Document GpbkaoQNKrrDNR613b5pvZkn
FILE NAME: Asbestos Cement Pipe and Sheet (ACPS) DATE:
DOC#: ACPS0
DOCUMENT DESCRIPTION:WZZ ^
ESTIMATION OF EXPOSURE TO ASBESTOS-CEMENT DUST ON BUILDING SITES
K. RODEISPERGER, H.-J. IDITCM:TZ & H.G. KRIEGER
Institute of Occupational and Social Medicine, University of Giessen,
Giessen, Federal Republic of Germany
INTRODUCTION
Besides workers in the asbestos industry and the asbestos-cement industry a large number of users of asbestos cement and other asbestoscontaining products may be exposed to asbestos-cement fine dust. For example, in the Federal Republic of Germany about 100,000 to 120,000 tons of asbestos are processed into about 1.2 million tons of asbestoscement products, which are handled by workers on building sites. About 50,000 roofers employed by about 6000 roofing companies handle asbestoscement sheets, which amount to 80% of asbestos-cement production. While dust control is well established in the asbestos industry, exposure of users has not been investigated carefully up to now.
It is the aim of this epidemiological study on asbestos-related fibrogenic risk to estimate the exposure to asbestos fine dust for this relatively large group of persons. A longitudinal study would be necessary to assess the tumour risk due to this exposure.
MATERIALS AND METHODS
Dust measurements, which have already been published in part (Rodelsperger et al., 1979, 1980), were made on about 40 building sites during roofing and siding work and during installation of ventilation shafts and fire insulation. Altogether, four static and four personal dust samplers and a Tyndallometer were used. Mass concentrations of total dust and fine dust were determined. For static sampling, the asbestos content in the fine dust was measured by infrared spectrography.
-845-
846
RODELSPERGER ET AL.
Fibre counting and fibre analysis were done by phase-contrast and by scanning electron microscopy.
In addition to the dust measurements, occupational histories of workers were taken, together with an extended medical examination. Up to now 61 roofers, out of a projected cohort of 400 workers handling asbestos-cement products for eight years or more, have been examined. For the occupational histories, standardized questionnaires on chronic bronchitis (for details, see Smidt, 1978) and a standardized inquiry form concerning the handling of asbestos-cement products, other asbestoscontaining materials and man-made mineral fibres were used.
RESULTS AND DISCUSSION
Dust measurements
Most of the dust measurements were made during roofing operations with corrugated asbestos-cement sheets. Tyndallometer measurements showed high concentrations of fine dust only during the use of the grinding machine. This machine is commonly used to cut sheet corners which overlap on the roof: this is usually done on a stack of sheets in the open air at a fixed location (type 1) or directly on the roof (type 2).
Figure 1 shows that the probability density function of the ratio of cutting time to sampling time is log-normal. Cutting time is about 3-137. of the total working time, with a mean value of 5.77.. This value can be compared with the mean value for the cutting time per eight-hour shift, which was estimated to be 167. from histories of the roofers.
The probability density function of fine dust mass concentration measured by static and by personal sampling on type 1 building sites also shows a log-normal behaviour (Fig. 2). Measured values ranged from 0.1 to 1.35 mg/m 3 for static and from 0.13 to 7.6 mg/m 3 for personal sampling; median values were 0.34 mg/m 3 for static and l.O-mg/m 3 for personal sampling. The mean values and confidence intervals, estimated from the measured values for a log-normal probability density function (Coenen & Riediger, 1978), are listed in Table 1. The chrysotile content of the fine dust as determined by infrared spectroscopy . amounted to about 107..
In Table 1, type 2 and type 1 building sites are compared. On type 1 building sites, only one out of three workers is exposed to high dust concentrations at open-air cutting locations, and those working on the roof are exposed to only a minor degree. In contrast, on type 2 building sites, two or more workers use the grinding machine on the roof. Roofers who are not cutting are exposed, as bystanders, to a similar degree. Although cutting time is approximately the same on the two types of building sites, the time course of dust generation is completely different.
EXPOSURE ON BUILDING SITES
847
FIG. 1. CUMULATIVE DISTRIBUTION FUNCTION OF THE RATIO OF CUTTING TIME:SAMPLING TIME
Measured on building sites during cutting of corru0ated asbestos-cement sheets (n = 17), compared with the ratio of mean daily cutting time: 8 hours (n = 93) estimated from questionnaires
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FIG. 2. CUMULATIVE DISTRIBUTION FUNCTION OF FINE DUST MASS CONCENTRATION AT OPEN-AIR CUTTING LOCATIONS ON BUILDING
SITES DURING ROOFING WITH CORRUGATED ASBESTOS-CEMENT SHEETS static sampling; ---- personal sampling
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RODELSPERGER ET AL.
Table l. Estimated mean values and confidence intervals of the mass concentration of fine dust measured by static and personal sampling on building sites during the cutting of asbestos-cement sheeting
Roofing with corrugated Sampling No. Estimated mean Confidence
asbestos-cement sheets
value (mg/m 3 )
interval (mg /m 3 )
Cutting in stacks (type l) Cutting on roofs (type 2)
Static 19 0. 51 Personal 14 2.2
Static Personal
3 0.5 8 l. 82
0.37 0.79 l. 3 8.9
0.2 - 35 0.85 - 9.81
When the different frequency and type of exposure for cutters and bystanders are taken into account, mean exposure to chrysotile fine dust is about the same for both types of building sites: about 0.11 mg/ m3 , or about half of the mean value of exposure to asbestos fine dust of cutting workers on type 1 building sites.
During cutting with the grinding machine, the mass concentration of fine dust estimated with the Tyndallometer showed peak values ranging above 80 mg/m 3 This means that peak concentrations of fine chrysotile dust may be more than 8 mg/m 3 Correspondingly, light microscopy measurements show fibre concentrations of more than 100 fibres/ml of length > 5 m when the sample is taken within the dust cloud caused by the grinding machine. Close to the head of the employee, fibre concentrations of 0.6-41 fibres/ml of length> 5 m were observed during the cutting process; the mean value of nine such measurements was 20 fibres/ml. Since high fibre concentrations occur only during cutting, which, on average, amounts to 6% of the working time, the daily mean value calculated from fibre concentration during cutting processes reaches only 1.2 fibres/ml. The mean daily fibre concentration to which workers roofing with corrugated sheets are exposed is estimated to be half this value for both types of building sites (0.6 fibres/ml).
Analysis of fibre length and diameter distributions in the scanning electron microscope shows wide variations between samples. The ratio of fibres with a length> 5 m to the total number of free fibres ra~ges between 4 and 60%, with a median value of 25%. Mean values of fibre length ranged from 1-5 m and fibre diameter from 0.1-0.4 m.
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. 37 - 0.79 .3 - 8.9 .2 35 .85 - 9.81
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EXPOSURE ON BUILDING SITES
849
Histories
Up to now, occupational histories of 61 roofers employed by 33 roofing companies have been evaluated. Since some of the workers were engaged in more than one position, 93 were analysed in all. The frequency of roofing with sheets of corrugated asbestos-ce~ent sidings and of roofing with asbestos-cement shingles, where the grinding machine is
not used, are presented in Table 2.
Table 2. Occupational histories of 61 roofers: frequency of handling asbestos-cement products
Product
Handling frequency (days/year)
Median
Mean SD
Corrugated sheets 34
Shingles
30
Front plates
25
39.2 31. 2 39.4 39.8 30.3 29.2
Although dust measurements are not yet complete, we can state already that generation of fine dust with the grinding machine is most intense during roofing with corrugated asbestos-cement sheets. Such operations were carried out on up to 125 days per year; more than half of the roofers handled such sheets on more than 34 days a year. All roofers also work with other asbestos-containing products, such as shingles and siding.
Dust exposure is expressed as the cumulative dose, which is calculated from the product of dust concentration and duration of exposure. This procedure has also been used by other authors (Bader et al., 1961; Dreesen et al., 1938'; Morse, 1967; Newhouse, 1969; Woitowitz et al., 1970). From the years of duration of employment and the number of days per year when roofing with corrugated sheets is performed, the cumulative exposure of individual workers can be calculated. Assuming an average concentration of fine chrysotile dust of 0.11 mg/m 3 , we obtain the cumulative dose values presented in Figure 3. The probability density function is nearly log-normal. The median of the cumulative fine asbestos dust exposure amounts to 0.21 yearsmg/m 3 , and the mean is 0.29 0.29 yearsmg/m 3 This mean value corresponds to an exposure of three years, with an average asbestos fine dust mass concentration equal to the Federal Republic of Germany's limit value of 0.l mg/m 3 Since the mean duration of exposure by use of corrugated sheets amounted to 16 years for the roofers, the mean exposure per year can be estimated roughly to be 20% of the limit value.
..
850
RODELSPERGER ET AL.
FIG. 3. CUMULATIVE DISTRIBUTION FUNCTION OF CUMULATIVE CHRYSOTILE EXPOSURE, CALCULATED FOR THE USE OF CORRUGATED ASBESTOS CEMENT SHEETS
A mean daily chrysotile fine dust concentration of 0.11 during roofing with corrugated asbestos-cement sheets. tion of exoosure amounted to 16 years.
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cumulative asbestos exposure
Dust exposure can also be calculated from the daily mean value of fibre concentration, which has been estimated to be 0.6 fibres/ml of length> 5 m. Unlike the chrysotile fine dust mass concentration, the fibre concentration ranges below the limit value of 2 fibres/ml of length> 5 m; therefore, the mean value for the cumulative fibre exposure, which is calculated to be 1.6 1.6 yearsfibres/rnl, corresponds to an exposure of only 0.8 years to the limit value of 2 fibres/ml of length> 5 m. Although this cumulative exposure level is low compared with past exposure in the asbestos industry, an epidemiological follow-up study of this large population of roofers working with asbestoscement products would seem to be necessary.
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EXPOSURE ON BUILDII\G SITES
851
SUMMARY
In the Federal Republic of Germany, about 1.2 million tons of asbestos are handled on building sites, for example, by roofers, carpenters and ventilation fitters. The objective of this study was to determine both the exposure to dust during the handling of asbestoscement products on building sites and the possible resulting fibrogenic health hazard. In order to assess the tumour risk, this cross-sectional study should be enlarged to a longitudinal study.
Dust measurements were made on about 40 building sites with four static and four personal dust samplers and a Tyndallometer. Evaluation was performed by infrared spectrography and light and scanning electron microscopy. Peak concentrations of more than 100 fibres/ml of length > 5 m or about 80 mg/m 3 fine dust were observed in the vicinity of the grinding machine. The asbestos content of the fine dust was about 10%. Scanning electron microscopy showed a wide variation of fibre lengths and diameters; a large proportion of fibres with diameters below 0.2 m was found. Long-term, mean values and confidence intervals of the concentration of fine dust were calculated from the measurements. For example, the mean fine dust mass concentrations for roofers cutting corners of asbestos-cement sheets with the grinding machine amounted to 2.2 mg/m 3 when the cutting was done in the open air at a fixed location. When cutting was performed on the roof, the mean fine dust mass concentration amounted to 1.8 mg/m 3
From the standardized histories of the first 61 roofers, the frequency of handling asbestos products and of using the grinding machine was estimated for present as well as for prior working places. From the results of dust measurements and histories, cumulative doses of 0.3 yearsmg/m3 asbestos fine dust and 1.6 yearsfibres/ml were calculated.
RESUME
En Republique federale d'Allemagne, quelque 1,2 million de tonnes d'amiante sont rnanipulees sur les chantiers de construction, par les couvreurs, les charpentiers et les installateurs d'appareils de ventila-
tion par exemple. Cette etude avait pour but de determiner a la fois
Yro-
de 1 une
:aine ,an:'our l la
lon)isinage 1te cevele fibres;
~eur a
moyen:ion de ,e de ,s de 1e le - etait
:s, les 1se le :es des , de 0,3 :.s/ ml.
l/11,
EXPOSURE ON BUILDII\G SITES
853
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REFERENCES
Bader, M.E., Bader, R.A. & Selikoff, I.J. (1961) Pulmonary function in asbestosis of the lungs, An alveolar-capillary block syndrome.
Am. J. Med., 30, 235-242
Coenen, W. & Riediger, G. (1978) Die Schatzung des zeitlichen Konzen-
trationsmittelwertes gefahrlicher Arbeitsstoffe in der Luft bei stichprobenartigen Messungen. Staub-Reinhalt. Luft, 38, 402-409
Dreesen, W.C., Dallavalle, J.M., Edwards, T.J., Miller, J.~. & Sayers, R.R. (1938) Study of asbestosis in asbestos textile industry.
Publ. Health Bull., 241, 1-126
Enterline, P.E., DeCoufle, P. & Henderson, V. (1972) Mortality in relation to occupational exposure in the asbestos industry. J.
occup. Med., 14, 897-903
Morse, K.M. (1967) The assessment of the work place - a prerequisite to the diagnosis of occupational chest disease. Am. ind. Hyg. Assoc. J., 28, 135-143
Newhouse, M.L. (1969) asbestos factory.
A study of the mortality of workers in an Br. J. ind. Med., 26, 294-301
Nicholson, W.J. (1976) Asbestos - the TLV approach. In: Saffiotti, V. & Wagoner, J.K., eds, Occupational Carcinogenesis, New York, The New York Academy of Sciences, pp. 152-169
Rodelsperger, K., Woitowitz, H.-J. & Krieger, H.G. (1979) Zur Einwirkung onkogener Faserstaube bei der Verarbeitung von Baumaterialien aus Asbestzement. In: Norpath, K,, ed., Verhandlungen der Deutschen Gesellschaft fur Arbeitsmedizin e. V., 19. Jahrestagung in Munster vom 2. bis 5. Mai 19?9, Stuttgart, Gentner, pp. 283-295
Rodelsperger, K., Woitowitz, H.-J. & Spurny, K. (1980) -Problems of measuring intemittent asbestos dust exposure. In: Proceedings of the XIX International Congress on Occupational Heai,th, Dubrovnik
(in press)
Smidt, U. (1978) Anamnestic and clinical data, questionnaire and commentary (Ger.). In: Deutsche Forschungsgemeinsc'1aft, ed., Chronic Bronchitis and Occupational Dust Exposure, Boppard, Boldt,
PP 35-80
Woitowitz, H.-J., Schacke, G. & Woitowitz, R. (1970) Rangmassige Schatzung der Staubexposition und arbeitsmedizinischen Epidemiologie. Staub-Reinhalt. Luft, 30, 419-422
WORLD HEALTH ORGANIZATION
INTERNATIONAL AGENCY FOR RESEARCH ON CANCER
a INSTITUT NATIONAL DE LA SANTE
ET DE LA RECHERCHE MEDICALE
BIOLOGICAL EFFECTS
OF MINERAL FIBRES
EFFETS BIOLOGIQUES
DES FIBRES MINERALES
Volume 2: Clinical and Radiological Observations on Asbestos-Related Pathology - Epidemiology
of Asbestos-Related Disease - Scientific Basis for Environmental Control of Fibres General Discussion on Asbestos - Dust Physics and Chemistry of Other Mineral Fibres -
Clinical and Radiological Observations on Mineral-Fibre-Related Pathology Epidemiology of Groups Exposed to Other Mineral Fibres - General Discussion on
Other Mineral Fibres
Proceedings of a Symposium organized by /ARC, l'lnstitut National de la Sante et de la Recherche Medicate (National Institute of Health and Medical Research), and the
MRC Pneumoconiosis Unit, Penarth, UK, held at the International Agency for Research on Cancer, Lyon, France 25-27 September 1979
EDITOR-IN-CHIEF J.C. WAGNER
TECHNICAL EDITOR FOR IARC W. DAVIS
IARC Scientific Publications No. 30 INSERM Symposia Series Volume 92
INTERNATIONAL AGENCY FOR RESEARCH ON CANCER LYON 1980