Historical reconstruction of polychlorinated biphenyl (PCB) exposures for workers in a capacitor manufacturing plant

We developed a semiquantitative job exposure matrix (JEM) for workers exposed to polychlorinated biphenyls (PCBs) at a capacitor manufacturing plant from 1946 to 1977. In a recently updated mortality study, mortality of prostate and stomach cancer increased with increasing levels of cumulative exposure estimated with this JEM (trend p values = 0.003 and 0.04, respectively). Capacitor manufacturing began with winding bales of foil and paper film, which were placed in a metal capacitor box (pre-assembly), and placed in a vacuum chamber for flood-filling (impregnation) with dielectric fluid (PCBs). Capacitors dripping with PCB residues were then transported to sealing stations where ports were soldered shut before degreasing, leak testing, and painting. Using a systematic approach, all 509 unique jobs identified in the work histories were rated by predetermined process- and plant-specific exposure determinants; then categorized based on the jobs' similarities (combination of exposure determinants) into 35 job exposure categories. The job exposure categories were ranked followed by a qualitative PCB exposure rating (baseline, low, medium, and high) for inhalation and dermal intensity. Category differences in other chemical exposures (solvents, etc.) prevented further combining of categories. The mean of all available PCB concentrations (1975 and 1977) for jobs within each intensity rating was regarded as a representative value for that intensity level. Inhalation (in microgram per cubic milligram) and dermal (unitless) exposures were regarded as equally important. Intensity was frequency adjusted for jobs with continuous or intermittent PCB exposures. Era-modifying factors were applied to the earlier time periods (1946-1974) because exposures were considered to have been greater than in later eras (1975-1977). Such interpolations, extrapolations, and modifying factors may introduce non-differential misclassification; however, we do believe our rigorous method minimized misclassification, as shown by the significant exposure-response trends in the epidemiologic analysis

Characterization of nanoparticles in aerosolized photocatalytic and regular cement

Photocatalytic cement containing nano-TiO2 has been introduced to the construction industry because of its biocidal and self-cleaning properties. Although, TiO2 is classified as possibly carcinogenic to humans, the cancer risk among cement workers is currently unknown. This is partly because an assessment of exposures to airborne photocatalytic cement is missing. We characterized airborne photocatalytic cement in an experimental aerosolization set-up and compared it to regular cement. Aerosolized nanoparticle size distributions and concentrations were measured with a scanning mobility particle sizer (SMPS) and a portable aerosol spectrometer (PAS). Particle morphology was analyzed with a scanning electron microscopy (SEM) and transmission electron microscopy (TEM). Energy dispersive X-ray analysis (SEM-EDX) was used for elemental determination. The aerosolized photocatalytic cement powder contained 5% nanosized particles in number concentration while regular cement had only a negligible amount. Airborne photocatalytic cement concentration was 14,900 particles per cubic centimeter (pt/cm3) with a geometric mean diameter (GMD) of 249 nm (geometric standard deviation; GSD ±2 nm). Airborne regular cement concentration and GMD (GSD) were 9,700 pt/cm3 and 417 nm (±2 nm), respectively. Photocatalytic cement contained 18.5 times more airborne nano-TiO2 (37%) compare to bagged powder (2%). Aerosolized photocatalytic cement had a significantly smaller particle size distribution and greater particle concentration compared to regular cement. Both types of cement had 99% of the particles with sizes less than 1 μm. Nano-TiO2 was directly aerosolized from the cement, followed with a coagulation/agglomeration process. Future studies should evaluate workers’ exposures associated with the use of photocatalytic cement. Copyright © 2019 American Association for Aerosol Research</p

Airborne reactive oxygen species (ROS) is associated with nano TiO2 concentrations in aerosolized cement particles during simulated work activities

Photocatalytic cement is self-cleaning due to the addition of titanium dioxide (TiO2) nanoparticles, which react with sunlight (UV) and produce reactive oxygen species (ROS). Construction workers using photocatalytic cement are exposed not only to cement particles that are irritants but also to nano TiO(2)and UV, both carcinogens, as well as the generated ROS. Quantifying ROS generated from added nano TiO(2)in photocatalytic cement is necessary to efficiently assess combined health risks. We designed and built an experimental setup to generate, under controlled environmental conditions (i.e., temperature, relative humidity, UV irradiance), both regular and photocatalytic cement aerosols. In addition, cement working activities-namely bag emptying and concrete cutting-were simulated in an exposure chamber while continuously measuring particle size distribution/concentration with a scanning mobility particle sizer (SMPS). ROS production was measured with a newly developed photonic sensing system based on a colorimetric assay. ROS production generated from the photocatalytic cement aerosol exposed to UV (3.3.10(-9) nmol/pt) was significantly higher than for regular cement aerosol, either UV-exposed (0.5.10(-9) nmol/pt) or not (1.1.10(-9) nmol/pt). Quantitatively, the level of photocatalytic activity measured for nano TiO2-containing cement aerosol was in good agreement with the one obtained with only nano TiO(2)aerosol at similar experimental conditions of temperature and relative humidity (around 60%). As a consequence, we recommend that exposure reduction strategies, in addition to cement particle exposures, also consider nano TiO(2)and in situ-generated ROS, in particular if the work is done in sunny environment

Hazardous substances in frequently used professional cleaning products

A growing number of studies have identified cleaners as a group at risk for adverse health effects of the skin and the respiratory tract. Chemical substances present in cleaning products could be responsible for these effects. Currently, only limited information is available about irritant and health hazardous chemical substances found in cleaning products. We hypothesized that chemical substances present in cleaning products are known health hazardous substances that might be involved in adverse health effects of the skin and the respiratory tract. We performed a systematic review of cleaning products used in the Swiss cleaning sector. We surveyed Swiss professional cleaning companies (n = 1476) to identify the most used products (n = 105) for inclusion. Safety data sheets (SDSs) were reviewed and hazardous substances present in cleaning products were tabulated with current European and global harmonized system hazard labels. Professional cleaning products are mixtures of substances (arithmetic mean 3.5 +/- 2.8), and more than 132 different chemical substances were identified in 105 products. The main groups of chemicals were fragrances, glycol ethers, surfactants, solvents; and to a lesser extent, phosphates, salts, detergents, pH-stabilizers, acids, and bases. Up to 75% of products contained irritant (Xi), 64% harmful (Xn) and 28% corrosive (C) labeled substances. Hazards for eyes (59%) and skin (50%), and hazards by ingestion (60%) were the most reported. Cleaning products potentially give rise to simultaneous exposures to different chemical substances. As professional cleaners represent a large workforce, and cleaning products are widely used, it is a major public health issue to better understand these exposures. The list of substances provided in this study contains important information for future occupational exposure assessment studies

Evaluation of cumulative PCB exposure estimated by a job exposure matrix versus PCB serum concentrations

Although polychlorinated biphenyls (PCBs) have been banned in many countries for more than three decades, exposures to PCBs continue to be of concern due to their long half-lives and carcinogenic effects. In National Institute for Occupational Safety and Health studies, we are using semiquantitative plant-specific job exposure matrices (JEMs) to estimate historical PCB exposures for workers (n = 24,865) exposed to PCBs from 1938 to 1978 at three capacitor manufacturing plants. A subcohort of these workers (n = 410) employed in two of these plants had serum PCB concentrations measured at up to four times between 1976 and 1989. Our objectives were to evaluate the strength of association between an individual worker's measured serum PCB levels and the same worker's cumulative exposure estimated through 1977 with the (1) JEM and (2) duration of employment, and to calculate the explained variance the JEM provides for serum PCB levels using (3) simple linear regression. Consistent strong and statistically significant associations were observed between the cumulative exposures estimated with the JEM and serum PCB concentrations for all years. The strength of association between duration of employment and serum PCBs was good for highly chlorinated (Aroclor 1254/HPCB) but not less chlorinated (Aroclor 1242/LPCB) PCBs. In the simple regression models, cumulative occupational exposure estimated using the JEMs explained 14-24% of the variance of the Aroclor 1242/LPCB and 22-39% for Aroclor 1254/HPCB serum concentrations. We regard the cumulative exposure estimated with the JEM as a better estimate of PCB body burdens than serum concentrations quantified as Aroclor 1242/LPCB and Aroclor 1254/HPCB

Mortality among 24,865 workers exposed to polychlorinated biphenyls (PCBs) in three electrical capacitor manufacturing plants: a ten-year update

The objective of this analysis was to evaluate mortality among a cohort of 24,865 capacitor-manufacturing workers exposed to polychlorinated biphenyls (PCBs) at plants in Indiana, Massachusetts, and New York and followed for mortality through 2008. Cumulative PCB exposure was estimated using plant-specific job-exposure matrices. External comparisons to US and state-specific populations used standardized mortality ratios, adjusted for gender, race, age and calendar year. Among long-term workers employed 3 months or longer, within-cohort comparisons used standardized rate ratios and multivariable Poisson regression modeling. Through 2008, more than one million person-years at risk and 8749 deaths were accrued. Among long-term employees, all-cause and all-cancer mortality were not elevated; of the a priori outcomes assessed only melanoma mortality was elevated. Mortality was elevated for some outcomes of a priori interest among subgroups of long-term workers: all cancer, intestinal cancer and amyotrophic lateral sclerosis (women); melanoma (men); melanoma and brain and nervous system cancer (Indiana plant); and melanoma and multiple myeloma (New York plant). Standardized rates of stomach and uterine cancer and multiple myeloma mortality increased with estimated cumulative PCB exposure. Poisson regression modeling showed significant associations with estimated cumulative PCB exposure for prostate and stomach cancer mortality. For other outcomes of a priori interest--rectal, liver, ovarian, breast, and thyroid cancer, non-Hodgkin lymphoma, Alzheimer disease, and Parkinson disease--neither elevated mortality nor positive associations with PCB exposure were observed. Associations between estimated cumulative PCB exposure and stomach, uterine, and prostate cancer and myeloma mortality confirmed our previous positive findings

Skin permeation and metabolism of di(2-ethylhexyl) phthalate (DEHP).

Phthalates are suspected to be endocrine disruptors. Di(2-ethylhexyl) phthalate (DEHP) is assumed to have low dermal absorption; however, previous in vitro skin permeation studies have shown large permeation differences. Our aims were to determine DEHP permeation parameters and assess extent of skin DEHP metabolism among workers highly exposed to these lipophilic, low volatile substances. Surgically removed skin from patients undergoing abdominoplasty was immediately dermatomed (800 μm) and mounted on flow-through diffusion cells (1.77 cm(2)) operating at 32°C with cell culture media (aqueous solution) as the reservoir liquid. The cells were dosed either with neat DEHP or emulsified in aqueous solution (166 μg/ml). Samples were analysed by HPLC-MS/MS. DEHP permeated human viable skin only as the metabolite MEHP (100%) after 8h of exposure. Human skin was able to further oxidize MEHP to 5-oxo-MEHP. Neat DEHP applied to the skin hardly permeated skin while the aqueous solution readily permeated skin measured in both cases as concentration of MEHP in the receptor liquid. DEHP pass through human skin, detected as MEHP only when emulsified in aqueous solution, and to a far lesser degree when applied neat to the skin. Using results from older in vitro skin permeation studies with non-viable skin may underestimate skin exposures. Our results are in overall agreement with newer phthalate skin permeation studies