Baur X
Institut für Arbeitsmedizin, Charité Universitätsmedizin Berlin, European Society for Occupational and Environmental Medicine, Berlin, Germany.
Pneumologie. 2016 Jun;70(6):405-12. doi: 10.1055/s-0042-103580. Epub 2016 Apr 28.
Eight to fifteen per cent of lung cancer cases and nearly all mesothelioma cases are caused by asbestos. Problems in compensation issues ensue from strict legal requirements for eligibility and regulations of the statutory accident insurance institution pertaining to eligibility for occupational disease benefits. The latter include the unscientific requirement for set numbers of asbestos bodies or fibers to be found in lung tissue in order to "prove" disease causation if lung specimen are available. Although the validity of such evidence has been discredited by independent scientists, it is still used as evidence by an influential US pathology department. Frequently, epidemiological evidence regarding causal relationships and exposure histories is also often being ignored by insurance-affiliated medical experts.Similar misleading arguments are currently being used in newly industrialized countries where white asbestos - which is carcinogenic and fibrogenic like other asbestos types - is efficiently promoted as being less harmful. As a result, asbestos use is increasing in some of these countries. Behind the worldwide asbestos tragedy, a well-designed strategy orchestrated by certain transnational or multinational industrial interest groups can be perceived.Beyond the asbestos tragedy their covert plan is motivated by economic interests and discounts the ensuing damage to health and the impact of the diseases they create on public health systems.
8%至15%的肺癌病例以及几乎所有的间皮瘤病例都是由石棉引起的。赔偿问题产生的原因在于法定事故保险机构对于职业病福利资格的严格法律要求和相关规定。后者包括一些不科学的要求,即在有肺部标本的情况下,要在肺组织中发现一定数量的石棉小体或纤维,以此来“证明”疾病的因果关系。尽管这种证据的有效性已遭到独立科学家的质疑,但美国一个有影响力的病理部门仍将其用作证据。保险相关的医学专家也常常忽视有关因果关系和接触史的流行病学证据。目前,在新兴工业化国家也存在类似的误导性观点,在这些国家,白色石棉(与其他类型的石棉一样具有致癌性和致纤维化性)被大力宣传为危害较小。结果,其中一些国家的石棉使用量正在增加。在全球石棉悲剧的背后,可以察觉到某些跨国或多国产业利益集团精心策划的战略。在石棉悲剧之外,他们隐秘计划的动机是经济利益,而无视随之而来的健康损害以及他们所引发的疾病对公共卫生系统的影响。