1. Primäre und sekundäre Asbestvorsorge in Deutschland - Von den ersten BG-Regeln zu 30 Jahre ZAs Dr. jur. Eckart Bulla Europäische Asbestkonferenz 2003 03. bis 06. September 2003, BG-Akademie Dresden Leiter Zentrale Erfassungs- stelle asbeststaubgefährdeter Arbeitnehmer Hauptgeschäftsführer Textil- und Bekleidungs-Berufsge- nossenschaft, Augsburg TBBG

2. Asbestos-related Legislation in Germany Occupational Disease Ordinance 1936 Severe Asbestosis 1943 Severe Asbestosis in combination with Lung cancer 1976 Mesothelioma of pleura and peritoneum caused by asbestos 1988Pleural plaques caused by asbestos, Lung cancer in combination with asbestosis or pleural plaques 1992 Lung cancer with verified action of cumulative dose of asbestos of at least 25 fibre-years, Mesothelioma of pericard caused by asbestos 1997 Laryngeal carcinoma -in combination with asbestosis, -in combination with pleural plaques caused by asbestos, or -with verified action of a cumulative dose of asbestos of at least 25 fibre-years Primary and Secondary Prevention of Asbestos 1940 BG-Regulation to prevent dust risks in asbestos using plants 1972 Foundation of ZAs 1973 BG-Regulation „Protection against hazardous mineral dust“ (VBG 119) 1979 1st Addendum VBG 119 (Ban of spraying asbestos ) 1982 2nd Addendum VBG 119 (Ban of use of products containing asbestos) 1984 BG-Regulation „Occupational Medicine Prevention“ (VBG 100) 1986 Hazardous Substances Ordinance: Ban of putting into circulation special kind of substances, preparations and products containing asbestos (i.e. Krokydolith) 1990 Hazardous Substances Ordinance 1993 Chemicals Ban Ordinance (total ban od asbestos)

3. Allocation of Tasks: Statutory Accident Insurance Institutions and ZAs 1. Ascertainment of Plants 2. Ascertainment of occupational histories of employee 3. Information about changes 4. Organisation of medical examinations before and during exposure 5. Analysis of medical reports 1. Data storage 2. Registration and control of appointments for medical examinations during exposure 3. Organisation of post-exposure medical examinations and B-Reading 4. Report of medical data to Statutory Accident Insurance Institutions 5. Statistical analysis 6. Data preparation for reserach Statutory Accident Insurance Institutions ZAs

4. Number of registered Employees and Plants

5. Number of Post-exposure Medical Examinations and Assigned Employees

6. Demands, Responsibilities and Number of Authorized Physicans Demands: Medical examinations according to the BG-Regulation G 1.2 „Asbestos“ may be carried out only by physicans - with specialized expertise, - with appropriate technical equipment, staff and premises, - who perform at least 30 examinations per year. Responsibilities: - Documentation of examination on a given data sheet - Storage of documents for 30 years, at most to age 75 of employee - Claim of Occupational Disease (in case of well-founded suspicion) - Participation in further training At present 1.800 physicans are authorized for medical examination „G 1.2“.