Can the South African Milestones for Reducing Exposure to Respirable Crystalline Silica and Silicosis be Achieved and Reliably Monitored?

Silicosis and other respirable crystalline silica-associated diseases, most notably tuberculosis, have long been substantial causes of morbidity and mortality in South Africa. For the mining and non-mining industries, silicosis elimination programmes have been developed with milestones regarding reduction of levels of exposure to respirable crystalline silica (RCS) and targets regarding the date of eradication. The present paper explores the feasibility of achieving these targets by investigating the evidence that levels of exposure and silicosis incidence rates have declined by an appraisal of the methods for data collection and reporting. In the mining industry the silicosis elimination programme is supported by the development and advocacy of leading practices to reduce the exposure. RCS exposure data are routinely collected according to a Code of Practice (CoP) and the results are reported to the Mine Health and Safety Inspectorate. As the CoP and the actual workplace practices have been demonstrated to have some flaws, there is some concern about the accuracy of the actual exposure data and the data interpretation. The annually reported levels of exposure suggest a decline, however, the actual levels of RCS as well as the number of exposed workers, were not reported over the last few years. With regard to the silicosis incidence rates, a steady decline of new cases is reported. However, there is a risk of under-diagnosis and- reporting especially in former miners. In the non-mining industries, a systematic baseline of RCS exposure levels and silicosis incidence is lacking. The reporting by industries on assigning of the workforce to exposure categories seems to be fragmented and incomplete. Consequently, any evidence of progress toward achieving the silicosis elimination target cannot be documented. Both the silicosis elimination target and the exposure milestone are aspirational but are unlikely to be achieved. Nevertheless, the formal mining industry may get close. Exposure control interventions, especially in the non-mining industries, should be developed and implemented and pragmatic methods need to be put in place to identify sources of new silicosis cases for targeted intervention.

Comparative Human Health Impact Assessment of Engineered Nanomaterials in the Framework of Life Cycle Assessment.

For safe innovation, knowledge on potential human health impacts is essential. Ideally, these impacts are considered within a larger life-cycle-based context to support sustainable development of new applications and products. A methodological framework that accounts for human health impacts caused by inhalation of engineered nanomaterials (ENMs) in an indoor air environment has been previously developed. The objectives of this study are as follows: (i) evaluate the feasibility of applying the CF framework for NP exposure in the workplace based on currently available data; and (ii) supplement any resulting knowledge gaps with methods and data from the life cycle approach and human risk assessment (LICARA) project to develop a modified case-specific version of the framework that will enable near-term inclusion of NP human health impacts in life cycle assessment (LCA) using a case study involving nanoscale titanium dioxide (nanoTiO2 ). The intent is to enhance typical LCA with elements of regulatory risk assessment, including its more detailed measure of uncertainty. The proof-of-principle demonstration of the framework highlighted the lack of available data for both the workplace emissions and human health effects of ENMs that is needed to calculate generalizable characterization factors using common human health impact assessment practices in LCA. The alternative approach of using intake fractions derived from workplace air concentration measurements and effect factors based on best-available toxicity data supported the current case-by-case approach for assessing the human health life cycle impacts of ENMs. Ultimately, the proposed framework and calculations demonstrate the potential utility of integrating elements of risk assessment with LCA for ENMs once the data are available.

A Systematic Review of Reported Exposure to Engineered Nanomaterials.

BACKGROUND: Engineered nanomaterials (ENMs) have a large economic impact in a range of fields, but the concerns about health and safety of occupational activities involving nanomaterials have not yet been addressed. Monitoring exposure is an important step in risk management. Hence, the interest for reviewing studies that reported a potential for occupational exposure. METHODS: We systematically searched for studies published between January 2000 and January 2015. We included studies that used a comprehensive method of exposure assessment. Studies were grouped by nanomaterial and categorized as carbonaceous, metallic, or nanoclays. We summarized data on task, monitoring strategy, exposure outcomes, and controls in a narrative way. For each study, the strength of the exposure assessment was evaluated using predetermined criteria. Then, we identified all exposure situations that reported potential occupational exposure based on qualitative or quantitative outcomes. Results were synthesized and general conclusion statements on exposure situations were formulated. The quality of evidence for the conclusion statements was rated as low, moderate, or high depending on the number of confirmed exposure situations, the strength of the exposure assessment, and the consistency of the results. RESULTS: From the 6403 references initially identified, 220 were selected for full-text screening. From these, 50 studies describing 306 exposure situations in 72 workplaces were eligible for inclusion (27 industrial-scale plants and 45 research or pilot-scale units). There was a potential for exposure to ENMs in 233 of the exposure situations. Exposure occurred in 83% (N = 107) of the situations with carbonaceous ENMs, in 73% (N = 120) of those with metallic ENMs and in 100% (N = 6) of those with nanoclay. Concentrations of elemental carbon in the workers' breathing zone ranged from not detected (ND) to 910 µg m(-3) with local engineering controls (LEC), and from ND to 1000 µg m(-3) without those controls. For carbon nanofibres (CNFs), particle counts ranged from ND to 1.61 CNF structures cm(-3) with LEC, and from 0.09 to 193 CNF structures cm(-3) without those controls. The mass concentrations of aluminium oxide, titanium dioxide, silver, and iron nanoparticles (NPs) were ND, 10-150, 0.24-0.43, and 32 µg m(-3) with LEC, while they were <0.35, non-applicable, 0.09-33, and 335 µg m(-3) without those controls, respectively. CONCLUSIONS: Regarding the potential of exposure in the workplace, we found high-quality evidence for multiwalled carbon nanotubes (CNTs), single-walled CNTs, CNFs, aluminium oxide, titanium dioxide, and silver NPs; moderate-quality evidence for non-classified CNTs, nanoclays, and iron and silicon dioxide NPs; low-quality evidence for fullerene C60, double-walled CNTs, and zinc oxide NPs; and no evidence for cerium oxide NPs. We found high-quality evidence that potential exposure is most frequently due to handling tasks, that workers are mostly exposed to micro-sized agglomerated NPs, and that engineering controls considerably reduce workers' exposure. There was moderate-quality evidence that workers are exposed in secondary manufacturing industrial-scale plants. There was low-quality evidence that workers are exposed to airborne particles with a size <100nm. There were no studies conducted in low- and middle-income countries.

Occupational dermal exposure to nanoparticles and nano-enabled products: Part 2, exploration of exposure processes and methods of assessment.

Over the past decade, the primary focus of nanotoxicology and nanoenvironmental health and safety efforts has been largely on inhalation exposure to engineered nanomaterials, at the production stage, and much less on considering risks along the life cycle of nano-enabled products. Dermal exposure to nanomaterials and its health impact has been studied to a much lesser extent, and mostly in the context of intentional exposure to nano-enabled products such as in nanomedicine, cosmetics and personal care products. How concerning is dermal exposure to such nanoparticles in the context of occupational exposures? When and how should we measure it? In the first of a series of two papers (Larese Filon et al., 2016), we focused our attention on identifying conditions or situations, i.e. a combination of nanoparticle physico-chemical properties, skin barrier integrity, and occupations with high prevalence of skin disease, which deserve further investigation. This second paper focuses on the broad question of dermal exposure assessment to nanoparticles and attempts to give an overview of the mechanisms of occupational dermal exposure to nanoparticles and nano-enabled products and explores feasibility and adequacy of various methods of quantifying dermal exposure to NOAA. We provide here a conceptual framework for screening, prioritization, and assessment of dermal exposure to NOAA in occupational settings, and integrate it into a proposed framework for risk assessment.

Occupational dermal exposure to nanoparticles and nano-enabled products: Part I-Factors affecting skin absorption.

The paper reviews and critically assesses the evidence on the relevance of various skin uptake pathways for engineered nanoparticles, nano-objects, their agglomerates and aggregates (NOAA). It focuses especially in occupational settings, in the context of nanotoxicology, risk assessment, occupational medicine, medical/epidemiological surveillance efforts, and the development of relevant exposure assessment strategies. Skin uptake of nanoparticles is presented in the context of local and systemic health effects, especially contact dermatitis, skin barrier integrity, physico-chemical properties of NOAA, and predisposing risk factors, such as stratum corneum disruption due to occupational co-exposure to chemicals, and the presence of occupational skin diseases. Attention should be given to: (1) Metal NOAA, since the potential release of ions may induce local skin effects (e.g. irritation and contact dermatitis) and absorption of toxic or sensitizing metals; (2) NOAA with metal catalytic residue, since potential release of ions may also induce local skin effects and absorption of toxic metals; (3) rigid NOAA smaller than 45nm that can penetrate and permeate the skin; (4) non rigid or flexible NOAA, where due to their flexibility liposomes and micelles can penetrate and permeate the intact skin; (5) impaired skin condition of exposed workers. Furthermore, we outline possible situations where health surveillance could be appropriate where there is NOAA occupational skin exposures, e.g. when working with nanoparticles made of sensitizer metals, NOAA containing sensitizer impurities, and/or in occupations with a high prevalence of disrupted skin barrier integrity. The paper furthermore recommends a stepwise approach to evaluate risk related to NOAA to be applied in occupational exposure and risk assessment, and discusses implications related to health surveillance, labelling, and risk communication.

LICARA nanoSCAN - A tool for the self-assessment of benefits and risks of nanoproducts.

The fast penetration of nanoproducts on the market under conditions of significant uncertainty of their environmental properties and risks to humans creates a need for companies to assess sustainability of their products. Evaluation of the potential benefits and risks to build a coherent story for communication with clients, authorities, consumers, and other stakeholders is getting to be increasingly important, but SMEs often lack the knowledge and expertise to assess risks and communicate them appropriately. This paper introduces LICARA nanoSCAN, a modular web based tool that supports SMEs in assessing benefits and risks associated with new or existing nanoproducts. This tool is unique because it is scanning both the benefits and risks over the nanoproducts life cycle in comparison to a reference product with a similar functionality in order to enable the development of sustainable and competitive nanoproducts. SMEs can use data and expert judgment to answer mainly qualitative and semi-quantitative questions as a part of tool application. Risks to public, workers and consumers are assessed, while the benefits are evaluated for economic, environmental and societal opportunities associated with the product use. The tool provides an easy way to visualize results as well as to identify gaps, missing data and associated uncertainties. The LICARA nanoSCAN has been positively evaluated by several companies and was tested in a number of case studies. The tool helps to develop a consistent and comprehensive argument on the weaknesses and strengths of a nanoproduct that may be valuable for the communication with authorities, clients and among stakeholders in the value chain. LICARA nanoSCAN identifies areas for more detailed assessments, product design improvement or application of risk mitigation measures.

Experimental estimation of migration and transfer of organic substances from consumer articles to cotton wipes: Evaluation of underlying mechanisms.

The aim of this work was to identify the key mechanisms governing transport of organic chemical substances from consumer articles to cotton wipes. The results were used to establish a mechanistic model to improve assessment of dermal contact exposure. Four types of PVC flooring, 10 types of textiles and one type of inkjet printed paper were used to establish the mechanisms and model. Kinetic extraction studies in methanol demonstrated existence of matrix diffusion and indicated the presence of a substance surface layer on some articles. Consequently, the proposed substance transfer model considers mechanical transport from a surface film and matrix diffusion in an article with a known initial total substance concentration. The estimated chemical substance transfer values to cotton wipes were comparable to the literature data (relative transfer ∼ 2%), whereas relative transfer efficiencies from spiked substrates were high (∼ 50%). For consumer articles, high correlation (r(2)=0.92) was observed between predicted and measured transfer efficiencies, but concentrations were overpredicted by a factor of 10. Adjusting the relative transfer from about 50% used in the model to about 2.5% removed overprediction. Further studies are required to confirm the model for generic use.

Occupational Exposure to Nano-Objects and Their Agglomerates and Aggregates Across Various Life Cycle Stages; A Broad-Scale Exposure Study.

BACKGROUND: Occupational exposure to manufactured nano-objects and their agglomerates, and aggregates (NOAA) has been described in several workplace air monitoring studies. However, data pooling for general conclusions and exposure estimates are hampered by limited exposure data across the occupational life cycle of NOAA and a lack in comparability between the methods of collecting and analysing the data. By applying a consistent method of collecting and analysing the workplace exposure data, this study aimed to provide information about the occupational NOAA exposure levels across various life cycle stages of NOAA in the Netherlands which can also be used for multi-purpose use. METHODS: Personal/near field task-based exposure data was collected using a multi-source exposure assessment method collecting real time particle number concentration, particle size distribution (PSD), filter-based samples for morphological, and elemental analysis and detailed contextual information. A decision logic was followed allowing a consistent and objective way of analysing the exposure data. RESULTS: In total, 46 measurement surveys were conducted at 15 companies covering 18 different exposure situations across various occupational life cycle stages of NOAA. Highest activity-effect levels were found during replacement of big bags (<1000-76000 # cm(-3)), mixing/dumping of powders manually (<1000-52000 # cm(-3)) and mechanically (<1000-100000 # cm(-3)), and spraying of liquid (2000-800000 # cm(-3)) showing a high variability between and within the various exposure situations. In general, a limited change in PSD was found during the activity compared to the background. CONCLUSIONS: This broad-scale exposure study gives a comprehensive overview of the NOAA exposure situations in the Netherlands and an indication of the levels of occupational exposure to NOAA across various life cycle of NOAA. The collected workplace exposure data and contextual information will serve as basis for future pooling of data and modelling of worker exposure.

Airborne manufactured nano-objects released from commercially available spray products: temporal and spatial influences.

This paper reports a study of the dispersion of manufactured nano-objects (MNOs) through the air, both in time and space, during the use of two commercially available nano-spray products and comparable products without MNOs. The main objective was to identify whether personal exposure can occur at a greater distance than the immediate proximity of the source (>1 m from the source), that is, in the "far field" (bystanders), or at a period after the emission occurred (re-entry). The spray experiments were conducted in an experimental room with well-controlled environmental and ventilation conditions (19.5 m(3)). The concentration of MNOs was investigated by measuring real-time size distribution, number, and active surface area concentration. For off-line analysis of the particles in the air, samples for scanning/transmission electron microscopy and elemental analysis were collected. The release of MNOs was measured at ∼30 and 290 cm from the source ("near field" and "far field", respectively). For all four spray products, the maximum number and surface area concentrations in the "near field" exceeded the maximum concentrations reached in the "far field". At 2 min after the emission occurred, the concentration in both the "near field" and "far field" reached a comparable steady-state level above background level. These steady-state concentrations remained elevated above background concentration throughout the entire measurement period (12 min). The results of the real-time measurement devices mainly reflect the liquid aerosols emitted by the spray process itself rather than only the MNO, which hampers the interpretation of the results. However, the combination of the off-line analysis and the results of the real-time devices indicates that after the use of nano-spray products, personal exposure to MNOs can occur not only in the near field, but also at a greater distance than the immediate proximity of the source and at a period after emission occurred.

Industrial production and professional application of manufactured nanomaterials-enabled end products in Dutch industries: potential for exposure.

BACKGROUND: In order to make full use of the opportunities while responsibly managing the risks of working with manufactured nanomaterials (MNM), we need to gain insight into the potential level of exposure to MNM in the industry. Therefore, the goal of this study was to obtain an overview of the potential MNM exposure scenarios within relevant industrial sectors, applied exposure controls, and number of workers potentially exposed to MNM in Dutch industrial sectors producing and applying MNM-enabled end products in the Netherlands. METHODS: A survey was conducted in three phases: (i) identification of MNM-enabled end products; (ii) identification of relevant industrial sectors; and (iii) a tiered telephone survey to estimate actual use of the products among 40 sector organizations/knowledge centres (Tier 1), 350 randomly selected companies (Tier 2), and 110 actively searched companies (Tier 3). RESULTS: The most dominant industrial sectors producing or applying MNM-enabled end products (market penetration >5%) are shoe repair shops, automotive, construction, paint, metal, and textile cleaning industry. In the majority of the companies (76%), potential risks related to working with MNM are not a specific point of interest. The total number of workers potentially exposed to MNM during the production or application of MNM-enabled end products was estimated at approximately 3000 workers in the Netherlands. The results of this study will serve as a basis for in-depth exposure and health surveys that are currently planned in the Netherlands. In addition, the results can be used to identify the most relevant sectors for policy makers and future studies focussing on evaluating the risks of occupational exposure to MNM.

A road map toward a globally harmonized approach for occupational health surveillance and epidemiology in nanomaterial workers.

OBJECTIVE: Few epidemiological studies have addressed the health of workers exposed to novel manufactured nanomaterials. The small current workforce will necessitate pooling international cohorts. METHOD: A road map was defined for a globally harmonized framework for the careful choice of materials, exposure characterization, identification of study populations, definition of health endpoints, evaluation of appropriateness of study designs, data collection and analysis, and interpretation of the results. RESULTS: We propose a road map to reach global consensus on these issues. The proposed strategy should ensure that the costs of action are not disproportionate to the potential benefits and that the approach is pragmatic and practical. CONCLUSIONS: We should aim to go beyond the collection of health complaints, illness statistics, or even counts of deaths; the manifestation of such clear endpoints would indicate a failure of preventive measures.

Control banding approaches for nanomaterials.

Control banding (CB) has been developed as a pragmatic tool to manage the risk resulting from exposure to a wide variety of potentially hazardous substances in the absence of firm toxicological and exposure information. Currently, the CB approach is applied for emerging risks such as nanoparticles, by the development of various CB-based tools. Six of these are compared. Despite their similarity, i.e. combining hazard and exposure into control or risk bands, the structure, the applicability domains, and the assignment of the hazard and exposure bands, show differences that may affect the consistency of the resulting outcome amongst the various CB tools. The value of the currently available CB tools for nanomaterials can be enhanced by transparently elucidating these differences for user consideration during the selection of a tool for a specific scenario of application.

Stoffenmanager Nano version 1.0: a web-based tool for risk prioritization of airborne manufactured nano objects.

Stoffenmanager Nano (version 1.0) is a risk-banding tool developed for employers and employees to prioritize health risks occurring as a result of exposure to manufactured nano objects (MNOs) for a broad range of worker scenarios and to assist implementation of control measures to reduce exposure levels. In order to prioritize the health risks, the Stoffenmanager Nano combines the available hazard information of a substance with a qualitative estimate of potential for inhalation exposure. The development of the Stoffenmanager Nano started with a review of the available literature on control banding. Input parameters for the hazard assessment of MNOs were selected based on the availability of these parameters in, for instance, Safety Data Sheets or product information sheets. The conceptual exposure model described by Schneider et al. (2011) was used as the starting point for exposure banding. During the development of the Stoffenmanager Nano tool, the precautionary principle was applied to deal with the uncertainty regarding hazard and exposure assessment of MNOs. Subsequently, the model was converted into an online tool (http://nano.stoffenmanager.nl), tested, and reviewed by a number of companies. In this paper, we describe the Stoffenmanager Nano. This tool offers a practical approach for risk prioritization in exposure situations where quantitative risk assessment is currently not possible. Updates of this first version are anticipated as more data become available in the future.

Size selective dustiness and exposure; simulated workplace comparisons.

A simulated workplace study was conducted to investigate the relation between inhalation exposure and dustiness determined with a rotating drum dustiness tester. Three powders were used in the study, i.e. magnesium stearate, representing a very dusty powder, and aluminium oxide and calcium carbonate, representing low and very low dusty powders, respectively. Two scenarios of handling small volume of powders were included; sweeping/cleaning and scooping/weighing/adding. Size-selective dust exposure was assessed using MultiDust (dual-fraction) IOM and RespiCon sampling heads. For the present operation scenarios, dustiness showed itself to be the major determinant of exposure and explained approximately 70% of the exposure variances. The ratios of respirable and inhalable fractions as determined by dustiness tests were comparable with the ratios observed for exposure. The results emphasize the relevance of dustiness as a parameter to characterize substances according to potential for exposure.

Concepts of skin protection: considerations for the evaluation and terminology of the performance of skin protective equipment.

This article proposes a common language for better understanding processes involved in dermal exposure and skin protection. A conceptual model has been developed that systematically describes the transport of agent mass from sources, eventually resulting in "loading" of the skin surface or the skin contaminant layer. In view of a harmonized glossary of exposure terminology this is considered the exposure surface. Loading is defined as agent mass present in this layer divided by the exposure surface area. Skin protective equipment (SPE) is meant to reduce uptake, that is, an agent crosses the absorption barrier of the skin, by intervening in the processes of loading the exposure surface; however, the design of the equipment may fail to cover skin surface entirely. In addition, part of the mass intercepted by the SPE may reach the skin surface either by permeation, penetration, or by transfer when touching the contaminated exterior of the SPE. Evaluation of SPE performance has earlier focused on chemical resistance performance testing for permeation, penetration, or degradation of SPE-materials. In use-scenario practice, however, all processes will occur concurrently. Thus, SPE field performance evaluation including user-SPE interaction complementary to material testing is warranted. Results of laboratory testing for SPE-materials are reported as substance-specific breakthrough times and permeation rates. SPE field performance should be evaluated for reduction of either uptake or parameters that reflect the outcome of dermal exposure. Ideally, this should be based on the results of intervention-type workplace studies, for (e.g., assessment of exposure loading). The level of reduction can be expressed as a protection factor (ratio without/with SPE) for different parameters of dermal exposure or uptake. It is concluded that for evaluation of SPE-type performance, generic protection factors can be derived for substance-independent processes (e.g., reduction of exposure loading) but not for substance-specific reduction of uptake.

An experimental study to investigate the feasibility to classify paints according to neurotoxicological risks: occupational air requirement (OAR) and indoor use of alkyd paints.

The concept of occupational air requirement (OAR), representing the quantity of air required to dilute the vapor concentration in the work environment resulting from 1 l product to a concentration below the occupational exposure limit (OEL), was considered to have potential to discriminate between paints that can and cannot be used safely. The OAR is a simple algorithm with the concentration of volatile organic compound (VOC) in the paint, a discrete evaporation factor and the neurotoxicological effects-based OEL. Conceptually, OAR categories of paints for construction and maintenance applications could be identified that can be applied manually without exceeding OELs with no appreciable room ventilation. Five painters volunteered in an exposure study aimed at testing the OAR approach in practice. Total exposure to VOC was assessed in 30 experiments during the application of 0.5 l of paint in a defined 'standard indoor paint job'. Fifteen paints were prepared, reflecting differences in solvents (percentage, volatility, toxicity) with a range of OAR levels from 43 to 819 m(3)/l. Exposure was assessed by personal air sampling (PAS). In addition, real-time air monitoring was performed. All tests were conducted at minimum ventilation rate (< or=0.33 h(-1)). PAS results were expressed as percentage of the nominal OEL and ranged from 8 to 93% for high solids and from 38 to 168% for conventional paints. In general, higher VOC contents resulted in higher exposure. High volatile paints showed a statistically significant faster increase of VOC concentration with time compared with paints containing low volatile solvents. A significant relationship between OAR value and exposure was observed (R(2) = 0.73). The experiments indicate that OAR-based classification of paints predicts and discriminates risk levels for exposure to neurotoxic paint-solvents in indoor painting fairly well.

Personal exposure to ultrafine particles in the workplace: exploring sampling techniques and strategies.

Recently, toxicological and epidemiological studies on health effects related to particle exposure suggest that 'ultrafine particles' (particles with an aerodynamic diameter of <100 nm) may cause severe health effects after inhalation. Although the toxicological mechanisms for these effects have not yet been explained, it is apparent that measuring exposures against mass alone is not sufficient. It is also necessary to consider exposures against surface area and number concentration. From earlier research it was hypothesized that results on number concentration and particle distributions may vary with distance to the source, limiting the reliability of estimates of personal exposure from results which were obtained using static measurement equipment. Therefore, a workplace study was conducted to explore the performance of measurement methods in a multi-source emission scenario as part of a sampling strategy to estimate personal exposure. In addition, a laboratory study was conducted to determine possible influences of both distance to source and time course on particle number concentration and particle size distribution. In both studies different measurement equipment and techniques were used to characterize (total) particle number concentration. These included a condensation particle counter (CPC), a scanning mobility particle sizer (SMPS) and an electrical low pressure impactor (ELPI). For the present studies CPC devices seemed to perform well for the identification of particle emission sources. The range of ultrafine particle number concentration can be detected by both SMPS and ELPI. An important advantage of the ELPI is that aerosols with ultrafine sizes can be collected for further analysis. Specific surface area of the aerosols can be estimated using gas adsorption analysis; however, with this technique ultrafine particles cannot be distinguished from particles with non-ultrafine sizes. Consequently, estimates based on samples collected from the breathing zone and scanning electron microscopic analysis may give a more reliable estimate of the specific surface area of the ultrafine particles responsible for personal exposure. The results of both the experimental and the workplace study suggest both spatial and temporal variation in total number concentration and aerosol size distribution. Therefore, the results obtained from static measurements and grab sampling should be interpreted with care as estimates of personal exposure. For evaluation of workplace exposure to ultrafine particles it is recommended that all relevant characteristics of such exposure are measured as part of a well-designed sampling strategy.

Dermal exposure during filling, loading and brushing with products containing 2-(2-butoxyethoxy)ethanol.

INTRODUCTION: Limited quantitative information is available on dermal exposure to chemicals during various industrial activities. Therefore, within the scope of the EU-funded RISKOFDERM project, potential dermal exposure was measured during three different tasks: filling, loading and brushing. DEGBE (2-(2-butoxyethoxy)ethanol) was used as a 'marker' substance to determine dermal exposure to the products that workers were handling. METHODS: Potential whole body exposure was measured using self-constructed cotton sampling pads on 11 body locations. Cotton gloves were used to determine the contamination of both hands. Bulk samples were collected to determine the concentration of DEGBE so as to be able to calculate exposure to the handled product. RESULTS: A total of 94 task-based measurements were performed, 30 on filling, 28 on loading and 36 on brushing, which resulted in potential dermal hand exposure to the handled product of 4.1-18 269 mg [geometric mean (GM) 555.4, n = 30], 0.3-27745 mg (GM 217.0, n = 28) and 11.3-733.3 mg (GM 98.4, n = 24) for each of the scenarios, respectively. Potential whole body exposure to the product during filling and loading ranged from 1.67 to 155.0 (GM 15.2, n = 9) and

DREAM: a method for semi-quantitative dermal exposure assessment.

This paper describes a new method (DREAM) for structured, semi-quantitative dermal exposure assessment for chemical or biological agents that can be used in occupational hygiene or epidemiology. It is anticipated that DREAM could serve as an initial assessment of dermal exposure, amongst others, resulting in a ranking of tasks and subsequently jobs. DREAM consists of an inventory and evaluation part. Two examples of dermal exposure of workers of a car-construction company show that DREAM characterizes tasks and gives insight into exposure mechanisms, forming a basis for systematic exposure reduction. DREAM supplies estimates for exposure levels on the outside clothing layer as well as on skin, and provides insight into the distribution of dermal exposure over the body. Together with the ranking of tasks and people, this provides information for measurement strategies and helps to determine who, where and what to measure. In addition to dermal exposure assessment, the systematic description of dermal exposure pathways helps to prioritize and determine most adequate measurement strategies and methods. DREAM could be a promising approach for structured, semi-quantitative, dermal exposure assessment.

Removing pesticides from the hands with a simple washing procedure using soap and water.

Crop activities lead to dermal exposure of workers to pesticides. The efficacy of hand washing as a control measure is unknown. The efficacy of water and soap was studied for some pesticides and exposure situations. Pre-washing contamination levels in field studies were calculated from foliar residues by models using transfer factors. Between 24.5% and 50.7% of the calculated prewashing contamination was removed in two field studies with three pesticides, with coefficients of variation between 43% and 72%. In a human volunteer study, on average 45.8% and 85.7% was removed for two pesticides (coefficients of variation 6% and 7%). No influence of 'washing vigour' was found and efficacy did not depend on pre-washing contamination levels. The combination of field studies and laboratory experiments was successful, partly compensating for weaknesses in both approaches.