Assessment of the future mesothelioma disease burden from past exposure to asbestos in ship recycling yards in India.

The recycling of end-of-life vessels is a complex activity that generates an enormous amount of hazardous waste, including asbestos-containing materials (ACM). Efforts by the Government of India to comply with national and international regulations and improved standard operating procedures are expected to lower the exposure risk of the workforce to hazardous substances, including asbestos. The current workers are likely to face lesser risks than did those exposed in the past. The present study assesses the health risks from past exposure of asbestos for those workers engaged in handling and removing ACM in ship recycling yards before environmentally sound recycling of obsolete ships was introduced in the early 2000s. Estimates were made of the number of workers exposed, and the intensity of exposure and these data were used to estimate the likely number of mesothelioma deaths in the future. It was estimated that nearly 15% of the total workforce engaged in ship recycling will suffer from mesothelioma which translates to about 4,513 mesothelioma deaths among the total of 31,000 workers estimated to be ever employed in the yards from 1994 till 2002. Recommendations are made for a practical approach to the safe handling of ACMs in Indian ship recycling yards.

[1]  C. Bianchi,et al.  Global mesothelioma epidemic: Trend and features , 2014, Indian journal of occupational and environmental medicine.

[2]  S. A. Ahmad,et al.  Asbestos-Related Disease in Banlgadeshi Ship Breakers: A Pilot Study , 2011, International journal of occupational and environmental health.

[3]  Sohanur Rahman.  Aspects and Impacts of Ship Recycling in Bangladesh , 2017 .

[4]  R. Frey,et al.  Breaking Ships in the World-System: An Analysis of Two Ship Breaking Capitals, Alang-Sosiya, India and Chittagong, Bangladesh , 2015 .

[5]  P. Harries.  Asbestos hazards in naval dockyards. , 1968, The Annals of occupational hygiene.

[6]  C. Bianchi,et al.  Latency periods in asbestos-related mesothelioma of the pleura. , 1997, European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation.

[7]  Eun‐Kee Park,et al.  Global mesothelioma deaths reported to the World Health Organization between 1994 and 2008. , 2011, Bulletin of the World Health Organization.

[8]  Chun-Yuh Yang,et al.  Cancer incidence of Taiwanese shipbreaking workers who have been potentially exposed to asbestos. , 2014, Environmental research.

[9]  Atit K. Tilwankar,et al.  A novel approach to estimating potential maximum heavy metal exposure to ship recycling yard workers in Alang, India. , 2012, The Science of the total environment.

[10]  P G Harries,et al.  A comparison of mass and fibre concentrations of asbestos dust in shipyard insulation processes. , 1971, The Annals of occupational hygiene.

[11]  Henry Falk,et al.  An international perspective on hazardous waste practices. , 2003, International journal of hygiene and environmental health.

[12]  Anand M. Hiremath,et al.  Significant steps in ship recycling vis-a-vis wastes generated in a cluster of yards in Alang: a case study , 2015 .

[13]  Chun-Yuh Yang,et al.  Mortality among shipbreaking workers in Taiwan--a retrospective cohort study from 1985 to 2008. , 2013, American journal of industrial medicine.

[14]  D. Berman,et al.  A Meta-Analysis of Asbestos-Related Cancer Risk That Addresses Fiber Size and Mineral Type , 2008, Critical reviews in toxicology.

[15]  P Stewart,et al.  Mortality among shipyard Coast Guard workers: a retrospective cohort study , 2007, Occupational and Environmental Medicine.

[16]  V. Murlidhar,et al.  Asbestosis in an asbestos composite mill at Mumbai: A prevalence study , 2005, Environmental health : a global access science source.

[17]  D. Paustenbach,et al.  Government and Navy knowledge regarding health hazards of asbestos: A state of the science evaluation (1900 to 1970) , 2011, Inhalation toxicology.

[18]  K. Straif,et al.  Cancers in France in 2015 attributable to occupational exposures. , 2019, International journal of hygiene and environmental health.

[19]  S. Dearwent,et al.  Exposure pathway evaluations for sites that processed asbestos-contaminated vermiculite. , 2005, International journal of hygiene and environmental health.

[20]  John W Cherrie,et al.  Estimating past inhalation exposure to asbestos: A tool for risk attribution and disease screening. , 2018, International journal of hygiene and environmental health.

[21]  Nikos E. Mikelis,et al.  A statistical overview of ship recycling , 2008 .

[22]  A. Jadhav,et al.  Current Asbestos Exposure and Future Need for Palliative Care in India , 2019, Indian journal of palliative care.

[23]  Atit K. Tilwankar,et al.  A novel approach to estimating resource consumption rates and emission factors for ship recycling yards in Alang, India , 2013 .

[24]  P G Harries,et al.  Asbestos dust concentrations in ship repairing: a practical approach to improving asbestos hygiene in naval dockyards. , 1971, The Annals of occupational hygiene.

[25]  M. Ceppi,et al.  A historical cohort mortality study among shipyard workers in Genoa, Italy. , 2001, American journal of industrial medicine.

[26]  D. Consonni,et al.  Pericardial mesothelioma and asbestos exposure. , 2011, International journal of hygiene and environmental health.

[27]  T. Burki.  Health experts concerned over India's asbestos industry , 2010, The Lancet.

[28]  T. Brüning,et al.  Cancer mortality in a surveillance cohort of German males formerly exposed to asbestos. , 2010, International journal of hygiene and environmental health.

[29]  Jung-Der Wang,et al.  Impact of malignant mesothelioma in Taiwan: a 27-year review of population-based cancer registry data. , 2010, Lung cancer.

[30]  D. Berman,et al.  Update of Potency Factors for Asbestos-Related Lung Cancer and Mesothelioma , 2008, Critical reviews in toxicology.

[31]  Laurie Kazan-Allen,et al.  Asbestos and mesothelioma: worldwide trends. , 2005, Lung cancer.

[32]  C. Noonan.  Environmental asbestos exposure and risk of mesothelioma. , 2017, Annals of translational medicine.

[33]  T. Joshi,et al.  Asbestos Ban in India , 2006, Annals of the New York Academy of Sciences.

[34]  Yousri M. A. Welaya,et al.  Technological and economic study of ship recycling in Egypt , 2012 .

[35]  Denis H. Rushworth.  The Navy and Asbestos Thermal Insulation , 2005 .

[36]  Perng-Jy Tsai,et al.  Cancer Attributable to Asbestos Exposure in Shipbreaking Workers: A Matched-Cohort Study , 2015, PloS one.

[37]  Michael E. Allred,et al.  Bilateral environmental and occupational health program with India. , 2003, International journal of hygiene and environmental health.

[38]  Hasan Ruhan Rabbi,et al.  Ship Breaking and Recycling Industry of Bangladesh; Issues and Challenges , 2017 .

[39]  Treatment and Disposal of Glass-wool and Asbestos Bearing Waste-Insulation Materials from Ship Dismantling Yards in India , 2017 .

[40]  Kum Fai Yuen,et al.  Hazardous materials analysis and disposal procedures during ship recycling , 2018 .

[41]  W. Beckett.  Shipyard workers and asbestos: a persistent and international problem , 2007, Occupational and Environmental Medicine.

[42]  Federico Demaria,et al.  Shipbreaking at Alang-Sosiya (India): An ecological distribution conflict , 2010 .

[43]  J L Balzer,et al.  The work environment of insulating workers. , 1968, American Industrial Hygiene Association journal.