– Libby is located in theNorthwest corner of Montana. We’re about 35 miles from Idaho and about 75 miles to Canada. – Libby was a jolly hussleand bustling community. There were quitea few professions now. – A parcel 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 mine, they gavethe commodity away free throughout the community.Some parties shielded homes, applied it in their plots. The high school running trackwas made out of the ore. One of the processingfacilities or sounding embeds was located right besidethe neighbourhood baseball field. So their waste pileswould be these huge stacks along the ball field. So when kids are playing ball, their siblings would playin the stacks of vermiculite. So it was just an every day part of community life in Libby.Vermiculite was aflat-shaped crystal that structured it like mica. Through geologic time, it intent up crystalizingas a fibers. And this fibrous cliff washard not to mine together 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 the year 2000. Working with the local hospice we decided to set up the clinic to follow beings afterthey had their screening, to go over any irregularities and to diagnosisthose who had evidence of asbestos pertained disease.When we got throughthe first two years of the federal governmentscreening program, though ATSDR, itscreened 7,300 parties. And over 18% of theseindividuals had evidence of asbestos referred results. And a further studythat they did, using CT scan, actually showed that it was muchhigher than that. That probably 25 to 27% person, or probably one in fourhad indication suggesting they were experiencingasbestos related canker. – My mothers constructed anew home in the 60 s when I was in high school. And they putasbestos in the attic of that home for insulation.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 excavation. And he worked themidnight shift. And I’d “il be going” and sat with himuntil I’d be tired and I’d go to sleepuntil he get off work. And that’s the one thing, I could figure I got it. – Lung disease createdby significant exposure involves the lining ofthe lung, the pleura. The most commonlythe parietal pleura, which lays againstthe dresser wall and the muscle andrib in the dresser wall. It progresses from a small area to where it becomes lengthy. Radiologists are unfamiliarwith the illusion with this type of fibrosis.So it’s caused a realproblem in recognition. And one of the big symptomsthat people have is chest pain. Chest pain is not common withasbestos associated ailments. 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 websites, a little bit closer to 300 perhaps, around North America.If they are developing troubles, it could be well be missed. – Asbestos related cankers have at least a 10 yearlatency stage. It’s 10 to 40 years beforethe disease would show up. That has been something that we repeatedly tryto address on our aim and be availableto try to educate and outreach and helpother parties understand significant differences andwhat to look for. – Over the past 16 years, their local communities hasreally derived. And now, it’s to thepoint of no longer are we in the middle of a crisis. We’re transitioningto looking for a cure through study. CARD is also a region to go. We didn’t have apulmonologist in township before. And so, it’s aresource to parties. Not simply for health care but daily living in agreements or how do I stay ashealthy as possible.The emotional feature, wehave two social workers on faculty. And so, CARD is reallythat eventual aid. Anything that asbestoshealth and lifewise, where people can go. – One of the things thatCARD cured used to generate was legislationfor people 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 ladle their blizzard, chopper their grove, clean their homes. – They’ve helped me out I ponder. I probably wouldn’tbe here right if it wasn’t forthe CARD clinic. I plan on being herefor a few cases more times ..