In vitro percutaneous penetration of polycyclic aromatic hydrocarbons from sunscreen creams

Background: Dermal exposure to Polycyclic Aromatic Hydrocarbons (PAHs) affects many outdoor workers such as asphalt workers. Usually the use of sunscreen creams is suggested to protect them from UV radiation. However sunscreen could prevent or facilitate dermal absorption of industrial chemicals. Objectives: The aim of the study was to assess percutaneous penetration of anthracene using 2 different sunscreen creams as vehicle. Methods: In vitro permeation experiments were carried out using standardized in vitro methods with static diffusion cells. Excised human skin prepared to approximately 350 mm thickness was fixed on the diffusion cells. The receiving phase was a saline solution with 6% PEG 20. The 2 sunscreen creams (one lipophilic and one hydrophilic) were applied uniformly (2mg/cm2) on the skin mounted on the diffusion cell. After 20 minutes, a solution of anthracene and artificial sweat was added. Analysis of anthracene in the receptor samples was carried out by beta counter analyzer (Packard). Results: Results did not show a percutaneous penetration of anthracene from sunscreen creams while in previous studies in vitro percutaneous penetration of anthracene was demonstrated using the same methodology. Discussion and Conclusion: The use of sunscreen creams among outdoor workers, would not seem to enhance percutaneous penetration of PAHs. On the contrary it seems to be able to reduce dermal absorption of anthracene in the workplace

Health surveillance for former asbestos exposed worker: a specific programme developed in an Italian region

Asbestos-related diseases usually have a long latency since first exposure and this legitimates a health surveillance programme addressed to asbestos workers after the cessation of their occupational exposure. After a brief history of health surveillance initiatives performed in Italy as well as in other countries, we describe a regional programme for former asbestos-exposed workers, focusing on organizational features. A regional group of experts defined its operational and economical aspects. The Regional Council supported the whole programme, making it free of charge for all subjects who fulfil the predefined enrolment criteria (being resident in the region, being younger than 80 years old with cessation of occupational asbestos exposure within the last 30 years). The programme activities are classified in two levels: a first level for a basic health evaluation and a second level for in-depth analyses. In order to guarantee an homogeneous delivery in the whole region, the programme has to be performed by public health services with a quality control of activities. The involvement of specific public health services and the cooperation of social stakeholders are expected to play a major role in overcoming still open critical issues, such as the lack of programme existence awareness and adhesion, the correct stratification of subjects for the follow-up, and the real homogeneous delivery of the health surveillance in whole region

Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them - Asbestos Exposure Still Exists

Pleural plaques (PPs) may be a risk factor for mortality from lung cancer in asbestos-exposed workers and are considered to be a marker of exposure. Diagnosing PPs is also important because asbestos-exposed patients should be offered a health surveillance that is mandatory in many countries. On the other hand PPs are useful for compensation purposes. In this study we aimed to evaluate the prevalence, as incidental findings, and the underreporting rate of PPs in chest CT scans (CTs) performed in a cohort of patients (1512) who underwent chest CT with a slice thickness no more than 1.25 mm. PPs were found in 76 out of 1482 patients (5.1%); in 13 out of 76 (17,1%) CTs were performed because of clinical suspicion of asbestos exposure and 5 of them (38%) were underreported by radiologist. In the remaining 63 cases (82.9%) there was no clinical suspicion of asbestos exposure at the time of CTs (incidental findings) and in 38 of these 63 patients (60.3%) PPs were underreported. Reaching a correct diagnosis of PPs requires a good knowledge of normal locoregional anatomy and rigorous technical approach in chest CT execution. However the job history of the patient should always be kept in mind

Dermatosi professionali

2nononenoneSartorelli P.; Crippa M.Sartorelli, Pietro; Crippa, M