Annual Report 2012 - Business.govt.nz

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AsbestosExposureRegisterExposed personnotifies RegistrarForm sent byRegistrarData coded(symptoms, workhistory, smokinghistory)Informationbooklet posted toexposed personFigure 10: Asbestos Exposure Register ProcessThe Ministry, in association with Electricorp Production Ltd, undertook an extensiveadvertising campaign in March and April 1992. Advertisements were published in all themajor newspapers and several trade magazines.The interest generated as a result of this campaign ensured a high response rate for theExposure Register. Notifications were made by individuals, trade unions, occupational healthnurses, doctors, the Asbestos Diseases Association of New Zealand and by some largercompanies.Notifications were directed to branch offices of the Ministry or directly to the Registrar.The Exposure RegisterIn recommendation 4, the committee envisaged that people wishing to be recorded on theasbestos exposure register would have their exposure assessed at an office of theDepartment. Only those people who were judged as having had ‘significant exposure’ wouldthen be recorded on the register. However, the huge response from individuals exposedmade it impractical to screen registrants in this fashion.Once a person notifies MBIE that they have been exposed to asbestos, an asbestos exposureregistration form is sent to them. The form collects information about the individual, theirwork exposure to asbestos and the state of their respiratory health.When the completed form is returned to the registrar, the details are recorded on adatabase. The individual is then sent a copy of Asbestos – A Deadly Dust, which is dedicatedto asbestos and its associated health problems. If the person indicates that they have afamily doctor, the doctor is informed their patient has been included on the AsbestosExposure Register, and is sent a copy of the Ministry’s booklet Asbestos Exposure andDisease: Notes for Medical Practitioners.Asbestos and other Occupational Lung Diseases in New Zealand 2012 Annual Report Page 34
AsbestosDisease RegisterPatient notified toRegisterInformationcollected (clinical,occupational, X-ray, lung function)Informationreviewed byMedical PanelConfirmation ofdiagnosis sent topatient andpatient’s doctorThe Disease RegisterFigure 11: Asbestos Disease Register ProcessTenders for the National Asbestos Medical Panel were called for in 1991. A tender wasaccepted on 31 October 1991. The successful tender came from the group listed below:Dr R. Armstrong, Professor R. Beasley, Dr J. Crane, Associate Professor W. Glass, Dr D. Jones,Dr N. Pearce.Professor Beasley retired upon his appointment as Professor of Medicine at the WellingtonClinical School. Dr Crane joined the National Occupational Asthma Panel. Dr D. Fishwickjoined the panel in 1997. He was subsequently appointed to a position in the UnitedKingdom. In 2008, Andrew Brant joined the Panel, later resigning to become Chief HealthOfficer at North Shore Hospital.The first meeting of the panel was held in February 1992. Professor Glass was nominated asthe panel’s convenor.The following members were appointed to the National Asbestos Radiological Panel: Dr PaulWhite, Dr George Foote and Dr Graeme Anderson.The Registrar from 1991 to 1996 was Craig Eades. From 1996 to 1998 the position was heldby Nicola Holden, and later in the year by Andrea Eng until 1999 when Louisa Thomas wasappointed.In 2002 Jenny West was the Registrar, with Dougal McNeill Registrar in 2004, Gail Abel in2006, Justine Ward and Christy He in 2007, Anne Thomas in 2008, Rachel Xin in 2011 andPrayrna Puri in 2012.Processes for registering peopleNotifications for the register come from two major sources. The first is from doctors whosepatients have been diagnosed or are suspected of having an asbestos-related disease. Thesecond source of notification is from individuals. Once a notification is made to the Registrar,Page 35Asbestos and other Occupational Lung Diseases in New Zealand 2012 Annual Report
Page 1 and 2: Asbestos and otherOccupational Lung
Page 3 and 4: ContentsIntroduction ..............
Page 5 and 6: Summary of asbestos-related changes
Page 7 and 8: Amosite (iron magnesium silicate) f
Page 9 and 10: three sites were highest among the
Page 11 and 12: 2011 Professor Ken Takahashi from t
Page 13 and 14: The programme covered a wide range
Page 15 and 16: ResultsFigure 2 shows the distribut
Page 17 and 18: Mesothelioma30Percentage of Total N
Page 19 and 20: Lung cancer30%Percentage of Total N
Page 21 and 22: 706050Number of Cases4030201000/1 1
Page 23 and 24: Of the 649 cases reviewed:• 637 w
Page 25 and 26: • lack of a thorough ‘clean up
Page 27 and 28: Part 3: Occupational respiratory di
Page 29 and 30: varied from year to year, but with
Page 31 and 32: contain a higher content of quartz
Page 33: Appendix 2The National Asbestos Reg
Page 37 and 38: BCD= Job intensity as follows:Minin
Page 39 and 40: Recent Advances in Asbestos-Related
Page 41 and 42: 15 Assessing Individual Employee Ri
Page 43: MINISTRY OF BUSINESS, INNOVATION &

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