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For this reason, many countries have passed laws banning the use of all forms of asbestos, and others have placed restrictions on production and export. At present, 54 countries, mostly in Europe (including Spain), have anti-asbestos legislation, while it has been introduced in only 4 Latin American countries: Argentina, Chile, Uruguay and Honduras.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In 1986, Spain passed the Toxic and Dangerous Waste Act 20, listing asbestos (dust and fibers) as a toxic or dangerous substance.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a> Limitations were later placed on the sale of asbestos and its use was banned, except in companies involved in demolition work and the production of chlor-alkalis.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> Health and safety provisions have also been introduced for the workers exposed to these fibers.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The first country in Latin America to introduce similar legislation was Argentina, where the use of amphiboles was banned in 2000<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> and the use and import of chrysotile in 2001.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> In 2001, Chile passed Ministry of Health Decree 656 banning the production, importation, distribution, sale and use of any type of asbestos or asbestos-containing materials.<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> Similar legislation banning the production and importation of asbestos was passed in Uruguay in 2002.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">7</span></a> Two years later, Honduras banned the use, importation, production, distribution, sale, transport, and storage of products containing chrysotile, anthophyllite, actinolite, amosite, and crocidolite, with the exception of thermal or electrical insulation in electrical appliances, electronic equipment and personal fire protection equipment.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">8</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In our opinion, the long latency period of asbestos-related diseases and the difficulty of proving the benefit of anti-asbestos laws are 2 of the factors preventing a general worldwide ban of this product. A third factor is the pro-asbestos lobby mounted by producers and consumers who oppose such legislation. The human development index (HDI), a comparative measure of life expectancy, illiteracy, education and living standards is an important factor in this equation. There are 47 countries with a very high HDI, of which 37 (79%) already have anti-asbestos legislation, including Chile and Argentina, the only Latin America countries in this group. Meanwhile, the 47 countries with high HDI, the 47 with medium HDI, and the 46 with low HDI, only 9 (19%), 5 (11%) and 1 (2%), respectively, have anti-asbestos laws.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">9</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">As pulmonologists, we need to push through anti-asbestos legislation to protect our people from this silent epidemic, irrespective of our national level of development.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Accinelli Tanaka RA, López Oropeza LM. Situación de la prohibición del uso de asbesto en España y Latinoamérica. Arch Bronconeumol. 2015;30:152.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0050" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "International Ban Asbestos Secretariat [sede Web]. International Ban Asbestos Secretariat; 2000 [updated 23.04.13; accessed 16.08.13]. Kazan-Allen L. Current Asbestos Bans and Restrictions [aproximadamente 2 pantallas]. Available from: <a href="http://ibasecretariat.org/alpha_ban_list.php">http://ibasecretariat.org/alpha_ban_list.php</a>" ] ] ] 1 => array:3 [ "identificador" => "bib0055" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Básica de residuos tóxicos y peligrosos. Ley 20/1986 de 14 de mayo. Boletín Oficial del Estado, n.° 120 [20-05-1986]." ] ] ] 2 => array:3 [ "identificador" => "bib0060" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Por el que se imponen limitaciones a la comercialización y al uso de ciertas sustancias y preparados peligrosos. Real Decreto 1406/1989 de 10 de noviembre. Boletín Oficial del Estado, n.° 278 [20-11-1989]." ] ] ] 3 => array:3 [ "identificador" => "bib0065" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Prohíbese la producción, importación, comercialización y uso de fibras de Asbesto variedad Anfíboles y productos que las contengan. Resolución 845/2000 de 10 de octubre. Boletín Oficial del Gobierno de la República Argentina n.° 29.505 [17-10-2000]." ] ] ] 4 => array:3 [ "identificador" => "bib0070" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Prohíbese la producción, importación, comercialización y uso de fibras de Asbesto variedad Crisotilo y productos que las contengan, a partir del 1.° de enero de 2003. Resolución 823/2001 de 26 de julio. Boletín Oficial del Gobierno de la República Argentina, n.° 29.700 [31-07-2001]." ] ] ] 5 => array:3 [ "identificador" => "bib0075" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Prohíbe uso del Asbesto en productos que indica. Decreto 656 de 12 de setiembre. Diario Oficial de la República de Chile [13-01-2001]." ] ] ] 6 => array:3 [ "identificador" => "bib0080" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Presidencia República Oriental del Uruguay [sede Web]. 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