Asbestos can cause health problems when inhaled into the lungs. Breathing in very small, airborne asbestos fibres has been associated with diseases such as asbestosis, mesothelioma and lung cancer. (See OSH Answers web page "How Do Particulates Enter the Respiratory System?" for information about how small particules have to be to get into the lungs.)

• Asbestosis - Asbestosis is a lung disease that occurs when asbestos fibres are inhaled. It is a chronic disease with slow onset that usually requires several years of exposure. The development and progression of asbestosis varies from individual to individual. It is often slow with little changes over five, ten or more years. Many cases do not advance after diagnosis. It may, however, be quicker in some individuals than in others due to different conditions of past dust exposure. Asbestosis is characterized by pulmonary fibrosis (the formation of scar-like tissue). Shortness of breath is the most common symptom. In most cases, the first and often the only physical sign is "crackles" - sounds that can be heard through a stethoscope. Also known as "rales", they are usually detected near the end of a full inspiration. Chest x-rays will show small irregular opacities (spots in x-ray film that are opaque or where x-rays could not "see" through the tissue). These are commonly found in the middle and lower lungs. Lung function tests can help to determine how serious the condition is.

• Mesothelioma - Mesothelioma is a cancer of the pleural and peritoneal cells (lining of the lung and abdominal cavity). The site of this tumor might be the lung (pleural) or the abdomen (peritoneal). Patients with pleural mesothelioma experience chest and shoulder pain and dry cough is frequent. As the cancer progresses and the tumor grows bigger, weight loss, weakness, and fever may also occur. The time between the initial exposure to asbestos and clinical signs of the disease (latency) is difficult to define because for mesothelioma the range is quite wide and the disease is rarely seen less than 10 years from the time of the first exposure and it may occur even after 40 years.

• Lung Cancer - Asbestos can cause lung cancer. Lung cancer takes many years to develop, but changes in the lung can begin almost as soon as a person is exposed to asbestos. Lung cancer usually does not cause symptoms in the early stages. When symptoms occur the cancer is often advanced. Symptoms of lung cancer include chronic cough, weight loss, shortness of breath, fever, and chest pain. These symptoms are also common with other lung disorders, therefore to confirm the diagnosis it is necessary to carry out laboratory tests including chest x-ray.