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Domestic Asbestos Exposure: A Review of Epidemiologic and Exposure Data

Author

Listed:
  • Emily Goswami

    (Exponent, 475 14th Street, Suite 400, Oakland, CA 94612, USA)

  • Valerie Craven

    (Exponent, 475 14th Street, Suite 400, Oakland, CA 94612, USA
    These authors contributed equally to this work.)

  • David L. Dahlstrom

    (New Era Sciences, LLC, Issaquah, WA 98027, USA
    These authors contributed equally to this work.)

  • Dominik Alexander

    (Exponent, 2595 Canyon Boulevard, Suite 440, Boulder, CO 80303, USA
    These authors contributed equally to this work.)

  • Fionna Mowat

    (Exponent, 149 Commonwealth Drive, Menlo Park, CA 94025, USA
    These authors contributed equally to this work.)

Abstract

Inhalation of asbestos resulting from living with and handling the clothing of workers directly exposed to asbestos has been established as a possible contributor to disease. This review evaluates epidemiologic studies of asbestos-related disease or conditions (mesothelioma, lung cancer, and pleural and interstitial abnormalities) among domestically exposed individuals and exposure studies that provide either direct exposure measurements or surrogate measures of asbestos exposure. A meta-analysis of studies providing relative risk estimates (n = 12) of mesothelioma was performed, resulting in a summary relative risk estimate (SRRE) of 5.02 (95% confidence interval [CI]: 2.48–10.13). This SRRE pertains to persons domestically exposed via workers involved in occupations with a traditionally high risk of disease from exposure to asbestos ( i.e. , asbestos product manufacturing workers, insulators, shipyard workers, and asbestos miners). The epidemiologic studies also show an elevated risk of interstitial, but more likely pleural, abnormalities (n = 6), though only half accounted for confounding exposures. The studies are limited with regard to lung cancer (n = 2). Several exposure-related studies describe results from airborne samples collected within the home (n = 3), during laundering of contaminated clothing (n = 1) or in controlled exposure simulations (n = 5) of domestic exposures, the latter of which were generally associated with low-level chrysotile-exposed workers. Lung burden studies (n = 6) were also evaluated as a surrogate of exposure. In general, available results for domestic exposures are lower than the workers’ exposures. Recent simulations of low-level chrysotile-exposed workers indicate asbestos levels commensurate with background concentrations in those exposed domestically.

Suggested Citation

  • Emily Goswami & Valerie Craven & David L. Dahlstrom & Dominik Alexander & Fionna Mowat, 2013. "Domestic Asbestos Exposure: A Review of Epidemiologic and Exposure Data," IJERPH, MDPI, vol. 10(11), pages 1-42, October.
  • Handle: RePEc:gam:jijerp:v:10:y:2013:i:11:p:5629-5670:d:30041
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    References listed on IDEAS

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    1. Patrick A. Hessel & M. Jane Teta & Michael Goodman & Edmund Lau, 2004. "Mesothelioma Among Brake Mechanics: An Expanded Analysis of a Case‐Control Study," Risk Analysis, John Wiley & Sons, vol. 24(3), pages 547-552, June.
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    Cited by:

    1. Jeremy D. Wortzel & Douglas J. Wiebe & Shabnam Elahi & Atu Agawu & Frances K. Barg & Edward A. Emmett, 2021. "Ascertainment Bias in a Historic Cohort Study of Residents in an Asbestos Manufacturing Community," IJERPH, MDPI, vol. 18(5), pages 1-20, February.
    2. Dongmug Kang & Yu-Young Kim & Minseung Shin & Min-Su Lee & Hee-Joo Bae & Se-Yeong Kim & Young-Ki Kim, 2018. "Relationships of Lower Lung Fibrosis, Pleural Disease, and Lung Mass with Occupational, Household, Neighborhood, and Slate Roof-Dense Area Residential Asbestos Exposure," IJERPH, MDPI, vol. 15(8), pages 1-10, August.
    3. Sofie Bünemann Dalsgaard & Else Toft Würtz & Johnni Hansen & Oluf Dimitri Røe & Øyvind Omland, 2022. "A Cohort Study on Cancer Incidence among Women Exposed to Environmental Asbestos in Childhood with a Focus on Female Cancers, including Breast Cancer," IJERPH, MDPI, vol. 19(4), pages 1-11, February.
    4. Edward A. Emmett, 2021. "Asbestos in High-Risk Communities: Public Health Implications," IJERPH, MDPI, vol. 18(4), pages 1-14, February.

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