Showing papers in "Annals of Occupational Hygiene in 2001"

Benchmark guideline for urinary 1-hydroxypyrene as biomarker of occupational exposure to polycyclic aromatic hydrocarbons

Abstract: Many individual polycyclic aromatic hydrocarbons (PAH) are genotoxic carcinogens. One of the parent PAH, pyrene, undergoes simple metabolism to 1-hydroxypyrene. 1-Hydroxypyrene and its glucuronide are excreted in urine. Biological monitoring of exposure to PAH has rapidly been expanded since urinary 1-hydroxypyrene was suggested as a biological index of dose of pyrene. Since pyrene is always present in PAH mixtures, the biological indicator is not only an indicator of uptake of pyrene, but also an indirect indicator of all PAH. At present, several hundreds of papers reporting on urinary concentrations of 1-hydroxypyrene in workers’ urine are available. It appeared that urinary 1-hydroxypyrene is a sound biomarker and that the analytical method is robust and non-laborious. Since epidemiological studies of cancer mortality related to long-term average urinary 1-hydroxypyrene concentration are lacking, a sound health-based limit value of 1-hydroxypyrene in urine cannot be set as yet. Since PAH exposure is widespread and the dermal uptake is substantial among exposed workers, an attempt was made to propose a three-level benchmark guideline for urinary 1hydroxypyrene. The reference value as a 95th percentile in non-occupational exposed controls is 0.24 mmol mol 21 creatinine and 0.76 mmol mol 21 creatinine for non-smokers and smokers, respectively. This is the first level of the benchmark guideline. A no-biological-effect-level of 1-hydroxypyrene in urine of exposed workers was found at 1.4 mmol mol 21 creatinine. It is the lowest reported level at which no genotoxic effects were found and therefore the estimate for the second level of the benchmark guideline. In two types of industry, cokeovens and primary aluminium production, the regression of airborne PAH concentrations and urinary 1-hydroxypyrene concentrations in exposed workers has been studied. The correlation of airborne concentrations and urinary 1-hydroxypyrene in urine of workers from cokeovens and in the primary aluminium industry was used to estimate the level of urinary 1-hydroxypyrene equal to the present occupational exposure limit (OEL) of PAH. The concentration of 1-hydroxypyrene in urine equal to the OEL is 2.3 mmol mol 21 creatinine and 4.9 mmol mol 21 creatinine, respectively, in these two industries. These latter values present the third level of the benchmark guideline. ≈ 2001 British Occupational Hygiene Society. Published by Elsevier Science Ltd. All rights reserved

Development and validation of the predicted heat strain model

Abstract: Eight laboratories participated in a concerted research project on the assessment of hot working conditions. The objectives were, among others, to co-ordinate the work of the main European research teams in the field of thermal factors and to improve the methods available to assess the risks of heat disorders at the workplace, and in particular the "Required Sweat Rate" model as presented in International Standard ISO 7933 Standard (1989). The scientific bases of this standard were thoroughly reviewed and a revised model, called "Predicted Heat Strain" (PHS), was developed. This model was then used to predict the minute by minute sweat rates and rectal temperatures during 909 laboratory and field experiments collected from the partners. The Pearson correlation coefficients between observed and predicted values were equal to 0.76 and 0.66 for laboratory experiments and 0.74 and 0.59 for field experiments, respectively, for the sweat rates and the rectal temperatures. The change in sweat rate with time was predicted more accurately by the PHS model than by the required sweat rate model. This suggests that the PHS model would provide an improved basis upon which to determine allowable exposure times from the predicted heat strain in terms of dehydration and increased core temperature.

Allergen and dust exposure as determinants of work-related symptoms and sensitization in a cohort of flour-exposed workers; a case-control analysis.

Abstract: Objectives: To estimate the incidence of specific IgE sensitization and allergic respiratory symptoms among UK bakery and flour mill workers; and to examine the roles of flour aeroallergen and total dust exposures in determining these outcomes. Methods: A cohort of 300 new employees, without previous occupational exposure to flour, were followed prospectively for a median (range) of 40 (1–91) months. Cases—defined as those developing work-related symptoms or a positive skin prick test to flour or α-amylase during follow up—were compared with controls, matched for duration of employment. Exposures to flour aeroallergen and total inhalable dust were estimated using a questionnaire and personal sampling techniques. Results: Incidence rates for work-related eye/nose and chest symptoms were 11.8 and 4.1 cases per 100 person years (py), respectively. Fewer employees developed positive skin prick tests to flour (2.2 cases per 100 py) or α-amylase (2.5 cases per 100 py). Positive skin tests to occupational allergens were more common among those with new work-related symptoms. There were clear relationships between the risks of developing work-related symptoms or a positive skin prick test and three categories of estimated exposure to total dust or flour aeroallergen. Atopic employees were more likely to develop a positive skin prick test—but not work-related symptoms. These findings were unaffected by age, sex or cigarette smoking. Conclusions: In this population, many work-related symptoms which develop after first employment in modern UK bakeries or flour mills were not accompanied by evidence of IgE sensitization to flour or α-amylase. Although average dust exposures were within current occupational standards, the risks of development of upper and lower respiratory symptoms and of specific sensitization were clearly related to total dust and/or flour aeroallergen exposure. The incidence of work-related chest symptoms in the presence of a positive skin test to flour or α-amylase in this setting was approximately 1 case per 100 py.

Occupational noise exposure and hearing loss of workers in two plants in eastern Saudi Arabia

Abstract: Objective: To determine the prevalence of hearing loss associated with occupational noise exposure and other risk factors. Design: A cross-sectional study involving 269 exposed and 99 non-exposed subjects (non-industrial noise exposed subjects) randomly selected. Current noise exposure was estimated using both sound level meter and noise-dosimeter. Past noise exposure was estimated by interview questionnaire. Otoscopic examination and conventional frequency (0.25–8 kHz) audiometry were used to assess the hearing loss in each subject. Results: 75% (202 subjects) from the exposed group were exposed to a daily Leq above the permissible level of 85 dB(A) and most (61%) of these did not and had never used any form of hearing protecion. Hearing loss was found to be bilateral and symmetrical in both groups. Bivariate analysis showed a significant hearing loss in the exposed vs non-exposed subjects with a characteristic dip at 4 kHz. Thirty eight percent of exposed subjects had hearing impairment, which was an 8-fold higher rate than that found for non-exposed subjects. Multivariate analysis indicated exposure to noise was the primary, and age the secondary predictor of hearing loss. Odds of hearing impairment were lower for a small sub-group of exposed workers using hearing protection (N=19) in which logistic regression analysis showed the probability of workers adopting hearing protective devices increased with noise exposure, education, and awareness of noise control. Hearing loss was also greater amongst those who used headphones to listen to recorded cassettes. Conclusion: Gross occupational exposure to noise has been demonstrated to cause hearing loss and the authors believe that occupational hearing loss in Saudi Arabia is a widespread problem. Strategies of noise assessment and control are introduced which may help improve the work environment.

Estimating mean exposures from censored data: exposure to benzene in the Australian petroleum industry

Abstract: A retrospective assessment of exposure to benzene was carried out for a nested case control study of lympho-haematopoietic cancers, including leukaemia, in the Australian petroleum industry. Each job or task in the industry was assigned a Base Estimate (BE) of exposure derived from task-based personal exposure assessments carried out by the company occupational hygienists. The BEs corresponded to the estimated arithmetic mean exposure to benzene for each job or task and were used in a deterministic algorithm to estimate the exposure of subjects in the study. Nearly all of the data sets underlying the BEs were found to contain some values below the limit of detection (LOD) of the sampling and analytical methods and some were very heavily censored; up to 95% of the data were below the LOD in some data sets. It was necessary, therefore, to use a method of calculating the arithmetic mean exposures that took into account the censored data. Three different methods were employed in an attempt to select the most appropriate method for the particular data in the study. A common method is to replace the missing (censored) values with half the detection limit. This method has been recommended for data sets where much of the data are below the limit of detection or where the data are highly skewed; with a geometric standard deviation of 3 or more. Another method, involving replacing the censored data with the limit of detection divided by the square root of 2, has been recommended when relatively few data are below the detection limit or where data are not highly skewed. A third method that was examined is Cohen's method. This involves mathematical extrapolation of the left-hand tail of the distribution, based on the distribution of the uncensored data, and calculation of the maximum likelihood estimate of the arithmetic mean. When these three methods were applied to the data in this study it was found that the first two simple methods give similar results in most cases. Cohen's method on the other hand, gave results that were generally, but not always, higher than simpler methods and in some cases gave extremely high and even implausible estimates of the mean. It appears that if the data deviate substantially from a simple log-normal distribution, particularly if high outliers are present, then Cohen's method produces erratic and unreliable estimates. After examining these results, and both the distributions and proportions of censored data, it was decided that the half limit of detection method was most suitable in this particular study.

Effect of Cr(VI) exposure on sperm quality: human and animal studies.

Abstract: 6 /ml. Sperm motility decreased from 81.92±0.41% for the control group to 69.71±0.93% for the exposed workers. The levels of zinc, lactate dehydrogenase (LDH), and lactate dehydrogenase C4 isoenzyme (LDH-x) in seminal plasma for the exposed workers were 1.48±0.07 jjimol/ml, 1.05±0.02xl0 3 U, and 0.47±0.01xl0 3 U, respectively, which were significantly lower than those of 5.72±0.15 (Jiniol/ml, 1.49±0.02xl0 3 U, and 0.78±0.15xl0 3 U for the control group, respectively. Follicle stimulating hormone (FSH) (7.34±0.34xl0~ 3 IU/ml) in serum from the exposed workers was significantly higher than that (2.41±0.08xl0~ 3 IU/ml) from the control group. On the other hand, there were no significant differences in semen volume, semen liquefaction time, luteinizing hormone (LH) level in serum, and Cr concentration in both serum and seminal plasma between the exposed workers and the con- trol group. Feeding Cr(VI) to rats significantly reduced the epididymal sperm counts from 87.40±3.85xl0 6 /g epididymis in control group to 21.40±1.20xl0 6 /g epididymis at a CrO 3 dose of 10 mg/kg body weight and to 17.48+1.04xl0 6 /g epididymis at a CrO 3 dose of 20 mg/kg body weight. Exposure of rats to Cr(VI) also significantly increased the sperm abnormality from 2.75±0.06% in the control group to 6.68±0.32% in the exposed group at a CrO3 dose of 10 mg/kg body and to 7.6±0.15% at a CrO3 dose of 20 mg/kg body weight. In exposed rats, there was visible disruption in germ cell arrangement near the walls of the seminiferous tubules. The diameters of seminiferous tubules in exposed rats were smaller. These results suggest that occupational exposure to chromium(VI) leads to alteration of semen status and may affect the reproductive success of exposed workers. © 2001 British Occupational Hygiene Society. Published by Elsevier Science Ltd. All rights reserved

Exposure assessment to airborne endotoxin, dust, ammonia, hydrogen sulfide and carbon dioxide in open style swine houses.

Abstract: Information is limited for the exposure levels of airborne hazardous substances in swine feed buildings that are not completely enclosed. Open-style breeding, growing and finishing swine houses in six farms in subtropical Taiwan were studied for the airborne concentrations of endotoxin, dust, ammonia, hydrogen sulfide and carbon dioxide. The air in the farrowing and nursery stalls as partially enclosed was also simultaneously evaluated. Three selected gases and airborne dusts were quantified respectively by using Drager diffusion tubes and a filter-weighing method. Endotoxin was analyzed by the Limulus amoebocyte lysate assay. Average concentration of airborne total endotoxin among piggeries was between 36.8 and 298 EU/m(3), while that for respirable endotoxin was 14.1-129 EU/m(3). Mean concentration of total dust was between 0.15 and 0.34 mg/m(3), with average level of respirable dust of 0.14 mg/m(3). The respective concentrations of NH3, CO2 and H2S were less than 5 ppm, 600-895 ppm and less than 0.2 ppm. Airborne concentrations of total dust and endotoxin in the nursery house were higher than in the other types of swine houses. The finishing house presented the highest exposure risk to NH3, CO2 and H2S. Employees working in the finishing stalls were also exposed to the highest airborne levels of respirable endotoxin and dust. On the other hand, the air of the breeding units was the least contaminated in terms of airborne endotoxin, dust, NH3, CO2 and H2S. The airborne concentrations of substances measured in the present study were all lower than most of published studies conducted in mainly enclosed swine buildings. Distinct characteristics, including maintaining swine houses in an open status and frequent spraying water inside the stalls, significantly reduce accumulation of gases and airborne particulates.

Biological monitoring the exposure to polycyclic aromatic hydrocarbons of coke oven workers in relation to smoking and genetic polymorphisms for GSTM1 and GSTT1.

Abstract: Occupational exposure to polycyclic aromatic hydrocarbons (PAH) increases the risk of developing lung cancer. Human exposure is often demonstrated by increased internal levels of PAH metabolites and of markers for early biological effects, like DNA adducts and cytogenetic aberrations. Objective: This study aimed to assess whether the current exposure to PAH of coke oven workers in a Dutch plant induced biological effects, and to determine if these effects are influenced by tobacco smoking and by genetic polymorphisms for the glutathione S-transferase genes GSTM1 and GSTT1. Methods: Urinary 1-hydroxypyrene (1-OHpyr) levels were used to monitor the internal dose, while the internal effective dose was assessed by monitoring PAH-DNA adducts, DNA strand breaks (Comet assay), sister-chromatid exchanges (SCE) and cells with a high frequency of SCE (HFC) in lymphocytes together with micronuclei (MN) in exfoliated urothelial cells. Results: Occupational exposure to PAH resulted in statistically significant increased 1-OHpyr levels (P<0.001), but it did not cause a significant induction of SCE, HFC, MN, DNA strand breaks or DNA adducts. Smoking caused a significant increase of 1-OHpyr (P<0.05), SCE (P<0.001), HFC (P<0.001) and DNA adducts (P<0.05), but not of MN or DNA strand breaks. Following correction for the smoking-related effects, no occupational induction of the effect biomarkers could be discerned. Multi-variate analysis did not show a significant influence of GSTM1 and GSTT1 polymorphisms on any biomarker. Also no significant interactions were observed between the various biomarkers. Conclusion: This study shows that in the examined plant, the occupational exposure to PAH does not result in measurable early biological effects Copyright © 2001 British Occupational Hygiene Society. Chemicals/CAS: Coke; DNA Adducts; glutathione S-transferase M1, EC 2.5.1.18; glutathione S-transferase T1, EC 2.5.1.-; Glutathione Transferase, EC 2.5.1.18; Polycyclic Hydrocarbons, Aromatic

An exploratory quantitative risk assessment for high molecular weight sensitizers: wheat flour.

Abstract: Objective: Quantitative risk assessments have been made for wheat dust and allergen exposure and wheat sensitization using classical epidemiological approaches based on simple categorizations in exposure groups. Such analyses suggest the existence of an exposure threshold level for wheat specific sensitization and were used as input in recently conducted risk assessments for wheat flour by the American Conference of Governmental Industrial Hygienists and the Dutch Expert Committee on Occupational Standards. More advanced statistical analyses were applied using generalized additive modeling and smoothed plots to evaluate the shape of the exposure response relationship in greater detail and evaluate the presence of exposure thresholds. Methods: Data were used from a recently conducted epidemiological study in bakery workers. Information was available on wheat sensitization (IgE antibodies), inhalable dust levels and wheat allergen levels. Initial analyses were based on simple exposure categorizations for inhalable dust and allergen exposure. A more detailed analysis using non-parametric generalized additive models (GAM models) and smoothing plots allowed inspection of the presence of an exposure threshold of evaluation of ‘no’ or ‘lowest observed effect levels’ (NOELs, LOELs) using exposure data on the individual level. Results: All analyses showed an increasing sensitization risk with increasing exposure. The classical epidemiological analyses gave evidence for the existence of an exposure threshold or ‘no observed effect level (NOEL)’ for specific wheat sensitization between 0.5 and 1 mg/m 3 of inhalable dust. The more advanced analyses did not suggest any evidence for the existence of an exposure threshold. However, estimates of a LOEL obtained by considering an arbitrary increase in sensitization risk between 1.5 and 2 as undesirable, were close to the NOEL from the classical analyses and would therefore not lead to an essentially different exposure limit. The criterion of an increase in wheat sensitization risk was based on the risk in nonwheat dust exposed populations. Conclusion: Exposure response modeling using different classical epidemiological approaches and advanced statistical methods resulted in health based LOEL or NOEL estimates within a relatively close range. But when sensitization accompanied by asthma or rhinitis symptoms was considered as critical endpoint, steeper exposure–response relationships were observed which would lead to lower LOEL values.  2001 British Occupational Hygiene Society. Published by Elsevier Science Ltd. All rights reserved

Grassroots ergonomics: initiating an ergonomics program utilizing participatory techniques.

Abstract: The introduction of ergonomics programs throughout the world requires an easy to understand and inexpensive process. Participatory ergonomic intervention techniques have proven to be beneficial in the prevention of musculoskeletal disorders. The participatory approach to ergonomics has also been found to be a useful application within industrialized (developed) countries and industrially developing countries (IDCs). Grassroots Ergonomics principles utilize expertise within a workforce that focuses on participatory ergonomics interpretations of quantitative and qualitative risk and exposure assessment information that in turn results in a peer-developed ergonomics training. Regardless of the intricacy of the exposure assessment tools, workers should fully assist in gathering and analyzing data, then in identifying and implementing solutions. A coordinated and multidisciplinary application of this approach within IDCs would succeed in the creation and sharing of job-specific ergonomics training information for high physical exposure professions, such as agriculture, fishing, forestry, mining, and small-scale enterprises, to initiate ergonomics programs regionally.

Determinants of Exposure to Respirable Quartz Dust in the Construction Industry

Abstract: Because most masonry building materials contain quartz and because these materials are subjected to a variety of treatments during the building process, quartz is encountered everywhere in building operations The level of exposure to respirable quartz has been measured for some highly exposed groups of employees At 30 construction sites personal air sampling (PAS) measurements of respirable dust and quartz have been performed and 171 samples have been taken Both respirable dust and quartz levels were high Respirable quartz exposures of more than ten times the Dutch limit value of 0075 mg/m 3 TWA were common, but exposures up to 200 times the Dutch limit value were also found The measurements were task oriented By statistical analysis the contribution of the different determinants to the total exposure has been identified With this approach, directions for an effective control measures programme can be given © 2001 British Occupational Hygiene Society Published by Elsevier Science Ltd All rights reserved

Sampling and detection of Legionella pneumophila aerosols generated from an industrial cooling tower.

Abstract: Cooling tower water has frequently been cited as a source of infection in outbreaks of Legionnaires' disease. However, there have been few reports on the presence of legionellae in aerosols from cooling towers. This paper describes our use of an impinger or a six-stage microbial impactor for detecting legionellae in air around a cooling tower contaminated with L. pneumophila (1.2+/-0.3x10(5) CFU/100 ml). Phosphate-buffered saline, Page's saline, 2% yeast extract solution and buffered yeast extract (BYE) broth were tested to evaluate their collection efficiency. These solutions were compared in laboratory experiments using an aerosol of L. pneumophila serogroup (SG) 1. Because BYE broth was the most efficient and storable collecting fluid among them, it was used for outdoor air sampling. In the outdoor air sampling, aerosolized L. pneumophila SG 6 was detected in the air around the cooling tower by the impinger (0.09 CFU/l. air). No legionellae were detected by the impactor with Legionella-selective agar plates (WYOalpha) because the plates were overgrown with fungi. Repetitive element PCR (rep-PCR) and arbitrarily primed PCR (AP-PCR) were employed to assess the epidemiological relationship among Legionella isolates from the air sample and the cooling tower water samples. L. pneumophila SG 6 isolated from the aerosols produced rep-PCR and AP-PCR fingerprints identical to those of L. pneumophila SG 6 strains from the cooling tower water, suggesting that the bacterium was aerosolized from the cooling tower.

The interaction of asbestos and smoking in lung cancer.

Abstract: Both cigarette smoke and inhaled asbestos fibres can cause lung cancer, but the assessment of how these agents act in combination is a matter of great difficulty. In non-smokers, the condition is so rare that, in any cohort of asbestos workers, the standardised mortality ratio (SMR, that is the ratio of the numbers of deaths observed and expected) is quite imprecise. The SMR for smokers, with which it has to be compared, is also subject to sampling error, making the interaction even more unstable. This accounts for much of the variation that has bedevilled evaluation. The debate has been concentrated on two hypotheses: additive (asbestos and cigarette smoke act independently) and multiplicative (asbestos produces an effect proportional to the effect of smoking). The very few data available until 1977 failed to fit the former and fitted the latter only poorly. They would have fitted better a hypothesis of greater synergism, but the only one proposed was too convoluted. So the multiplicative model appeared the only alternative, and was deemed 'accepted'. The ratio of lung cancer SMRs for non-smokers and smokers was generalised into the relative asbestos effect, RAE, with all the advantages of a parametric statistic (Berry et al., 1985, British Journal of Industrial Medicine 42, 12). On the multiplicative hypothesis, RAE=1, while RAE>1 indicates less synergism. The RAEs for the three most recent of the six results then available were >1; for one, P<0.005. From the six results combined, it was concluded that 'overall non-smokers have a relative risk of lung cancer due to asbestos that is 1.8 times that of smokers'. Some admitted uncertainty about the figure 1.8 was seized upon and even the thrust of the conclusion has been very largely disregarded. So too has the RAE and all its benefits. As a result, all later reviewers have been led into error, much of it serious: in particular, they have failed to appreciate how much of the variation arises from the inevitable imprecision of all RAEs. This failure led reviewers in 1994 to discard, quite without justification, those interactions which were less than multiplicative and came from cohort studies. Although case-referent studies seemed to support the multiplicative hypothesis, the information from them is essentially unreliable. Thus it cannot weaken the conclusions from the cohort studies, that the multiplicative hypothesis is untenable and that the relative risk of lung cancer from asbestos exposure is about twice as high in non-smokers as in smokers; the best estimate of RAE is 2.04, with 95% confidence interval 1.28-3.25. This finding is not only of high statistical significance but of great social and scientific importance.

Retrospective exposure assessment using bayesian methods

Abstract: This paper presents the application of a Bayesian framework for retrospective exposure assessment of workers in a nickel smelter. Using only sparsely available historical measurements will result in exposure estimates with large uncertainties. However, additional information, in the form of expert judgments informed by knowledge of historical plant conditions, can be brought to bear on this process. The experts are provided with an information packet that contains historical process information, process throughput levels for each year, the dimensions of the workplace, ventilation records, and task descriptions for each job category. Based on this information, the experts provide subjective prior probability distributions for input parameters to a general ventilation model that predicts building concentrations. These priors can be synthesized with the historical measurements using Bayes theorem. The prior distributions of exposures are updated using the average measured exposures (historical measurements) and their associated variances to obtain the posterior probability distributions for building concentrations as well as concentrations at specific locations in the building. Expert input was also obtained from a plant industrial hygienist, in the form of probability distributions, regarding the amounts of time spent by each job category in different locations in the building. Monte Carlo sampling, from the posterior probability distributions of concentrations in different micro-environments and the probability distributions of time spent by each job category in those micro-environments, was used to obtain worker exposures using a time-weighted averaging model.

Temporal, personal and spatial variability in dermal exposure

Abstract: A database of dermal exposure measurements (DERMDAT) comprising data from 20 surveys was created. The majority of dermal exposure measurements were from agricultural settings in which workers' exposure to pesticides was investigated. Other data came from studies of workers exposed to polycyclic aromatic hydrocarbons (e.g. coke-oven workers and paving workers) and from studies of subjects exposed to complex mixtures (rubber industry). The database contains approximately 6400 observations. Grouping the workers by job title, factory and body location and excluding groups with more than 25% data below the limit of detection, or with less than two workers with at least two repeats, resulted in 283 groups with 1065 workers and 2716 measurements. Analyses of variability showed median values of the total, within- and between-worker geometric standard deviations of respectively 2.55, 1.98 and 1.47, strikingly similar to what has been published previously for respiratory exposure. Within-worker variability ( w S 2 y ) was in general higher than between-worker variability ( b S 2 y ) in dermal exposure levels. Agricultural groups of re-entry workers showed very little to no between-worker variability, while industrial groups did show some variability in individual mean exposures (range b S 2 y =0.15−0.29). When the between-body-location component ( bl S 2 y ) was also addressed, it turned out to be the most prominent component (median b S 2 y =0.004; median w S 2 y =0.12; median bl S 2 y =0.34). In agriculture the between-body-location component was smaller than in industry. Day-to-day variability in dermal exposure levels appeared to be significant for specific locations, but not for the average of several body-location. Underlying exposure scenarios (transfer and deposition) also played an important role.

Could pesticide toxicology studies be more relevant to occupational risk assessment

Abstract: Pesticide toxicology study design has evolved from concern for oral exposure via food residues. The emphasis on the oral route does not generally apply to workers that are exposed primarily via the dermal route either handling pesticides or re-entering treated fields. As a result numerous assumptions about how oral toxicology results relate to dermal exposure must be made when conducting worker risk assessments. These assumptions introduce a high degree of uncertainty. Alternative toxicology study designs are suggested to reduce uncertainty when assessing risk. Because the dermal route is so important to characterizing occupational risk, methods to improve the accuracy of dermal absorption estimates are suggested, including the use of human subjects to study dermal absorption. Additional suggestions include tailoring dermal, oral and inhalation kinetic study designs to reflect worker exposure dosages. Suggestions are made to routinely conduct a single dose toxicity study patterned after the neurotoxicity study design to distinguish single dose effects and NOAELs from those resulting from multiple doses. Finally, interspecies pharmacokinetics studies are proposed to determine which toxicology study regimen of dosing best reflects intermittent worker exposure.  2001 Published by Elsevier Science Ltd on behalf of British Occupational Hygiene Society

Potential dermal and inhalation exposure to chlorpyrifos in Australian pesticide workers

Abstract: Chlorpyrifos inhalation, dermal exposure and working practices of 28 pesticide applicators in Western Australia were assessed during a series of single property applications of a 0.5% (n=2) or 1% (n=26) concentration of active ingredient in water solution. Deposition on new cotton gloves worn beneath applicators' usual protective gloves was 2.4 (range 0.12-86.1) mg h(-1). Median deposition of chlorpyrifos onto a new cotton overall worn over other clothing (24 sections removed, corrected for body proportions) was 11.1 (range 0.2-41.9) mg h(-1). Deposition onto seven patches taped to the applicators' skin was 0.04 (range 0.01-4.7) mg h(-1). Inhalation concentration was 5.7 (range 0.7-219) microg m(-3) time weighted average. In one group of 17 applicators' applying to existing properties, breathing zone air concentration correlated (P<0.05) with ambient air temperature (15-38 degrees C). The questionnaire results (29 respondents) indicated applicators' practices led to increased exposure, in particular concerning poor usage and condition of protective equipment and a high frequency of splashes and spills onto the body. Prevention of deposition on clothing, in particular on the lower body is suggested, as well as improved working practices.

Study of fifteen respirable aerosol samplers used in occupational hygiene

Abstract: European and international standards lay down criteria for the size-selective aerosol sampling in occupational hygiene. Aerosol samplers are supposed to match these target sampling criteria. This study focused on 15 aerosol samplers used to sample the conventional respirable fraction. An aerodynamic particle sizer (APS) method was used to measure the sampling efficiency of the samplers in a low-velocity wind tunnel. Polydisperse coal dust was generated as the test aerosol. The data were fitted by an appropriate mathematical model. For some instruments the results show serious deviations from the conventional target curve, whereas other devices meet the convention quite well. The flow rate of certain cyclone-separator-based instruments was optimized to adjust their sampling efficiency. The mass concentration bias and accuracy of the samplers were calculated for a number of ranges of particle size distributions of aerosols commonly found in industrial workplaces. Finally, the performance of each sampler was evaluated using bias and accuracy maps. Most of these samplers are suitable for sampling the CEN-ISO-ACGIH respirable fraction of aerosols, but several require modification of the flow rate. For real industrial situations, the rough knowledge of the aerosol size distribution can guide the choice of an appropriate sampling technique.

Cohort Mortality Study of North American Industrial Sand Workers. II. Case-referent Analysis of Lung Cancer and Silicosis Deaths

Abstract: Background: A cohort mortality study of 2670 men in nine North American industrial sand plants resulted in 83 deaths from lung cancer 20 or more years after hire (standardized mortality ratio 139) and 37 deaths from silicosis (including seven from silico-tuberculosis). The lung cancer excess was unrelated to duration of employment and not found in all plants. Objectives: The primary aim was to determine whether lung cancer risk among these employees was related to quantitative estimates of crystalline silica exposure, after allowance for cigarette smoking. A secondary aim was to do the same for silicosis mortality, partly as a means of validating the estimated levels of exposure. Methods: A nested case-referent study was undertaken with cases matched with up to two controls on plant, age and date of first employment from men who survived the case. Exposures were estimated by linking work histories to a job-exposure matrix, undertaken separately. Cigarette smoking information was obtained from medical records and other sources, blind as to case-control status. Matched statistical analyses were conducted using conditional logistic regression. Findings: Odds ratios for silicosis mortality were significantly related to cumulative silica exposures and tended to a relationship with category of average crystalline silica concentration, but inconsistently with length of employment. After accounting for a strong effect of cigarette smoking, odds ratios for lung cancer were related to cumulative crystalline silica exposure and to average silica concentration, but not to length of employment. Conclusion: These findings support a causal relationship between lung cancer and quartz exposure after allowance for cigarette smoking, in the absence of cristobalite or other known occupational carcinogens.  2001 British Occupational Hygiene Society. Published by Elsevier Science Ltd. All rights reserved

Determinants of chlorpyrifos exposures and urinary 3,5,6-trichloro-2-pyridinol levels among termiticide applicators.

Abstract: The exposures and work activities of 41 applicators in North Carolina using chlorpyrifos-containing termiticides were characterized. Personal air and urine samples were collected on multiple days within one week. Detailed information about chemical use, tasks, personal protective equipment and hygiene was recorded. During the 202 applicator-days monitored, 415 treatment jobs were performed. Full-shift chlorpyrifos exposures ranged from <0.048 to 110 microg/m(3) (N=184), with a geometric mean (GM) of 10 microg/m(3). Urinary 3,5,6-trichloro-2-pyridinol (TCP) levels ranged from 9.42 to 1960 microg/g creatinine (N=271) and varied significantly by day of the week (GM range: 169-262 microg/g creatinine). Predictive models for chlorpyrifos air exposure and urinary TCP levels were developed using mixed-effects stepwise linear regression. Determinants of airborne chlorpyrifos exposure included minutes chlorpyrifos applied and enclosed crawl space treated (yes/no). Determinants of TCP levels (depending on the model) included day-of-the-week, the chlorpyrifos air concentration one and two days before urine collection, minutes of chlorpyrifos applied one and two days before urine collection, enclosed crawl space treated (yes/no), and commercial structure treated (time-weighted). Within- and between-worker variability was similar for airborne chlorpyrifos; however, for TCP, between-worker variability exceeded within-worker variability by six times. The elimination half-life of TCP (26.9 h) and possibly the short sampling interval (one week) may explain the low TCP within-worker variability. Applicators' weekly mean ln(TCP levels) and weekly mean ln(chlorpyrifos air concentrations) were highly and positively linearly correlated (r(2)=0.73, P<0.0001). In summary, mixed-effects models were successfully constructed to predict airborne chlorpyrifos exposure and urinary TCP levels.

Biomonitoring of persons exposed to insecticides used in residences.

Abstract: Pesticides used indoors inevitably result in some unintentional and unavoidable exposures of residents. Measured dosages of residents are well below toxic levels. Exposures (microg/kg-day) are substantially less and occur over a longer time than suggested by unvalidated estimates derived from previous extreme, conservative default assumptions based solely on environmental residues. Human chlorpyrifos exposures were monitored following three different types of applications: fogger, broadcast, and crack-and-crevice. Persistence of total residue on carpet was substantially greater than the persistence of transferable residue (microg/cm(2)). Low-level (microg/kg) exposures of family members persisted for periods of weeks to a month after pesticide use. Although few children who resided with their parents in pest-protected homes have been monitored, they eliminated more biomarker than their parents on a kg body weight-day basis when absorbed dosages (microg/kg-day) were derived from spot urine specimens corrected for volume by an age-specific creatinine correction. Ultimately environmental residues may become useful elements of predictive residential exposure models, but their potential contribution to indirect exposure assessments must include careful determination of residue availability for contact transfer to clothing or skin and biological validation. When environmental data from monitoring studies reported here were used to estimate residential exposure according to Residential Exposure Assessment Standard Operating Procedures (SAP meeting, 1997), measured exposures were substantially less than assessments. Experimental and situational monitoring of exposed persons is essential for meaningful and responsible predictive resident exposure model building.

Case-referent survey of young adults with mesothelioma : I. Lung fibre analyses

Abstract: Objectives: Our study aimed to determine the lung tissue concentration of asbestos and other mineral fibres by type and length in persons with mesothelioma aged 50 yr or less at time of diagnosis, compared to controls of similar age and geographical region. In this age group it was thought that most, but not all, work-related exposures would have been since 1970, when the importation of crocidolite, but not amosite, was virtually eliminated. Methods: Eligible cases were sought from recent reports by chest physicians to the SWORD occupational disease surveillance scheme. Lung tissue samples were obtained at autopsy from 69 male and four female cases, and mineral fibres identified, sized and counted by electron microscopy. Fibre concentrations per μg dry tissue were compared with similar estimates from a control series of autopsies of sudden or accidental deaths. Unadjusted, and adjusted odds ratios calculated by logistic regression, assessed relative risk in relation to fibre type, length and concentration. Results: Unadjusted and adjusted odds ratios increased steadily with concentration of crocidolite, amosite, tremolite and all amphiboles combined. There was also some increase with chrysotile, but well short of statistical significance. Incremental risk examined in a linear model was as highly significant for all amphiboles together as individually. Short, medium and long amphibole fibres were all associated with increased risk in relation to length. Mullite and iron fibres were significant predictors of mesothelioma when considered without adjustment for confounding by amphiboles, but, after adjustment, were weak and far from statistically significant. Conclusion: In this young age group, amosite and crocidolite fibres could account for about 80% of cases of mesothelioma, and tremolite for some 7%. The contribution of chrysotile, because of low biopersistence, cannot be reliably assessed at autopsy, but to the extent that tremolite is a valid marker, our results suggest that it was small. The steep linear trend in odds ratio shown by amphiboles combined indicates that their effects may be additive, with increased risk from the lowest detectable fibre level. Non-asbestos mineral fibres probably made no contribution to this disease. Contrary to expectation, however, some 90% of cases were in men who had started work before 1970; this was so whether or not amosite or crocidolite was found in lung tissue.

Cohort Mortality Study of North American Industrial Sand Workers. I. Mortality from lung Cancer, Silicosis and Other Causes

Abstract: Background: In 1997 a Working Group of the International Agency for Research on Cancer changed an earlier classification of crystalline silica as a human carcinogen from Group 2A to Group 1, though commenting that the carcinogenicity might vary with industrial circumstances and depend on additional factors affecting biological activity, including the distribution of its polymorphs. Objective: We aimed to determine whether pure quartz exposure uncomplicated by the presence of other contaminating carcinogens, as experienced by workers in the production of high-grade industrial sand, was causally related to an increased risk of lung cancer. Methods: A cohort of 2670 men employed before 1980 for 3 years or more in one of nine North American sand-producing plants and a large associated office complex was selected for study. Of the cohort, 2644 (99%) were traced through 1994, and certificated cause of death ascertained for 1025 (99%) of the 1039 men known to have died. Standardised mortality ratios (SMRs) were calculated for the main causes of death, using both US and state or provincial male mortality rates for reference. Findings: The main analyses of deaths, 20 or more years after first employment against regional rates, gave the following SMRs: all causes 109, lung cancer 139, other malignancies 98, non-malignant respiratory disease 161, and nephritis/nephrosis 244. There were, in total, 37 deaths from silicosis or silico-tuberculosis, with one or more death at least in all nine production plants. Analyses failed to show any relation between lung cancer risk and duration of employment. The increased SMR for lung cancer was wholly due to high rates in four plants in two states, whereas no increase was found in the remainder of the cohort. Conclusion: In the absence of information on smoking histories and risk in relation to estimated exposure, the increased SMR for lung cancer (139), although statistically significant, cannot be attributed confidently to crystalline silica. An answer to the question of attributability must await the findings of the nested case-control study, in which level of exposure and smoking habits were ascertained for cases and matched controls. The strong indication in this cohort of excess mortality from non-malignant renal disease deserves further investigation.

Distributions and Determinants of Pre-Emergent Herbicide Exposures Among Custom Applicators

Abstract: Custom applicators intensively apply herbicides to corn and soybean fields each spring. The primary objective of this study was to characterize the exposure distributions of the herbicides alachlor, atrazine, 2,4-D 2-ethylhexyl ester (2,4-D EH), and metolachlor among a group of applicators during the spring pre-emergent spray season. A secondary objective was to evaluate determinants of exposure and to estimate within- and between-worker variance components. Fifteen applicators were sampled using a systematic design that included spray and non-spray days and multiple measurements (five to seven) on each applicator. Air, patch, and handwash samples were collected on 89 applicator-days. Applicator-days were classified into three categories: target herbicide sprayed, non-target herbicide sprayed, and no herbicide sprayed. Mixed-model regression analysis was used. For all exposure metrics, adjusted mean herbicide exposures were significantly higher on days when target herbicides were sprayed as compared to non-spray days. For 2,4-D EH only, adjusted mean exposures on non-target herbicide spray days were significantly higher than on non-spray days. Wearing gloves significantly reduced adjusted mean hand exposure for all herbicides (4–20 fold) and adjusted mean thigh exposure for three herbicides (8–53 fold) on days the herbicides were sprayed; however, wearing gloves significantly increased adjusted mean atrazine hand and thigh exposures (9 and 7 fold, respectively) on days that non-atrazine herbicides were sprayed. Few of the other covariates were consistent determinants of exposure. For all exposure metrics, the within-worker variability (GSDW 2.1–5.6) was greater than the between-worker variability (GSDB 1.2–2.7). Published by Elsevier Science Ltd on behalf of British Occupational Hygiene Society

Ultraviolet Radiation Emitted by CO2 Arc Welding

Abstract: The arcs associated with arc welding emit high levels of ultraviolet radiation (UVR), and this often causes acute injuries in the workplace, particularly photokeratoconjunctivitis. It is important to know the level of UVR emitted by arc welding under various conditions, as this information will help in evaluating potential UVR hazards in welding workplaces and taking protective measures against it. In this study, the ACGIH effective irradiance for UVR was measured experimentally for CO2 arc welding in order to evaluate its UVR hazards. A welding robot was used in the experiment in order to realize reproducible and consistent welding operations. The effective irradiance at 1 m from the arc was in the range 0.28-7.85 W/m 2 (28-785 |xW/cm 2 ) under the study conditions. The corresponding permissible exposure time per day is only 4-100 s, suggesting that UVR from CO2 arc welding is actually hazardous for the eye and skin. It was found that the effective irradiance is inversely proportional to the square of the distance from the arc, is strongly dependent on the direction of emission from the arc with a maximum at 50-60° from the plate surface, and tends to increase with welding current. © 2001 British Occupational Hygiene Society. Published by Elsevier Science Ltd. All rights reserved

Assessment of exposure to organic dust in a hemp processing plant.

Abstract: The aim of this preliminary study was to assess exposure to various constituents of the organic dust generated during the processing of hemp in a small group of exposed workers. Airborne levels of inhalable dust, endotoxin and soluble protein, and the respirable, thoracic and inhalable fractions of fungal, bacterial and actinomycete contamination were measured in the personal breathing zone of exposed workers. Inhalable dust, endotoxin, fungal and bacterial contamination all exceeded levels found in similar vegetable fibre processing factories, since inhalable dust levels ranged from 10.4 to 79.8 mg/m(3) and inhalable bacterial levels between 4.7 and 190 x 10(6) cfu/m(3). Soluble protein and endotoxin (r=0.99, P<0.0001), endotoxin and inhalable dust (r=0.94, P<0.005) and inhalable dust and protein (r=0.98, P<0.0001) were significantly correlated, suggesting that there was little variation in the composition of the dust from different sites or activities around the workplace. Andersen sampling gave an indication of background microbe levels, although no attempt was made to identify the specific microorganisms as all plates were significantly overgrown. Airborne assessments demonstrated that exposures were highly task specific. For example, sweeping the floor generated the highest exposure levels of total dust, protein, endotoxin, bacteria and fungi. Therefore, we have shown that a modern-day hemp fibre processing plant produces significant quantities of respirable dust which is highly contaminated with endotoxin and microorganisms. This organic dust has the potential to cause a range of ill health problems.

Wood dust exposure in the Danish furniture industry using conventional and passive monitors

Abstract: A study of wood dust exposure at furniture factories in one county in Denmark was performed as a cross sectional study. Dust exposure was measured with personal passive dust monitors and calibrated against active sampling on filters. Measurements of 1685 workers were included in the exposure assessment. The passive dust monitor conversion models for equivalent concentrations of inhalable dust and total dust based on data from the present study were not significantly different from the original models. Therefore models based on all available data were used. The parameters of the distribution of equivalent concentration of inhalable dust were 0.94 mg/m 3 (geometric mean) and 2.10 (geometric standard deviation). Compared with a national cross sectional study from 1988 the exposure level (geometric mean) was reduced by a factor 2.0. Inhalable dust exposure was about 50% higher than exposure measured by the Danish ‘total’ dust method. ≈ 2001 British Occupational Hygiene Society. Published by Elsevier Science Ltd. All rights reserved.

Analysis of solvent vapors in breath and ambient air with a surface acoustic wave sensor array.

Abstract: This article describes the development and evaluation of a small prototype instrument employing an array of four polymer-coated surface acoustic wave (SAW) sensors for rapid analysis of organic solvent vapors in exhaled breath and ambient air. A thermally desorbed adsorbent preconcentrator within the instrument is used to increase sensitivity and compensate for background water vapor. Calibrations were performed for breath and dry nitrogen samples in Tedlar bags spiked with 16 individual solvents and selected binary mixtures. Responses were linear over the 50- to 400-fold concentration ranges examined and mixture responses were additive. The resulting library of vapor calibration response patterns was used with extended disjoint principal components regression and a probabilistic artificial neural network to develop vapor-recognition algorithms. In a subsequent analysis of an independent data set all individual vapors and most binary mixture components were correctly identified and were quantified to within 25% of their actual concentrations. Limits of detection for a 0.25 l. sample collected over a 2.5-min period were <0.3xTLV for 14 of the 16 vapors based on the criterion that all four sensors show a detectable response. Results demonstrate the feasibility of this technology for workplace analysis of breath and ambient air.

A model for prediction of fume formation rate in gas metal arc welding (GMAW), globular and spray modes, DC electrode positive

Abstract: Prediction of fume formation rate during metal arc welding and the composition of the fume are of interest to occupational hygienists concerned with risk assessment and to manufacturers of welding consumables. A model for GMAW (DC electrode positive) is described based on the welder determined process parameters (current, wire feed rate and wire composition), on the surface area of molten metal in the arc and on the partial vapour pressures of the component metals of the alloy wire. The model is applicable to globular and spray welding transfer modes but not to dip mode. Metal evaporation from a droplet is evaluated for short time increments and total evaporation obtained by summation over the life of the droplet. The contribution of fume derived from the weld pool and spatter (particles of metal ejected from the arc) is discussed, as are limitations of the model. Calculated droplet temperatures are similar to values determined by other workers. A degree of relationship between predicted and measured fume formation rates is demonstrated but the model does not at this stage provide a reliable predictive tool.

Data on application frequency of pesticide for risk assessment purposes

Abstract: In risk assessment, information from toxicity studies is combined with information on worker exposure. In general, agricultural practice implies long-term intermittent exposure to various pesticides. This issue can only be addressed when sufficient information exist, on exposure regimes. Patterns of application of pesticides and the use frequency of single pesticide products on a number of representative key crops from various agricultural sectors in the Netherlands were studied. The results show that there is an enormous variation in pesticide usage between and within sectors. On nearly all crops studied the number of applications with insecticides and fungicides was higher than the number of applications with herbicides. The average frequency of application of a the most used insecticide and fungicide products on the most intensively treated crops was between 10 and 20 times a year. But on most crops single pesticide products were used not more than seven times a year.