Effects derived from long-term low-level chromium exposure in ferro-alloy metallurgy. Study of absorption and renal function in workers

Ferro-chromium production is based on the use of chromium oxide (III) and it is generally accepted that chromium in this form is not able to cross biological barriers. However, the data on the toxic and carcinogenic effects of hexavalent chromium in man are now firmly established. Some studies have questioned these data, calling for a clarification as to whether exposure to trivalent chromium can also produce human effects, perhaps with different latency time. A study was carried out on the exposure conditions (type and degree) in a ferro-chromium foundry that had been in operation since 1972. The absorption levels in the working population of the foundry, and the possible toxic effects on the kidney have been investigated. A total of 236 workers (142 employed in production departments, 33 office workers and 61 sub-contractor employees) were examined with measurement of the indicators of dose (urinary-chromium) and of effect on the kidney (albumin, retinol binding protein, and renal tubular epithelium antigens in the urine). Environmental hygiene measurements showed relatively low values of total chromium in the air (always less than 0.160 mg/m3). Hexavalent chromium was absent or, if present, at levels below the sensitivity of the analytical method used (0.001 mg/m3). The values of urinary chromium measured at the beginning and at the end of the working day and at the end of the work shift were always less than 5 micrograms/g creatinine, which has been proposed as a biological limit in chromium exposure. However, differences were observed between groups of subjects employed on different jobs, which is indicative of an absorption process varying according to the degree of exposure. The indicators of effect did not reveal any renal impairment, even early, that could be attributed to the toxic action of chromium.     

Pesticide exposure and cholinesterase levels among farm workers in the Republic of South Africa.

A preliminary survey was undertaken to establish the extent of pesticide exposure in a farming community. The area under investigation included a coffee plantation in the northern region of South Africa. Cholinesterase levels in red blood cells and plasma were used as markers to monitor the extent of organophosphate and carbamate exposure. Sixty-nine farm workers with specific pesticide exposure were selected for the study, and the frequency of the different symptoms which may be related to pesticide exposure was determined by interview and questionnaire. Of the workers, 77% had their red blood cell cholinesterase levels below the normal reference range, while 27% of the workers had depressed plasma cholinesterase levels.     

The hazard of chromium exposure to neonates in Guiyu of China

Guiyu is one of the most heavily chromium-polluted areas in China due to the presence of numerous electronic waste (e-waste) recycling sites in the region. In this study, we investigate the effect of umbilical cord blood chromium levels (UCBCLs) on neonates from Guiyu and discuss chromium-induced DNA damage of cord blood lymphocyte. Umbilical cord blood samples were collected from neonates of Guiyu (in 2006, n=100; in 2007, n=100) and the neighboring town of Chaonan (in 2006, n=52; in 2007, n=50) that is associated with the fishery. UCBCLs of the neonates were determined by graphite atomizer absorption spectrophotometer. Comet experiment was used to examine lymphocyte DNA damage. Questionnaires to gauge chromium exposure were administered to the mothers of the neonates. The mean UCBCLs of neonates in the Guiyu group in 2006 and 2007 were 303.38 microg/L and 99.90 microg/L with median 93.89 microg/L and 70.60 microg/L, respectively. We observed significant differences between the results in UCBCLs of neonates in Guiyu and the control group (P<0.01). There was no significant difference of UCBCLs in neonates between 2006 and 2007 in Guiyu (P>0.05). Higher levels of chromium in neonates were found to correlate with their mothers' exposure to e-waste recycling. There were significant differences in terms of DNA damage between the Guiyu group and the control group (P<0.05). There was a correlation between DNA damage and the UCBCLs of neonates (P<0.05). There is conclusive evidence that high UCBCLs in neonates exists in e-waste recycling areas in Guiyu and that e-waste recycling activity poses serious environmental problems. Chromium pollution is threatening the health of neonates around the recycling sites.     

The total body burden of chromium associated with skin disease and smoking among cement workers

BACKGROUND: Hand eczema and other skin diseases have been associated with the exposure of chromium among cement workers. Studies on skin disease and other factors associated with the body burden of chromium are limited. OBJECTIVE: The present study investigated the role of skin disease and smoking in the association with body burden of chromium among cement workers. METHODS: Forty-five workers (38 men and 7 women) were recruited for this study and interviewed to obtain information on demographic status, lifestyle, employment history, and affecting factors. Urine samples were collected to measure the urinary chromium concentration to represent the body burden of chromium. RESULTS: The average urinary chromium concentration was approximately 6 times higher in non-smoking workers with hand eczema than in non-smoking workers with no skin disease (45.5 vs. 7.6 microg/L). The average chromium level increase to 87.0 microg/L for smokers with the disease. Compared with workers with no hand eczema, the odds ratio of having urinary chromium concentration exceeding the biological exposure index level significantly increased to 11.6 (95% CI=1.3-102.2) for non-smoking workers with skin disease, and to 48.0 (95% CI=4.5-510.8) for smoking workers with skin disease. The multiple regression analysis showed that the use of gloves may reduce significantly the chromium exposure. CONCLUSIONS: Inadequate protection and personal behavior increase the internal dose of chromium in cement workers. Total body burden of chromium are higher among cement workers with skin disease and smoking habit. These workers deserve intervention education on personal hygiene to reduce the exposure of chromium.     

Effect of chromium on the level of IL-12 and IFN-gamma in occupationally exposed workers

Chromium may affect humoral and cellular immunity, acting on T lymphocytes as well as on granulocytes and monocytes cells. Cytokines play an important role in the immune balance. In this study, the level of IL-12 and IFN-γ were evaluated in the sera and PHA/LPS stimulated culture supernatant of human PBMCs of healthy volunteers and occupationally exposed chromium workers. All the workers were highly exposed to chromium having mean of 104.65 ± 77.21 µg/dL (range 23.7-316.8 µg/dL). A suspension of exposed and unexposed human PBMC (0.5 × 10⁶ cells/ml) prepared and cultured in RPMI-1640 supplemented with 10% FCS for 18 h in the presence or absence of LPS (10 ng/ml) which used for stimulation of IL-12 and IFN-γ. The level of IL-12 and IFN-γ were evaluated in the sera samples as well as LPS stimulated and unstimulated culture supernatant of h-PBMCs of chromium exposed workers. In these chromium exposed workers the level of IL-12 was 433.66 ± 197.49 pg/ml and 983.45 ± 330.99 pg/ml in LPS stimulated culture supernatant of normal individuals and highly chromium exposed workers, which was significant (P < 0.05). Although the level of IL-12 was (78.61 ± 61.03 pg/ml to 146.52 ± 46.37 pg/ml) elevated in unstimulated culture supernatant of h-PBMCs of chromium exposed individuals as compared to control, but it was not significant. This observation also suggests that a significant increase in IFN-γ production in LPS stimulated and unstimulated culture supernatant of h-PBMCs of chromium exposed workers as compared to control. However, IFN-γ level have a significant positive correlation between blood chromium level (r = 0.833, t = 6.3872, P 0.05) and exposure time (in years) (r = 0.8916, t = 8.3540, P 0.05) of the occupationally exposed workers.     

Inhalation exposure to THMs from drinking water in south Taiwan

Trihalomethanes (THMs) are important disinfection byproducts (DBPs) in drinking water. To understand the magnitude of exposure to THMs for the people in southern Taiwan, models are used to estimate the inhalation exposure associated with drinking water based on raw water quality. Two parts of models are used in this study, one for estimating THM concentration from raw water quality, and one for estimating inhalation exposure to people. Important raw water quality and operational parameters, including TOC, UV254, pH, temperature, chlorine dosage, and water residence time of a major water treatment plant in south Taiwan were collected. An empirical THM formation model was then employed to predict the THM concentration at consumers' dwellings based on the parameters collected. Differences between the predicted results and experimental data were found to be small, indicating that the model is appropriate. The predicted THM concentration distribution was served as input parameters for the exposure models. Three major scenarios associated with probable inhalation exposure of THMs, including shower, pre- and post-cooking activities, and cooking processes, were considered in the exposure models. The model results show that the mean inhalation exposure of THMs for shower, pre- and post-cooking activities, and cooking processes are 26.4, 1.56, 3.29 micrograms/day, respectively. The total inhalation exposure (summation of the three scenarios) was found to be comparable with that for direct ingestion, indicating that inhalation is an important pathway for THM exposure from drinking water.     

The exposure of temple workers to polycyclic aromatic hydrocarbons

Five temples, each a different size, were selected for this study. Two of the temples were located in Taichung City (in central Taiwan), and three were in Tainan City (in Southern Taiwan). Aerosols smaller than 10 microm aerodynamic diameter (PM(10)) were collected by using personal collection samplers during pilgrim days (the first and fifteenth day of each lunar month) and normal days (all other days). Regression analysis showed that about 1.6 microg/m(3) of PM(10) contributed to the workers' exposure in the temples for each joss stick increase in the censer. The concentrations of total polycyclic aromatic hydrocarbons (t-PAHs) and carcinogenic PAHs (car-PAHs) on pilgrim days were higher than those on normal days. Mean concentrations of urinary 1-hydroxypyrene (1-OHP) in the pre-shift and post-shift workers of the five temples on normal days were 1.20 and 1.61 microg/g creatinine, respectively. Furthermore, the post-shift concentrations of 1-OHP in the workers of temples on pilgrim days were all higher than those of the workers of corresponding temples on normal days. Significant relationships between the urinary concentrations of 1-OHP and the exposure concentrations of pyrene, total PAHs and BaP(eq) were found in the workers of the temples. Results of linear regression showed that the increase of unit concentration (1 ng/m(3)) of pyrene led to a 0.05 microg/g creatinine increase of urinary 1-OHP, while the increase of unit concentration (1 ng/m(3)) of BaP(eq) resulted in an increase of 0.03 microg/g creatinine of urinary 1-OHP.     

Risk assessment of exposure to volatile organic compounds in groundwater in Taiwan

The purpose of this study is to assess the risks from exposure to 14 volatile organic compounds (VOCs) in selected groundwater sites in Taiwan. The study employs the multimedia environment pollutant assessment system (MEPAS) model to calculate the specific non-cancer and cancer risks at an exposure level of 1 μg/L of each VOC for a variety of exposure pathways. The results show that the highest specific non-cancer risk is associated with water ingestion of vinyl chloride (VC) and that the highest specific cancer risk is associated with indoor breathing of VC. The three most important exposure pathways for risk assessment for both non-cancer and cancer risks are identified as water ingestion, dermal absorption when showering, and indoor breathing. Excess tetrachloroethylene (PCE), trichloroethylene (TCE), dichloroethylene (DCE), and VC are detected in the groundwater aquifers of one dump site and one factory. However, the study suggests that the pollutants in the contaminated groundwater aquifers do not travel extensively with groundwater flow and that the resulting VOC concentrations are below detectable levels for most of the sampled drinking-water treatment plants. Nevertheless, the non-cancer and cancer risks resulting from use of the contaminated groundwater are found to be hundred times higher than the general risk guidance values. To ensure safe groundwater utilisation, remediation initiatives for soil and groundwater are required. Finally, the study suggests that the current criteria for VOCs in drinking water might not be capable of ensuring public safety when groundwater is used as the primary water supply; more stringent quality criteria for drinking water are proposed for selected VOCs.     

Increased concentrations of serum inhibin B among male workers with long-term moderate lead exposure

Lead is known to have an adverse effect to human reproductive system. This study investigates the association between different lead indices (both current and cumulative) and serum inhibin B as well as hormone concentrations in a group of 181 male lead workers. We used data collected during annual health examinations, including measurements of blood lead levels, inhibin B, follicle stimulating hormone (FSH), luteinizing hormone (LH), and testosterone (TTE) as well as age, gender, height, weight, smoking and drinking habits. The cumulative lead index included index of cumulative blood lead (ICL) and time weighted index of cumulative blood lead (TWICL) which were calculated from the series blood lead concentrations by annual health examinations since 1991 to the time of the study. Data was analyzed by Pearson correlation and multiple regressions. We found the Pearson correlation coefficients of ICL and TWICL vs. inhibin B to be 0.220 (p = 0.003) and 0.231 (p = 0.008), respectively. After adjusting for age, smoking, drinking, LH, FSH, and TTE, our multiple regression models revealed that with each unit increase in ICL and TWICL, there was a 0.047 pg/mL (p = 0.017) and 1.333 pg/mL (p = 0.007) increase in inhibin B. We found an association between cumulative lead index and concentration of serum inhibin B in male workers exposed to lead over long period, possibly indirectly affecting spermatogenesis.     

Lung cancer risks among lead smelter workers also exposed to arsenic.

Recent publications indicate an increased incidence of lung cancer in non-ferrous smelter workers exposed to lead. The present study provides further data on selected subgroups in one such cohort. The cohort was based on 3979 smelter workers employed for at least 1 year between 1928 and 1979, and also exposed to lead and included in the Blood Lead Register that was started at the smelter in 1950. Two subcohorts were formed from the original cohort. One consists of 710 workers employed at the lead departments (Lead subcohort 1), and the other of 383 workers employed at the lead departments (Lead subcohort 2), but never at other works where an excess lung cancer risk was previously identified. Standardized Cancer Incidence Rates (SIR) 1958-1987 were calculated relative to county rates. In the subcohorts, arsenic exposure in lung cancer cases was assessed in detail based on occupational hygiene information from the company. Lung cancer incidence was raised in both subcohorts (Lead subcohort 1: SIR 2.4; 95% CI 1.2-4.5; Lead subcohort 2: SIR 3.6; 95% CI 1.2-8.3). Total cancer incidence in the cohorts was not increased. A detailed study of arsenic exposure in the 10 lung cancer cases in these two subcohorts revealed that all but one of these cases had a significant exposure also to arsenic. An elevated incidence of lung cancer was observed in smelter workers exposed to lead. However, considerable arsenic exposure also occurred in a majority of the lung cancer cases in the investigated subcohorts. In this multifactorial exposure situation it has not been possible to separate the carcinogenic effects of lead and arsenic, but a possible interaction between these metals may be involved in explaining the carcinogenic risks.     

Inhalation toxicity of chromium dioxide dust to rats after two years exposure

Rats were exposed by inhalation to chromium dioxide (CrO2) dust at design concentrations of 0, 0.5 (stabilized and unstabilized, respectively) or 25 mg m-3 (stabilized) for 6 h day-1, 5 days week-1 for 2 years. No dust-exposure-related pathological changes were observed, other than lung lesions, in all exposed rats. There were no significant differences in pulmonary response between unstabilized and stabilized CrO2 at the 0.5 mg m-3 exposure level. The lungs showed minute dust deposition in the alveoli adjacent to the alveolar ducts, but maintained an intact general architecture. The pulmonary responses satisfied the biological criteria for a nuisance dust. At 25 mg m-3, dust deposition was sharply confined to the alveoli in the alveolar duct region. Alveolar walls enclosing dust-laden macrophage (dust cell) aggregates were thickened with hyperplastic Type II pneumocytes and slightly collagenized fibrosis. Alveoli adjacent to the terminal bronchioles were lined with bronchiolar epithelium (alveolar bronchiolarization). In addition, lungs showed foamy macrophage response, cholesterol granulomas, alveolar proteinosis, and minute fibrotic pleurisy. These pulmonary lesions occurred predominantly in female rats. Of 108 female rats, six developed keratin cysts and two had cystic keratinizing squamous cell carcinoma (CKSCC). None of 106 male rats had either a keratin cyst or a CKSCC. The lung tumors developed from metaplastic squamous cells in the areas of alveolar bronchiolarization in the alveolar duct region. The lung tumors were well differentiated and devoid of characteristics of true malignancy. The CKSCC is an experimentally-induced, unique tumor type and is different from the type of spontaneous lung tumor seen in man or animals. The relevance to man of ths type of lung tumor appears to be negligible.     

Chromium exposure assessment of outdoor workers in Hudson County, NJ.

A large quantity of chromate chemical production waste, containing hexavalent chromium, has been used as fill at over 150 sites in Hudson County, New Jersey. One site is in a state park, and several other sites are adjacent to the park. Blood and urinary chromium levels were compared between 17 employees at the Hudson County park and 35 employees from two other state parks. A limited number of soil and personal air samples were also taken. Urinary and RBC chromium levels between the two groups were similar, even after adjusting for potentially confounding variables. The air sampling results demonstrated slightly higher chromium levels at Hudson County, but these were still very low level in nature (mean = 0.18 micrograms/m3). These results call into question the utility of chromium biomonitoring under environmental exposure conditions.     

Effects of low-level exposure to xenobiotics present in paints on oxidative stress in workers

Paints are composed of an extensive variety of hazardous substances, such as organic solvents and heavy metals. Biomonitoring is an essential tool for assessing the risk to occupational health. Thus, this study analyzed the levels of biomarkers of exposure for toluene, xylene, styrene, ethylbenzene, and lead, as well as the oxidative stress biomarker alterations in painters of an industry. Lipid peroxidation biomarker (MDA), δ-aminolevulinate dehydratase (ALA-D), nonprotein thyol groups, superoxide dismutase and catalase (CAT) were analyzed in exposed and nonexposed subjects. We estimated which of the paint constituents have the greatest influence on the changes in the biomarkers of oxidative stress in this case of co-exposure. The results demonstrated that despite the fact that all the biomarkers of exposure were below the biological exposure limits, the MDA levels and antioxidant enzyme activities were increased, while nonprotein thyol groups and ALA-D levels were decreased in painters when compared with nonexposed subjects. After statistic test, toluene could be suggested as the principal factor responsible for increased lipid peroxidation and inhibition of ALA-D enzyme; however, further studies on the inhibition of ALA-D enzyme by toluene are necessary.     

Investigation of professional nickel exposure in nickel refinery workers

For assessing the real exposure level of nickel in electrolytical nickel production workers we monitored the following indicators of Ni load. (a) Stationary air sampling of Ni, (b) personal air sampling of Ni, (c) urine Ni excretion determined on group basis, (d) the 4 hours specimen of Ni excretion determined on an individual basis. A tentative limit for Ni in urine, roughly corresponding to the MAC 0.05 mg/m3 was 12 micrograms/l Ni according to (c) and 30 micrograms/l Ni according to (d). The occupational exposure limit for Ni in urine accepted in Czechoslovakia is 30 micrograms/l Ni.     

Feasibility of assessing dermal exposure to PAHs of workers on gaswork sites--the SOLEX study

Population exposure to pollutants in soil is an important public health concern. Difficult to measure, it is usually estimated using multimedia models. Modeling data predict that the skin surface is a predominant exposure route in roughly 15% of the US Superfund sites. Nonetheless, no study has confirmed these predictions. The SOLEX study was an opportunity to study the feasibility of estimating the cutaneous polycyclic aromatic hydrocarbons (PAHs: all 16 of the United States Environmental Protection Agency list) load of workers at three former manufactured gas sites, one of those being under remediation. Over two measurement periods (November 1997 and June 1998), 30 and 28 volunteers, respectively, were equipped for a single day work with five pads that collected soil particles and were placed at the neck, shoulder, wrist, groin, and ankle. Pad contamination was observed for six of the nine workers on the site being remediated but not on other sites. The wrist pad was most often affected, followed by the neck pad, these are, the exposed regions of the body. The PAHs most frequently identified were anthracene, fluoranthene, naphthalene, phenanthrene, and pyrene, at concentrations relatively high. In conclusion, this study showed that estimating skin exposure to soil pollutants is feasible. Secondly, it suggested that only subjects in close contact with the soil had a detectable exposure to PAHs. Extension of this approach to other exposure settings is warranted, especially among children playing in polluted public or private gardens, because their games lead to frequent contact with the soil.     

Chromium in urine, serum and red blood cells in the biological monitoring of workers exposed to different chromium valency states

Using personal air sampling exposure to hexavalent and trivalent chromium was measured in 22 workers mainly exposed to Cr(VI) and in 15 workers mainly exposed to Cr(III) as basic chromium sulphate. Determination of Cr(VI) in the urine of all the subjects using a selective technique by ETA-AAS and liquid anion exchangers failed to show detectable amounts of the hexavalent form, the detection limit of the technique being 0.05 micrograms/L. A clear relationship between exposure and postshift urinary total chromium was found in subjects exposed to Cr(VI), while urinary levels in workers exposed to chromic sulphate high concentration proved lower. Determination of total chromium in serum and red blood cells showed a significant increase of chromium levels in erythrocytes of workers exposed to Cr(VI) while in subjects mainly exposed to Cr(III) an increase of the serum fraction was observed. The results demonstrate that Cr(III) is absorbed through the respiratory tract, but its kinetics and distribution in the body are not the same as for Cr(VI), and are not adequately monitored by short-term urinary determinations. Oxidation states of chromium largely influence uptake, mechanism of absorption, transport and organ distribution as well as toxicity of chromium-containing compounds. In particular, hexavalent derivatives are known to induce adverse effects, both acute and chronic, in occupationally exposed subjects, while there is little conclusive evidence for toxic effects caused by trivalent chromium compounds. Biological monitoring of exposure to chromium(VI) has usually been performed by determining total chromium levels in urine, whereas biological monitoring data in subjects occupationally exposed to Cr(III) are still scanty.(ABSTRACT TRUNCATED AT 250 WORDS)     

Contributions of Chinese-style cooking and incense burning to personal exposure and residential PM concentrations in Taiwan region

We investigated the effect of indoor sources including Chinese-style cooking, incense burning, cleaning, and people's moving on indoor particle size distributions and concentrations and calculated the personal exposure dose rates in the human respiratory tract (HRT) using time-activity and indoor and outdoor particle size distribution data collected from a traditional Taiwanese residence in central Taiwan region. We applied a simple size-dependent indoor air quality model associated with a compartmental lung model to determine the source emission rates and exposure dose. Cooking and incense burning had size-integrated source emission rates of 0.042+/-0.024 (mean+/-S.D.) and 0.038+/-0.026 particles s(-1), respectively. Cooking and incense burning were significant contributors to indoor particle levels for particle sizes from 0.5 to 5 microm in that the percent contributions to indoor concentrations were 0.334+/-0.02 and 0.267+/-0.035, respectively. Our results demonstrated that extrathoracic (ET) region had higher average PM mass lung/indoor ratio (0.77) than that of bronchial (BB) (0.52), bronchiolar (bb) (0.27) and alveolar-interstitial (AI) (0.14) regions from both cooking and incense burning events. The average integrated deposition dose rates (particles cm(-2) h(-1)) of 24.11 in ET, 4.68 in BB, and 7.89 in bb were higher than that of 0.011 in AI for both cooking and incense burning events. This research illustrates that exposure assessment based on time-activity and real-time behavior of particle data can provide valuable information on the fate of indoor particles and hazard to human health.     

Avoidance-preference reactions of rainbow trout (Salmo gairdneri) after prolonged exposure to chromium(VI)

Avoidance-preference reactions were studied in rainbow trout (Salmo gairdneri) pre-exposed for 7–20 weeks to potassium dichromate solutions (K₂Cr₂O₇) ranging from 0.01 to 3.0 mg l⁻¹ as Cr(VI). Experiments were performed in a hydraulic channel 9.15 m long by 30 cm wide, partly divided along its length and at a flow depth of 30 cm, combining steep and shallow gradient characteristics. An avoidance threshold value of 0.028 mg l⁻¹ was determined for a population which had not been previously exposed to chromium while avoidance thresholds for pre-exposed fish increase linearly with the level of pre-exposure. Pre-exposed fish exhibited lower avoidance reactions compared to the nonexposed population. Avoidance reactions decreased with increasing level of pre-exposure. Fish exposed to test concentrations matching their pre-exposure level clearly preferred this same concentration over any adjacent lower or higher test concentration. After 7 days of acclimation in clear water fish previously exposed at 0.01–0.8 mg l⁻¹ Cr(VI), behaved similarly to the nonexposed population, indicating functional recovery of chemoreceptive capacity, while fish pre-exposed beyond the 0.8 mg l⁻¹ level did not recover fully within the same 7 day acclimation period. The 0.8 mg l⁻¹ Cr(VI) level is proposed as a critical pre-exposure level for short term recovery of normal chemoreceptive capacity. Times of pre-exposure within the range used for the study had no influence on avoidance reactions.     

Evaluation of environmental and occupational exposure to mercury among Iranian dentists

The purpose of the study was to evaluate the environmental and occupational exposure to mercury (Hg), and to examine the various parameters, which contribute to high levels of mercury of Iranian dentists in Tehran. One-hundred hair and nail samples were collected from dentists. In addition, fifty samples from a control group and twenty-five additional samples from dental nurses were taken for comparison. The survey included a structured questionnaire designed to provide information about the parameters that influenced their occupational and environmental exposure to Hg. Overall mean concentrations in the hair and nails of the dentists was 2.84+/-0.47 and 3.56+/-0.53 mg/kg dry wt respectively. The equivalent values were 0.61+/-0.07 mg/kg in hair and 0.39+/-0.06 mg/kg in nails for the control group. In addition, mean concentrations in the dental nurses were 0.92+/-0.23 and 1.77+/-0.51 mg/kg in hair and nails respectively. The study showed that use of masks had a significant effect on Hg levels (p=0.02 for hair and p=0.03 for nails) and use of gloves only had significant effect on nails Hg (p=0.05). Hg concentrations in nails were significantly lower among the dentists who always used gloves and masks. Also, fish consumption and number of patients visited per day had a significant effect on hair (p=0.02 and p=0.02 respectively) and nails (p=0.03 and p=0.02 respectively) Hg. On the other hand, there was a significant effect of age in relation to Hg concentration in the hair and nails of the dentists (p=0.006 for hair and p=0.01 for nails). Multiple regressions were computed between hair Hg and the various assessed variables. The only positive results were between Hg concentration and masks for the dentists (p=0.03), and Hg concentration and the number of fish meals for the control group (p=0.009).     

Secondary exposure to dioxins through exposure to PCP and its derivatives.

This study discusses the potential exposure of occupational workers and general consumers in the European Union (EU) to polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) caused by exposure to pentachlorophenol (PCP) and its derivatives. A synthesis of reported exposure data relating exposure to PCP and its derivatives in an occupational setting has indicated that the PCDD/F intake for exposure in the 1990s averaged over a lifetime is likely to be in the order of 0.02-1 pg I-TEQ kg-1 bw day-1 with actual exposures more likely to occur at the lower end of the range, around the median of 0.16 pg I-TEQ kg-1 bw day-1. Workers who have experienced past exposure to PCP and its derivatives especially in the early to mid 1980s, will have been subjected to higher exposures to PCDD/Fs due to the generally higher concentrations of PCDD/Fs in PCP products at that time. Exposure to PCP and its derivatives via the food chain is judged to be the most significant intake route of PCDD/Fs into consumers. The ingestion of milk and dairy products obtained from cows grazed on pasture dressed with sewage sludge has the potential to raise the average daily intake of PCDD/Fs via the diet by about 40% if all foods consumed derived from sludge amended soil. To the extent quantifiable, exposure to PCP in an occupational setting contributed approximately 16% as a median to the overall background exposure to PCDD/Fs, while for consumers this contribution ranged from 2 to 60% depending on the exposure to sludge amended foods.