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      The Bhopal disaster and its aftermath: a review

      review-article
      1 ,
      Environmental Health
      BioMed Central

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          Abstract

          On December 3 1984, more than 40 tons of methyl isocyanate gas leaked from a pesticide plant in Bhopal, India, immediately killing at least 3,800 people and causing significant morbidity and premature death for many thousands more. The company involved in what became the worst industrial accident in history immediately tried to dissociate itself from legal responsibility. Eventually it reached a settlement with the Indian Government through mediation of that country's Supreme Court and accepted moral responsibility. It paid $470 million in compensation, a relatively small amount of based on significant underestimations of the long-term health consequences of exposure and the number of people exposed. The disaster indicated a need for enforceable international standards for environmental safety, preventative strategies to avoid similar accidents and industrial disaster preparedness.

          Since the disaster, India has experienced rapid industrialization. While some positive changes in government policy and behavior of a few industries have taken place, major threats to the environment from rapid and poorly regulated industrial growth remain. Widespread environmental degradation with significant adverse human health consequences continues to occur throughout India.

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          Advocacy after Bhopal

          Kim Fortun (2001)
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            The Union Carbide disaster in Bhopal: a review of health effects.

            The authors have reviewed studies of human health effects that resulted from exposure to methyl isocyanate gas that leaked from the Union Carbide plant in Bhopal, India, in 1984. The studies were conducted during both the early and late recovery periods. Major organs exposed were the eyes, respiratory tract, and skin. Although mortality was initially high, it declined over time, but remained elevated among the most severely exposed population. Studies conducted during the early recovery period focused primarily on ocular and respiratory systems. Major findings included acute irritant effects on the eyes and respiratory tract. In follow-up studies, investigators observed persistent irritant effects, including ocular lesions and respiratory impairment. Studies conducted during the late recovery period focused on various systemic health endpoints. Significant neurological, reproductive, neurobehavioral, and psychological effects were also observed. Early and late recovery period studies suffered from several clinical and epidemiological limitations, including study design, bias, and exposure classification. The authors herein recommend long-term monitoring of the affected community and use of appropriate methods of investigation that include well-designed cohort studies, case-control studies for rare conditions, characterization of personal exposure, and accident analysis to determine the possible components of the gas cloud.
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              Asbestos in developing countries: magnitude of risk and its practical implications.

              In developing countries, aggressive marketing of chrysotile asbestos continues as a result of restrictions on its use being imposed by the developed countries. In the Asian continent, China and India are emerging as the major users of asbestos. There is enough evidence to link chrysotile with pulmonary fibrosis and lung cancer in humans, even at low levels of exposure, hence the need to apply the Precautionary Principle for phasing out its use globally. Due to poor occupational health and safety systems in developing countries and difficulties in early detection of pulmonary malignancy related to asbestos, the statistics remain sketchy. This is hampering efforts to create pressure on policy makers and to counter the propaganda of the asbestos industry. The International Labour Office believes that more than 100,000 deaths a year occur from asbestos-related disease. In the view of studies published in Europe and Australia, the number of deaths due to such malignancies will peak around the year 2020 and could be anywhere between half a million to a million. That means more than a million deaths will occur in developing countries. At about the same time when asbestos-related deaths start to decrease in developed countries, their number will begin to rise in developing countries. This presents a major challenge to the international scientific community.
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                Author and article information

                Journal
                Environ Health
                Environmental Health
                BioMed Central (London )
                1476-069X
                2005
                10 May 2005
                : 4
                : 6
                Affiliations
                [1 ]Columbia University, Mailman School of Public Health, 600 W 168th St. New York, NY 10032 USA
                Article
                1476-069X-4-6
                10.1186/1476-069X-4-6
                1142333
                15882472
                23a9d98e-1bd8-42f4-bfc1-cc68f0c36670
                Copyright © 2005 Broughton; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 21 December 2004
                : 10 May 2005
                Categories
                Review

                Public health
                Public health

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