A multiple and comprehensive approach to assess health risk in amalgam-exposed Chinese workers

Fluorescent lamp manufacturing workers have been extensively exposed to mercury (Hg). Our aim was to assess their health risks using several approved occupational health risk assessment methods, and to find out which method was more suitable for identification of occupational health risks. Work loca...

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Main Authors: Xiao-ying Ruan, Si-wei Tan, Lin Zhu, Yan-peng Shi, Jia-mian Yu, Mei-bian Zhang, Tong-shuai Wang, Hong Fu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.999095/full
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author Xiao-ying Ruan
Si-wei Tan
Lin Zhu
Yan-peng Shi
Jia-mian Yu
Mei-bian Zhang
Tong-shuai Wang
Hong Fu
author_facet Xiao-ying Ruan
Si-wei Tan
Lin Zhu
Yan-peng Shi
Jia-mian Yu
Mei-bian Zhang
Tong-shuai Wang
Hong Fu
author_sort Xiao-ying Ruan
collection DOAJ
description Fluorescent lamp manufacturing workers have been extensively exposed to mercury (Hg). Our aim was to assess their health risks using several approved occupational health risk assessment methods, and to find out which method was more suitable for identification of occupational health risks. Work locations, and air and urine samples were collected from 530 exposed workers in Zhejiang, China. Based on the calculated exposure doses, health risks and risk ratios (RRs) as health risk indices, were evaluated using: Environmental Protection Agency (EPA), Australian, Romanian, Singaporean, International Council on Mining and Metals (ICMM), and Control of Substances Hazardous to Health (COSHH) methods. Among the workers, 86.0% had higher Hg levels than the Chinese occupational exposure limits of 0.02 mg/m3, and 16.7% urine samples were higher than the biological exposure limits of 35.0 μg/g·creatinine. Among workers at the injection, etc. locations, their average RRs, evaluated by the EPA, COSHH and Singaporean methods were 0.97, 0.76, and 0.60, respectively, and were significantly higher than the ICMM (0.39), Australian (0.30) and Romanian (0.29) methods. The RRs from the Singaporean method showed significant correlations with the urinary Hg levels (P < 0.01). In conclusion, the Singaporean method was more appropriate than the others for health risk evaluation because the excessive risks were significantly associated with urinary Hg levels among the workers.
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spelling doaj.art-e02bb781e69f447ba5bb3e2561f901f72022-12-22T02:04:37ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-09-011010.3389/fpubh.2022.999095999095A multiple and comprehensive approach to assess health risk in amalgam-exposed Chinese workersXiao-ying Ruan0Si-wei Tan1Lin Zhu2Yan-peng Shi3Jia-mian Yu4Mei-bian Zhang5Tong-shuai Wang6Hong Fu7Department of Occupational Health, Hangzhou Hospital for Prevention and Treatment of Occupational Disease, Hangzhou, ChinaDepartment of Occupational Health, Hangzhou Hospital for Prevention and Treatment of Occupational Disease, Hangzhou, ChinaDepartment of Occupational Health, Hangzhou Hospital for Prevention and Treatment of Occupational Disease, Hangzhou, ChinaDepartment of Occupational Health, Hangzhou Hospital for Prevention and Treatment of Occupational Disease, Hangzhou, ChinaDepartment of Occupational Health, Hangzhou Hospital for Prevention and Treatment of Occupational Disease, Hangzhou, ChinaDepartment of Occupational Health, Chinese Center for Disease Control and Prevention, Beijing, ChinaShanghai Key Laboratory of Maternal Fetal Medicine, Clinical and Translational Research Center of Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Occupational Health, Hangzhou Hospital for Prevention and Treatment of Occupational Disease, Hangzhou, ChinaFluorescent lamp manufacturing workers have been extensively exposed to mercury (Hg). Our aim was to assess their health risks using several approved occupational health risk assessment methods, and to find out which method was more suitable for identification of occupational health risks. Work locations, and air and urine samples were collected from 530 exposed workers in Zhejiang, China. Based on the calculated exposure doses, health risks and risk ratios (RRs) as health risk indices, were evaluated using: Environmental Protection Agency (EPA), Australian, Romanian, Singaporean, International Council on Mining and Metals (ICMM), and Control of Substances Hazardous to Health (COSHH) methods. Among the workers, 86.0% had higher Hg levels than the Chinese occupational exposure limits of 0.02 mg/m3, and 16.7% urine samples were higher than the biological exposure limits of 35.0 μg/g·creatinine. Among workers at the injection, etc. locations, their average RRs, evaluated by the EPA, COSHH and Singaporean methods were 0.97, 0.76, and 0.60, respectively, and were significantly higher than the ICMM (0.39), Australian (0.30) and Romanian (0.29) methods. The RRs from the Singaporean method showed significant correlations with the urinary Hg levels (P < 0.01). In conclusion, the Singaporean method was more appropriate than the others for health risk evaluation because the excessive risks were significantly associated with urinary Hg levels among the workers.https://www.frontiersin.org/articles/10.3389/fpubh.2022.999095/fulloccupational health risk assessmentmercuryamalgamfluorescent bulb manufacturingmultiple comprehensive methods analyze
spellingShingle Xiao-ying Ruan
Si-wei Tan
Lin Zhu
Yan-peng Shi
Jia-mian Yu
Mei-bian Zhang
Tong-shuai Wang
Hong Fu
A multiple and comprehensive approach to assess health risk in amalgam-exposed Chinese workers
Frontiers in Public Health
occupational health risk assessment
mercury
amalgam
fluorescent bulb manufacturing
multiple comprehensive methods analyze
title A multiple and comprehensive approach to assess health risk in amalgam-exposed Chinese workers
title_full A multiple and comprehensive approach to assess health risk in amalgam-exposed Chinese workers
title_fullStr A multiple and comprehensive approach to assess health risk in amalgam-exposed Chinese workers
title_full_unstemmed A multiple and comprehensive approach to assess health risk in amalgam-exposed Chinese workers
title_short A multiple and comprehensive approach to assess health risk in amalgam-exposed Chinese workers
title_sort multiple and comprehensive approach to assess health risk in amalgam exposed chinese workers
topic occupational health risk assessment
mercury
amalgam
fluorescent bulb manufacturing
multiple comprehensive methods analyze
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.999095/full
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