Risk Assessment on Benzene Exposure among Gasoline Station Workers

Benzene is a human carcinogen presented in gasoline (1% by volume). It is also found in vehicle exhaust. The aim of this study was to assess the health risk of inhalation exposure to benzene among gasoline station workers. The ambient benzene concentration was measured by personal sampling from 150 gasoline station workers (137 fueling workers and 13 cashiers). Additional data of working characteristics were collected by interviews and on-site observations. All workers were non-smokers and passive smoking was limited. Risk assessment of inhalation exposure was determined using the United State Environmental Protection Agency (USEPA), and showed a high risk of adverse health effect (Hazard Quotients (HQ) >1) in 51.33% of workers. The cancer risk was increased from 1.35 × 10−8 to 1.52 × 10−4, and 70.67% of the workers had a lifetime cancer risk (>Inhalation Unit Risk (IUR): 2.2 × 10−6). A significantly higher risk was found in fueling workers compared to cashiers, and in workers at gasoline stations in inner-city zones (suburban and urban), compared to rural zones. All risk estimations were based upon a single measurement in an eight hour working period, which was assumed to be the average shift length for all working days in a year (250 days). The increased health risk suggests that there should be health surveillance for workers in order to protect them from exposure to benzene. In addition to benzene, the volatile organic compounds (VOCs) present in gasoline may influence health outcomes

The Burden of Work-Related Diseases and Injuries among Agriculturists: A Three-Year Retrospective Study in Thailand

This study investigated the incidence of work-related diseases and injuries among cultivating farmers in Thailand by conducting a three-year retrospective study with 207,465 farmers from Roi-Et province and 154,478 farmers from Udon Thani province. Health data were collected from the hospital information systems (HIS) of Roi-Et and Udon Thani provinces for a three-year period (2014–2016). We used the ICD-10 classification codes for diseases and injuries to analyse the incidence rates per 100,000 farmers. The number of cases that visited health centres were 53,794 in Udon Thani (34.82%) and 77,438 in Roi-Et (37.32%). The top five morbidity rates in Roi-Et and Udon Thani were work-related musculoskeletal disorders (WMSDs), followed by injuries, infectious disease, skin disease, and lung disease. The incidence of diseases and injuries found in Roi-Et, a more cultivating-agriculture-based province, was higher than that found in Udon Thani province. WMSDs were the greatest health concern in regard to cultivating activities. Infectious and lung diseases might have also been related to the cultivating activities, which warrants further studies. Our findings highlight an urgent need for targeted occupational health services, and health and safety measures among cultivating farmers in both provinces. Regular monitoring and surveillance programmes for cultivating farmers need to be in place, at the provincial level, to mitigate risk and protect the health and well-being of the farmers

Factors Affecting Adverse Health Effects of Gasoline Station Workers

This cross-sectional study examined the risk factors affecting adverse health effects from benzene exposure among gasoline station workers in Khon Kean province, Thailand. An interview questionnaire of adverse symptoms relating to benzene toxicity was administered to 151 workers. Area samplings for benzene concentration and spot urine for tt-muconic acid (tt-MA), a biomarker of benzene exposure, were collected. The factors associated with adverse symptoms were analysed by using multiple logistic regression. It was found that these symptoms mostly affected fuelling workers (77.5%), and the detected air benzene reached an action level or higher than 50% of NIOSH REL (>50 ppb). The top five adverse symptoms, i.e., fatigue, headache, dizziness, nasal congestion, and runny nose, were reported among workers exposed to benzene. More specific symptoms of benzene toxicity were chest pain, bleeding/epistaxis, and anaemia. The detected tt-MA of workers was 506.7 ug/g Cr (IQR), which was a value above the BEI and higher than that of asymptomatic workers. Risk factors significantly associated with adverse symptoms, included having no safety training experience (ORadj = 5.22; 95% CI: 2.16–12.58) and eating during work hours (ORadj = 16.08; 95% CI: 1.96–131.74). This study urges the tightening of health and safety standards at gasoline stations to include training and eating restrictions while working in hazardous areas

The Burden of Work-Related Diseases and Injuries among Agriculturists: A Three-Year Retrospective Study in Thailand

This study investigated the incidence of work-related diseases and injuries among cultivating farmers in Thailand by conducting a three-year retrospective study with 207,465 farmers from Roi-Et province and 154,478 farmers from Udon Thani province. Health data were collected from the hospital information systems (HIS) of Roi-Et and Udon Thani provinces for a three-year period (2014–2016). We used the ICD-10 classification codes for diseases and injuries to analyse the incidence rates per 100,000 farmers. The number of cases that visited health centres were 53,794 in Udon Thani (34.82%) and 77,438 in Roi-Et (37.32%). The top five morbidity rates in Roi-Et and Udon Thani were work-related musculoskeletal disorders (WMSDs), followed by injuries, infectious disease, skin disease, and lung disease. The incidence of diseases and injuries found in Roi-Et, a more cultivating-agriculture-based province, was higher than that found in Udon Thani province. WMSDs were the greatest health concern in regard to cultivating activities. Infectious and lung diseases might have also been related to the cultivating activities, which warrants further studies. Our findings highlight an urgent need for targeted occupational health services, and health and safety measures among cultivating farmers in both provinces. Regular monitoring and surveillance programmes for cultivating farmers need to be in place, at the provincial level, to mitigate risk and protect the health and well-being of the farmers