Federica Castellani, Matteo Vitali, Arianna Antonucci, Luigi Cofone, Gabriele D’Ancona, Ivano Pindinello, Giuseppe Buomprisco, Marta Petyx, Cinzia Lucia Ursini, Carmela Protano
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引用次数: 0
Abstract
Formaldehyde is a toxic and carcinogenic compound, still used in several occupational settings due to its properties. Thus, in these working scenarios, it is necessary to provide effective measures to reduce workers’ exposure to formaldehyde. The aim of this systematic review is to provide a picture of the worldwide mitigation strategies implemented in occupational environments for minimizing the exposure to formaldehyde and which ones are the most effective for this purpose.
The systematic review was performed according to PRISMA statement; the protocol was registered in PROSPERO (CRD42022302207). The search was performed on three electronic databases (PubMed, Scopus, and Web of Science). Studies were considered eligible if they describe strategies for mitigating formaldehyde occupational exposure and their efficacy. We included articles reporting observational studies, semi-experimental, and experimental studies and published in the English language, from the inception to March 26th, 2023. The quality assessment was performed using the Newcastle–Ottawa Quality Assessment Scale.
In total, 28 articles were included in the review. The employment scenarios/activities studied were human and veterinary anatomy, autopsy, histopathology or pathology laboratories, embalming procedures, hospital, operating theaters, aquaculture, textile or foundry industries, industry using 3-D printers, offices, and firefighters’ activities. Different methods have proven useful in mitigating formaldehyde exposure, such as the use of personal protective equipment, engineering control methods, organization methods, and technical strategies, with a reduction of airborne formaldehyde until to 99.6%. The highest reduction was obtained in an anatomy laboratory through locally exhausted dissection tables equipped with activated carbon filters.
The specific suitable procedures should be standardized and applied in all work settings for an appropriate risk management, in order to protect the health of exposed workers.
甲醛是一种有毒的致癌化合物，由于其特性，仍在一些职业环境中使用。因此，在这些工作场景中，有必要提供有效的措施来减少工人接触甲醛。本系统综述的目的是提供在职业环境中为尽量减少甲醛暴露而实施的全球缓解战略的概况，以及哪些战略在这方面最有效。根据PRISMA声明进行系统评价;该协议在PROSPERO中注册(CRD42022302207)。检索在三个电子数据库(PubMed、Scopus和Web of Science)上进行。如果研究描述了减轻甲醛职业暴露的策略及其功效，则认为研究是合格的。我们纳入了从开始到2023年3月26日以英语发表的观察性研究、半实验性和实验性研究的文章。使用纽卡斯尔-渥太华质量评估量表进行质量评估。本次综述共纳入28篇文章。研究的就业场景/活动包括人体和兽医解剖、尸检、组织病理学或病理学实验室、防腐程序、医院、手术室、水产养殖、纺织或铸造行业、使用3d打印机的行业、办公室和消防员活动。不同的方法已被证明在减少甲醛暴露方面是有用的，例如使用个人防护装备、工程控制方法、组织方法和技术策略，将空气中的甲醛减少到99.6%。在解剖实验室中，通过配备活性炭过滤器的局部耗尽解剖台获得了最高的还原。应将具体的适当程序标准化，并适用于所有工作环境，以便进行适当的风险管理，以保护受影响工人的健康。
期刊介绍：
Air Quality, Atmosphere, and Health is a multidisciplinary journal which, by its very name, illustrates the broad range of work it publishes and which focuses on atmospheric consequences of human activities and their implications for human and ecological health.
It offers research papers, critical literature reviews and commentaries, as well as special issues devoted to topical subjects or themes.
International in scope, the journal presents papers that inform and stimulate a global readership, as the topic addressed are global in their import. Consequently, we do not encourage submission of papers involving local data that relate to local problems. Unless they demonstrate wide applicability, these are better submitted to national or regional journals.
Air Quality, Atmosphere & Health addresses such topics as acid precipitation; airborne particulate matter; air quality monitoring and management; exposure assessment; risk assessment; indoor air quality; atmospheric chemistry; atmospheric modeling and prediction; air pollution climatology; climate change and air quality; air pollution measurement; atmospheric impact assessment; forest-fire emissions; atmospheric science; greenhouse gases; health and ecological effects; clean air technology; regional and global change and satellite measurements.
This journal benefits a diverse audience of researchers, public health officials and policy makers addressing problems that call for solutions based in evidence from atmospheric and exposure assessment scientists, epidemiologists, and risk assessors. Publication in the journal affords the opportunity to reach beyond defined disciplinary niches to this broader readership.
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