Given Australia’s significant and aged asbestos legacy, the long-term sustainability of effective and accessible asbestos waste management is a national priority of Australia’s Asbestos National Strategic Plan. The current policy for managing hazardous asbestos waste is via deep burial in landfill. Technological alternatives to approved deep burial landfill methods exist and could be considered innovative and sustainable additional options for managing asbestos waste, where these are proven viable, and where appropriate policy and regulatory changes are implemented. We present a summary of alternative asbestos waste management technologies and discuss issues influencing their potential application in the Australian context. Increasing the options for asbestos waste management in Australia may additionally facilitate the safe, planned removal of asbestos-containing materials (ACMs) from the built environment. Altogether, this will reduce the potential for exposure to asbestos fibres and work towards eliminating asbestos-related disease in Australia, therefore contributing towards achieving the overarching aim of Australia’s Asbestos National Strategic Plan.

The increase in home improvement activity during the COVID-19 pandemic gave rise to concerns of increased asbestos exposure risk. This paper describes high-risk asbestos exposure groups based on current home improvement trends in Australia. A series of quantitative and qualitative studies were commissioned to better understand the attitudes, motivations, and behaviours of home improvers in Australia. In 2021, two in three Australian adults were inclined to undertake home improvement projects—big or small—with or without professional help, underscoring the importance of improving the asbestos safety knowledge and capacity of this cohort. The studies commissioned across 2020 and 2021 provide a deep analysis into this cohort, defining who they are and the segments that make up home improvers, their behaviours, and their asbestos awareness and attitudes. This knowledge enables the development and implementation of a range of targeted campaigns to increase asbestos awareness and prevent potential exposure to asbestos fibres.

Exposure to asbestos fibres causes asbestosis, mesothelioma and several other cancers, which together are commonly referred to as asbestos-related diseases (ARDs). The use of asbestos increased rapidly in Australia and overseas throughout the 1900s, but knowledge about the health effects of exposure and subsequent controls came about more gradually. In Australia today, an estimated 4000 people still die annually from ARDs. While most of these deaths are due to past occupational exposures, there is ongoing concern about the many potential sources of asbestos exposure remaining in homes and the broader built environment as a legacy of past use. Current evidence indicates that Australians will continue to be exposed to legacy asbestos occupationally and non-occupationally, and continue to develop ARDs, without targeted action to prevent it. Evidence of ongoing exposure highlights the importance of better understanding how and why such exposures might still occur, and how they can be effectively prevented or controlled, with the aim of preventing the disease in the future. A better characterisation of this risk is also necessary to enable effective risk management and appropriate risk communication that is relevant to the current Australian context. This article explores the past, present and future of ARDs in Australia, considers the risk of a new wave of ARDs from legacy asbestos, and identifies where further study is required so that sustainable policies and practices can be developed to prevent a future wave of diseases.