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By being a member of the Independent Asbestos Training Providers (IATP) scheme Fire Coral Ltd submitted documentary evidence confirming their compliance with the Control of Asbestos Regulations 2006 (CAR 2006) and undertook independent, external audits of their course materials.  The details of these audits are included within the IATP’s listings for our clients to check should they so wish.

Whichever type of asbestos training you’re looking for; Asbestos Awareness or Non-Licensed Asbestos Work, Fire Coral Ltd have gone through the requirements for acceptance into the IATP’s scheme so that you can be sure you’re receiving the highest quality service.

IATP is supporting the HSE’s Asbestos: Hidden Killer campaign, which is seeking to raise awareness of the dangers of asbestos among tradesmen and women.  Currently, each week, roughly 20 tradesmen die because of exposure to asbestos.

To book an audited asbestos course click the following links where you can find out more about each course:

Asbestos Awareness Course

Non-Licenced Removal Training Course

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Asbestos FAQ's

Summary

  • Diffuse pleural thickening is another disease associated with exposure to asbestos.
  • There were 400 new cases of disablement in the year 2008 due to this disease, although this figure is likely to be a substantial underestimate. The annual number increased during the 1990s but has remained fairly stable over recent years.
  • The increase may be partly or wholly explained by the acceptance of claims under the Industrial Injuries Disablement Benefit (IIDB) scheme for unilateral (affecting only one lung) cases and other changes in data collection methods.
  • An estimated 1063 cases of benign (non-cancerous) pleural disease - mostly attributable to asbestos - were seen for the first time by occupational and chest physicians who reported to the THOR surveillance schemes in 2008.

Introduction

The pleura is a two-layered membrane which surrounds the lungs and lines the inside of the rib cage. Some asbestos fibres inhaled into lungs work their way out to the pleura and may cause fibrosis or scarring to develop there. This causes the pleura to thicken and this may show up on a chest X-ray or CT scan. Pleural thickening occurs in two forms:

  • Diffuse pleural thickening extends over a large area and may restrict expansion of the lungs, leading to breathlessness; and
  • Pleural plaques are localised areas of pleural thickening, that don’t usually interfere with breathing.

Scale of disease including trends

An upward trend in the annual number of cases assessed for disablement benefit occurred during the 1990s but with more stable numbers of around 400 per year since 2003. The larger numbers of assessed cases in recent years may be connected with the admission of unilateral cases of disease (i.e. cases where only one lung is affected) from April 1997. Previously, Department for Work and Pensions regulations limited compensation to cases of bilateral disease, where both lungs are affected. In April 2002 a new method of collecting statistical information on claims and assessments was introduced, making the data more accurate. The large increase in cases in 2002 (380 cases compared 290 in 2001) is likely to be at least partly because of this rather than a true rise in claims. In addition the figures from April 2002 onwards include assessments where the claimant has been found to be suffering, but where there has been no loss of faculty.

The numbers of cases of pleural thickening and similar disorders reported via occupational and chest physicians under the THOR surveillance scheme under the heading of benign (non-cancerous) pleural disease, nearly all of them attributed to asbestos, are appreciably larger than those for IIDB cases. There were an estimated 1063 such cases in 2008 compared with 1008 in 2007. These numbers will include many cases falling outside the DWP definitions - in fact, analyses of SWORD data over the 5-year period 2002-2006 indicate that about three quarters of cases were classified by participating physicians as “predominantly plaques” with most of the remainder as “diffuse pleural disease” and only a small proportion as “asbestos-related pleural effusions”. Given that pleural plaques are usually asymptomatic and few of the cases reported to SWORD had other diagnoses of asbestos related disease in addition to plaques, this suggests that many of these cases were identified (via chest x-rays) following referral of individuals to chest physicians for other respiratory conditions - rather than because of the plaques themselves. The fact that appreciable numbers of pleural plaques are identified each year in this way suggests that there are likely to be substantially more individuals in the population with plaques than identified by SWORD.

Summary

Asbestos has been recognised as an important risk factor for lung cancer for many years. However, there are a number of other agents that can cause the disease - most importantly, tobacco smoke - and lung cancers resulting from asbestos exposure are clinically indistinguishable from those caused by these other agents. This means that the total number of asbestos related lung cancers has to be derived from statistical estimates based on evidence from epidemiological studies rather than direct counting of individual cases.

  • It is likely that there are around as many asbestos related lung cancer deaths in Great Britain annually as there are mesothelioma deaths. There were 2156 mesothelioma deaths in 2007.
  • There were 240 recorded new cases of disablement in 2008 due to asbestos-related lung cancer and 79 reports of lung cancer in the THOR scheme, not all of which were asbestos-related. These numbers are substantially lower than the likely annual total number of deaths inferred from the number of mesotheliomas.

Summary

Mesothelioma is a formerly rare form of cancer which affects the pleura (the lining of the lungs) and the peritoneum (the lining surrounding the lower digestive tract). In the majority of cases mesothelioma is rapidly fatal following diagnosis so mesothelioma death statistics give a clear indication of the disease incidence. Mesothelioma is closely related to asbestos and many cases, particularly among men, are a result of exposures in occupational settings. However, mesothelioma has been reported in some individuals without any known exposure to asbestos. The long delay between initial exposure to asbestos and death from mesothelioma is typically between 30 and 40 years. This means that deaths occurring now and most of those expected to occur in the future reflect industrial conditions of the past rather than current work practices.

  • The total number of mesothelioma deaths has increased from 153 in 1968 to 2156 in 2007.
  • The most frequently recorded occupations on death certificates of men now dying from mesothelioma include carpenters and joiners; plumbers, heating and ventilating engineers; and electricians and electrical fitters.
  • The expected number of deaths amongst males is predicted to increase to a peak of 2038 (90% prediction interval: 1929 to 2156) around the year 2016.

We are able to deliver on-site training courses in all these regions:

Avon, Bedfordshire, Berkshire, Borders, Buckinghamshire, Cambridgeshire, Central Scotland, Cheshire,  Cleveland, Clwyd, Cornwall, Cumbria, Derbyshire, Devon, Dorset, Dumfries/Galloway, Dyfed, East Sussex, Essex, Fife, Gloucestershire, Grampian, Greater Manchester, Gwent, Gwynedd County, Hampshire, Herefordshire, Hertfordshire, Highlands, Kent, Lancashire, Leicestershire, Lincolnshire, London, Lothian, Merseyside, Mid Glamorgan, Norfolk, Northamptonshire, Northumberland, Nottinghamshire, Oxfordshire, Powys, Shropshire, Somerset, South Glamorgan, Staffordshire, Strathclyde, Suffolk, Surrey, Tayside, Tyne and Wear, Warwickshire, West Glamorgan, West Midlands, West Sussex, Wiltshire, Worcestershire & Yorkshire

Bangor, Bath, Birmingham, Bradford, Brighton and Hove, Bristol, Cambridge, Canterbury, Cardiff, Carlisle, Chester, Chichester, Coventry, Derby, Durham, Edinburgh, Ely, Exeter, Gloucester, Hereford, Kingston upon Hull, Lancaster, Leeds, Leicester, Lichfield, Lincoln, Liverpool, Manchester, Newcastle upon Tyne, Newport, Norwich, Nottingham, Oxford, Peterborough, Plymouth, Portsmouth, Preston, Salford, Salisbury, Sheffield, Southampton, St Albans, Stoke-on-Trent, Sunderland, Swansea, Truro, Wakefield, Wells, Winchester, Wolverhampton, Worcester, York