Document QwyaZz957mYnQXVoLdvzXxpo
FILE NAME: Asbestos International Association (AINT)
DATE: 1978 Aug 22
DOC#: AINT004
DOCUMENT DESCRIPTION: Memo RE Important Points for Industry Statement - "the exact level for prevention of cancer has not been demonstrated" [Note - Many originals are on legal size paper so text looks small when reprinted on 8.5x11 paper]
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TO: Hr. John H. Harsh
August 22, 1978
SUBJECT:
Asbestos International Association The Most Inport Points to be Included in an Industry Statement cn Asbestos and Health Problems
I have read Harry Rhodes* letter to you dated August 15, 1978 and note his concern about my attitude toward what triggers the medical surveillance of asbestos workers.
.I have also re-read the sections in the Excerpts from the Asbestos Industry
Response to OSHA dated April 9 1976.
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It is not my intention to insist upon unnecessary medical examinations, and I think that the`insertion of the word "occupationally" in the 3rd line of item 6.3 cn page 2 between "employees" and "exposed", will considerably narrow the field.
I am certain that the trigger for medical examinations should be "occupational exposure" and not over-exposure implied by limiting the surveillance to those "persons regularly exposed to airborne asbestos fibers in excess of the prescribed
standards." The viewpoint expressed in the AIA document that it is unnecessary to keep under surveillance persons exposed to asbestos below the prescribed standard is not a valid one in the light of the acceptance by the industry that the exact level for the prevention of cancer has not been demonstrated. It is essential to build up data on low levels of exposure and, therefore, all "occupationally exposed" workers should be examined, regardless of fiber count. At the same time every effort should be made to insure that adequate records are made and kept, shewing the type of exposure, duration of exposure and intensity of exposure for each individual to correlate with subsequent medical parameters analyzed. If the asbestos industry wanted to cmke a positive contribution, the development of a viable technique for auditing the applicability of the provisions of the standard to various jobs and operations would be of immense value to workers, industry
and regulatory agencies alike.
Hilton C. Lewinsohn /as
MEMO
from the desk of DR. HILTON C. L E W I N S O H N
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07705 !
& aim* UNION CARBIDE CORPORATION
. METALS DIVISION
P.O.BOX 579
. NIAGARA FALLS, N.Y. 14302 TEL:
August 15, 1978
Mr. John Marsh
Raybestos-Mannattan
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Corporate Headquarters
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TOO Oakview Drive
Trumball, CT. 06611
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Dear John:
I see only one serious difficulty with Hilton's comments on-jny 7/31/78
Draft (attached), i.e., with Item 6.3. In their response to the October 9, 1975 OSKA Proposal, the AIA/NA took * strong position that there was a minimum exposure level below which medical examinations should not be required. This position was based or. the lack of medical usefulness of such examinations, the inefficient use of limited medical resources that would be spent giving such examinations, and the practical infeasibility of actually providing the number of examinations annually which would be
required.
/ It is my understanding that this is ilso to be our position in the forth coming OSHA asbestos rulemaking. An industry position that all employees
"exposed to asbestos" should be subject to routine periodic medical surveillance would seriously undercut this approach. If we have a problem
here let's discuss it as soon as possible.
Regards,
HBR/rmm Attachment
Harrison B. Rhodes Technology Manager
JHM 07706
DR A FI HBR-7/31/78
ASBESTOS INTERNATIONAL ASSOCIATION
THE MOST IMPORTANT POINTS TO BE INCLUDED IN AN INDUSTRY STATEMENT ON -- -----------------ASBESTOS AND HEALTH PROBLEMS
will nr> 1. Asbestos, like many other essential raw materials,wey be a danger to
health if it is ^correctly used.
2. Cigarette smoking has a strong synergistic effect in increasing the oh lur\j `tU'CtH
heaT-ih risk from exposure to asbestos.
3. Industry believes that a tine-weighted average exposure of 2 fibers/cc
hygiene
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an$appropriate standard but recognizes that there is
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no conclusive evidence to either prove or disprove tin
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% this level. As a consequence of this uncertainty, exposure should
be controlled to the lowest practicable level.
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4. There is a long time interval between exposure and appearance of
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disease and present cases areA associated with levels of exposure in the
past^greatly in excess of those experienced in properly controlled
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modern operations.
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5. Industry recognizes the need to control w * exposure to asbestos
and favors strict enforcement of realistic regulations In|" o p e M o n
with pj',1:. authariti. -mediraT-pr-afessn-onals . and trade unions.
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6. Industry will continue to take all necessary actions to ensure sa e
and healthy working c o n d i t i o n s . ^
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7. ' The user of asbestos-containing products is generally not at risk if
there are no subsequent finishing operations which generate exposures
above the limit noted in Item 2. If there are such finishing operations
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the necessary precaution^ must be taken.
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8. . Asbestos in the ambient air does not-- invol vc any ricc-mcnted-health pis
"risk/ to th e community at larce.
-lu 07707
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HBR-7/31/78
ASBESTOS INTERNATIONAL ASSOCIATION
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DETAILED STATEMENT OF THE INDUSTRY'S POSITION IN RELATION TO
ASBESTOS AND HEALTH PROBLEMS
1. THE RISK TO HEALTH
1.1 Asbestos dust may represent a danger to health if it is inhaled.
2. ' ASBESTOSIS
2.1 If sufficient concentrations of fibrous dust are inhaled -ever
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prolonged periods, fibrosis of the lung (asbestosis) may result^
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-2-^2-- Cigarette smokers who-are -exposed to-asbestos are-more~
H i ^ ^ v **6**1 . sus c ep t ibl e -to th is ri s fc-ihan non-smoker s .
3. LUNG CAKCER
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3.1 Asbestos workers da not cam to eg more susceptible to lung *"
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_ cancer than other people unices they smoke.no/ loci'1
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3.2 Asbestos workers afspeevrsed-not >b-smoke or tv reduce their
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smoking to a minimum because smoking (particularly heavy
smoking) considerably increases the risk of developing lung
cancer.
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<- . h k o t h e l x o m a 4.1 There appears to be a d uwr relationship between exposure to
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asbestos and the Incidence of mesotheliomar-bwt ^ot all cases of
mesothelioma can be associated with exposure to asbestos.
4.2 While some medical authorities take a positive stand, there is 'y 'wwi: ___
by no means general agreement about the alleged^ s-pgrlrrc
-K^e of crocidollte and amoslte 1n the causation of this disease.
' ' 4.3 "The majority of Association members who currently use Ti, take the
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view that
re can
se used provided that the
D r e c a u t i o n s s e t out in the Association's publications are strictly
nh'prvn^.
' A Jmn um 07708 ----
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5. REGULATIONS AND THRESHOLD VALUES 5.1 The industry accepts the need for statutory regulations designed
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to ensure that asbestos is used safely^-f'~_ 'v. .
5.2 It is the industry's policy to imhtaMiiia ;'"Tv exposure to airborne /
asbestos fiber during manufacture to the lowest practicable level
but in any case not to exceed the 2 fibers/cc limit. 5.3 In the absence of regulations in any country, the Association
recommends that the precautions set.out .in its .publication "The Control of Asbestos Dust" should be observed.
6. MANUFACTURE
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6.1 Asbestos may be used in industry provided that the dust control
measures recoranended by the International Association are observed.
6.2 It is the industry's policy that all of its employees should be fully informed of the level of risk to which they may be exposed.
6.3 It is the industry's policy to ensure that areas where asbestos
is used are monitored in accordance with the regulatory requirements
of the country of use and that all employees exposed to asbestos
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re subject to routine periodic medical
surveillance.
USERS
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7.1 If there are no subsequent finishing operations on products which
release significant quantities of airborne fiber, it is generally
acknowledged that there are no health risks to the users of the
products.
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If finishing operations are undertaken, appropriate precauti ons
.U/ 'tP* .te.- *..-r. 1a-nyUg)M^Up*^e\f^ifIr*_._- _ b
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7.2 Full information about possible hazards should be given to
users of asbestos products.
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J H M 07709
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7. USERS ( C o n t in u e d ) 7.3 As yet there is no uniform policy concerning the use of warning labels on asbestos products but many members now believe that the industry should voluntarily label products where a possibility
of significant user exposure exists.
8. MEASUREMENT OF AIRBORNE DUST 8.1 It is the industry's policy to take the lead in the development
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and standardization of reliable techniques for this purpose.
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8.2 The industry recommends that the membrane filter method be
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retained as the standard method of measurement of airborne asbestos
' concentrations until better alternatives have been tried, prove*.
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and correlated with it.
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9. GENERAL PUBLIC
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9.1 The general public is not at risk from asbestos or asbestos
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products.
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9.2 Persons living near asbestos factories are not at risk provided
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the precautions issued by the International Association are^
. properly o b s e r v e d . ^ H * e--
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10. RESEARCH
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10.1 The industry supports research into medical and scientific
questions associated with asbestos and asbestos-related
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disease.
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10.2 The industry encourages publication of the results of this
research irrespective of whether these results are favorable
to the industry or not.
JHM 07710
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