*Environmental cancer spreading far and wide*

By Gopal Krishna <http://www.d-sector.org/authorall.asp?authorId=98>
24 Dec 2009

*There's an alarming rise in work-related cancers in the country, but the
government has failed to put any measures in place to prevent the epidemic
or raise awareness*

As we cry ourselves hoarse about dreaded diseases like AIDS or 'pandemics'
like H1N1 or avian flu, a more lethal epidemic has been quietly spreading
its tentacles. India is facing a cancer epidemic which has almost entirely
been missed in official statistics. Shockingly, out of more than 900
substances and chemicals evaluated since 1971, approximately 400 have been
identified as carcinogenic.

Worldwide, occupational cancer claims at least one life every 52 seconds, a
startling figure completely ignored by both Indian regulators as well as
employers. Over 600,000 deaths a year are caused by occupational cancer,
making up almost one-third of all work-related deaths. However, none of the
300 medical colleges in India have the capacity to deal with the alarming
rise in use of unregulated chemicals and hazardous substances. Contrast this
with Europe, where about half of occupational diseases are related to
dangerous substances and every fifth recognised as occupational neurological
diseases.
Worldwide, occupational cancer claims at least one life every 52 seconds.
Over 600,000 deaths a year are caused by occupational cancer, making up
almost one-third of all work-related deaths

*In India, this monstrous problem has been swept under the carpet. The decay
in our public health system has ensured that exposed populations are not
recorded and thus not protected. Besides this, scientists and doctors don't
disclose their affiliation to companies while investigating cancer risks
from the industry. The goings-on in the National Institute of Occupational
Health (NIOH), Gujarat, where industry-sponsored research was conducted, is
illustrative of this fact.*

In October 2009, 23 scientists from six countries met at the WHO's
International Agency for Research on Cancer (IARC) to reassess the
carcinogenicity of a number of chemical compounds, complex mixtures and
occupational exposures and to identify additional tumour sites and
mechanisms of onset of cancer. In their 33-page report, there is sufficient
evidence about the carcinogenicity of benzene, formaldehyde, Mustard gas and
Vinyl chloride.

Among other findings, sufficient evidence was also found about the
carcinogenicity of soot, seen in occupational exposure of chimney-sweeps.
Soot causes cancer of the skin (observed in the scrotum) and of the lung.
Similarly, coal gasification is said to cause lung cancer while exposure in
aluminium production can lead to cancer of the bladder and of the lung.

The list doesn't end here. The iron and steel industry, painting work and
even rubber manufacturing carry massive cancer risks. While exposure during
iron and steel founding can cause cancer of the lung, painters can get
mesothelioma, cancers of the urinary bladder, and lung. Causal association
of maternal exposure to painting (including preconception and during
pregnancy) has also been linked to leukaemia in the offspring. Exposure in
the rubber manufacturing industry causes leukaemia, lymphoma, cancers of the
urinary bladder, lung and stomach.

*The menace of asbestos*

One of the biggest hazards emanates from the asbestos industry. Experts at a
recent international scientific conference called for elimination of the
disease caused worldwide by exposure to environmental and occupational
hazards such as asbestos. The tragedy of the asbestos epidemic is that all
illnesses and deaths related to it are entirely preventable. Italy-based
Collegium Ramazzini, one of the co-organizers of the conference, stated that
safer substitutes for asbestos exist and they have been introduced
successfully in many countries.

Experts took note of the advertisement by the Asbestos Cement Products
Manufacturer's Association published in a newspaper (The Times of India, 17
December, 2009), which coincided with the inauguration of the conference and
debunked the misleading claims and disapproved the attempts by the industry
to hide behind government agencies like Directorate General, Factory Advice
Service and Labour Institutes (DGFASLI), which took note of Prevalence of
Asbestosis and Related Disorders in a Asbestos Fibre Processing Unit in West
Bengal as early as in 1996. (
http://www.dgfasli.nic.in/newsletter/jan_march_96.pdf)

Officials from the Labour Ministry, who were present at the conference,
joined Prof Arthur Frank and Dr Barry Castleman - both well-known asbestos
experts - in dismissing industry references to absence of asbestos diseases
in India as junk science. The seminar advised press and advertising
watchdogs as well as newspapers to avoid publishing such ads.

Scientists at the conference noted that the health consequences of the use
of asbestos in contemporary industrial society have been amply documented in
the international scientific literature. The toll of illness and death among
asbestos workers in mining, construction and heavy industry is well-known.
The risks from toxic exposures affect not only those who work with asbestos,
but also their families and neighbours (from material on clothing or plant
emissions), users of products that contain asbestos and the public at large.

The experts repeatedly urged government of India to harbour no illusions
about the "controlled use" of asbestos because there is no realistic
alternative to a ban. Moreover, even the best workplace controls cannot
prevent occupational and environmental exposures to products in use or to
waste. The alarming rise in the consumption of asbestos in India in
hospitals, schools, homes and commercial buildings now resemble those that
existed in the industrialized countries before the dangers of asbestos were
widely recognized.
The alarming rise in the consumption of asbestos in India in hospitals,
schools, homes and commercial buildings now resemble those that existed in
the industrialized countries before the dangers of asbestos were widely
recognized.

The conference took note of the hazards faced by construction industry,
including asbestos, silica, dust, chemicals and noise etc which most workers
and employers are unaware of. Construction has five times higher rates of
injuries and deaths. Most of these environmental and occupational health
hazards are preventable.

So far, the government has failed to learn anything from Bhopal and others
disasters. There was a chimney collapse in Bhilai last month, that killed
more than 40 workers. The rise in the rate of accidents in the construction
of Delhi Metro Rail Corporation (DMRC) and for Commonwealth Games Village is
illustrative of how no one is held accountable. Infrastructure development
projects choose not to take cognisance of occupational and environmental
hazards and neither workers nor consumers are ever informed of the
irreversible health damages by building materials such as asbestos products.

At the conference, Katja Radon, a researcher from Munich, said the social
system in Germany is geared to provide pension to asbestos victims and their
families besides compensation. Such a system is a far cry in India. Health
experts and officials admitted that there is no occupational and
environmental health infrastructure in place and the cancer registry of the
country of does not even record occupational cancers.

*The three day conference entitled 'Preventing Emerging Occupational and
Environmental Risks in South Asia and Beyond' was organized by Centre for
Occupational & Environmental Health (New Delhi), Collegium Ramazzini
(Italy), and Drexel University, School of Public Health, Philadelphia. It
was supported by Union Ministry of Labour and Employment, Government of
India, and WHO, SEARO and held at capital's Maulana Azad Medical College
where Dr Andrew Watterson from UK asked Indian public health experts, trade
unions and civil society organizations to be part of a Global Occupational
Cancer Prevention Campaign and Hemantha D. Wickramatillake from Sri Lanka
underlined a need for a South Asian Forum for Occupational and Environmental
Health Researchers.*

**


http://www.d-sector.org/article-det.asp?id=782

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