Despite restrictions on asbestos, Hawai‘i residents continue to succumb to mesothelioma cancer

While it’s well-established that the deadly form of cancer known as mesothelioma is caused solely by exposure to asbestos, thousands of people throughout the U.S. mainland and Hawaii continue to die from the disease every year.

About 3,000 cases of mesothelioma are registered each year in the United States. In Hawaii, there are approximately 38 asbestos-related deaths a year, according to the U.S. Centers for Disease Control.

Mesothelioma was discovered in the late nineteenth century and gradually came to be associated with exposure to asbestos. The mineral has been used throughout history, but as the Industrial Revolution took hold, more and more uses were found.

Asbestos and Mesothelioma Aren’t Going Away

The serious health risks associated with asbestos exposure have been known for generations. The naturally occurring fiber is the only known cause of mesothelioma, an incurable and deadly form of cancer of the lining of the lungs and internal organs. Legal and regulatory scrutiny of asbestos use has ramped up over the years — including a 2024 ban on chrysotile asbestos — but an alarming number of Americans continue to die from mesothelioma every year. While mesothelioma diagnosis rates have fallen among men, they have remained steady among women.

Global Mesothelioma Cases Surge as Asbestos Use Continues

Cases of mesothelioma around the world have been increasing along with a rise in the global use of asbestos, despite an acknowledgment more than 40 years ago by the World Health Organization (WHO) and the International Agency for Research on Cancer (IARC) that all forms of asbestos are carcinogenic.

Asbestos exposure causes mesothelioma, a cancer of the tissue that lines the lungs, chest wall, and abdomen. Given that asbestos continues to be used globally in a variety of commercial products, it’s not surprising that mesothelioma cases and deaths associated with the disease have been rising too.

EPA Ban on Chrysotile Asbestos Will Save Lives, Hold Corporations Accountable

After years of tireless work by advocacy groups on behalf of cancer victims, the Environmental Protection Agency (EPA) is finally taking action against asbestos, a dangerous substance known to cause cancer, severe illness and countless fatalities each year.

In March 2024, the EPA took a major step toward protecting Americans from asbestos exposure with a historic ban on a common type of asbestos known as chrysotile. It was the first substantive move to protect Americans from asbestos exposure in decades.

5 Most Common Ways People Are Exposed to Asbestos

Until about four decades ago, most structures in Hawaii were built with material containing asbestos, including the state’s military bases, state buildings, homes and even schools.

While the health risks from these materials are well-known today, the use of asbestos – while highly regulated in Hawaii – is still allowed in certain products, creating serious risk for anyone who comes in contact with them.

Asbestos is composed of six minerals that occur naturally in the environment as bundles of fibers that can be separated into extremely fine threads for commercial and industrial uses. The fibers are resistant to heat, fire and chemicals and do not conduct electricity.

The U.S. Never Banned Asbestos. These Workers are Paying the Price.

The stories about the dangers of asbestos exposure are horrifying and all too common: mesothelioma, lung, laryngeal and ovarian cancer, and ultimately death. But despite the well-known risks of the dangerous and deadly carcinogenic fibers, the United States still has not banned asbestos.

While dozens of other countries have outlawed asbestos, the United States allows hundreds of tons each year from Brazil to benefit two major chemical companies, OxyChem and Olin Corp. The companies say asbestos is crucial to chlorine production and that their protocols for handling it keep workers safe from exposure. But those workers claim otherwise.

More than a dozen former workers from OxyChem’s plant in Niagara Falls, New York, told ProPublica that asbestos dust hung in the air, collected on the beams and light fixtures and built up inches thick. Workers often were without protective suits or masks and the dust collected on their coveralls and boots.

The Environmental Protection Agency and Congress accepted the companies’ claims that workers were safe. The Occupational Safety and Health Administration let the companies into a special program that limited the frequency of inspections at their plants, ProPublica reported.

OxyChem declined ProPublica’s requests for an interview. The company said in a statement to ProPublica that it complies with federal regulations on asbestos and that workers who handle it are “trained, work in restricted areas of our plant, protected by personal protective equipment and are offered annual medical examinations.” The company also said it allows employees to stop work if they feel unsafe.

“The health and safety of every plant worker and the people in our surrounding communities is our top priority,” the company said.

Olin did not respond to calls and emails that ProPublica said it sent over the course of a month.

The former workers agreed to hours of interviews with ProPublica and recounted “ever-present asbestos dust with scant protection.”

Federal workplace safety standards require keeping asbestos fibers wet to prevent them from going airborne, having workers wear protective equipment and containing the asbestos inside certain areas. OxyChem had rules in place, but the protocols failed to match reality at the Niagara Falls plant, according to more than a dozen workers who spoke to ProPublica.

Tanks of chlorine, caustic soda and hydrogen contained metal screens coated with layers of asbestos to keep the chemicals apart. When screens needed to be recoated, OxyChem workers used pressure washers, splattering asbestos everywhere. Then, they dipped the clean screen into a wet mixture containing new asbestos and cooked it in an oven until the asbestos hardened. They worked on one or two screens each day.

Asbestos wasn’t a problem when it was wet, but it would dry overnight. The next morning, the workers told ProPublica, it would be stuck to the ceiling and the walls. Clumps would roll across the floor and floating particles could be seen in the air.

There was so much asbestos in the cell-maintenance building that it was impossible to keep it all wet, said Robert Cheff, who worked at the plant from 1981 to 2007. “We were constantly swimming in this stuff.”

Workers wore protective gear for certain tasks, like pressure washing and screen dipping. But they went into the building to carry out other tasks without special suits or anything protecting their faces, despite company requirements. One worker said managers enforced those rules. But a dozen others interviewed by ProPublica recalled that the bosses looked the other way.

The stories shocked six experts in industrial hygiene and occupational health who were consulted by ProPublica.

“Totally unacceptable,” said Rachael Jones, professor and chair of the Environmental Health Sciences Department at the University of California, Los Angeles.

“Fraught with danger,” said Dr. Philip Landrigan, a public health physician trained in occupational medicine and epidemiology who leads Boston College’s program for Global Public Health and the Common Good.

Workers with a high risk of exposure sometimes clipped a small monitor to their bodies to measure the amount of asbestos in the air around them. At least five times in 2001 and 2002, the levels around Patrick Nowak exceeded OSHA’s exposure limit, ProPublica said his company records show. “I failed so many times, they quit testing me,” he said.

Tony Garfalo wore a monitor seven times in 2001, and, on four occasions, the results exceeded OSHA’s limit, his records show. Once, the asbestos level was more than five times the allowable limit.

Under the Biden administration, the EPA determined that all workers in asbestos-dependent chlorine plants faced an “unreasonable risk” of getting sick from it, citing a review of the companies’ own exposure-monitoring data. EPA Administrator Michael Regan proposed a ban for the first time in more than three decades. But it could be months before the rule is finalized and the chemical industry has vowed to fight it.

How We Help Victims of Asbestos Exposure

Seek justice with the help of our experienced asbestos attorneys. Our asbestos law firm has represented individuals like you affected by asbestos exposure for over 20 years, aggressively fighting the corporate giants responsible for their dangerous products. If you or a loved one were exposed to asbestos or suffered from a disease caused by asbestos, like mesothelioma, we can help.

Recognizing Symptoms of Mesothelioma: The Earlier, The Better

According to the American Cancer Society, about 3,000 cases of mesothelioma are diagnosed annually. The current consensus is that mesothelioma is an incurable form of cancer that attacks the mesothelium or lining of certain internal organs.

There are three main types of mesothelioma to watch out for based on the location of the mesothelium affected: pleural mesothelioma, which affects the tissue surrounding the lungs; peritoneal mesothelioma, which attacks the membrane around the stomach; and the last type is located in the lining of the heart, known as pericardial mesothelioma. Each of these forms of mesothelioma has its own targeted set of symptoms to monitor.

While mesothelioma may currently be incurable, it is possible to prolong survival and improve patients’ quality of life by managing their symptoms as long as they catch it early enough. The following addresses the types of the cancer and the question, what are the symptoms of mesothelioma.

  • Pleural mesothelioma’s symptoms such as chest pain, painful coughing or trouble swallowing, and shortness of breath can be expected for a disease that specifically affects lung tissue. Pleural mesothelioma may also come with unexplained weight loss, abnormal lumps on the chest area, or even swelling in the face or arms.
  • Pericardial mesothelioma shares similar symptoms, such as breathing difficulty, irregular heart rhythm, and chest pains due to the location in the chest area.
  • Peritoneal mesothelioma’s symptoms similarly appear linked to the location in the abdomen, which include abdominal pain, swelling in the stomach, nausea, constipation, and unexplained weight loss.
  • Some of the generalized mesothelioma symptoms across all types of the disease that may manifest are fever, excessive sweating, fatigue, blood clots, and loss of appetite.

While many of these symptoms sound incredibly common, especially during a global pandemic that affects the respiratory system, it is crucial to get them checked out by a doctor if you notice any of these warning signs persisting or anything out of the usual. It is imperative to monitor your health for these signs if you have a history of asbestos exposure.

Doctors often arrive at a mesothelioma diagnosis by accident during other routine screenings or X-rays. Although, advancements in health science have revealed that people with mesothelioma have high levels of substances like fibulin-3 and soluble mesothelin-related peptides (SMRPs). Measuring for these substances can be another way to reach an early diagnosis. The best method to catch mesothelioma early is in scenarios where patients can tell their doctors if they have been exposed to asbestos, the toxic fiber with a known causal link to the disease.

However, there are many cases where people are unaware of their asbestos exposure. It can take anywhere from 20 to 50 years for symptoms to manifest after the initial exposure to asbestos. By that time, the cancer has usually spread. Signs including fatigue, chest pain, and weight loss do not typically appear until mesothelioma has already progressed. Pressure on the nerves or other parts of the body typically occurs in stage 3 or 4 mesothelioma cases. Additionally, these symptoms are often misdiagnosed as more common conditions, which can cause further delay. Therefore, it becomes that much more important to pay attention once those symptoms present themselves in order to seek proper treatment as soon as possible.

The History of Asbestos: From Discovery to Personal Injury

Asbestos is a well-known toxic substance now, but the origins of its usage date back thousands of years before it was known to cause diseases like mesothelioma. Some countries like the U.S. have continued to use it in a lesser capacity despite this risk. The start of its use in other durable products such as pottery mixes dates back to 2500 B.C. in Finland. However, the first discovery of its toxicity did not come until 61-112 A.D. when an Ancient Roman scholar studied slaves who became ill working the asbestos mines. It would still take another 2,000 years before scientists would connect asbestos and the illness it causes.

The revelation of the illness caused by asbestos was not made before the toxic mineral’s introduction to the American industry in 1858 when the Johns Company began mining it for use in insulation. The Industrial Revolution further fueled its production and use throughout North America, noting the first industrial asbestos mine opening in Canada in 1879. It was not until 1918 that the U.S. government would recognize the risk of asbestos shortening the life spans of those who worked with the material.

In 1930, the illness known as asbestosis was discovered in connection to asbestos exposure by Dr. Edward Merewether. As a result, industry regulations were placed on British asbestos factories. Still, they did not include the other industries that handled the substance or were involved in its installation. Asbestosis would not be reported in America for another three years. Not until the Metropolitan Life Insurance Company found asbestosis in 29% of workers in an asbestos factory leading to lawsuit settlements.

Asbestosis would not be the only long-term illness in connection with asbestos exposure. Researchers first discovered the link between asbestos exposure and cancer in 1934. The warnings for this risk of cancer relative to asbestos would not come until 1942. A year later, the first mesothelioma-like tumor was reported in Germany. By 1949, asbestos is widely understood to be harmful. Despite this acceptance, the asbestos industry will continue to ignore the warnings of health risks through the 1960s and actively bury or alter the negative research reports before they could reach the public.

The good news is that they did not get away with covering up the dangers of asbestos forever. Eventually, in 1967, the first successful personal injury claim in the U.K. was established. Additional rules closely followed in 1969, which saw the expansion of regulation beyond just the manufacturing process to include every industry that used asbestos. These regulations included requiring the use of exhaust ventilation, protective equipment, and improved handling procedures. While these improvements were welcome, it was not enough to eliminate asbestos-related diseases.

When Congress approved the Clean Air Act, it allowed the Environmental Protection Agency to regulate asbestos as a hazardous air pollutant. Like the U.K., the U.S. only saw increased regulation after the first successful personal injury claim regarding asbestos in 1971. It would not make any further significant changes until 1989 when the EPA began to phase out asbestos use in almost all products in the U.S. Meanwhile, the U.K. would only be a decade away from a complete ban of asbestos across the board. Despite the shift away from asbestos that the EPA was attempting to make, the U.S. Courts overturned the EPA Asbestos Ban in 1991 due to pressure from asbestos industry lobbyists. The powerful influence of the asbestos industry is why asbestos can still be found in products manufactured today.

On Memorial Day, Honoring Those Exposed to Toxic Chemicals in the Line of Duty

Memorial Day is a time to reflect upon the courageous sacrifices made by the men and women who lost their lives protecting the freedoms we hold dear. This year, we should not forget the thousands of veterans who face a different kind of battle — against exposure to toxic chemicals that have created lasting and sometimes fatal health consequences.

Throughout history, service members have been exposed to a myriad of hazardous substances while serving their country, including jet fuel, solvents and asbestos, Agent Orange during the Vietnam War, and burn pits in the more recent wars in Iraq and Afghanistan.

These exposures, often occurring in war zones, in military installations and on ships, have had detrimental effects on veterans’ health, leading to severe illnesses, disabilities and premature death.

Mesothelioma 101: Non-Small Cell Lung Cancer Vs. Mesothelioma

When it comes to lung disease, it can be easy to get confused about the types of cancers and treatments available. However, mesothelioma and non-small cell lung cancer (NSCLC) are different diseases with different treatment plans, although some symptoms may be similar, and both have been linked to asbestos exposure.

What is Mesothelioma?

Mesothelioma is a type of cancer that typically forms in the lining around the lungs, although it can also form in the tissue surrounding the heart or the abdomen. As with any cancer, it can spread to the lungs and other parts of the body, but it is not considered a lung cancer.

Asbestos exposure is the primary cause of mesothelioma. This cancer develops many years after exposure and has a low survival rate.

What Is NSCLC? 

NSCLC is one of two types of lung cancer. The cancerous cells tend to be larger (as opposed to the cells in small cell lung cancer) and always start in the lungs. There are multiple types of NSCLC, which may dictate different treatment plans.

What are the Symptoms of Mesothelioma and NSCLC?

Both cancers cause breathing symptoms, including:

  • Shortness of breath
  • Persistent cough or coughing up blood
  • Respiratory infections, such as bronchitis or pneumonia
  • Pain in the chest, back, and shoulders
  • Fluid buildup around the lungs

This isn’t an exhaustive list of symptoms of either type of cancer, but if you or someone you love is experiencing frequent lung or breathing problems, you should consult a physician, especially if you may have been exposed to asbestos.

Because the symptoms are so similar, it is essential to see a doctor to get a definitive diagnosis.

How Are Mesothelioma and NSCLC diagnosed?

Whether done by a primary care physician or a specialist after a referral, diagnosis of cancers in and around the lung typically includes X-rays or other types of imaging to see whether and where tumors may have formed. Mesothelioma tumors usually form as a group of small tumors in the pleura surrounding the lungs. NSCLC tends to develop as single tumors inside the lungs.

Physicians may also test phlegm to look for cancer cells and take biopsies of affected areas to help diagnose the patient. It is also possible to develop both types of cancer or for cancer to form in the lungs after it has spread from other parts of the body, which is why exhaustive testing will help physicians create a complete picture of the disease and which treatments may be effective.

How Are These Cancers Treated?

Different cancers respond to different treatments.

If diagnosed early, mesothelioma and NSCLC can be treated through surgery.

Mesothelioma surgery involves removing the lining around the lungs, abdomen, or both, depending on which part of your body has been affected. Even if the pleura isn’t removed, physicians may need to perform surgery to remove fluid buildup around the lungs or other organs.

Surgery for NSCLC focuses on removing the tumor and possibly part of the affected lung. It may be necessary to remove an entire lung. When removing just the tumor, your physician will work to ensure that they leave a clean margin around it, meaning that not a single cancer cell remains in the tissue left in the body. If they do not get a clean margin, another surgery may be necessary to ensure complete removal.

Treatment may also involve chemotherapy and radiation. These treatments kill cancer cells but may also damage healthy cells in the body.

Immunotherapy is another treatment option. This therapy stimulates the immune system to fight cancer cells.

Targeted therapy is still another possible treatment. This treatment targets the proteins in the cancer cells that tell them how to grow, divide and spread.

Physicians may combine these treatments to achieve the best results depending on the type of cancer a patient has.

Patients may also choose to participate in trials of new treatments, especially if their cancer isn’t responding to currently approved therapies.

How We Help Victims of Asbestos Exposure

Seek justice with the help of our experienced asbestos attorneys. Our asbestos law firm has represented individuals like you affected by asbestos exposure for over 20 years, aggressively fighting the corporate giants responsible for their dangerous products. If you or a loved one were exposed to asbestos or suffer from a disease caused by asbestos-like mesothelioma, we can help.