Environmental Influences on Childhood Asthma Prevalence in Philadelphia

Background: In 2019, the American Lung Association found that, for the second year in a row, the Philadelphia metro has worsened the surrounding areas air quality, due to worsening ozone smog. This spike in unhealthy air quality in Philadelphia has affected the health of the population. Unhealthy air quality can be exacerbated by asbestos, which has been found in many Philadelphia elementary schools. Although asbestos usage is now highly regulated, it can still be found in consumer products and construction material today. Among the many factors contributing to asthma onset and other lung diseases, air pollution and dangerous air particles such as asbestos are important contributors. Children in these asbestos infected schools became exposed and ultimately sick which led to their eventual closure. Due to elementary aged children having immature and more vulnerable airways, this exposure may have led to increasing cases of respiratory distress. Methods: This research study analyzed publicly available asbestos data from Asbestos Hazard Emergency Response Act (AHERA) reports from four Philadelphia elementary schools (Laura H. Carnell, James J. Sullivan, Clara Barton, and Thomas M. Peirce) from 2016-2018 to further understand the influence of asbestos particles on asthma in children. Secondary data analysis determined the levels of asbestos contamination in each elementary school and the severity of the condition for each school. This was compared to child asthma prevalence during the selected time period. Results: Asbestos was mainly found in the 2-6 inch pipe insulation and tiles within each school. Between 0.06 and 1.18% asbestos damage was found in 2-6inch pipe insulation in schools closed for asbestos abatement. An r2 of 0.9997 was found when comparing the 206inch pipe damage percentage and the newly friable material found in each school. Thomas M. Pierce Elementary was determined to be the highest concern according to the analysis of the AHERA reports. Conclusion: Children exposed to asbestos in elementary schools, and with a predisposition to asthma, were more likely to suffer from respiratory distress, due to the multiple contributing environmental factors.

Occupational asbestos exposure after the ban: a job exposure matrix developed in Italy

Background Asbestos is a well-known carcinogen for humans. The aim of this study is to develop a tool to estimate occupational asbestos exposure in Italy after the ban using information collected in a national dataset. Methods Data were collected from firm registries of workers exposed to asbestos in the period 1996–2016. Descriptive statistics (arithmetic mean, standard deviation, geometric mean and geometric standard deviation) were calculated for the main exposure-related variables (activity sector, occupational group and exposure period). An estimate of workers potentially exposed to asbestos was also performed. Results A total of 19 704 airborne measurements of asbestos exposure was selected from the national database of occupational exposures in the sectors of asbestos abatement. Overall, a geometric mean of 7.93 f l−1 was found, and chrysotile was the asbestos type that had more exposures (41%). A total of 46 422 workers was estimated to be potentially at asbestos exposure risk. Exposure data were summarized by calendar period, activity sector and occupational group. Conclusions The construction of a job exposure matrix for different occupation/industry combinations may allow the assessment of occupational exposure to asbestos in several removal and disposal activities, and the estimate of the risks associated with asbestos-related diseases in epidemiological studies.

Spatial analysis of asbestos exposure and occupational health care in Poland during the period 2004-2013

Asbestos is carcinogenic to humans and exposure to this substance can cause a wide range of diseases. In Poland 1997, a statutory ban was introduced on the production, use and marketing of products containing asbestos. The National Programme for Asbestos Abatement for 2009-2032 includes scheduled activities considering asbestos exposure assessment and health protection. As there are several data sources for asbestos exposure in Poland, which are not linked, the aim of this study was to gather and order them developing a PostgreSQL database, an open-source, objectrelational system. The data gathered combines the following information: the quantity of asbestos-cement products in use, details of asbestos manufacturing plants, the results of the measurements of asbestos fibre concentrations in the air and cases of asbestos-related diseases. The relational database was then used to develop a spatial analysis of asbestos monitoring and exposure in Poland to demonstrate the current state of realisation of the National Asbestos Abatement Programme in the country for 2009-2032 with the use of geoinformation techniques. The use of a database on health aspects of occupational and environmental asbestos exposure was also proposed in Asbestos, Asbestosis, and Cancer: Helsinki Criteria update 2014.