Skip to main content
Public Health Reports logoLink to Public Health Reports
. 1984 Mar-Apr;99(2):193–199.

Port Allegany Asbestos Health Program: a community response to a public health problem.

E C Holstein, K W Deuschle, S Bosch, E Fischer, A N Rohl, I J Selikoff
PMCID: PMC1424537  PMID: 6424168

Abstract

The Port Allegany Asbestos Health Program (PAAHP) is a unique, community-run program that resulted from the successful cooperative efforts of a labor union, a corporation, community health care providers, and a medical school. PAAHP's goal is to develop a permanent community health organization that will use the most advanced existing knowledge to mitigate the adverse health effects anticipated as a result of the use of amosite asbestos in a Port Allegany, Pa. factory. All 1,188 persons employed by the factory during the years 1964-72 and the 3,000-4,000 persons in household contact with them are eligible for the program. PAAHP's major services are intensive medical surveillance, smoking cessation assistance, health education for participants, and continuing education for area physicians about asbestos-related diseases. One of the program's policies is not to disturb the usual patterns of medical care. If further testing or treatment is needed, patients are referred to their usual personal physicians. PAAHP does not provide ordinary medical care or medical insurance. Across the nation, the number of workers estimated to have been exposed to asbestos is more than 20 million, and their household contacts are estimated to be about three to four times that number. Adverse health effects resulting from asbestos exposure include elevated risk of lung cancer, mesothelioma, gastrointestinal tumors, and asbestosis. The problem requires the development of public health solutions. PAAHP has demonstrated the feasibility of a community-based model as one useful approach.

Full text

PDF
193

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson H. A., Lilis R., Daum S. M., Fischbein A. S., Selikoff I. J. Household-contact asbestos neoplastic risk. Ann N Y Acad Sci. 1976;271:311–323. doi: 10.1111/j.1749-6632.1976.tb23127.x. [DOI] [PubMed] [Google Scholar]
  2. DOLL R. Mortality from lung cancer in asbestos workers. Br J Ind Med. 1955 Apr;12(2):81–86. doi: 10.1136/oem.12.2.81. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Elmes P. C., Simpson M. J. Insulation workers in Belfast. 3. Mortality 1940-66. Br J Ind Med. 1971 Jul;28(3):226–236. doi: 10.1136/oem.28.3.226. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Greenberg S. D., Hurst G. A., Christianson S. C., Matlage W. J., Hurst I. G., Mabry L. C. Pulmonary cytopathology of former asbestos workers. Report of the first year. Am J Clin Pathol. 1976 Nov;66(5):815–822. doi: 10.1093/ajcp/66.5.815. [DOI] [PubMed] [Google Scholar]
  5. Greenberg S. D., Hurst G. A., Matlage W. T., Christianson C. S., Hurst I. J., Mabry L. C. Sputum cytopathological findings in former asbestos workers. Tex Med. 1976 Jan;72(1):39–43. [PubMed] [Google Scholar]
  6. Hammond E. C., Selikoff I. J., Seidman H. Asbestos exposure, cigarette smoking and death rates. Ann N Y Acad Sci. 1979;330:473–490. doi: 10.1111/j.1749-6632.1979.tb18749.x. [DOI] [PubMed] [Google Scholar]
  7. Hurst G. A., Spivey C. G., Matlage W. T., Miller J. M., Faulk G., Hieger L. R., McLarty J. W., Greenberg S. D. The Tyler Asbestos Workers Program. I. A medical surveillance model and method. Arch Environ Health. 1979 Nov-Dec;34(6):432–439. doi: 10.1080/00039896.1979.10667445. [DOI] [PubMed] [Google Scholar]
  8. McLarty J. W., Farley M. L., Greenberg S. D., Hurst G. A., Mabry L. C. Statistical comparison of aerosol-induced and spontaneous sputum specimens in the Tyler Asbestos Workers Program. Acta Cytol. 1980 Sep-Oct;24(5):460–465. [PubMed] [Google Scholar]
  9. McLarty J. W., Greenberg S. D., Hurst G. A., Spivey C. G., Seitzman L. H., Hieger L. R., Farley M. L., Mabry L. C. The clinical significance of ferruginous bodies in sputa. J Occup Med. 1980 Feb;22(2):92–96. doi: 10.1097/00043764-198002000-00006. [DOI] [PubMed] [Google Scholar]
  10. Newhouse M. L., Thompson H. Mesothelioma of pleura and peritoneum following exposure to asbestos in the London area. Br J Ind Med. 1965 Oct;22(4):261–269. doi: 10.1136/oem.22.4.261. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Nicholson W. J., Perkel G., Selikoff I. J. Occupational exposure to asbestos: population at risk and projected mortality--1980-2030. Am J Ind Med. 1982;3(3):259–311. doi: 10.1002/ajim.4700030305. [DOI] [PubMed] [Google Scholar]
  12. Roggli V. L., Greenberg S. D., McLarty J. W., Hurst G. A., Hieger L. R., Farley M. L., Mabry L. C. Comparison of sputum and lung asbestos body counts in former asbestos workers. Am Rev Respir Dis. 1980 Dec;122(6):941–945. doi: 10.1164/arrd.1980.122.6.941. [DOI] [PubMed] [Google Scholar]
  13. SACCOMANNO G., SAUNDERS R. P., ELLIS H., ARCHER V. E., WOOD B. G., BECKLER P. A. CONCENTRATION OF CARCINOMA OR ATYPICAL CELLS IN SPUTUM. Acta Cytol. 1963 Sep-Oct;7:305–310. [PubMed] [Google Scholar]
  14. Schwartz J. L., Dubitzky M. Expressed willingness of smokers to try 10 smoking withdrawal methods. Public Health Rep. 1967 Oct;82(10):855–861. [PMC free article] [PubMed] [Google Scholar]
  15. Selikoff I. J., Hammond E. C., Seidman H. Mortality experience of insulation workers in the United States and Canada, 1943--1976. Ann N Y Acad Sci. 1979;330:91–116. doi: 10.1111/j.1749-6632.1979.tb18711.x. [DOI] [PubMed] [Google Scholar]
  16. WAGNER J. C., SLEGGS C. A., MARCHAND P. Diffuse pleural mesothelioma and asbestos exposure in the North Western Cape Province. Br J Ind Med. 1960 Oct;17:260–271. doi: 10.1136/oem.17.4.260. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Winawer S. J., Fleisher M., Baldwin M., Sherlock P. Current status of fecal occult blood testing in screening for colorectal cancer. CA Cancer J Clin. 1982 Mar-Apr;32(2):100–112. doi: 10.3322/canjclin.32.2.100. [DOI] [PubMed] [Google Scholar]
  18. Woolner L. B., Fontana R. S., Sanderson D. R., Miller W. E., Muhm J. R., Taylor W. F., Uhlenhopp M. A. Mayo Lung Project: evaluation of lung cancer screening through December 1979. Mayo Clin Proc. 1981 Sep;56(9):544–555. [PubMed] [Google Scholar]

Articles from Public Health Reports are provided here courtesy of SAGE Publications

RESOURCES