Devoted to healthcare, research, and outreach to benefit all people impacted by exposure to Libby amphibole asbestos.

In the northwest corner of Montana, in the rural community of Libby, the Center for Asbestos Related Disease (CARD) has emerged as a national center of excellence in addressing healthcare issues associated with Libby amphibole (previously called tremolite) asbestos. The CARD is a non-profit 501(c) 3 clinic governed by a volunteer community board. CARD operates with the vision of Caring Pathways to Treatment. The CARD is devoted to healthcare, outreach, and research to benefit all people impacted by exposure to Libby amphibole asbestos.

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CARD Provider

Libby Amphibole
Asbestos is Unique

Libby amphibole asbestos has been recognized to be very unique as it is both chemically and structurally different from chrysotile, the commercial asbestos most common around the country. From a study by the United States Geological Survey (USGS) released in 2003, we learned that Libby amphibole asbestos is a mixture of at least 5 chemically similar fibers. One of the unique features of Libby amphibole asbestos is the tendency of larger fragments to fracture, forming long thin mineral fibers that appear the same as naturally formed asbestos fibers. The toxicity of these fragments is currently unknown.


Exposure in
Libby Montana

The Libby, Montana community and its residents are facing a critical environmental and public health crisis caused by the slow motion technological disaster of asbestos exposure. In the fall of 1999, writer Andrew Schneider of the Seattle Post-Intelligencer broke the story (November 18, 1999 and November 19, 1999 issues) that revealed there had been hundreds of illnesses and deaths in the Libby community over the past 70 years resulting from occupational and non-occupational environmental exposures to asbestos associated with Libby's vermiculite mining and milling operations.


Dry Powder Inhaler

Exposure Across the Nation

At peak output, the Libby mine was producing 80% of the world's vermiculite. The CARD is aware that many other towns and cities will soon realize that they too have community-wide Libby amphibole asbestos exposure issues to address. The latency of asbestos-related diseases has allowed the serious health-related problems of asbestos exposure to go unrealized in many communities thus far. However, vermiculite contaminated with Libby amphibole asbestos was shipped to nearly 300 processing plants around the country.

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CARD serves as the liaison between the Libby community and the research world, as it is well known that successful partnerships allow valuable research to be accomplished while also protecting the interest of community members.

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Patient Education

From avoiding risk factors to prevent lung complications to helpful tips for quitting smoking, this section outlines many ways to help make life easier and more comfortable for a person facing the challenges of living with an asbestos related disease.

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Research translates to COMMUNITY is the premise of the annual CARD RESEARCH RALLY to be held in October at the Memorial Center in Libby, MT. CARD in collaboration with ATSDR and Mount Sinai School of Medicine will be hosting this fun...

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News & Updates


CARD Looking for Young Adults Screened in 2000-2001

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