Application of temporal kurtosis index in assessing hearing loss caused by complex noise / 中国职业医学

Complex noise with impulse or impact property is common in workplace, and its damage on the auditory system is greater than that of steady-state noise. At present, the noise exposure measurement and evaluation indicators widely used in the world mainly include the equivalent continuous sound level and the cumulative noise exposure, both are based on the equal energy hypothesis(EEH). EEH only considered the damage of noise energy on the auditory system, but ignored the effect of temporal characteristics of noise, and underestimated the degree of hearing loss associated with complex noise. This paper first introduced the limitations of current noise exposure assessment standards at home and abroad, then introduced the definition of temporal kurtosis and the calculation method of its related energy indexes(such as cumulative noise exposure and equivalent continuous A-weighted sound pressure level), and further summarized the effectiveness of temporal kurtosis as an auxiliary parameter of noise energy in assessing the risk of hearing loss caused by complex noise, providing a rationale to supplement the existing noise assessment standards.

Analysis on the influencing factors of low back pain in the occupational workers of key industries in China / 中国职业医学

OBJECTIVE: To explore the influencing factors of low back pain and the relationship of the influence of bad working posture, weight load and frequency of load and the dose-response relationship among the occupational workers of key industries in China. METHODS: A total of 57 501 employees from 15 key industries in China were selected as research subjects using stratified cluster sampling method. The occurrence of low back pain in the past one year, as well as occupational factors such as job type, labor organization and work posture were investigated by using the Chinese version Musculoskeletal Disorders Questionnaire. RESULTS: The prevalence of low back pain in the occupational population of key industries in China was 16.4%(9 448/57 501). Multivariate Logistic regression analysis showed that the risk of low back pain in females was higher than that in males(P<0.01). Married, obese, occasional and frequent smokers, and a history of lower back disease were associated with increased risk of low back pain(all P<0.05). The risk of low back pain was associated with older age, higher education level, and lower frequency of physical exercise(all P<0.01). The risk of low back pain was higher with longer working time, greater back curvature, and the high frequency of long standing and sitting position work, uncomfortable working posture, repeated operation per minute, and lifting>5 kg weight(all P<0.01). CONCLUSION: The influencing factors of low back pain in the occupational population of key industries in China include bad working posture, high frequency load, weight load and other individual factors. There is a dose-response relationship with low back posture load and frequency of load.

Applied study and case report of comparison and application of two occupational health risk assessment methods in chair furniture manufacturing enterprises / 预防医学

Objective To apply and compare two occupational health risk assessment methods of Singapore occupational semi-quantitative risk assessment technique and occupational health risk assessment model provided by the International Council on Mining and Metal (ICMM) in chair furniture manufacturing enterprises. Methods Three chair furniture manufacturing enterprises were selected and investigated by occupational health. Singapore occupational semi-quantitative risk assessment technique and occupational health risk assessment model provided by the ICMM were used to evaluate the exposure risk in workers and compared. Results The result from the Singapore model indicated that there were extremely high risk for wood dust exposure at word-drilled workshop in factory C, high risk for wood dust exposure at word-drilled workshop in factory B and C, high risk for benzene exposure at glue-sprayed workshop in factory B and C, medium risk for wood dust exposure at wood-drilled workshop in factory A, toluene, xylene, dichloromethane, formaldehyde in factory B, toluene, xylene in factory C. There were inconsistent evaluation results using the ICMM tools of standard-based matrix and calculated risk rating. There were unacceptable risks for methylene chloride exposure at glue-sprayed workshop and word dust exposure at word-drilled workshop in factory A, B, C. There were unacceptable risks for benzene exposure at glue-sprayed workshop in factory B and C, toluene exposure at glue-sprayed workshop in factory A and C, ethyl acetate exposure at glue-sprayed workshop in factory B and C. The consistency of risk levels evaluated by Singapore occupational semi-quantitative risk assessment technique and rating evaluated mothod of risk assessment model provided by the ICMM was 58.33％ (weighted kappa value: 0.25) . The consistencies of risk levels evaluated by Singapore occupational semi-quantitative risk assessment technique and risk assessment model provided by the ICMM were low (weighted kappa value: 0.00) . Conclusion Singapore occupational semi-quantitative risk assessment technique and risk assessment model provided by the ICMM were both suitable for the chair furniture manufacturing enterprises, but the outcome of the two methods is inconsistent.

Retrospective analysis on pesticide poisoning cases in Zhejiang Province / 预防医学

Objective To explore the regularity and characteristics of pesticide poisoning in Zhejiang Province and to provide scientific basis for pesticide poisoning prevention. Methods The cases of pesticide poisoning in Zhejiang Province from 2007 to 2016 were collected through the occupational diseases and occupational health information monitoring system. The district, types of pesticides, time, gender and age of poisoning were analyzed. Results There were 46 671 cases of pesticide poisoning in Zhejiang Province from 2007 to 2016, 14.91% of which were productive exposure poisoning, while 85.09% were non-productive exposure poisoning. There were 2 735 death cases, so the fatality rate was 5.86%. There was no obvious change trend in the mortality rate of productive poisoning(P>0.05), which was 0.88%. The mortality rate of non-productive poisoning was much higher, which was 6.73%(P<0.05), with a decreasing trend in this decade(P<0.05). The pesticide poisoning occurred more from July to September than other months, with a total number of 16 806 cases, which was 36.01% of the 46 671 cases. Hangzhou, Taizhou and Huzhou reported the largest number of cases. The number of organophosphorus pesticide poisoning cases was the highest, accounting for 56.89% of the total poisoning cases. The highest incidence of poisoning was among 35-64 years old ones 51.44% of the cases). The number of death cases in groups older than 75 years was the largest, accounting for 11.44% of the total number of deaths. The cases of suicide poisoning accounted for 77.07% of non-productive pesticides poisoning, and the fatality rate was 8.11%. The mortality rate increased with age(P<0.05). The mortality rate of suicide poisoning in male patients was 9.82%, which was higher than that of female(6.59%)(P<0.05). Conclusion The pesticide poisoning in Zhejiang Province is mainly caused by non-productive self-service poisoning. The mortality rate of pesticide poisoning in the elderly population is high.

Application of two health risk assessment models in the occupational health risk assessment of chemicals in different industries / 预防医学

Objective To explore the applicability of Singapore semi-quantitative risk assessment mode and Romania risk assessment model in occupational health risk assessment. Methods We employed two risk assessment models to evaluate the risk of key positions in papermaking factories, electroplating factories, and chemical factories. Then we compared the results with occupational exposure limits, classification of occupational hazards and literature reports. Results The results of Singapore model showed that the total risk ratio was 0.40 ±0.16. The risk levels of papermaking factories, electroplating factories, and chemical factories were low-medium, negligible-low and low-very high, respectively. The risk ratio of three industries were 0.42±0.04, 0.31±0.10 and 0.62±0.15. The results of Romania model showed that the total risk ratio was 0.43 ±0.11. The risk levels of papermaking factories, electroplating factories, and chemical factories were respectively low-high, minimal-low and low-very high. The risk ratio of three industries was 0.46±0.13, 0.38±0.08 and 0.52±0.11, respectively. The risk levels of electroplating factories were higher than papermaking factories and chemical factories (P<0.05) . There was no significant difference between risk levels of papermaking factories and chemical factories (P>0.05) . There was significant difference between the occupational health risk levels assessed by the two models (P >0.05) . Conclusion These findings suggest that Singapore semi-quantitative risk assessment model and Romania risk assessment model both can be applied for the occupational health risk assessment of different workplaces, such as papermaking factories,electroplating factories, and chemical factories. The risk assessment results of the two methods are basically identical.

A comparative study on the application of different methods of occupation health risk assessment in small furniture manufacturing industry / 预防医学

Objective To compare the applicability of different occupational health risk assessment methods in small furniture manufacturing industry. Methods American EPA inhalation risk model, Singapore semi-quantitative risk assessment model of occupational exposure to chemical substances and Australian Occupational Health and Safety Risk Assessment model, were used to assess the occupational health risk in a small furniture manufacturing industry from a city of Zhejiang Province. Results The results of American EPA model showed that the workers who exposed to benzene and formaldehyde had low risk of carcinogens, and who exposed to benzene and xylene had very high risk of non-carcinogens. According to Singapore semi-quantitative risk assessment model, there were low and medium health risk caused by toluene and xylene, and high risk caused by wood dust in preparation and polishing jobs. Similar to the results of other models, Australia qualitative risk assessment model showed that there were medium health risk caused by toluene and xylene, and high risk caused by benzene, wood dust and noise. All of the three methods could found the key risk control point in furniture manufacturing industry. The risk ratios of the three methods were higher than the toxic work classification ratio (P<0.01), and the risk ratio of EPA model were higher than the results of Singapore model and Australia model (P<0.05) . Conclusion All of the three methods can be applied to assess the occupational health risk in furniture manufacturing industry, and the combined application of multiple risk assessment methods can be used as one of the risk assessment strategies.

A study on application of semi-quantitative risk assessment models in furniture industry / 预防医学

Objective To explore the suitable risk assessment model for printing industry, we evaluated the risk of furniture industry using models provided by Singapore Ministry of Manpower (MOM) . Methods According to the occupational-disease-prevention laws and regulations, we improved the MOM and increased the risk assessment of physical agents. Then, we evaluate the risk of furniture industry using the improved MOM. Results The range of wood dust was 1.9-8.9mg/m3, and the percent of pass was 50%. The range of formaldehyde, benzene, methylbenzene and dimethylbenzene was 0.24-0.36 mg/m3, <0.6mg/m3, 3.8-6.7mg/m3 and 6.1-16.1mg/m3 respectively, and their percent of pass was 100%. Furthermore, the noise intensity was 80.8 dB (A), which was under the occupational exposure limit. The risk level of wood dust, formaldehyde, benzene and noise was high, while the risk level of methylbenzene and dimethylbenzene was moderate. Conclusion The improved semi-quantitative risk assessment was appropriate for furniture industry, but its applicability in industrial enterprise needs to be studied further.

Occupational semi-quantitative risk assessment in a crane manufacturing enterprise / 预防医学

Objective To evaluate occupational health risk at sites in a crane manufacturing enterprise and to provide the basis for occupational risk management and worker'health.Methods A crane manufacturing enterprise was selected and investigated for occupational health.Singapore occupational semi-quantitative risk assessment technique was used to evaluate the exposure risk in workers and compared with classification and occupational exposure limits of occupational hazards at workplaces.Results Benzene, toluene, xylene, manganese, butyl alcohol, butyl acetate, welding fume, silica dust, grinding wheel dust, noise were occupational hazard at the crane manufacturing sites.Results showed 3.28% of all the chemical substance analyzed in our study by Singapore occupational semi-quantitative risk assessment technique were high risk, and 8.2% were moderate risk, and 55.74% were low risk and 32.78% were negligible risk.The risk level of dip coating, welding, bob-weight, coremaking, sand mixing, shakeout were between moderate to high.The job grading of occupational chemical substance were correspondingly: harmless, 98.36%;slight, 1.64%.The results of the two methods were significantly different(P<0.05).Conclusion Singapore occupational semi-quantitative risk assessment technique could be used in evaluating the risk level of workplaces.However, this technique is limited in evaluating the risk level of physical factor such as noise and heat and should be combined with National Occupational Standards.

A study on the application of Romania risk assessment method of occupational accidents and diseases in a certain fluorescent lamp manufacture enterprise / 预防医学

Objective To assess the risk of occupational hazards of a certain fluorescent lamp manufacturing enterprise and to provide the basis for strengthening the industry's occupational health management.Methods To carry out risk assessment by Romania risk assessment method of occupational accidents and diseases in a certain fluorescent lamp manufacture enterprise,and to identify a certain fluorescent lamp manufacturing enterprise occupational hazards risk factors.To analyze the maximum foreseeable consequences of severity and likelihood,and to determine the level of risk.To compare the results of the assessment with the classification for occupational hazards at workplaces.Results The most serious consequences of high temperature and mercury risk level reached level 6,which is the highest level.Mercury concentration,temperature WBGT index exceeded the occupational exposure limits,and it is the primary risk factor for prevention.The most serious consequences of noise risk reached level 3,which is moderate,but noise level positions exceeded with the occupational exposure limits,and it is also the risk factor for prevention.Grilled pipe,taut filament unlock filament,sealing and exhaust inject mercury were the most serious consequences with the risk reached level 5,which is the highest level.Conclusion The enterprises should strengthen high-temperature,noise monitoring,and the prevention of occupational hazards of mercury.Grilled pipe,taut filament unlock filament,sealing and exhaust inject mercury are key positions for occupational hazard risk control.

An investigation on an outbreak of fluoropolymer fume fever caused by incineration of solid waste / 预防医学

Objective To investigate the cause of an outbreak that with fever,chest tightness,cough as the main symptoms in a production enterprise of solar cells,and to provide suggestrons for the on -site disposal and preventing of re -issued. Methods Clinical features and epidemiological characteristics of the cases were analyzed.The workplaces and treatment of industrial wastes were investigated.Legionella in the throat swab sample and residual water during the processes were detected.Simulation test for poisonous gas from waste incineration was performed using a portable GC -MS detector. Results 52 cases were found and the attack rate was 42.76%.The case distribution was consistent with the characteristics of the outbreak of a homologous exposure.Legionella test result was negative.Clinical symptoms of patients were similar to those of fume fever.In the 1 2 jobs,the higher the amount of compressed air used in the job,the higher the incidence rate was,and there were statistical correlation between the two (P <0.01 ).A large number of fluorine -containing solid waste was burned in the evening before the onset of the disease.The compressed air station was downwind from the location of waste incineration,and the simulation test showed that the concentrations of fluobenzene and two -fluobenzene were 435 and 51 3 mg/m3 ,respectively.Conclusion The toxic smoke produced by illegal incineration of fluorine -containing solid waste,from the compressed air station into the workshop,causing the workers exposed to organic fluoride poisoning,and then the fluoropolymer fume fever outbreak.Fortunately,we disposed it timely and effectively,and all cases quickly recovered and no secondary occurred.

An Epistaxis Emergency Associated with Multiple Pollutants in Elementary Students / 生物医学与环境科学（英文）

Emergencies of epistaxis in students caused by environmental pollution have rarely been reported to date. This study aimed to explore the cause of an emergency of epistaxis in elementary students by using a field epidemiological investigation. Twenty-two epistaxis cases from a single school with differences in gender, age, and classroom, were diagnosed within a period of 7 days. The air concentration of chromic acid mist (Cr6+) in the electroplating factory area, new campus, and residential area exceeded the limit of uncontrolled emissions. The emission of HCL and H2SO4 was also observed. Formaldehyde levels in the classrooms exceeded the limits of indoor air quality. Abnormal nasal mucosa was significantly more frequent in the case group (93.3%) and control group 1 (of the same school) (66.7%) than in control group 2 (from a mountainous area with no industrial zone) (34.8%; P < 0.05 and P < 0.01, respectively). On the basis of the pre-existing local nasal mucosal lesions, excessive chromic acid mist in the school's surrounding areas and formaldehyde in the classrooms were considered to have acutely irritated the nasal mucosa, causing epistaxis. Several lessons regarding factory site selection, eradication of chemical emissions, and indoor air quality in newly decorated classrooms, should be learned from this emergency.

An analysis on the direct economic loss and its influencing factors of pneumoconiosis in Zhejiang province / 预防医学

Objective To explore the characteristics and their influencing factors of economic burden for pneumoconiosis disease,and to provide a baseline to develop the prevention measures and to reduce the economic burden of pneumoconiosis. Methods The retrospective epidemiological method was used to investigate the general information of pneumoconiosis cases,frequency of outpatient and hospitalization per year,medical expenditure. Direct economic loss and its influencing factors of pneumoconiosis patients were analyzed. Results A total of 421 pneumoconiosis cases were investigated. All subjects were male,including 306 inpatients. The average medical expenditures of outpatient and inpatient were 594. 53 ± 336. 23 and 32 266. 06 ± 28 130. 67 Yuan,respectively. The annual average expenditures of outpatient and inpatient were 2 907. 25 and 48 721. 75 Yuan,respectively. In terms of health care costs,the highest proportion of western medicine was 44. 08% ,followed by traditional Chinese medicine(12. 62% ). With an increase in pneumoconiosis stage,the annual frequency of outpatient and hospitalization,as well as total expenditure increased accordingly. The average annual cost of pneumoconiosis inpatient with complications and non - complication inpatient were 55 822. 20 and 23 532. 21 Yuan,respectively. The annual average cost of outpatient with complications and without complications were 4 236. 41 and 882. 31 Yuan, respectively. The expenditures for pneumoconiosis disease with complications among outpatient and inpatient were significantly higher than those of pneumoconiosis patients without complications(P < 0. 05). Conclusion Direct economic loss of pneumoconiosis disease is relatively high. The disease stage and complications of pneumoconiosis are the main factors influencing the direct economic loss of pneumoconiosis.

A study on the application of foreign occupational health and safety checklist in assessing the occupational health intervention effects / 预防医学

Objective Study the intervention effects occupational HS (health and safety)checklist of the comprehensive intervention effects on colored textile manufacture.Methods Combined the application of occupational disease hazard control effect assessment and HS checklist to intervene and assessment a colored textile manufacture,and then compare the intervention effects.Results The qualified rate of checklist has been increased from 31.25% to 79.17% after intervention.The qualified rate of main contents of occupational health intervention (monitoring occupational disease health risk factors,protecting facilities for occupational disease,facilities for emergency rescue,construction of hygiene,work -related welfare facilities,occupational health surveillance,occupational health management,chemical management, employee participation and suppliers security) also has been significantly improved (P <0.05 ).Furthermore,the unqualified rates of dust concentration in workplace descreased from 83.33% to 16.67%.Conclusion The application of occupational disease hazard control effect assessment combined with HS checklist improved intervention effect and this technique could be spread.

A study on engineering protection measures and risk assessment of an oil terminal project / 预防医学

Objective To analyze and evaluate the occupational hazards,engineering protection measures and risk levels in an oil terminal project.Methods Engineering analysis,occupational health survey,inspecting -testing and semi -qualitative semi-quantitative evaluation method (MES method)were used to analyze the production process,the type of occupational hazards,characteristics and concentrated/strong degrees and engineering protection measures of the project. Also,the occupational health risk and the effect of engineering protection were assessed.Results The main occupational hazards of this project were dust,solvent naphtha,benzene,toluene,xylene,hexane,non -methane hydrocarbons, carbon monoxide,carbon dioxide,manganese and its inorganic compounds,hydrochloric acid,hydrogen sulfide,noise, high temperature,power frequency electric field,welding electric arc and so on.Approximately,16.67%of noise samples and 66.67% of high temperature samples exceeded the Chinese National Occupational Health Standards.Except for noise of the fuel pump shed and high temperature of 100000 tons pier and fuel tank,the occupational hazards of other jobs were in line with the national occupational health standards.In normal conditions,the occupational risk levels of all positions were 5 (slightly hazardous),while in special conditions,the occupational risk level of repair welders was 5 (slightly hazardous),of pier operators and tank farm operators were 1 (extremely dangerous),of sewage treatment workers,boiler room operators and electricians were 3 (significant risk ).Conclusion This project can take effective engineering protective measures to control occupational hazards and risk management of special conditions need to be strengthened.

A Study on Application of Inhalation Risk Assessment Model of USEPA in Occupational Health Risk Assessment / 预防医学

Objective To evaluate the applicability of inhalation risk assessment model provided by US Environmental Protection Agency (USEPA ) in occupational health risk assessment in paper -making,chemical and electroplating industries.Methods A total of 1 1 factories in paper-making,chemical and electroplating industries were investigated. The risk assessment model of USEPA was used to assess occupational health risk levels,including cancer and non-cancer risks.These results were compared with occupational exposure limits,classification of occupational hazards and related literatures.Results The hazard quotient (HQ)of nasal lesions of the olfactory mucosa caused by hydrogen sulfide in paper-making industry was 36.3.The HQs of hyperplasia of nasal mucosa larynx and trachea caused by hydrogen chloride and cerebellar lesions caused by methyl chloride in organosilicon synthesis factory were 8.2 and 1.4 respectively.The HQs of decreased pulmonary function or increased severity of rhinitis and pneumonia caused by ammonia in pesticide factory were 1.2 and 1 .5 respectively.The HQ of impaired motor coordination caused by xylenes in chemical solvent factory was 2.4. The HQs of hyperplasia of nasal mucosa larynx and trachea caused by hydrogen chloride and nasal septum atrophy caused by hexavalent chromium in electroplating industry were 2.3-75.3 and 1 92.5 -25 675 respectively .The risk levels of paper-making,chemical and electroplating industries were all identified as high on the basis of evidence showing that HQs were all higher than 1 .The risk of lung cancer caused by hexavalent chromium in electroplating industry was 0.001 -0.1 647.The results of risk assessment were consistent with the reported literature.Conclusion Inhalation risk assessment model provided by USEPA can be used to assess the occupational health risks of paper -making, chemical and electroplating industries and have better identification ability.

Analysis of monitoring results of occupational hazard factors in workplaces in Zhejiang Province, China in 2006 - 2010 / 中华劳动卫生职业病杂志

<p><b>OBJECTIVE</b>To analyze the monitoring results of the occupational hazard factors in workplaces in Zhejiang Province, China in 2006 - 2010.</p><p><b>METHODS</b>Descriptive analysis was performed on the monitoring results of the occupational hazard factors in workplaces in Zhejiang Province from 2006 to 2010.</p><p><b>RESULTS</b>From 2006 to 2012, the number of monitored objects for each occupational hazard factor increased gradually, and the qualified rate for each factor remained unchanged or rose slightly. The qualified rates for silica dust and asbestos dust were less than 60%. The qualified rates for benzene, toluene, and xylene, which were always the factors highlighted in the monitoring of toxic chemicals, were all above 85%. The numbers of monitored objects for hexane, hydrogen sulfide, and cyanide grew significantly in recent years. However, the qualified rates for physical factors, which mainly included high temperature and noise, were less than 70%, lower than those for chemical factors.</p><p><b>CONCLUSION</b>The qualified rate is as important as the number of monitored objects in the monitoring of the occupational hazard factors in workplaces in Zhejiang Province, China. The acute and chronic factors, physical and chemical factors, and traditional and new factors should be balanced in monitoring.</p>

Survey on individual occupational health protection behaviors of welding workers using theory of reasoned action / 中华劳动卫生职业病杂志

<p><b>OBJECTIVE</b>To apply theory of reasoned action at survey on welding workers occupational health protection behaviors and explore related influencing factors.</p><p><b>METHODS</b>nine companies were randomly selected from areas with many welding works in Zhejiang Province. All welding workers were surveyed using a questionnaire based on theory of reasoned action.</p><p><b>RESULTS</b>10.06%, 26.80% and 37.50% of the respondents never or seldom used eyeshade, mask and earplug, respectively. After controlling the socio-demographic factors, welding workers' behavioral belief was correlated with the behaviors of eyeshade-mask and earplug use (χ(2) = 31.88, 18.77 and 37.77, P < 0.01). the subjective norm of company was correlated with all protection behaviors (χ(2) = 20.60, 10.98 and 19.86, P < 0.01), the subjective norm of colleague was correlated with mask and earplug use, (χ(2) = 27.43, 36.39, P < 0.01), and the subjective norm of family was correlated with mask use (χ(2) = 5.73, P < 0.05).</p><p><b>CONCLUSION</b>Theory of reasoned action is suitable for welding worker occupational health related behaviors. It is useful to improve occupational health education, to effectively select health education objective and to tailor health education contents.</p>

An investigation of oxidative DNA damage in pharmacy technicians exposed to antineoplastic drugs in two Chinese hospitals using the urinary 8-OHdG assay / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To investigate oxidative DNA damage in pharmacy technicians preparing antineoplastic drugs at the PIVAS (Pharmacy Intravenous Admixture Service) in two Chinese hospitals.</p><p><b>METHODS</b>Urinary 8-OHdG served as a biomarker. 5-Fluorouracil (5-FU) concentrations in air, masks and gloves were determined. The spill exposure of each PIVAS technician to antineoplastic drugs was investigated. Eighty subjects were divided into exposed group I, II, and control group I, II.</p><p><b>RESULTS</b>5-FU concentration ratios for gloves and masks in exposed group I were significantly higher than those in exposed group II (P<0.05 or P<0.01). The average urinary 8-OHdG concentrations in exposed group I, control group I, exposed group II, and control group II were 14.69±0.93, 10.68±1.07, 10.57±0.55, and 11.96±0.73 ng/mg Cr, respectively. Urinary 8-OHdG concentration in exposed group I was significantly higher than that in control group I or that in exposed group II (P<0.01). There was a significant correlation between urinary 8-OHdG concentrations and spill frequencies per technician (P<0.01).</p><p><b>CONCLUSION</b>There was detectable oxidative DNA damage in PIVAS technicians exposed to antineoplastic drugs. This oxidative DNA damage may be associated with their spill exposure experience and contamination of their personal protective equipment.</p>

Analysis of new pneumoconiosis cases during 2006-2009 in Zhejiang province / 中华劳动卫生职业病杂志

<p><b>OBJECTIVE</b>To analyze the characteristics of pneumoconiosis cases in Zhejiang province and to provide the evidence for pneumoconiosis control and prevention measures in Zhejiang province.</p><p><b>METHODS</b>The data of new pneumoconiosis cases were from national surveillance system of occupational disease in Zhejiang province during 2006-2009, and were analyzed for distribution, age, exposure duration, pneumoconiosis phases and enterprise types.</p><p><b>RESULTS</b>During 2006-2009, 819 new pneumoconiosis cases (173, 157, 209 and 280 cases, respectively) were reported, 86.9% cases suffered from silicosis. Most of pneumoconiosis cases were distributed in Ningbo, Wenzhou areas and in building materials, machinery, coal, geological and mining, light industries and construction enterprise. The average ages of new pneumoconiosis cases were (47.8 +/- 10.0), (52.5 +/- 13.1), (55.5 +/- 11.2) and (55.9 +/- 12.2) years old, respectively and showed a significant increase trend (P<0.05). The average exposure duration of new pneumoconiosis cases were (12.4 +/- 8.6), (12.9 +/- 9.4), (12.4 +/- 8.6) and (15.7 +/- 10.0) years. The average exposure duration of phase I, phase II, phase III new pneumoconiosis cases were (14.3 +/- 9.87), (12.4 +/- 8.7) and (11.4 +/- 7.1) years, respectively and there were significant differences (P<0.05).</p><p><b>CONCLUSION</b>New pneumoconiosis cases in Zhejiang province are increasing year by year, the main type of pneumoconiosis is silicosis, the distribution of pneumoconiosis cases is associated with the areas and enterprises, and the exposure duration of new pneumoconiosis cases is relatively shorter.</p>

Investigation on occupational exposure to 5-fluorouracil in pharmacy intravenous admixture service of a hospital / 中华劳动卫生职业病杂志

<p><b>OBJECTIVE</b>To investigate the level of occupational exposure to 5-fluorouracil (5-Fu) in the pharmacy intravenous admixture service (PIVAS) of a hospital, and identify the sources of 5-Fu contamination.</p><p><b>METHODS</b>The 5-Fu concentrations in air, on the surface of different areas in PIVAS and personal protective equipments were detected using UV-vis spectrophotometry.</p><p><b>RESULTS</b>The 5-Fu in air could not be detected. The 5-Fu concentrations on five different surfaces of biological safety cabinets were (22.00 +/- 6.35), (13.99 +/- 2.46), (14.13 +/- 0.72), (7.25 +/- 1.19) and (9.87 +/- 1.23) ng/cm2, respectively, which were significantly higher than those [(3.14 +/- 0.04), (5.43 +/- 0.65), (2.26 +/- 0.17), (2.26 +/- 0.17) and (3.63 +/- 0.46) ng/cm2] of corresponding controls (P < 0.05 or P < 0.01). The 5-Fu concentrations of the floor under cabinets [(18.19 +/- 5.22) ng/cm2], the floor in front of cabinets [(10.25 +/- 2.57)ng/cm2], the office floor [(11.64 +/- 2.53) ng/cm2], the terrace floor [(99.89 +/- 14.06 ) ng/cm2], the floor beside trash can in dressing room [(24.54 +/- 0.23) ng/cm2] were significantly higher than those of control [(3.36 +/- 0.11 ) ng/cm2] (P < 0.05 or P < 0.01). The 5-Fu concentrations of the tables in preparation room [(7.22 +/- l.04) ng/cm2] and the tables in office [(11.81 +/- 1.18) ng/cm2] were significantly higher than those of control [(5.56 +/- 0.14) ng/cm2] (P < 0.05 or P < 0.01). The 5-Fu concentrations of the indoor handle in preparation room were significantly higher than those of controls (P < 0.05 or P < 0.01). 5-Fu concentrations on the surfaces of outdoor handle and floor beside door in preparation room were not significantly increased compared with controls (P > 0.05). The 5-Fu concentrations on the surfaces of infusion bags, transfer box, transfer trays were significantly higher than those of controls (P < 0.05). The differences of 5-Fu concentrations between outer and inner masks and controls were not significant (P > 0.05). The 5-Fu concentrations of gloves of preparing and checking staffs were significantly higher than those of controls (P < 0.05 or P < 0.01).</p><p><b>CONCLUSION</b>The preparing and checking process of 5-Fu and the treatment of medical wastes are major sources of 5-Fu contamination.</p>