The History and Biological Basis of Occupational Exposure Limits for Chemical Agents

D. Paustenbach
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引用次数: 15

Abstract

Over the past 50 years, many organizations in numerous countries have proposed occupational exposure limits (OEL) for airborne contaminants. The limits or guidelines that have gradually become the most widely accepted both in the United States and in most other countries are those issued annually by the American Conference of Governmental Industrial Hygienists (ACGIH) and are termed Threshold Limit Values® (TLVs). The usefulness of establishing OELs for potentially harmful agents in the working environment has been demonstrated repeatedly since their inception. It has been claimed that whenever these limits have been implemented in a particular industry, no worker has been shown to have sustained serious adverse effects on his health as a result of exposure to these concentrations of an industrial chemical. Although this statement is arguable with respect to the acceptability of OELs for those chemicals established before 1980 and later found to be carcinogenic, there is little doubt that hundreds of thousands of persons have avoided serious effects of workplace exposure due to their existence. The contribution of OELs to the prevention or minimization of disease is widely accepted, but for many years such limits did not exist, and even when they did, they were often not observed. Although it is not possible for any single book chapter to discuss how each of the various biological issues that need to be considered when establishing an OEL should be quantitatively accounted for, most of them have at least been generally addressed here. It should be clear from the discussion that the process for setting OELs remains remarkably similar to those that were used in the late 1940s but that the quality and quantity of data used to set these limits, as well as the methodology, has evolved with our increased level of scientific understanding. It is also clear that as occupational health professionals develop a better understanding of toxicology and medicine, techniques for quantitatively accounting for pharmacokinetic differences among chemicals, and better knowledge of the mechanisms of action of toxicants, more refined approaches for identifying safe levels of exposure will be developed. Hopefully, the end result will be that future occupational exposure limits will be based on the best scientific principles and, therefore, our confidence that workers will be protected at these limits will be even greater than it is today. Keywords: Occupational exposure limits; Uncertainty factors; Limits; Reference concentrations; Ceiling limits; Neurotoxic agents; Odors Persistent chemicals; Mixtures; Chemical carcinogens; Threshold Limit Values; Corporate OELs; Brief and Scala Models; Haber's Law; Exposure limits; U.S.; Exposure limits; International
化学试剂职业暴露限值的历史和生物学基础
在过去的50年里,许多国家的许多组织都提出了空气污染物的职业暴露限值(OEL)。在美国和大多数其他国家逐渐成为最广泛接受的限制或指导方针是由美国政府工业卫生学家会议(ACGIH)每年发布的,称为阈值限值®(TLVs)。为工作环境中的潜在有害物质建立oel的有效性自其成立以来已多次得到证明。有人声称,无论何时在某一特定行业实施这些限制,都没有证据表明工人因接触这些浓度的工业化学品而对其健康产生持续严重的不利影响。虽然关于1980年以前确定的、后来发现具有致癌性的化学品的oel的可接受性,这种说法是有争议的,但毫无疑问,由于它们的存在,成千上万的人避免了工作场所接触的严重影响。OELs对预防或尽量减少疾病的贡献已被广泛接受,但多年来不存在这种限制,即使存在这种限制,也常常不被遵守。虽然不可能用任何一本书的章节来讨论在建立OEL时需要考虑的各种生物学问题如何定量地解释,但其中大多数问题至少在这里得到了一般性的解决。从讨论中可以清楚地看出,设定OELs的过程与20世纪40年代末使用的过程非常相似,但用于设定这些限制的数据的质量和数量以及方法随着我们科学理解水平的提高而发生了变化。同样明显的是,随着职业保健专业人员对毒理学和医学有了更好的了解,对化学品之间的药代动力学差异进行定量计算的技术,以及对毒物作用机制有了更好的了解,将开发出更精确的确定安全接触水平的方法。希望最终的结果是,未来的职业暴露限值将基于最好的科学原则,因此,我们对工人将在这些限值下得到保护的信心将比今天更大。关键词:职业暴露限值;不确定性因素;限制;参考浓度;天花板上的限制;神经毒性药物;持久性化学品;混合物;化学致癌物质;阈值限制值;公司伍;Brief和Scala模型;哈伯定律;接触限度;美国;接触限度;国际
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