The socio-economic costs of asbestos in Germany “Asbestos – who pays the bill? Testimonies and Dialogue on Policy Recommendations” Side-event at the 18th Session of the United Nations Commission for Sustainable Development (CSD18), 06.04.2010, United Nations Headquarters, New York Dr. Markus Mattenklott BGIA - Institute for Occupational Safety and Health of the German Social Accident Insurance Germany Use of asbestos in Germany Chrysotile: 96 % Crocidolite: 3 % Amosite: 1% Interdiction of use of sprayed asbestos (1979) Total consumption 1948 – 1993: 6 million tons Ban of asbestos in Germany (1993) The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 2 Development of legislation (main steps) Exposure limit values [F/cm3] chr 1979: Prohibition of use of sprayed asbestos amo cro Since 1960 Recommended values (concerning 1993: General prohibition of mark., fabr. a. use of asbestos and asbestos containing products (with few special exceptions) 1973 chr: 0,15 mg/m3 1976 2,0 2,0 --- 1995: Interdiction of asbestos exposure at workplaces 1979 2,0 1,0 2,0 1,0 2,0 1,0 1982 1,0 1,0 1,0 1985 1,0 1,0 0,5 1990 0,25 --- --- 1995 --- --- --- 1981 - 1993: Prohibition of marketing, fabrication, use of most asbestos products step by step (except for asbestos removal, controlled by special rules, exposure < 0,015 F/cm3) *) 2005: Ban of asbestos in the countries of the European Union by a binding guideline *) Technical Rule for Hazardous Substances „Asbestos: Demolition, reconstruction or maintenance work„ (TRGS 519). Available in english www.baua.de, topic “Gefahrstoffe”, subtopic “TRGS” The socio-economic costs of asbestos in Germany M. Mattenklott conimetric data) New plants 06.04.2010 Slide 3 chr: chrysotile; cro: crocidolite; amo: amosite Since 1940: Guidelines and recommendations by the German social accident insurance Substitution of asbestos - e.g. asbestos cement Asbestos-free fibre cement Asbestos cement “Eternit AG” in Germany: Substitution of asbestos in typical products (selection) and new asbestos-free products Source: „Asbest und Gesundheit“, documentation of the Trade Union of fibre cement industries in Germany, 1994 - Production of undulated panels without asbestos since December 1984 - improved breaking strength and impact-resistance The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 4 Workplace exposure – acceptance of measures 20 Asbestos exposure at workplaces (mean values) in different industries in Germany (FRG) F/cm3 0,5 F/cm3 - Tools with low emissions were available - Use of these tools was prescribed Reality: no consequent use, no general acceptance The socio-economic costs of asbestos in Germany M. Mattenklott Sources: BK-Report “Faserjahre 1/2007, German Social Accident Insurance – DGUV, 2007; „Asbestspätschäden“, report, Hessisches Social Ministry, 1986 06.04.2010 Slide 5 Asbestos related diseases Liability and compensation in Germany • Compensation of asbestos related occupational diseases is implemented by a workers compensation system (Workers compensation act of 1884) • Workers compensation is executed by the German Statutory Accident Insurance (statutory basis: German Social Code, Vol. 7) • Workers compensation gives „immunity“ to employers, with the exception of employers liability in case of intent • Contributions to workers compensation are paid by employers • Occupational diseases are implemented by legislative body and listed in the German Occupational Diseases Ordinance The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 6 Asbestos related occup. diseases in Germany 1936: Severe asbestosis of the lung 1943: Severe asbestosis of the lung in combination with lung cancer 1976: asbestos induced mesothelioma of the pleura or peritoneum 1988: Lung cancer in combination with asbestosis or asbestos induced pleural disease 1993: Cumulative asbestos fibre exposure of at minimum 25x106 (Fibres/m3 x years) as third option to accept lung cancer as asbestos caused 1997: Lung cancer or cancer of the larynx (in combination with asbestosis or pleural disease or cumulative asbestos fibre exposure of at minimum 25x106 (Fibres/m3 x years)) 2009: Lung Cancer by syncarcinogenic effect of asbestos and polycyclic aromatic hydrocarbon exposure (dose calculation) The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 7 Asbestos related occup. diseases in Germany The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 8 Asbestos related diseases - Further development and costs The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 9 Number of cases of asbestos related occupational diseases in Germany up to 2008: 60,000 in total (estimated): 120,000 *) (lung cancer + mesothelioma: 55,000) Costs for asbestos related occupational diseases in Germany in 2008 all costs: 540,000,000 US-$ costs for pensions: 452,000,000 US-$ (84 % of all costs) Costs for asbestos related occupational diseases in Germany 1987 - 2008 all costs: 5,840,000,000 US-$ costs for pensions: 4,840,000,000 US-$ (83 % of all costs) Estimated total costs for asbestos related occup. diseases in Germany *) all costs: 20,000,000,000 US-$ costs for pensions: 17,000,000,000 US-$ April 2010: 1 Euro = 1.33 USD *) Optimistic assumption, that the culmination of cases per year will be reached in 2010 The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 10 Source: German Social Accident Insurance - DGUV Asbestos related diseases - Cases and Costs Asbestos related diseases - Costs per Case • Recipients of a pension in 2008: 25,958 • Mean pension per reciepent in 2008: 17,400 US-$ • Estimated mean duration of pension payment per case: • Estimated total pension per case - asbestosis: - lung cancer: - mesothelioma: 13 years 130,000 US-$ 320,000 US-$ 320,000 US-$ April 2010: 1 Euro = 1.33 USD The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 11 Further socio-economic impacts in Germany • About 1500 workers dying per year due to former occupational asbestos contact • Registration of workers with past (about 250,000) and current (abatement; about 70,000) asbestos contact, follow up and preventive occupational health checks (about 230,000 per year) (data for 2008) • Costs for asbestos abatement in public and private buildings • Uncontrolled current exposure: Health risks as a result of inappropriate handling of still used asbestos products in residential homes and industrial applications The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 12 The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 13 Asbestos products used in Germany (e.g. 1975) Asbestos cement Asbestos [t] 140.000 Kind of asbestos 95% chr, 4% cro, 1% amo Brake and clutch linings 9.000 chr Asbestos textiles 6.500 97% chr, Floor covering (flex boards, vinyl floor tiles) 15.000 chr Gaskets 5.700 chr Filtration media 1.500 chr, Moulding materials 2.000 chr Asphalt covering (mastic asphalt) 1.000 chr Spray-on asbestos coatings Chemical products for building and others 500 10.000 chr: chrysotile; cro: crocidolite; amo: amosite Product 3% cro rarely amo cro, rarely chr chr, cro Source: G. Albracht, O.A. Schwerdtfeger (Ed.): Herausforderung Asbest, 432 p., Universum Verlagsgesellschaft, 1991 The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 14 Substitution of asbestos in Germany (1) Field of application Product groups, substitution by asbestos free products until end of Work protection heat protection clothing and gloves, different textile objects Fire protection fire protection panels and mats, spraying mixtures, insulation plaster, fire blankets, protective clothing, synthetic plastic materials, coatings/paints, mastics, putties, mortars, millboards, cords, mats, inorganic foams, seal bags, fire blankets and curtains, protection clothing for fire fighters Thermal insulating panels and mats, spraying mixtures, filling materials for cavities and interstices, shaped parts and moulding mixtures, textile products Electrical insulation insulation for cables/wires and household appliances, insulating materials, moulding materials Gaskets and seals flat and other formed gaskets, cylinder head gaskets, high temperature seals, compensators 1990 1991 1994 (current) heat protect. cloth. against melts (temp. > 1000 °C) electrical insulation of special-purposecables moulded thermosetting materials for commutators Flat/other formed gaskets for cars and industrial appl. Source: G. Albracht, O.A. Schwerdtfeger (Ed.): Herausforderung Asbest, 432 p., Universum Verlagsgesellschaft, 1991 The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 15 Substitution of asbestos in Germany (2) Field of application Product groups, substitution by asbestos free products until end of Filtration fine- and aseptic-filtration media for liquids, gas filtration (ventilation, dust removal), gasmask filters, diaphragms Brake and clutch linings disc and drum brakes, clutch linings, brake blocks disc brakes for railway vehicles, brake linings for vehicles *) brake blocks for railway vehicles, clutch linings for vehicles *), brake linings for industrial applications Building materials asbestos cement (flat and undulated panels, roof slates, pipes/tubes, et al.) flat and undulated panels for building construction sector high pressure water pipes and sewer pipes Chemical products and others paints, putties, adhesives, sealing compounds, mastics, special products based on bitumen or tar, moulding material with resin matrix 1990 1991 1994 (current) 2010: chrysotile containing diaphragms for chloralkali process Current: use of chrysotile containing acetone gas cylinders (prod. before 1995) *) depending on substitution status Source: G. Albracht, O.A. Schwerdtfeger (Ed.): Herausforderung Asbest, 432 p., Universum Verlagsgesellschaft, 1991 The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 16 Workplace exposure – acceptance of measures … a current problem Current campaign of the german social accident insurance (2007) • Dust exposure in German building industry is too high! • In 2005 about 10.000 cases of suspicion of occupational diseases caused by dust exposure were reported • New campaign with industry to raise sensibility for the health hazards caused by dust • Recommendations for the use of tools and operations with low emissions The socio-economic costs of asbestos in Germany M. Mattenklott 06.04.2010 Slide 17 Risk assessment at workplaces by dust measurements - General approach sampling carriers, analytical reports measurement report sampling UVT Measuring Services samples for analysis UVT Workplace Inspection consultation IFA Laboratories IFA Scientific Support UVT: Institutions for statutory accident insurance and prevention in Germany Information transfer - development of measurement methods Industry - progress of technical safeguards Workplaces The socio-economic costs of asbestos in Germany - modification of rules and guidelines M. Mattenklott 06.04.2010 Slide 18