Biological exposure index of styrene suggested by a physiologico-mathematical model

Summary We used a physiologico-mathematical model to study the biological exposure index of styrene correlated to the Threshold Limit Value (TLV) suggested by the ACGIH for 1986–87. This model allows the solvent concentrations in blood, alveolar air, fat tissue, and in other biological media to be estimated and simultaneously the kinetics of its metabolites to be followed when a specific exposure is settled. The comparison between the results obtained from the mathematical model and the numerous research projects documented in the literature suggests a reciprocal validation. Moreover, some biological parameters (particularly the alveolar ventilation) can explain the variability of results obtained from studies concerning the solvent pollution of the factories, which used biological monitoring. The ranges of styrene concentrations in blood and alveolar air and the urinary concentrations of its metabolites (mandelic and phenylglioxylic acids) are discussed in connection with the exposure at 215 mg/m3. Important differences correlated to the definition of set-levels of TLV and Biological Exposure Index (BEI) have been found: particularly the TLVs lead to different solvent uptakes according to some biological parameters; the BEI can better explain the individual solvent uptake and body burden.     

Limitations of occupational air contaminant standards, as exemplified by the neurotoxin N-hexane

Available industry guidelines and federal standards have failed to fully protect workers from chemical toxicity: none exist for most chemicals, many are biased toward what can easily be achieved, and many were developed long after health consequences became evident. Limitations of occupational air contaminant standards in the United States are well illustrated by standard-setting for the neurotoxin n-hexane. In the 1940s, the American Conference of Governmental Industrial Hygienists (ACGIH) first promulgated industrial guidelines known as "threshold limit values" (TLVs), including an 8-hour time-weighted average of 500 ppm for inspired n-hexane. Despite subsequent recognition of the neurotoxicity of n-hexane with industrial outbreaks of polyneuropathy beginning in the 1960s, the TLV for n-hexane remained unchanged until 1976 when a value of 100 ppm was adopted. Because a growing number of clinical reports have identified clinical and subclinical neurotoxicity from n-hexane near, at, and below the current time-weighted average TLV of 50 ppm, even this level is too high to protect all workers. In part due to procedural and political constraints, the Occupational Safety and Health Administration (OSHA) has independently developed only a small number of exposure standards in the past 25 years, and has been incapable of providing needed revisions for existing standards. Most OSHA standards--including those for n-hexane--were adopted in 1971 from the 1968 ACGIH TLVs and have never been revised. From 1971 to 1989 the OSHA permissible exposure level (PEL) for n-hexane remained at 500 ppm, 5-10 times as great as other contemporary standards. To help correct its regulatory backlong, OSHA promulgated 375 new or revised PELs in 1989--including a new standard of 50 ppm for n-hexane--but all of these were vacated by the 11th U.S. Court of Appeals in 1992. As a result, the current OSHA PEL for n-hexane remains at the 500 ppm level adopted in 1971, which even then was too high based upon available scientific evidence. New information over this long period, including that obtained from industrial outbreaks of disease due to chemical exposures, has not been incorporated into revised federal standards.     

Threshold limit values,permissible exposure limits,and feasibility: The bases for exposure limits in the United States

The development of exposure limits in the United States has always relied heavily upon the threshold limit values (TLVs) developed by the American Conference of Governmental Industrial Hygienists (ACGIH). In fact, the TLVs were adopted as official exposure limits by the Occupational Safety and Health Administration (OSHA) in 1972 and 1989. Given the continuing importance of the ACGIH limits, this paper compares the basis of the TLVs with that employed by OSHA de novo in its 12 new permissible exposure limits (PELs). Using benzene as an example, it is shown that OSHA's new PELs have been established following a rigorous assessment of the inherent risks and the feasibility of instituting the limit. The TLVs, on the other hand, have been developed by ad hoc procedures and appear to have traditionally reflected levels thought to be achievable at the time. However, this might be changing. Analysis of the historical reductions of TLVs, for 27 substances on the 1991–1992 list of intended changes, indicates smaller reductions in the past (median reduction of 2.0–2.5-fold between 1946 and 1988) compared to those currently being observed (median reduction of 7.5-fold between 1989 and 1991). Further analysis suggests a more aggressive policy of the ACGIH regarding TLVs for carcinogens but not for substances that produce effects other than cancer. Regardless of whether the basis of the TLVs has changed recently, it would take a relatively long time for the impact of any change to be felt, since the median age of the 1991–1992 TLVs is 16.5 years, and 75% of these limits are more than 10 years old. The implications of OSHA's continued reliance on the TLVs as a means of updating its PELs are discussed, and four alternatives are presented to the ACGIH regarding the future of its activities related to exposure limits. It is concluded that new mechanisms are needed for OSHA to update its PELs in a timely fashion so that the TLVs will not be adopted by default in the future. © 1993 Wiley-Liss, Inc.     

An evaluation of compliance with occupational exposure limits for crystalline silica (quartz) in ten Georgia granite sheds

Since the 1920s, industrial hygiene studies have documented granite shed workers' exposures to crystalline silica, and the data from these studies have contributed to a better understanding of the relationship between silica exposures and adverse health effects, such as silicosis. The majority of these studies were conducted in the Barre, Vermont, granite sheds. However, a second major granite processing region is located in Elberton, Georgia, where approximately 1800 workers are employed in 150 granite sheds and 45 quarries. The current study reports the exposures of 40 workers in 10 granite sheds in Elberton, Georgia. The arithmetic mean exposure to silica for all monitored employees was 0.052 mg/m3. Employees were classified into one of seven job task groups. The job task group with the greatest exposure was the top polish group, which had a mean exposure of 0.085 mg/m3. Among the top polish workers, the greatest percentage of exposures above the Occupational Safety and Health Administration's permissible exposure limit (OSHA PEL) occurred among the workers who used dry grinders. Wet methods were effective in reducing these exposures to below the OSHA PEL. The mean exposure of Elberton granite shed workers was less than the OSHA PEL, but was not below the threshold limit value of the American Conference of Industrial Hygienists (ACGIH TLV), which was lowered in the year 2000 to 0.05 mg/m3. The Elberton granite shed workers provide a valuable cohort for research on the effects of exposure to crystalline silica at levels between the ACGIH TLV and the OSHA PEL. They are a relatively permanent worker population, are concentrated geographically, and have a quantitatively documented exposure to crystalline silica over the past twenty years.     

A comparison of sampling and analytical methods for assessing occupational exposure to diesel exhaust in a railroad work environment

Methods of assessing occupational exposure to diesel exhaust were evaluated in a railroad work environment. The American Conference of Governmental Industrial Hygienists (ACGIH)-recommended elemental carbon and respirable combustible dust methods of sampling and analysis for assessing diesel exhaust were included in the study. A total of 215 personal and area samples were collected using both size-selective (nylon cyclone and Marple) and non-size-selective samplers. The results demonstrate that the elemental carbon method is suitable for the railroad environment and the respirable combustible dust method is not. All elemental carbon concentrations measured were below the proposed ACGIH Threshold Limit Value (TLV) of 0.15 mg/m3. The concentrations of oxides of nitrogen (nitric oxide and nitrogen dioxide) were also found to be below their respective TLVs. There is no correlation between elemental carbon or respirable combustible dust and the oxides of nitrogen. The elemental carbon as fraction of total carbon is about 13 percent, except for onboard locomotives where it is about 24 percent. Comparison of elemental carbon and respirable combustible dust measurements showed consistent relationships for most sampling locations, with respirable combustible dust concentrations 12 to 53 times higher than the elemental carbon levels.     

Evaluation of employee exposure to organic tin compounds used as stabilizers at PVC processing facilities

Organic tin compounds are primary substances used as heat stabilizers by the polyvinyl chloride (PVC) industry. The use of these compounds in the PVC industry is generally well controlled, usually by automated processes. This study was conducted to provide an overview of worker exposure to organic tin compounds at PVC processing facilities and to verify that these exposures are below the threshold limit value (TLV((R))) set by the American Conference of Governmental Industrial Hygienists for organic tin. The basis of the TLV indicates the principal concern is to minimize adverse effects on immune function and the central nervous system from airborne exposure to organic tin. The TLV has a skin designation based on the potential for percutaneous absorption; the TLVs for inhalation exposures are based on the presumption that there is no concurrent exposure via the skin and oral ingestion routes.Personal exposure monitoring was conducted following the National Institute for Occupational Safety and Health (NIOSH) 5504 sampling method and a modified version of the NIOSH analytical method. The results were reported as"total tin."The data indicated no average exposure levels for individual tasks exceeded the organic tin TLV, and 96%of results the samples were less than 20%of the TLV. Only 1 sample of 102 exceeded the TLV, and the individual was wearing appropriate respiratory protection. Subsequent investigation indicated the highest exposures occurred while the operators were conducting tasks that included manual handling of the organic tin compounds. These data suggest manual operations may have a greater potential for organic tin exposure.     

Ototoxic occupational exposures for a stock car racing team: II. chemical surveys

The National Institute for Occupational Safety and Health (NIOSH) conducted a series of surveys to evaluate occupational exposure to noise and potentially ototoxic chemical agents among members of a professional stock car racing team. Exposure assessments included site visits to the team's race shop and a worst-case scenario racetrack. During site visits to the race team's shop, area samples were collected to measure exposures to potentially ototoxic chemicals, including, organic compounds (typical of solvents), metals, and carbon monoxide (CO). Exposures to these chemicals were all below their corresponding Occupational Safety and Health Administration (OSHA) permissible exposure limits (PELs), NIOSH recommended exposure limits (RELs), and American Conference of Governmental Industrial Hygienists (ACGIH) threshold limit values (TLVs). During site visits to the racetrack, area and personal samples were collected for organic compounds, lead, and CO in and around the "pit" area where the cars undergo race preparation and service during the race. Exposures to organic compounds and lead were either nondetectable or too low to quantify. Twenty-five percent of the CO time-weighted average concentrations exceeded the OSHA PEL, NIOSH REL, and ACGIH TLV after being adjusted for a 10-hour workday. Peak CO measurements exceeded the NIOSH recommended ceiling limit of 200 ppm. Based on these data, exposures to potentially ototoxic chemicals are probably not high enough to produce an adverse effect greater than that produced by the high sound pressure levels alone. However, carbon monoxide levels occasionally exceeded all evaluation criteria at the racetrack.     

Skin notation in the context of workplace exposure standards

In the establishment of workplace exposure standards, the potential for cutaneous absorption is taken into consideration through the addition of "skin notation" to the relevant substance. In the TLVs Documentation (ACGIH, 1986) dermal lethal dose to 50% (LD50) or human data are the bases for the assignment of "skin notation" to 91 of 168 substances. For the other substances, the "skin" attribution seems to be based on undocumented statements in 24 (14.5%), skin effects in 13 (8%), and analogy in 7 (4%), while in the remaining 33 (20%) any reference is lacking as to the basis for notation of the cutaneous route of entry. Furthermore, since the established "cut-off" value of 2 g/kg is sometimes bypassed when a notation is added or omitted, the use of dermal LD50 is perplexing. Given the relevance of the skin notation for the validation of threshold limit values (TLVs) in the workplace, a full examination and citation of all available scientific data are recommended when establishing the TLV of substances absorbable through the skin.     

Effect of hollow bit local exhaust ventilation on respirable quartz dust concentrations during concrete drilling

Drilling large holes (e.g., 10–20?mm diameter) into concrete for structural upgrades to buildings, highways, bridges, and airport runways can produce concentrations of respirable silica dust well above the ACGIH^® Threshold Limit Value (TLV^® = 0.025?mg/m³). The aim of this study was to evaluate a new method of local exhaust ventilation, hollow bit dust extraction, and compare it to a standard shroud local exhaust ventilation and to no local exhaust ventilation. A test bench system was used to drill 19?mm diameter x 100?mm depth holes every minute for one hour under three test conditions: no local exhaust ventilation, shroud local exhaust ventilation, and hollow bit local exhaust ventilation. There were two trials for each condition. Respirable dust sampling equipment was placed on a “sampling” mannequin fixed behind the drill and analysis followed ISO and NIOSH methods. Without local exhaust ventilation, mean respirable dust concentration was 3.32 (±?0.65) mg/m³ with a quartz concentration of 16.8% by weight and respirable quartz dust concentration was 0.55 (±?0.05) mg/m³; 22 times the ACGIH TLV. For both LEV conditions, respirable dust concentrations were below the limits of detection. Applying the 16.8% quartz value, respirable quartz concentrations for both local exhaust ventilation conditions were below 0.007?mg/m³. There was no difference in respirable quartz dust concentrations between the hollow bit and the shroud local exhaust ventilation systems; both were below the limits of detection and well below the ACGIH TLV. Contractors should consider using either local exhaust ventilation method for controlling respirable silica dust while drilling into concrete.     

A Cross-Sectional Assessment of the ACGIH TLV for Hand Activity Level

The ACGIH Worldwide Threshold Limit Value (TLV) for hand activity considers average hand activity level or HAL and peak hand force. We report cross-sectional data that assess the validity of the TLV with respect to symptoms and selected upper extremity musculoskeletal disorders among workers. The prevalence of symptoms and specific disorders were examined among 908 workers from 7 different job sites in relation to the TLV. Worker exposures were categorized as above the TLV, above the TLV Action Limit but below the TLV, or below the TLV Action Limit. Symptoms in the distal upper extremities did not vary by TLV category. Tendonitis in the wrist/hands/fingers did not vary by TLV category, but elbow/forearm tendonitis was significantly associated with TLV category. All measures of carpal tunnel syndrome were associated with TLV category. In all instances, prevalence of symptoms and specific disorders were substantial in jobs that were below the TLV action limit, suggesting that even at acceptable levels of hand activity, many workers will still experience symptoms and/or upper extremity musculoskeletal disorders, which may be important in the rehabilitation and return to work of injured workers. Future analyses need to examine the incidence of symptoms and upper extremity musculoskeletal disorders prospectively among workers in relation to the TLV for hand activity.     

Occupational Exposure to 1,3-Dichloropropene (Telone® II) in Hawaiian Pineapple Culture

1,3-dichloropropene (DCP), the primary constituent of Telone® II, is a subsoil fumigant that has supplanted 1,2-dibromo-3-chloropropane (DBCP) and ethylene dibromide (EDB) as primary fumigant in Hawaiian pineapple culture. To determine the potential for adverse health effects, an environmental survey was done to assess worker exposures. Exposures were predominantly below 1 ppm, which is the no-effect level determined with experimental animals, and the Threshold Limit Value (TLV) recommended by the American Conference of Governmental Industrial Hygienists (ACGIH).     

Assessing the health implications for healthcare workers of regulatory changes eliminating locally developed occupational exposure limits in favor of TLVs: an evidence-based bipartite approach

In response to the intention of the Workers' Compensation Board of British Columbia (WCB of BC) to eliminate made-in-BC occupational exposure limits (OELs) and adopt threshold limit values (TLVs), this study assessed the potential health impacts on healthcare workers (HCWs) of the proposed change, by (1) reviewing the processes used to establish the OELs and TLVs, (2) selecting of substances of health concern for HCWs, (3) identifying chemicals with discordances between existing OELs and the 2002 TLVs, and 4) reviewing the discordances and assessing the potential health implications. Differences in philosophies, policies and processes that influenced the setting of OELs and TLVs were substantial. The TLV process involves U.S. and international priorities; in BC, a tripartite committee determined OELs taking into consideration how OELs should be interpreted in the local context. 47 chemicals of concern to BC HCWs were discordant, with significant discordances totalling 57; 15 compounds had BC 8-hour OELs lower than their respective TLVs and three TLVs were lower than the 8-hour BC OELs. Review of six chemicals with discordances suggested a potential for increased risks of adverse health effects. Eliminating the local capacity and authority to set OELs is unlikely to cause major health problems in the short run, but as chemicals in use locally may not have up-to-date TLVs, eliminating the capacity for local considerations should be undertaken with great caution. While the WCB of BC did implement the change, the present report resulted in procedural changes that will provide better protection for the workforce.     

Engineering controls for selected silica and dust exposures in the construction industry--a review

This literature review summarizes engineering control technology research for dust and silica exposures associated with selected tasks in the construction industry. Exposure to crystalline silica can cause silicosis and lung fibrosis, and evidence now links it with lung cancer. Of over 30 references identified and reviewed, 16 were particularly significant in providing data and analyses capable of documenting the efficacy of various engineering controls. These reports include information on generation rates and worker exposures to silica and dust during four different tasks: cutting brick and concrete block, grinding mortar from between bricks, drilling, and grinding concrete surfaces. The major controls are wet methods and local exhaust ventilation. The studies suggest that while the methods provide substantial exposure reductions, they may not reduce levels below the current ACGIH threshold limit value (TLV) of 0.05 mg/m(3) for respirable quartz. Although further research on controls for these operations is indicated, it is clear that effective methods exist for significant exposure reduction.     

Was there sufficient justification for the 10-fold increase in the TLV for silica fume? A critical review

In 1992, the Threshold Limit Value (TLV) for amorphous silica fume produced as a by-product of metallurgical processes was revised upwards from 0.2 mg/m³ (respirable dust) to 2.0 mg/m³. Comparison of the documentation justifying the lower TLV published by the ACGIH in 1989, with the subsequent documentation justifying the higher value published in 1992, does not support this increase. Following an outline of the problem areas existing in interpretational difficulties of experimental and review material in the silica fume bibliography, this paper provides a detailed examination of the six additional references cited in the 1992 documentation. All additional material suggests a need for extra caution, particularly with respect to recent experimental work in Australia on the sizing of silica fume. This paper concludes that the health evidence supports a TLV for silica fume closer to 0.3 mg/m³ rather than the current 2.0 mg/m³ now adopted in the U.S. and Australia. Am. J. Ind. Med. 33:212–223, 1998. © 1998 Wiley-Liss, Inc.     

Evaluation of potential toxicity from co-exposure to three CNS depressants (toluene, ethylbenzene, and xylene) under resting and working conditions using PBPK modeling

Under OSHA and American Conference of Governmental Industrial Hygienists (ACGIH) guidelines, the mixture formula (unity calculation) provides a method for evaluating exposures to mixtures of chemicals that cause similar toxicities. According to the formula, if exposures are reduced in proportion to the number of chemicals and their respective exposure limits, the overall exposure is acceptable. This approach assumes that responses are additive, which is not the case when pharmacokinetic interactions occur. To determine the validity of the additivity assumption, we performed unity calculations for a variety of exposures to toluene, ethylbenzene, and/or xylene using the concentration of each chemical in blood in the calculation instead of the inhaled concentration. The blood concentrations were predicted using a validated physiologically based pharmacokinetic (PBPK) model to allow exploration of a variety of exposure scenarios. In addition, the Occupational Safety and Health Administration and ACGIH occupational exposure limits were largely based on studies of humans or animals that were resting during exposure. The PBPK model was also used to determine the increased concentration of chemicals in the blood when employees were exercising or performing manual work. At rest, a modest overexposure occurs due to pharmacokinetic interactions when exposure is equal to levels where a unity calculation is 1.0 based on threshold limit values (TLVs). Under work load, however, internal exposure was 87%higher than provided by the TLVs. When exposures were controlled by a unity calculation based on permissible exposure limits (PELs), internal exposure was 2.9 and 4.6 times the exposures at the TLVs at rest and workload, respectively. If exposure was equal to PELs outright, internal exposure was 12.5 and 16 times the exposure at the TLVs at rest and workload, respectively. These analyses indicate the importance of (1) selecting appropriate exposure limits, (2) performing unity calculations, and (3) considering the effect of work load on internal doses, and they illustrate the utility of PBPK modeling in occupational health risk assessment.     

Occupational exposure to 1,3-dichloropropene (Telone II) in Hawaiian pineapple culture

1,3-dichloropropene (DCP), the primary constituent of Telone II, is a subsoil fumigant that has supplanted 1,2-dibromo-3-chloropropane (DBCP) and ethylene dibromide (EDB) as primary fumigant in Hawaiian pineapple culture. To determine the potential for adverse health effects, an environmental survey was done to assess worker exposures. Exposures were predominantly below 1 ppm, which is the no-effect level determined with experimental animals, and the Threshold Limit Value (TLV) recommended by the American Conference of Governmental Industrial Hygienists (ACGIH).     

The origin and basis of threshold limit values

The concept of establishing a “threshold limit” for contaminants of industrial air is based on the principles of establishing: (1) quantitative relationships between the magnitude and duration of exposure to an industrial substance and the nature and magnitude of the response of the worker, and (2) a limiting level of exposure to potentially hazardous agents, when there exists no significant threat to health. This paper focuses on the origin of this concept, and traces the history and development of thought concerning the founding principles upon which it is based. The TLVs have undergone a remarkable evolution, from values denoting concentrations of contaminant producing overt signs of acute toxicity, to those concentrations to which nearly all workers may be exposed for their working lifetime without experiencing adverse health effects.     

The effects of temperature and pressure on airborne exposure concentrations when performing compliance evaluations using ACGIH TLVs and OSHA PELs

Occupational hygienists perform air sampling to characterize airborne contaminant emissions, assess occupational exposures, and establish allowable workplace airborne exposure concentrations. To perform these air sampling applications, occupational hygienists often compare an airborne exposure concentration to a corresponding American Conference of Governmental Industrial Hygienists (ACGIH) threshold limit value (TLV) or an Occupational Safety and Health Administration (OSHA) permissible exposure limit (PEL). To perform such comparisons, one must understand the physiological assumptions used to establish these occupational exposure limits, the relationship between a workplace airborne exposure concentration and its associated TLV or PEL, and the effect of temperature and pressure on the performance of an accurate compliance evaluation. This article illustrates the correct procedure for performing compliance evaluations using airborne exposure concentrations expressed in both parts per million and milligrams per cubic meter. In so doing, a brief discussion is given on the physiological assumptions used to establish TLVs and PELs. It is further shown how an accurate compliance evaluation is fundamentally based on comparison of a measured work site exposure dose (derived from the sampling site exposure concentration estimate) to an estimated acceptable exposure dose (derived from the occupational exposure limit concentration). In addition, this article correctly illustrates the effect that atmospheric temperature and pressure have on airborne exposure concentrations and the eventual performance of a compliance evaluation. This article also reveals that under fairly moderate conditions of temperature and pressure, 30 degrees C and 670 torr, a misunderstanding of how varying atmospheric conditions affect concentration values can lead to a 15 percent error in assessing compliance.     

The impact of a change to inhalable occupational exposure limits: strontium chromate exposure in the U.S. Air Force

The American Conference of Governmental Industrial Hygienists has announced its intention to replace all total particulate threshold limit values (TLVs) with size-selective TLVs. Because the U.S. Air Force has adopted the TLVs as its occupational exposure limits, the impact of this change is of interest, specifically for hexavalent chromium. This article reviews historical strontium chromate sampling data in the Air Force and the impact of its reinterpretation in comparison to an inhalable TLV. Based on the measured conversion factor between the 37-mm cassette and the IOM inhalable sampler, inhalable strontium chromate exposures will continue to exceed the TLV during all aircraft priming and most sanding procedures. In addition, inhalable exposures are expected to exceed 1000 times the TLV, greater than the highest currently assigned protection factor for airline respirators, during 25% of priming procedures. Without a change in the value of the current TLV time-weighted average of 0.5 microg/m(3), the Air Force will need to reduce strontium chromate levels, either by incorporating work practices that decrease worker productivity or considering a change to nonchromated primers.