Asbestos exposures during reprocessing of automobile brakes and clutches

Asbestos exposures of workers in three small factories reprocessing automobile brakes and clutches in Japan were investigated. Airborne asbestos was collected on a membrane filter using an air sampler. From 1982 to 1989, asbestos counting was performed on 295 samples (198 personal and 97 stationary), using phase contrast microscopy. Only chrysotile asbestos was detected. Workers who reprocessed automobile brakes and clutches were exposed to asbestos concentrations of 0.025-76.4 fibers/cm3. Geometric mean asbestos concentrations during attaching linings to brake shoes and attaching facings to clutch disks were 0.859 fibers/cm3 and 0.780 fibers/cm3, respectively. Concentrations during stripping worn brake linings and clutch facings were 0.484 fibers/cm3 and 0.382 fibers/cm3, respectively. Machine grinding and leveling of new brake-lining surfaces represent potential sources of heavy asbestos exposures, unless enclosures and local ventilation are efficient.     

Exposure to brake dust and malignant mesothelioma: a study of 10 cases with mineral fiber analyses

OBJECTIVES: A large number of workers in the USA are exposed to chrysotile asbestos through brake repair, yet only a few cases of malignant mesothelioma (MM) have been described in this population. Epidemiologic and industrial hygiene studies have failed to demonstrate an increased risk of MM in brake workers. We present our experience of MM in individuals whose only known asbestos exposure was to brake dust and correlate these findings with lung asbestos fiber burdens. METHODS: Consultation files of one of the authors were reviewed for cases of MM in which brake dust was the only known asbestos exposure. Lung fiber analyses were performed using scanning electron microscopy (SEM) in all cases for which formalin-fixed or paraffin-embedded lung tissue was available. RESULTS: Ten cases of MM in brake dust-exposed individuals were males aged 51-73 yr. Nine cases arose in the pleura and one in the peritoneum. Although the median lung asbestos body count (19 AB/g) is at our upper limit of normal (range 0-20 AB/g), half of the cases had levels within our normal range. In every case with elevated asbestos fiber levels by SEM, excess commercial amphibole fibers were also detected. Elevated levels of chrysotile and non-commercial amphibole fibers were detected only in cases that also had increased commercial amphibole fibers. CONCLUSIONS: Brake dust contains exceedingly low levels of respirable chrysotile, much of which consists of short fibers subject to rapid pulmonary clearance. Elevated lung levels of commercial amphiboles in some brake workers suggest that unrecognized exposure to these fibers plays a critical role in the development of MM.     

Exposure to chrysotile asbestos associated with unpacking and repacking boxes of automobile brake pads and shoes

Industrial hygiene surveys and epidemiologic studies of auto mechanics have shown that these workers are not at an increased risk of asbestos-related disease; however, concerns continue to be raised regarding asbestos exposure from asbestos-containing brakes. Handling new asbestos-containing brake components has recently been suggested as a potential source of asbestos exposure. A simulation study involving the unpacking and repacking of 105 boxes of brakes (for vehicles ca. 1946-80), including 62 boxes of brake pads and 43 boxes of brake shoes, was conducted to examine how this activity might contribute to both short-term and 8-h time-weighted average exposures to asbestos. Breathing zone samples on the lapel of a volunteer worker (n = 80) and area samples at bystander (e.g., 1.5 m from worker) (n = 56), remote area (n = 26) and ambient (n = 10) locations collected during the unpacking and repacking of boxes of asbestos-containing brakes were analyzed by phase contrast microscopy and transmission electron microscopy. Exposure to airborne asbestos was characterized for a variety of parameters including the number of boxes handled, brake type (i.e. pads versus shoes) and the distance from the activity (i.e. worker, bystander and remote area). This study also evaluated the fiber size and morphology distribution according to the International Organization for Standardization analytical method for asbestos. It was observed that (i) airborne asbestos concentrations increased with the number of boxes unpacked and repacked, (ii) handling boxes of brake pads resulted in higher worker asbestos exposures compared to handling boxes of brake shoes, (iii) cleanup and clothes-handling tasks produced less airborne asbestos than handling boxes of brakes and (iv) fiber size and morphology analysis showed that while the majority of fibers were free (e.g. not associated with a cluster or matrix), <30% were respirable and even fewer were of the size range (>20 microm length) considered to pose the greatest risk of asbestos-related disease. It was found that average airborne chrysotile concentrations (30 min) ranged from 0.086 to 0.368 and 0.021 to 0.126 f cc(-1) for a worker unpacking and repacking 4-20 boxes of brake pads and 4-20 boxes of brake shoes, respectively. Additionally, average airborne asbestos exposures (30 min) at bystander locations ranged from 0.004 to 0.035 and 0.002 to 0.011 f cc(-1) when 4-20 boxes of brake pads and 4-20 boxes of brake shoes were handled, respectively. These data show that a worker handling a relatively large number of boxes of brakes over short periods of time will not be exposed to airborne asbestos in excess of its historical or current short-term occupational exposure limits.     

Asbestos dust exposure during brake repair

About 10,000 tons of chrysotile per year are used in the Federal Republic of Germany for the production of friction materials. During brake repair an unknown number of approximately 300,000 mechanics in automobile service stations are exposed to asbestos dust. In a field study, asbestos fiber concentrations during brake repair were measured. Occupational histories and chest X-rays of brake service mechanics are being examined. Ninety dust measurements in 76 service stations were made by phase contrast microscopy and by scanning transmission electron microscopy. By electron microscopy, extremely fine chrysotile fibers with lengths less than 5 microns were identified in brake drum dust. Fibers with lengths greater than or equal to 5 microns constituted less than 1% of all chrysotile fibers counted in brake drum dust. Short-term asbestos dust exposures were measured by light microscopy in 101 personal samples during blowing out of brakes, and grinding and turning of brake linings. During blowing out of car brakes, as well as during grinding of brake linings, the product of fiber concentration with length greater than 5 microns and sampling time amounted to about 4-5 fibers/ml X min corresponding to a concentration of 10(6) fibers/m3 over 4-5 min. For trucks and buses higher amounts of 5-10 X 10(6) fibers/m3 X min were observed during these operations. From occupational histories of 210 vehicle mechanics, an average duration of employment of mean +/- s = 21 +/- 10 years and a mean cumulative fiber dose of mean +/- s = (0.54 +/- 1.1) X 10(6) fibers/m3 X years were calculated.     

Evaluation of asbestos exposure during brake repair and replacement

Occupational exposure to asbestos fiber of brake repair job (auto mechanics) has seldom been evaluated in Iran. Accordingly, we evaluated asbestos fiber concentrations in the breathing zone of auto mechanics between July 2008 and December 2008. The asbestos fiber concentrations of 60 personal air samples collected from 30 cars and trucks brake replacement and they were analyzed by phase-contrast optical microscopy (PCM) and scanning electron microscopy (SEM) by energy-dispersive X-ray analysis. The geometric means of the personal monitoring fiber concentrations were 0.92 PCM f/ml and 0.46 PCM f/ml respectively in car and passenger heavy truck auto shops. There was a significant differences in the asbestos fiber concentrations between the car and truck auto shops (p=0.006). Based on these findings, auto mechanics who worked with asbestos containing brake may have been exposed to asbestos concentrations approximately 7 times higher than the current occupational safety and health agency (OSHA) permissible exposure limit (PEL) of 0.1 f/ml. Fiber morphology and energy dispersive X-ray analysis by SEM revealed that amphibole fibers such as tremolite and actinolite existed in the brakes dust and that the vast majority (>30%) of the airborne chrysotile fibers were greater than 1 μm in diameter. It can be concluded that the imported chrysotile asbestos contains trace amounts of tremolite and actinolite fibers and they are responsible for the high airborne asbestos levels and occupational exposure to amphibole asbestos in auto mechanics job in Iran. Thus, it is to be expected that the auto mechanics will suffer negative health effects due to exposure to the serpentine and amphibole asbestos fibers.     

Asbestos bodies and the diagnosis of asbestosis in chrysotile workers

It has been suggested that because chrysotile asbestos forms asbestos bodies poorly, use of the traditional histologic requirements (diffuse interstitial fibrosis plus asbestos bodies) for the diagnosis of asbestosis, may lead to an underdiagnosis of this condition in workers exposed only to chrysotile. We examined lungs from 25 chrysotile miners with diffuse interstitial fibrosis. Asbestos bodies were found easily in histologic section using hematoxylin and eosin stains in all cases. Mineralogic analysis of four cases showed that 46 of 72 (64%) bodies isolated and examined contained chrysotile cores, and 21 of 72 (29%) bodies contained cores of the amphiboles tremolite and actinolite. By contrast, tremolite and actinolite constituted the majority of uncoated fibers in these cases. The mean length for bodies formed on chrysotile was 35 micron, and for bodies formed on tremolite or actinolite, 36 micron. We conclude that (1) the usual histologic criteria for the diagnosis of asbestos are applicable to chrysotile-exposed workers; (2) in workers with occupational chrysotile exposure, bodies form readily on this mineral; and (3) asbestos bodies in these lungs reflect the presence of long asbestos fibers.     

Mesothelioma associated with use of drywall joint compound: a case series and review of literature

Abstract

Background: Drywall joint compound contained asbestos fibers, primarily chrysotile, in the 1950s through the 1970s. Workers in a variety of construction trades and homeowners were exposed to respirable asbestos from the use of these products, including during handling, mixing, sanding, and sweeping. Disturbance of in-place asbesto-containing joint compound continues to be a potential source of exposure during demolition or repair of wallboard. Studies from the 1970s and 1980s report air fiber measurements above current and historic regulatory limits during intended usage, and typical asbestos-related disease in drywall construction workers.

Objectives: We present three cases of mesothelioma in which the only known exposure to asbestos was from joint compound and review the literature on exposure circumstances, dose and fiber types.

Conclusions: Physicians treating mesothelioma patients should obtain a history of exposure to these products during work or home remodeling.     

Mineral phases and some reexamined characteristics of the international union against cancer standard asbestos samples

Standard asbestos samples to be used for biomedical research were first prepared by the International Union Against Cancer (UICC) in 1966 in the United Kingdom and South Africa. Using modern techniques, X-ray diffractometry, analytical transmission electron microscopy, and thermal analysis, we have now analyzed these UICC samples to determine the mineral compositions (mineral phases) and their respective quantities. UICC chrysotile A (from Zimbabwe) contains 2% fibrous anthophyllite as impurity; chrysotile B (from Canada) does not contain any fibrous impurities, only non-fibrous minerals. UICC amosite and crocidolite are almost pure. UICC anthophyllite has 20–30% talc as impurity. The chemical compositions and fiber size distributions of the UICC asbestos samples have also been determined. The mean widths of the fibers of chrysotile A and B are smaller than those of the amphibole fibers. This agrees well with the earlier results which showed the two chrysotile samples to have a larger respirable fraction than the amphiboles. © 1996 Wiley-Liss, Inc.     

Asbestos bodies in bronchoalveolar lavage fluids of brake lining and asbestos cement workers.

Asbestos body (AB) concentrations in bronchoalveolar lavage samples of 15 brake lining (BL) workers exposed only to chrysotile have been determined and compared with those from 44 asbestos cement (AC) workers extensively exposed to amphiboles. The mean AB concentrations (263 +/- 802 and 842 +/- 2086 AB/ml respectively) for those groups did not differ significantly but were much higher than those found in control groups. Analytical electron microscopy of asbestos body cores showed that in the BL group 95.6% were chrysotile fibres whereas in the AC group amphiboles accounted for 93.1%. The size characteristics of the central fibres differed for chrysotile and amphibole AB, the former being shorter and thinner. Examination of repeated bronchoalveolar lavage samples showed that the mechanisms of clearance of chrysotile fibres do not affect AB concentration for at least 10 months after cessation of exposure. It thus appears that routine counting of ABs in BAL allows the assessment of current or recent occupational exposures to asbestos. Exposures to chrysotile lead to AB concentrations comparable with those encountered in exposures to amphiboles.     

Characterization of three types of chrysotile asbestos after aerosolization

Jeffrey Mine and Coalinga Mine chrysotile, two asbestos samples prepared for experimental research by the National Institute of Environmental Health Sciences, and the UICC B chrysotile reference sample have been characterized in the aerosolized state using gravimetric measurements, light microscopy, scanning electron microscopy, and x-ray energy spectrometry. These methods revealed (1) a greater "respirable" mass fraction in the Jeffrey and UICC B preparations compared to the Coalinga sample, (2) for fibers greater than 5 microns in length and less than 3 microns in diameter, Jeffrey Mine chrysotile contained a significantly greater fraction of fibers longer than 40 microns in length compared to the UICC B or Coalinga Mine chrysotiles, and (3) Jeffrey and UICC B chrysotile contained no fibers or fiber clusters which exceeded 2 microns in diameter while Coalinga chrysotile contained numerous fibers and fiber clusters which were greater than 2 microns in diameter. The characterization of these chrysotile preparations in the aerosolized state, in particular the Coalinga Mine chrysotile, demonstrated different fiber length and fiber width distributions when compared with previous characterizations of samples that had been dispersed in a liquid medium by ultrasonification. These observations emphasize the importance of determining size distribution of fibers in the aerosolized state for inhalation studies and the size distribution of fibers in a liquid suspension for oral ingestion, instillation, or injection studies. Because of differences in length-width distributions, each of the studied chrysotile preparations would be expected to have different patterns of deposition in the alveolar regions of the lung after an inhalation exposure.     

Comparative hazards of chrysotile asbestos and its substitutes: A European perspective.

Although the use of amphibole asbestos (crocidolite and amosite) has been banned in most European countries because of its known effects on the lung and pleura, chrysotile asbestos remains in use in a number of widely used products, notably asbestos cement and friction linings in vehicle brakes and clutches. A ban on chrysotile throughout the European Union for these remaining applications is currently under consideration, but this requires confidence in the safety of substitute materials. The main substitutes for the residual uses of chrysotile are p-aramid, polyvinyl alcohol (PVA), and cellulose fibers, and it is these materials that are evaluated here. Because it critically affects both exposure concentrations and deposition in the lung, diameter is a key determinant of the intrinsic hazard of a fiber; the propensity of a material to release fibers into the air is also important. It is generally accepted that to be pathogenic to the lung or pleura, fibers must be long, thin, and durable; fiber chemistry may also be significant. These basic principles are used in a pragmatic way to form a judgement on the relative safety of the substitute materials, taking into account what is known about their hazardous properties and also the potential for uncontrolled exposures during a lifetime of use (including disposal). We conclude that chrysotile asbestos is intrinsically more hazardous than p-aramid, PVA, or cellulose fibers and that its continued use in asbestos-cement products and friction materials is not justifiable in the face of available technically adequate substitutes.     

Asbestos bodies in bronchoalveolar lavage fluids of brake lining and asbestos cement workers

Asbestos body (AB) concentrations in bronchoalveolar lavage samples of 15 brake lining (BL) workers exposed only to chrysotile have been determined and compared with those from 44 asbestos cement (AC) workers extensively exposed to amphiboles. The mean AB concentrations (263 +/- 802 and 842 +/- 2086 AB/ml respectively) for those groups did not differ significantly but were much higher than those found in control groups. Analytical electron microscopy of asbestos body cores showed that in the BL group 95.6% were chrysotile fibres whereas in the AC group amphiboles accounted for 93.1%. The size characteristics of the central fibres differed for chrysotile and amphibole AB, the former being shorter and thinner. Examination of repeated bronchoalveolar lavage samples showed that the mechanisms of clearance of chrysotile fibres do not affect AB concentration for at least 10 months after cessation of exposure. It thus appears that routine counting of ABs in BAL allows the assessment of current or recent occupational exposures to asbestos. Exposures to chrysotile lead to AB concentrations comparable with those encountered in exposures to amphiboles.     

Asbestos hazards in the city of Rome, Italy

A review is made of asbestos as a health hazard, and attention is drawn to possible dangers due to exposure to asbestos in the city of Rome in and outside the work place. The exposure to asbestos of workers of the ATAC company (the public concern of urban passenger transport of Rome) is examined. This is particularly dangerous for workers who repair equipment with asbestos components, such as brake linings. Exposure to asbestos may also occur in inhabitants who live and work close to where asbestos fibres collect. The study evaluates the contamination of asbestos fibres in both work and urban environment among people directly or indirectly exposed to this pollutant.     

接触石棉尘量与石棉肺发病的剂量-反应关系研究

目的：探讨乡镇石锦加工人员接触石棉尘量与石棉肺发病的剂量－反应关系。方法：记录接尘工人的职业史,体检史,纤维计数浓度由质量浓度通过公式换算得到,累积接尘量由接触浓度与时间相乘所得,以寿命表法建立石棉尘质量浓度与纤维计数浓度的剂量患病概率直线回归方程式。结果： 按1％石棉肺患病率,工人30年工作年限计算,预测石棉尘质量浓度与纤维计数浓度应低于2．71mg/m3与1．93f/ml,结论：现行国家石棉尘卫生标准是合理的。     

Fiber size and number in workers exposed to processed chrysotile asbestos, chrysotile miners, and the general population

We analyzed chrysotile and chrysotile-associated amphibole (largely tremolite) asbestos fibers in 21 workers exposed to various types of processed (milled) chrysotile ore, 20 long-term chrysotile miners, and 20 members of the general population (controls). Significantly greater amounts of both chrysotile and tremolite were found in processed-ore workers and miners than in controls. On average, the mean fiber lengths and aspect ratios for the mining and processed-ore-exposed workers were similar and were significantly greater than the values seen in the controls; within the processed-ore group, there was a marked variation in these parameters, and some workers appeared to be exposed to fairly long, thin fibers. It was found empirically that the fiber size data, and to a lesser extent the concentration data, could be used to classify workers accurately into those with processed-ore exposure and controls. We conclude that fiber sizes in the lungs of processed-ore-exposed workers are similar to those of chrysotile miners and are considerably longer than those found in the general population; some processed-ore workers have longer fibers which might be responsible for higher disease incidences in certain working groups; tremolite accompanies chrysotile in a variable proportion of workers exposed to processed chrysotile products and might be important in the genesis of mesothelioma in such workers; and mineralogic analysis will usually detect exposure even when chrysotile has largely disappeared from lung tissue.     

Asbestos exposure during brake lining maintenance and repair

Data obtained on asbestos exposure of garage mechanics during brake lining maintenance and repair work show that fiber concentrations frequently in excess of regulated limits are common. The presence of chrysotile, ranging from 2 to 15%, in brake drum dusts, was demonstrated by X-ray diffraction, transmission electron microscopy, selected area electron diffraction, and electron microprobe analyses. Unaltered chrysotile was found, both in fiber and fibril form, in air and brake drum dust samples. The chrysotile asbestos content of personal air samples, taken during automobile brake repair work, was measured both by optical and electron microscopic techniques. While a positive correlation exists between the types of measurements, the present technique of optically counting asbestos fibers may considerably underestimate the levels of total asbestos exposure.     

Size and shape of airborne asbestos fibres in mines and mills

There is increasing evidence that fibre size and shape play an important part in the production of health effects related to asbestos. The dimensions of airborne fibres collected at various stages of fibre processing in three mines and six mills producing three types of asbestos were measured using phase contrast light microscopy and transmission electron microscopy. Airborne fibres of different asbestos types had appreciably different size and shape distributions. For a given asbestos type, fibres collected at different stages of processing differed in their size distributions but the differences were considerably less than between fibre types. Most of the airborne fibres to which miners and millers were exposed were short and thin and thus respirable. The physical properties which best differentiated crocidolite fibres from other types of asbestos and which had higher values determined for crocidolite fibres than those obtained for the other types, were median aspect ratio and the proportion of long thin fibres--that is, fibres less than or equal to 0.2 micron in diameter and greater than 5 micron in length as the percentage of total fibres. The median true diameter of amosite fibres was about four and three times higher than the median true diameters of chrysotile and crocidolite fibers respectively. The median true length of amosite fibres was more than four and two times higher than the median true lengths of chrysotile and crocidolite fibres respectively. The observed differences in size and shape of airborne fibres have important implications for the setting of work environmental standards and in explaining differences in health risks associated with different types of fibre.     

Size and shape of airborne asbestos fibres in mines and mills.

There is increasing evidence that fibre size and shape play an important part in the production of health effects related to asbestos. The dimensions of airborne fibres collected at various stages of fibre processing in three mines and six mills producing three types of asbestos were measured using phase contrast light microscopy and transmission electron microscopy. Airborne fibres of different asbestos types had appreciably different size and shape distributions. For a given asbestos type, fibres collected at different stages of processing differed in their size distributions but the differences were considerably less than between fibre types. Most of the airborne fibres to which miners and millers were exposed were short and thin and thus respirable. The physical properties which best differentiated crocidolite fibres from other types of asbestos and which had higher values determined for crocidolite fibres than those obtained for the other types, were median aspect ratio and the proportion of long thin fibres--that is, fibres less than or equal to 0.2 micron in diameter and greater than 5 micron in length as the percentage of total fibres. The median true diameter of amosite fibres was about four and three times higher than the median true diameters of chrysotile and crocidolite fibers respectively. The median true length of amosite fibres was more than four and two times higher than the median true lengths of chrysotile and crocidolite fibres respectively. The observed differences in size and shape of airborne fibres have important implications for the setting of work environmental standards and in explaining differences in health risks associated with different types of fibre.     

Asbestos in brakes: exposure and risk of disease

Asbestos has been incorporated into friction products since the early 1900s. Epidemiological studies have been equivocal in their analysis of the incidence of disease among mechanics servicing brakes. Decomposition of asbestos occurs during the normal usage of the brake due to thermal decomposition into forsterite, although not all asbestos is so converted. Short fibers, below 5 microm in length, are also found in brake products. Several facts are discussed including the toxicity of the remaining asbestos fibers, short asbestos fibers, and the health implications of exposure to forsterite. Control methodologies, when used appropriately, have reduced exposure to asbestos during brake servicing, but have not been able to entirely eliminate exposure to asbestos, thus bring into question the controlled use of asbestos for friction product such as brakes. Even the so called "controlled" use of asbestos containing brakes poses a health risk to workers, users, and their families.     

Asbestos tissue burden study on human malignant mesothelioma

Asbestos fibers in the lung and mesothelial tissues (mesotheliomatous tissue and hyaline plaque) taken from 151 human malignant mesothelioma cases were identified and characterized by high resolution analytical electron microscopy. Asbestos fibers were present in almost all of the lung tissue as well as in the mesothelial tissue. The most common asbestos types seen in the lung were an admixture of chrysotile with amphiboles followed by amphiboles alone and chrysotile alone. The majority of asbestos types seen in the mesothelial tissues were chrysotile alone, followed by chrysotile plus amphibole and amphibole alone. A disproportion of asbestos types between the lung and mesothelial tissues was frequently observed. The most common pattern of the disproportion was chrysotile plus amphibole(s) in the lung and chrysotile only in the mesothelial tissues, followed by amphibole(s) in the lung and chrysotile only in the mesothelial tissues. Such a disproportion was considered to have been caused by chrysotile fiber's strong capacity to translocate from the lung to mesothelial tissues. The number of asbestos fibers in the lung was 456.4 x 10(6) fibers/dry gram in maximum, 0.08 x 106 fibers/dry gram in minimum and 105 x 10(6) fibers/dry gram on average; in the mesothelial tissues it was 240.0 x 106 fibers/dry gram in maximum, 0.03 x 106 fibers/dry gram in minimum and 49.84 x 106 fibers/dry gram on average. These numbers were greater than those seen in the general population. The majority of asbestos fibers detected in the lung and mesothelial tissues were shorter than 5 microm in length. Asbestos fibers fit to Stanton's hypothetical dimensions (> or =8.0 microm in length and < or =0.25 microm in diameter) were only 4.0%, since the majority of these fibers were shorter (<8 microm) and thinner (<0.25 microm) fibers. We concluded that such short, thin asbestos fibers should not be excluded from those contributing to the induction of human malignant mesothelioma. The present study supports that chrysotile asbestos can induce human malignant mesothelioma, since, in some of the mesothelioma cases, asbestos fibers detected in both the lung and mesothelial tissues, or lung tissue alone or mesothelial tissues alone were exclusively chrysotile fibers.