How clean is "clean"? Regulations and standards for workplace clothing and personal protective equipment.

OBJECTIVE: To compile current regulations and advisory recommendations on cleanliness of worker clothing and personal protective equipment and to evaluate the adequacy of criteria for determining whether cleanliness has been achieved. METHODS: Systematic review of information provided by federal agencies (eg, OSHA, MSHA, and NIOSH), nongovernmental advisory bodies (eg, ACGIH, AIHA, and ANSI), and manufacturers of protective clothing and equipment. RESULTS: We identified an array of terms describing "cleanliness" and the processes for achieving "cleanliness" that were almost never defined in regulations and recommendations. We also found a general lack of criteria for determining whether cleanliness and/or sterility have been achieved. CONCLUSIONS: There is need to harmonize cleanliness-related terminology, establish best practices for equipment cleaning and sterilization, implement a signage systems to provide equipment-specific cleaning instructions, and adopt objective criteria for determining what is "clean."

Particle size distribution and particle size-related crystalline silica content in granite quarry dust.

Previous studies indicate that the relationship between empirically derived particle counts, particle mass determinations, and particle size-related silica content are not constant within mines or across mine work tasks. To better understand the variability of particle size distributions and variations in silica content by particle size in a granite quarry, exposure surveys were conducted with side-by-side arrays of four closed face cassettes, four cyclones, four personal environmental monitors, and a real-time particle counter. In general, the proportion of silica increased as collected particulate size increased, but samples varied in an inconstant way. Significant differences in particle size distributions were seen depending on the extent of ventilation and the nature and activity of work performed. Such variability raises concerns about the adequacy of silica exposure assessments based on only limited numbers of samples or short-term samples.

Studies of self-pollution in diesel school buses: methodological issues.

Considerable interest has focused on levels of exhaust emissions in the cabins of diesel-powered school buses and their possible adverse health effects. Significantly different policy and engineering issues would be raised if compelling evidence found that inc-cabin contamination was due to self-pollution from bus emissions, rather than ambient pollution, neighboring vehicles, and/or re-entrained road dust. We identified 19 reports from 11 studies that measured diesel exhaust particulate in the cabins of 58 school bus of various type. Studies were evaluated in light of their experimental design, their data quality, and their capacity to quantify self-pollution. Only one study had a true experimental design, comparing the same buses with and without emission controls, while four others used intentional tracers to quantify tail pipe and/or crankcase emissions. Although definitive data are still lacking, these studies suggest that currently available control technologies can nearly eliminate particulate self-pollution inside diesel school buses.

Hormesis: implications for cancer risk assessment.

Current guidelines for cancer risk assessment emphasize a toxicant's "mode of action", rather than its empirically derived dose-response relationship, for determining whether linear low-dose extrapolation is appropriate. Thus, for reasons of policy, demonstration of hormesis is generally insufficient to justify a non-linear approach, although it may provide important insights into the actions of toxicants. We evaluated dose-response characteristics of four carcinogens reported to have hormetic dose-response curves: cadmium chloride; ionizing radiation; PAHs; and, 2,3,7,8-TCDD. For each, the study that documented hormesis in one organ also provided evidence of non-hormetic dose-responses in other organs or non-hormetic responses for seemingly similar carcinogens in the same species and organs. Such inconsistency suggests toxicologic reasons that the finding of hormesis alone is not sufficient to justify use of non-linear low-dose extrapolations. Moreover, available data in those examples are not sufficient to know whether hormesis is a property of the toxicants, the target organ, or the exposed species. From the perspectives of cancer risk assessment, the greatest informational value of hormesis may be that it provokes mechanistic studies intended to explain why hormesis occurs.

Biological versus ambient exposure monitoring of creosote facility workers.

Traditional methods for monitoring occupational creosote exposure have focused on inhalation. However, there is evidence that dermal exposure contributes importantly to total systemic dose, as measured by biological monitoring methods. This study was conducted to further characterize the relationships between inhalation and dermal exposures to creosote, and to compare traditional ambient exposure monitoring versus biological monitoring in 36 creosote-exposed wood treatment workers. Full-shift personal air samples were obtained, along with post-shift and next-day urine measurements for 1-hydroxypyrene. There was little or no correlation between airborne measures and urinary 1-hydroxypyrene (r2 = 0.05 to 0.35). More than 90% of 1-hydroxypyrene could be attributed to dermal exposure. These data indicate that traditional monitoring methods may be inappropriate for creosote workers, raising concerns about the adequacy of methods currently mandated by the Occupational Safety and Health Administration.