COVID-19 has ripped through populations on practically every continent, exposing vulnerabilities in the human immune system and in societies at large. The ongoing public health emergency has raised questions about our ability to respond to a pandemic and our willingness to enforce preventative measures in times of crisis.
Clearly the scale of this public health threat has necessitated an unprecedented response to save human life. There will be a long tail to this crisis with hard lessons to come. Our Prime Minister, Boris Johnson, has rightly pledged to put public health first as we emerge from this phase and begin to meet the ‘five tests’ for recovery. But as we do so we must not let other threats to public health and safety simply fade into the background of public concern.
For decades, the UK has to all intents and purposes ignored the public health impact of asbestos, another silent killer that is the leading cause of the terminal lung disease mesothelioma, and the UKs number one cause of occupational death. Asbestos related diseases account for around 10,000 deaths per year, if we include the fatalities of those aged over 75, which are inexplicably omitted from official figures. A statistical practice that would be unimaginable in accounting for Covid-19 deaths.
The fact that asbestos related deaths receive so little attention highlights the difference between a fast and slow epidemic and the double standards in how we respond to the dangers they present. Yes, contagion plays into the fear factor, but both are a real and present threat to life.
Like the coronavirus, asbestos related disease can take time to manifest symptoms. But unlike the coronavirus, this can typically take between 20 and 40 years to emerge. The difference here is not just temporal, but political. COVID-19 can take effect within as little as 24 hours. Because it carries a risk of imminent fatality to the patient, and rapid transmission to others. The only cogent health and safety response is to stop the spread of contagion.
A disease that takes decades to develop after first contact with a source, does not frighten us into the same call to action. In such cases, health and safety policy slackens and precautions often enacted lackadaisically if at all, lack any proper means of oversight or enforcement. The biggest single asbestos related disease is mesothelioma, and this is incurable. This should make its prevention more important to us as its consequence is fatal.
A slow silent killer that spares no-one is considered less lethal than one which acts swiftly yet is survived in the vast majority of cases. It is an added shame then that those most at risk of developing mesothelioma, whose condition we ignore, happen to be society’s most essential workers.
Over the last two months, school across the UK have emptied while its hospitals have filled to capacity. Around 80 percent of these schools and 94 percent of these hospitals contain asbestos. Teachers and nurses are subsequently 3 to 5 times more likely to develop mesothelioma. When the country’s schools reopen, teachers and schoolchildren will wander right back into the line of fire. Asbestos kills teaching staff at a rate of around 20 per year, which doesn’t even begin to cover caretakers and administrative staff. NHS workers currently moving at breakneck speed around packed wards up and down the UK are largely unaware that absent the Coronavirus they are risking their health just by being in their place of work.
The Health and Safety Executive’s management regime around asbestos has consistently failed to act on this rising death toll among teachers and nurses, taking comfort from (or hiding behind) the fall in deaths caused decades before asbestos was banned. The UK currently lags far behind international standards for sensitive air monitoring, which many developed nations use to test buildings for ambient exposure. Germany not only exceeds UK testing for COVID-19 by a full 140,000 tests per week but has also managed for years to detect airborne asbestos levels with 10 times greater accuracy than in the UK. Its secret has been to invest in the right preventative measures from the get-go.
What then should Government do to eradicate the silent killer we’ve ignored for so long?
One idea articulated in a recent letter to the Chancellor by the think tank ResPublica is that some of the £1 billion allocated by the Treasury for the removal of unsafe materials from Britain’s public estate be used to give a full cost-benefit analysis of the phased removal of asbestos from schools. Detecting and removing the most dangerous material from schools first.
This provision in the budget is primarily aimed at fire prevention. However, as ResPublica points out, fire-safety measures have already started to reduce annual fire-related death rates (268 fire-related fatalities in the year ending June 2019, with death rates falling over the last decade). Comparatively little is being done meanwhile to protect ever younger generations of teachers and pupils from developing mesothelioma.
To accomplish this the UK should roll out a comprehensive sensitive air monitoring test of its public estate, using the best international standards to reveal the true extent of exposure to airborne asbestos and the health risks it presents.
Finally, let’s make the eminently sensible decision of introducing a national asbestos database, one that is centralised in the hands of the HSE so that we can see where and in what condition this material lurks in our public estate. It’s astonishing that no such database for Britain’s biggest occupational killer currently exists. What we measure today can be removed tomorrow.
COVID-19 has already revealed some difficult home truths about our public health policy. We have ignored and continue to ignore clear and present dangers to public health. Between 2001 and 2017 mesothelioma has killed nearly 77,000 people under the age of 74. The total number of asbestos related deaths over the same period could be up to four times higher. It’s time to take action.
Jersey residents diagnosed with a rare lung cancer caused by exposure to asbestos are now eligible for up to £92,000 in government compensation.
Anyone who suffers from mesothelioma and was exposed to asbestos on the island can apply to the government.
The scheme, announced in November 2018, brings Jersey in line with the UK, which has had a compensation scheme for more than a decade.
The amount of money allocated will be based on age at diagnosis.
Social Security Minister Deputy Judy Martin said the application process was designed to be "as quick and easy as possible" to ensure anyone with the disease receives the money "without delay".
What is mesothelioma?This rare form of lung cancer is usually caused by exposure to asbestos - a group of microscopic mineral fibres once commonly used in construction and completely banned in 1999.
Mesothelioma mainly affects the lining of the lungs but can also affect the lining of the tummy, heart or testicles.
When the fibres are inhaled they become trapped in the lungs, gradually damaging them.
It often takes more than 20 years after asbestos exposure for mesothelioma to develop.
Those aged 37 or under will receive the maximum amount of £92,259, with the amount reducing as applicants get older. Those aged 77 or older will get £14,334.
Close family members of people who have died as a result of the disease can apply too, with the money also staggered based on age at time of death.
They will receive £48,013 for anyone who died aged 37 or younger, down to £7,949 for those 67 or older.
The change came about as a result of the work of campaigner Brian Coutanche, who died from the disease in July 2018 after being exposed to asbestos working in construction for the States of Jersey.
A online petition on the official government website after his death garnered more than 1,300 signatures and led to unanimous approval of the scheme by the States in November.
The below has been provided to us by the Health & Safety Executive
Britain’s workplace regulator has assembled a team of specialists to assist the Government’s national effort to get personal protective equipment (PPE) to frontline health care workers fighting the coronavirus (COVID-19) pandemic.
Supporting the Government’s PPE Plan, the Health and Safety Executive’s (HSE) PPE Unit is made up of regulatory inspectors, policy makers and scientists. It has been evaluating materials and specifications against relevant PPE requirements, to rapidly provide agreement that new and novel sources of supply have been properly assessed and can be deployed to frontline workers without unnecessary delay.
Working closely with the Department for Health and Social Care, as well as Public Health England, the NHS and other government departments, HSE’s expertise in managing workplace risk combined with its knowledge of PPE material science and regulations is helping the Government’s aims to ensure there is a continued supply to where PPE is needed.
The unprecedented global demand for PPE during the coronavirus pandemic has meant that the UK is sourcing products from new suppliers and HSE is providing the reassurance that these are of the right quality to protect NHS workers.
Rick Brunt, Head of Operational Strategy, explains: “For PPE to be effective and provide protection to the worker, it’s not just a question of supply. It must also be suitable for the task in hand and we need to be assured that protective equipment will actually protect people.
“At this time of unprecedented national emergency, we’re working very hard with other agencies to ensure those maximising supply of PPE have our support and assurance when they need it. Our advice is grounded in science and experience, not just our understanding of the regulations.
“We want to ensure that any PPE destined for our frontline workers, regardless of its provenance, is appropriately tested so that we know it will serve its purpose.”
An organisation that runs GP practices is calling on car repair shops and asbestos removal firms to donate protective equipment to NHS staff.
The West Essex Clinical Commissioning Group says "demand is outstripping supply" as frontline workers battle the coronavirus pandemic.
It is also appealing to the county's building companies and dentists to "help bolster the national supplies".
The group runs 32 GP practices across Harlow, Uttlesford and Epping Forest.
A wish list drawn up by the West Essex CCG of Personal Protective Equipment (PPE) includes disposable aprons and gloves, single use face masks, plastic goggles and scrubs - as well as alcohol-based hand sanitiser, liquid soap and paper hand towels.
CCG chair Rob Gerlis said: "The World Health Organisation has identified that the current global stockpile of PPE is insufficient, particularly for medical masks and respirators; the supply of gloves, gowns and goggles is soon expected to be insufficient also.
"The NHS supply chain has been providing PPE and is increasing its capacity but demand is currently outstripping supply."
He said "piles of commercial PPE stocks lay idle" within firms that have had to close temporarily during the outbreak, "such as dentists, car body repair shops, building supplies and asbestos companies."
"This is equipment that NHS and care organisations in West Essex could be using to bolster the national supplies," Dr Gerlis added.
Any business that can offer help is asked to contact the West Essex CCG