Solvent exposure in a shoe upper factory. II. Methylcyclopentane, 2-methylpentane, and 3-methylpentane concentration in alveolar and in environmental air and in blood.
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Biomedical subjects
Publications and source records attributed to L Perbellini.
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The n-hexane concentration was determined in upper factory environmental air and in worker alveolar air. The relationship between the hexane alveolar concentration, and the hexane environmental concentration (Ca/Ci) was found to be steady during the 4,5 hours exposure and independent of the alveolar ventilation and hexane environmental concentration. These results suggest the hypothesis that alveolar TLV's can be fixed for hexane and other solvents.
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For many years biological monitoring of occupational exposure to solvents is achieved via their specific urinary metabolites. In the last 10 years many publications have shown that the urinary concentrations of unchanged solvents are well correlated with environmental exposure and could therefore be used for biological monitoring. For acetone, methanol, methyl ethyl ketone and methyl iso butyl ketone, the American Conference of Governmental Industrial Hygienists and the Deutsche Forschungsgemeinschaft have proposed urinary concentrations of substance itself as biological exposure indices. A critical revision of the literature on this matter reveals discrepancies between the results obtained by different authors. The correlations between environmental data and respective solvents give excellent indices of correlation. However, the differences observed when comparing the regression lines obtained from different research groups are very wide. For example, for an exposure to toluene corresponding to 50 ppm, some authors found urinary concentrations equal to 35 micrograms/l, others found urinary concentration higher than 100 micrograms/l. Similarly for benzene, styrene and methyl ethyl ketone the differences were also marked. We have not identified an explanation for such different results. Biological data variability could help to explain part of these disagreements. It should also be remembered that for benzene, the analytical methodology performed in different conditions can give rise to very different results. The mechanisms of excretion of organic solvents in urine are discussed considering biological variability and analytical method problems. The current hypotheses do not allow a satisfactory interpretation of the literature results. In conclusion further experience is needed that will more clearly show which results better express the relationship between occupational exposure to organic solvents and their specific urinary concentrations.
24 workers (10 involved in the preparation and 14 in administration) exposed to cyclophosphamide (CP) and ifosfamide (IF) in two Italian hospitals were monitored. The extent of exposure was assessed by the analysis of air samples, wipe samples, pads and gloves. Urinary excretion at the beginning and at the end of the work shift was also measured by liquid-liquid extraction and analysis by HPLC-MS/MS. 3 out of 24 air samples resulted to be positive for CP or IF. In wipe samples, CP concentrations ranging from < 0.001 to 82.4 micrograms/dm2 in Hospital A (32 samples) and from 0.2 to 383.3 micrograms/dm2 in Hospital B (17 samples), were found. IF concentrations varied from < 0.001 to 90.9 micrograms/dm2 in Hospital A and from 0.01 to 141.5 micrograms/dm2 in Hospital B. Pads (from 11 to 13 for each operator) were contaminated with CP and IF especially on arms, legs and chest. The use of a plastic-backed liner on the working tray in the laminar flow hoods was demonstrated to compromise the containment properties of the hood. Urine samples were positive for CP in 50% of the workers (range: 0.1-2.1 micrograms/L), whereas IF was detected in 2 subjects only (range: 0.1-0.8 microgram/L). The results from this investigation demonstrated that vertical laminar airflow hoods, when incorrectly used, might represent a source of contamination and that higher risk may depend on lack of educational programmes and observance of preventive guidelines.
N,N-dimethyformamide (DMF) is widely used in industrial processes to prepare synthetic fibres, films and leathers. The metabolic pathway of DMF in humans gives raise to several products. N-hydrowymethyl-N-methylformamide (HMMF) is the major metabolite of DMF, but appears to be N-methylformamide (NMF) on GLC analysis, because the first product decomposes to NMF when injected at 250 degrees C. In humans, an other important metabolite of DMF is the N-acetyl-S-(N- methylcarbamoyl)cysteine (AMCC) which is the mercapturic acid coming from DMF. AMCC is excreted in urine with a half-time of about 23 hours. This means that it accumulates in the body when exposures to DMF are repeated as in industrial settings. The data of the literature on the analysis of AMCC in urine both in experimental or field conditions are reported and compared with the results obtained by a physiologically "based toxicokinetic model". The findings are discussed in order to use AMCC in the biological monitoring of occupational exposures to DMF.
The European regulations classify gasoline as "carcinogenic agent" because of its content of benzene (> 0.1%). Consequently the preventive and protective actions towards the petrol station attendants prescribe, before all, the elimination of the agent or the reduction of the exposure and the risk to the minimum. Well known are currently a series of preventive measures able to produce appreciable reduction of the risk: reduction of the benzene content of gasoline, vapor recovery systems, self-areas or do-it-yourself, specific procedures for working. Exposure assessment is an essential step in order to establish the need for further preventive measure and to verify their efficacy. The exposure levels to gasoline of the petrol station attendants can be influenced by a variety of factors other than benzene air concentrations and therefore biological monitoring can give some sensible advantage in respect to air monitoring. Dosage of benzene in expired air, in urine, or in blood give a very good estimation of the exposure to benzene but they are not test largely practicable today, because analytical, economical, organizational reasons. Recent studies suggest that the dosage in urine of trans,trans muconic acid (ttMA) or phenil mercapturic acid can be useful biomarkers of recent exposure, even at low levels of exposure such as in filling stations. Exposure conditions to gasoline vapors in filling stations are rapidly changing thanks to some technological innovations and legal restrictions and the exposure levels are much below the occupational air standards, Toxicological and epidemiological data (although not yet conclusive at low doses) suggest to carry out however health and epidemiological surveillance programs for the working population. A program for the health surveillance and biological monitoring is here proposed: a clinical examination, integrated with haematological tests and biological monitoring tests, must be carried out in pre-employment and subsequently repeated yearly in the highest exposure conditions. When the exposure levels should decrease the examinations could be carried out every two years.
This article presents a review of reference values for organic solvent biomarkers. Some of these results were obtained in the research activities of the Italian Society Reference Values (SIVR). Most experiences show data obtained from control groups during occupational exposures assessment investigations. We considered only data related to the following biomarkers: immodified solvents in blood and urine, their main urinary metabolites. The reference values of the following solvents are reported: benzene, toluene, xylene, nhexane, cyclohexane, trichloroethylene, perchloroethylene, methanol, acetone, N,N-dimethylformamide, carbon disulphide. In the text also the influence of some confounding factors is discussed.
Case report of a plumber's fatal work accident. Investigations on the causes of death made at post mortem showed that the worker had absorbed a large quantity of freon 22 (chlorodifluoromethane) which is known to be a narcotic agent and capable of inducing cardiac arrhythmia. It is believed freon inhalation was the cause of loss of consciousness with consequent death from drowning in the water issuing from the pipes. It is concluded that preventive measures need to be reinforced by adequate information to the workforce on the risks connected to this type of gas.
Methyl tert-butyl ether (MTBE) is widely used as an additive to gasoline, to increase oxygen content and reduce tailpipe emission of carbon monoxide. Our research dealt with 37 refinery workers in order to measure their occupational exposure to MTBE during two different seasonal periods. They provided blood and urine samples before and after a work shift during which they wore an active charcoal sampler for solvents. All samples were analysed by a gas-chromatograph equipped with a mass spectrometer detector. The concentration in air of MTBE was very low (median: 25 micrograms/m3 in spring and 5 micrograms/m3 in autumn). The blood and urine concentrations of MTBE at the end of the work shift were higher than those found before the shift. The increment in biological samples confirmed a small intake of MTBE by refinery workers: the biological monitoring of occupational exposure to this solvent yielded reliable results. Blood and urinary concentrations of MTBE obtained from workers split in relation to their smoking habit did not give a statistic significance to say that cigarette smoke is not a confusion factor in monitoring exposure to MTBE.
Acrylonitrile (ACN) is a solvent widely used in industry especially as raw material in the manufacturing of acrylic fibres, clothes and domestic furniture. It is also used in manufacturing of resins (ACN-butadiene-styrene...) and for production of nitrilic elastomers. Some researchers proposed the biological monitoring of occupational exposure to ACN by measuring the solvent in the urine, but results were widely spread especially in relation to the analytical method used. This article reports the main aspects that can reduce the variability of results. We checked several ACN solutions in water and urine after heating at 90 degrees C for 1, 3, 5, 8 and 16 hours. Water solutions maintained their ACN concentration in all the checked conditions, while urine concentrations of ACN in urine deceased during the conditioning time until 80% of their initial concentration. The analysis of ACN in urine provided by workers potentially exposed to ACN and by control subjects gave median results of 1.9 and 2.0 micrograms/g creat, without any statistical difference. The results split in relation to the smoking habit showed a statistic difference: the median values of ACN were 1.7 and 4.7 micrograms/g creat, respectively among the 175 non-smokers and 57 smokers.
BACKGROUND: Obesity constitutes a risk for several vascular, metabolic and neoplastic diseases. In industrialised countries, but more and more in developing countries too, the prevalence of obesity is increasing. Body Mass Index and circumference of the abdomen are the two simplest and most utilized methods of measuring the degree of obesity in an individual and of comparing selected groups with different ethnic, social, cultural and occupational features. OBJECTIVES: The main aim of this article is to initiate a discussion on the possible contribution that the Occupational Health Physician can make to solving the problem of obesity, which is becoming more and more alarming in social terms. The working conditions favouring an increase in body weight and the negative effects that obesity has on various types of work are reported. METHODS AND RESULTS: A critical review of the literature on obesity and overweight stresses that a low educational level, a low socio-economic status, lack of physical activity in leisure time and certain working conditions, together with the ready availability of food, are the main factors favouring increased prevalence of obesity. Certain jobs also contribute significantly to this problem. Automation and the use of machines/robots for very heavy work in industrialised countries have the "collateral effect" of favouring body weight increase due to low energy consumption. Jobs that are a source of stress, such as work on three rotating shifts, can cause metabolic disorders leading to an increased prevalence of obesity. Contrariwise, obesity renders the individual unfit for some jobs, in fact, an increased incidence of industrial accidents has been related to obesity. CONCLUSIONS: The occupational health physicians engaged in surveillance of workers' health conditions can make a positive contribution to alleviating this problem by focusing their activity on the primary prevention of obesity and advising workers on how to maintain the right weight; otherwise, obese workers should be referred to appropriate medical centres.
In this paper we have defined the new biomarkers of exposure (NBE) as those biomarkers discovered in the last five years and, among previously validated biomarkers, also those applied in different ranges of doses or those determined in biological matrices which differ from matrices originally considered. We examined the results from the surveys carried out by the main Italian research units involved in biological monitoring, i.e. those from the Universities of Brescia, Milan, Naples, Padua, Parma, Pavia, Turin and Verona. The data were collected using a standardized model and included the following: type of element or organic compound, type of biomarker, analytical technique and method, their relationship with environmental monitoring data, their relationship with effect indicators or effects in general, improvement with respect to old biomarkers, reference values. Twenty two NBEs were identified: 14 elements and chemical compounds as such or as metabolites, 4 examples of mixtures, 3 of new matrices, one of speciation. Among the others, aspects such as interest in requiring NBE, quality assurance, availability, cost-benefit ratio were discussed. We conclude that development of this specific field of research appears to be a crucial point for future improvement in risk assessment and health surveillance procedures.
In order to study solvent exposure in shoe factories, 43 kinds of glues and 22 solvent products used in footwear manufacturing were analyzed. A gas chromatographic spectrometric method was used to identify the mixtures of solvents contained in glues and their diluents. Acetone, ethylacetate and cyclohexane were the solvents more frequently found in glues. Cyclohexane represented on average about 40% of the solvent mixture. Methyl ethyl ketone, 3-methylpentane and 2-methylpentane were often present in glues (45-52% of the samples), but only in a few cases were they associated with n-hexane. N-hexane and methylcyclopentane were found in 32% of the glue samples. N-hexane represented 47% of the solvents only in one glue. Most of the glues contained less than 10% n-hexane. Other solvents (dichloropropane, toluene, trichloroethane, butyl acetate, iso-butyl acetate and 2,2-dimethylbutane) were found in few glue samples or in low percentages. The 22 solvents used as glue diluents were mainly acetone, ethylacetate, dichloromethane and methyl ethyl ketone. The results suggest that solvent exposure in shoe factories has changed compared with data reported about 10 years ago. Biological monitoring of shoe factory workers should measure exposures to the specific solvents found in each factory, especially acetone, cyclohexane, ethylacetate and methyl ethyl ketone.
The paper reports the results of determination, via gas chromatography and mass spectrometry, of chloroform in expired air, blood and urine of a group of non-occupationally exposed blood donors. Chloroform concentrations were also measured for each subject in the air of the environment where samples were taken.