ASBESTOS MINES LOCATED IN BEHRAM DHERI, CHARSADDA, NWFP, PAKISTAN

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3 ASBESTOS MINES LOCATED IN BEHRAM DHERI, CHARSADDA, NWFP, PAKISTAN

4 ASBESTOS CRUSHING UNIT IN NAWE KILLI (MOHMAND AGENCY), NORTH PAKISTAN

5 CRUSHING UNIT OF ASBESTOS IN ANBAR KILLI (MOHMAND AGENCY), NORTH PAKISTAN

6 WHEAT AND ASBESTOS GRINDING UNIT IN NEWE KILLI, MOHMAND AGENCY, NWFP, PAKISTAN ASBESTOS WHEAT

7 ASBESTOS PRODUCT MANUFACTURING UNIT IN MAIN MARKET, MARDAN CITY, NWFP, PAKISTAN ELECTRIC HEATER PLATES

8 ASBESTOS PRODUCT MANUFACTURING UNIT IN PESHAWAR CITY, NWFP, PAKISTAN Asbestos Cement Sheets Asbestos Insulation Plates Pressure Pipes Asbestos

9 Imported Raw Asbestos Bag

10 MULTINATIONAL ASBESTOS PRODUCT MANUFACTURING INDUSTRY(DADEX EITHER net IMPORTED RAW ASBSTOS

11 ASBESTOS BEARING SHEETS STORAGE CENTRE AT GADDANI SHIP BREAKING CENTRE, BALUCHISTAN

12 MESOTHELIOMA CASES DIAGNOSED IN NWFP, PAKISTAN DURING Total No of Cases Diagnosed 2 Total No of Cases Follow ed

13 TOTAL N0 OF MESOTHELIOMA CASES (MALE, FEAMLE ) (MALE, FEMALE) Total No of cases Followed Male Female

14 Orakzai Agency Peshawar S.Wizirstan Swat Swabi GE0GRAPHIC DISTRIBUTION OF MESOTHELIOMA CASES IN NWFP, PAKISTAN Charsadda D.I.Khan Dir Hangu Karak Khyber Agency Kohat kohistan Kurrum Agency Malakand Mansehra Mohmand Agency Mardan North Waziristan GEOGRAPHIC LOCATION Abbotabad Bajour Bannu Chitral NO OF CASES

15 GEOGRAPHIC DISTRIBUTION OF MALE AND FEMALE MALIGNENT MALIGNANT MESOTHELIOMA CASES IN NWFP, PAKISTAN Male Cases Female Cases Abbotabad Bajour Bannu Chitral Charsadda D.I.Khan Dir Hangu Karak Khyber Agency Kohat kohistan Kurrum Agency Malakand Mansehra Mohmand Agency Mardan North Waziristan Orakzai Agency Peshawar S.Wizirstan Swat Swabi DISTRICTS NO OF CASES

16 OCCUPATIONAL DISTRIBUTIONAL OF MESOTHELIOMA CASES (MALE & FEMLAE) FEMALE) OCCPATIONAL DISTRIBUTION OF MALIGNENT MESOTHELIOMA CASES Male Female Male Female House wife House Farmers wife Mine Workers (Talc, Silica, Asbestos, Farmers Coal) 0 Mine Workers (Talc, Mineral Silica, Based Asbestos, Industrial Coal) Workers Mineral ( Marble, Based Silica, Industrial Mica, Asbestos, Workers Coal) ( Marble, Silica, Mica, Asbestos, Labour (Ship Coal) Yard) Labour Office (Ship Workers Yard) Office Workers Buildres Shopkeepers Buildres School Teachers Shopkeepers Students School Teachers Electricions Students Drivers Electricions Contracters Drivers Paper Mill Workers Contracters Idustrliast Paper Mill Textile Workers workers Sugar Idustrliast Mill Workers Textile workers Tobacco Sugar Mill Workers Butchers Army Tobacco Employe Butchers Army Employe 0 OCCUPATIONAL DISTRIBUTION NO OF CASES

17 TABLE 4: MORTALITY AND MORBIDITY RATE OF OCCUPATIONAL GROUP IN ASBESTOS MILLING AND MANUFACTURING UNITS IN NWFP ( ). S.N Location Sari Killi Mohmand Agency Newe Killi Mohmand Agency Hyder colony Peshawar city kakshal (Qasim Abad) peshawar Main Bazar, Mardan Type of Industry Asbestos, Soap Stone and Qtz grinding unit Asbestos& Talc grinding unit Asbestos grinding & product manufacturing Unit Asbestos grinding & product manufacturing Unit Asbestos product manufacturing unit No of No of workers suffering from various lung Age workers diseases Lung cancer Asthema Mesotheliom(Sick) But N.D Total=34 Total=4 Total=6 Total=4 Total=9

18 PLURAL BIOPSY PLEURAL BIOPSY Malignant Mesothelioma Atypical Mesothelial Mesothellial Hyperplasia

19 Didn't return 2 months 3 months 4 months 5 months 8 months 9 months 10 months 12 months 18 months Confirmed Dead FOLLOW UP MESOTHELIOMA CASES FOLLOW UP DURATION NO OF CASES

20 CONCLUSION The epidemiological data collected from various asbestos mines, crushing, grinding and product manufacturing units of local and imported asbestos indicate that the occupational and para-occupational groups are at higher risk from asbestos hazards in Pakistan, particularly in North Pakistan. The intensity of malignant mesothelioma among the occupational and para-occupational groups clearly demonstrates that it may take the shape of an epidemic in the near future in Pakistan.

21 RECOMMENDATIONS Pakistan Environmental Act and Health Policy should be revised to build in hazard mitigations in relation to health risks of asbestos. Awareness programmes must be launched regarding the environmental and health hazards of asbestos throughout Pakistan. Workers in asbestos industrial units should be properly trained and made well aware of asbestos hazards. Strict precautionary measurements and engineering controls must be adopted to control and reduce the emission of airborne asbestos fibers in indoor and outdoor environments. If possible, further use of asbestos may be banned in Pakistan. Back to Abstract Next