Pamela R. D. Williams

A Review of Historical Exposures to Asbestos among Skilled Craftsmen (1940–2006)

This article provides a review and synthesis of the published and selected unpublished literature on historical asbestos exposures among skilled craftsmen in various nonshipyard and shipyard settings. The specific crafts evaluated were insulators, pipefitters, boilermakers, masons, welders, sheet-metal workers, millwrights, electricians, carpenters, painters, laborers, maintenance workers, and abatement workers. Over 50 documents were identified and summarized. Sufficient information was available to quantitatively characterize historical asbestos exposures for the most highly exposed workers (insulators), even though data were lacking for some job tasks or time periods. Average airborne fiber concentrations collected for the duration of the task and/or the entire work shift were found to range from about 2 to 10 fibers per cubic centimeter (cm3 or cc) during activities performed by insulators in various nonshipyard settings from the late 1960s and early 1970s. Higher exposure levels were observed for this craft during the 1940s to 1950s, when dust counts were converted from millions of particles per cubic foot (mppcf) to units of fibers per cubic centimeter (fibers/cc) using a 1:6 conversion factor. Similar tasks performed in U.S. shipyards yielded average fiber concentrations about two-fold greater, likely due to inadequate ventilation and confined work environments; however, excessively high exposure levels were reported in some British Naval shipyards due to the spraying of asbestos. Improved industrial hygiene practices initiated in the early to mid-1970s were found to reduce average fiber concentrations for insulator tasks approximately two- to five-fold. For most other crafts, average fiber concentrations were found to typically range from <0.01 to 1 fibers/cc (depending on the task or time period), with higher concentrations observed during the use of powered tools, the mixing or sanding of drywall cement, and the cleanup of asbestos insulation or lagging materials. The available evidence suggests that although many historical measurements exceeded the current OSHA 8-h time-weighted average (TWA) permissible exposure limit (PEL) of 0.1 fibers/cc, average fiber concentrations generally did not exceed historical occupational exposure limits in place at the time, except perhaps during ripout activities or the spraying of asbestos in enclosed spaces or onboard ships. Additionally, reported fiber concentrations may not have represented daily or actual human exposures to asbestos, since few samples were collected beyond specific short-term tasks and workers sometimes wore respiratory protective equipment. The available data were not sufficient to determine whether the airborne fiber concentrations represented serpentine or amphibole asbestos fibers, which would have a pronounced impact on the potential health hazards posed by the asbestos. Despite a number of limitations associated with the available air sampling data, the information should provide guidance for reconstructing asbestos exposures for different crafts in specific occupational settings where asbestos was present during the 1940 to 2006 time period.

RISK CHARACTERIZATION: PRINCIPLES AND PRACTICE

In the field of risk assessment, characterizing the nature and magnitude of human health or environmental risks is arguably the most important step in the analytical process. In this step, data on the dose-response relationship of an agent are integrated with estimates of the degree of exposure in a population to characterize the likelihood and severity of risk. Although the purpose of risk characterizations is to make sense of the available data and describe what they mean to a broad audience, this step is often given insufficient attention in health risk evaluations. Too often, characterizations fail to interpret or summarize risk information in a meaningful way, or they present single numerical estimates of risk without an adequate discussion of the uncertainties inherent in key exposure parameters or the dose-response assessment, model assumptions, or analytical limitations. Consequently, many users of risk information have misinterpreted the findings of a risk assessment or have false impressions about the degree of accuracy (or the confidence of the scientist) in reported risk estimates. In this article we collected and integrated the published literature on conducting and reporting risk characterizations to provide a broad, yet comprehensive, analysis of the risk characterization process as practiced in the United States and some other countries. Specifically, the following eight topics are addressed: (1) objective of risk characterization, (2) guidance documents on risk characterization, (3) key components of risk characterizations, (4) toxicity criteria for evaluating health risks, (5) descriptors used to characterize health risks, (6) methods for quantifying human health risks, (7) key uncertainties in risk characterizations, and (8) the risk decision-making process. A brief discussion is also provided on international aspects of risk characterization. A number of examples are presented that illustrate key concepts, and citations are provided for approximately 100 of the most relevant papers.

Reconstruction of Benzene Exposure for the Pliofilm Cohort (1936-1976) Using Monte Carlo Techniques

The current cancer slope factor and occupational standards for benzene are based primarily on studies of the rubber hydrochloride (Pliofilm) workers. Previous assessments of this cohort by Rinsky et al. (1981, 1987), Crump and Allen (1984), and Paustenbach et al. (1992) relied on different assumptions about the available industrial hygiene data and workplace practices and processes over time, thereby yielding significantly different estimates of annual benzene exposures for many jobs. Given the inherent limitations and uncertainties involved in estimating historical exposures for this cohort, a probabilistic approach was used to better characterize their likely degree of benzene exposure. Ambient air exposures to benzene were based, in part, on the distribution of air sampling data collected at the Pliofilm facilities and assumptions about how workplace concentrations probably decreased over time as the threshold limit value (TLV) was lowered. The likely uptake of benzene from dermal exposures was estimated based on probability distributions for several exposure factors, including surface area, contact rate and duration, and skin absorption. The assessment also quantitatively accounts for improved engineering controls, extended work hours, incomplete Pliofilm production, and the use and effectiveness of respirators over time. All original data and assumptions are presented in this assessment, as is all new information obtained through additional interviews of former workers. Estimated benzene exposures at the 50th and 95th percentiles are reported as equivalent 8-h time-weighted average (TWA) airborne concentrations for 13 job categories from 1936 to 1965 (Akron I and II facilities) and 1939 to 1976 (St. Marys facility). Data indicate that estimated equivalent airborne benzene concentrations for St. Marys workers were highest for four job categories (Neutralizer, Quencher, Knifeman, Spreader), typically ranging from about 50 to 90 ppm during 1939-1946 (lower during 1942-1945), and 10 to 40 ppm during 1947-1976 at the 50th percentile. These estimates are 2-3 times greater than for other jobs in the Pliofilm process, and about 1.5 times less than those estimated at the 95th percentile. Estimates of equivalent airborne benzene concentrations for Akron I and II were about 1.5 times higher than for St. Marys, but there is less confidence in these estimates, given the lack of industrial hygiene monitoring data for these facilities. Study results suggest that Paustenbach et al. (1992) generally over-estimated exposures for those job categories that had the highest exposure by about a factor of two to four. On the other hand, it was concluded that Rinsky et al. (1981, 1987) under-predicted benzene exposures for most jobs, and Crump and Allen (1984) both under- and overpredicted benzene exposures, depending on the specific job category and time period. The new estimates presented in this analysis incorporate what is considered to be the most likely range of plausible exposure values, and, accordingly, provide a better characterization of the potential workplace exposures for this cohort. These data could be combined with current or future mortality information to calculate a new cancer potency factor or occupational health standard for benzene.

MTBE in California Drinking Water: An Analysis of Patterns and Trends

Over the past decade, there has been much publicity surrounding the impact of Methyl tert -butyl ether (MTBE) on drinking water supplies in the United States. In California, the presence of MTBE in groundwater and drinking water has led to a ban on the future use of MTBE in gasoline. Other states, such as those in the northeast, are also seeking ways to reduce or eliminate the use of MTBE due to perceived threats to the environment and public health. Despite claims about the incidence of MTBE in drinking water, no comprehensive characterization has been conducted on the available drinking water monitoring data. This paper provides a detailed analysis of the MTBE drinking water data compiled by the California Department of Health Services (CDHS) from 1995 to 2000. We find that MTBE was detected in about 1.3% of all drinking water samples, 2.5% of drinking water sources, and 3.7% of drinking water systems in California over this 6-year period. Our analysis reveals that many drinking water sources are not sampled routinely for MTBE, and in those sources that appear to be affected by MTBE, the compound is not consistently detected. The majority of MTBE detections are also concentrated in several geographic areas, which contain about 9-21% of the total California population. Average detected MTBE concentrations have decreased significantly since 1995 and 1996, ranging from 5 to 15 ppb over the last 3 years depending on the outcome of interest. Of the samples in which MTBE was present above the analytical detection limit, the concentrations in approximately 73% of drinking water samples and 86% of drinking water sources and systems were below the States primary health-based standard of 13 ppb. Our findings suggest that, although some drinking water supplies in California have been affected by MTBE, the majority of drinking water sources and systems either have not been affected at all or contain MTBE at concentrations below levels that are likely to be of health concern.

A Probabilistic Assessment of Household Exposures to MTBE from Drinking Water

The oxygenate methyl tertiary butyl ether (MTBE) has been added to reformulated gasoline in the U.S. to meet national ambient air quality standards. Although MTBE has provided significant health benefits in terms of reduced criteria and toxic air pollutants, detections of MTBE in some groundwater and drinking water sources have raised concerns about potential environmental contamination and human exposures. In this paper, we examine the frequency and concentration of MTBE detections in drinking water sources in California from 1995 to 1999, and provide a preliminary analysis of the distribution of household exposures to MTBE from water-related activities. Using published data on the toxicity and possible cancer hazard posed by MTBE, we estimate the likely cancer and non-cancer risks for the general population in California from past and potential future MTBE exposures. More highly exposed subgroups were also addressed. Our findings indicate that less than 2% of all sampled drinking water sources in California had detectable levels of MTBE in 1999, with average MTBE drinking water concentrations ranging from 0.09 to 4.9 ppb for this year. Both the detection rate for MTBE and average MTBE concentrations have remained relatively stable since 1995, despite increased sampling of drinking water sources in California. The probabilistic exposure analysis suggests that drinking water exposures to MTBE are unlikely to pose a significant health risk for the general population or more highly exposed individuals in California.

Dermal absorption of benzene in occupational settings: Estimating flux and applications for risk assessment

There is growing emphasis in the United States and Europe regarding the quantification of dermal exposures to chemical mixtures and other substances. In this paper, we determine the dermal flux of benzene in neat form, in organic solvents, and in aqueous solutions based on a critical review and analysis of the published literature, and discuss appropriate applications for using benzene dermal absorption data in occupational risk assessment. As part of this effort, we synthesize and analyze data for 77 experimental results taken from 16 studies of benzene skin absorption. We also assess the chemical activity of benzene in simple hydrocarbon solvent mixtures using a thermodynamic modeling software tool. Based on the collective human in vivo, human in vitro, and animal in vitro data sets, we find that the steady-state dermal flux for neat benzene (and benzene-saturated aqueous solutions) ranges from 0.2 to 0.4 mg/(cm2•h). Observed outlier values for some of the animal in vivo data sets are possibly due to the use of test species that have more permeable skin than humans or study conditions that resulted in damage to the skin barrier. Because relatively few dermal absorption studies have been conducted on benzene-containing organic solvents, and available test results may be influenced by study design or vehicle effects, it is not possible to use these data to quantify the dermal flux of benzene for other types of solvent mixtures. However, depending on the application, we describe several potential approaches that can be used to derive a rough approximation of the steady-state benzene dermal flux for these mixtures. Important limitations with respect to quantifying and evaluating the significance of dermal exposures to benzene in occupational settings include a lack of data on (1) factors that affect the dermal uptake of benzene, (2) the dermal flux of benzene for different organic solvent mixtures, (3) meaningful metrics for evaluating the dermal uptake of benzene, (4) steady-state versus non-steady-state dermal flux values for benzene, (5) the effect of skin damage on the dermal flux of benzene, (6) standardized test methods for estimating the dermal flux of benzene, and (7) robust estimates of the evaporation rate of benzene from different liquid vehicles.

Cumulative Risk Assessment (CRA): Transforming the Way We Assess Health Risks

Human health risk assessments continue to evolve and now focus on the need for cumulative risk assessment (CRA). CRA involves assessing the combined risk from coexposure to multiple chemical and nonchemical stressors for varying health effects. CRAs are broader in scope than traditional chemical risk assessments because they allow for a more comprehensive evaluation of the interaction between different stressors and their combined impact on human health. Future directions of CRA include greater emphasis on local-level community-based assessments; integrating environmental, occupational, community, and individual risk factors; and identifying and implementing common frameworks and risk metrics for incorporating multiple stressors.

Current Methods for Evaluating Children's Exposures for Use in Health Risk Assessment

Despite the relatively long history of incorporating child-specific safety or exposure factors into U.S. health risk assessments, there has been a growing perception that past scientific and regulatory approaches were not sufficiently protective of infants and children. To address these concerns, a wide range of activities have occurred over the last few years that will likely generate new information on child-specific issues and identify data gaps in current knowledge about childrens exposures and health risks. For example, the new publication by the Centers for Disease Control and Prevention, National Report on Human Exposure to Environmental Chemicals, will provide unique information on environmental chemical exposures in the U.S. population using biomonitoring (i.e., blood and urine) analyses. Although preliminary reviews have attempted to summarize what is known about the factors that influence childrens exposure and sensitivity to environmental contaminants, there does not appear to be a comprehen...

Airborne Concentrations of Benzene Associated with the Historical Use of Some Formulations of Liquid Wrench

The current study characterizes potential inhalation exposures to benzene associated with the historical use of some formulations of Liquid Wrench under specific test conditions. This product is a multiuse penetrant and lubricant commonly used in a variety of consumer and industrial settings. The study entailed the remanufacturing of several product formulations to have similar physical and chemical properties to most nonaerosol Liquid Wrench formulations between 1960 and 1978. The airborne concentrations of benzene and other constituents during the simulated application of these products were measured under a range of conditions. Nearly 200 breathing zone and area bystander air samples were collected during 11 different product use scenarios. Depending on the tests performed, average airborne concentrations of benzene ranged from approximately 0.2–9.9 mg/m3 (0.08–3.8 ppm) for the 15-min personal samples; 0.1–8 mg/m3 (0.04–3 ppm) for the 1-hr personal samples; and 0.1–5.1 mg/m3 (0.04–2 ppm) for the 1-hr area samples. The 1-hr personal samples encompassed two 15-min product applications and two 15-min periods of standing within 5 to 10 feet of the work area. The measured airborne concentrations of benzene varied significantly based on the benzene content of the formulation tested (1%, 3%, 14%, or 30% v/v benzene) and the indoor air exchange rate but did not vary much with the base formulation of the product or the two quantities of Liquid Wrench used. The airborne concentrations of five other volatile chemicals (ethylbenzene, toluene, total xylenes, cyclohexane, and hexane) were also measured, and the results were consistent with the volatility and concentrations of these chemicals in the product tested. A linear regression analysis of air concentration compared with the chemical mole fraction in the solution and air exchange rate provided a relatively good fit to the data. The results of this study should be useful for evaluating potential inhalation exposures to benzene and other volatile chemicals that occurred during the past use of some formulations of Liquid Wrench and perhaps for some similar products containing these chemicals.

Benzene Exposures Associated with Tasks Performed on Marine Vessels (Circa 1975 to 2000)

In this article, we assemble and synthesize the available industrial hygiene data that describe exposure during the marine transport of benzene-containing products in the United States and abroad. A total of 25 studies were identified and summarized. The measured airborne concentrations of benzene on marine vessels were found to vary depending on several key factors, including the job task, vessel characteristics, cargo type, and sample type and duration. Despite the differences in sampling strategies and benzene content of the liquids being transported, personal time-weighted-average benzene air concentrations typically ranged from 0.2–2.0 ppm during closed loading and 2–10 ppm during open loading operations. Benzene exposures during these activities are likely due to specific short-term tasks, such as connecting and disconnecting hoses and tank gauging and sampling. Similar concentrations of benzene have been reported in the pump room during marine loading operations and during tank cleaning activities in various settings. When compared with contemporaneous occupational health standards, our review indicates that most activities performed on marine vessels from the 1970s to 1990s usually did not result in benzene exposures that exceeded these standards. The information and data presented here may be useful for quantitatively estimating or reconstructing historical exposures during the marine transport of benzene-containing cargo if details about individuals work histories in the maritime industry are available.