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It is inhalation of asbestos fibers which can cause mesothelioma or asbestos lung cancer. Even low exposure levels of the tiny fibers or asbestos dust are very dangerous. It can take between 10 to 40 years for mesothelioma asbestos lung cancer to develope due to the latency period involved.

Most patients were exposed to asbestos fibers on the job or in the workplace in what is known as occupational exposure. Another form of exposure is called paraoccupational exposure. This form of asbestos exposure can be harder to determine the source, but it is usually contracted by a family member of someone who has been exposed in the workplace.

Typically the family member is exposed to asbestos dust or fibers from the worker’s clothing, and when the clothing is handled the dust is released and inhaled. Family members that are exposed in this way, may be exposed to smaller amounts, but are still very much at risk.

In the same way, those that have homes or work work near facilities that have asbestos may also be at risk even though there is not obvious direct contact. The fine asbestos dust can easily be carried by the wind over long distances.

In the past, some of the industries that could have been a source of asbestos were factories, shipyards, power plants, oil refineries, steel manufacturing plants, and any company or job site involved with construction or the removal of old building materials. Often the demolition of buildings that contain asbestos can release the dust into the environment, and trucks hauling the materials can further spread the fine asbestos fibers.

Likewise, people who live near these types of sites likely to have asbestos around the facility are also at risk: refineries, power plants, factories, shipyards, steel mills and building demolition are types of work sites that can release asbestos fibers into the environment and contaminate nearby residential neighborhoods.

Trades:

• Manufacturing of asbestos products (insulation, roofing, building, materials)
• Vehicle repair (brakes & clutches)
• Construction workers and contractors
• Maritime workers
• Miners and drillmen
• Offshore rust removals
• Oil refinery workers
• Power plants
• Railway workers
• Sand or abrasive manufacturers
• Shipyards / ships / ship builders
• Steel mills
• Tile cutters

Occupations:

• Auto Mechanics
• Boiler makers
• Bricklayers
• Building Inspectors
• Carpenters
• Drywallers
• Electricians
• Floor Coverings
• Furnace Workers
• Glazers
• Grinders
• Hod carriers
• Insulators
• Iron workers
• Laborers
• Longshoremen
• Maintenance workers
• Merchant marines
• Millwrights
• Operating Engineers
• Painters
• Plasterers
• Plumbers
• Roofers
• Sand blasters
• Sheet metal workers
• Steam fitters
• Tile setters
• Welders
• United States Navy veterans
• Welders

Many occupations have an increased risk for developing lung cancer. For example, asbestos insulation workers have 92 times the risk of developing of lung cancer, and smelter workers have 3-8 times the risk of developing lung cancer. The risk of lung cancer is also increased in people who work in the manufacturing of certain industrial gases, pharmaceuticals, soaps and detergents, paints, inorganic pigments, plastics, and synthetic rubber. The risk of developing lung cancer is related to the amount of exposure to the cancer-causing agent.

For example, the risk of lung cancer in humans is proportional to the number of cigarettes smoked. The risk of developing lung cancer is 8-20 times greater in smokers compared to people who have never smoked. A smaller, but real risk exists for cigar and pipe smokers. Some lung cancer causing agents react together to significantly worsen the risk of developing cancer. The combined exposure to asbestos and tobacco smoke clearly multiplies the risk of developing lung cancer.

The risk of lung cancer is greater for those living in urban areas. This risk is approximately 1.2 to 2.3 times that of people living in rural areas. There is also an increased risk of lung cancer in smokers whose close relatives have had lung cancer. Scarring in the lungs from previous infections or injury can be associated with and increased risk of cancer.

MESOTHELIOMA DIAGNOSIS

How is mesothelioma diagnosed?

A diagnosis of mesothelioma is most often obtained with careful assessment of clinical and radiological findings in addition to a confirming tissue biopsy.  A review of the patient’s medical history, including history of asbestos exposure is taken, followed by a complete physical examination, x-rays of the chest or abdomen, and lung function tests. A CT scan or MRI may also be done at this time. If any of these preliminary tests prove suspicious for mesothelioma; a biopsy is necessary to confirm this diagnosis.

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