Measurements of airborne asbestos fibres during refurbishing.

Although the use of asbestos fibres in building materials has been prohibited in Norway since 1985, asbestos-containing materials (ACMs) are still found in many buildings. Lack of knowledge and awareness of these materials may lead to exposure during refurbishing. The aim of this study was to investigate the airborne fibre concentration and classify fibres found during the abatement of various ACMs. The release of fibres during short-term work tasks, such as drilling and sawing, was also investigated. Parallel air samples were collected during asbestos abetment of different building materials and analysed with scanning electron microscope (SEM) and phase-contrast microscope (PCM), respectively. Material samples were analysed with SEM. A real-time fibre monitor was used to measure asbestos during short-term work. The highest fibre concentrations were measured for samples collected during the removal of asbestos insulating boards (1.5-4.5 fibres/cm3 [f/cm3]), and the numbers were relatively similar for SEM and PCM. A large difference in asbestos concentrations was found between SEM and PCM when analysing floor materials, which were probably caused by a high number of gypsum fibres that the PCM operator counted. Thin fibres (<0.2 µm in width) were included in the SEM count and constituted up to 50% of the total fibre concentration for the asbestos cement materials. The presence of other inorganic and organic fibres on these samples probably led to similar results between SEM and PCM. Short-term work led to peak concentrations above 30 f/cm3.

Influence of Shift Work on Arterial Stiffness and Systemic Inflammation: A 3-Year Follow-up Study in Industry.

OBJECTIVE: To assess changes in cardiovascular disease risk factors during a 3-year follow-up among 57 rotating shift workers and 29 day workers in industry. METHODS: We collected demographics by questionnaire, examined blood pressure, heart rate, pulse wave velocity, carotid media thickness, and maximal oxygen uptake. We assessed blood samples for determination of lipids, glycosylated hemoglobin, C-reactive protein, markers of inflammation, and particle concentrations/respirable dust. Baseline comparisons were analyzed using logistic regression (plaque) and linear regression for all other outcomes. We applied mixed models to assess differences in change in health outcomes between the shift workers and the day workers. RESULTS: At baseline, the adhesion molecules soluble vascular cell adhesion molecule 1 and soluble P-selectin were elevated among the shift workers compared with that of the day workers. There was a significant difference in change in pulse wave velocity between shift workers (1.29-m/s increase) and day workers (0.11-m/s increase) over the 3-year follow-up. Respirable dust levels were below the Norwegian occupational exposure limit. CONCLUSIONS: Shift work in industry is associated with arterial stiffening reflecting increased risk for future cardiovascular disease. More uncertainly, we found some support for systemic inflammation.

Particle characterisation and bioaccessibility of manganese in particulate matter in silico- and ferromanganese smelters.

The aim of this study was to characterise particulate matter (PM) collected in the furnace area during SiMn and high carbon (HC)-FeMn production in terms of single particle analysis and to determine the bioaccessibility of Mn in the PM in a simulated lung fluid. Airborne PM was collected with Sioutas cascade impactors and respirable cyclones in the breathing zone of tappers and crane operators. Stationary samples were collected from the furnace area with a nanoMOUDI cascade impactor and an ESPnano electrostatic particle collector. Individual particles were characterised by scanning and transmission electron microscopy. Bioaccessibility of Mn was studied in terms of the dissolution of Mn in Gamble solution (24 hours leaching at 37 °C) relative to total Mn. Slag particles, alloy fragments, Mn and Fe oxides as well as carbonaceous particles were observed in the size fraction > 1 µm aerodynamic diameter (dae). Thermally generated condensation particles dominated the dae size range of 0.18-1 µm collected from the tapping fumes, while carbonaceous particles dominated the fraction below 0.18 µm. Condensation generated particles from the furnace area of HC-FeMn production were coated with an amorphous Si-O rich surface layer which seemed to hold primary particles together as aggregates. In the same size range, the particles from the furnace area of SiMn production were dominated by spherical condensation particles rich in Si, Mn and O, but without a Si-O rich surface layer. Instead, the Mn oxides were enclosed in an amorphous Si-O rich matrix. The bioaccessibility of Mn was low to moderate (<30%), but higher for SiMn furnace workers (highest median = 23%) than HC-FeMn furnace workers (highest median = 12%). This difference in bioaccessibility was significant for PM with dae up to 2.5 µm, and most pronounced in the dae size range between 0.25 and 1.0 µm. Also, a significantly higher bioaccessibility of Mn was found for PM larger than dae of 0.5 µm collected among crane operators compared to tappers in the HC-FeMn smelter.

Cardiovascular Health Effects of Shift Work with Long Working Hours and Night Shifts: Study Protocol for a Three-Year Prospective Follow-Up Study on Industrial Workers.

There is a plausible association between shift work and cardiovascular disease (CVD), which may be due to disruption of the circadian rhythm causing hormonal changes and metabolic disturbances, resulting in high blood pressure, atherosclerosis, diabetes, and being overweight. However, few studies have investigated the association between several consecutive long work shifts, including night shifts, and risk factors for developing CVD. Moreover, knowledge is lacking on factors that may modify or enhance this suggested relationship. The study period is planned from the third quarter of 2018 to the fourth quarter of 2021, and will involve 125 industrial employees at two Norwegian enterprises producing insulation. The work schedule is either rotating shiftwork (morning, evening, night) or regular day work. At baseline, we will measure blood parameters, including markers of inflammation, lipids, and glycosylated hemoglobin. We will also collect measures of blood pressure, resting heart rate, arterial stiffness, carotid intima-media thickness, and aerobic fitness. At the end of baseline data collection, a subgroup will undergo a supervised high-intensity interval training intervention for eight weeks, initiated by the Occupational Health Service. At one-year follow-up, we repeat baseline measures with added measures of heart rate variability and additional five weeks monitoring of sleep and physical activity, and assessment of respirable dust. At the two year follow-up, we will measure CVD risk factors before and after a planned three-month shutdown in one of the studied plants. We will also assess respirable dust, monitor sleep, and compile a one-year retrospective detailed overview of working hours. A final data collection, similar to the one at baseline, will be carried out after three years. We will use a comprehensive set of methods to identify the effects of shift work with long working hours and night shifts on cardiovascular health. This will provide new knowledge on the association between early manifestations of CVD and occupational exposure to shift work. Further, we can study whether work organization such as extensive overtime, sleep loss, and dust exposure have detrimental effects, and if a three-month cease in shift work or increased physical activity will modify early manifestations of CVD.