Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective

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 asbest...

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Autores principales:	Eduardo Algranti, Juan Pablo Ramos-Bonilla, Benedetto Terracini, Vilma S. Santana, Pietro Comba, Roberto Pasetto, Agata Mazzeo, Fulvio Cavariani, Andrés Trotta, Daniela Marsili
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/8ab90b3cf4b546719ae5c5440e28a972
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spelling	oai:doaj.org-article:8ab90b3cf4b546719ae5c5440e28a9722021-12-02T04:23:13ZPrevention of Asbestos Exposure in Latin America within a Global Public Health Perspective2214-999610.5334/aogh.2341https://doaj.org/article/8ab90b3cf4b546719ae5c5440e28a9722019-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2341https://doaj.org/toc/2214-9996Background: 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.Eduardo AlgrantiJuan Pablo Ramos-BonillaBenedetto TerraciniVilma S. SantanaPietro CombaRoberto PasettoAgata MazzeoFulvio CavarianiAndrés TrottaDaniela MarsiliUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Eduardo Algranti Juan Pablo Ramos-Bonilla Benedetto Terracini Vilma S. Santana Pietro Comba Roberto Pasetto Agata Mazzeo Fulvio Cavariani Andrés Trotta Daniela Marsili Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective
description	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.
format	article
author	Eduardo Algranti Juan Pablo Ramos-Bonilla Benedetto Terracini Vilma S. Santana Pietro Comba Roberto Pasetto Agata Mazzeo Fulvio Cavariani Andrés Trotta Daniela Marsili
author_facet	Eduardo Algranti Juan Pablo Ramos-Bonilla Benedetto Terracini Vilma S. Santana Pietro Comba Roberto Pasetto Agata Mazzeo Fulvio Cavariani Andrés Trotta Daniela Marsili
author_sort	Eduardo Algranti
title	Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective
title_short	Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective
title_full	Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective
title_fullStr	Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective
title_full_unstemmed	Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective
title_sort	prevention of asbestos exposure in latin america within a global public health perspective
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/8ab90b3cf4b546719ae5c5440e28a972
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Prevention of Asbestos Exposure in Latin America within a Global Public Health Perspective

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