From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehyde

The Prevention Technician in the Environment and Workplaces (PTEW) is a health professional who works in the identification, assessment, and management of risk in living and working places. The PTEW implements specific corrective actions at reducing exposure levels to chemicals such as formaldehyde....

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Main Authors: Fabio Pattavina, Malgorzata Wachocka, Federica Tuti, Federica Boninti, Riccardo Santi, Roberta Grossi, Patrizia Laurenti
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.960921/full
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author Fabio Pattavina
Malgorzata Wachocka
Federica Tuti
Federica Boninti
Riccardo Santi
Roberta Grossi
Patrizia Laurenti
Patrizia Laurenti
author_facet Fabio Pattavina
Malgorzata Wachocka
Federica Tuti
Federica Boninti
Riccardo Santi
Roberta Grossi
Patrizia Laurenti
Patrizia Laurenti
author_sort Fabio Pattavina
collection DOAJ
description The Prevention Technician in the Environment and Workplaces (PTEW) is a health professional who works in the identification, assessment, and management of risk in living and working places. The PTEW implements specific corrective actions at reducing exposure levels to chemicals such as formaldehyde. The aim of this report was to update the formaldehyde risk assessment document (RAD). The risk assessment process was divided into three steps as follows: (1) preliminary data collection, (2) an on-site visit to identify the use patterns and process, and (3) application of the algorithm to calculate the exposure levels of healthcare workers. In addition, with the introduction of closed-circuit systems, 23 devices were evaluated to identify possible airborne dispersion of formaldehyde. The algorithm was applied in 31 hospital units and the results allowed us to classify the staff in two levels of exposure for each hospital unit; healthcare workers were classified as “exposed” or “potentially exposed.” Most of the HCWs are categorized as potentially exposed, and only workers working in laboratories are considered to be exposed. The results showed that devices must be used properly according to the user manual. To increase the level of worker safety, we have proposed to introduce closed-circuit safe handling systems and keeping the duration and intensity of exposure at the lowest possible levels according to the “ALARA” principle. The assignment of the Italian PTEW is to achieve excellence in the levels of health and safety of patients and hospital workers by pursuing a shared mission: improving the quality of public health.
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spelling doaj.art-7127012dc74c4d62a1622bb8ecb2d0eb2023-04-14T04:52:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-04-011110.3389/fpubh.2023.960921960921From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehydeFabio Pattavina0Malgorzata Wachocka1Federica Tuti2Federica Boninti3Riccardo Santi4Roberta Grossi5Patrizia Laurenti6Patrizia Laurenti7Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyHygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyMinistry of Health, Rome, ItalyHygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyHygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyHygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyHygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyLife Sciences and Public Health Department, Università Cattolica del Sacro Cuore, Rome, ItalyThe Prevention Technician in the Environment and Workplaces (PTEW) is a health professional who works in the identification, assessment, and management of risk in living and working places. The PTEW implements specific corrective actions at reducing exposure levels to chemicals such as formaldehyde. The aim of this report was to update the formaldehyde risk assessment document (RAD). The risk assessment process was divided into three steps as follows: (1) preliminary data collection, (2) an on-site visit to identify the use patterns and process, and (3) application of the algorithm to calculate the exposure levels of healthcare workers. In addition, with the introduction of closed-circuit systems, 23 devices were evaluated to identify possible airborne dispersion of formaldehyde. The algorithm was applied in 31 hospital units and the results allowed us to classify the staff in two levels of exposure for each hospital unit; healthcare workers were classified as “exposed” or “potentially exposed.” Most of the HCWs are categorized as potentially exposed, and only workers working in laboratories are considered to be exposed. The results showed that devices must be used properly according to the user manual. To increase the level of worker safety, we have proposed to introduce closed-circuit safe handling systems and keeping the duration and intensity of exposure at the lowest possible levels according to the “ALARA” principle. The assignment of the Italian PTEW is to achieve excellence in the levels of health and safety of patients and hospital workers by pursuing a shared mission: improving the quality of public health.https://www.frontiersin.org/articles/10.3389/fpubh.2023.960921/fullCancerogenformaldehiderisk assesmenthazard identificationalgorithm
spellingShingle Fabio Pattavina
Malgorzata Wachocka
Federica Tuti
Federica Boninti
Riccardo Santi
Roberta Grossi
Patrizia Laurenti
Patrizia Laurenti
From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehyde
Frontiers in Public Health
Cancerogen
formaldehide
risk assesment
hazard identification
algorithm
title From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehyde
title_full From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehyde
title_fullStr From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehyde
title_full_unstemmed From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehyde
title_short From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehyde
title_sort from hazard identification to risk assessment the role of the prevention technician in the carcinogenic risk assessment for formaldehyde
topic Cancerogen
formaldehide
risk assesment
hazard identification
algorithm
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.960921/full
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