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Frank
Mirer
Health Effects
of Exposure to Particulate Matter: Implications for the Occupational
Environment
A recent paper on health effects of community air pollution raises
additional concerns for the occupational environment.
The investigators performed a time-series analysis in 10 US cities,
including Detroit. They correlated changes in daily rates for various
causes of death with levels of particulate air pollution, controlling for
weather and day of the week. The measure selected was Particulate Matter
less than 10 microns in diameter (PM10), which is measured on a daily
basis for Clean Air Act compliance. The
PM10 effect was estimated based on its daily mean, 2-day moving average,
and the cumulative 7-day effect. A 10-µg/m3 increase in the 7-day mean of
PM10 was associated with increases in deaths due to pneumonia (2.7),
chronic obstructive pulmonary disease (1.7%), and all cardiovascular
diseases (1.0 %). A 10-µg/m3 increase in the 2-day mean of PM10 was
associated with a 0.7% increase in deaths from myocardial infarction. Two
different patterns could be observed: respiratory deaths were more
affected by air pollution levels on the previous days, whereas
cardiovascular deaths were more affected by same-day pollution.
This is one of many studies which find the same
correlation between increases in particulate air pollution and pulmonary
and cardiac deaths and hospital admissions.
Correlation is generally better with a smaller size fraction of
particulate pollution, known as particulate matter less than 2.5 microns
(PM 2.5). The particulate effect on cardiac health was not expected, but
is now thought to arise either from absorption of small particles directly
into the circulation, or from release of chemicals showing tissue injury
in the lung. This study raises some concern for whether the EPA limit has
any margin of safety. The average PM 10 exposures in these cities ranged
from a low of about 27 micrograms per cubic meter in Colorado Springs, today to a high of about 43 micrograms per cubic meter in
Spokane, with Detroit in the middle about 36. These are in compliance with
the EPA annual average limit of 50 micrograms per cubic meter.
Nevertheless, health effects, could be observed with variations within
that range.
This study also raises a significant question for
the occupational environment. PM10 is very close to the OSHA measure
called total particulate, measured with a closed face cassette.
It may be that the large majority of the mortality observed in this
study was among the very old, among the already sick, or for pneumonia
among children. Employed people of working age would be expected to be
much more healthy than sensitive individuals. Nevertheless, the OSHA
standard for a total particulate averages out to allow close to 100 times
the exposure that the EPA limit allows. Actual exposures in the
manufacturing, mining and construction environments are well into the
range where these health effects are being observed.
The UAW is not prepared to suggest a safe
exposure level for particulates not otherwise classified in the
occupational environment. We believe it would be prudent for exposure to
be assessed by a method sensitive enough to detect the exposures of 100
micrograms per cubic meter total particulate.
Alfesio
Luis Ferreira Braga,PhD Antonella Zanobetti, PhD, and Joel Schwartz,
PhD, The
Lag Structure Between Particulate Air Pollution and Respiratory and
Cardiovascular Deaths in 10 US Cities, JOEM 43: 927-933(2001)
Ryszard Szozda
On Carbon Black
Introduction
Carbon black is sometimes confused with soot, but it is a very different
material. It is a powdered form of elemental carbon manufactured by the
controlled vapor–phase pyrolysis of hydrocarbons. There are many
different types of carbon blacks. There are four principal methods of
manufacture : furnace, channel, lampblack and thermal black processes, as
well as special ones, e.g., the acetylene process. Carbon black is an
essential ingredient of thousands of industrial products. However, over
90% of carbon black produced is used as a reinforcing filler in
elastomers, mainly in the manufacture of tires. Some other important
applications are pigment in inks, paints, paper and plastics, conductive
fillers, radio frequency insulators, dry cell batteries, magnetic tapes,
UV stabilizers and antioxidants in plastics and photocopy toners. The
workers are potentially exposed to carbon black during its manufacture and
while using this product.
The History of Carbon Black
Ancient advanced civilizations, like those of the Chinese, Indians,
Egyptians, Greeks and Romans, required carbon blacks for watercolors,
inks, so they were able to decorate the walls of their buildings.
Essentially nothing has changed in the production process for centuries,
from ancient times to the 19th century. Lampblack in the new
era of production was first produced commercially in the USA in 1840,
where it was separated from the gases and made into pellets. Another type
of carbon black – the channel black experienced a rapid upswing in
demand, especially after the discovery in 1904 of usefulness in
reinforcing filler for rubber. From 1910 carbon black was used as a
reinforcing agent in tire production.
Manufacture of Carbon Black
Carbon black is manufactured by a number of different methods. The highly
aromatic oil feedstock is steam atomized into the reactor, which is at a
temperature of 1200 –1850 °C. The feedstock is either pyrolised under
reduction conditions, or is cracked wherein the carbon atoms are
dissociated from the other elements present in the oil. The mayor by –
products are gases, called „production gas” and after cooling are
separated from carbon black.. As a result of legislative restrictions on
direct emission and of the high energy content to this gas, it is used in
other processes such as power generation and community heating. The major
problem for employees (during production processes and usage) is carbon
black concentration in the air and the possibility of a dust explosion, so
all methods of controlling hazardous conditions must be done. There were
many articles about these problems.
Occupational Exposure
Industrial hygiene studies of production processes, the major carbon
black use industry, tire manufactury and so on found mean dust levels from
< 0,5 mg/m3 to > 100 mg/m3. Regulations
limiting occupational exposure to carbon black at a TWA of 3,5 or 4,0 mg/m3
are found in many countries, although a few allow higher exposure, e.g.
Germany – 6,0 and Switzerland – 8,0 mg/m3. Organic solvent
extracts of carbon black contain mainly four or more Polynuclear Aromatic
Hydrocarbons [PAH], among which are known or suspected animal mutagens and
carcinogens. However, PAH interact strongly with cabon surface, and are
not readily bioavailable when adsorbed on carbon black.
Toxicology and Health Aspects
The production and use of carbon black normally results in the workers
in the industry coming into contact with the bulk materials or dusts that
may arise when carbon black is handled, resulting in a certain amount of
risk. A number of studies have been published in which various species of
animals have been dosed with carbon black. All studies performed with
experimental animals have reached contrasting conclusions regarding the
hazard of exposure to carbon black.
Most of the reports, describing the effects of carbon black on
humans have dealt with pulmonary effects, while only a few have studied
its effects on oral mucosa, skin, the heart, the digestive system, or as a
cancer hazard. The overall results of all epidemiological studies have
been the subject of controversial scientific discussion for decades. In
about half of all reports, there is some speculation about a carcinogenic
risk of workers employed in the production processes and use of this
substance. There are two points of view on this subject: some believe
carbon black is a potential carcinogen while others think it is not. For
proper assessment of the toxicity of carbon black and its potential hazard
to the working population, further animal and human study is needed.
Ecology
Most of the energy generated globally is based on the combustion of
coal and fuel oil. The combustion of carbon containing materials is one of
the main contributors to world – wide pollution of the atmosphere.
Besides carbon dioxide, the pollutants NO2 and SO2
are the major concern. Since legislation in different countries has become
more stringent, these pollutants provide an environmental and an economic
challenge also to the carbon black producer. Carbon dioxide in particular
is held responsible for global changes of the climate by increasing
ambient temperatures, through a phenomenon known as the ‘green house’
effect. Carbon black and energy are closely linked in terms of both raw
materials and final products. The feedstock used for the production of
carbon black consists of aromatic oils that also can be used for
generating heat. During the production process only about 50% of the
hydrocarbons used as feedstock and fuel are converted into an off-gas
contributing to the carbon dioxide level. The rest of the carbon in the
form of carbon black may be considered as a product with a hidden energy.
Carbon black itself is a potential carbon dioxide
producer and CO2 may be its final destiny. However before the
end of its life it contributes to the lifestyle of mankind. It is used in
the rubber industry and as pigment and in some other applications. At the
end of the lifetime of all of these products, it is very probably that
they will be burnt producing energy. Nevertheless, they would not then
contribute to the green house effect, because they would replace fuel oil
or coal, which would otherwise be needed for energy production. Carbon
black itself can be a source of energy.
The development of risk assessment procedures for
airborne particles and gases has evolved over the years. During the last
several years the use of data on the mechanisms by which particles and
gases cause disease has been suggested to reduce the uncertainty in
estimates of human risks from exposures to them. Carbon black may often be
produced from recycled materials, for example, from oils derived from
scrap tires. It is possible that there is no ecological problem at all,
since in these processes recycled products can be used. An ecological
perspective in environmental health would mean that solutions to
environmental health problems would be sought by adopting a much broader
and longer term perspective. To find effective solutions we need to
understand much more about the natural world and work in partnership in
nature. These must be understood by all carbon black producers and users.
The Carbon Black Industry and It’s Future
Carbon black differs from other carbon – based materials in many
respects, an important one beeing that of bulk density. This property has
prompted carbon black production facilities to be located as close as
possible to consumers, since when compared with carbon black feedstock,
the transportation costs are considerably higher. As a consequence carbon
black plants are concentrated in those parts of world where major portions
of industry requiring this material are located. Carbon black plants are
distributed all over the world: in North America, Western Europe, Eastern
Europe, Asia , South America, Africa , and Australia, for a total of 146.
The future of the carbon black industry lies in
the development of environmental ecology policies by both producers and
users. Carbon black is still a necessary product. There were, there are
and there will be some differences in production processes, ecology,
exposure and health conditions of carbon black workers throughout the
world. Carbon black is a pathogenic factor of some diseases and ecology.
There is a need for continuous monitoring of workers health condition, as
well as for improving the working conditions where they are employed.
Selected References on Carbon Black
Szozda
R.: The respiratory health of carbon black workers – differences between
Polish, West European and American Scientific Reports. J UOEH 1994, 16
(1), 91 – 95.
Szozda
R.: The history of carbon black production and preventive health programs
in carbon black industry in Poland. In.: A.Grieco, S.Iavicoli and
G.Berlinguer (ed), Elsevier Science B.V. 1999; 233 - 239.
Szozda R.:
Characteristic features of workers exposure at the „CARBOCHEM” Carbon
Black Factory in Gliwice (in Polish) Medycyna Pracy 1994, 5, 399 – 404.
Szozda R.:
Condition of the respiratory system in workers involved in carbon black
production. (in Polish) Medycyna Pracy, 1994, 1, 57 – 61.
Szozda R.:
The circulatory system in workers involved in carbon black production. (in
Polish). Medycyna Pracy, 1994, 5, 405 – 410.
Szozda R.:
Pneumoconiosis in carbon black workers. JUOEH 1996, 18 (3), 223 – 228.
Szozda R.:
Effects of carbon black in health of workers involved in the production
process (1999). Comparison of our own results with those obtained by
foreign authors. (in Polish) Medycyna Pracy 2000, 2, 139 – 144.
Criteria
for a recommended standard: Occupational exposure to carbon black. USDHEW,
PHS, CDC, National Institute for Occupational Safety and Health,
Washington, DC 1978.
Monographs on the evaluation of the carcinogenic risk of
chemicals to humans: Polynuclear Aromatic Hydrocarbons. Part 2. Carbon
blacks, mineral oils (lubricant base oils and derived products) WHO,
International Agency for Research on Cancer, Lyon 1984.
Monographs
on the evaluation of the carcinogenic risks of chemicals to humans:
Printing processes and printing inks, carbon black and some nitro
compounds. WHO, International Agency for Research on Cancer, Lyon 1996.
[1]
Ryszard Szozda, MD, PhD is Head ofthe Occupational Healthcare Unit, in
Gliwice, Poland. See article below: Meet a GEE! Reader!
[2]The
author acknowledges assistance on the subject of carbon black by
Professor Malcolm Harrington, University of Birmingham, and General
Manager Erwin Sroka and the Technical Manager Jerzy Kropiwnicki,
„CARBOCHEM” Carbon Black Factory Gliwice, Poland.
[3]
See NIOSH Criteria for a Recommended Standard. Occupational
exposure to carbon black. USDHEW, PHS, CDC, NIOSH, 1978. IARC
Monographs on the evaluation of the carcinogenic risk of chemicals to
humans. Polynuclear Aromatic Hydrocarbons. Part 2. WHO, IARC, 1984.
IARC Monographs on the evaluation of the carcinogenic risks of
chemicals to humans. Printing processes and printing inks, carbon
black and some nitro compounds. WHO, IARC, 1996.
[4]
Editor’s note: According to Dr. Szozda, workers at Carbochem
experience a low rate of occupationally-associated disease, as defined
by Polish law, including skin disease, chronic bronchitis,
pneumoconiosis, pulmonary and mucosa carcinomas.
Meet a GEE! Reader!
Ryszard Szozda was born in 1955 in the town of Gliwice, where he
graduated from the Silesian Medical Academy in 1980, and later studied
Occupational Medicine, with additional degrees Social Medicine and
Health Protection. He has worked in the Town Hospital in Gliwice and as
head of Occupational Health Care Units, but also in the Military Hospital
as a consultant. His staff includes a psychologist, laryngologist,
neurologist and ophthalmologist. They serve some six to seven thousand
patients: carbon black workers, other chemical industries workers,
construction industry and teachers, doing prophylactic examinations and
cooperating with factory management in the organization of health
protection. Author of 130 papers,
he is active in the Polish Societies for Occupational Physicians and
Occupational Hygienists, and the International Commission of Occupational
Health.
Human
Ecology
Workers
Memorial Day
Raises An Important Question
Each year since 1989, unions in the United
States, and now through much of the industrialized world, dedicate April
28 as Workers Memorial Day. April 28, 1971 is the date the
Occupational Safety and Health Act of 1970 went into effect. The theme is
constant, a refrain from Mother Jones, a revered union organizer: Mourn
for the Dead, Fight for the Living! More than three decades have
passed since the passage of the OSHAct, and similar legislation has been
enacted in many other countries. Why is April 28th still an
important day?
Part of the answer lies in every issue of the
dozens of medical and scientific journals published worldwide that
document why at least 1.1 million workers die, 250 million workers
are disabled, 160 million workers develop occupational disease, and 12
million “youth” workers are injured annually at a cost of 4% of
the world’s GNP.
Thirty years ago, the United States government
under the pressure of lawsuits brought by the AFL-CIO reluctantly
set a responsive standard for asbestos. Other countries quickly followed
with their own restrictions, including bans. For some, even an enforced
ban was and is too late. In Australia, for example, where a ban is planned
but not yet in place, there have been about 7000 cases of mesothelioma,
just one of the diseases associated with asbestos exposure, an incurable
cancer almost always attributable to asbestos exposure, from 1945 to the
present time. The toll is expected to reach 18,000 by 2020.
The risk is not among civilian workers alone.
Last month, GEE! received an e-mail from a 27 year old
American sailor recently discharged from an aircraft carrier. “I worked
in the boiler room,” he wrote, “…uncovered old asbestos
insulation…repacked hundreds of valves with asbestos-based
packing…replaced hundreds flextallic gaskets that were
asbestos-based.” .
Last year, we wrote about an unsuccessful effort
by American civilian maintenance workers in US Army facilities in South
Korea. They asked the Army to enforce its own rules on asbestos control to
protect workers and families of servicemen who maintain and inhabit
government facilities contaminated with asbestos. [See archives]
Thirty years ago, the case could be made that
governments in our global society were unaware of the nature and extent of
the asbestos hazard. Not today. This explains the attitude of the
world’s free labor movement toward any action or even idea that would
shift the burden of moral responsibility from the employer, who is often
the government, to the worker, including the use of tests for genetic
susceptibility to mesothelioma and the other causes of 160 million annual
cases of occupational disease. [See Genetic Profiles in this issue
and the archive of GEE!]
Rory O’Neill, editor of Hazards,
reports that: “Australia's unions say employers should 'be
prohibited from requiring, requesting, collecting or disclosing
information derived from genetic testing of current or potential
employees.' In a submission to an official commission of enquiry, union
federation ACTU says: 'Although sometimes justified in terms of protecting
workers' health and safety at work, the ACTU submits that this is an
inversion of the fundamental principles; employers are responsible for
providing employees with a safe and healthy workplace, while work-related
illnesses and injuries are caused by hazards in the workplace, not by
employees' genetic make-up.' It adds that 'the focus in workplace health
and safety needs to be on hazard removal, not on a mathematical
calculation of risk based on genetic testing.' “.
Asbestos is but one of hundreds of toxic agents
in the work environment. April 28th is still an important day.
Sheldon W. Samuels
http://www.hazards.org/genescreen
update March 2002.
What Is
"Human Ecology"?
A
recent e-mail
to GEE! expresses a
common confusion. “I looked at some journals with the title “Human
Ecology” and didn’t find a single article from a occupational or
environmental health practitioner or scientist. Why does your publication
have a section with that title?”
The reader is correct. Occupational and
environmental health [even public health] specialists don’t normally
publish in journals of Human Ecology, or belong to the professional
societies that publish them. This is an unfortunate expression of their
separation from those who identify themselves professionally as human
ecologists, who are usually found in academic departments of sociology,
anthropology, geography, and what was once called home economics.
An answer to the second part of the reader’s
question begins by noting that public health leaders, such as John Last,
in his text on disease causation, writes: “Ecology is concerned with the
healthy interaction of living creatures in a closed system. Human ecology
includes humans in this system. Humans interact with each other as well as
with other living creatures and those interactions can have important
effects on the health of all partners in the complex closed ecosystem of
our planet.”
While some may question Last’s belief that the
system is closed, and he doesn’t mention the inorganic environment, he
is nevertheless taking direction from a long tradition: from the
presocratic philosophers of ancient Greece to the present time. The modern
tradition of ecology begins with Charles Darwin, one of whose
interpreters, Ernst Haeckel, first used the term in 1870:
“Ecology is the study of all those complex interrelations referred to by
Darwin as the conditions of the struggle for existence.”
Darwin set us on
a path that helps us to foster evolving ecological habits of
thought that suggest models of causation that are fruitful. They
explicitly incorporate the systems of social and moral values that shape
the way in which we select, organize, and interpret the data needed in
research or professional practice.
The recognition of the need to consciously
recognize an ecological model of causation in occupational and
environmental health was recognized more than two decades ago when the
Ergonomics Research Society debated calling itself “The Society for
Human Ecology.” There is indeed a current professional organization with
that name, but they have little if any interest in ergonomics or its basic
science: biomechanics. A quarter century ago, Erwin Tichauer
published his classic The Biomechanical Basis of Ergonomics, in
which he modeled ergonomics within the work environment as a system of
“ecologic stress vectors,” one of which is a set of “sociotactic”
stresses.
The mainstream of broad ecological thinking supported this insight.
C. Judson Herrick , a generation ago,
looking back at the lifetimes of research in neurophysiology from an
ecological perspective by himself and his colleague George Ellett
Coghill, perceived that “a practicable biomechanics must include the
biosocial and psychosocial factors or it fails utterly to meet the
requirements of our times.”
He didn’t use the term “human ecology” to describe this perspective
in biomechanics, albeit this application of the concept appears to have
been in his mind. He did use it to describe the reorganization of the Rockefeller
Foundation in 1951, which previously supported a narrow program of
eugenics, “on the broad basis of human ecology.”.
In fact, he invented another term that has become fashionable in a closely
associated, but somewhat narrower direction: “sociobiology”, by
which he meant “the search for the biological origins and nature of
human patterns of social organization.”
Herrick’s perceptions of the need for broad
models of thinking should not be surprising. Nearly a half century earlier
in the same university community, The University of Chicago, George
Herbert Mead, following Henri Bergson of the College de France,
integrated cultural [moral and social] and biological theories that lay
the basis for an ecological model of causation. Mead observed that even
Spencer, a pioneer in the development of evolutionary ethics,
“misinterpreted evolution as a process of bare adaptation. If, as
Bergson insists, even biologic evolution is creative, then beyond doubt
this is the case in social evolution. We fashion hypotheses and test them
and intentionally reconstruct the institutions within which we live.” “The society in which we belong,”
Mead observed, “represents an organized set of responses to certain
situations in which the individual is involved, and that in so far as the
individual can take those organized responses over into his own nature,
and call them out by means of the symbol in the social response, he has a
mind in which mental processes can go on, a mind whose inner structure he
has taken from the community to which he belongs.”
Earlier in the same work Mead noted, “problems which come from within
the community itself can be definitely controlled by the community. It is
this control of its own evolution which is the goal of the development of
human society.” These views run counter to other
intellectual traditions, e.g., that of Rene Descartes: the picture
of a bifurcated world of mechanical bodies and thinking minds, basically
different and functioning independently, each according to its own laws,
albeit harmonized by an “unmoved mover”.
The ecological perspective was not rare in
Tichauer’s community, even though it was a community within the caste of
workers and their attendant professions. The community included the late Irving
J. Selikoff, an internationally renowned leader in occupational and
environmental medicine. Selikoff addressed what he called the “total
burden of risk,” an interdisciplinary cultural and biological approach
to occupational risk management that, in his words, “really began with
Darwin”. At least one of the links integrating
cultural and biological causation in this perspective has had strong
support among sociologists who have an human ecological perspective. Edward
Shils, chronicling the sociological tradition in human ecology at
Chicago, observed (interestingly, on the value systems in the division of
labor) that “even in the ecological and biological sphere, beliefs about
what is right and proper and what is wrong and improper are pervasive, and
the physical and biological events are hedged about, controlled, and even
instigated in part by these beliefs.”
Outside
their professional community, but within the caste, the views of Tichauer,
Selikoff, and others often have not prevailed. A narrower tradition of
social values persists in the legal system, for example where claims for
wage replacement and medical care for occupational disease are often
rejected because of reliance on arbitrary environmental threshold limit
values set for a single agent associated with a single disease, excluding
multiple agents or causal factors and effects such as depression, chronic
fatigue, anxiety, attention deficit, concentration and memory problems as
well as numerous physical signs and symptoms for which conventional
medicine has little or no answer. It is this narrow tradition that
defines, ecologically, the caste of workers and associated professionals.
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