Balancing Acute and Chronic Occupational Risks: The Use of Nitrile Butadiene Rubber Undergloves by Firefighters to Reduce Exposure to Toxic Contaminants.

Firefighters are exposed via multi-route exposure to a multitude of chemicals (PAHs, VOCs, flame retardants, dioxins, etc.) that may cause acute and long-term health effects. The dermal absorption of contaminants is a major contributor to the overall exposure and can be reduced by wearing appropriate personal protective equipment. As leather firefighters' gloves cannot be decontaminated regularly by wet cleaning, many Belgian firefighters wear supplementary undergloves made of nitrile butadiene rubber (NBR) to protect against the accumulation of toxicants. However, the safety of this practice has been questioned. In this commentary, the current practice and risks are outlined for the first time, assessed by an interdisciplinary working group of the Belgian Superior Health Council. As NBR sticks to the skin more at high temperatures, the contact time on removal will be prolonged, posing an additional risk for deeper burns. However, based on the physicochemical properties of NBR and the existing experience of firefighters and burn centers, it is estimated that such incidents occur relatively rarely in practice. On the other hand, the risk of repeated exposure to contaminated gloves if no undergloves are worn is unacceptable. Despite the slightly increased risk for deeper burns, it is concluded that wearing disposable NBR gloves under regular firefighters' gloves is an appropriate and effective preventive measure against toxic contamination. The nitrile butadiene rubber must always be fully covered to avoid any contact with the heat.

Peak exposures to main components of ash and gaseous diesel exhausts in closed and open ash loading stations at biomass-fuelled power plants.

Fly and bottom ashes are collected at power plants to reduce the environmental effects of energy production. However, handling the ashes causes health problems for operators, maintenance workers and truck drivers at the power plants. Hence, we evaluated ash loaders' peak inhalation exposures to the chemical components of ash and diesel exhausts in open and closed ash loading stations at biomass-fuelled combined heat and power plants. We also carried out chemical and morphological analyses of the ashes to evaluate their health hazard potential in order to find practical technical measures to reduce workers' exposure. On the basis of X-ray diffraction analyses, the main respirable crystalline ash compounds were SiO2, CaSO4, CaO, Ca2Al2SiO7, NaCl and Ca3Al2O6 in the fly ashes and SiO2, KAlSi3O8, NaAlSi3O8 and Ca2Al2SiO7 in the bottom ashes. The short-term exposure levels of respirable crystalline silica, inhalable inorganic dust, Cr, Mn, Ni and nitric oxide exceeded their Finnish eight hours occupational exposure limit values in the closed ash loading station. According to our observations, more attention should be paid to the ash-moistening process, the use of tank trucks instead of open cassette flatbed trucks, and the sealing of the loading line from the silo to the truck which would prevent spreading the ash into the air. The idling time of diesel trucks should also be limited, and ash loading stations should be equipped with exhaust gas ventilators. If working conditions make it impossible to keep to the OEL values, workers must use respirators and protect their eyes and skin.

Serotype O:8 isolates in the Yersinia pseudotuberculosis complex have different O-antigen gene clusters and produce various forms of rough LPS.

In Yersinia pseudotuberculosis complex, the O-antigen of LPS is used for the serological characterization of strains, and 21 serotypes have been identified to date. The O-antigen biosynthesis gene cluster and corresponding O-antigen structure have been described for 18, leaving O:8, O:13 and O:14 unresolved. In this study, two O:8 isolates were examined. The O-antigen gene cluster sequence of strain 151 was near identical to serotype O:4a, though a frame-shift mutation was found in ddhD, while No. 6 was different to 151 and carried the O:1b gene cluster. Structural analysis revealed that No. 6 produced a deeply truncated LPS, suggesting a mutation within the waaF gene. Both ddhD and waaF were cloned and expressed in 151 and No. 6 strains, respectively, and it appeared that expression of ddhD gene in strain 151 restored the O-antigen on LPS, while waaF in No. 6 resulted in an LPS truncated less severely but still without the O-antigen, suggesting that other mutations occurred in this strain. Thus, both O:8 isolates were found to be spontaneous O-antigen-negative mutants derived from other validated serotypes, and we propose to remove this serotype from the O-serotyping scheme, as the O:8 serological specificity is not based on the O-antigen.

Role of dermal exposure in systemic intake of methylenediphenyl diisocyanate (MDI) among construction and boat building workers.

The causal relationship between inhalation exposure to methylenediphenyl diisocyanate (MDI) and the risk of occupational asthma is well known, but the role of dermal exposure and dermal uptake of MDI in this process is still unclear. The aims of this study were to measure dermal exposure to and the dermal uptake of MDI among workers (n=24) who regularly handle MDI-urethanes. Dermal exposure was measured by the tape-strip technique from four sites on the dominant hand and arm. The workers with the highest exposure (n=5) were biomonitored immediately after their work shift, in the evening and the next morning, using urinary 4,4´methylenedianiline (MDA) as a marker. Dermal uptake was evaluated by comparing workers' MDA excretions both when they were equipped with respiratory protective devices (RPDs) and when they did not use them. The measured amounts of MDI on their hands varied from below 0.1 to 17 µg/10 cm(2) during the test. MDI concentrations were in the range of 0.08 to 27 µg m(-3) in the breathing zone outside the RPDs. MDA concentrations varied from 0.1 to 0.2 µmol mol(-1) creatinine during the test period. The decreasing effect of RPDs on inhalation exposure was absent in the next morning urine samples; this excretion pattern might be an indication of dermal uptake of MDI.

Firefighters' exposure to perfluoroalkyl acids and 2-butoxyethanol present in firefighting foams.

The aim of this study was to assess eight firefighters' exposure to Sthamex 3% AFFF (aqueous film forming foam) in the simulation of aircraft accidents at Oulu airport in Finland. Study was conducted in 2010 before limitation for the use of PFOA and PFOS in AFFFs. Due to prospective limitation also eight commercially available AFFFs were evaluated from occupational and environmental point of view to find substitutive AFFFs for future. The firefighters' exposure to twelve perfluoroalkyl acids (PFAS) was analyzed in order to observe the signs of accumulation during three consecutive training sessions. The firefighters' short-term exposure to 2-butoxyethanol (EGBE) was analyzed by urinalysis of 2-butoxyacetic acid (2-BAA). For the background information also the concentration of PFAS in used AFFF-liquid was analyzed. Fire fighters' serum PFHxS and PFNA concentrations seemed to increase during the three training sessions although they were not the main PFAS in used AFFF. The statistical significance for the elevations was not able to test due to limited size of test group. In two training sessions, the average urinary excretions of 2-BAA exceeded the reference limit of the occupationally unexposed population. In the evaluations of the firefighting foams, non-fluorine based products were favored and the alcohol resistance properties of foams were recommended for consideration due to the increasing use of biofuels.

Firefighters' multiple exposure assessments in practice.

During the past decade, more research has focused on firefighters' multiple exposures via multi-route exposure. Multi-route exposure can alter the kinetics of chemicals; this has brought changes to the recommendations on biomonitoring. In addition, the possibility that the chemicals in smoke have additive and synergistic effects has not been consistently taken into account. In this study, biomonitoring and occupational hygienic measurements were used to determine smoke diving trainers' exposure to smoke in conventional and modern simulators. Biological action limit values (BALs) for 1-hydroxypyrene, linked with the ratio of pyrene to benzo[a]pyrene, were established for conventional and modern simulator types. The additive and synergistic effects for the main compounds detected in the air during the suppression of a fire were also calculated. According to the biomonitoring results, dermal exposure played a role in exposure to polycyclic aromatic hydrocarbons (PAHs), and it seemed to delay the excretion of 1-hydroxypyrene and 1-naphthol. The calculated BALs for 1-hydroxypyrene were 6 nmol/L and 53 nmol/L for the conventional and modern simulators, respectively. The combined cancer and eye disorders or upper respiratory tract irritation effects of volatile organic compounds (VOCs) in the conventional simulator were from 6.5 to 7.0-fold higher than in the modern simulator.

Fire fighting trainers' exposure to carcinogenic agents in smoke diving simulators.

It is well known that fire fighters are potentially exposed to various carcinogenic agents at a fire scene. An almost unheeded issue, however, is fire fighters' exposure to carcinogenic agents in smoke diving simulators. Biomonitoring (urinary muconic acid, 1-naphthol and 1-pyrenol), dermal (polycyclic aromatic hydrocarbons) and occupational hygiene measurements (cyanides, hydrogen cyanide, polycyclic aromatic hydrocarbons, volatile organic compounds and formaldehyde) were used to determine how the burning material, the type of simulator and protective clothing used affect fire fighting trainers' exposure. The highest excretion of 1-pyrenol (sampled 6h after end of exposure, in average 4.3-9.2nmol/L) and emissions of benzene (1.0-2.5mg/m(3)) and hydrogen cyanide (0.2-0.9mg/m(3)) were measured during the burning of conifer plywood and chipboard, and the lowest when pure pine and spruce wood (1.5nmol/L, 0.6mg/m(3), and 0.05mg/m(3)) was burned. However the safest burning material seemed to be propane (1.0nmol/L, 0.2mg/m(3), and not measured). The type of simulator used affected trainers' exposure very clearly. The highest dermal whole body exposures to polycyclic aromatic hydrocarbons were measured in the fire house simulator (in average 1200ng/cm(2)). Clearly lower exposure levels were measured in container training sessions (760ng/cm(2)), where the average dermal exposure level was 35% lower than in the fire house. The exposure levels (30ng/cm(2)) in the gas simulator in turn, were only 4% of the levels in container training sessions. The amount of polycyclic aromatic hydrocarbons decreased by 80% on trainers' hands when they used under gloves (in average 8.7ng/cm(2)) compared to those (48.4ng/cm(2)) who did not. There was not difference in protection efficiency against polycyclic aromatic hydrocarbons between tested fire suits (Brage and Bristol).

The suitability of the IOM foam sampler for bioaerosol sampling in Occupational Environments.

Concurrent samples were collected with Andersen and IOM foam samplers to determine whether if the IOM foam sampler can be applied to collect culturable microorganisms. Two different kinds of aerosols were studied: peat dust in a power plant and mist from coolant fluid aerosolized during grinding of blades and rollers in a paper mill. In the power plant, the concentrations of fungi were 2-3 times higher in the IOM samples than in the Andersen samples. However, more fungal genera were identified in the latter case. The methods yielded similar concentrations of bacteria and actinobacteria in the power plant. On the other hand, the performance of the IOM foam sampler was very poor in the paper mill, where stress-sensitive gram-negative bacteria dominated; low concentration of bacteria was detected in only one IOM sample even though the concentration of bacteria often exceeded even the upper detection limit in the Andersen impactor samples. It could be concluded that the IOM foam sampler performs quite well for collecting inhalable fungi and actinobacteria. However, the Andersen sampler provides better information on fungal genera and concentrations of gram-negative bacteria. Personal sampling with the IOM foam sampler provided an important benefit in the power plant, where the concentration ratio of personal to stationary samples was much higher for bacteria than for inhalable or respirable dust.

Laboratory and field testing of sampling methods for inhalable and respirable dust.

The performance of four sampling devices for inhalable dust and three devices for respirable dust was tested with different kinds of dusts in the laboratory and in the field. The IOM sampler was chosen as the reference method for inhalable dust, and the IOM sampler provided with the porous plastic foam media was used as the reference method for respirable dust. The other tested instruments were the Button sampler, the optical Grimm aerosol monitor, and the Dekati two-stage cascade impactor with cutoff sizes of 10 and 4 mu m. The study confirmed the applicability of the IOM and Button samplers. The new foam product followed the respirable criteria well. However, the foam sampler was unstable for measuring inhalable dust, probably due to its moisture absorption. In addition, high dust loads should be avoided with the foam sampler due to increase in filtering efficiency. The concentrations of inhalable dust measured with the Button sampler, the Grimm monitor, and the impactor sampler were usually close to those measured with the reference sampler. On the other hand, impactor sampling yielded higher respirable dust concentrations than the reference method in the field, which may have been caused by particle bounce; high dust loads should be avoided while using the impactor. The results also showed that the Grimm monitor enables real-time dust concentration determinations that are accurate enough for routine monitoring of occupational exposure and for testing efficiency of control measures in workplaces.

Default values for assessment of potential dermal exposure of the hands to industrial chemicals in the scope of regulatory risk assessments.

Dermal exposure needs to be addressed in regulatory risk assessment of chemicals. The models used so far are based on very limited data. The EU project RISKOFDERM has gathered a large number of new measurements on dermal exposure to industrial chemicals in various work situations, together with information on possible determinants of exposure. These data and information, together with some non-RISKOFDERM data were used to derive default values for potential dermal exposure of the hands for so-called 'TGD exposure scenarios'. TGD exposure scenarios have similar values for some very important determinant(s) of dermal exposure, such as amount of substance used. They form narrower bands within the so-called 'RISKOFDERM scenarios', which cluster exposure situations according to the same purpose of use of the products. The RISKOFDERM scenarios in turn are narrower bands within the so-called Dermal Exposure Operation units (DEO units) that were defined in the RISKOFDERM project to cluster situations with similar exposure processes and exposure routes. Default values for both reasonable worst case situations and typical situations were derived, both for single datasets and, where possible, for combined datasets that fit the same TGD exposure scenario. The following reasonable worst case potential hand exposures were derived from combined datasets: (i) loading and filling of large containers (or mixers) with large amounts (many litres) of liquids: 11,500 mg per scenario (14 mg cm(-2) per scenario with surface of the hands assumed to be 820 cm(2)); (ii) careful mixing of small quantities (tens of grams in <1l): 4.1 mg per scenario (0.005 mg cm(-2) per scenario); (iii) spreading of (viscous) liquids with a comb on a large surface area: 130 mg per scenario (0.16 mg cm(-2) per scenario); (iv) brushing and rolling of (relatively viscous) liquid products on surfaces: 6500 mg per scenario (8 mg cm(-2) per scenario) and (v) spraying large amounts of liquids (paints, cleaning products) on large areas: 12,000 mg per scenario (14 mg cm(-2) per scenario). These default values are considered useful for estimating exposure for similar substances in similar situations with low uncertainty. Several other default values based on single datasets can also be used, but lead to estimates with a higher uncertainty, due to their more limited basis. Sufficient analogy in all described parameters of the scenario, including duration, is needed to enable proper use of the default values. The default values lead to similar estimates as the RISKOFDERM dermal exposure model that was based on the same datasets, but uses very different parameters. Both approaches are preferred over older general models, such as EASE, that are not based on data from actual dermal exposure situations.

Task-based dermal exposure models for regulatory risk assessment.

The regulatory risk assessment of chemicals requires the estimation of occupational dermal exposure. Until recently, the models used were either based on limited data or were specific to a particular class of chemical or application. The EU project RISKOFDERM has gathered a considerable number of new measurements of dermal exposure together with detailed contextual information. This article describes the development of a set of generic task-based models capable of predicting potential dermal exposure to both solids and liquids in a wide range of situations. To facilitate modelling of the wide variety of dermal exposure situations six separate models were made for groupings of exposure scenarios called Dermal Exposure Operation units (DEO units). These task-based groupings cluster exposure scenarios with regard to the expected routes of dermal exposure and the expected influence of exposure determinants. Within these groupings linear mixed effect models were used to estimate the influence of various exposure determinants and to estimate components of variance. The models predict median potential dermal exposure rates for the hands and the rest of the body from the values of relevant exposure determinants. These rates are expressed as mg or microl product per minute. Using these median potential dermal exposure rates and an accompanying geometric standard deviation allows a range of exposure percentiles to be calculated.

Evaluation of exposure to 1-alkoxy-2-propanols and 1-(2-methoxy-1-methylethoxy)-2-propanol by the analysis of the parent compounds in urine.

Floor lacquerers' inhalation and total exposure to 1-alkoxy-2-propanols and 1-(2-methoxy-1-methylethoxy)-2-propanol (DPGME) were measured. The total exposure was biomonitored by urinalysis of free unchanged 1-alkoxy-2-propanols and DPGME. The floor lacquerers' 8-h inhalation exposures to 1-methoxy-2-propanol (PGME), 1-butoxy-2-propanol (PGBE) and DPGME were 1.9+/-1.3 (mean+/-S.D., n=15), 1.0+/-1.4ppm (n=11) and 0.2+/-0.3ppm (n=11), respectively. The gravity-corrected urinary excretions of PGME, PGBE and DPGME were 5.3+/-5.4mumol/l, 0.9+/-0.9mumol/l and 1.5+/-2.8mumol/l, respectively. A linear relationship was found between the gravity-corrected urinary excretion of PGME (R(2)=0.82), PGBE (R(2)=0.93) and DPGME (R(2)=0.93) and their preceding 8-h inhalation exposure. The correlations between the uncorrected urinary excretions and inhalation exposures to PGME, PGBE and DPGME was also calculated and found good (R(2)=0.82-0.95). The effect of work strain on the total exposure seemed to be more relevant in the exposure to hydrophilic PGME than in the exposure to more lipophilic PGBE.

Evaluation of the use of low flow passive sampling technique in offset printing plants.

OBJECTIVES: The aim of this study was to evaluate the suitability and applicability of low-flow passive tubes for sampling of organic solvents in occupational environment. MATERIALS AND METHODS: Laboratory and field studies were conducted to continue the evaluation of low-flow diffusive sampling combined with thermal desorption and gas chromatographic/mass spectrometric analysis in occupational hygiene surveys. Passive sampler tubes with Tenax GR adsorbent were employed to assess exposures to organic solvents in 10 small sheet-fed offset printing plants in Finland. The retention of the solvent compounds in the samplers was investigated using laboratory chamber studies. Active sampling with activated carbon tubes served as the control method. RESULTS: The laboratory tests showed that passive tubes had good retention, stability and reproducibility for the solvent compounds. Parallel passive and active sampling in both breathing zone and area monitoring in the printing plants yielded similar measurements though passive sampling tended to give slightly higher concentrations (by 5 to 12%). The suitability of passive sampling to be done by workers was also confirmed. The study also shows that exposure to organic solvents can be effectively reduced by the use of vegetable oil-based cleaning fluids. Especially, since ventilation and other protective measures are often inadequate in small facilities, the use of toxic cleaning solutions should be avoided. CONCLUSIONS: Passive sampling tubes with capillary orifice analyzed with thermal desorption GC-MS are well suited for measuring occupational solvent exposure. Method is well suited for sampling done by workers.

Variety in dustiness and hygiene quality of peat bedding.

Respiratory exposure to organic dust induces chronic pulmonary diseases both in farmers and horses. The aim of this study was to examine the variation of dustiness and hygiene quality of peat moss bedding. Materials studied were weakly decomposed sphagnum peat (A), weakly decomposed sphagnum peat warmed up in storage (> 30 degrees C) (B) and two more decomposed few-flowered sedge peats (C and D). The geometric mean of mesophilic fungi, thermotolerant fungi and thermophilic actinomycetes were determined from the material. Samples of inhalable dust and endotoxins were collected with IOM samplers and respirable dust with 10M foam samplers when the peat was rotated in a cylinder. The number of particles was detected with an optical particle counter. An LAL assay was used for analysing endotoxins from the filter samples. There were differences in the hygiene quality and dustiness between peat materials (p < 0.01). The geometric mean of fungi was smallest in material A. Warming-up increased the number of fungi in sphagnum peat, but on the other hand, it decreased the content of endotoxin (p < 0.01). Few-flowered peat materials contained thermophilic actinomycetes and material D also contained Aspergillus fumigatus. The concentrations of inhalable dust, respirable dust and the number of particles were smaller in the few-flowered peats (C-D) than in the sphagnum peats (A-B). It is concluded that there are differences in the dustiness and hygiene quality of peat bedding.

Control of workers' exposure to airborne endotoxins and formaldehyde during the use of metalworking fluids.

The study evaluated the effects of triazine use and machine enclosure on workers' exposure to bacteria, endotoxins, and formaldehyde in the use of metalworking fluids (MWF). Concentrations of triazine and bacterial contaminants were monitored in bulk samples of MWF from two machines in one workplace. One of the machines was used normally; triazine was added to the other when needed. Air sampling was used to estimate workers' exposure to endotoxins at 18 workplaces near enclosed and open machines. Concentrations of triazine in MWF and formaldehyde in the air were measured. Some recirculating local exhaust ventilation systems were also tested. The endotoxin and bacteria concentrations in the biocide test of MWF rapidly increased when the biocide levels decreased below 500 ppm. Airborne concentrations of endotoxins were substantially lower near enclosed machines than near open ones. Concentrations of airborne formaldehyde were below the Finnish occupational exposure limit at the existing levels of triazine in MWF. Concentrations of triazine in MWF correlated well with those of formaldehyde in the air near the machines (correlation coefficient r=.69). The results showed that the triazine levels in MWF should continuously be kept high enough (>500 ppm) to prevent workers' exposure to endotoxins and bacteria. Overdosing with triazine, however, should be avoided, so that the levels of airborne formaldehyde remain low. Triazine levels in MWF can be followed by the method described in this article. Workers' exposure to contaminants of MWF can be reduced substantially by enclosing the machines and equipping them with local exhausts.

Laboratory and field testing of particle size-selective sampling methods for mineral dusts.

The performances of eight sampling devices were tested with mineral dusts in the laboratory and in a talc production plant. The IOM sampler was chosen as the reference method for inhalable dust, and the IOM samplers provided with the porous plastic foam media were used as the reference methods for both the thoracic and respirable aerosols. The other size-selective instruments tested included the Respicon virtual impactor, the optical GRIMM aerosol monitor, and a two-stage cascade impactor with cut points of 10 and 4 microm. The 37-mm cassettes were also included both as open- and closed-face versions. The study confirmed the usability of the IOM samplers for mineral dust, not only in its original version for the inhalable fraction but also its modified versions for the thoracic and respirable fractions. A high correlation with the two-stage impactor results is an indication of good reproducibility. The results increased the evidence that the 37-mm cassette is a poor indicator of inhalable aerosol. The concentrations obtained with both cassette methods were not only systematically too low but also showed large collection efficiency variability. Therefore, the results cannot be corrected by using correction factors. The concentrations of inhalable aerosol measured with the Respicon were generally low, but its performances for the thoracic and respirable fractions were closer to those for the reference samplers. The results also indicate that the GRIMM monitor is well-suited for such mineral dust determinations when very good accuracy is not required, but the immediate availability of the result is more important.