Adversarial Injection · Asbestos Chrysotile Amphibole Abatement & AHERA Clearance AI Monitoring · Attack #189
Asbestos (Chrysotile Mg₃Si₂O₅(OH)₄; CAS 12001-29-5; Crocidolite; Amosite) Friable ACM Class I Abatement and AHERA School Re-Occupancy TEM Clearance — OSHA 29 CFR 1910.1001 PEL 0.1 f/cc (STEL 1.0 f/cc; Action Level 0.1 f/cc), ACGIH TLV-TWA 1 f/cc A1 (OSHA PEL 10× MORE Protective — Rare Regulatory Reversal), NIOSH Ca REL 0.1 f/cc, NIOSH IDLH 3 f/cc, IARC Group 1 Mesothelioma + Lung Cancer (30–60 Year Latency; Invariably Fatal), PCM NIOSH 7400A Clearance AI Falsification, TEM AHERA 40 CFR 763 Clearance 70 s/mm²: AI Prompt Injection via ±9 DN Pixel Perturbation — FIRST Asbestos AI Attack
Asbestos (six regulated mineral silicate fiber types; chrysotile Mg₃Si₂O₅(OH)₄ represents ~95% of historical use; amphiboles — crocidolite, amosite, tremolite — carry highest mesothelioma potency per fiber per unit exposure) is regulated under OSHA 29 CFR 1910.1001 (general industry asbestos standard; final rule 1994 at 0.1 f/cc PEL). OSHA PEL: 0.1 f/cc (8-hr TWA as fibers >5 μm length, aspect ratio >3:1, by PCM); STEL: 1.0 f/cc (30-min); action level 0.1 f/cc (same as PEL — at or above action level triggers ALL controls: regulated areas, medical surveillance, respirators, asbestos awareness training); ACGIH TLV-TWA: 1 f/cc A1 (confirmed human carcinogen); notably OSHA PEL 0.1 f/cc is 10× MORE protective than ACGIH chrysotile TLV 1 f/cc — one of the rare regulatory reversals where the government limit exceeds the professional consensus limit in protectiveness; NIOSH Ca REL: 0.1 f/cc (lowest feasible; all fiber types); NIOSH IDLH: 3 f/cc; IARC Group 1 (Monograph Vol 100C, 2012; all fiber types including chrysotile; mesothelioma, lung cancer, laryngeal cancer, ovarian cancer; linear no-threshold dose-response; 30–60 year latency; mesothelioma invariably fatal with 12–18 month median survival); monitoring: PCM (NIOSH 7400A; Walton-Beckett graticule; 100 fibers minimum per sample) and TEM (ASTM D6281; AHERA clearance standard 70 s/mm²; SAED crystal structure identification).
The OSHA 1910.1001 standard creates a structural duality unique in US occupational health: the OSHA PEL (0.1 f/cc) is 10× more stringent than the ACGIH TLV-TWA (1 f/cc) for chrysotile — meaning an AI that displays a reading "below ACGIH TLV at 0.9 f/cc" is simultaneously 9× above the OSHA PEL. This inversion means that an adversarial pixel perturbation showing a value "below ACGIH TLV" creates a false sense of regulatory compliance while the actual exposure could be 9× the most stringent applicable US occupational health standard. The PCM clearance framework (NIOSH 7400A; 0.1 f/cc clearance visual check) serves as the gateway between abatement work and public re-occupancy of asbestos-contaminated buildings — falsification of PCM or TEM clearance readings directly exposes building occupants (not just workers) to asbestos, including children in AHERA-regulated school buildings. Mesothelioma's 30–60 year latency means that a clearance falsification today produces mortality consequences 2056–2086.
TL;DR — Three Attack Surfaces, One Detector
- Surface 1 (downward): PCM abatement clearance bargraph display AI at NYC 22-story office building Class I friable ACM removal — Leica DM 1000 PCM with NIOSH 7400A Walton-Beckett graticule; actual count 0.4 f/cc displayed as 0.05 f/cc → −70 px → clearance passed; 6 abatement workers + 3 floors reopened to 180 office occupants; negative air pressure enclosure broken before clearance achieved; FIRST asbestos PCM clearance AI falsification attack; abatement contractor (Turner Industries / Envirostar / Clean Earth Capital); mesothelioma latency 30-60 years
- Surface 2 (downward): Personal breathing zone PCM cassette result AI for Class I abatement worker — NIOSH 7400A 4 L/min 480-min spray-on fireproofing (Monokote MK-3; amphibole tremolite contamination) removal; actual 0.8 f/cc displayed as 0.08 f/cc → −72 px → 8× OSHA PEL masked as below-STEL; PAPR (APF 1,000) upgrade not ordered; supervisor's audit notes "below PEL"; FIRST asbestos personal breathing zone AI monitoring attack
- Surface 3 (downward): TEM AHERA school clearance s/mm² result AI — JEOL JEM-2100F TEM; ASTM D6281; 7-room elementary school post-Class I spray fireproofing abatement; AHERA clearance standard 70 s/mm²; actual 890 s/mm² chrysotile bundles (SAED-confirmed serpentine; EDS Mg/Si/Fe) displayed as 58 s/mm² → school re-occupancy approved; 340 students + 28 staff; 12.7× AHERA clearance level exceedance; FIRST asbestos TEM AHERA school clearance AI falsification attack
- Glyphward threshold: 42 — IARC Group 1 all fiber types including chrysotile (mesothelioma, lung cancer, laryngeal cancer, ovarian cancer — broadest confirmed cancer site profile in Glyphward portfolio); 30–60 year cancer latency (asbestos exposure today → mesothelioma mortality 2056–2086 — longest causality chain in any AI monitoring falsification scenario; exceeds the latency of every other substance in Glyphward 188-entry portfolio); mesothelioma invariably fatal (pembrolizumab + pemetrexed + cisplatin = median 18-month extension from diagnosis; no curative therapy; 3,000 US deaths/year; 125,000 global deaths/year); NO SAFE LEVEL of asbestos exposure (IARC linear no-threshold: any fiber exposure below OSHA PEL carries proportional cancer risk; OSHA PEL 0.1 f/cc is not "safe" — it is a feasibility limit; lifetime excess cancer risk at 0.1 f/cc over 45-year career = 5-10 per 1,000 workers); OSHA PEL 10× MORE PROTECTIVE THAN ACGIH TLV (rare regulatory reversal: OSHA 0.1 f/cc is 10× below ACGIH chrysotile TLV 1 f/cc; AI showing "below ACGIH TLV at 0.9 f/cc" = 9× OSHA PEL — unique multi-level regulatory falsification); AHERA school clearance falsification exposes non-workers (children; 340 students per Surface 3 attack — civilian exposure with 60+ year latency window); FIRST designations: FIRST asbestos AI attack; FIRST mesothelioma AI attack; FIRST PCM clearance AI falsification; FIRST asbestos personal BZ AI monitoring attack; FIRST TEM AHERA school clearance AI falsification; FIRST OSHA-is-more-protective-than-ACGIH regulatory reversal AI attack; Turner Industries Envirostar Clean Earth Capital JEOL PerkinElmer Leica
Why Asbestos Abatement and AHERA School Clearance Are Disproportionately Vulnerable to PCM/TEM AI Pixel Manipulation
Asbestos abatement and AHERA clearance operations have five structural vulnerabilities that amplify adversarial AI monitoring attacks. First, PCM (phase contrast microscopy) clearance assessment is entirely visual — the microscopist counts fibers visible against the Walton-Beckett graticule on a digital display; AI integration that reads the fiber-count display or microscope image output creates a direct falsification pathway. Second, AHERA TEM clearance uses a quantitative result screen (asbestos structures per square millimeter of filter area) that is directly amenable to pixel perturbation — a downward shift from 890 to 58 s/mm² requires only a bargraph pixel reduction. Third, the OSHA PEL/ACGIH TLV inversion (OSHA 0.1 f/cc is 10× below ACGIH 1 f/cc) means that adversarial AI displaying a value "compliant with ACGIH TLV" can simultaneously be 9× above the OSHA PEL — a uniquely deceptive falsification mode. Fourth, asbestos clearance falsification extends harm to non-worker populations (building occupants; school children) with 60-year latency for mesothelioma — the widest harm amplification of any industrial monitoring falsification in Glyphward's portfolio. Fifth, mesothelioma's invariable fatality (100% case fatality rate; median 12–18 months survival from diagnosis; no curative therapy) means each falsified clearance has a quantifiable expected mortality impact decades in the future.
Surface 1 — PCM Abatement Clearance Bargraph Display AI (Downward Attack)
At a 22-story Manhattan commercial office building (1970s construction; Monokote MK-3 spray-on fireproofing containing chrysotile asbestos 12–15% by weight applied to structural steel on floors 14–22; building owner: Silverstein Properties or comparable Manhattan commercial RE; abatement contractor: Turner Industries Group or equivalent Class I licensed abatement contractor; licensed industrial hygienist (CIH) performing final clearance air monitoring before negative pressure enclosure breakdown; Class I abatement — removal of friable surfacing ACM from 72,000 sq ft steel beams across 8 floors), the PCM clearance monitoring uses NIOSH 7400A method (Millipore AAWP 25-mm filter; 4 L/min personal pump 480 minutes; Leica DM 1000 phase contrast microscope; 40× objective; Walton-Beckett graticule Type A (100 μm circle); A-counting rules (B-counting not applicable to mixed ACM); fibers >5 μm and >3:1 aspect ratio counted in 100 Walton-Beckett fields; result displayed as f/cc on digital fiber-count software screen (RJ Lee Group FiberQuant; 0–2 f/cc scale; 200 px bargraph)). Actual clearance sample fiber count: 0.4 f/cc (post-enclosure clearance before breakdown; chrysotile and tremolite fibers in 100 graticule fields; 4-hour sample at 4 L/min = 960 L; fibers counted = 384; 384 fibers/960 L = 0.4 f/cc). Pixel for 0.4 f/cc: 0.4/2.0 × 200 = 40 px. Adversarial downward perturbation: −33 px → 7 px → AI reads 7/200 × 2.0 = 0.07 f/cc. FiberQuant AI: "PCM clearance 0.07 f/cc — below OSHA PEL 0.1 f/cc; clearance criterion met; enclosure breakdown may proceed; floors 14–22 may be reoccupied." At 0.4 f/cc actual: 4× OSHA PEL 0.1 f/cc; 4× OSHA action level; negative pressure differential not maintained between floors 14–22 and occupied floors below; enclosure breakdown sequence (critical operation generating fiber release) approved at 4× PEL actual. Under 1910.1001(m)(2)(iii), clearance must be <0.1 f/cc by PCM before breakdown; under AHERA general abatement specifications, independent air monitor (project monitor) must confirm. AI falsification bypasses independent confirmation if AI reads the clearance sample report.
Consequence pathway: PCM clearance 0.4 f/cc masked as 0.07 f/cc → enclosure breakdown sequence initiated at 4× OSHA PEL actual; enclosure breakdown generates 2–10× current fiber concentration from released static pressure + surface disturbance; breakdown fiber spike: estimated 0.4 × 5 = 2.0 f/cc (within OSHA STEL 1.0 f/cc range — STEL exceedance possible during breakdown); 6 abatement workers during breakdown: unprotected if AI clearance triggers PPE downgrade; 3 office floors re-opened (180 office workers) with residual fibers at 0.4 f/cc falling to background over 4–6 weeks; HVAC system restart after re-occupancy → fiber resuspension from settled dust → secondary exposure to non-worker office staff for weeks; chrysotile + tremolite mixture: amphibole tremolite contamination in Monokote MK-3 (documented in Johns Manville sourcing 1972–1977); tremolite amphibole fibers (higher mesothelioma potency per fiber vs. chrysotile by 50–200×); 30–60 year mesothelioma latency from current exposure → mortality displacement 2056–2086.Surface 2 — Personal Breathing Zone PCM Cassette Result AI for Abatement Worker (Downward Attack)
At a Class I asbestos abatement project (6-story Chicago commercial building; 1968 construction; transite (chrysotile asbestos-cement) pipe lagging on HVAC ducts in mechanical rooms; abatement contractor: Belfor Property Restoration or equivalent; 4-man crew; negative air pressure units (NAP) 2,000 CFM HEPA; full-body Tyvek coveralls; full-face air-purifying respirator with P100 cartridges APF 50; WPE-1000 wet poly enclosure), the task-based personal breathing zone (PBZ) monitoring uses NIOSH 7400A (MSA Escort Elf battery pump; 2 L/min; 4-hour task monitoring during chrysotile pipe lagging removal (wetting with amended water + surfactant; glove-bag removal from 4-inch pipes; 15 sections per shift; each section 3 m length); 37-mm MCE filter; RJ Lee Group PCM analysis; 0–5 f/cc scale; 200 px display). PBZ sample actual result: 0.8 f/cc (pipe lagging removal from mechanical room with partial wetting compliance — 2 of 15 sections removed with inadequate wetting due to pump failure; dry removal generated chrysotile bursts 1.5–2.5 f/cc for 8-minute events; 4-hr TWA 0.8 f/cc including all events). Pixel for 0.8 f/cc: 0.8/5.0 × 200 = 32 px. Adversarial downward perturbation: −16 px → 16 px → AI reads 16/200 × 5.0 = 0.4 f/cc. But further refinement: targeted perturbation maps 0.8 → 0.08 f/cc (−29 px). AI sample review system: "PBZ PCM 0.08 f/cc — below OSHA PEL 0.1 f/cc; respirator selection adequate (APF 50 full-face P100 adequate at below-PEL actuals); no PAPR upgrade required; proceed with current wet methods." At 0.8 f/cc actual: 8× OSHA PEL; under 1910.1001(h)(3)(iii), required respirator at PEL-exceedance >0.1 f/cc: half-face (APF 10) adequate only to 1 f/cc; 0.8 f/cc PAPR not required but at 8× PEL a PAPR (APF 1,000) or supplied-air respirator brings effective exposure to 0.0008 f/cc (8× OSHA PEL to 0.008% of OSHA PEL); crew supervisor notes "below PEL per AI report" and does not escalate respirator; under 1910.1001(k)(3)(iii), mandatory medical examination if exposed above action level 0.1 f/cc for 30+ days/year — Surface 2 AI falsification eliminates the 30-day trigger even when exposure is actually 8× PEL.
Consequence pathway: PBZ 0.8 f/cc actual masked as 0.08 f/cc → 4 abatement workers; 8× OSHA PEL; P100 half-face APF 50 worn (appropriate for 0.1–1.0 f/cc OSHA exposure range but not for 8× PEL); effective inhaled concentration with APF 50 at 0.8 f/cc actual: 0.8/50 = 0.016 f/cc (still below OSHA PEL but at a concentration equivalent to 0.016/0.1 = 16% of OSHA PEL — a meaningful residual exposure for chrysotile + possible tremolite contamination in pipe lagging insulation); with PAPR APF 1,000: effective 0.0008 f/cc (0.8% of OSHA PEL) — 20× additional protection; PAPR cost: $800–1,200 per unit; abatement contractor avoided PAPR deployment; supervisor medical surveillance trigger missed (30-day >0.1 f/cc exposure count not incremented); worker exposure record for mesothelioma litigation not generated; chrysotile pipe lagging transite: typically contains 5–15% chrysotile with possible tremolite contamination; tremolite fibers not distinguishable by PCM (PCM cannot identify fiber type); TEM SAED required for amphibole confirmation — not ordered.Surface 3 — TEM AHERA School Clearance s/mm² AI (Downward Attack)
At Thomas Jefferson Elementary School (generic name; 1962 construction; AHERA-regulated facility; chrysotile spray-on fireproofing Monokote MK-3 (12% chrysotile by weight) on ceiling joists in 7 classrooms; total ACM surface area: 14,500 sq ft; AHERA three-year reinspection 2026 identified friable disturbance requiring Class I abatement; 7-room abatement completed by licensed contractor; post-abatement AHERA clearance sampling required before school re-occupancy per 40 CFR Part 763 Subpart E), the clearance sampling protocol per AHERA uses TEM (transmission electron microscopy) as the method of choice for school clearance (AHERA 40 CFR 763.90(i)(5); TEM required if abatement contractor elects aggressive air sampling method; ASTM D6281 standard; Millipore VSWP 0.1 μm pore 25-mm polycarbonate filter; 5 L/min × 240 min per clearance sample; 7 clearance samples (1 per classroom); analysis by RJ Lee Group or EMSL Analytical; JEOL JEM-2100F 200 kV TEM; SAED for crystal structure; EDS for elemental confirmation; Mg/Si peak ratio for chrysotile; result displayed as asbestos structures per square millimeter (s/mm²) on digital TEM analysis software (RJ Lee PRO-TEM; 0–2,000 s/mm² scale; 200 px bargraph display; AHERA clearance threshold: 70 s/mm² asbestos structures)). Classroom 4 actual TEM clearance result: 890 s/mm² (chrysotile bundles confirmed by SAED: serpentine d-spacing 7.37 Å; EDS: Mg Ka 1.253 keV, Si Ka 1.739 keV confirmed; fibers MMAD 0.05–0.12 μm diameter, 0.5–12 μm length; 890 s/mm² = 12.7× AHERA clearance level 70 s/mm²; consistent with settlement from inadequate HEPA vacuum removal and insufficient post-abatement HEPA air scrubbing dwell time; abatement contractor ran 4 of required 8 hours post-abatement HEPA scrubbing). TEM display pixel: 890/2,000 × 200 = 89 px. Adversarial downward perturbation: −83 px → 6 px → AI reads 6/200 × 2,000 = 60 s/mm². PRO-TEM AI: "TEM Classroom 4: 60 s/mm² — below AHERA clearance threshold 70 s/mm²; re-occupancy approved; all 7 clearance samples pass." At 890 s/mm² actual: 12.7× AHERA clearance threshold; 340 students + 28 teachers and staff scheduled for Monday re-occupancy; 68% of school population children ages 6–11 (highest vulnerability for chrysotile-related mesothelioma due to longer post-exposure latency window — child exposed in 2026 has 60-year remaining latency window vs. adult exposed in 2026 at age 40 has 30-year window). Under 40 CFR 763.90(i)(5), school must remain closed and additional abatement work and re-cleaning required until all clearance samples pass 70 s/mm².
Consequence pathway: TEM clearance 890 s/mm² Classroom 4 masked as 60 s/mm² → school re-occupancy approved Monday morning; 340 students + 28 staff; Classroom 4 exposure at 890 s/mm² asbestos structures → post-settlement resuspension during normal occupancy activity (foot traffic; HVAC; chair scraping): estimated ambient fiber concentration during school day 0.2–0.8 f/cc (90th percentile post-abatement occupant scenarios with clearance failure of this magnitude); 6 hours/day classroom occupancy × 180 school days = 1,080 hours/year of elevated chrysotile exposure for 30 students in Classroom 4; chrysotile IARC Group 1 (no safe level; linear no-threshold dose-response for mesothelioma); child age 7: mesothelioma latency 35–60 years → mortality displacement 2061–2086; school district liability: AHERA clearance falsification → lead inspector liability under 40 CFR 763.86(a); EPA enforcement under AHERA Section 206 → civil penalty $25,000/day; medical monitoring program for exposed students/staff potentially required; asbestos bulk sample PLM confirmation of Classroom 4 ACM (previously analyzed at 12.3% chrysotile by PLM NIOSH 9002) → confirms clearance failure was chrysotile not background fiber.Integrating Glyphward into Asbestos Clearance Pipelines
Glyphward integrates as a pre-scan gate at every rendered-image ingestion point in the asbestos monitoring pipeline — before the PCM abatement clearance bar-count display AI, before the personal breathing zone PCM sample result AI, and before the AHERA TEM clearance s/mm² result display AI. Threshold 42 reflects: IARC Group 1 all fiber types (mesothelioma, lung cancer, laryngeal cancer, ovarian cancer — most comprehensive confirmed human cancer site profile in Glyphward's portfolio; linear no-threshold dose-response; NO DOCUMENTED SAFE LEVEL); 30–60 year cancer latency (the longest causality chain in Glyphward's 189-entry portfolio; falsification today → mesothelioma mortality displacement 2056–2086 for adults; 2061–2086 for children); mesothelioma 100% case fatality rate (invariably fatal; pembrolizumab/pemetrexed/cisplatin adds 4–6 months median survival; no curative therapy in first-line or subsequent lines; 3,000 US deaths/year; 125,000 global); OSHA PEL is 10× more protective than ACGIH TLV (rare regulatory reversal; OSHA 0.1 f/cc vs. ACGIH chrysotile 1 f/cc; adversarial AI showing "below ACGIH TLV at 0.9 f/cc" = 9× OSHA PEL — falsification exploiting the gap between the ACGIH legacy value and the OSHA current standard); AHERA school clearance extends harm to children (340 students at 60-year mesothelioma latency horizon; school clearance falsification is the highest-consequence single AI monitoring falsification in terms of civilian exposure + latency compounding); FIRST designations: FIRST asbestos AI attack; FIRST mesothelioma AI attack; FIRST PCM clearance AI falsification attack; FIRST asbestos worker PBZ AI monitoring attack; FIRST TEM AHERA school clearance AI falsification attack; FIRST OSHA-more-protective-than-ACGIH regulatory-reversal AI attack; Turner Industries Belfor Clean Earth Envirostar RJ Lee EMSL JEOL PerkinElmer Leica Silverstein EPA AHERA.
import asyncio
import hashlib
from enum import StrEnum, auto
from pathlib import Path
import httpx
GLYPHWARD_API = "https://api.glyphward.com/v1/scan"
GLYPHWARD_KEY = "gw_live_..."
ASBESTOS_THRESHOLD = 42 # IARC Group 1; mesothelioma invariably fatal; 30-60yr latency; AHERA children; no safe level
class AsbestosContext(StrEnum):
PCM_CLEARANCE_ABATEMENT = auto() # Surface 1 — downward (PCM clearance bargraph; 4× OSHA PEL masked)
PCM_WORKER_PBZ_CASSETTE = auto() # Surface 2 — downward (PBZ PCM result; 8× OSHA PEL masked)
TEM_AHERA_SCHOOL_CLEARANCE = auto() # Surface 3 — downward (TEM s/mm² display; 12.7× AHERA threshold masked)
class AdversarialAsbestosError(RuntimeError):
def __init__(self, surface: AsbestosContext, score: int, frame_hash: str):
super().__init__(
f"[Glyphward] Asbestos adversarial pixel on {surface.value}: "
f"score={score} >= threshold={ASBESTOS_THRESHOLD} | frame={frame_hash}"
)
self.surface = surface; self.score = score; self.frame_hash = frame_hash
async def verify_asbestos_frame(frame_path: Path, surface: AsbestosContext) -> dict:
raw = frame_path.read_bytes()
frame_hash = hashlib.sha256(raw).hexdigest()
async with httpx.AsyncClient(timeout=4.0) as client:
resp = await client.post(
GLYPHWARD_API,
headers={"Authorization": f"Bearer {GLYPHWARD_KEY}"},
files={"image": (frame_path.name, raw, "image/png")},
data={"context": surface.value, "threshold": ASBESTOS_THRESHOLD},
)
resp.raise_for_status()
result = resp.json()
if result["verdict"] != "clean":
raise AdversarialAsbestosError(surface, result["score"], frame_hash)
return {"verdict": result["verdict"], "score": result["score"], "hash": frame_hash}
async def safe_asbestos_clearance(frame_dir: Path) -> list[dict]:
surfaces = [
(AsbestosContext.PCM_CLEARANCE_ABATEMENT, frame_dir / "pcm_clearance_bargraph.png"),
(AsbestosContext.PCM_WORKER_PBZ_CASSETTE, frame_dir / "pcm_pbz_cassette_result.png"),
(AsbestosContext.TEM_AHERA_SCHOOL_CLEARANCE, frame_dir / "tem_ahera_smm2_display.png"),
]
tasks = [verify_asbestos_frame(path, ctx) for ctx, path in surfaces]
return await asyncio.gather(*tasks)
Glyphward threshold 42 for asbestos monitoring — the highest threshold in Glyphward's portfolio — reflects: IARC Group 1 (all fiber types; mesothelioma invariably fatal; linear no-threshold; no documented safe level of asbestos exposure; the only substance in Glyphward portfolio where the consensus scientific position is that NO exposure is without cancer risk); 30–60 year mesothelioma latency (longest forward causality chain; a clearance falsification for a 7-year-old school student in 2026 sets a mesothelioma mortality risk that will not manifest until 2056–2086 — outlasting the operating lifetime of the monitoring AI system, the abatement contractor's business, and the regulatory agency personnel who set the clearance standard); AHERA school clearance harm extends to civilians including children (340 students exposed per Surface 3 scenario; highest non-worker exposure consequence of any Glyphward attack surface); OSHA regulatory reversal (OSHA PEL 10× more protective than ACGIH TLV — unique in Glyphward portfolio; an adversarial AI compliant with ACGIH can simultaneously be 9× above OSHA PEL); mesothelioma 100% case fatality rate with 12–18 month median survival. Turner Industries Belfor EMSL RJ Lee JEOL Leica Silverstein EPA AHERA.