Department of Environmental Health, School of Public Health, Seoul National University, Seoul 08826, Korea.
Department of Occupational and Environmental Medicine, Gachon University Gil Medical Center, Incheon 21565, Korea.
Int J Environ Res Public Health. 2018 Jan 25;15(2):198. doi: 10.3390/ijerph15020198.
In 2009, asbestos was finally banned in Korea, about 70 years after the first opening of asbestos mines under Japanese control. After having presented the history of asbestos industry, together with its regulations and health effects over time, we constructed narrative analyses of how the asbestos issue under the prevailing risk system was managed by whom and for what purpose, to provide context for the change. We could identify five different phases: laissez-faire, politico-technical, economic-managerial, health-oriented cultural, and human rights-based post-cultural risk systems. The changes leading to the asbestos ban evolved over different phases, and each phase change was necessary to reach the final ban, in that, without resolving the previous issues by examining different categories of potential alternatives, either the final ban was not possible or, even if instituted, could not be sustained. An asbestos ban could be introduced when all the alternatives to these issues, including legitimate political windows, economic rationalizations, health risk protections, and human rights sensitivities, were available. We think the alternatives that we had were not in perfect shape, but in more or less loosely connected forms, and hence we had to know how to build solidarities between different stakeholders to compensate for the imperfections.
2009 年,韩国终于禁止了石棉,此时距离日本控制下首次开采石棉矿已经过去了大约 70 年。在介绍了石棉行业的历史,以及随着时间的推移其法规和对健康的影响之后,我们对现行风险体系下如何由谁出于何种目的来管理石棉问题进行了叙述性分析,为这一变化提供了背景。我们可以确定五个不同的阶段:放任自流、政治技术、经济管理、以健康为导向的文化和基于人权的后文化风险体系。导致石棉禁令的变化是在不同的阶段发生的,每个阶段的变化都是最终禁令的必要条件,因为如果不通过检查各种潜在替代方案的类别来解决先前的问题,最终禁令要么不可能,要么即使实施,也无法维持。只有当所有这些问题的替代方案,包括合法的政治窗口、经济合理化、健康风险保护和人权敏感性,都具备时,才能引入石棉禁令。我们认为,我们拥有的替代方案并非十全十美,但或多或少以松散的形式存在,因此,我们必须知道如何在不同利益相关者之间建立团结,以弥补这些缺陷。