Yehia Y. Hammad

Mortality of workers employed in two asbestos cement manufacturing plants.

In a study of the mortality experience of 6931 employees of two New Orleans asbestos cement products manufacturing plants over 95% were traced. Chrysotile was the primary fibre used in both plants. Plant 1 also used small amounts of amosite and, later, crocidolite irregularly whereas plant 2 used crocidolite steadily in pipe production. Previously reported exposure concentration estimates were revised, based on additional air sampling data and re-evaluation of these data. Workers in the two plants had similar duration of employment (overall, a mean of 3.8 years) and estimated exposure concentration (a mean of 7.6 million particles per cubic foot (mppcf)). Mortality was similar for these plants and comparable with Louisiana rates for all causes combined, nonmalignant causes, and primary cancers of specified sites other than lung. Short term workers from both plants showed raised and similar risk of lung cancer, but risk among longer term workers differed--for example, for workers employed over one year there was no excess in plant 1 (16 observed, 17.2 expected) but a significant excess in plant 2 (52 observed, 28.9 expected, p less than 0.001). After excluding short term workers, risk of lung cancer in plant 2 showed a significant trend with estimated cumulative asbestos exposure; using a conversion of 1.4 fibres/ml = 1 mppcf, the slope of the line was 0.0076. The slope for plant 1 was 0.0003. Among all workers (the 6931, plus 167 early employees) ten mesotheliomas had occurred up to 1984: two from plant 1, eight from plant 2. In plant 2 a case-control analysis found a relation between risk of mesothelioma and duration of employment (p less than 0.01) and proportion of time spent in the pipe area (p less than 0.01), thus adding to the evidence of a greater risk of mesothelioma from crocidolite than chrysotile asbestos. A review of the mortality findings of eight cohorts of asbestos cement workers is presented.

Log‐normality of environmental sampling data

Abstract In the statistical analysis of the environmental sampling data the empirical observation of the best representation of the data by a log‐normal distribution is theoretically proved. The consequences of this proof in the data analysis is discussed and an example utilizing data from a field study is given to illustrate the appropriateness of using the log‐normal statistics.

Summary of measurements of employee exposure to airborne dust and fiber in sixteen facilities producing man-made mineral fibers

The results of an industry-wide study to determine the exposure of workers to man-made mineral fibers are summarized. The purpose of the study was to determine current employee exposures to airborne fibers and to utilize results to estimate past exposures. Measured exposures of workers to airborne total particulate matter and fibers are presented; samples were evaluated by phase contrast and electron microscopy. Results of the three year study, which encompassed 16 facilities and over 1500 eight hour samples, show that although there is a wide variation in concentrations of airborne fibers and particulate matter between and within the facilities surveyed, the concentrations of airborne particulate matter and fibers are generally less than 2.5 mg/m3 and 0.5 fibers/cm3, respectively. The norminal fiber size of the fibers manufactured and average airborne fiber concentration were highly correlated.

Follow up study of workers exposed to man made mineral fibres.

A survey of workers in seven man made mineral fibre (MMMF) production plants, the subject of a previous report, was conducted, with other blue collar workers serving as regional comparisons. Based on the median reading of chest radiographs by five readers, a low prevalence of small opacities, all at the 1/0 and 1/1 profusion levels, was again found: for workers with MMMFs, 23/1435 (1.6%); for comparison workers, 2/305 (0.7%). Spirometric measurements indicated generally healthy populations, and were not related to presence of opacities. Ninety three per cent (21/23) of MMMF workers with opacities worked at the two plants with the highest exposures to fine fibres, resulting in a dose-response relation across plants. For one location, the prevalences of opacities for the MMMF and comparison workers were not significantly different (5.9% (13/220) v 3.1% (2/65)). No comparison x ray films were obtained for the MMMF plant with the highest prevalence (6.6%), so a second phase of the study was conducted, with pre-employment films from these two plants. On this second reading, the prevalence of opacities was lower; there were no significant differences between the two groups of films, and no relation between opacities and exposure indices. There was considerable inter and intrareader variability. These results indicate no adverse clinical, functional or radiographic signs of effects of exposure to MMMFs in these workers.

Interaction of atopy and exposure to cotton dust in the bronchoconstrictor response.

A survey of 255 workers in four cottonseed crushing mills included a respiratory health questionnaire, allergy skin testing, and measurements of lung function over the Monday working shift. Atopy was defined as having two or more positive weal reactions to common inhalant antigens. Categories of exposure to dust were based on the stage of milling, and one category contained workers with continuous exposure to cotton dust derived from linters, the cotton fibres adherent to cottonseed. Atopy and exposure to dust were found to have significant interaction: large mean declines in FEV1 and FEF 25-75 occurred only in the workers exposed to linter dust who were also atopic. Skin-testing surveys in cotton textile mills have concentrated on specific cotton antigen reactivity and its first-order relations to symptoms. Our results indicate a need to identify atopic workers, and to search for interactions between atopy and other variables that may influence acute changes in expiratory flow rates.

Isomeric Composition of Airborne TDI in the Polyurethane Foam Industry

The isomeric composition of airborne toluene diisocyanate has been determined in two plants producing slab stock flexible polyurethane foam. The high performance liquid chromatographic technique used for analysis of the collected samples was optimized for the quantitative and qualitative determination of 2,4 and 2,6-TDI. The data indicates that there is a very large increase in the amount of airborne 2,6-TDI relative to the 2,4 isomer, as compared to the starting material used in the process. The magnitude of the increase was dependent on the stage of production. These results are consistent with the hypothesis of increased offgassing of 2,6-TDI, due to its lower reactivity.

Progression of asbestos effects: a prospective longitudinal study of chest radiographs and lung function

From an original prospective cohort of 244 current and ex-workers in two asbestos cement plants, longitudinal radiographic data covering ten years were available for 165 and lung function data covering about six years for 150. Estimates of average and cumulative dust exposure were available for each participant, all men. Radiographic progression (onset or worsening) was assessed by comparing earliest and latest films side by side. Annual changes in lung function were computed by fitting regression lines to all the data points. Small opacities (ILO category 1/0 or higher) were found in 16% of initial films, and progression of small opacities occurred in 13% of film pairs. Average and cumulative dust exposure were each significant determinants of the initial presence of small opacities, and were determinants of the progression of both parenchymal and pleural abnormalities. There was greater likelihood of progression if an abnormality was initially present, and a greater likelihood of progression in the plant that had systematic use of some crocidolite. Initial levels of lung function were related to smoking, exposure to dust, and initial radiographic status. Mean annual declines in lung function were modest (FVC-0.017 l/y, FEV1-0.020 l/y) and were related to smoking but not exposure to dust, initial radiographic status, or radiographic progression. Both plants used mainly chrysotile asbestos and exposure levels declined severalfold after 1960. Our findings suggest a waning effect of the larger remote dust exposures on recent annual change in lung function. This accords with human and experimental pathology data showing the relatively low resistance of chrysotile fibres to chemical alteration and clearance.

Exposure of employees to man-made mineral fibers: ceramic fiber production.

Abstract Employee exposure to ceramic fibers in the ceramic fiber production industry was measured. Data were collected in three plants operated by three different corporations. The average exposure of employees was in the range 0.05 to 2 fibers/ml. Although there were major operational diversities among the plants investigated, the size and length distributions of airborne fibers in the facilities were consistent. Thus, 95% of the airborne fibers were less than 4 μm in diameter and 50 μm in length, with geometric mean diameter of 0.7 μm and geometric mean length of 13 μm. An excellent correlation was demonstrated between average exposure to total suspended particulate matter and fiber concentrations for the work activities in the plants.

Evaluation of dust exposure in asbestos cement manufacturing operations

Previous investigations of the health of workers of the asbestos cement industry have demonstrated dose-response relationships for the diffuse radiographic changes of asbestosis and pulmonary function impairment. Studies of the mortality experience of past employees have also identified levels of cumulative exposure above which an excess of respiratory cancer could be detected. These epidemiologic studies were based on particulate concentrations determined by the midget impinger. We attempted to develop information that might lead to conversion of particulate to fiber concentrations in the industry in order that the risk assessment could be related to the current membrane filter methods. Pairs of impinger and membrane filter samples were taken in the various areas of the plant. Personal samples were also taken to determine the current exposure of workers. The ratio of fiber concentration to particle count varied from 0.63 to 2.5. Por correlation (0.18) was obtained at low fiber and particle counts and good correlation (0.91) was demonstrated in dustry areas where asbestos and silica were handled in a dry form. The concentration of fibers in 80% of the personal samples was less than 2 fibers/cc, and 60% were less than 0.5 fibers/cc. The results also show that no one conversion factor can be used for all areas of this type of operation.

A Diffusive Sampler for Personal Monitoring of Toluene Diisocyanate (TDI) Exposure; Part I: Design of the Dosimeter

A passive dosimeter for monitoring occupational exposure to toluene diisocyanate (TDI) was developed. The device is constructed from a 37-mm aerosol cassette. The collection medium used in the dosimeter is 0.5% sulfuric acid (H2SO4). Membranes of both the permeation and diffusion types were evaluated for use in the dosimeter. Microporous Teflon diffusion membranes exhibited superior performance in terms of surface effects and residual TDI and were chosen for use. Collected TDI is determined as toluenediamine by either colorimetry using a modification of the Marcali technique or fluorometry using fluorescamine reagent. A significant dependence on wind speed was minimized by use of a second microporous membrane as a wind screen. The mass transfer rate of TDI was found to be approximately 0.0152 micrograms/ppb.hr and was equivalent for the 2,4 and 2,6 isomers of TDI.