Document 85KOMdbQoM2B1Lo41Eggx1nJe
FILE NAME: US Gypsum (USG)
DATE: July 22, 1983
DOC#: USG074
DOCUMENT DESCRIPTION: 1983 Confidential Recommendations to Contain Audicote Controversy for USG
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Book 1 of 6
ONFIDSNTIAL RECOMMENDATIONS TO CONTAIN
AUDICOTE CONTROVERSY FOR
U.S. GYPSUM
itoti Oil.l
[e PLAINTIFF'S
\i
EXHIBIT
July 22, 198 3
HILLa n d KJMOWLTON
HUI and KnovHton. Inc.
One Illinois Canter
111 East Wacker Onve
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Suite 1700 -
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Chicago, mino:* 6061
312-565-1200
I llanc ;<n c v jl t c n
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CONFIDENTIAL Memorandum to: Subject:
U.S. Gypsum
Recommendations To Contain Audicote Controversy
United States Gypsum has asked Hi'll and Know icon to study the public relations problems that have arisen -- and which may arise -- from the controversy over Audicote and to recommend a course of action in response. This memorandum addresses that request.
EXECUTIVE SUMMARY U.5. Gypsum is facing a severe problem that could have . far-reaching, bottcm-line implications/for the Company. It is possible that U.S. Gypsum may not be able to win in this situation. The Comoanv is threatened by the opposition of the U.S. Attorney General and the Environmental Protection Agency, extensive litigation, and public opinion on the asbestos issue, which has beer, negative for over a decade. The controversy over Audicote is growing in the media and is being fueled by crusading regulators, lawyers who seem anxious'to establish a new field of practice, unions, U.S. Gypsum's competition, contractors, and other assorted publicity seekers. The problem is exacerbated in that Audicote, alleged to
ana
can be-used in tcoulist atreals
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The problem is further complicated it that litigation over the matter is local in scope and U.S. Gypsum could find itself facing not one focused situation, but scores of difficulties throughout the nation. Indeed, the Company is already a defendant in at least 14 cases ranging from New Jersey to Texas.
While the first trial date is set for September 1983, the Company can expect media exposure to continue long after the trial. Based on all we know, the media exposure of this matter will increase as additional school systems report findings and as those systems seek solutions to their problem. The coverage of lawsuits underway or pending will further extend the coverage of the issue in general and in turn promote the filing of additional lawsuits as other systems seek ways to recover the costs. All of these factors only further fuel the fires of media interest.
The growing intensity of press coverage, as reports of asbestos in schools begin to roll in from across the nation, suggests the beginning stages of a national focus or. an issue that might well bring dramatic and harsh public action. The political system, as witnessed by the extreme response of the attorney general and some SPA coordinators, is in the process of reformulating policy. In the last several years, the media has interpreted public policy as "too easy" in maoters relating to the environment.
Unlike lev Canal and the di'^y'n issue, the oresenoo z~
asbestos in schools provides local media a unique
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opportunity to cover a national issue as comprehensively as
the national media. For the first time local press will
have access to main characters who may not take a reasoned
approach in the face of such public scrutiny and pressures
from interested parties.
Finally, in the absence of reasoned explanation and
some assurances of safe conditions, the media will focus its
full attention on the reaction of public officials and the
resolution of the problem as recommended by the highest
authority or readily accessible "expert." These experts
would range from Z?A officials, outside consultants,
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attorneys and perhaps even local contractors.
On the positive side, U.S. Gypsum'' has extensive testing
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and other data that prove Audicote is not a problem to human
health. Additionally, media coverage, while intense, has
not reached significant volume or into top national news or
editorial columns.
However, U.S. Gypsum must act new and must act
aggressively to deal with this problem. We have constiered
the option of taking no action and feel that inappropriate.
Matters have gone toe far and something must be dene to step
the spread of this story.
.
The remainder of this memorandum includes:
o History of the problem
c Scope of the problem
c Kay groups
o What they are saying
CxPOCM 1.1*10
4 o Political and regulatory environment o An approach
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HISTORY OF THE PROBLEM
U.S. Gypsum's Audicote Acoustical Plaster has beer*
identified as an asbestos product. Audicote was used, from
1955 to 1972; as a ceiling spray in the construction of
schools and other public buildings.
With concerns growing over asbestos-related health
hazards, in 1978 the SPA initiated a voluntary program among
schools throughout the nation to identify the presence of
"friable" asbestos. In 1980 Congress passed the Asbestos
School Hazard and Control Act. In 1981, the U.S. Attorney
General submitted "The Attorney General's Asbestos Liability
Report to Congress." This report was required by the 1980
Asbestos Act directing the Attorney General to:
Conduct an investigation to determine whether, by using all available means, the United States * should or could recover, from any perscr. determined by the Attorney General to be liable for such costs, the amounts expended by the United States to carry out this Act (federal grants and loans to detect, remove and contain friable asbestos in the schools).
The Attorney General concluded that:
Litigation, but by school authorities rather than the federal government, should be quickly investigated by school authorities and their counsel as one potential means of reducing the fiscal impact on taxpayers of abating asbestos hazards in the schools.
Tc date, 14 lawsuits have been filed cdi.ns w w
urn by school authorities. Others are contemplated.
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SCOPE OF THE PRC3LEM
Based on a review of press clippings, it is apparent that a significant number of schools throughout the country have identified the presence of asbestos and are beginning
to realize the costs for removal may far exceec their
abilities to cover those expenditures. Media coverage of the issue has been significant and
widespread, albeit dominantly local in nature. A review of the Nexus data bank has identified 983 stories on the issue since 1978, almost half, 453, coming since October of last year. This data bank contains only UPI and AP national wires, UPI state wires and selected national or regional
publications, such as the New York Times and Washington Post. The magnitude of the UPI state clippings indicates
that this is a story of significant local interest,
suggesting considerably more coverage than is contained m
the data banks.
Traditionally, media coverage on an
issue of this nature follows a pattern o- stages Oi.
coverage. 1) Identification of a problem 2) What will be required to resolve the proolem?
3) Who is responsible for the problem? 4) Who is liable for the problem anc i-s -<-sc--.
5) What actions will be taken? While media coverage has been widespread (vi_--ally aver*.' region of the country except the Pacific Northwest/ and has intensified in recent months, it has concentrated
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primarily on the very early stages of this issue -- identification of asbestos in the schools.
Some areas have identified the magnitude of the dollar expenditure necessary to correct the problem. This type of coverage begins to occur as school systems report the results of their surveys on the presence of asbestos.
Of the 350 stories that appeared in 1983, less than 15 percent' indicated that legal action was contemplated. Ninety percent of the stories in which legal action was contemplated emanated from the Southeast. That appears to be the most predominant area where coverage has extended through all the stages to the point of identifying actions that will be taken to resolve the problem.
The Southeast also appears to be the area where emotional appeals have played the greatest role to date. Clippings point to aggressive public officials such as . Charles Graddick, state attorney general of Alabama. Graddick made statewide news in the fall or -98- with pronouncements on the dangers cf asbestos and tr.e neec to rid Alabama of such dangers immediately.
Finally, the majority of the stories (92 percent) were straight, factual reporting or hard news stories. Few* registered opinions other than those offeree by o m c i a l s . Fewer still provided a balanced viewpoint or suggesoec tr.at rhe asbestos was either contained in such a manner or in sior.ificantly small quantities that it may not cause a
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hazard -- nor did they succest ulnar the problem warrants further study.
Following is a breakdown of the story types nationally and by each region: East, Southeast, Midwest, Southwest West.
Location National
Type of Storv Discovery Removal Government/poli-
tical Litigation
Number of Stor; 225 164 65
6
East (224
Discovery
98
total)
Removal
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8 5
Government/poli- ,
38
tical
Litigation
3
( Southeast Discovery 80
(145 total)
Removal
48
Government/poli-
15
tical
Litigation
2
Midwest
Discovery
16
(36 total)
Removal
i 4
Government/poli-
6
tical
Litigation
0
Southwest
Discovery
i /
(34 total)
Removal
12
Government/pc1i-
4
tical
Litigation
1
West
Discovery
7
(14 total)
Removal
Government/poli-
2
tical
-
Litiirasion
0
(
C ifitl (JOdd :1)
9
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While some school administrators have stated publicly
that the presence of asbestos does not constitute a
significant hazard at this time, pressures by hey groups,
including parents, have forced many to take actions.
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KEY GROUPS
.
Several key groups, individuals and organizations nave
fueled additional media coverage by taking strong positions
on this issue. A recent survey by the Service Employees
International Union was quoted in the Wall Street Journal
and other publications throughout the country as saying that
perhaps nine percent of all schools in the country have
potentially dangerous asbestos problems. Key governmental
groups connected with this issue include;
o Environmental Protection Agency
o Congress
o Justice Department
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a Local public school officials'
Association and union groups include;
o The National Education Association
o The National Parent and Teachers Association
o The American Federation of Teachers
o The Service Employees International Union
Key individuals include:
o EPA regional asbestos coordinators
o State attorney generals
c Attorneys
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WHAT THEY ARE SAYING
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An Emotional Response; How Safe is Safe? The combination of asbestos (health hazard), education
and children has created an emotional reaction that is being played on and promoted by all the groups and indivudals listed above.
Not only is the health of childern at stake
but also that of teachers, para professionals
and other staff who are likely to spend many
more years working under potentially hazardous
conditions.
_
--- AFT President
While some school officials have stated that the existence of asbestos alone in schools does not present a health hazard at this time, pressure from parents and other groups in some locations has forced school ozficials to take action they might not have considered necessary. Although these school officials may have believed their buildings safe, parents have not been willing to accept degrees or safety where it concerns their children and the possible contact with a hazardous substance. When faced with a "reduce linked to cancer and in place in schools, emotional reactions are likely to dominate reason. As the issue grows, pressure on public officials to take action will increase.
National media attention is focusing more and more cn the "human side" of the asbestos issue. A recent Washington
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Post article focused on the tragic story of a promising
young attorney who died as a result of asbestos fibers in
his lungs. Such emphasis only serves to fuel the emotional
response to the issue of asbestos and to suggest a style of
coverage for local and regional media to follow.
Environmental Concerns
The national media view asbestos as one of a growing
list of'toxic substances threatening public health. The
coverage given to Love Canal and, more recently, the dioxin
issue graphically demonstrates the emphasis placed on public
health matters. It also reveals the emotional response
elicited by that coverage nationally despite the localized
nature of the incident.
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The EPA references these concerns when it recommends
removal rather than containment of asbestos and asbestos-
containing products as the most cost-ezzeczive method oz
resolving the problem. The EPA raises the spectre of the
Clean Air Act, its compliance procedures and costs at seme
future point when a building containing asbestos is
demolished. Their rationale is that the costs to remove the
product at this time would be the same and are recoverable
through litigation against manufacturers. That option.may
net exist at seme future time when the bulling is
demclishec.
Recoverable Exter.se
The concerns for the escalating cost of education and
the public meed favoring fiscal restraint and reduced
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taxation raise the side issue of the expense of correcting the asbestos problem to one of prominance in the media. "Who will bear the costs?" was of obvious concern to Congress in 1980 when it directed the Attorney General to submit a liability report. Those concerns have continued to be of major emphasis in media coverage of the problem. Most news items focus on the cost estimates to correct the problem. Where the question of who will bear the burden of such costs are raised (predominantly in the Southeast), the solution most often mentioned is to sue the products' manufacturers.
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POLITICAL AND REGULATORY ENVIRONMENT
The issue was created by the EPA with its voluntary
survey begun in 1978. It was followed up by Congress with
its Asbestos School Hazard and Control Act of 1980 and the
Attorney General in his Asbestos Liability Report of 1980.
All of this was covered by the national media creating an
issue of national importance.
The EPA is currently in a state of reorganization
following the dismissal of several key officials. However,
some members of the EPA have taken this opportunity (perhaps
because of a temporary void in leadership) to promote
aggressively legal action by school officials against
asbestos product manufacturers. Such aggressive posture has
provided those individuals considerable visibility m the
media and in the communities affected by the problem.
Dwight Brown, EPA Asbestos Coordinator for Region IV
(Southeast) was mentioned on several occassions.
The issue also offers these with political ambitions in
each state a ready-made platfcm appealing to tr.e emotions
of the public. Graddick was quick to grab that opportunity
in Alabama, along with the extensive media coverage it
offered him.
.
In the upcoming 1984 campaigns ror Congress and tins
White House, several candidates have stated tr.ei intensions
to make hazardous waste a ma^or campaign issue, ;t would be
a simple step to expand that to include ail toxi : substances
and public r.eaish. The oresencs of toxic substances m
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schools makes an ideal issue to gain public support and to
attack incumbents for their lack of action, as was
demonstrated in Alabama.
The Problem
1) Clearly media coverage will continue and intensify as
the reports on asbestos detection are filed and public
officials seek means of resolving the problem.
2) In .the absence of scientifically verified facts and a
reasoned approach to the resolution of the problem or,
at the least, alternative solutions, the media coverage
will continue to be unbalanced, emotional and seek to
lay blame or find fault. In that atmosphere, it is easy
for the media to accept fingers pointed at disembodied
and far-removed corporate entities.
3) The media coverage will tend to feed on itself, from
local to state and regional, to national and back to
locai in a manner out of proportion to the magnitude of
the issue. Local coverage will expand its reporting to
cover the problems and proposed resolutions of other areas.
4) The lawsuits filed and subsequent court activities will
extend the media coverage on the issue and further tend
to promote the filing of additional suits as a
resolution to the problem, which in turn will increase the media coverage.
ii eoodt)
3)
law suit filings repo SC
media may create a pani on the part of schco cf fici.2.iS
and parents to seek quick resolutions in the courts leading to even more suits. 6) In the absence of a strong public position by the comoanv, employees will be hard pressed to detend the comDany1s role in this issue as well as the performance and safety of its products. 7) In the face of growing public concern and an atmosphere that will likely build to one of antagonism on the part of the media and public officials, the financial community will be concerned over the prospect of growing litigation and company liability and the effects such liability may have on the'company1s earnings. If it appears that the company is not taking aggressive action in its defense-, a sell off by some stockholders may ensue.
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AN APPROACH
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We have reviewed several options open to the company,
o Do nothing
o Develop an all-out response nationwide
o Choke off negative publicity at the source, on a
targeted basis
The magnitude of the problem, and the probability that
media'coverage and legal action will intensify, may well
lead to a unified public outcry demanding a resolution and
even a corporate scapegoat. We, therefore, believe CJ.S.
Gypsum should adopt the third option -- choke off negative
publicity at the source.
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The spread of media coverage mbst be stopped at the
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local level and as soon as possible. Lawyers seeking to
capitalize on the problem, unions seeking public support for
their positicns, oportunistic public officials, competitors,
contractors and other assorted publicity seekers must be
neutralized and their call for legal action mitigated if
U.S. Gypsum hopes to prevent the proliferation or lawsuits
against it.
We believe that U.S. Gypsum should take the medical
position chan while asbestos is certainly a potent _
co-carcincgen, the amount of asbestos and, even more
important, the size or the fibers to which children might
have beer, exposed constizuze a minimal hazard at worst and,
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most likely, no hazard at ail. A credible argument to this
effect can be developed, based or. existing research on
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exoosure to sub-micron sized asbestos fibers and information on the magnitude of exposure.
Further, the Company should develop the argument that the alleged cancer hazard from sprayed asbestos is far less than the hazard from fire, which is created when asbestos insulation is removed.
In communicating this message, the Company must consider key audiences important to its operation that could jjg affected by negative media coverage. It musu also be prepared to address targeted audiences directly affected by the problem.
What is presented here are several /strategies for tackling the problem. Each needs to be fleshed out with sunoorting tactics, but we believe the approach outlined here offers the best opportunity to bring the problem under control.
Flexibility, allowing adjustments to changing situations, will be an important ingredient in any program chosen to address the problem since the volatile nav.u_e c^ the problem and the emotional response it elicits could cause rapid and dramatic changes in the emphasis and reactions of the public. Consequently, we recommend, at tne outset, that a task team be established and that tne team work aggressively to get activities underway.
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Strategies At the least United State Gypsum needs to: 1) Prepare itself for negative publicity 2) Find ways to shut off negative publicity 3) Seek methods to put the whole issue in perspective 4) Establish a monitoring sytem with key Company audiences 5) Develop, based on the course this matter takes, a plan for dealing with audiences not directly and immediately affected the financial community; employees, especially those in cities where litagation is entered; customer; and others. We believe that turning around public opinion on this
issue -- and therefore getting a cr.ance in court on the liability question -- will require a blend of u^a_ning, media contact, special analysis, political and .scixa^o.j contact, involvement with selected third parties including lawyers, school board officials and otriers, and mere.
The Conraany should tram spokespecple, scientists and technical tv'oes, to present cne evicer.ce that asbestos insulation dees not present a sicr.iiicant r.ealtn hazard to children, but that removal does pose a fire hazard. ihese scckascecpie should appear in zront or targeted audiences these affected by the controversy -- in as many
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forums as possible. This effort should be the bedrock of the Company's public relations program.
By such means the Company can add perspective to the issue. It can then position the problem as a side issue that is being seized on by special interests and those out to further their own cause. The media and other audiences important to U.S. Gypsum should ideally say, "Why is all this furor being raised about this product? We have a non-story here."
United States Gypsum should seek a coalition to pursue these strategies, but we submit that too little time may be available to form such a group. If that' is the Company's judgment as well, then action should go forward immediately.
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Tactics
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While specific tactics in support of the recommended strategies will be fleshed out in working closely with the task team, the following are recommended strategies that should be initiated as soon as possible in preparation for shutting off continued and growing adverse publicity.
1. Preparing for negative publicity:
TACTIC: Identify and appoint task team with responsibility for all activities involving the issue.
TACTIC: Further identify research that has been conducted on the hazards of sub-micron sized asbestos fibers.
TACTIC: Brief and train spokespersons (task team members) in preparation for media briefir.es and interviews.
TACTIC:
Establish national monitoring system of key media in selected major markets as an early warning system to alert task team to new and increasing negative press.
2. Reduce or eliminate negative publicity/create v'c^SCI _ve:
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TACTIC: Create advisory board of independent experts to
include noted scientists and school
administrators.
TACTIC:
Prepare backgrounders and fact sheets on the
issue.
.
TACTIC:-
Produce a series of op-ed pieces from the fact sheets authored by members of the advisory board for placement in key regional and national newspapers.
TACTIC:
Write a series of speeches to be employed by members of the advisory committee and the task force on selected regional platforms.
TACTIC:
Conduct editorial board briefings with all media who are covering the issue.
TACTIC:
Conduct editorial board briefings with key national media.
3. Seek methods to put the whole issue in perspective.
TACTIC: Hold a summit meeting with William P.uckelshaus explaining U.S. Gypsum's side of the story.
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TACTIC;
Explore contacts with EPA officials, as well as political allies to identify, means of reducing or eliminating adverse activities of its regional coordinators.
TACTIC; *
Set up media field offices and/or vans to educate the public, respond to accusations in targeted areas where the controversy is intense.
TACTIC;
Be prepared to present testimony before targeted state and local governments on the safety of the product and potential fire hazard if removed.
TACTIC ;
Identify industry allies for funds, inrluential spokespeople (for third party endorsements), support.
TACTIC :
Stage community meetings in target areas ; have C.S. Gypsum spokespeople present their side or tr.e story ar.d answer quescions.
TACTIC :
Identify leaders in the medical and science orofessions to provide third-party endorsements cr
U.S. Gypsum's, position.
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4. Establish a monitoring system with key Company audiences.
TACTIC:
Research SPA coordinators to identify hidden objectives, political ambitions, anonymous
sponsors.
<
TACTIC: .
Establish monitoring system in key local anc state political arenas to identify which politicians are taking up the issue and undertaking potentially harmful activities/ramifications that could otherwise lead to legislative action*
5* Develop plan for audiences not directly affected.
TACTIC:
Conduct
soft-soundings
"
among
.
..
financial
Us .
\
a' n*a< ly*s* ts
to
__
determine their knowledge and concern regarding
this issue.
TACTIC:
Develop a coalition of industry and business allies to create a white paper on the lac.c o*. health hazards posed by asbestos in. the scnocls and the more serious fire hazard ir removed.
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'T'ACTIC:
Held a series of meetings with employe- groups ro
answer their questions abcut the issue.
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Conclusion
We feel that because this issue has reached such
magnitude, and because it is attracting increasing media
attention, the Company should develop a program in order to
contain the controversy. We strongly recommend that you
begin immediately to name a task team or advisory committee
for that purpose.
_
Hill and Xncwlton is prepared to work with you in
developing additional strategies, tactics and materials and
to work with the task team in developing a full program to
address the problem.
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DRAFT 3/3/35
ASBESTOS IN SCHOOLS: A HEALTH ASSESSMENT
Foe years, concern about the presence of asbestos in
schools and other buildings across the country has created fear, anxiety and confusion among parents, school
administrators and the public at large.
While millions of words have been written about this issue in the scientific, quasi-scientific and popular press,
the fact remains that all assessments of potential risks to
children, teachers and custodial personnel are based on
extrapolations from the health experience of heavily exposed
occupational groups.
'
At present, there is no credible scientific evidence to indicate that even one child exposed solely to the
extremely low levels of asbestos found in schools has ever
contracted an asbestos-related disease or suffered any other physical impairment from that exposure.
Much of the fear concerning asbestos in schools has been generated unwittingly by the Federal Environmental Protection Agency (EPA). The EPA, in an attempt to address the potentially serious problem of "peak" asbestos exposures caused by the visible flaking of asbestos-containing
material from severely damaged insulation, proposed a school evaluation program to assess the extent of asbestos usage in
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American schools. In order to justify its program, EPA
prepared a "worst case" risk assessment document in 1980
that exaggerated every potential hazard and minimized or
ignored every mitigating factor.
- The EPA program raised apprehension levels but failed
to give specific directions to school districts as to what
was safe and what was not. Such decisions were left,
therefore, to the districts themselves, which responded,
quite naturally, to the fears and concerns of parents and
other involved citizens.
.
A "one fiber can kill you" hysteria swept the nation, /
which resulted in a mad rush to remove asbestos-containing
insulation from schools, in some cases without even
determining whether the insulation was releasing fibers into
the air.
It is not the purpose of this document to assess the
national turmoil created by the indecisiveness of the EPA
program, but rather to evaluate the scientific facts
realtive to the potential hazards of asbestos exposure in
schools. It will demonstrate in simple but logical fashion
the following five points:
'
(1) While asbestos is a well-recognized occupational
health hazard, extrapolations from the experience
of heavily, exposed working populations to lesser
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of heavily exposed working populations to lesser exposed groups have proven inaccurate. (2) Although asbestos is known to cause disease in the neighborhoods of some types of asbestos plants and even in the households of asbestos workers, the exposures experienced by people in these non " occupational settings were "semi-occupational" in magnitude when compared with general public or school exposures. Even then, cases of disease were quite rare. (3) In assessing the potential hazards of asbestos exposure, it is critical to consider the type and size of the asbestos fiber involved, as well as the amount of exposure. Both of these considerations indicate a lesser degree of risk to
school children. (4) Asbestos has been used in various ways and in
large quantities in a "friable" (easily crumbled) form in schools for nearly four decades. If children are, as some experts theorize, more susceptible to asbestos than adults and if it is appropriate to extrapolate from the experience of occupationally exposed groups to far lesser exposed groups like school children, then surely
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we would have seen evidence of it by now. No such evidence exists! (5) A number of both national and international scientific review panels have assessed the asbestos in schools situation. They have all concluded, unlike the EPA, that the danger is ' minimal,, but that precautionary measures in extreme circumstances are warranted.
What is Asbestos?
Asbestos is a generic term used to identify a group of
naturally occurring hydrated silicate minerals that can be
separated into short, silky fibers. The two major families
of asbestos are called "serpentine" and the "amphiboles"
%
Chrysotile, the most widely used type of asbestos, is the
sole member of the serpentine family. The amphiboles
include amosite, crocidolite, tremolite, actinolite and
anthophyllite. Among the amphiboles, only amosite and
crocidolite have been used commercially in large quantities.
Asbestos is ubiquituous in our environment. While
asbestos is mined commercially in only a few countries--
Canada, South Africa, Zimbabwe and the Soviet Union are the
prime producers -- it is found is small quantities
practically everywhere. .
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In the United States, chrysotile asbestos is found in commercially viable deposits in Vermont, Arizona and
California. California, in fact, sits on vast beds of low
grade asbestos, most of it, however, of no commercial value.
Naturally occurring ambient levels of asbestos in California
are probably the world's highest, in some rare cases
actually exceeding the U.S. Occupational Safety and Health
Administration's standard for occupational exposure to
asbestos!
A number of American cities have extremely high levels
of asbestos in their water supply -- up to a million fibers
per liter -- essentially all of it coming from the natural
erosion of asbestos-containing rocks by rain and stream
water.
Most states contain rock formations containing small
qualities of asbestos. Wherever these formations protrude
above the earth's surface, wind and water erosion will
release small though detectable amounts into the air and
water.
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Asbestos found in polar ice thousands of years old
makes it quite clear that the mineral existed in our
environment long before its commercial use became
widespread. Man thus evolved into his present form in an
environment containing asbestos in the air he breathed and
the water he drank.
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Commeccial Uses of Asbestos
Through the centuries asbestos has been used in many hundreds of applications. Because it is a mineral, it is incombustible, which makes it an excellent thermal and electrical insulator. Curiously enough, the word "asbestos" comes from the Greek word for "unquenchable," because the ancient Greeks used it for lamp wicks that never burned out.
Asbestos also has high tensile strength and its fibrous form lends strength and cohesion to certain products, such as floor tile. Unlike other minerals, asbestos can be woven into yarn and used to make packings, insulating blankets and other similar industrial products.
Asbestos products can be genetically separated into two broad categories: "locked-in" products in which the asbestos is firmly bound into the matrix of the product by cement or plastic resins; and "friable" products, such as sprayed-on fireproofing and accoustical insulation, which can be readily crumbled in the hand, particularly after aging or water damage.
Because of the potential for hazards to workmen applying the products and the possibility for fiber release after installation, friable asbestos products are no longer used in the United States.
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Health Hazards of Asbestos Of all tne health hazards experienced by man, perhaps
none has been more extensively studied than asbestos. Over the past few decades, literally thousands of scientific and technical papers on the subject have been produced. The vast majority of the epidemiological studies undertaken have been of heavily exposed occupational groups or of people living in the vicinity of asbestos mines or plants.
Based on these studies, asbestos causes, either by itself or in combination with other factors such as cigarette smoking, three diseases. They are: (1) asbestosis, a non-cancerous scarring of the lung similar to Black Lung caused by coal dust or byssinosis caused by cotton dust; (2) lung cancer; and (3) mesothelioma, an . invariably fatal cancer of the lining of either the lung or abdominal cavities. Unlike lung cancer, mesothelioma is exceedingly rare, except in certain asbestos exposed populations. It is therefore extremely useful as an asbestos "tracker." While in 10-30 percent of mesothelioma cases no asbestos connection can be discovered, most researchers believe that when a case of mesothelioma is discovered, asbestos should be considered the causative agent unless there is evidence to the contrary.
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Other diseases, such as gastrointestinal cancer, have been linked by some researchers with asbestos exposure. The evidence on these other diseases is far less definitive than for the three discussed above.
Health Hazards to the General Public Based on the available scientific evidence,
mesothelioma is the only asbestos-related disease that has been definitely linked to non-occupational exposure to asbestos. In both the United -States and in Great Britain, cases of mesothelioma have been found among the families of heavily exposed asbestos workers. Presumably, this was due to asbestos dust brought home from work on the employees' clothes. Approximately 60 such cases have been identified worldwide.
In addition, mesothelioma has been found among workers who lived in the vicinity of crocidolite asbestos mines in South Africa and 11 cases were found in the neighborhood of a United Kingdom plant that was a heavy user of crocidolite. ' Since most of the exposures that resulted in these cases occurred 35-40 years ago, it is impossible at this point in time to determine how high they may have been; however, it is likely that they were extremely high in comparison with any known current ambient level.
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Chrysocu* asbestos - which ,,as .counted ,, ,, ,, years ior more than 95 percent ot the o.s. asbestos consumption - is less hazardous, particularly with regard to the development of mesothelioma, than the amphobile varieties. Most countries - the O.s. being the major exception - have more stringent occupational exposure standards for amosite and crocidolite (the two major amphobiles) than for chrysotile asbestos.
Asbestosis occurs only in workers with extremely high exposures over relatively Ion, periods of time. :t has not been found among people with "household- or other "semi occupational" exposures and is thus not of concern in assessing the risk of asbestos in schools or buildings.
The threat of lung cancer to the general public from ambient asbestos exposure is the most difficult to access. Because, in the United States, lung cancer accounts for approximately 5 percent of all deaths, any small increase in this percentage due to asbestos exposure would be essentially impossible to detect even with today's soprusticatea statistical methodologies.
A number of studies have, however, attempted to access the lung cancer risk for people living in the vicinity of asbestos mines, mills and plants. For women living in two mining/milling towns in Canada (combined population: 30,000), there was no excess lung cancer mortality from
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their very heavy non-occupational exposure to chrvsotile asbestos. In addition, no excess deaths due to lung cancer were found among men living in the vicinity of an amosite asbestos factory in New Jersey.
While hardly definitive, these results are reassuring in that they indicate that if there is any lung cancer risk " from non-occupational exposure to asbestos, it is very small indeed.
The Extent of the Asbestos Health Hazard,.
.
The degree of hazard presented by. exposure to asbestos
is dependent upon many factors, including type of
occupation, length of exposure, how much asoestos an
individual is exposed to, type of asbestos, the size of the
fiber, and other complicating factors.
In general, the scientific evidence, based primarily
upon studies of occupationally exposed groups, indicates the
following general conclusions:
Workers who install or rip-out asbestos-containing
insulations have experienced the greatest
mortality of any occupational group.
'
Workers in most other asbestos-using industries,
such as those involved_in asbestos-cement
production or in the manufacture of brake linings
and other friction materials, have experienced
little^ or no excess mortality from their exposure.
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Workers employed in the mining and milling of asbestos -- particularly chrysotile asbestos -- also have an extremely low mortality rate. The longer an individual is exposed to asbestos, the more likely he or she is to be affected. Most cases, however, do not occur until at least 20 years after the beginning of exposure. Asbestos-related disease is very heavily dose related, i.e., the more an individual is exposed to over a lifetime, the greater the chance of disease. In some cases, it would appear that a heavy dose over a relatively short period of time is more dangerous than lower doses spread out over many years. Without question, mesothelioma -- the only asbestos-related disease known to occur outside occupational settings -- is more directly related to crocidolite than to chrysotile exposure. Amosite falls somewhere in between in its ability
to cause mesothelioma. Fiber size affects mortality. Long fibers are apparently less hazardous than short ones, which are more respirable. On the other hand, extremely
short fibers -- of the size most c o m m o n ly found i n
the ambient air and in schools -- pose few
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problems because obey are effectively disposed of by the body's natural defense mechanisms. a Cigarette smoking greatly increases the risk of lung cancer among asbestos exposed workers. While the question is not completely settled, asbestos exposure may present little or no excess lung " cancer risk to workers who do not smoke. The same does not apply with regard to the development of either asbestosis or mesothelioma. All of the above factors are important in assessing the risk posed by the presence of friable asbestos products in U.S. schools and buildings.
E?A Risk Assessment In 1980 the E?A, as justification for its asbestos in
schools program, developed a draft health effects support document that predicted alarmingly high numbers of deaths from cancer among children, teachers and maintenance personnel in schools with friable asbestos. The E?A estimated that between 125 and 7,000 -- with the most likely number being about 1,000 -- premature deaths would occur over their lifetime among the approximately 3,000,000 students, 222,000 teachers and 23,000 custodians exposed in schools with friable asbestos. Approximately 90 percent of
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-he deaths would be among people who were exposed as children. Most deaths would occur after age 60.
Recent docments released by EPA estimate that the
number of children in schools with friable asbestos may be
as high as 15,000,000. Since the number of exposed people is therefore rather unclear, it is perhaps more useful to examine the EPA risk estimates in terms of "risk rate per
million" for exposed children. The EPA estimates can be demonstrated in the following
chart:
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,
TABLE I
Exposure
"Low" (.0017 fibers/cc of air)
"Medium" (.0081 fibers/cc of air)
"High" (.016 fibers/cc of air)
Projected Excess M ortality
111
960 '
5,866
Risk Rate Per M illion
37.8 327.2 1,999.3
These estimates are based on the assumption that children would be exposed to the above levels 36 weeks a year, six hours a day, five days a week, for 15 years. The number of years of exposure is based on the assumption that
t h r o u g h o u t his o r her schooling, including nursery school
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and Kindergarten, a child would be in a school with friable
asbestos. This is most likely an overestimation, and a
figure of ten years or less is probably more realistic.
How do these EPA figures compare with estimates of the
risk of low level asbestos exposure compiled by other
authorities and institutions?
One way of looking at the various estimates is to
compare the cumulative exposure with the assumed risk of
excess mortality per million or population. Since asbestos
is thought to cause disease in a "linear non-threshold dose-
response" fashion (a cumulative exposure or 1,000 persons to
10 fibers/CC would result in-the same number of deaths as a
cumulative exposure of 10,000 persons to 1 fiber/cc), it is
reasonable to use this sort of approach.
Scientists often express cumulative asbestos exposure
in fiber-years; one fiber-year of exposure can be caused,
for example, by one year of exposure at 1 fiber/cc or 10
years exposure at 0.1 fiber/cc.
Ambient air and school exposures are extremely low in
comparison with occupational exposures (the highest
cumulative lifetime exposure in the table below amounts to
0.25 fiber-years, while unregulated workplace exposures have
been estimated at 600-900 fiber-years or more of cumulative
exposure) . -For this reason, the table uses the concept of
fiber-hours instead of years.
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Since most of the studies represented below are not
directly comparable in terms of exposure levels, the last
represents an attempt to clarify this bv calculating
the predicted excess mortality per fiber-hour of cumulative
exposure.
-
What this table demonstrates is that, with the
exception of EPA, all other expert groups that have examined
the subject have predicted consistently low risk rates from ambient or school exposure to asbestos.
The Ontario Royal Commission/National Research Council
compilation is included because it combihes the two most
reasonable estimates of (1) school exposure (.001 fibers/cc)
and (2) predicted excess mortality from cancer per fiber hour of exposure.
Applying the UK Advisory Committee risk estimates to the Ontario Commission school exposure level would have
resulted in considerably lower mortality estimates (.02 to
0.17 excess lung cancer deaths per million). The Ontario
report alone, extrapolated to school children, would result
in slightly higher estimates (2.49 excess deaths per million).
When one considers that approximately 200,000 of every million Americans will eventually die of cancer, the above
data show that breathing 0.001 fiber/cc of asbestos during
01*000 1 3P5i
i. 't.W3 TIriM~
Excess Cane sr Mortalitv
*.bers/CC
National Research
Council (NRC) (73 years)
.0004
NRC (50 years) .0004
Ontario Royal * Commission (10 years)
.0010
Cntario/NRC (10 school vrs.) .0010
UK Advisory
Committee (a) (50 years)
(b)
.0050 .0050
(c) .0050
.
(d) . .0050
ERA: (15 school yrs)
"Low"
.0017
"Most Reasonable"
.0081
"High"
.0160
7 *ea y *
Excess Mortalitv
Fiber-Hours
Per Million
pa T a
255.0 175.0
87.4 10.3 2,190.0 2,190.0 2,190.0 2,190.0 27.5 131.2 259.2
36.13 36.13
20.00
* "toJ n *?
25.00 -50.00 159.00 53.00
37. aa
- 327.20 1,999.30
.*to*4 1i. .206
.223 .206
.0 1 1
.022 .077 .031 1.370
2.490 7.710
NOTES: *
The number of years listed under each stucy indicares tne '/ears o- assumed exposure at the fiber level erven. 11 are "building"
exposures with the exception of the SRC study, which co-bines both "building" and ambient exposures. The excess mortality for* the four K Advisory Committee studies are for lung cancer alone. Some mathematical extrapolations from data contained in the various studies were necessary to produce the above Table. The NRC (50 years) projection, for example/ was ceve-oped on the assumption that, due to the 20-year latency period of most asbestos-related diseases, the last 20 years o* a person s exposure would have little bearing on his or her mortality.
so-vear projection was used in developing the combined Ontario/N'RC estimates. It thus constitutes a "worst case"
estimate.
.
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schooi hours for a period of ten years would increase char risk by approximately 1/90,000th or .001 percent. if lunc cancer alone is considered, the excess risk is 1/23,000th or .004 percent.
It is no wonder, therefore, that most expert grouDs have concluded that the threat from asbestos in buildings is minimal at worst. For example, the OK Advisory Committee concluded:
Jnless contaminated buildings are verv much commoner than seems likely, no^appreciable mortality from lung cancer can be associated with any degree of contamination by chrysotiie . (asbestos) likely to be encountered in the CJ.K. iri *he ambient air or in buildings not under active construction or repair." The Ontario Royal Commission similarly said:
i^e deem the risk which asbestos poses to building occupants to be insignificant and therefore find that asbestos in building air will almost never pose a health hazard to building occupants."*
It is interesting that the EPA has discounted the opinions of the Ontario Commission on the basis that Ontario is onlv seeking to protect its asbestos mining industry. The fact* is that Ontario produces .very little asbestos, the vast majority of Canadian production being centered in Quebec. The EPA's argument would be equivalent to claiming that the state of Alaska has discounted the health effects of afla toxin m order to protect its peanut growing indu strv .
/ .s e t o !^
E v a l u a t i r . c t h e EPA P.isk A s s e s s m e n t
Sincs the EPA assessment of potential risk to children in scnools with "friable" asbestos is not supported by any other expert group, it is important to look at the assumptions underlying the EPA calculations.
To begin with, the EPA document was based on extrapolations from only three studies. The first -- the health effects study -- was that conducted by Selikoff et al on the mortality experience of U.S. insulation workers. As was mentioned earlier, the insulation workers have suffered the greatest amount of excess cancer due to asbestos exposure of any worker group studied. There were, according to the EPA analysis, 716 excess cancer deaths among 12,051 workers exposed for more than 20 years, or 59 deaths per thousand.
The second study, by Nicholson et al, was an estimate of the asbestos exposure of the insulation workers over their careers, without going into the complicated mathematics involved, Nicholson concluded that the insulation workers were exposed to an average of 3 fibers/cc during the 1960s, but that exposures in the past may have averaged between 10 and 15 fibers/cc.
The third study was one of asbestos levels in buildings
i n F r a n c e t h a t had b e e n i n s u l a t e d w i t h s p r a y e d asbestos.
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Using these data, E?A calculated the amount of cumulative exposure for the insulation workers at three levels -- 3, 9 and 15 fibers/cc -- that it assumed accounted for their total cancer excess. These calculations were then applied to the estimated school exposure levels to produce the three estimates of excess cancer mortality reproduced in Table 1.
For example, an average exposure of 3 fibers/cc for the insulation workers produced the lowest cumulative exposure but the highest risk per fiber. Applying this number to the highest possible school exposure produced the estimate of 1,999.3 excess deaths per million of exposed children.
EPA's "most reasonable estimate" of 960 excess deaths was therefore based on an average exposure to the insulation workers of 9 fibers/cc and a school exposure of .0031 fibers/cc.
What, then, is wrong with the EPA approach? To begin with, there appears to be something particularly unusual about the health experience of the asbestos insulation workers. With the possible exception of workers in certain asbestos textile factories, no otner asbestos exposed population has suffered the increase in mortality per exposure level suffered by the insulation workers.
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However, attempts to extrapolate their experience to other asbestos--exposed working populations have fallen on rocky ground.
For example, in 1978, then Secretary of the U.S. Deoartment of Health Education and Labor Joseph A. Califano, released a National Institutes of Health report indicating -- based exclusively on the insulation workers study -- that asbestos exposure was responsible for 13,900 excess cancer deaths a year? 10,400 from lung cancer and another 3,500 from mesothelioma. Selikoff himself has been quoted as predicting 10-20,000 excess deaths a year from asbestos exposure for "the next 40 years."
Do these extrapolations make any sense? Not according to most experts. Sir Richard Doll and Dr. Richard Peto of Oxford University, perhaps the world's two Leading experts on occuoationally induced cancer, said in reference to the Hz.W reoort that "these estimates of total risk were so grossly in error that no arguments based even loosely on them could be taken seriously." Similar comments were expressed by the Director of the International Agency for Research on Cancer of the World Health Organization, and others. According to an analysis done by the American Industrial Health Council, an industry group, if Selikoff's
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insulation workers data were applicable to other asbestcsexposeo working populations -- such as WWII shipyard workers
at least 10,000 mesothelioma deaths should be occurring each year in the United States. The actual number is less than a thousand, a number far less than any estimate based on the .insulation workers study.
Unfortunately, the Califano/HEW/NlH report -- which was never puolished in a scientific publication for peer review -- received enormous publicity and has subsequently become gospel among many public and private groups and was one o the influencing factors in launching the EPA asbestos in schools program.
Par, of the explanation for the extremely high mortality of the asbestos insulation workers -- particularly from mesothelioma -- may be traced to the fact that large amounts of araosite asbestos were handled by the insulation workers, particularly during the war years. As was stated earlier, amosite seems to occupy a middle ground in toxicity among asbestos types, being less dangerous than crocidolite but more so than chrysotile. Based on numerous studies, chrysotile asbestos alone could not account for the extremely high mesothelioma rates of the asbestos insulation workers.
In contrast to the insulation workers' exposure, very little amosite asbestos except for some boiler room
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applications -- was ever used in school accoustical or fireproofing products, the main sources of possible childhood exposure. Even more importantly, crocidolite asbestos, undeniably the primary cause of mesothelioma, has never been used in friable school products.
With regard to the insulation workers' exposure study, much criticisa has been leveled at the Nicholson estimates. Many industry experts contend that average exposure levels were more in the ranee of 20--30 fibers/cc, particular!*/ in the early years of the industry. Thus, ;the EPA's "most reasonable" estimate of average exposure may be understated by as much as 200 percent.
In addition, some experts believe that it is misleading, from a biological standpoint, to average out exposures over a workday in assessing cumulative exposure. For example, it may be more dangerous to inhale 100+ fibers/cc for an hour than to inhale 12.5 fibers/cc over an eight-hour day, because the body's natural defense mechanisms are less able to deal with the "peak" exposures and therefore more fibers are retained.
Since the asbestos insulation workers' days were typically ones of "peaks and valleys" in terms of exposure, the averages calculated by Nicholson may not reflect the true biological impact. -
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Of perhaps more signifrcar.ee is the fact that the SPA decided tc consider only the first ten years of cumulative exposure in assessing the risk of the insulation workers. EPA theorized that since asbestos-related diseases do not begin to show up -- even in the most heavily exposed populations -- until 20 years after first exposure, all of the cancer deaths discovered in the Selikoff study could reasonably be attributed to their first decade of exposure.
Without going into the calculations involved, an
insulation worker who began his employment in 1940, ana who
continued in that trade until his death from mesothelioma in 1977, would be credited in terms of the SPA formula with tan years of.exposure instead of the 37 he actually experienced. This "wasted" exposure EPA considered a "safety factor" in assessing the risk to schoolchildren.
With regard to the use of the single French study by Sebastien in assessing schoolroom asbestos levels, the Ontario Royal Commission reported that "the EPA conclusions overestimated the average exposure of occupants of buildings containing sprayed asbestos insulation, in part because of a selective use of the highest levels report by Seoastien."
According to the Commission report, "of the 21 buildings studied by Sebastien, the EPA analyzed only eight, those with the highest airborne asbestos fibre levels...Nor
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did it mention that in nine buildings containing sprayed asbestos insulation the maximum asbestos fiber concentration found by Sebastien was (.0002 fibers/cc) or less."
The Commission report concluded: "We find that this selective use of Sebastien's data in the EPA paper resulted in an overestimation of the average exposure of occupants of buildings containing sprayed asbestos insulation."
The Royal Commission estimated the actual averge level in buildings with friable asbestos at .SCI fibers/cc, 40 percent lower than the "lowest" EPA estimate and 1/3rh or 12 percent of the "most reasonable" EPA estimate.
Taken together, the above analyses of the EPA support document go a long way toward explaining why EPA predicted extremely high mortality rates for children in schools with friable asbestos products, and why they in no way reflect the thinking of other expert groups around the world.
The Susceptibility of Children Some researchers have suggested that children may be
more at risk-than adults from asbestos exposure, particularly with regard to the development of mesothelioma. Others believe the matter is far from settled. Even the SPA health effects document reached no conclusion.
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There is some reassurance in Che face that, while friable asbestos has been used in U.S. schools for approximately 40 years, there does not appear to be any increase in the incidence of mesothelioma among people not occupationally or "semi-occupationally" exposed to asbestos.
If children are more susceptible to asbestos than adults, we should be seeing some increase in mesothelioma among adults in their mid--40s. No such increase has been detected thus far.
This could also be due to the fact that while all three types of asbestos have been shown to cause mesothelioma, crocidolite and, to a lesser degree, amosite appear more toxic in this regard than chrylotile. Very little of either of the araphobiles was ever used in schools.
Removal Hazards A number of groups, including the New Jersey Department
of the Public Advocate and the Congressionally-chartered National Institute of Building Sciences, have warned that the improper or sloppy removal of asbestos-containing insulation in a school building may actually create a hazardous situation where none existed before. - According to a study by Donald J. Pinchin, in seven out of nine sprayed asbestos removal projects in which the
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air was analyzed before, during and after removal, the levels in the building were higher after removal than they had been previously. Asbestos levels in the buildings, but outside the immediate work area, were also high during removal, in one case reaching 2.2 fibers/cc.
Of greater concern is the fact that the removal of sprayed asbestos insulation can create a major health hazard for the workers doing the removal, particularly if they are untrained. Pinchin reported worker exposure levels of between 3.8 and 6.1 fibers/cc, well above U.S. standards. In this study, the environmental control measures taken to reduce the exposure were excellent.
In testimony before the EPA, Dr. Robert N. Sawyer reported levels averaging 36 fibers/cc with a maximum of 117 fibers/cc for some types of dry removal operations. He concluded that "removal presents an uneauivocable exposure risk to involved personnel. In contrast to the non-existent or negligible exposure of typical building occupants, removal operations disturb asbestos-bearing materials and will release.significant numbers of fibers."
The Ontario Royal Commission stated: "the immediate effect of asbestos removal on airborne asbestos fibre levels in buildings is to leave them unchanged or to increase them... The benefit from removal, then, is not a reduction
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.
in average fibre levels, which tend to be low to begin with."
On the other hand, there is sufficient evidence to indicate that removal operations performed by qualified
personnel using sophisticated wet-technology methods will not: create an unusual hazard for the workmen involved nor will they leave residual levels of asbestos in the building hicner than those that originally existed.
Such qualified removal firms are unfortunately "few and
far between."
_
Conclusion Asbestos, a well-recognized health hazard, has been
used in a friable form in schools for some four decades. CJncuestionally, some exposure to school children has resulted from this use. While estimates vary, most expert groups that have reviewed the available evidence have concluded that the risk to children from exposure to asbestos in schools under normal conditions does not constitute an excessive risk when compared with risks encountered in everyday life.
The U.S. EPA undertook a well-intentioned effort to address the far more substantial risks associated with "peak'* exposures, i.e., when the asbestos is daraagea and
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