-1.39). An increased mortality for ovarian cancer (SMR 3.64, 95%CI 0.99-9.33) was observed, although it was not statistically significant. Among men, mortality for pleural malignant mesothelioma was observed to be related to the duration of exposure, though not to latency. CONCLUSIONS: The results of this study are generally consistent with present knowledge. Conversely, our results do not support the hypothesis that pleural malignant mesothelioma risk indefinitely increases after exposure, suggesting instead that the alternative hypothesis of a risk plateau or decrease after a time since first exposure of more than 40 years is more consistent with the observed data.
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Asbestose/mortalidade , Indústria da Construção/estatística & dados numéricos , Neoplasias Pulmonares/mortalidade , Mesotelioma/mortalidade , Doenças Profissionais/mortalidade , Adulto , Amianto/efeitos adversos , Estudos de Coortes , Materiais de Construção , Feminino , Humanos , Itália/epidemiologia , Masculino , Mesotelioma Maligno , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Exposição Ocupacional , Neoplasias Peritoneais/mortalidade , Neoplasias Pleurais/mortalidadeRESUMO
The unique set of physical and chemical properties has led to many industrial applications of asbestos worldwide; one of them was roof covering. Asbestos is harmful to human health, and therefore its use was legally forbidden. Since in Poland there is no adequate data on the amount of asbestos-cement roofing, the objective of this study was to estimate its quantity on the basis of physical inventory taking with the use of aerial imagery, and the application of selected statistical features. Data pre-processing and analysis was executed in R Statistical Environment v. 3.1.0. Best random forest models were computed; model explaining 72.9% of the variance was subsequently used to prepare the prediction map of the amount of asbestos-cement roofing in Poland. Variables defining the number of farms, number and age of buildings, and regional differences were crucial for the analysis. The total amount of asbestos roofing in Poland was estimated at 738,068,000 m2 (8.2m t). It is crucial for the landfill development programme, financial resources distribution, and application of monitoring policies.
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Amianto/análise , Materiais de Construção , PolôniaRESUMO
All available data on asbestos consumption in Australia were collated in order to determine the most common asbestos-containing materials remaining in the built environment. The proportion of asbestos contained within each material and the types of products these materials are most commonly found in was also determined. The lifetime of these asbestos containing products was estimated in order to develop a model that projects stocks and flows of asbestos products in Australia through to the year 2100. The model is based on a Weibull distribution and was built in an excel spreadsheet to make it user-friendly and accessible. The nature of the products under consideration means both their asbestos content and lifetime parameters are highly variable, and so for each of these a high and low estimate is presented along with the estimate used in the model. The user is able to vary the parameters in the model as better data become available.
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Amianto , Materiais de Construção/estatística & dados numéricos , Eliminação de Resíduos/estatística & dados numéricos , Austrália , Habitação , Modelos Teóricos , Eliminação de Resíduos/métodosRESUMO
Asbestos-Containing Materials (ACMs) were widely used in the construction sector but, due to their harmful health effects, many countries have banned their use. ACMs are classified as hazardous and, in contact with water, produce potentially harmful leachates. The objective of this work was to determine the leaching behavior of 20 elements from two asbestos-cement materials and mine asbestos samples across the entire pH range and varying liquid-to-solid ratios (column tests). The pH-dependence tests showed consistent leaching patterns across the three materials. Geochemical speciation model (LeachXS) predictions were successful in most cases of the batch experiments and were improved by adjusting iron oxides concentration for some elements. Model predictions were successful for fewer elements in the column experiments. Depending on the pH, element release was controlled by respective solid phase dissolution, sorption onto iron oxides and substitution in ettringite. Some leaching concentrations exceeded the EU limits for granular non-hazardous waste landfills. Considering the strongly alkaline nature of monolithic asbestos-cement waste undergoing carbonation, we propose all three materials to be disposed of in non-hazardous waste landfills, according to EU legislation. A case study concluded that geochemical modeling of ACMs leaching is a useful tool in estimating element release under various environmental conditions.
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The effects of asbestos on human health have spurred numerous studies examining its risks in urban environments. Recent works have shifted towards less-invasive techniques for remote detection and classification of asbestos-cement. In this context, this study combines visible (VIS) and near-infrared (NIR) reflectance data collected in-situ with reference signals from the USGS spectral library, utilizing optimized regression analysis to determine the surface composition of corrugated asbestos-cement rooftops. An outlier filter was successfully implemented to enhance the accuracy of regression calculations, achieving a high level of agreement with actual field observations. The regression analysis revealed varying proportions of weathered cement, hazardous asbestos fibers (specifically chrysotile and cummingtonite), and biological growth (such as lichens and moss). These results are consistent with previous research on the composition of asbestos-cement rooftops, including a comparable field study and XRD analysis conducted in 2019. This underscores the importance of using regression analysis, preceded by an outlier filtering step, on VIS and NIR reflectance data to ascertain the surface composition of asbestos-cement rooftops. This methodology holds potential for application to larger hyperspectral datasets across more extensive sample surfaces and areas.
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Asbestos cement (AC) is used in water pipes, roofing, exterior siding, water tanks, cooling towers, and other applications. Although the global market for asbestos is slowly shrinking, AC products continue to dominate the remaining uses in many countries. This review focuses on asbestos exposures during the installation, maintenance, and ultimate removal of these materials. This assessment summarizes the available published and unpublished reports of airborne asbestos exposures during the cutting and removal of AC pipes, roofing, sheets, and cooling tower components and the range of exposures associated with the most common work practices. Task-based exposures from cutting AC pipe ranged from 11.3 to 129.0 f/cm3 with a mean exposure of 53.8 f/cm3. Cutting flat boards and corrugated roofing AC sheets resulted in exposures ranging from 1.3 to 130.0 f/cm3 with a mean of 24.0 f/cm3. Exposures for power saw cutting of AC sheets and pipes fit lognormal distributions and suggest that more than 86% of these tasks with AC sheet and 100% of the tasks with AC pipe exceed the US short-term Excursion Limit. Intermittent high exposures from the ongoing use of AC products in countries around the world are associated with an increased lifetime risk of asbestos-related disease.
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Amianto , Exposição Ocupacional , HumanosRESUMO
Africa is the third-richest continent in the world in terms of bamboo species. Despite these laudable natural resources, most African countries still use asbestos cement board as one of their major building materials. This is chiefly due to the high cost of equipment and technologies associated with non-asbestos-fiber cement board production. The current research seeks to underscore the possibility of utilizing these massive continent resources for non-asbestos-fiber cement board production by employing the existing production process in the asbestos cement industries via an innovatively developed laboratory-simulated Hatschek process. Non-asbestos-fiber cement boards incorporating kraft and bamboo fibers were successfully produced in the laboratory using this innovative method based on Hatschek technology, with natural fibre addition in the range of 2-6 wt.%. Experimental results revealed that the Flexural strength and deflection of the board improved significantly, producing optimum values of 10.41 MPa and 2.0 mm, respectively for composite board reinforced with 10 wt.% and 6 wt.% of kraft pulp and bamboo fibers, respectively. The SEM morphology of the fractured surfaces revealed the mode of composite fracture as well as good interaction at the fiber-matrix interface. Overall, the mechanical properties of the developed composite boards satisfy the minimum requirements of relevant standards based on fiber cement flat sheets and can be employed for internal building applications in low-cost housing estates in developing countries. The outcome of this research indicates that the current industrial production process based on Hatschek technology can be employed for non-asbestos-fiber cement board production using the studied natural fiber.
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Asbestos is a carcinogenic mineral banned in Colombia since 1 January 2021; however, there is a considerable amount of asbestos-containing building materials (ACBM) installed across the country in products such as roof tiles, tanks, pipes, and downspouts. Installed ACBM represent an exposure risk when the mineral fibers are released into the air through deterioration, damage, or disturbance of the cement matrix within which the asbestos is contained. Due to potential detrimental impacts on human health, safe management and correct handling of ACBM is a matter of vital importance. This article proposes evidence-based environmental management guidelines, aimed at public policymaking, for the removal and final disposal of installed ACBM in Colombia. A descriptive study was carried out, with a qualitative approach, based on an integrative literature review of international practices applied in the removal and disposal of installed ACBM. Forty scientific publications were reviewed, as well as the regulations for removal, transport, and final disposal of installed asbestos-cement from Australia, the USA, Italy, Chile, the UK, and Canada. Guidelines for the removal and final disposal of installed ACBM are proposed, suggesting the following stages: (a) diagnosis and management plan of installed ACBM, (b) removal of installed ACBM, (c) transport of ACBM waste, and (d) final disposal of ACBM waste. Expert opinion was collected to assess the local feasibility of the proposed guidelines. These guidelines may help direct national and regional agencies to establish comprehensive strategies with clear, measurable, and achievable goals for future replacement of installed ACBM. Integr Environ Assess Manag 2023;19:1079-1088. © 2023 SETAC.
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Amianto , Conservação dos Recursos Naturais , Humanos , Colômbia , Materiais de Construção , ItáliaRESUMO
Introduction: The asbestos industry began its operations in Colombia in 1942 with the establishment of an asbestos-cement facility in Sibaté, located in the Department of Cundinamarca. Despite extensive asbestos use and production in Colombia, the country lacks a reliable epidemiological surveillance system to monitor the health effects of asbestos exposure. The Colombian health information system, known as SISPRO, did not report mesothelioma cases diagnosed in the municipality, posing a significant challenge in understanding the health impacts of asbestos exposure on the population of Sibaté. Methods: To address this issue, an active surveillance strategy was implemented in Sibaté. This strategy involved conducting door-to-door health and socioeconomic structured interviews to identify Asbestos-Related Diseases (ARDs). Validation strategies included a thorough review of medical records by a panel of physicians, and the findings were communicated to local, regional, and national authorities, as well as the general population. Results: The active surveillance strategy successfully identified a mesothelioma cluster in Sibaté, revealing the inadequacy of the existing health information system in monitoring asbestos-related diseases. The discovery of this cluster underscores the critical importance of implementing active surveillance strategies in Colombia, where governmental institutions and resources are often limited. Conclusion: The findings of this study emphasize the urgent need for Colombia to establish a reliable epidemiological surveillance system for asbestos-related diseases (ARDs). Active surveillance strategies can play a crucial role in identifying mesothelioma clusters and enhancing our understanding of the health effects of asbestos exposure in low- and middle-income countries.
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Amianto , Mesotelioma Maligno , Mesotelioma , Exposição Ocupacional , Síndrome do Desconforto Respiratório , Humanos , Colômbia/epidemiologia , Países em Desenvolvimento , Exposição Ocupacional/efeitos adversos , Mesotelioma/epidemiologiaRESUMO
The manufacture of asbestos materials has been banished worldwide due to their toxicity, but discarding the existing wastes remains a challenge. We investigated an alternative mechanochemical method to treat asbestos-cement materials by loading them with potassium and phosphorus from KH2PO4 during the milling process to obtain a product used as liming and soil conditioner. The results showed total asbestos fibrous elimination after 7 to 8 h of milling. The materials showed a slow-release fertilizer profile. The liming property is maintained when the asbestos-cement weight proportion used is equal to or higher than KH2PO4. A comparative soil experiment with limestone also indicates that lower doses of the K- and P-enriched detoxified asbestos cement were required to reach similar liming effects. Maize cultivation (greenhouse) was used to evaluate its performance showing higher biomass production for the sample loaded with potassium and phosphorous.
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Amianto , Solo , Amianto/química , Concentração de Íons de Hidrogênio , Nutrientes , Fósforo , Potássio , Solo/químicaRESUMO
Potable water supply system in major countries still uses a large proportion of asbestos-cement (AC) pipes for fresh drinking water delivery. Generally, after installation and initial purging, the AC tubes are believed to self-passivate by calcite scale and bio-film, especially when conveying hard water. However, the overall performance of AC tubes after decades of operation is significantly reduced and is still mainly unknown. In the current research, we investigated the AC water supply tube after 56 years of operation with high-hardness conveyed water. Our results show that asbestos fibres are emitted from degraded AC pipes as a result of wall softening due to calcium leaching from hydrated cementitious materials, resulting in the loss of mechanical stability. Although the water pumped into the system is not considered aggressive, the seasonal variations of water temperature and chemistry results in an interplay of calcite scaling and Ca leaching, the latter being the dominating process. By comparing the experimental observations with the long-term chemistry reports of the water supplied through the pipes, a positive relationship was established between the temperature and quality of the conveyed water with the corrosion and the calcite scale formation, which are dictating the emission of the fibres into the drinking water. In addition to the health risks posed by asbestos, these processes have many adverse effects on drinking water supply, such as pipe malfunction and destruction resulting in water loss, reduction of hydraulic capacity, microbial proliferation, and water quality deterioration, a topic of interest for global water industries process.
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Amianto , Água Potável , Materiais de Construção , Corrosão , Abastecimento de ÁguaRESUMO
OBJECTIVES: To examine the risk of cancer in former school children exposed to environmental asbestos in childhood with a focus on female cancers, including breast cancer. METHODS: We retrieved a cohort of females (n = 6024) attending four schools located in the neighborhood of a large asbestos cement plant in Denmark. A reference cohort was frequency-matched 1:9 (n = 54,200) in sex and five-year age intervals. Using Danish registries, we linked information on historical employments, relatives' employments, cancer, and vital status. We calculated standardized incidence rates (SIRs) for all and specific cancers, comparing these rates with the reference cohort. Hazard ratios were calculated for selected cancers adjusted for occupational and familial asbestos exposure. RESULTS: For cancer of the corpus uteri (SIR 1.29, 95% CI 1.01-1.66) and malignant mesothelioma (SIR 7.26, 95% CI 3.26-16.15), we observed significantly increased incidences. Occupationally, asbestos exposure had a significantly increased hazard ratio for cancer in the cervix, however, a significantly lower risk of ovarian cancer. The overall cancer incidence was similar to that of the reference cohort (SIR 1.02, 95% CI 0.96-1.07). The risk of cancer of the lung was increased for those exposed to occupational asbestos, those with family members occupationally exposed to asbestos and for tobacco smokers. CONCLUSIONS: In our study, environmental asbestos exposure in childhood is associated with an increased risk of cancer of the corpus uteri and malignant mesothelioma in women.
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Amianto , Neoplasias da Mama , Neoplasias Pulmonares , Mesotelioma , Exposição Ocupacional , Amianto/toxicidade , Neoplasias da Mama/complicações , Criança , Estudos de Coortes , Exposição Ambiental/efeitos adversos , Feminino , Humanos , Incidência , Itália/epidemiologia , Neoplasias Pulmonares/induzido quimicamente , Neoplasias Pulmonares/etiologia , Mesotelioma/epidemiologia , Exposição Ocupacional/efeitos adversosRESUMO
Since the ban on the use of asbestos due to its carcinogenic properties, the removal of asbestos cement, representing the major asbestos-containing waste, has proven to be a challenge in most industrial countries. Asbestos-containing products are mainly disposed of in landfills and have remained untreated. Bioremediation involving bacteria previously reported the ability of Pseudomonas aeruginosa to release iron from flocking asbestos waste through a siderophore-driven mechanism. We examined the involvement of siderophore-producing Pseudomonas in the biodeterioration of asbestos cement. Iron and magnesium solubilization were evaluated by specific siderophore-producing mutants. The absence of one of the two siderophores affected iron extraction, whereas equivalent dissolution as that of the control was observed in the absence of siderophore. Both pyoverdine and pyochelin biosynthesis was repressed in the presence of asbestos cement, suggesting iron bioavailability from the waste. We compared the efficiency of various pyoverdines to scavenge iron from asbestos cement waste that revealed the efficiency of all pyoverdines. Pyoverdines were efficient in iron removal extracted continuously, with no evident extraction limit, in long-term weathering experiments with these pyoverdines. The optimization of pyoverdine-asbestos weathering may allow the development of a bioremediation process to avoid the disposal of such waste in landfills.