Guidance Manual______ _______ Asbestos Operations & Maintenance Work Practices September 1992 The National Institute of Building Sciences (NIBS) is a non-govemmenial, non-profit organization, authorized by Congress to encourage a more rational building regulatory environment and to accelerate the introduction of existing and new technology into the building process.

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The a American / Ceramic Society , February 15,1993 1 hereby certify that the attached copies of Ceramic Abstracts, Volume 19,1940, are true and accurate copies, which are maintained in the normal course of business at the American Ceramic Society, 735 Ceramic Place, Westerville, Ohio 43081.

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FILE NAME Household Contact HC DATE 1996 DOC HC022 DOCUMENT DESCRIPTION Journal Article - Pleural Mesothelioma and Household Asbestos Exposure REVIEWS ON ENVIRONMENTAL HEALTH MED MED 1116 VOLUME 11 NOS 1-2 1996 Pleural Mesothelioma Household Asbestos Exposure Joachim Schneider Kurt Straif and Joachim Woitowitz Institut und Poliklinikf^...rArbeits- und Sozialmedizin der Universit^/tGiessen Aulweg 129 35385 Giessen Deutschland SUMMARY This article discusses the development of induced malignant mesotheliomas after occupational environmental exposure to asbestos through contact with occupationally exposed household members In our policlinic we have seen six fatal pleural mesothelioma cases five wives and one son of asbestosindustry workers with ---- history of occupational asbestos exposure In five women a causal relation was established between the fa disease and inhalation of asbestos fibers whue cleaning the contaminated work and shoes of their husbands at home The son had also been exposed to asbestos throughout his childhood during daily visits with his father at the workplace INTRODUCTION Asbestos mesothelioma No. 4105 of he German Ordinance of Occupational Diseases BeKV is one of the most frequently compensated occupational cancers / Malignant mesothelioma is specifically regarded as a signal tumor of previous exposure to asbestos in the workplace 2 To our knowledge causes other than asbestos and The comparably persistent mineral Erionite have not been found 3,4 Mesothelioma is considered a marker for occupational asbestos exposure as well 5,6 Asbestos mesotheliomas have been described in the vicinity of asbestos mines in South Africa 7,8 Canada 9 Australia 10,11 and C 12 Industrial asbestos manufacture also presents a significant health risk to the environment In Saxony 13 and especially in the HamburgBergedorf area the incidence of mesothelioma Freund Publishing House Ltd. 1996 cases was significantly increased in areas that are close to industrial asbestos emitters 14-17 Many reports have emerged from Turkey 18-20 the northwestern part of Greece 21 and Corsica 22 23 about the endemic incidence of diffuse malignant mesotheliomas caused by environmental exposure to asbestos or Erionite through soil erosion In certain regions of central Anatolia mesothelioma incidence figures of up to 216 per 1,000,000 inhabitants have been recorded although the expected mesothelioma incidence in the general population was very low The estimate of an annual mesothelioma mortality rate of 1 to 8 per one million inhabitants 24-26 relates to about one mesothelioma death per 1000 to 10,000 deaths from all causes An article by Grossgarten and Woitowitz 6 presents an overview of asbestosinduced pleural mesotheliomas that are linked to indoor inhalation by household contacts PATIENTS AND EXPOSURE CRITERIA In our policlinic we have seen asbestos tumors in members of households where at least one worker had been occupationally exposed to asbestos Between 1986 and 1994 five women and one young man one patient's son with no occupational history of asbestos exposure died of - asbestos mesothelioma Their ages ranged from 42 to 68 years Table ) The diagnosis was always confirmed by histology on specimens autopsy Detailed job histories revealed that neither the women nor # the son had ever worked in an asbestos factory Asbestos exposure was exclusively through residential inhalation of asbestos from contaminated work clothes or shoes that were brought home from / the workplace by the husband Throughout his childhood the son had regularly delivered a hot 65 66 J.