A group of ADAO representatives including Dr. Arthur Frank, Dr. Barry Castleman, Brent Kynoch, Marilyn Amento, and Linda Reinstein present the most up-to-date facts to members and staffers in the Senate so that they can make informed legislative and policy decisions. Our hope is to offer critical asbestos information and encourage bipartisan interagency collaboration to address a threat that affects all Americans.

1. “Asbestos: Impact on
Public Health, Environment and
Economy”
Asbestos Disease Awareness Organization (ADAO)
www.adao.us
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2. Education. Advocacy. Community
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www.adao.us

3. U.S. Senate Staff Briefing Speakers
Arthur Frank, MD, PhD, Department of Environmental &
Occupational Health, Drexel University School of Public
Health
Barry Castleman, ScD, Environmental Consultant
Brent Kynoch, Environmental Information Association
Marilyn Amento, Mesothelioma Widow
Linda Reinstein, Asbestos Disease Awareness Organization
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4. ADAO Congressional Meeting Dedication
To Mesothelioma Victims
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5. Asbestos is a Proven Human Carcinogen and
There is No Safe Level of Exposure.
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6. How Small is Asbestos?
2-3 rice grains
20,000 Asbestos Fibers
5-6 human hairs
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7. Update:
U.S. Senate Resolution 63
(Excerpt)
Designating the first week of
April 2011 as `National
Asbestos Awareness Week'.
Resolved, that the Senate urges
the Surgeon General, as a
public health issue, to warn
and educate people that
asbestos exposure may be
hazardous to their health.
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8. Arthur Frank, MD, PhD
Department of Environmental &
Occupational Health, Drexel
University School of Public Health
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10. 1. Asbestos is a group of six naturally occurring minerals that
in the past was used for 3-4,000 products.
2. All forms of asbestos, including the five amphiboles and
chrysotile can cause all asbestos-related disease.
3. There are two classes of disease. The non-malignant
diseases are variable, but the most important, asbestosis
(scarring of lung tissue), has caused up to 10% of deaths in
some groups. The cancers (lung, mesothelioma, larynx, and
others) are a major source of death for exposed individuals.
Arthur Frank, MD, PhD
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11. Barry Castleman, ScD
Environmental Consultant
US Asbestos Product Imports and
Contaminant-Asbestos
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12. ADAO Product Testing
5 Products Contaminated Monitoring Needed
With Asbestos
Once a ban is enacted, the
U.S. will need to analyze
imported products so that
Americans will not be
endangered by unlabeled
asbestos products which
may already be coming in
(violating OSHA
regulations).
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13. Contaminated Asbestos in Stone and Minerals
 NIOSH is looking into contaminant asbestos in talc,
stone, & other minerals.
 The California Air Resource Board (CARB 435) limit
of 0.25% asbestos in stone and gravel should be able to
be met nation-wide.
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14. Safer Substitutions Exist
 No U.S. manufacturers make asbestos brake pads,
gaskets, and A-C pipes. Banning imports of these
asbestos products protects U.S. workers and companies.
 Non-asbestos diaphragms and membrane cell
technology are alternatives to discredited asbestos
diaphragm and mercury cell technology.
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15. 1. The US still imports asbestos from Canada and asbestos
products from a large number of countries. Monitoring
of asbestos product imports for OSHA cancer labeling
is needed.
2. There are safer substitutes to asbestos that provide equal
functionality at comparable costs.
3. 55 countries worldwide have banned asbestos. The
United States still has not.
Barry Castleman
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16. J. Brent Kynoch
Managing Director
Regulatory Concerns and Violations
“Our multi-disciplinary membership collects, generates
and disseminates information about environmental
issues in buildings and facilities.”
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17. Existing Regulations
 TSCA
• AHERA – Asbestos in Schools Rule.
Accreditation requirements extended to public and
commercial buildings.
 NESHAP
• The 1% rule.
• All buildings must be inspected for asbestos prior
to demolition or renovation.
 OSHA – Exposure limits regardless of %.
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18. Enforcement?
 By EPA’s own admission, enforcement is “dismal.”1
 Existing regulations are sufficient to protect worker
and environmental health.
 Budgets (for inspectors) continue to be cut, but
“encouragement” can and should be pushed
downhill.
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19. Enforcement Issues
 Marco Island, FL – June 5, 2010 settlement - $81,772
– neither contractor nor city take liability
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20. What Can Be Done?
 Beef up enforcement!!
• Do not need new laws.
• Provides jobs.
• Pays for itself.
• Enforcement will stem violations that lead to exposures, disease and
death.
 Push enforcement to the local level through
education and encouragement funding.
• Demolition and renovation permits.
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21. 1) Asbestos regulation does exist, including through
TSCA, NESHAP, and OSHA.
2) Existing laws to protect worker and environmental
health are sufficient, but are not enforced
adequately.
Brent Kynoch
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22. Environmental Exposure:
Ambler, PA Super Fund
Sites
Marilyn Amento
Mesothelioma Widow
Ambler, PA
m.amento@verizon.net
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23. Joe Amento, Jr.
Born June 19, 1950
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24. 1.19.2012 - Reinstein

25. Two Superfund Sites in Ambler
Amento
Home
Park
Bo-Rit Pile
Present Remediation
“White
Mountains”
Remediated 1993
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26. Abandoned 114-year-old
Keasbey & Mattison
Asbestos Factory
Asbestos waste in
factory basement.
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27. Ambler Bo-Rit Super Fund Site
• McDonald's drive-thru Oct 7,
2011.
Asbestos unearthed.
Water from a garden hose?
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28. 1) Asbestos manufacturing took place in
Ambler Borough (.8 mile square) for over 100
years.
2) More than 3 million tons of asbestos waste
spanning over 75 acres continues to threaten
public health today.
Marilyn Amento
1.19.2012 - Reinstein

29. Trends and Challenges on Preventing
Environmental and Occupational
Asbestos Exposure
Linda Reinstein, Co-Founder
Asbestos Disease Awareness Organization (ADAO)
linda@adao.us www.adao.us
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30. Alan Reinstein, Former ADAO President
Pleural Mesothelioma Victim
May 2005 May 2006
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31. Building a Culture of Prevention
The International Social Security Association reported that
the “cost-benefit potential for investments in
prevention may be as strong as 1:2.2, and even higher in
some cases.
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32. “THE UNITED STATES IS DEPENDENT ON
IMPORTS TO MEET MANUFACTURING NEEDS.
Asbestos consumption in the United States was estimated to
be 820 metric tons, based on asbestos imports through July
2010.
Roofing products were estimated to account for about 72%
of U.S. consumption and other applications, 28%.”
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33. Environmental and Occupational Exposure
Continues
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34. Canadian Chrysotile
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35. “As many as 30 million homes and
businesses are insulated lethal asbestos-
tainted vermiculite.”
“Ten years ago, then-EPA investigator Keven McDermott crawled
through an attic in Manchester, Wash., confirming the presence of
130 bags of asbestos-containing Zonolite insulation.”
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36. Exposure Continues from Libby, the U.S. Capitol Tunnels and
WTC
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37. 1. The World Health Organization, United States Environmental
Protection Agency, and U.S. Surgeon General agree: asbestos is a
human carcinogen and there is no safe level of asbestos
exposure.
2. 10,000 American die every year from preventable asbestos-
caused diseases
3. 2) In industrialized nations, nearly one in three people with
mesothelioma have no history of workplace exposure to
asbestos.
4. The attics and walls of an estimated 30 million U.S. homes were
insulated with Zonolite.
Linda Reinstein
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38. Interagency Collaboration will Save Lives and Dollars
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39. 1.19.2012 - Reinstein Linda@adao.us

40. Questions & Answers
www.adao.us
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