– Libby is located in theNorthwest corner of Montana. We’re about 35 miles from Idaho and about 75 miles to Canada. – Libby was a reasonably hussleand bustling parish. There were quitea few positions now. – A plenty of logging, thelumber mill was very active, and then of coursethe vermiculite miningbegan in the 20 s. Amid peak productionin the mid-7 0s, 80% of the world’s vermiculite came out of Libby’svermiculite mountain. The pit, they gavethe commodity away free across the community. Some beings shielded homes, leant it in their gardens. The high school running trackwas made out of the ore. One of the processingfacilities or popping bushes was located right besidethe local baseball field.So their consume pileswould be these huge stilts along the ball field. So when minors are playing ball, their siblings would playin the batches of vermiculite. So it was just an every day part of community life in Libby. Vermiculite was aflat-shaped crystal that organized it like mica. Through geologic time, it intent up crystalizingas a fibers. And this fibrous boulder washard not to mine along with … The vermiculite. – In 1999… There was a media expose. There was a health problemassociated with the vermiculite. So EPA came to town. And it turned out that thevermiculite was identified with the asbestos contaminateand that it was everywhere. – We developed CARDin its first year 2000. Working with the regional infirmary we decided to set up the clinic to follow people afterthey had their screening, to go over any aberrations and to diagnosisthose who had evidence of asbestos related disease.When we got throughthe first 2 years of the federal governmentscreening program, though ATSDR, itscreened 7,300 people. And over 18% of theseindividuals had evidence of asbestos related results. And a further studythat they did, use CT scan, actually showed that it was muchhigher than that. That probably 25 to 27% person, or probably one in fourhad testify advocating they were experiencingasbestos related malady. – My parents built anew home in the 60 s when I was in high school. And they putasbestos in the attic of that home for separation. My bedroom was an attic bedroom.- The only thingthat I can think of to seeing how I got it is my dadworked up in the pit. And he worked themidnight shift. And I’d go up there and sat with himuntil I’d get tired and I’d go to sleepuntil he get off work. And that’s the only thing, I could figure I got it. – Lung disease createdby significant exposure involves the liner ofthe lung, the pleura. The most commonlythe parietal pleura, which disposes againstthe chest wall and the muscle andrib in the dresser wall. It progresses from a small area to where it becomes extensive. Radiologists are unfamiliarwith the appearing with this type of fibrosis. So it’s procreated a realproblem in identification. And one of the large-hearted symptomsthat people have is chest pain. Chest pain is not common withasbestos related infections. The interesting thing is, it’svery common for individuals to experience airway disease and they would belabeled asthmatics or if they’d had anycigarettes in their lives, they’d probably be called COPD. So why is this important? Well this material, thisore was exported to, over 250 locates, a little bit closer to 300 perhaps, around North America.If they are developing questions, it could be well be missed. – Asbestos associated cankers have at least a 10 yearlatency interval. It’s 10 to 40 years beforethe disease would show up. That has been something that we constantly tryto address on our mission and be availableto try to educate and outreach and helpother parties understand the differences andwhat to look for. – Over the past 16 times, their local communities hasreally derived. And now, it’s to thepoint of no longer are we in the midst of a crisis. We’re transitioningto looking for a dry through research. CARD is also a residence to go. We didn’t have apulmonologist in municipality before.And so, it’s aresource to beings. Not merely for health care but daily living in alliances or how do I stay ashealthy as possible. The emotional line-up, wehave two social workers on organization. And so, CARD is reallythat ultimate source. Anything that asbestoshealth and lifewise, where people can go. – One of the things thatCARD cured to be attained was legislationfor beings of Libby and going it so thatpeople who were diagnosed would have longtermmedical care. And they also get what iscalled the Pilot Program which is a programthat pays for things above and beyond what Medicarewould normally pay for, like helping people toget their lawns mowed, and spade their snow, chop their lumber, clean-living their homes.- They’ve helped me out I speculate. I probably wouldn’tbe here claim if it wasn’t forthe CARD clinic. I plan on being herefor a few more times ..