"asbestos – trends and action globally and in singapore" by dr jukka takala and...

copy 2010 Government of Singapore

A Great Workforce A Great Workplace

1

Asbestos ndash Trends and Action Globally and in Singapore

Dr Jukka Takala MsLynnette Goh

Workplace Safety and Health Institute Ministry of Manpower

17 November 2014



2



3

Past World Estimates asbestos deaths

112000 every year (ILO estimate)

107000 every year (WHO estimate)



4



5 5

Asbestos consumption in Asia and in the World



6



7

Work-related Annual Deaths ndash EU-27

Sources WSH Institute Singapore 2014 Haumlmaumllaumlinen P Takala J Saarela KL TUT ILO WHO

EU-OSHA WSH Institute Singapore JOEH May 2014 ref data MOHMOM and WHO WPRO A

region

Work-related Annual Deaths ndash Singapore and EU distribution of fatal injuries and illnesses EU in brackets



8

Work-related Annual Deaths ndash World

Sources Haumlmaumllaumlinen P Takala J

Saarela KL TUT ILO EU-OSHA

Asbestos 25-50 of all work-

related cancers

New 102 500



9 Source Rushton ao



10 10

Consumption of Asbestos and Mesothelioma Deaths in the UK 2003



11 11

Today



12

Year

Source R Virta United States Geological Survey US Department of Interior Exports bigger than imports in 1985 etc

Singaporetotal estimated consumption 1960 -2012 was 136209 metric tons

Finland total estimated consumption 1960 -2012 was 311904 metric tons



13

Year

Data Source United States Geological Survey US Department of Interior

Exports bigger than imports

IntJOEH20041022-25 amp BJC(2012)106575-584

bullTotal consumption in Taiwan 480000 Singapore 136000 and Malaysia 750000 metric tons in

Every 170 tons causes 1 mesothelioma case and 2-10 lung cancers



14

Year

Source United States Geological Survey US Department of Interior

Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04

Exports bigger than imports in 1985

UK 2005

Singapore expected

Singapore scale

Today UK Mesothelioma deaths



15

Problem Sources Eun-Kee Park Ken Takahashi (UOEH) Jukka Takala ILO



16

Thailand deaths estimate

UK Exposure

UK Deaths

Thailand exposure moving average

UK 2005

Mesothelioma deaths = 200000 tons usedyear

1500

Today UK



17

Selected data from various

sources refs included

26-Nov-14 Visiting Expert Week ndash Tim Driscoll 17



18

Asbestos mortality estimates based on consumed asbestos FINLAND

Estimates made in 2001 based on 1996 data (Nurminen )

1 59 mesothelioma deaths 42 at work 208 asbestos related lung cancer deaths estimated RR = 23 AF= 14 (males) for asbestos and synergistic smoking related to average asbestos consumption 10 041 tonsyear 1950-70

2 170 tons of asbestos use causes 1 mesothelioma death data calculated also for global estimates (Tossavainen)

3 48 tons of asbestos consumption caused 1 asbestos related lung cancer totalling 250

deaths 312 - 335 deaths at peak level in the year around 2020 of which an expected

62 in reality 85 mesothelioma deaths see point 7 below 4 Other cancers known to have been caused by asbestos stomach colon larynx ovary

rectum and asbestosis deaths need to be added 5 Asbestos epidemic will cause 8 785 deaths of which 1 757 mesothelioma deaths 6 Year 2013 average 85 mesothelioma cases recorded annually in Finland

Sources Nurminen Karjalainen Scand J Work Environ Health Vol 27 no3 Tossavainen A IntJOEH 2004 1022-25



19

Asbestos mortality estimates based on consumed asbestos UNITED KINGDOM

Estimates made in 2005 (Rushton )

1 8 010 occupational cancer deaths in 2005 1 937 mesothelioma deaths at work 2 223 asbestos related lung cancer deaths total 4160 deaths estimated related to annual average asbestos consumption 140 173 tons in 1950-70 resulting to 337 tons of asbestos causing 1 death either by mesothelioma or lung cancer

2 Year 2013 2 535 recorded mesothelioma deaths with corresponding rate estimated to have 2 909 lung cancer deaths totalling 5 444 deaths (HSE)

3 Maximum recorded consumption in 1960 163 019 tons of asbestos this consumption would produce an expected 4 837 maximum estimate of expected deaths the reality is close to above 5 444 deathsyear between 2015-2020

Sources BJC Rushton BJC(2012)106575-584 and HSE httpwwwhsegovukstatisticscausdismesotheliomamesotheliomapdf



20 26-Nov-14 Visiting Expert Week

ndash Tim Driscoll 20



21

Work-related Asbestos Mortality estimates based on consumed asbestos WORLD (1 of 2)

Estimates made in Nov 2014 (Takala )

1 Based on RR = 23 and AF = 14 (males) 06 (females) 10 041 tons of asbestos exposure cause 208 asbestos related lung cancer ARLC

(Nurminen) or every used 48 tons cause one lung cancer and every 170 tons cause one mesothelioma every 355 tons cause 1 death (Tossavainen)

2 World consumption was 35 million tons in 1970 and peak consumption was 47 million tons in 1980

3 Corresponding ARLC in around 2015-20 will be 73 200 deaths and peak mortality in 2025-30 97 800 deaths Mesothelioma deaths peak 27 600 (under reporting expected here) in 2025-2030

4 Asbestos caused other cancer deaths ( colonstomach larynx ovary) come to approx 18 of mesothelioma and lung cancers (1760) and asbestosis deaths to 38 of these cancers (4765) adding all together at peak period

132 000 deaths Sources

1Rushton L BJC(2012) 10753-57 2 HSE httpwwwhsegovukstatisticscausdismesotheliomamesotheliomapdf 3 Nurminen M Karjalainen A Scand J Work Environ Health Vol 27 no3 4 Tossavainen A Int JOEH 2004 1022-25 5 Virta Robert United States Geol Survey Worldwide Asbestos Supply and Consumption 1900-2003 httppubsusgsgovcirc20061298c1298pdf 6 Straif K The Burden of occupational cancer editorial DOI 101136oem2007038224 httpoembmjcom



22 26-Nov-14



23

Work-related Asbestos mortality estimates based on UK consumed asbestos WORLD cont (2 of 2)


1 Based on UK Data (Rushton) in 2005 there were 8 010 occupational cancer deaths of which 1 937 mesothelioma deaths and 2 223 ALRC deaths In 2013 the number of mesothelioma cases was 2 535 and corresponding ARLC deaths 2 909 totalling 5 444 deaths

2 UK Peak consumption was 163 019 tons of asbestos in 1960 Average annual consumption in 1950-70 was 140 173 tons

3 The average consumption between 1950-70 would be equal to 1 death for every 337 tons covering both ARLC and mesothelioma For peak consumption and present 2013 deaths 1 death would be caused by 299 tons Global peak consumption 47 million tons in 1980 outcome in 2025-2030

4 Corresponding global ARLC and mesothelioma deaths would be 139 500 based on average consumption 1950-70 and 157 000 based on latest 2013 death numbers and peak consumption in the UK Other asbestos caused cancers and asbestosis deaths need to be added

Sources 1Rushton L BJC(2012) 10753-57 2 HSE httpwwwhsegovukstatisticscausdismesotheliomamesotheliomapdf 3 Nurminen M Karjalainen A Scand J Work Environ Health Vol 27 no3 4 Tossavainen A Int JOEH 2004 1022-25 5 Virta Robert United States Geol Survey Worldwide Asbestos Supply and Consumption 1900-2003

httppubsusgsgovcirc20061298c1298pdf



24

Work-related Asbestos Mortality estimates based THAILAND


1 Based on estimate of exposure-outcome relation (RR=23) and the Thai consumption of asbestos in 1970 which was 21 272 metric tons Thai ARLC number would be 441 deaths and mesothelioma 125 deaths totalling 566 and adding other asbestos caused

deaths 599 in 2015- 20

2 Average annual consumption around 2006 was 135 000 tons which would produce

3 800 (3802) peak annual deaths of all asbestos related causes around the year 2050

3 Peak consumption of 190 205 tons of asbestos in 1996 in Thailand would produce a figure of 5 400 (5 357) in around the year 2040-50 (less reliable)

Sources 1Rushton L BJC(2012)10753-5 2 HSE httpwwwhsegovukstatisticscausdismesotheliomamesotheliomapdf 3 Nurminen M Karjalainen A Scand J Work Environ Health Vol 27 no3 4 Tossavainen A Int JOEH 2004 1022-25 5 Virta Robert United States Geol Survey Worldwide Asbestos Supply and Consumption 1900-2003




25

Work-related Asbestos Mortality estimates based SINGAPORE


1 Based on estimate of exposure-outcome relation (RR=23) and the Singapore peak consumption of asbestos in 1975 which was 8 671 metric tons the number of total peak annual asbestos related number would be 244 deaths in 2025-30 Mesothelioma may be around 10-25 of this number depending on the type of asbestos used

2 Total consumption until 2006 was 136 209 tons which would produce

an asbestos epidemic of 3 800 (3836) deaths of all asbestos related causes during

some 50 years 3 Peak of deaths is expected at 2025-30


httppubsusgsgovcirc20061298c1298pdf 6 McCormack Peto et al BJC(2012)106575-584



26

Why Mesothelioma Mortality is low in Asia as compared to Europe USA AustraliaNZ Japan

1 Asbestos use was started slower in Asian countries and generally later than in

industrialised countries The peak for Singapore is expected to be 10 years later than in the UK at 2025-30 In Thailand the peak is expected to be 30-35 later in 2040-50 Latency time from the high country consumption is also longer than earlier thought not all importedproduced asbestos is used immediately on the year imported rather with some delays also disease latency period is very long - up to 50 years

2 Diagnosing recording reporting and compensating mesothelioma is considerably low and lower in Asian and other developing countries than in best reporting developed countries

3 The type of asbestos used eg in the UK has earlier contained a significant amount of crocidolite and other amphibole fibers that are causing more mesothelioma and proportionally less ARLC (McCormack et al)





27

Why Asbestos-related Lung Cancer is poorly identified

1 Lung cancer is caused by many factors and smoking may cover up to 85 of all lung cancers The outcome is not readily identified as been caused by asbestos and easily dismissed as many workers exposed to asbestos are also smokers and most lung cancer victims are exposed to asbestos and actively smoking

2 The attributable fraction or the number of ldquolung cancers eliminated by reducing just asbestosldquo is high but in particular caused by the multiplicative or super-additive synergistic effects of both asbestos exposure and smoking (see next slide)

3 Diagnosing recording reporting and compensating asbestos related lung cancer is weak everywhere due to difficulty of individualising the asbestos exposure effect This effect is seen in a population but evidence individually is challenging to proof Many jurisdiction expect asbestos being as the main cause ie the magnitude of causal effect is more than 50 to record them as compensable

4 Life expectancy is relatively low in many Asian countries Lung cancer and mesothelioma appear late in life


httppubsusgsgovcirc20061298c1298pdf 6 McCormack Peto et al BJC(2012)106575-584 7 Memorandum from the Occupational Cancer Working Group FIOH wwwttlfienpublicationsElectronic_publicationsDocumentsMemorandum_Cancer_2013pdf



28

Asbestos and smoking - synergistic effect Increased risk of lung cancer when exposed to

1 Asbestos alone RR = 2 - 5

2 Smoking alone RR = 8-10

3 Combined RR = 50-80



29




3 Combined RR = 50-80 Source T Driscoll



30

Background or ldquonon-exposedrdquo reference mortality

1 Relative risk and attributable fractions are calculated against the background mortality for ldquonon-exposedldquo population Exposure limit today for airborne asbestos vary from 01 fiberml to 001 fml (or 100 000 to 10 000 fibresm3)

2 In countryside Europe background is about 100-500 fibresm3 In cities ndash eg in Geneva in between the ILO and WHO buildings 900 fibresm3 and inside the office buildings 600 fibresm3

3 25 fibresml ndash years is considered as a criteria for ARLCmesothelioma for workerslsquo compensation base on daily 8 hours exposure This may be easily reached in a population of 1 000 people if exposure is continuous for 24hday 900 fibresm3 3 1000 = 27 fml ndash yrs and in 10 years 27 fml ndash yrs 1 death for every 10 years for ldquonon exposedldquo - acceptable

4 Passive smoking and in particular active smoking radically increase the risk of ARLC 5 Health-based OEL should be 0001 fml and for general population life-time risk (247

exposure) limit should be 00000001 fml or 01 fibresm3 (Cherrie)

Sources Cherrie John httpvenusuniveitfallpresentazioniCherrie_oppdf



31

Slide of Sugio Furuya



32

Slide of Sugio Furuya modified by JT

Singapore other Asia

UK 2909 a-r lung cancers 485mill

2535 meso422 in 2013 HSE

SourceFazzo etal

Finland 42milla-r lung cancer

Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland

2001 (Nurminen et al)

Finland

2014 est

UK

2005 (Rushton et al)

UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2

1 Based on a proportional value derived from ILO estimate for High income economies and SEARO countries (WHO data 2011) 2 Based on ILO Estimate 2014 (WHO data from 2011) httpswwwwsh-institutesgfileswshiuploadcmsfileGlobal20Estimates20of20Occupational20Accidents20and20Work-related20Illness202014pdf

3 Around the years 2025-2030 4 Without asbestosis 5 Estimated at 68 but recorded annual average at 2010 was 85 6 Rate between ARLC and Mesothelioma considered 41 in 2050 used McCormack etal ratio 2-10 1 average 611

Table 1 Asbestos-Related Disease and Cancer Deaths at Work

(selected countries)



34

Conclusions borrowed from Kurt Straif



35

Conclusion



36


Singaporersquos Experience in Asbestos Management and Control



37

1950 1980 1990 2000 2014

Use of asbestos building materials banned in 1988

Licensing of all raw asbestos and ACM (excluding chrysotile) imports in 1989

Banning of asbestos brake pads and clutch linings in 1995

Inclusion of chrysotile containing ACM for licensing control in 2008

Decreasing use of ACM

Wide usage of asbestos as building materials fireproofing and heat insulators

Enactment of Factories (Asbestos) Regulations in 1980

History of Asbestos Control in Singapore

Gazette of WSH (Asbestos)

Regulations in 2014



38

National Asbestos Control Programme

Targeted intervention

Standard setting

Compliance assistance

Capability building

Engagement



39

WSH (Asbestos) Regulations 2014

Effective from 30 May 2014

To enhance protection of workers against asbestos exposure



40


1 Asbestos Survey to be carried out by a competent person to ascertain the presence of asbestos

2 Licensing of contractors carrying out asbestos removal work

3 Written plan of work to ensure asbestos removal work is carried out safely

4 Removal of ACMs before demolition of building

5 Technical requirements on asbestos work

6 Training for persons carrying out work involving asbestos

Key changes

Source httpwwwmomgovsglegislationoccupational-safety-healthPagesdefaultaspx



41

Are there building works carried out for building built before

1 Jan 1991

Is there any work operation or process involving a specified

material

Conduct an asbestos survey to ascertain

the presence of asbestos

Engage an approved asbestos ndashremoval

contractor

Submit asbestos work notification to

Ministry of Manpower

Conduct asbestos-removal work with measures taken to

minimise the release or spread of

asbestos during work

Engage a licensed waste disposal to dispose asbestos

waste

YES YES

Presence of asbestos

14 AARC licensed by

MOM

68 Competent

persons trained

Cable penetration insulation fire protection board panel wall and

door gasket refractory lining sprayed insulation thermal

insulation of pipe boiler pressure vessel and process vessel

2 licensed companies

by NEA

200 Notifications

per year



42

Illegal removal of asbestos-containing materials



43


Any person who contravenes the WSH(Asbestos) Regulations shall be liable on conviction to a fine not exceeding $20000 or to imprisonment for a term

not exceeding 2 years or to both

Any person guilty of an offence under the WSH Act shall be liable on conviction to a fine not exceeding $200000 or to imprisonment for a term

not exceeding 2 years or to both for persons

Any person guilty of an offence under the WSH Act shall be liable on conviction to a fine not exceeding $500 000 to companies



44

Other Relevant Regulations

1 WSH (Medical Examinations) Regulations 2014

Persons who carry out work involving asbestos to undergo pre-employment and periodic medical examinations to screen for symptoms of asbestos-related diseases

2 Work Injury Compensation Act

Asbestosis and Mesothelioma are reportable occupational diseases and workers who have contracted these diseases arising out of their work can claim compensation



45

Corrugated asbestos sheets

Common ACMs found in Singapore (Buildings)

Roof

Wall Cladding



46


Asbestos cemented

wall panels

Asbestos ceiling board

Asbestos ceiling board Asbestos Vinyl Sheet



47

Common ACMs found in Singapore (Plants vessels)

Pipe lagging Gasket

Pipe insulation Cable Penetration



48

bull Notification of asbestos-removal work

bull

2011 2012 2013 2014 (till date)

194 205 251 202

Total Permits Demolition work

Structural work

Average (Jun-Oct 2014)

519 79 440



49

ldquoNot-so-commonrdquo ACMs

Rubbish chute

insulation lining

Ventilation panels



50

Technical requirements on asbestos work

Designated work area

Negative pressure units

Proper decontamination

facilities

Industrial vacuum cleaner

Measures to minimise the release or spread of asbestos during work



51


Decontamination facilities


Dirty Shower Clean



52

Compliance Assistance

WSH Guidelines Management and

Removal of Asbestos

-Good practices in managing exposure to ACM -Removal of ACM bullPlan of work bullSite preparation bullDecontamination facilities bullPPE bullAir monitoring etc



53



Removal of Asbestos

Video Working Safely with

Asbestos

WSHC Website Asbestos

wwwwshcsg



54

Conclusion

bull Asbestos-related diseases have killed a large number of people worldwide

bull Most effective way to prevent asbestos-related diseases is to eliminate or prohibit the use of asbestos

bull A multi-pronged approach involving legislation enforcement and engagement is necessary

bull Joint effort by regulators and stakeholders is needed to prevent exposure to asbestos and manage asbestos at workplaces



55

THANK YOU



57



58

Additional selected data from

various sources refs included



59



60



61



62

EUROSTAT numbers referred by the Health and Safety Executive UK web page httpwwwhsegovukstatisticspdffatalinjuriespdf (accessed 2014 09 11)

Takala J Haumlmaumllaumlinen P Saarela KL Loke YY Manickam K Tan WJ Heng P Tjong C Lim GK Lim S Gan SL Global Estimates of the Burden of Injury and Illness at Work in 2012 JOEH 11 326-337 May2014 Taylor amp Francis open access httpwwwtandfonlinecomdoipdf101080154596242013863131 ILO Report Contribution by Nenonen N Haumlmaumllaumlinen P Takala J Saarela KL Lim SL Lim GK Manickam K GLOBAL ESTIMATES OF OCCUPATIONAL ACCIDENTS AND FATAL WORK-RELATED DISEASES IN 2014 based on 2010 and 2011 DATA Report to the ILO Tampere Singapore Geneva 2014 DOI 10131402128640647 web page httpwwwwshigovsgfilesGlobal20Estimates20of20Occupational20Accidents20and20Work-related20Illness202014pdf Stephen S Lim Theo Vos Abraham D Flaxman et al A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters I 21 regions 1990-2010 a systematic analysis for the Global Burden of Disease Study 2010 Lancet 2012 380 2224-60 Institute of Health Metrics and Evaluation web site httpvizhubhealthdataorggbd-cause-patterns Haumlmaumllaumlinen P Global Estimates of Occupational Accidents and Fatal Work-Related Diseases Doctoral dissertation Publication 917 Tampere University of Technology Finland 2010 Accessed on 11 Sep 2014 and available at httpdspacecctutfidpubbitstreamhandle1234567896818hamalainenpdfsequence=1 Nurminen M amp Karjalainen A (2001) Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland Scandinavian Journal of Work Environment amp Health 27 161ndash213 httpwwwsjwehfishow_abstractphpabstract_id=605(accessed 26 March 2014) Steenland K Rollins School Public Health Emory University Atlanta Ga USA 2004 httpwwwoccupationalcancercawp-contentuploads201103Steenlandpdf (Accessed on 2014 09 14) Ana M Garciacutea Rafael Gadena Merino Vicente Loacutepez Martiacutenez Estimacioacuten de la mortalidad atribuible a enfermedades laborales en Espantildea 2004 Rev Esp Salud Puacuteblica 2007 81 261-270 Ndeg3 Mayo-Junio 2007 Accessible from httpscieloisciiiesscielophppid=S1135-57272007000300003ampscript=sci_arttext (accessed 2014 09 15)

Andrea lsquot Mannetje Neil Pearce Quantitative estimates of work-related deaths diseases and injury in New Zealand Scand J Work Environ Health 200531(4)266-276 doi105271sjweh882 Accessible from wwwsjwehfidownloadphpabstract_id=882ampfile_nro=1 (accessed 2014 0915) Murray CJL Lopez AD (ed) The Global Burden of Disease ndash A comprehensive assessment of mortality and disability from diseases injuries and risk fraction in 1990 and projected to 2020 Volume I The Harvard School of Public Health World Health Organisation and World Bank 990 p 1996 Santonen T Oksa P (eds) Memorandum from the Occupational Cancer Working Group Finnish Institute of Occupational Health ISBN 978-952-261-369-1 See httpwwwttlfienpublicationsElectronic_publicationsDocumentsMemorandum_Cancer_2013pdf (accessed 2014 09 15) V McCormack J Peto G Byrnes K Straif P Boffetta Estimating the asbestos-related lung cancer burden from mesothelioma mortality Accessed on 16 May 2013 at httpwwwncbinlmnihgovpmcarticlesPMC3273352 (accessed 17 March 2014) WHO Asbestos elimination of asbestos related diseases See httpwwwwhointmediacentrefactsheetsfs343en (accessed 2014 09 15) Singapore WSH Statistics WSH Institute available at httpwwwwshi-institutesgObservatory-WSH-LandscapeWSH-Statisticshtml Labour Force Survey 2013 Ministry of Manpower available at httpstatsmomgovsgPagesEmployment-Tables2013aspx Lesley Rushton Sally J Hutchings Lea Fortunato Charlotte Young Gareth S Evans Terry Brown Ruth Bevan Rebecca Slack Phillip Holmes Sanjeev Bagga John W Cherrie and Martie Van Tongeren Occupational cancer burden in Great Britain Br J Cancer 107 S3-S7 doi101038bjc2012112 Accessed on 16 May 2013 and available at httpwwwnaturecombjcjournalv107n1sindexhtml Communicable Disease Report 2012 MOH accessed on 16092014 httpwwwmohgovsgcontentmoh_webhomePublicationsReports2013Communicable_Diseases_Surveillance_in_Singapore_2012html



63

Cancer site Attributable Fraction() Attrib Deaths (2005) Attrib Registrations (2004)

Male Female Total Male Female Total Male Female Total

Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442

Lympho-haematopoietic 0004 0002 0003 0 0 0 0 0 0

Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937

Multiple Myeloma 04 01 03 5 1 6 8 2 10

Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126

Soft Tissue Sarcoma 34 11 24 11 3 13 22 4 27

Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598

Total GB cancers 15+yrs 77912 72212 150124 175399 168184 343583 Source Rushton ao



64

Cancer Site Asbestos Shift

work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)

Painters Dioxins ETS Radon Welders All

Bladder 296 106 71 550 Brain 14 Breast 1957 1969 Cervix 18 Kidney 3 Larynx 8 56 Leukaemia 38 Liver 5 Lung 2223 470 907 695 282 215 284 209 175 5442 LH cancers 1 Melanoma eye 6 Mesothelioma 1937 1937 Multiple

Myeloma

10 Nasopharynx 15 NHL 74 140 NMSC 902 1541 475 2862 Oesophagus 188 Ovary 33 Pancreas 1 Sinonasal 55 126 STS 27 27 Stomach 47 83 157

Thyroid 1 Total Attrib

Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65

10 leading causes of Deaths in East Asia

Murray et al Lancet 2012

httpwwwhealthmetricsandevaluationorggbdvisualizationsregional



66




WORK-related



2



3






4



5 5




6



7




region




8





related cancers

New 102 500



9 Source Rushton ao



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



3






4



5 5




6



7




region




8





related cancers

New 102 500



9 Source Rushton ao



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



4



5 5




6



7




region




8





related cancers

New 102 500



9 Source Rushton ao



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



5 5




6



7




region




8





related cancers

New 102 500



9 Source Rushton ao



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



6



7




region




8





related cancers

New 102 500



9 Source Rushton ao



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



7




region




8





related cancers

New 102 500



9 Source Rushton ao



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



8





related cancers

New 102 500



9 Source Rushton ao



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



9 Source Rushton ao



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



10 10




11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



11 11

Today



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



12

Year






13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



13

Year



IntJOEH20041022-25 amp BJC(2012)106575-584





14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



14

Year


Sin

gap

ore

Nu

mb

er

of

De

ath

s

50

100

Sin

gap

ore

ind

ex 2

x 1

04


UK 2005

Singapore expected

Singapore scale




15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



15




16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



16


UK Exposure

UK Deaths


UK 2005


1500

Today UK



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



17






18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



18












19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



19













21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related







21












22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



22 26-Nov-14



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



23











24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



24




deaths 599 in 2015- 20








25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



25











26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



26










27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



27










28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



28







29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



29







30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



30










31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



31




32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



32




2535 meso422 in 2013 HSE

SourceFazzo etal


Finland 118millmeso

Finland 16mill



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



33

Year amp Area

Deaths

Finland


Finland

2014 est

UK


UK

2013 est

Thailand

2015

Thailand

2050 est

World

Peak value

Asbestos related

lung cancer ARLC

208

243

2223

2909

441 6

3093 6

97800 3

Mesothelioma

42 - 59

68ndash85 5

1937

2535

125 6

507 6

27600 3

ARLC +

Mesothelioma

250

311

4160

5444

566

3600

125400 3

Other asbestos

cancers and

asbestosis added

264

328

4234 4

5541 4

598

3800

132000 3

All cancer deaths

at work

839

1135 1

8010

13300 1

4825 1

na

666 000 2







34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



34




35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



35

Conclusion



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



36





37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



37

1950 1980 1990 2000 2014










Regulations in 2014



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



38



Standard setting


Capability building

Engagement



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



39






40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



40








Key changes




41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



41


1 Jan 1991


material




contractor







waste

YES YES


14 AARC licensed by

MOM

68 Competent

persons trained





by NEA

200 Notifications

per year



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



42




43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



43









44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



44








45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



45



Roof

Wall Cladding



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



46


Asbestos cemented

wall panels





47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



47


Pipe lagging Gasket




48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



48


bull

2011 2012 2013 2014 (till date)

194 205 251 202


Structural work


519 79 440



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



49


Rubbish chute

insulation lining

Ventilation panels



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



50





facilities





51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



51




Dirty Shower Clean



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



52



Removal of Asbestos




53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



53



Removal of Asbestos


Asbestos


wwwwshcsg



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



54

Conclusion







55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



55

THANK YOU



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



57



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



58





59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



59



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



60



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



61



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



62






63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



63



Bladder 71 19 53 215 30 245 496 54 550

Bone 00 00 00 0 0 0 0 0 0

Brain 05 01 03 10 1 11 12 2 14

Breast 46 46 555 555 1969 1969

Cervix 07 07 7 7 18 18

Kidney 004 004 004 1 1 1 2 1 3

Larynx 29 16 26 17 3 20 50 6 56

Leukaemia 09 05 07 18 5 23 30 9 38

Liver 02 01 02 4 2 5 4 1 5

Lung 211 53 145 4020 725 4745 4627 815 5442


Melanoma (eye) 29 04 16 1 0 1 6 1 6

Mesothelioma 970 825 949 1699 238 1937 1699 238 1937


Nasopharynx 108 24 80 7 1 8 14 1 15

NHL 21 11 17 43 14 57 102 39 140

NMSC 69 11 45 20 2 23 2513 349 2862

Oesophagus 33 11 25 156 28 184 159 29 188

Ovary 05 05 23 23 33 33

Pancreas 002 001 001 1 0 1 1 0 1

Sinonasal 433 198 327 27 10 38 95 31 126


Stomach 30 03 19 101 6 108 149 9 157

Thyroid 012 002 005 0 0 0 1 0 1

Total 82 23 53 6355 1655 8010 9988 3611 13598




64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



64


work

Min

oils

Solar

radn

Silica DEE PAHs

(Tars)



Myeloma



Registrations

4216 1957 1722 1541 907 801 475 437 316 284 209 175 13598

Source Rushton ao



65






66




WORK-related



65






66




WORK-related



66




WORK-related

"asbestos – trends and action globally and in singapore" by dr jukka takala and...

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