Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective
Autor: | Fulvio Cavariani, Andrés Trotta, Agata Mazzeo, Vilma Sousa Santana, Daniela Marsili, Eduardo Algranti, Benedetto Terracini, Roberto Pasetto, Pietro Comba, Juan Pablo Ramos-Bonilla |
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Přispěvatelé: | Algranti, Eduardo, Ramos-Bonilla, Juan Pablo, Terracini, Benedetto, Santana, Vilma S, Comba, Pietro, Pasetto, Roberto, Mazzeo, Agata, Cavariani, Fulvio, Trotta, André, Marsili, Daniela |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Mesothelioma
medicine.medical_specialty Lung Neoplasms Latin Americans Asbestos Serpentine Carcinogenesis media_common.quotation_subject Infectious and parasitic diseases RC109-216 medicine.disease_cause Mining Asbestos 03 medical and health sciences 0302 clinical medicine Occupational Exposure Chrysotile Development economics medicine Humans 030212 general & internal medicine Misinformation media_common asbestos Latin America Global Public Health Consumption (economics) 030503 health policy & services Public health Environmental Exposure General Medicine Reviews and Perspectives Supreme court Latin America Unemployment Public Health Business Public aspects of medicine RA1-1270 0305 other medical science |
Zdroj: | Annals of Global Health Annals of Global Health, Vol 85, Iss 1 (2019) |
Popis: | Background: Asbestos consumption in Latin America (LA) amounts to 10% of yearly global production. Little is known about the impact of asbestos exposure in the region. Objective: To discuss scientific and socio-economic issues and conflicts of interest and to summarize epidemiological data of asbestos health effects in LA. Discussion: Recent data on chrysotile strengthened the evidence of its carcinogenicity and showed an excessive risk of lung cancer at cumulative exposure levels as low as 1.5 fibre-years/ml. Technology for substitution is available for all asbestos-containing products and ceasing asbestos production and manufacturing will not result in unemployment and loss of income, except for the mining industry. The flawed arguments used by the industry to maintain its market, both to the public and in courtrooms, strongly relies on the lack of local evidence of the ill effects and on the invisibility of asbestos-related diseases in LA, due to the limited number of studies and the exposed workers’ difficulty accessing health services. The few epidemiological studies available show clear evidence of clusters of mesothelioma in municipalities with a history of asbestos consumption and a forecasted rise in its incidence in Argentina and Brazil for the next decade. In Brazil, non-governmental organizations of asbestos workers were pivotal to counterbalance misinformation and inequities, ending recently in a Supreme Court decision backing an asbestos ban. In parallel, continuous efforts should be made to stimulate the growth of competent and ethical researchers to convey adequate information to the scientific community and to the general public. |
Databáze: | OpenAIRE |
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