Mortality patterns of rock and slag mineral wool production workers: an epidemiological and environmental study.

An epidemiological and environmental study of rock and slag mineral wool production workers was undertaken at a plant that has been in operation since the early 1900s. Size characteristics of fibres produced by each process at the plant and data from industrial hygiene surveys were used to evaluate current and past exposures. These data suggest that the average historical airborne fibre concentration probably did not exceed 2.5 fibres/cc before 1935 and 1.0 fibre/cc after 1935. A retrospective cohort mortality study was designed to assess mortality patterns. Detailed occupational histories were compiled on all plant employees. All jobs in the plant were assigned to one of eight potential exposure categories to assess the extent and severity of mineral wool exposure and the effect of other significant exposures on employee mortality. Findings included an increase in the number of deaths due to cancer of the digestive system and non-malignant respiratory disease among workers who had over 20 years' exposure to mineral wool or who had survived 20 years since their first exposure to mineral wool. These findings are not inconsistent with those of Enterline's (Symposium on Biological Effects of Mineral Fibres, Lyon, France, September 1979) in the Thermal Insulation Manufacturers' Association's mortality study of men employed in four mineral wool plants.     

Mortality patterns of rock and slag mineral wool production workers: an epidemiological and environmental study

An epidemiological and environmental study of rock and slag mineral wool production workers was undertaken at a plant that has been in operation since the early 1900s. Size characteristics of fibres produced by each process at the plant and data from industrial hygiene surveys were used to evaluate current and past exposures. These data suggest that the average historical airborne fibre concentration probably did not exceed 2.5 fibres/cc before 1935 and 1.0 fibre/cc after 1935. A retrospective cohort mortality study was designed to assess mortality patterns. Detailed occupational histories were compiled on all plant employees. All jobs in the plant were assigned to one of eight potential exposure categories to assess the extent and severity of mineral wool exposure and the effect of other significant exposures on employee mortality. Findings included an increase in the number of deaths due to cancer of the digestive system and non-malignant respiratory disease among workers who had over 20 years' exposure to mineral wool or who had survived 20 years since their first exposure to mineral wool. These findings are not inconsistent with those of Enterline's (Symposium on Biological Effects of Mineral Fibres, Lyon, France, September 1979) in the Thermal Insulation Manufacturers' Association's mortality study of men employed in four mineral wool plants.     

Exposures to refractory ceramic fibers in manufacturing and related operations: a 10-year update

Refractory ceramic fiber (RCF) is a man-made vitreous fiber used for its insulating properties. Since 1987, the work environment of approximately 800 persons employed in fiber manufacture or production operations directly related to manufacturing has been monitored to evaluate exposure levels. Samples were collected quarterly from the breathing zones of randomly selected workers. The measurements from those working in areas of similar activities and exposure controls (dust zones or homogeneous exposure groups) were used to calculate a mean exposure during identified time periods. Persons who spent all of their work time in one zone/group were assigned this mean exposure; those with responsibilities in more than one area were assigned an exposure based on a time-weighted formula. A total of 3213 measurements were used to estimate exposure for 130 job titles; because of the mobile jobs, many samples contribute to the estimates of exposure for multiple job titles. The majority of exposure estimates (53%) have remained stable over the operational history of the plant reported here. For 32 job titles (25%) exposures have decreased, and for 28 job titles (22%) exposures have increased. Of the 122 job titles active in 2001, 97 (79%) exposures were estimated to be at 0.25 f/cc or lower; 8 (7%) had an exposure exceeding 0.5 f/cc (range 0.51-0.80) and 17 (14%) of these exposure estimates were in the range of > 0.25 f/cc to 0.5 f/cc. The continuing program to measure exposure supports a respiratory health surveillance program in these facilities.     

An evaluation of the historical exposures of mechanics to asbestos in brake dust

This article presents a historical analysis of published data regarding the exposure of brake mechanics to asbestos as a result of doing brake work. Concerns about this possible hazard were first raised in the late 1960s. This analysis focuses on 30 years of data collected during the brake repair event (e.g., a brake job) and 8-hour time-weighted average (TWA) personal samples. A brake job TWA represents the average concentration a mechanic experienced during brake servicing, rather than throughout the workday, and an 8-hour TWA represents the average airborne concentration of asbestos for the entire workday (which would involve brake work and other activities). Nearly 200 brake job and 8-hour TWA airborne asbestos samples were analyzed to assess how asbestos concentrations varied by type of vehicle serviced, country in which mechanics worked, time period, and brake-cleaning method. To facilitate comparisons, brake job TWAs were converted to estimated 8-hour TWAs using the durations and number of brake jobs performed per mechanic each day. Estimated and measured 8-hour TWAs for mechanics servicing automobiles and light trucks ranged from <0.002 to 0.68 f/cc, with a mean of 0.04 f/cc. In contrast, the 8-hour TWAs for mechanics servicing heavy trucks and buses ranged from 0.002 to 1.75 f/cc, with a mean of 0.2 f/cc, suggesting that these mechanics experienced higher daily asbestos exposures than automobile and light truck mechanics. Brake job and 8-hour TWAs for brake mechanics worldwide were found to be similar during the same time periods, and they were consistently below contemporaneous occupational health standards in the United States. The increased use of brake-dust control measures in some garages resulted in at least a 10-fold decrease in the TWA airborne concentrations of asbestos from the 1970s to the late 1980s.     

Development of a job exposure matrix (JEM) for the textile industry in Shanghai, China

We developed a job exposure matrix (JEM) for the Shanghai textile industry constructed along three axes: industry sector, textile process, and hazardous agent. We assessed 35 different categories of dust, chemical, and physical agents for 149 textile processes within nine industry sectors: cotton, cotton/synthetic, cotton/other (nonsynthetic), wool, silk, synthetic, mineral, other mixed (e.g., wool and synthetic), and nonproduction. The JEM was constructed from two components: a priori assessment of the textile process by a team of U.S. industrial hygienists, and the prevalence of exposures reported by Chinese industrial hygienists in specific textile processes within the factory. The JEM was applied to an ongoing case-cohort study of cancer in women textile workers. The JEM assessed only dichotomous exposure (ever/never), and could be coupled with cumulative exposure by years of employment. The most common exposures in cotton mills were cotton dust and solvent exposures. Dyeing processes had the highest frequency of exposures, including solvents, acids, bases and caustics, bleaching agents, dyes, dye chemicals and intermediates, and formaldehyde. Only two processes were identified with formaldehyde exposure, beck dyeing and resin finishing. The most prevalent exposures among the subcohort, occurring in more than 60% of the women, were electromagnetic fields, lubricants, and cotton dust. More than one-third of subcohort subjects were also exposed to synthetic fiber dust, and slightly less than one-third of women were exposed to endotoxin. This JEM could be applicable for epidemiologic research in other textile industries.     

An evaluation of short-term exposures of brake mechanics to asbestos during automotive and truck brake cleaning and machining activities

Historically, the greatest contributions to airborne asbestos concentrations during brake repair work were likely due to specific, short-duration, dust-generating activities. In this paper, the available short-term asbestos air sampling data for mechanics collected during the cleaning and machining of vehicle brakes are evaluated to determine their impact on both short-term and daily exposures. The high degree of variability and lack of transparency for most of the short-term samples limit their use in reconstructing past asbestos exposures for brake mechanics. However, the data are useful in evaluating how reducing short-term, dust-generating activities reduced long-term exposures, especially for auto brake mechanics. Using the short-term dose data for grinding brake linings from these same studies, in combination with existing time-weighted average (TWA) data collected in decades after grinding was commonplace in rebuilding brake shoes, an average 8-h TWA of approximately 0.10 f/cc was estimated for auto brake mechanics that performed arc grinding of linings during automobile brake repair (in the 1960s or earlier). In the 1970s and early 1980s, a decline in machining activities led to a decrease in the 8-h TWA to approximately 0.063 f/cc. Improved cleaning methods in the late 1980s further reduced the 8-h TWA for most brake mechanics to about 0.0021 f/cc. It is noteworthy that when compared with the original OSHA excursion level, only 15 of the more than 300 short-term concentrations for brake mechanics measured during the 1970s and 1980s possibly exceeded the standard. Considering exposure duration, none of the short-term exposures were above the current OSHA excursion level.     

Trends in occupational asbestos exposure and asbestos consumption over recent decades in Korea

In Korea, national statistics for asbestos exposure levels covering various asbestos industries and associated with specific years have never been published. The authors analyzed 2,089 asbestos exposure data sets compiled from 1995 through 2006. Exposure levels were characterized according to type of asbestos industry and year. Asbestos exposure levels have decreased over time, dropping sharply from 0.92 fibers/cc (f/cc) in 1996 to 0.60 f/cc in 1997, to 0.19 f/cc in 1998, and to 0.06 f/cc in 1999, possibly in part because of enforcement of 1997 legislation banning the use of amosite and crocidolite. In particular, a substantial reduction in asbestos exposure levels was most evident among primary industries handling raw asbestos directly. A similar relationship was found between a significant decline in asbestos consumption volume and the timing of regulation enforcement.     

Occupational exposures to carcinogens in Italy: an update of CAREX database

To update estimates of the prevalence of occupational exposures to carcinogens in Italy, the 85 CAREX agents were re-assessed. The original exposure estimates in the CAREX database were updated, taking into account changes in exposure patterns and in numbers of employees by industrial class. The 21.8 million employees in Italy, 19.4 in industry and services, 2.4 in agriculture, had 4.2 million exposures. Prevalences of exposures were highest for environmental (passive) tobacco smoke (800,000 exposures), solar radiation (700,000), diesel engine exhaust (500,000), wood dust (280,000), silica (250,000), lead and inorganic lead compounds (230,000), benzene (180 000), hexavalent chromium compounds (160,000), glass wool (140,000), and PAHs (120,000). Exposures to carcinogens at work are still an issue in Italy and do not appear to be controlled as strictly as they should be.     

Chrysotile asbestos exposure associated with removal of automobile exhaust systems (ca. 1945-1975) by mechanics: results of a simulation study

For decades, asbestos-containing gaskets were used in virtually every system that involved the transport of fluids or gases. Prior to the mid-1970s, some automobile exhaust systems contained asbestos gaskets either at flanges along the exhaust pipes or at the exhaust manifolds of the engine. A limited number of automobile mufflers were lined with asbestos paper. This paper describes a simulation study that characterized personal and bystander exposures to asbestos during the removal of automobile exhaust systems (ca. 1945-1975) containing asbestos gaskets. A total of 16 pre-1974 vehicles with old or original exhaust systems were studied. Of the 16 vehicles, 12 contained asbestos gaskets in the exhaust system and two vehicles had asbestos lining inside the muffler. A total of 82 samples (23 personal, 38 bystander, and 21 indoor background) were analyzed by Phase Contrast Microscopy (PCM) and 88 samples (25 personal, 41 bystander, and 22 indoor background) by Transmission Electron Microscopy (TEM). Only seven of 25 worker samples analyzed by TEM detected asbestos fibers and 18 were below the analytical sensitivity limit (mean 0.013 f/cc, range 0.001-0.074 f/cc). Applying the ratio of asbestos fibers:total fibers (including non-asbestos) as determined by TEM to the PCM results showed an average (1 h) adjusted PCM worker exposure of 0.018 f/cc (0.002-0.04 f/cc). The average (1 h) adjusted PCM airborne concentration for bystanders was 0.008 f/cc (range 0.0008-0.015 f/cc). Assuming a mechanic can replace four automobile single exhaust systems in 1 workday, the estimated 8-h time-weighted average (TWA) for a mechanic performing this work was 0.01 f/cc. Under a scenario where a mechanic might repeatedly conduct exhaust work, these results suggest that exposures to asbestos from work with automobile exhaust systems during the 1950s through the 1970s containing asbestos gaskets were substantially below 0.1 f/cc, the current PEL for chrysotile asbestos, and quite often were not detectable.     

Exposure data from multi-application, multi-industry maintenance of surfaces and joints sealed with asbestos-containing gaskets and packing

Fluid sealing devices (gaskets and packing) containing asbestos are manufactured and blended with binders such that the asbestos fibers are locked in a matrix that limits the potential for fiber release. Occasionally, fluid sealing devices fail and need to be replaced or are removed during preventive maintenance activities. This is the first study known to pool over a decade's worth of exposure assessments involving fluid sealing devices used in a variety of applications. Twenty-one assessments of work activities and air monitoring were performed under conditions with no mechanical ventilation and work scenarios described as "worst-case" conditions. Frequently, the work was conducted using aggressive techniques, along with dry removal practices. Personal and area samples were collected and analyzed in accordance with the National Institute for Occupational Safety and Health Methods 7400 and 7402. A total of 782 samples were analyzed by phase contrast microscopy, and 499 samples were analyzed by transmission electron microscopy. The statistical data analysis focused on the overall data sets which were personal full-shift time-weighted average (TWA) exposures, personal 30-min exposures, and area full-shift TWA values. Each data set contains three estimates of exposure: (1) total fibers; (2) asbestos fibers only but substituting a value of 0.0035 f/cc for censored data; and (3) asbestos fibers only but substituting the limit of quantification value for censored data. Censored data in the various data sets ranged from 7% to just over 95%. Because all the data sets were censored, the geometric mean and geometric standard deviation were estimated using the maximum likelihood estimation method. Nonparametric, Kaplan-Meier, and lognormal statistics were applied and found to be consistent and reinforcing. All three sets of statistics suggest that the mean and median exposures were less than 25% of 0.1 f/cc 8-hr TWA sample or 1.0 f/cc 30-min samples, and that there is at least 95% confidence that the true 95th percentile exposures are less than 0.1 f/cc as an 8-hr TWA.     

IARC multicenter study on neoplastic disease caused by man-made vitreous mineral fibers (MMVF)]

Man-made vitreous fibres (MMVF) showed carcinogenic potential in experimental animals. Epidemiological data suggested an increased mortality from lung cancer among production workers, but the interpretation is still a matter of controversy. A European study encompassing 13 plants in 7 countries pointed towards a moderate excess of lung cancer among workers employed longer than 1 year in the production of rock/slag wool (SMR = 1.34, 95% CI = 1.08-1.63) and glass wool (SMR = 1.27, 95% CI = 1.07-1.50); the latter increase was not confirmed after applying local rates to calculate expected deaths. The elevated risk among rock/slag wool producers was present even in comparison with local rates, and was associated with increasing time from first exposure, and duration of exposure. Glass wool results exhibited a less definite pattern. Smoking was excluded, although indirectly, as a sufficient alternative explanation of the increased lung cancer risk. In a few plants, exposure to asbestos had occurred in limited periods for some workers, and might have contributed to the findings. Case-control studies are under way to thoroughly investigate the relative and possibly combined role of the different exposures, either occupational or not. Cohort studies in the USA produced results closely consistent with those of the European study.     

Fiber exposure reassessed with the new indices

The concentration of airborne fibers longer than 5 microns, thinner than 3 microns, and with an aspect ratio exceeding 3 as counted by phase contrast optical microscopy is the most widely used fiber exposure index. Recently, more adequate, specific exposure indices for asbestosis, lung cancer, and mesothelioma risk have been suggested by Lippmann (1988, Environ. Res., 46, 86-106). The consequences of using these indices are examined on the basis of calculations for a broad range of theoretical and published size distributions. Optical microscopy appears to be a good predictor of the exposure indices for asbestosis and for lung cancer after scaling. Only fibers longer than about 3 microns need to be counted in a transmission electron microscope. The lung cancer index still cannot explain the large differences of risk among chrysotile exposures. Both the mesothelioma exposure index and the ratio mesothelioma to lung cancer index ranks in order of increasing risk: wollastonite, glass and mineral wool, amosite, glass microfibers, chrysotile, and crocidolite. Amosite is thus not ranked according to epidemiological evidence. Detailed size information should be made available so that the size criteria can be adjusted. It may still prove necessary to use fiber type specific concentration limits.     

The morbidity and mortality of vermiculite miners and millers exposed to tremolite-actinolite: Part I. Exposure estimates

The vermiculite ore and concentrate of a mine and mill near Libby, Montana, was found to be contaminated with fibrous tremolite-actinolite. Of 599 fibers (length greater than 5 microns and width greater than 0.45 micron) counted in eight airborne membrane filter samples, 96% had an aspect ratio greater than 10 and 16% had an aspect ratio greater than 50. Additionally, 73% of the fibers were longer than 10 microns, 36% were longer than 20 microns, and 10% were longer than 40 microns. Estimates of exposure before 1964 in the dry mill were 168 fibers/cc for working areas, 182 fibers/cc for sweepers, 88 fibers/cc for skipping, and 13 fibers/cc for the quality control laboratory. In 1964-1971, exposure estimates for these areas were 33, 36, 17, and 3 fibers/cc, respectively. Estimates of exposures in the mine before 1971 ranged from 9-23 fibers/cc for drillers and were less than 2 fibers/cc for nondrilling jobs. All 8-hr TWA job exposure estimates decreased from 1972-1976, and from 1977-1982 were less than 1 fiber/cc.     

Current man-made mineral fibers (MMMF) exposures among ontario construction workers

Current occupational exposures to man-made mineral fibers (MMMF), including refractory ceramic fibers (RCF), were measured as part of an exposure assessment program for an epidemiological study pertaining to cancer and mortality patterns of Ontario construction workers. The assessments were carried out at commercial and residential sites. A total of 130 MMMF samples (104 personal and 26 area) was collected and included 21 RCF (16 personal and 5 area). The samples were analyzed by the World Health Organization method in which both respirable and nonrespirable airborne fibers are counted. The results show that Ontario construction workers' full-shift exposure to MMMF (excluding RCF) is generally lower than the American Conference of Governmental Industrial Hygienists' (ACGIH) recommended threshold limit value-time-weighted average (TLV-TWA) of 1 fibers/cc and thus should not present any significant hazard. However, approximately 40% of the occupational exposures to RCF are higher than ACGIH's TLV-TWA of 0.2 fibers/cc and present a significant potential hazard. Workers generally wore adequate approved respiratory protection, especially while performing particularly dusty tasks such as blowing, spraying, and cutting, so the actual exposure received by workers was lower than the reported values. Adequate control measures such as ventilation and respiratory protection should always be used when work involves RCF.     

Airborne fiber exposure assessment of dry asbestos-containing gaskets and packings found in intact industrial and maritime fittings

This study assessed airborne fiber exposures from intact asbestos-containing gaskets and packings while activities representative of historical work practices were performed. The study design eliminated analytical interferences while systematically capturing information related to activity variables. A series of gasket and packing activities was conducted according to traditional methods while sampling was performed to determine the 8-hour time-weighted average (TWA). The fittings used during this study were obtained intact from a decommissioned industrial power plant and U.S. Navy destroyers. The activities tested included flat blade scraping, hand wire brushing, power wire brushing, making gaskets with a ball-peen hammer, and stem packing removal and replacement. All activities were performed dry. Results for every area and personal sample showed the 8-hour TWAs were well below the current Occupational Safety and Health Administration permissible exposure limit of 0.1 f/cc. A database of more than 400 points was developed to analyze information from variable factors related to the tests. These factors included, for example, type of gasket, composition of the gasket, percentage of gasket adhering to a flange surface, gasket surface area, and minutes elapsed for removal. The results demonstrate a very low rate of fiber exposure from routine activities associated with asbestos-containing elastomeric gaskets and impregnated packing.     

Personnel exposure to diazinon in a supervised pest eradication program

Dermal and respiratory exposure was measured for 15 workers applying a granular diazinon pesticide formulation, using equipment more typical of residential home owner use than large scale or agricultural operations. Urine samples were analyzed for the metabolic product diethylthiophosphate (DETP). The primary determinants of exposure and exposure distribution were job classification and the use of one type of broadcast spreader. Diazinon exposures ranged from 0.1 to 11 mg/day for workers, and from 0.03 to 0.3 mg/day for supervisory personnel, during sampling periods ranging from 3.3 to 7 hr. Individual exposures correlated well with observed duties. An association was found between morning shift diazinon exposure and afternoon urinary DETP levels.     

Respiratory cancer and exposure to man-made vitreous fibers: a systematic review

BACKGROUND: Man-made vitreous fibers (MMVF's) have some structural features similar to those found in asbestos. This has lead to concern that exposure to MMVF's could increase the risk of respiratory cancer. METHODS: Bibliographic resources were used to identify 10 case-control and 10 cohort studies, which analyzed the relationship between exposure to MMVF's and cancer of the respiratory system. Standardized mortality ratio's (SMR's) were extracted from the cohort studies for a meta-analysis. RESULTS: A significant increase in SMR was observed for workers exposed to rock and glass wool, but not in workers exposed to glass filament. Meta-analysis of SMR's after stratification by fiber type resulted in aggregate estimates of risk of 1.23 (95% CI = 1.10-1.38), 1.08 (95% CI = 0.93-1.26), and 1.32 (95% CI = 1.15-1.52) for exposure to glass wool, glass filament, and rock wool, respectively. Some or all of the increased mortality could be attributed to tobacco use. CONCLUSIONS: The results highlight the difficulty of assessing small increases in risk of respiratory cancer potentially caused by occupational exposure in populations with high prevalence of tobacco use.     

A case-control study of the relationship between the risk of colon cancer in men and exposures to occupational agents

BACKGROUND: We conducted a population-based case-control study in Montreal, Canada, to explore associations between hundreds of occupational circumstances and several cancer sites, including colon. METHODS: We interviewed 497 male patients with a pathologically confirmed diagnosis of colon cancer, 1514 controls with cancers at other sites, and 533 population-based controls. Detailed job histories and relevant potential confounding variables were obtained, and the job histories were translated by a team of chemists and industrial hygienists into a history of occupational exposures. RESULTS: We found that there was reasonable evidence of associations for men employed in nine industry groups (adjusted odds ranging from 1.1 to 1.6 per a 10-year increase in duration of employment), and in 12 job groups (OR varying from 1.1 to 1.7). In addition, we found evidence of increased risks by increasing level of exposures to 21 occupational agents, including polystyrene (OR for "substantial" exposure (OR(subst)) = 10.7), polyurethanes (OR(subst) = 8.4), coke dust (OR(subst) = 5.6), mineral oils (OR(subst) = 3.3), polyacrylates (OR(subst) = 2.8), cellulose nitrate (OR(subst) = 2.6), alkyds (OR(subst) = 2.5), inorganic insulation dust (OR(subst) = 2.3), plastic dusts (OR(subst) = 2.3), asbestos (OR(subst) = 2.1), mineral wool fibers (OR(subst) = 2.1), glass fibers (OR(subst) = 2.0), iron oxides (OR(subst) = 1.9), aliphatic ketones (OR(subst) = 1.9), benzene (OR(subst) = 1.9), xylene (OR(subst) = 1.9), inorganic acid solutions (OR(subst) = 1.8), waxes, polishes (OR(subst) = 1.8), mononuclear aromatic hydrocarbons (OR(subst) = 1.6), toluene (OR(subst) = 1.6), and diesel engine emissions (OR(subst) = 1.5). Not all of these effects are independent because some exposures occurred contemporaneously with others or because they referred to a group of substances. CONCLUSIONS: We have uncovered a number of occupational associations with colon cancer. For most of these agents, there are no published data to support or refute our observations. As there are few accepted risk factors for colon cancer, we suggest that new occupational and toxicologic studies be undertaken focusing on the more prevalent substances reported herein.