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Fibre composites
Our work on cement bonded materials concentrated on the use of fast setting high
alumina cement which was used because these cements do not suffer from retardation
that is exerted by the multitude of hydroxyl groups1 forming the cellulose molecule.
Workpresented in an earlier paper demonstrated a mechanism that explained the waythe powerful charges on the hydroxyl group held onto the water of crystallization to
prevent cements such as portland cement from forming the cement crystal. Setting of
portland cement in the presence of hydroxyl groups responds to thermodynamic
drivers that force cement to precipitate small poorly formed cement crystals that result
in material failure over time.
We manufactured StrawCrete blocks2 that were exposed to the British elements over a
ten year period and the behaviour of these materials was recorded.
Straw, aggregate, cement blocks complying with British Standards for such materials
were manufactured using 30% by volume of wheat straw milled to produce particles
of straw that complied to the named Crete Gradesie cellulose particle sizes
encompassed by the British Standard BS EN 12620:2002 for sharp sand. Most of the
particle sizes in this grade were about 5mm and less. Other cellulose concrete mixture
materials have been available for many decades but prior to our research wood
particles were used. This technology was time consuming and the used wood that was
expensive, imported selected forestry off cuts. This timber had to stand for many
months, in an effort to dry out the timber as a means of precipitating as much of the
free sugars in the wood as possible. Free sugars were thought to be the problem
preventing portland cement from setting. At that time the total hydroxyl component of
the cellulose additives was not taken into account. The prepared wood was processedinto shavings and other particulates that were mixed with aggregate and portland
cement. Subsequent research demonstrated that cellulose fibres remaining from paper
processing also caused retardation and only about 17% cellulose3 could be used to
mix with aggregates for the manufacture of concrete materials.
A wonderful product of a medium weight facing block resulted and these materials
were generally produced for partitions and internal leaves providing a pleasing light
coloured building material. The wood shavings used imparted a warm delicate texture
that reflected in the colour of the wood used in the finished concrete block. Such
wood fibre materials were popular in use of communal structures such as sports
centres, commercial builds and the like. No surface treatment was required so the costof the wood additive was offset by the fact that cellulose concrete blocks did not need
to be surface treated.
In the UK we have millions of tons of surplice agricultural waste 4 every year and our
research was directed at finding a use for these agricultural surplices. We produced
building blocks that were of a standard size for blocks, conformed to the B. S.
Regulations but containing large quantities of milled straw, a research effort that was
granted a UK patent, GB 2340125. In our experiments we found that provided the
straw was reduced to particulates of about 5mm in size and less that there was no
problem in miscibility of the low density cellulose fraction with the heavy sands
aggregate used. Any grade of straw could be used to give excellent homogeneity withthe high alumina cement used as a binder. Aggregates and straws used produce a
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homogeneous slurry that cast well in the block forming machinery and produced a
dimensionally stable material that cured quickly and resulted in the required load
bearing 3.5N/mm2 crushing strength.
These cellulose based materials have been shown to be suitable only for internal uses.
The excellent results achieved with the building blocks and high alumina cement as a
binder led us to experiment with composites using very high quantities of cellulose
fibre but in this case using only the high alumina cement, without any additional
aggregates to set the cellulose fibres into the final board material we were making. In
one example we used 80% by volume straw fibres milled to the crete grades
(equivalent to the sand standard of the BS EN 12620) and 20% by volume high
alumina cement as the binder to produce a hard well formed board material that had
remarkable properties. We discovered that in a dry state, the finished material had
insulation properties with a thermal conductivity of 0.11watts/m/0K.Most
surprisingly, the dry board did not support fires. Very high quantities of cellulose
fibre added to cement binders produced materials that exhibited thermal propertiesclosely matching the thermal properties of solid wood and in a dry application, could
be used as fire retardant thermal insulating fillers.
Fibre release.
Fibres are very useful to the construction industry and many composite applications
are in use around the world. The best studied fibre additive to concrete is asbestos and
this fibre above all others provides the best example of the problems released fibres
create in the construction industry. Asbestos fibre is today used in greater quantities
then ever before5
but its use is spread across the world and much to thedisappointment of the health professionals asbestos fibre manufacture is transferred to
countries with poor health and safety records where enforcement of health guidelines
for industrial standards is low or non existent. Asbestos cement composites
manufacturers produce a wide range of products and as an example only samples of
asbestos fibre materials bonded with cement is discussed.
The industry does not use high alumina cement for general manufacturing purposes so
exterior quality asbestos fibre materials are bonded with portland cement. In all cases
cement bonded fibres release fibres due to normal abrasive wear and tear and this is
accelerated in materials exposed to the wetting and drying cycles. Very considerable
breakdown of the superficial layer of the cementing matrix is experienced during thefreeze thaw cycle. Work done on cement asbestos composites demonstrates extensive
abrasive effects due to weathering and as soon as the surface matrix is destroyed
asbestos fibres are seen to become free from the substance of the material to rise
above the matrix.
The flow of water in wet conditions has a grinding effect on the surface layers and
fibres released from the matrix break off to be released into the environment.
Similarly, in windy conditions the pressure exerted on exposed fibres flexes them to
eventually break off the fibres because of the compressive and tension stresses
imposed on the fibres. Released fibres are carried by air currents to any distance from
the source material. Contamination of the local environment is high6 gardens,vegetables, clothes drying in the air, inhalation by individuals in the vicinity etc are all
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recorded. Anyone living in properties clad with or covered with asbestos materials is
subject to asbestos contamination as indeed is anyone who has any asbestos fibre
composite within their environment.
Fibre release accelerates with the age of the product and the older the materials the
greater the release of fibres. The process of environmental contamination occurs fromthe moment the product arrives on site and continues for the life of the material. Vast
quantities of asbestos fibre are released by asbestos products meaning that the entire
environment is subject to asbestos contamination. In Europe for example there are
millions of hectares of asbestos roofing tiles, corrugated sheeting and sheet material
for cladding. All these materials are continually releasing fibres to contaminate the
environment.
The abrasive mechanism is mechanical and the Health and Safety Regulations
recognise that fibre fallout occurs and acknowledges that fibre fallout occurs readily7
but is powerless to impose controls other than to recommend caution and plead
Reasonable Practicality in handling asbestos materials. There are such hugequantities of asbestos in use that it is impossible to avoid contact with the material
particularly by the repair and maintenance services8 and all the HSE does is
recommend caution and Reasonable Care in their 2012 supplemented
recommendations which have to be in place by 2015.
None of the HSE recommendations are adequate because in practice no level of
exposure to asbestos fibre has a safe limit.
Fibre composites in dry conditions retain the matrix integrity to a far greater degree
than wet materials and dry asbestos cement retains its fibres for the life of the binder.
Provided such materials are kept dry straw fibres are known to stay trapped in
matrixes and remain in good condition for years. Composite materials in dry
conditions found in Egyptian tombs have retained their molecular integrity for
thousands of years and still demonstrate all the characteristics of the cellulose source.
It is the wetting of fibre composites that causes the greatest problem and accelerates
the breakdown of the cementing matrix and the release of fibres.
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Fig 3 Fig 4
Asbestos tile roof New and a 10 year old asbestos tile
On the left Fig 3 demonstrates a typical asbestos roof covering. These tiles were used
because they were about half the price of slate quarried tiles and in the 1970 these
composites were the preferred choice for all grant supported re-roofing in the UK.
The Local Authorities giving grants for re-roofing contracts specifying the use of
asbestos tiles. On the left in Fig 4 is a new roofing tile which was sprayed to seal in
asbestos fibres. In Fig 4 on the right is a ten year old asbestos roofing tile
demonstrating the loss of the coatings applied during production and showing
weathering and release of asbestos fibres into the environment.
Fig 5 Fig 6
Old corrugated roof sheeting Macro photograph of
and asbestos guttering a weathered corrugated sheet
In Fig 5 is demonstrated a widely used asbestos corrugated sheeting that was also
used for side cladding of buildings. Also seen in this picture is asbestos guttering with
a hopper section and an asbestos down pipe. In Fig 6 is seen a macro photograph of
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loose asbestos fibres working their way out of the corrugated asbestos cement sheet
composite.
Fig 7 Fig 8
Asbestos sheet Macro photograph of weathered sheets
cladding panels
Fig 9
Manufacture drinking water carrying pipes.
Asbestos cement drinking water pipes remain in use world wide9, 10, 11, 12 and as a well
documented example, the City of Oxford and the City of Swindon in the UK are
supplied by water ducted via asbestos cement pipes. There are asbestos pipes carrying
hot water, providing ventilation shafts, chimney flues, foul water ducting etc all
subject to the abrasive effects of the flowing fluids.
Our research into the use of high alumina cement13 and straw fibre required us to
subject samples of the manufactured blocks to prolonged wet exposure so sample
blocks were left in a shaded area where the drying process was slow. The blocks
were seen to be damp for extended periods of time and after a couple of years of this
weathering it was a great surprise to find large fungal growths on the surface of the
straw block. Exactly the same fungus family grew on the control block kept under the
same conditions but using wood shavings instead of straw. The fungus established a
colony on cellulose concentrations in the blocks and grew vigorously to produce
mature fungal organisms with well developed physical characteristics. We took a
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sample to the local university where the fungi were identified as belonging to the
Peziza Family14.
In all cases the fungi dried up and died very quickly as soon as the blocks dried. More
persistently we observed other micro flora that regenerated when the blocks became
wet again and in the high alumina cement bonded cellulose blocks the micro florabecame more extensive over time. It became clear that the porosity of the composites
bonded with High Alumina Cement (HAC) increased with time and the blocks under
experiment retained water much more effectively than control blocks bonded with
portland cement.
It turns out that the crystal phases of HAC13 vary in volume as one form of crystal
structure forms into another as the waters of crystallisation are removed during the
curing process. The volume of the principal crystal hydrate CaO.Al2 O3.10H2O the
CAH10, is larger than the minor hydrate (CaO)2.AL2O3.8H2O C2AH8. The final said
thermodynamically stable crystalline phase of calcium aluminate cements the cubic
crystalline phase of (CaO)3.Al2O3.6H2O and AH3 (C3AH6) has the smallest crystalvolume of the three discussed crystal phases. The reduction in volume in these crystal
changes leads to the creation of voids in the material matrix which can accommodate
free water. In time these cements fail in use when exposed to prolonged wet
environments. It is our opinion that CAC does not have a thermodynamically stable
phase and it seems to us that the cuboid crystal phase probably reverts to the earlier
crystal phases in the presence of free water.
All the blocks kept in the dry conditions retained their form and showed none of the
micro flora seen in wet blocks kept in the open. Water was the key to the biological
flora supported in the cement bonded cellulose fibre composites.
Fig 10 Fig 11
Control block
made with wood chip
Building blocks made with
High Alumina Cement and
milled straw
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Consequences of fibre release into the environment.
It is generally accepted that asbestos causes disease and a great deal of information
has become available over the last few decades. Asbestos fibre above all others has
been extensively studied and not only because providers of this fibre are in acontinuous process of paying out substantial compensation to contaminated
individuals. Problems relating to contamination with asbestos fibres reflect in the
incidence of various related diseases. The best described are asbestoses which results
in prolonged, tortured incapacitation of individuals leading to eventual death and a
great deal of suffering, cancerous changes in cells genetics leading to mesothelioma, a
progressive disease for which there is no cure. Recently, the medical profession has
acknowledged that asbestos fibres cause inflammation and exhaust the immune
system so that cancer of the lung, abdominal cancers42 and other diseases15 are being
linked to asbestos contamination.
It is now accepted that all asbestos fibres precipitate cancers and cause disease15,16,17,18,23. Asbestoses is a condition where the individual is exposed for prolonged
time19 scales with asbestos fibres in high concentrations of 25 to 30 fibres/ml and this
condition was frequently seen in workers associated with mining, manufacturing and
asbestos processing industries. Initially the condition was considered to be silicoses
but it is also referred to as pneumoconiosis. A ghastly disease associated with the loss
of lung tissue pliability in which the transfer of respiratory gases is impaired 19because
of the extensive scarring that is associated with hard inorganic materials damaging
delicate lung tissues, the scarring of which deposits a build-up of cologne. This build
up of scar tissue results in a loss of lung tissue pliability and oxygen transfer.
Development of cancers associated with asbestos dust occurs because the presence of
asbestos in cell proximity changes the genetic structure of cells20,23 to result in tumour
formations wherein cells no longer function to comply with the organ characteristics.
In human cells genotoxicity is precipitated by all asbestos fibres23. A complex set of
developments unfolds at cellular level in the presence of fibres and asbestos is known
to activate macrophages and release inflammatory mediators. Genetic damage to the
cavity linings the pleura, are an example of DNA change in cells resulting in
uncontrolled growth of cells with changed biological function of misothelial tissues.
Mesothelioma is always fatal and has been linked to the presence of asbestos although
in medical science contributory factors always emerge with better understanding.
It is suggested that cancers resulting from asbestos contamination21 are at least as
prevalent as mesotheliomaand it is recognised that decades of exposure is required
before such diseases become established22 . The length of time needed for these
cancers to establish in the body provides an indication that the causative mechanism
resulting in cancerous growths is not due to the confirmed soluble Mg++ leaching from
the asbestos molecule. It is argued that such soluble components would quickly wash
away in the continuous stream of interstitial fluid washing over cell populations. It has
been proposed that biopersistance be considered in pathogenicity22 and the divalent
iron present in all forms of asbestos, is being studied.
The half life of white (chrysotile) asbestos is said to be about 15 days whilst that ofthe brown (amosite) and blue (crocilodite) asbestos have much longer half lives and
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larger iron content. Here evidence is provided to suggest that isomeric micro
constructs do not cause cancers whereas fibrous dust23 of a given size38 of about less
than 10m and thickness of about 0,25-3m causes scarring and disease. Asbestos
fibres of 5mare thought to be particularly damaging but smaller fibres are respirable
and are to be avoided as they tend to be transported to the deepest areas of the lungs
there to be trapped in the liquid interface coating the membranes. Studies in fluiddynamics show that the smallest particulates always end up in the fastest central flow
volumes and are therefore transported to the deepest parts of the lungs.
In the 1980s the entire recommended filtration standard was challenged. The size of
specified pores in filters recommended by the British Standard 4400 prevented a
majority of fibres of 5 microns in diameter from passing through the filters. The
problem with this standard we argued was that fibres can be of 5 microns in diameter
but pores of that size cannot prevent longer fibres passing through the mesh. All filter
designs allowed fibres smaller but longer than then 5 microns, to pass through and
that applied to filters in use when working with asbestos . Fibres small enough to pass
through the pores are the very fibres that are classified as causative of disease. Thesefibres are inhaled to be trapped in lung tissue to cause inflammation. Inflamed tissues
have altered permeability of cell membranes and increased fluid flux. Such changes in
permeability to cell walls increase the absorption of contaminants which make cells
more susceptible to disease. Membrane irritation exposes cell to an increased insult
from damaging factors such as cigarette smoke which is known to cause cancer.
Of the diseases quoted above the development of mesothelioma in subjects which
have demonstrably a very low level of exposure to asbestos are known and very
challenging, even though the patients cannot recall ever being in contact with asbestos
disease events are recorded. Nonetheless in exposures to asbestos that is well within
the recommended minimum exposure level specified by the HSE cases of
mesothelioma are seen.
Over many years of creating models for analyses of these low level disease causing
exposures it became obvious that all recommendations by the HSE were based on
practicalities rather than proven scientific data. In effect, the HSE appears to be
making recommendations based on reasonable exposure that in practice hopes that
reducing exposure would also reduce incidence of disease. The World over, HSEs are
making recommendations that are specified by the Code of Federal Regulations for
Construction quoting the Asbestos Standard 29 CFR 1926.1101, the European Union
Directives and various scientific projections, all of which are working to reduceexposure to asbestos fibres. Even recommended exposure levels of 0.1fibres/ml issued
by the HSE (2012- 2015) is surprisingly, expecting substantial death statistics from
mesothelioma24.
The regulatory bodies are making recommendations about asbestos exposure in the
full knowledge that deaths will result from their recommendations but explain the
specifications on the grounds of practicality. What an extraordinary abrogation of
responsibility to the working man, given that alternative fibres are available that could
replace asbestos.
Our work involved the consideration of various models of exposure andcontamination and led to the disregarding of all previous information and the
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Statistics correlating quantitative exposure to asbestos and disease causation are
published but given the capillary bed arrangement it seems clear that quantitative
exposure is not the causative agent in the development of diseases such as
mesothelioma. There are examples of individuals exposed to heavy contamination of
asbestos fibre that do not develop cancers and examples where minute exposure to
asbestos fibres causes death. Clearly factors other than quantitative exposure 26 are atplay and we have considered genetics as the principal factor determining which
individuals will or will not develop disease when exposed to any given contaminant.
Our work on the micro anatomical arrangement providing a relatively constant
environment where asbestos and other contaminants embedded in any given
arrangement of cells suggests that cells can never be subjected to more than a few
fibres at best. The observable effects on cells are the result of minimal quantities of
contaminants that the worker is exposed to and when the micro anatomical
arrangement is taken into account, it becomes obvious that the entire Health and
Safety Industry is acting and issuing safety instructions on a total lack of
understanding as to the causative parameters precipitating asbestos diseases.
HSE specifies a working level of asbestos concentration in inhaled air at 0.1fibres/cm 3
ie 100 fibres per litre of inhaled air. If we measure the average rate of ventilation at
rest of about 6-8 litres per minute then at 360 litres per hour the individual is likely to
inhale in excess of 250000 thousand fibres each working day. There is no information
to demonstrate how many inhaled fibres are exhaled in the ventilation cycle but the
numbers of fibres the working individual is exposed to every day, far exceeds the
maximum number of fibres any given capillary bed can accommodate. Contaminants
become trapped in the mucous lining of the ventilation ducts and are from there
transported via the lymphatic vessels of the lungs, to over time result in asbestoses
and other medical conditions relating to the contamination. The lymphatic nodes of
heavily contaminated individuals are choked up with fibres.
Depressingly, the HSE has recently been issuing guidance7 that is to be implemented
by 2015, on levels of contamination to asbestos in terms of practicability ie
minimise contamination to the lowest practicable level but keep on working with
asbestos. The vast amounts of work done by researches has demonstrating the
damaging effects of asbestos but this evidence has not removed asbestos from the
market nor prevented it from being used. Safety bodies have been issuing guidelines
on statistical modelling of death rates that allows employers in asbestos industry to
calculate expected death rates from exposure given specified parameters24
Thiscalculating facility is available on the World Wide Web27 .
To better understand the argument of low level contamination we need to consider the
dynamics of the air flow entering the lungs and the fibre carrying volumetric
distribution as the air is inhaled.
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Fig 12
Cast of air passages in a human lung
The HSE is for some reason not considering asbestos contamination in practical
terms. What needs to be discussed is the actual physical behaviour of contaminating
elements and the easiest way of demonstrating levels of exposure to contaminants is
to discuss volumetric flow in any ventilation cycle. The volume of inhaled air is
divided into two flows as soon as the inhaled air reaches the bronchial bifurcation so
that one volume of air flows to the left lung and the other to the right. The left and
right lungs are two entirely separate structures which are separated one from the other
by physical structures, independent blood supply and lymphatic drainage and the
lungs are encased in layers of membranes that isolate the lung in an independent and
self contained environment. Contaminants flowing into either lung cannot for physical
reasons have any effect on the cell populations sited in the other lung.
The number of fibres in the inhaled volume is therefore halved as soon as the inhaled
air enters the lungs so that the working level of fibres contaminating a given lung is
half that specified by the HSE.
Taking this consideration further it becomes clear that each lung is further subdivided
into 3 lobes which are isolated from each other in physical and physiological terms.Each structure is supplied by an independent and specific distribution of blood vessels
and lymphatic drainage and is again wrapped in membranes to provide a complete
and isolated anatomical environment from the adjacent lobes. If we consider the right
lung we find that the lobes are further subdivided into 10 bronchopulmanory segments29 and these segments are further subdivided into sub segments which for practical
purposes means that the number of asbestos fibres inhaled into the right lung is further
divided by some fraction relating to the number of isolated sub segments. Each sub
segment continue the bifurcation until the terminal alveolar air sacs are reached where
the numbers of contaminating fibres entering the right lung is divided by whatever
fraction off the total volume these air the sacs contain.
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The segregation of structures in the body is a remarkable evolutionary step that
continues in ever decreasing anatomical constructs which finalise in the capillary bed
arrangement.
The evolutionary isolation of areas of the lungs means that these constructs are cut off
from disease manifestations in adjacent sections. An incredibly valuable safety featurethat prevents disease migrating by proximity. As mesothelioma stars in some
population of cells it means that at no time do more than a few fibres ever play a part
in disease causation. Asbestos fibres lodged in adjacent capillary beds in various sub-
segment in the same lobe cannot possibly have any influence on cell populations in
other segments of the same lobe. Even more remote is the influence of the fibres
trapped in the right lung and events taking place in the left lung.
The crucial anatomical arrangement allowing us to explain the concept of specific cell
population contamination is better understood by considering the capillary bed
construct29 as demonstrated by the below drawing. In this schematic we have made an
effort for the sake of clarity, to expand the blood vessel distribution leading from thearteriole vessel to the venule indicating a possible distribution of blood vessels
supplying the many cell populations served by these vessels. It can be seen that there
is a general movement of fluids from the capillaries into the cell bed interstitial space
where blood fluids flow from the high pressure region to the low pressure regions to
be absorbed by the venous blood vessels and removed from the capillary bed
environment. Arrows indicate roughly the direction of the fluid flow in this
arrangement and as an example only the capillary bed populations are supplied with
lymphatic capillaries to add to the removal of fluids from the capillary bed.
Fig 13
Schematic of the blood vessels supplying capillary beds
This micro environment can only accommodate a small number of asbestos fibres or
other contaminants. Movement of fibres from the capillaries to the interstitial spaces
is considered to be by migration via blood fluid flows and out of the blood vesselsthrough intercellular clefts, fenestrations and pores that are located between the
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endothelial cells forming capillaries. Once in the capillary bed the fibres are
considered fixed and remain trapped within the cell populations.
The isolated nature of the subdivided lung anatomy makes the observable low level
incidence of asbestos cancer understandable and we are working on the hypotheses
that genetic drivers are the dominant influence that explains why some individualswith asbestoses do not develop cancers whilst other with minimal exposure to
asbestos do. It becomes obvious when this anatomical segregation is considered that
the currently recommended levels of exposure to asbestos contamination are a
complete nonsense.
Our research suggests that there is no safe level of contamination with asbestos fibres.
The concept that some individuals are more sensitive to exposure to given irritants
leads us to the obvious conclusion that science needs urgently to provide industry
with tests that will allow employers to refuse work to individuals genetically
susceptible to agents that are likely to be handle in the workplace.
Industry
Extraordinarily the asbestos industry continues to pay out vast sums in damages to
individuals poisoned by asbestos and in the USA alone, it is estimated that the total
cost of litigation exceed 250 billion and still there are about a million claims in the
pipeline. Yet, the asbestos industry continues to invest large sums of money in
supporting professional researchers and employing lobby groups in order to continue
to mine and sale of asbestos30. There is evidence that leading scientists are corrupting
scientific data to confuse issues31
relating to the cause of epidemic incidence ofdisease seen around the world. Recent publications show that the incidence of
mesothelioma in the UK is still rising 32,33,43. Leading authorities in the statistical
analyses of disease epidemiology state that the incidence of such diseases are due to
lifestyle factors 34 and it is these assessments that the HSE regulatory specifications
are using to formulate policy.
Much effort is directed by the unions in challenging conclusions issuing out of
research facilities and claims are being made by unions that scientific researchers are
being corrupted by large financial inducements to muddy the waters35,41 are refusing to
go away as the asbestos mining industry does all it can to increase the availability of
asbestos. Very considerable pressures are being applied on countries such asIndonesia, Zimbabwe and others countries to increase the use of asbestos and the
mining interests in Canada, India, Russia, Kazakhstan, Brazil and elsewhere are
producing more asbestos today then ever before. As an example only there is more
asbestos being used today in the USA then in earlier times. Some 54 countries have
banned the importation and use of asbestos but the vast quantities of asbestos installed
in the infrastructure in many countries will take hundreds of years to remove and
bury.
In a desperate effort to contain the spread of asbestos use the French Government
some years ago called on the World Labour Organisations Such as the European
Agency for Safety and Health at Work, to ban the use of asbestos.
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The very considerable profit margins from the sale of asbestos has created a situation
wherein the asbestos industry management proudly reports to shareholders that the
ongoing settlements for damages is not seriously affecting profit margins30. As a last
resort, in order to protect investment returns, the companies can file for bankruptcy
under the protection of Chapter 11 which allows the bankrupt companies to avoid
most of the legal damages relating to their activities. This abusive procedure is part ofthe problem relating to deliberate and planned abuse of workers interests and in case
of damages all those profiting from the sale of known carcinogens17 should be made
responsible for the ill health their financial manoeuvres cause.
Commercial interest preside and there is pressures on scientists working in the field to
continue corrupting data31,39,40 and sidestepping definitive conclusions so that research
departments can continue to receive financial support for further research and
departmental activities. Many of these scientific studies reach unprofessional
conclusions that deliberately confuse the issues and exclude many at risk groups35 to
deflect symptoms to other causative factors such as smoking and lifestyle choices.
Pressure on academe is common in many industrial establishments and great demandsare exerted on scientists conducting research to state that the questionable product are
safe to use30,35 and doctors are encouraged to corrupted diagnoses of asbestos related
disease and report cases as bronchitis or tubecoloses31.
Statistical evidence speaks for itself36 and figures for 1901 before asbestos became
available deaths from cancers was reported to be about 5%. About 1940s an
International Classification of Disease Code classified cancer and in the 1950s death
rates from cancers rose to 15%. Statistics for deaths from cancers in 2000 showed a
rise to 25% of all deaths. In recent times incidence of cancer during an individuals life
is assessed at 1 in 3 and rising to 1 in 2 within another quarter of a Century, far
exceeding epidemic proportions. Deaths from mesothelioma has not yet peaked and is
expected to reach its maximum in not too distant a future.
It is extraordinary that in the 21st Century corrupt practices continue to be
implemented in the full knowledge that the substances working men are required to
handle will kill them or cause them physical harm. Working men have no choice but
to handle whatever the industry is manufacturing. An individual has no control over
what the manufacturer is producing and if the management knowingly exposes the
workforce to carinogens7,30,35 than there are very serious moral and legal implications
that must be enforced. Until labour Laws are seen to be effective in protecting the
interests of the workforce than there will always be those who can be persuaded tointerpret scientific evidence in dubious ways.
Those who formulate policy must be identifiable and complete transparency should be
mandatory in business practice so that all those involved in handling industrial
materials know what is being done and what precautions need to be implemented in
handling known hazardous materials. It is no good taking companies to courts of Law
because these are structures that are managed by individuals and it is the individuals
who implement injurious practices that must answer for decisions made. The
immorality of continuing the use of known hazardous materials and when challenged
to shut up shop and transfer profit making to societies where Labour Laws are less
well established, defies belief. Such practices belittle the human spirit and must
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become illegal no matter where they occur. In the 21st Century industry cannot harm,
mutilate and murder workers so that their shareholders can maintain profit margins.
Great effort is made by the asbestos providers to maintain the sue of asbestos and in
the UK we are disappointed to find that in spite of much effort and exposure in the
media about asbestos pipes being used to duct drinking water from the main reservoirat Frmore in Oxfordshire UK, the drinking water for the city of Oxford and Swindon
continues to be pumped via about 5 miles and 30 miles respectively, of asbestos
conduits. This setup, could provide excellent statistical data for Epidemiologists.
Exposure and letters to notable researchers about the use of asbestos pipes for pipe
manufacture generally results in dismissal and finger pointing at the low level of
incidence of abdominal mesotheliomas,33,36. Outrageously, specialists dismiss the
principal function of the gut which is to absorb material from the gut. Asbestos fibres
are known to clog up in lymphatic nodes and the argument that the lymphatics are a
means of transportation for fibres into the blood stream are not attracting attention
from the scientific community. There is evidence from the USA, Norway10,42Canadaand elsewhere indicating that there is a link between ingestion of asbestos and various
cancers of the gastrointestinal tract.
Comparative studies have been published wherein geographical differences21 in
disease incidence between regions where asbestos in drinking water and those where
no asbestos fibres have been identified have demonstrated that there is an absence of
elevated risk of cancers in regions with no asbestos contamination it is surprising that
the asbestos pipes currently in use have not been dug up and replaced. Regions of the
UK continue to drink water that is ducted via asbestos piping!
A report was issued in which a scientist conducting experiments on rats refused to
allow his experimental animals to drink tap water because there was asbestos. The
reason was that consumption of asbestos would have introduced an unknown variable
into his experimental assay. People continue to drink water that is stored in asbestos
cement tanks and ducts because specialist researchers say that as far as experimental
data is concerned, eating and drinking asbestos fibre is safe but inhaling such fibres is
deadly.
Thankfully, mesothelioma is rare but time factors and genetic predisposition in
succumbing to the disease appear important parameters.
We have presented models for discussion suggesting that in all cases the causal focus
of disease can only be due to very small numbers of asbestos fibres. The importance
of the microenvironments seems clear at least in as far as the entrapment of asbestos
fibres is concerned. Any trapped fibre in any given capillary bed can only have a
localised effect on that group of cells and given when capillary beds are considered in
three dimensions, there is only a localised group of capillary beds that can be
influenced by trapped contaminants.
Given the understood physiological fluid dynamics in capillary beds it is seen that
filtered blood flows into the intercellular space via the many intercellular clefts,
fenestrations or pore openings structured between the endothelial cells of thecapillaries. The fluids entering the capillary beds are mostly free of blood cells so that
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the interstitial fluid is basically a carrier responding to pressure gradient flow
mechanics. Cells in this environment are continually involved in maintaining the
physiological balance which in the presence of a foreign body causing irritation
inducing stress dynamics that over time thought to result in disease causation.
There is general consensus amongst researches in the field of fibre contamination thatmany factors are necessary for carcinogenicity but the length38 to diameter ratio seems
to be crucial for asbestos fibre diseases. When assessing fibre characteristics
sophisticated scientific methodology is used to determine biological activity.
Transmission electron microscopy, scanning electron microscopy, x-ray
crystallography, low temperature nitrogen absorption for surface area of fibres are
used amongst other methods. Research technology for assessing surface chemistry
liquid solid interface of fibres extends to analysing atomic components of fibres to
analysing the iron content which has a positive correlation to carcinogenicity wherein
amosite (brown fibres) and crocilodite (blue fibres) are seen to demonstrate larger
number of iron atoms than is found in white fibres so that redox states of ions are
being considered although taxonomic specifics remain elusive.
Biopersistance has long been recognised but fibre carcinogenicity seems to be a
multistage process. Fibres in cell populations are said to cause chronic persistent
inflammation which alters the permeability of cell membranes to result in a loss of
control over the constituents flooding in and out of the internal cell environment.
Inflammation is said to precipitates an altered state of cell proliferation, genetic
function, apoptosis and other factors which mediate proper cell function. Uncontrolled
influx of material including carcinogenic factors such as cigarette smoke components
etc can in this state of intracellular insult precipitate the sort of changes seen in
asbestos diseases.
Whatever the mechanism involved, foreign bodies stimulate exposed cells to react in
a way that changes their cell environment. This post mortem stained slide, confirm
that any given capillary bed is subject to only small numbers of contaminating fibres.
Fig 14
Post mortem slidedemonstrating asbestos fibres trapped in cell populations
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came back from testing the fact that there was no loss in load bearing due to the
addition of PMS we continued with detailed tests.
Fig 15 Fig 16
Testing crushing strength of Crush test results
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experimental mortars
Testing the water repellent additive.
There are many water repellent additives manufactured around the world and it is up
to experimental groups to decide which additive to use in their assay.
Testing the effectiveness of various experimental preparations involved the
immersion of a two brick assembly contained in a tray of about 25mm of water so that
the lower brick was immersed in a constant level of water. Evaporated water in the
tray was topped up periodically so that the lower brick was always immersed in water
and saturated. The brick used was the Hammill Multi Red which was selected because
it was known for its manufactured consistency and because it readily transmitted
rising damp.
Fig 17
Typical experimental wet tray assay
Long Term Testing
Because the 120 day study period of these experiments was not long enough give us
an indication of the long term effect of the Potassium Methylsiliconate additive to the
mortar mix we determined to establish a long term study that is still ongoing and we
include photographs of a structure put up to test the long term effect of this additive.
It is well known in construction that mortar undergoes degradation with time and as a
means of confirming the effectiveness of water repellent additives to mortars we built
a low level, stand alone garden wall that was put up in December 1982 and left
exposed to the British elements. We still retain the Invoice for the contract issued on
the 31st December 1982. Over the last thirty years we have periodically visited the siteto photograph and record the progress of the experiment.
The chemical solution we experimented with was manufactured by ICI but the
manufacture of the Potassium Methysiliconate was subsequently taken over by
Rhone-Poulenc a French company. We persisted with experiments using the French
product which had an industrial name of Rhodosil Siliconate R333 a water soluble
form of the Potassium Methysiliconate, specifying a concentration of solids at 3.5%
w/w.
The experimental assay was identical to that used in earlier experiments on DPC
mortars and consisted of a 1 : 3 portland cement : sand mix using the standard locallyavailable grades of builders sand. We mixed a batch of sand until we were satisfied
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with the miscibility and then divided the batch into two parts. To one part of this mix
we added tap water until the right brick laying consistence was obtained and used that
mortar to continue building the wall up above the DPC layer.
For the DPC experimental mortar we added the Potassium Methysiliconate solution to
the other part of the earlier prepared batch and mixed until the same workingconsistency was achieved. This mortar was used for the DPC layers only but the
working practice was the same throughout the build using standard brick laying
methodology.
We have continued to monitor the construction over the years and below present a
photographic chronicle of changes in the condition of various components of this
experiment.
Fig 17
Conventional bituminous DPC layer.
Note that the continually wet bricks below the DPC
spall due to the freeze thaw cycles.
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Fig 18
Photograph taken in 1990
some 8 years after the experimental wall was built
This area of the wall was the worst effected section. Note that conventional mortar
perpendicular between the bricks has lost its surface. The DPC mortar layer shown no
degradation whatever and remains in the original condition. The surface layer is still
present and the surface tension tooling marks can still be seen. The wet bricks below
the DPC have started to spall and the spalled sections have been pushed away from
the brick to break off at the Experimental layer. Note that the mortar is fractured here
indicating that the bond between the mortar and the brick remains strong.
Fig 18
Photograph taken in 2006 of the same walland at the most weather damaged area of the build.
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In 2006 this structure was exposed to the British elements for 24 years and at the
worse effected area of the wall there is severe damage due to the freeze thaw cycles.
Generally because the brick bellow the experimental mortar were partially belowground level the bricks were subjected to prolonged wetting and this was a design
parameter in this experiment. 24 years after the structure was put up, we were
extremely surprised to see that the experimental DPC layer was in pristine condition.
No degradation of the mortar layer made with the Potassium Methylsiliconate was
observed. The surface layer remains in the condition it was in when the wall was built
and surprisingly, the tooling marks can still be seen in the DPC layers but not in the
conventional mortar layers.
When we built the wall the final part of the build was to point the mortar between the
bricks layers with a pointing tool and brush away any surplice mortar. The fact that
the tooling marks are still obvious was exceptionally surprising. The tooling marksresult from the fine sand being dragged along by the surface tension forces of the
liquid layer and dried to remain firmly bonded to the underlying mortar bed. This fact
is a clear indication that the cementing integrity of the cement binder remains
unaffected by exposure to the weather conditions.
The brick exposed to the wet conditions for prolonged periods of time has undergone
extensive damage and spalled deeply into the brick substance. It is of very
considerable interest that the brick bonded to the experimental mortar layer retains a
firm bond and is bonded to the spalled sections of the brick. Where the expanding
action of the freezing water forced the spalled sections away from the body of the
brick the brick sections remained firmly bonded to the DPC mortar layer and the
expansive forces increased as growing water crystals grew. The bond between the
mortar and the brick was so firm that eventually the force exerted by the freezing
water broke off the mortar for the spalled brick section to fall away. No spalling of the
DPC mortar layer is seen.
Note the degradation in the conventional mortar in between the upper bricks in the
next coarse up. Here the bonding property of the portland cement has failed in the
superficial layer to result in loose spalling mortar which is at this sage porous so that
the damage to the conventional mortar layer is accelerated. Water is the cause of the
damage seen.
31 Year Report
The long term study continues and we are able to present recent photographs of the
same wall taken in June 2013, 31 years after it was built.
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Fig 20
Photograph taken in June 2013
31 year old experimental follow up.
Least damaged section of the build.
In this 31 year old wall structure we have had the opportunity to witness the progress
of weathering damage to a structure that we built to exacting standards where care
was taken to observe the best control practice available to us. In the above photograph
of the least effected area of the structure we see that the perpendicular mortar layer
made with conventional mortar has lost its surface resulting in an increase in porosity.The experimental DPC layer has remind unchanged and very much to our surprise, we
still see the tooling marks on the surface of this layer. The surface remains in a
pristine condition and the bond between the mortar and the brick is sound and we can
see no difference in the bonding property between conventional mortar and the
experimental mortar. Note that the brick below the DPC is spalling and exerting
mechanical stresses on DPC mortar layer. The surface of the brick face is separating
from the body of the brick substance.
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Fig 21
Photograph taken in June 2013
31 year old experimental follow up.
Moderate spalling damaged to bricks in this section of the wall
In a different section of the same wall brick spalling has taken place and here we see
the mechanics of the spalling forces. The bond between the brick surface and the
mortar must have been very strong for the spalled brick to break off the surfacesection of the DPC layer. It can be seen that below this surface layer the mortar is in
excellent condition. Small stones remain embedded in the mortar substance indicating
a forceful braking off of the layer immediately above it. The brick on the upper
surface of the DPC layer is also braking off under the lever effect exerted during the
mechanical stresses induced by ice crystals. There is an unplanned variable in this
experiment and that is that this construction is on the side of a hill. Additional and
unplanned mechanical stresses are imposed on this structure due to land slip.
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Fig 22
Photograph taken in June 2013
31 year old experimental follow up.
Severe weathering damage.
At yet another section of the wall the damage is more extensive and the conventional
mortar is damaged to an extent where it has become porous and absorbent to water so
that wetting will increase the rate of degradation of this layer. In the layer below the
spalled brick the DPC layer is in excellent condition with no visible change to the
surface. No change has occurred in this mortar layer over the 31 years of thisexperiment.
We needed to have a comparison between the wetting characteristics of very slightly
positive water pressure exerted on the lower DPC mortar layer and the very slightly
negative water pressure as experienced by the upper DPC layer above the ground
level. On this level of the wall there is a public footpath on the other side of this wall
just below the top DPC mortar layer. Both DPC layers remain unchanged and the
surface of these layers still show tooling marks. The conventional mortar layers have
by this stage become damaged to absorb water.
This experimental condition is of particular interest because the 3 dimensionalPotassium Methysiliconate lattice or mesh formed by the molecule within the
substance of the mortar is said to be ineffective in preventing water transportation
across its lattice in positive pressure gradients. This chemical treatment is
recommended only for negative pressure gradients ie rising damp and is specifically
precluded from use in positive water pressure exposure. The above slight positive
water pressure gradient is clearly not sufficient to allow water to permeate the
substance of the treated mortar so that the water repellent characteristics of the PMS
molecule remain effective in moving water out of its environment. The lower DPC
layer is about 50mm below ground level and the upper DPC layer is about 25mm
above the ground level.
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We do not have any scientifically assessed data on the degree of pressure exerted at
the two layers but simply observations of the practical application of this experimental
setup.
Fig 23
Extreme damage due to weathering.
This section of the build is in structural failure.
Photograph taken 31 years after the build.
The worse effected section of this wall is seen in the above photograph. The twoexperimental mortar layers remain in excellent condition even though extreme
damage is seen in bricks in this part of the structure. There is deep invasive spalling
and damage to the bricks sandwiched between the DPC layers. Interestingly, in sites
where the brick has spalled from the mortar layer the edges of the mortar remain
sharp indicating that the integrity of the mortar substance remains firm and that the
mortar layers have not undergone any change in the strength of the material. In the
centre of this photograph the brick damage is extensive and traverses deep into the
substance of the brick whilst spalled sections of brick that are bonded to the DPC
layer remain bonded to the mortar.
The bond between the DPC mortar and the brick remains strong.
Once the concept of the wetting of materials was acknowledged we looked for
examples of this variable and found many cases of weathering damage all around us.
One of the best was this roofing tile which constitutes the finest experimental
comparison and clearly exemplifies the difference between the areas of materials
exposed to weathering and those protected from it.
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Fig 24
A single old asbestos cement roofing tile. On the left the area
of tile exposed to the elements and on the right the area of tile
covered by the overlapping tiles.
We took this old roofing asbestos tile from one of the contracts we were involved in
and gave it a rough sweep with a wire brush. The exposed area of the tile gave off a
dusty cloud of asbestos released from the degraded portland cementing matrix thatwas used to make these composite manufactured tiles. There were deep gouge marks
in the exposed surface whilst the covered section of the tile barely registered the wire
brush in effect, showing that the cementing matrix was still effective and holding the
composite firmly together. On this side of the tile the normal weathering mechanisms
could not cause damage because wetting was prevented by the overlapping tiles so
that the expanding stresses of the freezing water forming the growing water crystal in
the wetted surface of the tile, could not cause damage to the matrix.
We were embarrassed by such an obvious case in point staring us in the face but this
example was the best of experimental controls possible. This experimental material
was made of the same batch composition, at the same time using the same
methodology and experienced exactly the same conditions during the curing cycle,
storage, handling etc. When placed on the roof the tile was subjected to exactly the
same expansive and contractile stresses and exactly the same temperature changes etc
the only difference being that one half of this product was exposed to wetting and the
wind whilst the other half was protected from the elements by the covering tiles. This
example above all others demonstrated that water was the causative agent in the
destruction of the cementing matrix binding fibre composites.
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Conclusions.
There is fibre fallout in all cement bonded fibre composites.
Straw cellulose fibres in high volumes can be used to make composites bonded with
the Fondu, Calcium Aluminate Cement but the hydrated crystal formed is not stable in
prolonged wet environments. Similar products kept in dry conditions showed no
deterioration during the ten year trials.
A capillary bed model is put forward to explain why only a very small number of
fibres ever plays a part in disease causation, arguing that the world over, all Health
and Safety recommendations to asbestos fibres are arbitrary. There is no safe level to
asbestos exposure.
Industrial interests continue to provide dangerous materials because the profit marginsare high so that for example, there is more asbestos fibre in distribution today than
ever before.
The conventional and the experimental mortars prevented the passage of water across
the mortar layer during the 120 day experimental time scale for the experimental trial.
A 31 year old experiment indicates that a 1:3 conventional mortar absorbs water but
the chemical additive mortar prevents the upward passage of water and surprisingly,
no deterioration in the experimental DPC mortar layer has been observed.
Addition of water repellent additives to cement composites can at least double the
lifespan of such materials.
References
1. Branko R Babic, 1997 Cement-Cellulose Composites: Inorganic-Bonded Wood
and Fibre Composite Materials Volume 5, 49-63.
2. Lignacite Ltd, Norfolk House, High Street, Brandon, Suffolk IP27 0AX UK.3. Fernandez E C, Lamson C R G, Delgado T S. 2001. Housing construction
material from paper mill sludge. In: Paper Sludge: A Beneficial Breakthrough.
Proceedings of the 5th International Workshop on the Use of Paper Industry
Sludges in Environmental GeoTechnology and Construction; 2001 May 23-25;
New World Renaissance Hotel, Makati City, Philippines. I.D.E.A Ltd. Embassy
of Finland, Manila: Woodfields Consultant, Inc. p.37-49
4. Robert Talby, 1993 Straw in the UK Construction Industry, Loughborough
University of Technology, Project Report, p. 1
5. Stop Cancer before it starts campaign: 2003 Feb, How to win the loosing war
against cancer. US Cancer prevention coalition.
-
7/27/2019 31 Year Follow Up Dpc
30/31
6. Spurny K, Marfels H, Boose C, Weiss G, Opiela H, Wulbeck FJ. 1989 Fibre
emissions from weathered asbestos cement products. 1. Fibre release in ambient
air. Zentralbl Hyg Umweltmed. May;1988(1-2):127-43. German.
7. Health and Safety Executive, Control of Asbestos Regulations. Working with
Asbestos 2006, ISBN97807176 7.
8. Health and Safety Executive, Asbestos Essentials. Task Sheet Issued April 2012to be implemented by 2015.
9. Harrington JM, Craun GF, Mcigs JW, Landrigan PJ, Flanncry JT, Woodhull RS,
1978, An investigation of the use of asbestos cement pipes for public water
supply and the incidence of gastrointestinal cancers in Connecticut 1935-1973
Am. J Epidemiology 107: 96-103.
10. Kjaerheim K, Ulvastad B, Martinsen JI, Andersen A 2005 Cancer of the
gastrointestinal tract and exposure to asbestos drinking water among lighthouse
keepers (Norway), Cancer Causes and Control 16:593-598.
11. Sadler TD, Room WN, Lyon JL, Mason JO 1984, The use of asbestos cement
pipes for water.
12. Varga C, 2000, Asbestos fibers in drinking water: are they carcinogenic or not?Medical Hypothesis 55(3); 225-226.
13. Scrivener K L, Capmas A, 1997, Calcium Aluminate Cements, Lee's Chemistry
of Cement and Concrete, 4th Edition, Hewlett PC, ed, 709-778.
14. Spooner B, Roberts P 2005. Fungi. The New Naturalist Library. Collins,
London UK.
15. Health and Safety Executive UK, Guidance for Doctors on Control of Asbestos
Regulations 2012.
16. Fasy T M, 1991, Asbestos fibers are mutagenic after all: new signs of orthodoxy
for a paradoxical group of carcinogens. Ann NY Acad Sci, 643: 271-279.
Environmental Health, Vol II, 4: 356-359.
17. Egilman D, et al, 2003, Exposing the Myth of ABC, Anything but Chrysotile: A
critique of the Canadian asbestos mining industry and the McGill University
chrysotile studies, AJIM, Vol. 44,issue 5: 540-557.
18. Shuker L, Harrison P, Poole . 1997, Health effects of asbestos and man made
mineral fibers, Institute of Environment and Health, Leicester University UK.
19. Wagner JC 1980, The Pneumoconioses Due to Mineral Dust, J geol. Soc.
London, Vol 137, 537-545.
20. Mosman B T, Craighead J E, 1981 Mechanism of asbestos carcinogenicity,
Environ Res. 25(2) 269-280.
21. LaDou J, 2004, The asbestos cancer epidemic, Environmental Health
Perspectives, vol 112, 3:285-290.22. Elmes PC 1980 Fibrous Minerals and Health, J. geol. Soc. London,
Vol 137, 525-535.
23. Kane A B, Boffetta P, Saracci R, Wilborne J D, 1996, Mechanism of mineral
fibre cinogenesis. IARC Scientific Publications No 140.
24. Lippmann M1988. Review. Asbestos exposure indices. Environ.Res 46, 86-106.
25. Magnani C, Agudo A, Gonzalez CA, Andrion A, Calleja A, Chellini, Dalmasso
P, Escolar A, Hernandez S, Ivaldi C, Mirabelli D, Ramirez J, Turuguet D, Usel
M, Terracini B. 2000, Multicentric study on malignant pleural mesothelioma
and non-occupational exposure to asbestos. Br J Cancer 83(1): 104-111.
26. Risks 248, 18March 2006. TUC Weekly Bulletin.
27. http://www.hse.gov.uk/statistics/causdis/proj6801.pdf28. Grays Anatomy, Thirty-Ninth Edition, Pleura, Lungs,T rachea, Bronchi, p1070.
http://www.hse.gov.uk/statistics/causdis/proj6801.pdfhttp://www.hse.gov.uk/statistics/causdis/proj6801.pdf -
7/27/2019 31 Year Follow Up Dpc
31/31
29. Medical Physiology, Second International Edition, Organisation of the
Cardiovascular System, p 429-439.
30. Rankin B S, Zorabedian J, Egilman D S, 2005, Maximizing profit and
endangering health: Corporate strategies to avoid litigation and regulation.
International Journal of Occupational and Environmental Health, Vol II, 4,: 338-
483.31. News round up. 2003, Asbestos poisoning was covered up by doctors, claims
health team. BMJ, Vol. 327: 248.
32. Treasure T, Waller D, Swift S, Peto J, 2004, Radical surgery for mesothelioma,
The epidemic is still to peak and we need more research to manage it. BMJ Vol.
328: 237-238.
33. Hodgson JT, McElvenny DM, Darnton AJ, Price MJ, Peto J. (2005) The
expected burden of mesothelioma mortality in great Britain from 2002 to 2050.
British Journal of Cancer; 92 587-593.
34. Gennaro V, Tomatis L 2005, Business Bias: How epidemiological studies may
underestimate or fail to detect increased risk of cancer and other diseases.
International Journal of Occupational and Environmental Health, Vol II, 4: 356-35
35. Egilman D S, Rankin B S, 2005 Over a barrel: Corporate corruption of science
and its effects on workers and the environment.: 331-337.
36. Twentieth century mortality trend in England and Wales, 2003 Feb, 18 Health
and Safety Statistics Quarterly UK.
37. Guillemin M P, Litzistorf G, Buffat P A. Urinary fibre in occupational exposure
to asbestos, 1989. Ann. Occup. Hyg.33(2):219-233.
38. Lipman M. Asbestos exposure indeces. Environ.Res:1988:46 86-106.
39. Bernstein, Rogers, Sepulveda, Donaldson, Schuler, Gaering, Kunzendorf,
Chevalier and Holm, Quantification of the Pathological Response and Fate in
the Lung and Pleura of Chrysotile in Combination with Fine Particles Compared
to Amosite-Asbestos Following Short-Term Inhalation Exposure,
INHALATION TOXICOLOGY, 23(7): 372-391 (2011).
40. Berman, Brorby, Sheehan, Bogen and Holm, More on the Dynamics of Dust
Generation: The Effects of Mixing and Sanding Chrysotile, Calcium Carbonate,
and Other Components on the Characteristics of Joint-Compound Dusts,ANN.
OCCUP. HYG., 56(7):852-867 (2012).
41. Kathleen Ruff, Scientific articles, intended to cast doubt on harm caused by
chrysotile asbestos, were potentially part of a crime-fraudNew York Appeal
Court June6, 2013, RightOn Canada.
42. Emma Tan, Nick Warren Projection of mesothelioma mortality in Great Britain,
Health and Safety Executive Research Report RR728, 2009.
43. Emma Tan, Nick Warren. Mesothelioma mortality in Great Britain, Health and
Safety Executive Research Report RR876, 2011.
https://www.rightoncanada.ca/?p=2078https://www.rightoncanada.ca/?p=2078https://www.rightoncanada.ca/?p=2078https://www.rightoncanada.ca/?p=2078