Appendix E: Chemicals: Asbestos

Children's developing lungs are more sensitive to asbestos, which can increase their risk of serious lung diseases like cancer and asbestosis. Even low levels of exposure can build up over time and cause health problems years later.

Discussion Prompts for Children's Programs

• Have you noticed any signs of building damage in program facilities, shelters, or homes that may have disturbed older materials like ceiling tiles, insulation, or flooring, which could contain asbestos, especially in debris piles?

• Have families, community members, or children raised concerns about dust or debris from damaged buildings, particularly in areas where exposure to asbestos might be more likely?

• What steps have been taken to make sure families, especially in shelters or temporary housing, aren't being exposed to asbestos-contaminated debris or dust? Have any cleanup protocols been implemented?

• Given the risks, have you been able to assess if any specific areas such as school or public buildings need professional asbestos testing or remediation?

• Has there been communication from health authorities or environmental agencies about asbestos risks or recommendations, like avoiding certain areas or using protective measures during debris cleanup?

• Are you aware of any immediate reports of respiratory issues (I.e., coughing, wheezing, or shortness of breath) among children or others in affected areas that might be linked to asbestos

Ideas for Mitigation & Intervention

• Asbestos Risk Self-Assessment Tool: Provide families with a one-page checklist or digital form to assess whether their home may have asbestos-containing materials and guide them on next steps for safe management or referrals.

• Multilingual Asbestos Awareness Campaign: Distribute simple, visual materials in multiple languages through schools and clinics to help families recognize potential asbestos hazards (e.g., in older buildings, debris) and know what not to disturb.

• "Don't Touch – Report It" Campaign: Equip students and staff with a simple slogan and signs for identifying and reporting suspected asbestos-containing materials rather than disturbing them, especially in schools or community centers.

Cultivating Allies 
 

• Coordinate with state, tribal, territorial, and local public health agencies to identify which agencies or departments have responsibilities, roles, or authority related to asbestos.

• Research local and regional networks that offer education, advocacy, or direct services related to asbestos, such as nonprofits, coalitions, or service providers.

• Identify subject matter experts from federal agencies, academic institutions, or the private sector who can support assessment, interpretation, or planning activities.