S. Dugheri, G. Cappelli, Giulio Arcangeli, Lucia Isolani, Donato Squillaci, Elisabetta Bucaletti, Jacopo Ceccarelli, Simone Pettinari, Giovanni Amagliani, Niccolò Fanfani, N. Mucci
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引用次数: 0
摘要
甲醛(FA)是解剖病理实验室常用的一种化学合成物,用作组织防腐剂。因此,解剖病理实验室的工作人员是接触甲醛及其相关致癌和非致癌风险最多的人员之一。因此,建议对致癌和非致癌风险进行评估,并对职业暴露进行仔细评估。在这项研究中,根据 UNI EN 689:219 标准,对意大利一家解剖病理实验室进行了 FA 监测,以进行职业接触评估,并分别确定致癌和非致癌风险评估的危害商数(HQ)和终生癌症危害风险(LCHR)。病理学家和技术人员的接触量低于欧盟规定的职业接触限值(0.62 毫克/立方米),这两类工人都符合规定。不过,在风险评估方面,病理学家和技术人员的 HQ 值和 LCHR 值(分别为 1.3 和 1.6 HQ 值以及 3.2x10-5 和 3.9x10-5)均高于在类似情况下观察到的值。这项研究表明,由于建议的职业限值和高健康风险之间存在差异,特别是在医疗保健领域,对 FA 的暴露评估在保障工人健康方面可能会面临严峻的形势。
Strategy to evaluate the impact of formaldehyde in anatomical pathology laboratory – part i
Formaldehyde (FA) is a chemical compound commonly used in anatomical pathology laboratories as a tissue preservative, and it is common and epidemiologically related to cancer. Therefore, the personnel resident in the anatomical pathology laboratories is among the workers most exposed to FA and its related cancer and non-cancerogenic risk. Thus, risk assessment, cancerogenic and non-cancerogenic, and a careful occupational exposure assessment are recommended. In this study, FA was monitored in an Italian anatomical pathology laboratory to perform an occupational exposure assessment, according to the UNI EN 689:219, and to determine the Hazard Quotient (HQ) and the Lifetime Cancer Hazard Risk (LCHR) for carcinogenic and non-carcinogenic risk assessment, respectively. The exposure observed for pathologists and technicians is lower than the EU Occupational exposure limit mandatory (0.62 mg/m3), and both group of workers are in Compliance with it. Nevertheless, concerning the risk assessment, both the HQs and the LCHRs resulted in being higher (1.3 and 1.6 HQ and 3.2x10-5 and 3.9x10-5, for pathologists and technicians, respectively) than the ones observed in similar scenarios. This study shows how the exposure assessment to FA could face striving situations in terms of workers' health safeguard, due to the differences among occupational limits recommended and the high health risks, especially in the healthcare field.