ABAN 2023 - INDONESIA SITUATION - FINAL.pptx

asbestos

1. ASBESTOS IN DEVELOPING COUNTRY A Struggle for Humanity in Indonesia Against Deadly Asbestos Industries

2. 13,77% HOUSEHOLDS USING ASBESTOS ROOF (2022)

3. (Uncommtrade, Processed) *HS Code 2524900 (other asbestos than crocidolite) *Household percentage from national household Russia, China, Kazakhstan, and Brazil are Indonesia main source of asbestos raw material (HS Code 2524). Three main seaport in Indonesia facilitate asbestos mobilization to the central industries in west, and east part of Indonesia.

4. (Indonesia Central Bureau of Statistics, Processed) *HS Code 2524900 (other asbestos than crocidolite) *Household percentage from national household In 2020, Asbestos manufactures Industry Produce (ISIC-2395) 17,57 million corrugated sheet with value 467,69 Billion Rupiah . While Manufacture of Refractory Product industry (ISIC 2391) produce 2,3 million corrugated sheet for about 97,43 Billion Rupiah. More than 7.000 worker work to produce it

5. (Indonesia Central Bureau of Statistics, 2021) Household Using Asbestos Roof Density in Indonesia 10 Most city household using asbestos roof.

6. Medan, North Sumatra PT. Atrisco Mutiara Asbestos Industry PT Djabesmen (Djabesmen Group), Bekasi PT. Siamindo Concrete Product, Karawang PT Trigraha Sealsindo, Cibinong PT Jeil Fajar Indonesia, Cibinong PT Bangun Pratama Adithama Sentra, Bekasi PT. Arezda Purnama Loka, Cibino ng Industy Map Banten PT. Bakrie Building Industries (Former James Hardie Indonesia) East Java PT Putera Prima Sentosa (ADIMAS), Malang PT Shica Jaya Sentosa, Malang PT Atrisco Mutiara Asbestos Industries, Sidoarjo PT. Indoprima Gemilang, Surabaya West Java Central Java PT Tripilar Beton Mas, Salatiga PT Nusantara Building Industries, Demak PT Djabes Sejati, Mojokerto PT Arezda Purnama Loka, Cilacap Asbestos Roofing Industries in Indonesia

7. (Uncommtrade Statistics, Processed) Beside importing asbestos raw (chrysotile) material Indonesia also importing asbestos containing material from asbestos cement, clothing, millboard, paper, fiber jointing etc. 681140 Asbestos-cement; articles or the like, containing asbestos 681280 Fabricated crocidolite (blue asbestos) fibres, mixtures with a basis of crocidolite (blue asbestos), articles of crocidolite (blue asbestos), whether or not reinforced, not goods of heading 6811 or 6813 681291 Asbestos or mixtures with a basis of asbestos (other than crocidolite); clothing, clothing accessories, footwear and headge ar, whether or not reinforced, not goods of heading 6811 or 6813 681292 Asbestos or mixtures with a basis of asbestos (other than crocidolite); paper, millboard and felt , whether or not reinforced, not goods of heading 6811 or 6813 681293 Asbestos or mixtures with a basis of asbestos (other than crocidolite); compressed asbestos fibre jointing, in sheets or rolls, whether or not reinforced, not goods of heading 6811 or 6813 681299 Asbestos or mixtures with a basis of asbestos (other than crocidolite); fibres, mixtures or articles n.e.c. in heading no. 6812, whether or not reinforced, not goods of heading 6811 or 6813

8. Crocidolite, amosite already Banned Chrysotile is different with other asbestos and needed for industrialization Trade Agreement Public needs for cheap construction material Labor absorption CHALLENGES SITUATION GOVERNMENT INDUSTRY ASBESTOS Low Cost Industry Highly facilitated Spreading CSR for Publik BAN Asbestos VS Bankrupt, and Job Lost HEALTH Low acknowledgement Less facilities and research Less expertise Asbestosis VS Pneumonectomies VS Covid CONSUMER Cheap & Durable is king Low Literacy for safety and health product Bureaucratic complaint mechanism Less choice for cheap, durable and health Tradition – Death is nature LABOR Wages more important than health Sick as consequences of activities Disruption means rising job lost risk In many developing countries, government officials did not have the assessment capabilities, regulatory regimes, or infrastructure to effectively manage the risks posed by the import and use of hazardous chemicals. This increased the possibility the misuse or mishandling of hazardous chemicals could harm human health and the environment. Pamela Chasek, PhD

9. Asbestos related disease rarely identified and reported

10. ASBESTOS MARKET

11. ASBESTOS LOCAL REGULATION LABOR Law concerning Work Accident Regulation concerting chrysotile still can be use safely and managed Regulation concerning “occupational disease” OSH Team management Regulation regarding compensation and claim Regulation Concerning Work Accident and Disease Diagnose Regulation concerning dust threshold Diagnostic Guideline for occupational disease HEALTH Work Insurance (BPJS) Regulation concerning compensation Implementation OSH Law and Local Regulation concerting “Building Development” prohibit dangerous goods GOVERNMENT Import regulation. 0% Tax Duty for asbestos raw material, and 10-15% for ACM Regulation for reporting Hazzard and Dangerous Goods ignored Regulation concerning Dangerous Goods waste management INDUSTRY CONSUMERS Law concerning customer protection There is still no straight regulation to Ban Asbestos Use

12. Labor Union Journalist NGO - Activist Academician OSH Doctors National Disaster Agency Local Government Local Politician COLLABORATING ACTION

13. 12 YEARS ACTIVITY Finding Empirical Evidence

14. 12 YEARS ACTIVITY Organize potential power

15. 12 YEARS ACTIVITY Public Acknowledgement

16. 12 YEARS ACTIVITY Media Coverage

17. INTERNATIONAL SOLIDARITY 12 YEARS ACTIVITY

18. MILESTONE IN HEALTH Starting a hospital-based case control study on asbestos-related lung cancer Presidential Decree no 7, 2019 about Occupational Diseases Decree of BNPB no 2 2019 on Banning asbestos for temporary shelter in disaster area National movement on lung cancer care The biggest asbestos roof company has opened a factory branch producing asbestos free roofs “ PT Onduline Manufaktur Indonesia ” France Base industry Health check up of 20 asbestos factories workers The first compensation claim of occupational ARD in Indonesia Compensation for 5 occupational ARD cases The study initial report was presented An insulation company stopped using asbestos Bandung: Asbestos free city Central Sulawesi: banning asbestos for temporary shelter in disaster area The first compensation claim of ARD in Indonesia

19. 2016 Medical check up for 20 workers Result: 10 Workers diagnosed with early AARD In 2017, 1 worker compensated 2018 Medical check up for 7 workers Result: 10 Workers diagnosed with early AARD In 2020, 5 worker compensated

20. NEW FINDING PSEUDOMESOTHELIOMA PATIENT: A 50 years-old-man, his profession was lecturer and lived in Tanggulangin Sidoarjo. has been living for more than 10 years in a house which roofs are made from asbestos.  JURNAL RESPIRASI MAY 2020, VOL. 06 (02)

21. NEW FINDING PLEURAL PLAQUES AND ASBESTOSIS: The patient had been an owner of a construction company for more than 37 years. He was involved in a wide range of construction work, from simple house renovation to big projects like building apartments, roads, and bridges. The patient worked to manage the whole construction project process from providing the document, preparing material, and directly involved in the supervision of work projects. He worked on an average of 12 hours per day and 5 to 7 days a week with no regular leave. ACTA MEDICA PHILIPINA VOL. 56 NO. 8 2022

22. PLAN AHEAD

23. KNOWLEDGE MANAGEMENT AND RESOURCE CENTER PREPARING ASBESTOS CORNER AT UNIVERSITY PREPARING CLINICAL TRAINING COOPERATED WITH ADDSA (July, 2023) LION still rising public acknowledgement for asbestos dangerous cooperating with Journalist UNIVERSITY COLLABORATION

24. Finalizing customer complaint case submission PUBLIC POLICY ADVOCACY REGISTERED CONSUMER PROTECTION AGENCY CONSUMER ADVOCACY LION will follow up organizing and worker advocacy and public policy in future program Preparing office for consumer complaint on asbestos uses

25. GRASSROOT AND WORKER ORGANIZING

26. INCLUSIVE ACTIVITIES

27. No Gender Age status Period of work/stay Health complaints 1 Male 36 Years Worker 17 Years Dry cough, shortness of breath, chest, headache and easy fatigue 2 Male 66 Years Resident 40 Years Shortness of breath, dry cough, itchy skin, tired easily 3 Female 37 Years Resident 15 Years Dizziness, shortness of breath, dry cough, itchy skin MEDICAL CHECKUP