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Last Updated : 10/18/2007

 

 

 Who Is At Risk ?

 

Who is at Risk for Mesothelioma?

Mesothelioma is a deadly disease which has topped news headlines for the last decade. It is contracted through exposure to airborne fibers of asbestos. Sadly, due to the under-regulation of asbestos usage in years past and still today, millions of people have been exposed to airborne fibers and as a result thousands have contracted the disease.

It can be safely said that almost everyone in the world has been exposed to asbestos in varying degrees. Because of the unique nature of the disease, even those who have suffered only minimal exposure are at risk of contracting the disease. In effect, virtually everyone has some risk of contracting Mesothilioma.

But this sort of statement perhaps oversteps the bounds of rationality. While it is certainly true that individuals who have been exposed to small amounts of asbestos for relatively short periods of time have contracted the disease, this is a rarity rather than a regularity. In fact, the vast majority of Mesotyelioma cases involve individuals who were exposed to airborne asbestos fibers for intense and extended periods of time.

The industries most in danger of prolonged exposure and thus of contraction of this disease are shipbuilding trades, asbestos mining and milling, textile manufacturing, insulation work in construction, and brake repair personnel. There are, however, some other minor factors which can affect the likelihood of contracting the disease. Among these is radiation exposure. There have been cases in which individuals who were exposed to radiation have subsequently displayed signs of and ultimately contracted mesotheloma. However, empirical studies to attempt to verify this correlation have not proven out this claim very strongly.

Another more certain cause of the disease was the taking of the Polio vaccine between 1955 and 1963. Some batches of this vaccine were contaminated with Simian Virus 40 which has been detected in a host of rare cancers including Mesothelioma.

Those involved in construction or who lived in homes in the Cappadocian region of Turkey are also particularly at risk. In this region, homebuilders used Erionite, which is a type of zeolite silica stone. Exposure to the fibrous strands of this building material have led to an annual death rate of roughly 1% of the population which dies of mesotheloma each year in Turkey.

One of the most influential factors affecting Mesothilioma contraction is genetics. Some individuals who have been exposed to long periods and high quantities of asbestos have not contracted the disease. As a result, doctors have concluded that genetics play a major role in determining whether or not patients contract the disease. Unfortunately, the gene variability which offers some resistance to the disease also means that others are particularly vulnerable to asbestos exposure

Who Is At Increased Risk For Developing Mesothelioma?

Since the late 1800's asbestos has been mined and used commercially. The use of asbestos dramatically increased during World War II and since the early 1940's millions of Americans have been exposed to asbestos dust working within industries where initially the risks were not known. There has been widespread exposure to Asbestos by workers within shipyards, mines and mills, producers of asbestos products, workers in the heating and construction industries, and other trades people and an increase risk of developing mesothelioma has been the result. .

Today, the U.S. Occupational Safety and Health Administration (OSHA) sets limits for acceptable levels of asbestos exposure in the workplace. By contrast, the British Government's Health and Safety executive (HSE) states formally that any threshold for mesothilioma must be at a very low level and it is widely agreed that if any such threshold does exists at all, then it cannot currently be quantified. For practical purposes, therefore, HSE does not assume that any such threshold exists. People who work with asbestos wear personal protective equipment to lower their risk of exposure.

The risk of asbestos-related disease increases with heavier exposure to asbestos and longer exposure time. However, some individuals with only brief exposures have developed mesothilioma. On the other hand, not all workers who are heavily exposed develop asbestos-related diseases. Family members and others living with asbestos workers have an increased risk of developing mesotheloma, and possibly other asbestos-related diseases. This risk may be the result of exposure to asbestos dust brought home on the clothing and hair of asbestos workers. To reduce the chance of exposing family members to asbestos fibers, asbestos workers are usually required to shower and change their clothing before leaving the workplace.

The combination of smoking and asbestos exposure significantly increases a person's risk of developing cancer of the air passageways in the lung. The Kent brand of cigarettes used asbestos in its filters for the first few years of production in the 1950s and some cases of mesotyelioma have resulted. Smoking current cigarettes does not appear to increase the risk of mesothelioma.

There is no curable treatment. Close monitoring (routine X-rays or even pleural biopsy) for mesothelioma is mandated. To relieve the shortness of breath oxygen therapy at home is often reccommended. Supportive treatment of symptoms includes respiratory treatment to remove secretions from the lungs by postural drainage, chest percussion, and vibration. Aerosol medications to thin secretions may be prescribed.

 

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