Mortality Among Hardmetal Production Workers: German Historical Cohort Study.

OBJECTIVE: The aim of this study was to investigate a cohort in German hardmetal industry, especially relationship between exposures to cobalt, with and without tungsten, and risks of total and cause-specific mortality. METHODS: The cohort comprises blue-collar workers at three German plants who were employed in hardmetal processing. Individual cumulative exposures and long-term average concentrations were estimated for cobalt, nickel, tungsten, respirable, and inhalable dust. Standardized mortality ratios (SMRs) were calculated for external comparisons. Time-dependent multivariable Cox models were performed for internal analyses. RESULTS: Elevated SMRs were found for all-cause, heart diseases, and nonmalignant respiratory diseases mortality, but not for lung cancer. Internal analyses did not show increased risks for any endpoints, and no exposure-response relationship was indicated. CONCLUSIONS: This study does not provide evidence for elevated lung cancer risks. Methodologic limitations, incomplete ascertainment of death causes in particular, impede conclusions about exposure effects.

Exposure assessment for nitrogen oxides and carbon monoxide in German hard coal mining.

OBJECTIVE: The exposure situation of German hard coal miners with respect to the components nitrogen monoxide and nitrogen dioxide. Carbon monoxide was measured additionally and the results are displayed but not discussed in detail in this paper. The data were used to estimate personal long-term exposures in an inception cohort. METHODS: For all three components, time weighted 8-h shift values were determined for typical groups of coalminers according to the European measurement standard. An expert panel from the coal mining company made an effort to estimate major potential changes in the exposure situation. RESULTS: The main sources of nitrogen oxides and carbon monoxide in hard coal mining were the diesel engines. Blasting fumes contributed only to a lesser degree and with different exposure characteristics, e.g. much reduced NO(2) levels compared to the mines' rear areas. As rough 8 h-shift averages describing the current exposure situation, we found 1.35 ppm NO and 0.21 ppm NO(2) for the diesel engine drivers. Blasting specialists were more difficult to evaluate but rough 8 h-shift averages of 0.84 ppm NO and 0.014 ppm NO(2) could be estimated from our measurement series. By applying these data and the estimates of experts about the retrospective exposure situation to a cohort of 1,369 coalminers, we derived mean (max) cumulative exposures in ppm x number of shifts of 1,748 (5,928) for NO and 19.6 (1,013) for NO(2) when summarizing over the follow-up period from 1974 until 1998. CONCLUSIONS: Especially for the diesel engine drivers, exposure can be regarded as rather high, in particular, when compared to recommended limits by SCOEL and MAK, though the exposures have been in line with the enforced German occupational exposure limits. Whether this exposure situation has caused adverse health effects will be investigated epidemiologically.