1. Asbestos and real situation in Vietnam ABAN Meeting in Dhaka 2013 Hong-Luu Pham, MD, PhD NILP-Vietnam

2. National Profile of Asbestos and Occupational Health

3. What is the biggest problem in Vietnam? Production of fibro cement roofing shingles 75 – 80%

4. 20 – 25%

5. Asbestos Importation in Vietnam 1992 - 2011 Metric tons

6. NoNo Country20072008200920102011 1Russia62.28058.39657.48259.01761.132 2China1.5801.734878249483 3Kazakhstan 4.9252.8942.4231.126 4Thailand9.000 5Canada9608192.252599 140 6Dominica 1.481 7Zimbabwe756 8Brazil5401.1681.3202.400 2.300 Total75.11667.97564.82664.69966.662 Countries exported asbestos to Vietnam 2007 - 2011

7. 20 factories in Northern area20 factories in Northern area 10 factories in Middle area10 factories in Middle area 5 factories in Southern are5 factories in Southern are 4 factories closed4 factories closed Total amount of 39 factories to produce roofing shingles in Vietnam

8. Inside Roofing Shingle Manufactures 53 assembly lines in 2013

9. Roofing shingles are used in: Poor household in rural areaPoor household in rural area Remote areaRemote area Temporary house in construction sitesTemporary house in construction sites Stable, pigpen, henhouse…Stable, pigpen, henhouse… StoresStores

10. Production:85 millions m2 per year, equal to 80,19% of total designed capacityProduction: 85 millions m2 per year, equal to 80,19% of total designed capacity Consumption: 79 million m2 per yearConsumption: 79 million m2 per year Stock level: 8 - 10% (some factories in north area: 15 - 20%)Stock level: 8 - 10% (some factories in north area: 15 - 20%) Prices:Prices:  Southern area: 50,000 – 51,000 VND/m2 ( equal to 2.3 USD/m2)  Northern are: 42,000 – 44,000 VND/m2 (equal to 1.9 – 2 USD/m2) Statistical data of asbestos related products in 2012:

11. Health Information There is no specific health survey related with asbestos Since 1976, Asbestosis was accepted in the list of occupational disease in Vietnam. However, there is only 3 cases of asbestosis received compensation from Social Insurance Fund

12. New regulations related to Asbestos and Occupational Health in Vietnam 1.Decision No.121/2008 QD-TTg about National strategy for development of construction materials up to 2020 has banded using amphibole. Factories using chrysolite for roofing lite products have to be controlled working condition conformity with environmental and health regulations 2.Regulation No. 03/2012/TT-BXD by Ministry of Construction on 9/5/2012 to band importation of crocicodolite, Amosite, Anthophilite, Actinolite, Tremolite 3.Regulation No. 14/2013/TT-BYT by Ministry of Health on 5/6/2013 to assign in detail about recruitment health examination, periodical health check-up, health examination before retirement …for worker

13. Suggestions: 1.Training and educational program to prevent adverse effect to health 2.Management: reduce exposing to asbestos 3.Providing PPE for worker 4.Periodical health check-up 5.Transportation in closed tight boxes 6.Monitoring, control of industrial waste 7.Find other materials less toxic than asbestos 8.To prohibit importation, production and trade of asbestos related- products

14. Thank you for your kind attention!