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Exposure Assessment
Concepts
Patrick N. Breysse, PhD, CIH
Peter S.J. Lees, PhD, CIH
Johns Hopkins University
Section A
Introduction
Origin of Hygiene
Š Hygeia was the Greek goddess of
health
Š Rene Dubos wrote: “For the
worshippers of Hygeia, health is … a
positive attribute to which men are
entitled if they govern their lives wisely”
Š Prevention is key
4
Exposure—Definition
Š Contact between the outer boundary of
the human body (skin, nose, lungs, GI
tract) and a contaminant
Š Requires the simultaneous presence of
a contaminant and the contact between
the person and that medium
Š Quantified by concentration of
contaminant and time and frequency of
contact
5
Route of Exposure
Š
Š
Š
Š
Š
Inhalation
Ingestion
Dermal
Direct injection
Inhalation is most common in
workplace—but not in general
environment
Š Moving towards concept of total exposure
6
Exposure Assessment
Š Magnitude
– Concentration in media (ppm, f/cc)
Š Duration
– Minutes, hours, days, working life,
lifetime
Š Frequency
– Daily, weekly, seasonally
7
Types of Air Sampling: Time
Source: U.S. Government
8
Section B
Exposure Assessment
Hazard
Communication
Exposure
Monitoring
Hazardous
Materials Mgt
Exposure
Assessment
Controls
PPE
Epidemiology
Medical
Surveillance
10
Exposure Assessment
1. Assessment of hazard
– Identification of potential hazards
– Qualitative assessment of exposure
– Exposure potential, magnitude,
toxicity, etc.
– Exposure modeling
2. Identification of concerns (hypothesis)
Continued
11
Exposure Assessment
3. Quantification of exposure
4. Determine acceptability
– Comparison with measure of safe
or acceptable
– Professional judgment and other
factors
5. Decision on appropriate action
6. Periodically re-evaluate
12
1. Assessment of Hazard
Š Process description with emphasis on:
– Raw materials
– Contaminant chemicals
– Intermediates
– By-products
– Decomposition products
– Additives
Continued
13
1. Assessment of Hazard
Š Sources of chemical use information
– Material Safety Data Sheets (MSDS)
– Inventories
– Purchasing records
– Standard operation procedures
(SOPs)
– Inspections of workplace
– Interviews with workers
Continued
14
1. Assessment of Hazard
Š Methods of chemical use
– Focus on opportunities for
contaminant release to the
workplace environment
– Physical-chemical factors
governing release
– Physical-chemical factors
influencing magnitude
Source: U.S. Government
Continued
15
1. Assessment of Hazard
Š Methods of chemical use
– Focus on opportunities for exposure
– Routes of exposure
– Influence of work practices
Source: U.S. Government
Continued
16
1. Assessment of Hazard
Š Preliminary inspection and observations
– Worker and management interviews
– Evaluate work practices
– Note personal protective equipment
– Note ventilation/other controls
Source: U.S. Government
Source: U.S. Government
Continued
17
1. Assessment of Hazard
Š Additional preliminary observations
– Housekeeping
– Maintenance
– Emergency procedures
– Perceptions/experience
Source: U.S. Government
Continued
18
1. Assessment of Hazard
Š Review of documents
– Internal reports and records
– Industry reports
– Government reports and
publications
– Texts, other publications
Š Note: This can be time-consuming
Source: U.S. Government
Continued
19
1. Assessment of Hazard
Š Review of documents
– Previous inspections
– Medical complaints
– OSHA 200 log
Š Note: This can be time-consuming
Source: U.S. Government
Continued
20
1. Assessment of Hazard
Š Exposure modeling
– Use a mathematical construct to
quantitatively estimate exposures
– Models will typically include
• Source term
• Transport in time and space
• Receptor factors (time activity
information)
21
2. Identification of Concerns
Š Given limited resources, focus on
limited number of possible exposures
Š Develop exposure assessment goals
– Can be hypotheses about exposures
to be tested by quantitative
assessment
Š Create a written exposure assessment
program
22
3. Quantitative Assessment
Š To confirm or refute exposure
hypotheses and to serve as a basis for
decision making
Š Quantitative assessment of exposure
via air sampling (i.e., measurement of
air concentrations of a contaminant) is
a tool for estimating risk or hazard
Š Used in conjunction with observations,
calculations, discussions, medical data,
etc.
Continued
23
3. Quantitative Assessment
Š Ideally would like to know or estimate
– Exposure magnitude or intensity
– Exposure duration
– Exposure frequency
– Numbers exposed
– Population characteristics
Š Statistical description
– Make inferences in absence of data
24
CONCENTRATION
Exposure Profile
14
12
10
Time weighted average
Peak
(TWA)
8
6
4
2
0
8:00 9:00 10:00 11:00 12:00 1:00 2:00 3:00 4:00 5:00
TIME
25
Sources of Variability
Š Methodological variability
– Random error from sampling and
analysis process
– ± 5–30 percent
Š Environmental variability
– Non-random error from:
• Manufacturing process
Spatial/temporal
• Environment
Continued
26
Sources of Variability
Š Environmental variability
– Inter- and intra-person
– ± order(s) of magnitude
27
4. Determine Acceptability
Š Role of air sampling
– Used as a tool for estimating risk or
hazard
– Other observations, calculations,
discussions with workers, medical
data, etc.
Š Comparison with measure of safe or
acceptable
Š Professional judgment and other factors
28
Introduction to TLV Book
Š The values listed in this book are:
– Guidelines to assist in the control of
workplace hazards
– Not fine lines between safe and
dangerous
Š TLVs should be used by trained IHs
Š Need to refer to individual documentation
29
5. Decision on Appropriate Action
Š Prioritize
Š Develop workplace control plan
– Short term
• PPE
• Administrative
• Work practices
– Long term
• Engineering controls
30
6. Periodically Re-Evaluate
Š Whenever significant process or
workforce change occurs
Š Develop schedule for routine periodic
re-evaluation
– Basic workplace characterization
– Exposure assessment program
– Workplace control plan
31
Record Keeping
Š Set up occupational exposures
database
– Can be complicated
– Keep indefinitely
Š Hazard communication
Š Workplace control changes
32
Section C
Standard Methods
Use of Standard Methods
Š Developed by NIOSH, OSHA, EPA,
and others
Š Standardize sampling and analytical
procedures
Š Limits of detection known
Š Sampling and analytical error
determined
34
NIOSH Manual
of Analytical
Methods
Source: U.S. Government
35
NIOSH Methods
Source: U.S. Government
36