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      Asbestos Consumption in Mongolia: 1996–2014

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          Abstract

          Asbestos is still used in Mongolia in the energy and construction sectors, among others. However, limited data is available on asbestos consumption and asbestos-related disease in Mongolia. The purpose of this paper is to present the available information on the importation of asbestos into Mongolia. We used data on annual asbestos imports between 1996 and 2014 from Mongolian Customs Statistics and the National Council on Toxic and Hazardous Substances Affairs. The uses of this material are also presented with respect to chrysotile alone. Most asbestos is used for construction. Mongolia started using asbestos in the energy and construction industries as thermal insulation in 1961. Asbestos is still allowed for use in Mongolia under the Law on Toxic and Hazards Substances. There are no asbestos mines in Mongolia, and the manufacture of asbestos-containing materials does not take place there. Thus, asbestos is mainly imported from China and Russia. Mongolia used 44,422 metric tons of asbestos-containing materials between 1996 and 2014. In Mongolia, with the current use of asbestos, there will be a continuing risk of developing asbestos-related diseases from past use, and proper oversight of asbestos-involving activities and the safe removal and disposal of asbestos must be considered.

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          Most cited references28

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          Global mesothelioma deaths reported to the World Health Organization between 1994 and 2008.

          To carry out a descriptive analysis of mesothelioma deaths reported worldwide between 1994 and 2008. We extracted data on mesothelioma deaths reported to the World Health Organization mortality database since 1994, when the disease was first recorded. We also sought information from other English-language sources. Crude and age-adjusted mortality rates were calculated and mortality trends were assessed from the annual percentage change in the age-adjusted mortality rate. In total, 92,253 mesothelioma deaths were reported by 83 countries. Crude and age-adjusted mortality rates were 6.2 and 4.9 per million population, respectively. The age-adjusted mortality rate increased by 5.37% per year and consequently more than doubled during the study period. The mean age at death was 70 years and the male-to-female ratio was 3.6:1. The disease distribution by anatomical site was: pleura, 41.3%; peritoneum, 4.5%; pericardium, 0.3%; and unspecified sites, 43.1%. The geographical distribution of deaths was skewed towards high-income countries: the United States of America reported the highest number, while over 50% of all deaths occurred in Europe. In contrast, less than 12% occurred in middle- and low-income countries. The overall trend in the age-adjusted mortality rate was increasing in Europe and Japan but decreasing in the United States. The number of mesothelioma deaths reported and the number of countries reporting deaths increased during the study period, probably due to better disease recognition and an increase in incidence. The different time trends observed between countries may be an early indication that the disease burden is slowly shifting towards those that have used asbestos more recently.
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            Asbestos: use, bans and disease burden in Europe

            Abstract Objective To analyse national data on asbestos use and related diseases in the European Region of the World Health Organization (WHO). Methods For each of the 53 countries, per capita asbestos use (kg/capita/year) and age-adjusted mortality rates (deaths/million persons/year) due to mesothelioma and asbestosis were calculated using the databases of the United States Geological Survey and WHO, respectively. Countries were further categorized by ban status: early-ban (ban adopted by 2000, n = 17), late-ban (ban adopted 2001–2013, n = 17), and no-ban (n = 19). Findings Between 1920–2012, the highest per capita asbestos use was found in the no-ban group. After 2000, early-ban and late-ban groups reduced their asbestos use levels to less than or equal to 0.1 kg/capita/year, respectively, while the no-ban group maintained a very high use at 2.2 kg/capita/year. Between 1994 and 2010, the European Region registered 106 180 deaths from mesothelioma and asbestosis, accounting for 60% of such deaths worldwide. In the early-ban and late-ban groups, 16/17 and 15/17 countries, respectively, reported mesothelioma data to WHO, while only 6/19 countries in the no-ban group reported such data. The age-adjusted mortality rates for mesothelioma for the early-ban, late-ban and no-ban groups were 9.4, 3.7 and 3.2 deaths/million persons/year, respectively. Asbestosis rates for the groups were 0.8, 0.9 and 1.5 deaths/million persons/year, respectively. Conclusion Within the European Region, the early-ban countries reported most of the current asbestos-related deaths. However, this might shift to the no-ban countries, since the disease burden will likely increase in these countries due the heavy use of asbestos.
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              Asbestos use and asbestos-related diseases in Asia: past, present and future.

              Although there are growing concerns about the global epidemic of asbestos-related diseases (ARD), the current status of asbestos use and ARD in Asia is elusive. We conducted a descriptive analysis of available data on asbestos use and ARD to characterize the current situation in Asia. We used descriptive indicators of per capita asbestos use (kilograms per capita per year) and age-adjusted mortality rates (AAMR, persons per million population per year) by country and for the region, with reference to the world. The proportion of global asbestos use attributed to Asia has been steadily increasing over the years from 14% (1920-1970) to 33% (1971-2000) to 64% (2001-2007). This increase has been reflected in the absolute level of per capita use across a wide range of countries. In contrast, 12 882 ARD deaths have been recorded cumulatively in Asia, which is equivalent to only 13% of the cumulative number of ARD deaths in the world during the same period. The highest AAMR were recorded in Cyprus (4.8), Israel (3.7) and Japan (3.3), all of which have banned asbestos use. There is a paucity of information concerning the current situation of ARD in Asia. The marked increase in asbestos use in Asia since 1970, however, is likely to trigger a surge of ARD in the immediate decades ahead. © 2011 The Authors; Respirology © 2011 Asian Pacific Society of Respirology.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                15 January 2018
                January 2018
                : 15
                : 1
                : 136
                Affiliations
                [1 ]Department of Environmental Health, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar 14210, Mongolia
                [2 ]Dornsife School of Public Health, Drexel University, Philadelphia, PA 19104, USA; alf26@ 123456drexel.edu
                Author notes
                [* ]Correspondence: naransukh.d@ 123456mnums.edu.mn ; Tel.: +976-9400-4884
                Author information
                https://orcid.org/0000-0001-9536-906X
                Article
                ijerph-15-00136
                10.3390/ijerph15010136
                5800235
                29342920
                edbfaa20-d78c-48bb-a81f-c7cbbccb7277
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 15 December 2017
                : 11 January 2018
                Categories
                Article

                Public health
                asbestos use,chrysotile,mongolia
                Public health
                asbestos use, chrysotile, mongolia

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