Occupational health experience with organic additives.

For many decades, interest in occupational medicine has been focused on the wide variety of organic additives, which includes a large number of substances, for example, dyestuffs, pigments, and auxiliaries for the textile, leather, and paper industries. The reason is that, if the recommended precautions are not observed, there is a risk of exposure to most of these substances during both production and use. Moreover, over the years, some additives have caused concern and aroused suspicion regarding adverse effects on health. In order to deal with health problems in this field, it is important to be aware of how, what, and where occupational diseases or accidents arise. Much knowledge has been gained about these, and it would be an impossible task to give a systematic survey of the data that have accumulated, especially since it is necessary to take account of the problem of exposure to more than one substance. Thus an attempt is made to report on occupational health experience in general, and to demonstrate how an industrial hygienist may approach the many and various problems. Some epidemiological studies on organic additives (auramine, anthraquinone dyestuffs, organic dyes, etc.) are discussed.

Chromosome investigations of workers exposed to cadmium in the manufacturing of cadmium stabilizers and pigments.

Chromosome analyses were undertaken on 14 workers exposed to cadmium and the results were compared with a corresponding control group. All probands have been employed for many years in cadmium pigment and stabilizer production plants (between 6 and 25 years). The results of the clinical investigations were, for the most part, unspecific, although at the same time some parameters were above the normal (transaminase, beta 2-microglobulin deposit in the urine, as well as cadmium in the blood and urine). The chromosome analyses were undertaken on the lymphocytes of the peripheral blood with the aid of the so-called "micromethod." Metaphases, 150 per person, were analyzed. The statistical evaluation was made according to the Fisher-Yates test. The chromosome aberration rate of the group investigated was not higher than that of the control group, inclusive and exclusive of gaps.

Mortality study of persons exposed to dioxin in a trichlorophenol-process accident that occurred in the BASF AG on November 17, 1953.

Twenty-seven years after an accident which occurred in the BASF, Ludwigshafen plan in 1953, a mortality study of persons exposed to dioxin in an uncontrolled reaction during a trichlorophenol process was undertaken. The follow-up was 100% successful and involved 74 persons. Overall mortality (21 deaths) did not differ in this group from the rate expected in three external reference populations or from that observed in two internal comparison groups, where 18-20 deaths were observed. Of the 21 deceased persons, 7 had cancer, compared with 4.1 expected. In addition, two other cases of cancer (one bronchial carcinoma, and one carcinoma of the prostate) are still alive. Three deaths due to stomach cancer, at ages 64, 66, and 69 years, were found, compared with 0.6 expected from regional mortality data. One stomach cancer occurred among 148 individuals in the two comparison cohorts.

Mutagenicity study of workers exposed to alkylene oxides (ethylene oxide/propylene oxide) and derivatives.

Employees of plants where alkylene oxide is manufactured or processed were subjected to mutagenicity studies carried out on lymphocyte cultures in accordance with the methods of Moorhead at al, de Jong and Anders. The employees were divided into four groups, according to their periods of exposure: (1) Long-term exposure for more than 20 years; (2) exposure for less than 20 years; (3) long-term exposure and accident (ethylene oxide inhalation or skin contact); and (4) accident, i.e., brief high exposure to ethylene oxide. Measurement of the concentrations in various sections of the plant yielded values of up to 3 ppm under conditions of normal operation. However, this figure rose briefly to 1900 ppm under plant breakdown hat workers were subjected to higher exposure in the past. One hundred metaphases per person were analyzed for chromosome aberrations. The results are given in Tables 1 through 4. A significant increase in the aberration rate was found only in employees in Group 1. This was confirmed by a control examination carried out one year later. The employees of groups 2, 3 and 4 displayed no significant increases. However, in evaluating these findings, it should be noted that the employees had been in contact with a wide range of substances and products in the course of their occupation, which means that the increased aberrations rate found cannot be attributed unequivocally to exposure to a particular substance.

[Women in the chemical industry. Occupational medicine problems]. / Die Frau in der chemischen Industrie. Arbeitsmedizinische Probleme.

Report on women working in the chemical industry. Attention is drawn to the occupational medicine problems: sex-specific physical differences, occupational protection for women, rate of sickness -- absences, accidents, problems regarding health, double amount of stress -- part-time employment, health awareness of the working women, precautional and rehabilitation measures, and measures beneficial to health.