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PubMed2005

Emerging technologies for cancer prevention and other population health challenges.

Emerging technologies, such as information and communication technologies (including future versions of the Internet), microelectromechanical systems, nanotechnologies, genomics, robotics, artificial intelligence, and sensors, provide enormous opportunities for enhancing health and quality of life. Population health technologies (PHTs) encompass the various applications of emerging technologies to improve the health of populations and communities. These technologies may change many population health paradigms, including those related to cancer prevention and control. In the future, emerging technologies will allow true customization of health communication to individuals, and existing tailoring approaches will be considered very crude. Environmental monitoring systems based on emerging technologies could also provide real-time information that health officials and community residents could use immediately to ameliorate potential carcinogenic or unhealthy exposures. Accelerating the application and diffusion of emerging technologies to population health challenges will require a multipronged approach, including new transdisciplinary programs, increased funding, supportive infrastructure, and policy changes.

Communication↗

PubMed1993

Ribavirin aerosol: methods for reducing employee exposure.

1. Two new exhaust control methods for scavenging and removing excess ribavirin aerosol were evaluated. Air samples were collected from pediatric intensive care rooms to determine the concentration of ribavirin. 2. Both control methods produced a 99.9% reduction between patient breathing zone concentrations and general room air concentrations. The average room air concentrations of ribavirin were 64 and 37 micrograms/m3 with the control methods in place, compared to average patient breathing zone concentrations of 45,000 and 58,000 micrograms/m3. 3. Additional control methods are reviewed, and published ribavirin environmental monitoring data is summarized. 4. Though the effect on fetal development in humans is not known, it is recommended that occupational exposure to ribavirin aerosol be minimized. A safe level for occupational exposure was calculated to be 91 micrograms/m3 for an 8-hour time weighted average.

Aerosols↗

PubMed1998

Exposure to methyl bromide during greenhouse fumigation on Crete, Greece.

In agricultural areas where greenhouses and dwellings are intermixed, the general population as well as the professional applicators may be exposed to pesticides. In a field study on Crete, exposure to methyl bromide during soil fumigation was assessed. Exposure of applicators (both contractors and farmers) were measured with personal air sampling equipment. Environmental monitoring inside and outside greenhouses combined with meteo data formed the basis for calculating the exposure of the general population with a computer aided dispersion model. Exposure of contractors exceeded the TLV value. The safe limit for the general population living close to a fumigated greenhouse is also exceeded.

Agriculture↗

PubMed1999

A field comparison of inhalable and thoracic size selective sampling techniques.

We measured inhalable, thoracic, and so-called "total" wood dust exposure in British Columbia lumber mill workers. Particle-size selective sampling was conducted using the GSP and Seven hole inhalable samplers, the PEM thoracic sampler and the 37-mm closed-face cassette "total" sampler. All measurements were full-shift personal samples, obtained from randomly selected workers. We obtained intersampler comparison data for the following pairs of instruments: GSP and 37-mm sampler; GSP and seven-hole sampler (SHS); and PEM and 37-mm sampler. The intersampler measurement ratios were estimated as: GSP/37-mm sampler = 4.2; GSP/SHS = 1.7; and PEM/37-mm sampler = 1.6. The GSP/37-mm sampler ratio is consistent with previously reported findings, while PEM/37-mm sampler and GSP/SHS ratios were both larger than expected. We found that in all comparisons, the measurement ratio had significant variability that was greatest at low ambient dust concentrations. Although it was not possible to attribute the source of the variability to specific sampler types, we concluded that the GSP sampler might be susceptible to "projectile" particles not normally aspirated, and may be vulnerable to direct aspiration of dust from accidentally contacted surfaces. The PEM was designed for environmental monitoring, and it is possible that it is unsuited to the higher particulate concentrations found in some occupational settings. Disparities among inhalable sampling techniques such as that between GSP and SHS should be investigated further in light of the proposed adoption of the inhalable method as an industrial standard.

Air Pollutants, Occupational↗

PubMed2006

Chemometrics modelling of organic contaminants in fish and sediment river samples.

Chemometric methods are applied in the analysis and interpretation of large multivariate data sets obtained in environmental monitoring studies. Multiple fish and sediment river samples from different sampling sites at different geographical locations and during different campaigns and/or sampling time periods were collected and analyzed as a part of an extensive multi annual monitoring program. Concentrations of organic microcontaminants (like hexachlorobenzene, hexachloro-butadiene, hexachlorocyclohexane, dichloro-diphenyldichloroethane and metabolites, and polychlorinated biphenyls PCBs, among others) were determined in fish and sediment river samples from Catalonia (northeast Spain). Chemometrics modeling and interpretation of these data sets allowed the investigation of the main contamination patterns in the rivers under study and the investigation of their distribution. The results achieved in this study are intended to be a contribution to quality assessment and evaluation of the global situation of the contamination of surface waters in Catalonia, and to support public policies of environmental control and protection in the region under study.

Animals↗

PubMed2000

Chemical incident management: gaseous emissions from a stockpile of coal.

Spontaneous combustion of coal releases a wide range of airborne pollutants which, in high concentrations, may be hazardous to health. Little is known about how the effects on health change in relation to the release of multiple substances. This article reports an incident in which a stockpile of coal released potentially harmful gases into the environment. Although the resultant health effects reported were few, the co-ordinated response by local authorities and health authorities highlighted the advantage of a multidisciplinary approach. Public health departments need to be aware of major chemical hazards within their district. Prompt environmental monitoring and exposure measurement needs to be arranged as this is crucial to making an appropriate response. Updated registers are needed from private companies and public bodies; who can provide timely measurements of chemical hazards. Health districts with more than one local authority may benefit from pooling resources and knowledge in order to prepare for such an incident.

Air Pollutants↗

PubMed1999

Characterisation of a Hg(II) ion optrode based on Nafion-1-(2-thiazolylazo)-2-naphthol composite thin films.

An optrode for Hg2+ ions based on a Nafion-1-(2-thiazolylazo)-2-naphtol (TAN) composite thin film has been developed. This optrode has a wide linear response range of 1-75 microM (pH 6) of Hg2+ ions with a limit of detection of 0.05 microM (10 micrograms l-1), which is sufficiently adequate for many environmental monitoring applications. The reflectance signal response shows a close correlation with the theoretical model derived. The response time of the optrode thin film was within 5-7 min to reach 95% of the final signal, depending on the concentration of Hg2+ ions. The selectivity of optrode to Hg2+ ions in phosphate buffer is good, with Co2+ and Ni2+ ions as the main interferences.

Environmental Monitoring↗

PubMed2004

How well should laboratories perform in proficiency tests.

The long-term performance of laboratories is examined using results from three proficiency testing programmes in the water and environmental monitoring sector. A medium term proficiency test pass rate of greater than approximately 75% is suggested as a minimum target for routine analysis to demonstrate fitness for purpose. This pass rate is proposed as a practical yardstick to be used by QA managers and accreditation bodies. This recommendation is contingent on a laboratory's continued and largely uninterrupted participation in a PT programme.

Accreditation↗

PubMed2005

Field test results of an automated exposure assessment tool, the local positioning system (LPS).

A user-friendly environmental monitoring system that collects real time data has been developed. Flash card memory logs exposure data from multiple sensors along with corresponding times and positions. Optional use of telemetry repeaters and a reference station allows central monitoring of data to assess exposure and to initiate intervention when safe levels are exceeded. A software analysis package allows researchers to identify exposure hot spots and direct control efforts, with the ultimate goal being to reduce injury and disease. Preliminary field test results document position accuracy and system performance in harsh environments.

Air Pollutants, Occupational↗

PubMed2002

Detection and potential indicators of the presence of hepatitis C virus on surfaces in hospital settings.

AIMS: The risk of hepatitis C virus infection in hospital environments can be assessed not only by studying epidemiological data and work practices, but also by the detection of these viruses (or indicators thereof) in health-care settings, on instruments etc. METHODS: Since standardized techniques specific to this end do not exist, this study was undertaken to apply methods currently used on clinical samples to the assessment of environmental HCV risk, either through direct detection of the virus (RT-PCR), or by probing for haemoglobin as a potential indicator of blood contamination. The tested techniques were applied in a trial environmental monitoring programme undertaken in various hospital laboratories and clinics, during which total bacterial count determinations were performed in parallel with haemoglobin and hepatitis C virus detection. SIGNIFICANCE AND IMPACT OF THE STUDY: The data indicate that the applied methods are of value in detecting low levels of contamination in a hospital environment.

Environmental Monitoring↗

PubMed1996

Monitoring of occupational exposure to cytostatic anticancer agents.

Many anticancer agents have been shown to be carcinogenic, mutagenic and teratogenic in experimental animals and in in vitro test systems. Epidemiological data on the association of second neoplasms with a specific chemotherapy treatment is available on some 30 agents, and in the case of 10 compounds the overall evidence on human carcinogenicity has been evaluated to be conclusive (Group 1: IARC, 1987 and 1990). The primary source of human exposure to anticancer drugs is from their use in therapy of cancer. However, persons employed in the manufacture, preparation and administration of the drugs to patients and in nursing patients may also be exposed. Safe handling of anticancer drugs, since the introduction of various general handling guidelines, is now good practice in hospitals, pharmacies and drug manufacturing companies of most developed countries. Careless handling of cancer chemotherapeutic agents may lead to exposure of the personnel in amounts detectable with chemical or biological methods in the body fluids or cell samples of the subjects. The exposure is typically to mixed compounds over long-term and to low exposure levels with accidental peaks. Therefore, the use of biological exposure markers is appropriate for the monitoring of such exposure patterns. The biological markers/methods for exposure assessment are either non-specific (e.g., cytogenetic damage, point mutations or 32P-post-labelling adducts in peripheral blood lymphocytes, urinary mutagenicity) or specific for a given compound (immunological methods for DNA adducts, specific analytical methods). Studies have revealed minor amounts of cyclophosphamide in the urine of pharmacy technicians and nurses handling the drug even when taking special safety precautions (Sessink et al. (1994a) J. Occup. Med., 36, 79; Sessink et al. (1994b) Arch. Env. Health, 49, 165). Another study showed surface wipe samples with measurable cyclophosphamide even away from the handling site (McDevitt et al. (1993) J. Occup. Med., 5, 57). These studies strongly implicate the importance of skin absorption as an exposure route. Also accidental spillage is never completely avoidable (Sorsa et al. (1988) Mutation Res., 204, 465-479). The potential confounders (smoking etc.), toxicokinetics of the agent(s) to be assessed and individual working practices should be carefully considered in any exposure assessment studies using human body fluid samples. Environmental monitoring on indicator cytostatics should be combined into studies designed to identify potential occupational exposure situations to anticancer agents. A properly performed study should also include dissemination of information to the workers to create a psychologically positive atmosphere for this important work.

Antineoplastic Agents↗

PubMed2004

Highway repair: a new silicosis threat.

OBJECTIVES: We describe an emerging public health concern regarding silicosis in the fast-growing highway repair industry. METHODS: We examined highway construction trends, silicosis surveillance case data, and environmental exposure data to evaluate the risk of silicosis among highway repair workers. We reviewed silicosis case data from the construction industry in 3 states that have silicosis registries, and we conducted environmental monitoring for silica at highway repair work sites. RESULTS: Our findings indicate that a large population of highway workers is at risk of developing silicosis from exposure to crystalline silica. CONCLUSIONS: Exposure control methods, medical screenings, protective health standards, and safety-related contract language are necessary for preventing future occupational disease problems among highway repair workers.

Air Pollutants, Occupational↗

PubMed1982

Genetic risks and environmental surveillance: epidemiological aspects of monitoring industrial populations for environmental mutagens.

As industrial populations are exposed to new chemicals and other agents in their work environment, it becomes increasingly important to be able to ascertain any associated genetic risks. The characteristics of a desirable surveillance system for deleterious genetic effects are outlined and the existing or proposed surveillance systems for industrial populations are reviewed against these criteria. At present, monitoring for reproductive loss and infertility seems to be the technique best suited for surveillance of industrial populations. However, monitoring techniques based on these events do not directly assess mutagenicity. Since fetal death and infertility are strongly, but not exclusively, correlated with mutation, these methods can be considered as an early-warning system to indicate when and where more definitive studies are needed.

Abortion, Spontaneous↗

PubMed2000

Stripping voltammetry in environmental and food analysis.

The review covers over 230 papers published mostly in the last 5 years. The goal of the review is to attract the attention of researchers and users to stripping voltammetry in particular, its application in environmental monitoring and analysis of foodstuffs. The sensors employed are impregnated graphite, carbon paste, thick film carbon/graphite and thin film metallic electrodes modified in-situ or beforehand. Hanging mercury drop electrodes and mercury coated glassy carbon electrodes are also mentioned. Strip and long-lived sensors for portable instruments and flow through systems are discussed as devices for future development and application of stripping voltammetry.

Electrochemistry↗

PubMed1999

Detection of low numbers of pathogenic Yersinia enterocolitica in environmental water and sewage samples by nested polymerase chain reaction.

Isolation of pathogenic Yersinia enterocolitica from water and sewage by traditional culture techniques is time-consuming and subsequent differentiation between pathogenic and non-pathogenic strains can be difficult and unreliable. A nested polymerase chain reaction (PCR) procedure was used for the detection of low numbers of Y. enterocolitica in spiked samples from natural surface sources with variable background flora ranging from oligotrophic water to sewage. Water and sewage samples were filtered and filters enriched overnight in a non-selective medium. Nested PCR conducted on enriched broth, prepared by use of a rapid and simple preparation step consisting of centrifugation, proteinase K treatment and boiling, enabled the detection of 8-17 cfu 100 ml-1 water with background levels of up to 8700 heterotrophic organisms ml-1 and 10,000 cfu coliform organisms 100 ml-1 water. The analysis can be completed within 2-3 d and should be a significant tool in monitoring environmental waters and drinking water sources for the presence of pathogenic Y. enterocolitica.

Environmental Monitoring↗

PubMed2005

Survivorship of coral juveniles in a fish farm environment.

Intensive fish farming is an emerging coastal activity that can potentially enhance sedimentation and promote eutrophication in fringing coral reefs. Here, we investigate the effect of fish farm effluent on the juvenile survivorship of the reef-building coral Seriatopora caliendrum. One-month old juvenile corals (on terracotta tiles) were deployed in fish farm and reference (reef) sites in Bolinao, the Philippines at a depth of 2m. After forty days, no survivor was recovered in the fish farm, while survivorship was low (11%) in the reference site, with the survivors' growth rate at 3.3polypsmo(-1) or 1.3mm(2)mo(-1). The fish farm deployed tiles were covered with muddy sediment and were colonized by barnacles, whereas those in the reference site were overgrown by a short stand of filamentous macroalgae. Environmental monitoring revealed higher nutrient levels (ammonia and phosphate), sedimentation rate, and organic matter flux, as well as diminished water transparency and dissolved oxygen levels in the fish farm compared to the reference site. Hence, intensive fish farming offers a suite of physical, chemical and biological modifications of the coastal marine environment which have a detrimental effect on the survivorship of coral juveniles.

Analysis of Variance↗

PubMed1994

[Discrepancies in assessment of radiological exposure level in miners related to the use of various measurement systems].

The contamination of the air with radioactive elements (radon-222 and its decay products) occurs in coal, metal ore and chemical raw materials underground mines. This causes irradiation of the miner's respiratory system with ionizing radiation. In Poland the radiation exposure level is controlled both by the ventilation services of particular mines and by the Nofer Institute of Occupational Medicine in Lodz to the order of the State Sanitary Inspection. The in-mine services collect air samples which are next examined to determine the degree of radiation contamination (environmental monitoring), whereas the Institute uses the method of representative individual dosimetry (the dosimeters are attached to the miners' helmets). The article presents discrepancies in the levels of exposure to radiation in mines, assessed by the in-mine services and the Nofer Institute of Occupational Medicine. The hazard level determined by these services is usually one or even two times lower than that determined by the Institute. The reasons for these discrepancies are discussed.

Air Pollutants, Radioactive↗

PubMed2003

Spirometric function in non-smoking workers exposed to aluminum.

BACKGROUND: Exposure to aluminum (Al) causes the onset of respiratory disorders. This study is aimed at providing further information on how occupational exposure to Al affects the respiratory apparatus in healthy non-smokers, with particular attention to respiratory function. METHODS: A group of 50 male shipyard workers who were exposed to Al underwent medical examination, standard chest X-rays and spirometry in accordance with the C.E.C.A. protocol. The data were compared with those of a homogeneous group of controls, all with blood aluminum (AlB) levels below 7.5 ng/ml. Statistical analysis was performed on the following spirometric parameters: vital capacity (VC), forced vital capacity (FVC), maximum forced expiratory volume in 1 s (FEV1), and mean forced expiratory flow during mid-half of FVC (FEF(25-75%)). Environmental Al levels were also measured at the various workstations. RESULTS: Fifty male workers with an average age 31.82 +/- 5.05 years, occupational exposure of 11.81 +/- 3.71 years, presented with average AlB levels of 32.64 +/- 8.69 ng/ml. Environmental monitoring displayed Al levels higher than TLV TWA for all the workstations studied. None of the sample displayed significant pathological conditions. Statistical comparison of the spirometric parameters showed a decrease in the examined values in exposed workers. This decrease was found to be directly proportional to the AlB level. CONCLUSION: The authors conclude that Al affects respiratory function and that limit values should be reassessed.

Adult↗