Prevalence of Asbestos & Asbestos Disease in US Pacific Islands

It is well known that for decades asbestos was used worldwide in an overwhelming number of construction and industrial applications, as well as in many consumer products.  Unfortunately, exposure to asbestos can cause debilitating lung diseases, including mesothelioma, an aggressive cancer of the lungs for which there is presently no cure.  Accordingly many organizations have studied where and how asbestos was previously used in an effort to estimate the prevalence of asbestos related diseases.

Asbestos Use and Exposure in US Pacific Islands

I recently read in the International Journal of Occupational and Environmental Health, the World Health Organization (WHO) investigated the past use and potential asbestos exposure in the US Pacific Islands which consists of American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, the Republic of Marshall Islands, and the Republic of Palau.  The WHO’s Regional Framework for Action for Occupational Health 2011-2015 calls for a collaborative effort in the US Pacific Islands to effectively eliminate the threat of asbestos in today’s society.  Understanding where and how asbestos exposures have occurred is key to this effort.

The data search focused on the environmental presence of asbestos, where potential exposures occur, and related diseases.  Although the data is limited, it is clear that the potential for asbestos exposure in the US Pacific Islands is significantly higher than previously thought for a number of reasons.

Asbestos Use at Shipbuilding Facilities

One of the primary sources of asbestos exposure stems from the fact that shipbuilding facilities were located on some of these islands.  As we know from our own experience in the United States, prior to the mid 1970’s, asbestos was heavily used in the maintenance and repair of ships.  The islands of Guam and the Commonwealth of the Northern Mariana Islands served as active military ports during World War II.  Guam maintained active shipbuilding facilities even after World War II.  Both military and civilian workers at these sites were likely exposed to asbestos.

Data Underestimates Asbestos Disease

Professionals involved with the study concluded that the existing data probably underestimates the actual prevalence of asbestos diseases such as asbestosis and mesothelioma.  This under reporting is a result of substantial gaps in the information regarding asbestos exposure, consumption and disease in the US Pacific Islands.  However, there is sufficient evidence that confirms asbestos is and has been present on these islands for decades.  If this gap in asbestos related data continues, it will hinder the efforts to regulate and reduce the health effects of asbestos.

Asbestos Exposure Cause of Mesothelioma

Asbestos exposure is the cause of mesothelioma, a rare cancer caused by the inhalation asbestos fibers.  Asbestos insulation was heavily used in the construction, repair and maintenance of US Navy vessels. Many asbestos-containing materials were also used in the construction of military and civilian buildings in the 20th century, as asbestos was an excellent fire proofing and insulating material.  As these buildings begin to deteriorate, need repair or are destroyed, the risk of asbestos exposure still remains prevalent in today’s society, including in the US Pacific Islands.

Mesothelioma victims typically do not begin to show symptoms of the disease until 10 to 40 years after the initial exposure.  This latency period in the disease may be hindering countries such as Asia, India and the US Pacific Island in keeping accurate records of asbestos related disease and exposure.  Most people diagnosed with mesothelioma are typically in their 50’s or 60’s and only start to show symptoms in the later stages of the disease.  Sadly, there is currently no cure for this devastating disease.  For this reason prevention and awareness of asbestos is imperative in these countries.

Asbestos Awareness & Prevention

The Galiher Law Firm has been representing victims of mesothelioma for over 30 years.  I have been a strong advocate of the awareness and prevention of this deadly disease.  One of the keys to someday eliminating this terrible disease is prevention of asbestos exposure.  My law firm and I commend the World Health Organization for all of its efforts to raise awareness to prevent and eliminate asbestos from many countries.

 

Multimedia Presentations Change Patients’ Attitudes Toward Clinical Trials

I recently read about a new study conducted by researchers at the Moffitt Cancer Center in Tampa, Florida.  This study, published in the Journal of Oncology, focused on changing patients’ attitudes towards clinical trials which are studies conducted with patients to test the safety and effectiveness of new drugs and innovative treatments.  The study revealed that cancer patients’ perceptions and attitudes regarding clinical trials tend to be negative.  The study’s lead author, Paul B. Jacobsen, Ph.D., one of the senior members at Moffitt, noted

“Clinical trials are critical to the development of more effective cancer treatments, however, clinical trials are hampered by low rates of patient participation.”

Changing Attitudes about Clinical Trials

The study was conducted to find ways to change this negative mind-set and to increase the willingness of patients to participate in various clinical trials.  Researchers decided to try using a multimedia approach which involved many different forms of audio and visual materials to change patients’ behavior towards participation in clinical trials.  The researchers discovered that this new multimedia approach had a greater effect on changing patients’ attitudes than the standard literature about clinical trials which is typically provided.

The study took 472 cancer patients who had never been asked to participate in clinical trials before and divided them into 2 groups.  One group was exposed to a multimedia presentation of materials regarding clinical trials.  The other group was provided existing pamphlets, brochures, and paper work describing clinical trials.  The study revealed the group who had received the multimedia presentation showed an increased willingness and enthusiasm about participating in clinical trials compared to the group that was simply provided with the standard printed materials.

Although this study only reached a small group of cancer patients, the new multimedia approach has the potential to have a tremendous impact on cancer patients’ perception of clinical trials in the future.  I have seen firsthand the benefits that can come from clinical trials research and am happy to see that researchers are finding ways to better educate patients’ about clinical trials so they seriously consider participating.

Clinical Trials Are Critical to Finding a Cure

I cannot stress enough the importance of clinical trials in someday finding a cure for many kinds of cancer, including mesothelioma.  Many of these studies have led to new treatments and drugs that have increased life expectancy and quality of life for many cancer and mesothelioma patients.

For example, the chemotherapy drugs Cisplatin and Gemcitabine were tested in collaboration with one another in a clinical trial.  The results of this clinical trial showed that their effectiveness in treating patients with mesothelioma was much greater when they were used together.  This new treatment is now available to mesothelioma patients as a viable treatment for their cancer.

There are hundreds of clinical trials beginning every day, but with low patient participation the true effects of these groundbreaking therapies, treatments and drugs may never be fully determined.  The results of this study demonstrate effective ways to increase the number of patients willing to participate in such clinical trials.

My Clients and Clinical Trials

I strongly urge all of my clients to talk to their doctors and medical professionals about participating in clinical trials.  This is a very important decision, but also an individual one that needs to be made by patients in consultation with their treating doctors.

The results of clinical trials help to improve the outlook for all of those suffering from devastating diseases like mesothelioma.  I am proud of all of my clients who have participated in clinical trials.  I strongly recommend if you or a loved one is suffering from mesothelioma that you discuss your options for participation in clinical trials with your doctors.

For more information on clinical trials please visit our webpage on clinical trials.