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FILE NAME: Z,, DATE: DOC#: , OCUMENT DESCRIPTION: ZZZZW^ZZE/K^, dZ,,^,ZZZ NIOSH-00192664 Review of NIOSH of 30 Hand Held and Stan for Asbestos Re Report to CPSC Contract # CPSC-C-78-0l09 William J. Nicholson, Ph~ D. Mount Sinai School of Medicine  , Introduction This report is in response to a request by the Consumer Product Safety Commission (CPSC) to revi~w the National Institute for Occupational Safety and Health (NIOSH) study of asbestos emissions from various hand held and standing hair dryers. The review includes a discussion of the sampling a.71d analytical techniques utilized by rHOGH, a comparison 0: results obtained by NIOBH with other environmental asbestos measurem~nts. and, in an appendix, a discussion of possible health consequences from asbestos concentrations that are found in the effluent of some hair dryers. Sampling and Analytical Techniques The procedures developed to sample the effluent air from bair dryers are, by far, the best utilized in any available report to date. Care is taken to assure that clezn air. uncontaminated by asbestos fibers, encers the dryer and a good determination is made of total dryer effluent and the fraction collected for analysis. While isokinetic sampling was not utilized, this would be difficult to achieve under the circumstances of testing high velocity air streams from 'a variety of dryers. The absence of isokinetic conditions may result in an underestimate (as the air velocity Lbrough the sampling bead exceeded the duct air velocity). but this would be a rela~ively small eff ec t. A greater underestimate of fiber release from the dryers may occur fro~ the analytical procedures used to quantitate the number and mass of asbestos fibers released. Firstly, collection of fibe.rs on' Mil1ipor~ filters ~nd th~ sub!';~q'Uent d-issol'l.!l.t:i.on of the fi1teT~ by ~ J~.ff@ ~~ick ID2tb.od C~\'l l2~d t~ significant fiber los~ (perllaps up to 80%) unless e::;ttreme c.are is ta.'ke'l1. This loss occurs because many fibers are trapped deep in the inter~tices of the Millipore filters and are not enmeshed in the carbon coating of the surface of the filter. During the subsequent cleaning of the filter by acetone vapor, these lodse fibers can be lost. Secondly, scanning for asbestos fibers was done at a magnification of l700X. At this magnification a large number of the smaller chrysotile fibers and fibrils will be missed. This, as well as the procedure of counting clumps of fibers as one structure, can have a significant effect on the quantitation of the number of asbestos fibers but would have a lesser ef~8ct on estimate of mass. RESULTS It is clear that asbestos fibers are released during the operation of most hair dryers tested, in some cases in considerable quantities. Table 1 depicts the distribution of asbestos air concen~rations measured in effluent of all dryers sampled compared with 209 samples of ambient air and 57 samples taken in other circumstances of severe environmental contamination. (The background and data for these 265 samples are provided in Appendix 1, along with some perspectives on their possible health consequences). As can be seen, the range of dryer effluent concentrations exceeds that of the other envirqnmental conc~~ntrations and extends much beyond those of the ambient air. This is so even though there may be underestimates of some of the dryer effluents. Of all samples collec~ed (60) (including two of a hobby gun) four showad asbestos concsntratious exceeding 500 ng/m3 and t:~~o (~oncentrations exce@dins 1000 '!1g/m3 , Wh.il~ some dryers emitted high concentrations of asbeBtos~ si:xty to s~v~nt:t '. percent of the effluents measured were typical of the ambient air. However, without further data it is not possible to determine if thia is an attribute of the model tested or the particular dryer tested (in its current state of use), Special concern must be paid to standing dryers because of the possibility of their nearly continuous use, often in confined spaces, in hair salons. Here a build up of asbestos concentrations in excess of that in dryer effluents can occur. SUMMARY Using analytical techniques which may underestimate the concentration of asbestos, NIOSH has clearly demonstrated that some hair dryers release considerable quantities of asbestos fiber. The fiber. concentrations in the effluent of some dryers exceeded the highest we have measured in eight years of surveillance of environmental asbestos contamination. Appendix 1 discusses the possible hea:.th risks of such concentrations~ While the risk to an, individual from the intermittent use of an asbestos emitting hair dryer is less than that from many current occupational asbestos exposures, the large number of individuals that may be exposed clearly calls for the elimination of the exposure. - - - - - -~:; TABLE 1 Distribution of asbestos concentrations in the effluent of various haIr dryers, several circumstances of environmental con- tamination, and the ambient air Asbestos concentration Cng/m 3 ) Less than 1 2 5 10 20 50 IDO 200 500 l~OOO 2 ~O()O 5 t OOO 10~OOO !lair dr:rer effluent measurements Number of samples 28 30 36 41 119 5h 55 56 56 58 58 59 60 Percentage of samples 46.7 50.0 60.0 68.3 81. '7 90.0 91. 7 83.3 93.3 96.7 96.7 98.3 100.0 Asbestos contamination measurements Number of samples Percentage of samples 0 0.0 I, 7.0 9 15.8 20 35.1 32 56.1 43 75.4 52 91.2 55 96.5 56 98,2 57 100,0 Ambient air measurements Number of Percentage samples of samples 61 29.2 120 57.4 168 80.4 184 88.0 200 95.7 206 98.6 209 100.0 Appendix 1 ENVIRONMENTAL ASBESTOS CONTAMINATION AND HUMAN REALTH EFFECTS Report to CPSC Contract U CPSC-C-78-0109 William J. Nicholson~ Ph. D. Mount Sinai School of Medicine ENVIRONMENTAL ASBESTOS DISEASE Disease from other than occupational exposure to asbestos has been known sinc~ 1960. In that year Wagner et a1 published a review of 47 cases of mesothelioma found in the North~est Cape Providence of South Africa in the previous five years. r Approximately ha.lf the cases described were in individuals who had:. decades before, simply lived or worked in an area of asbestos mining. The hazard from environmental asbestos exposure ~as further documented in the findings of Newhouse and Thompson. 2 who sho\-;ed that mesothelioma could oc.cur among individuals whose potential asbestos exposure consisted of having resided near an asbestos factory or in the household of an asbestos worker. Twenty of 76 cases from the files of the London Hospital were the result of such ~~posures. More recent data of Anderson et a13 have sho~ that 35% of 678 family contacts of former asbestos factory ,Jorkers had abnormalities characteristic of asbestos exposure. To date, five deaths from mesothelioma nave occurred among the family contacts of these same factory workers. Additionally, numerous reports of ~esothelioma from environmental asbestos exposure continue to appear in the medical literature. 4 Unfortunately, no data exist on the air concentrations of asbestos present in the ci:.:cumstances that has led to such disease. Nevertheless, some appreciation of possible exposure can be obtained from the analysis of air samples taken in circumstances believed to be similiar to those i07hich led to documented disea.se.~ To obtain these estimates of environmental asbestos exposure, measurements l1ave been made of chrysotile concentrations about buildings while asbestos-coutaining fireproofing material was sprayed on steelwork. in buildings with damaged asbestos surfacing mat2ria.l. and in the homes of asbestos wcn:ke:rs. The contamination from spray sites was extensive, with asbestos debris often covering the sidewalks and streets adj acent to the building. Attempt.s w~re made on some job sites to contain the spray by tarpaulins, but these were often torn~ loosely secured~ and ineffectiv!~ as containment. It is difficult to imagine contamination about a factory, even forty years ago. exceeding that from the direct spraying of asbestos materials into a community from a building 40 or more stories high. The evaluation of building air was in schools in whicb damage, sometimes extensive, had occurred to friable asbestos surfacing material in nzllways or cafEterias. In some schools. the students had reached up to the cf~iling and phYSically dislodged asbestos material. The household measurements were made in the homes of workers employed in chrysotile mining operations in California and Newfoundland. At the time neither shower facilities nor adequate change rooms were available to the wc __-..:ers. Thus, the households sampled occassionally had visible asbestos fibers in the living areas of the house as well as dusty clothes awaiting clean~g in laundry facilities. ANALYTICAL TECHNIQUES In these measurements, the same analytical techniques have been utilized , as were originally developed for the analysis of ambient air samples of chrysotile asbestos. 5 Thus, there is a direct comparability in the resul ts of all analyses reported here. All samples were collected on 0.8 ~ pore size membrane filters and analyzed using electron microscopic techniques that determined the amount Jf _chrysotile asbestos in each specimen. This variety of asbestos was quantitated JeCaU3e it could easily be identified on the basis of its unique tubular structure~ \mphibole asbestos (either amosite or crocidolite) could also be present in the liT of buildings or in the ambient a.ir~ but it: is much less cOllmll::mly fCJl.mt1. nOWl!ve~1) To prepare a sample for analysis, a portion of the sample, mounted on a microscope slide, was ashed in a loy temperature-activated oxygen fUrTJ..ace for approximately four hours, This served to remove the membrane filter material t all organic material in the collected sample, soot and other carbonaceous material. The residue, consisting mostly of fly ash and mineral mattery was dispersed on microscope slides in a solution of 17. nitrocellulose in amyl acetate. Upon evaporation of the amyl acetate. the dispersal was scanned for tL~iformity and representative areas were chosen for transfer to electron microscope grids for scanning. .The samples thus prepared were scanned at magnification of 20~000X. Typically. four to eight 100 ~m squares of separate grids from each sample were scanned. and tbe mass of chrysotile fibers was determined by sizing each individual fiber. Control blank filters were processed with each set of four samples and background levels of chrysotile determined from them subtracted from that found on sample filters. OUTDOOR ASBESTOS CHRYSOTILE CONCENTRATIONS Asbestos of the chrysotile variety has been found to be a ubiquitous contaminant of ambient air. A study of 187 quarterly composite samples collec~ed in 48 United States cities during 1969 to 1970 sho-wed chrysotile asbestos to be present in virtually all metropolitan areas. 6 Table 1 lists the distribution of values obtained in that study. Each value represents the chrysotile concentration in a composite of from five to seve.n 24-hour samples and t.hus averages over possible peak concentrations which could occur periodically or randomly. Of the thre~ samples greater than 20 ng/m3 one ~as in a city having a major shipyard and another in a city that bad four brake manufacturing facili.ties, 'Thus, these samples may include a contribution f~om ;. ~p~ifi~ source in addition to that of the general a.mbient a~.r. In il study of th~ .am'bi;eal:: air of New ''('ark City~ in '<N'hich sa.mple:!B ~4Iin'e t:a.kan emiy dt'l.'ring dayt~tl! ~~O't'k..'l~ 4 hours, higher values tha.n those mentiot!.ed above were obt'ained.7 T'heee; wet'~ six-co-eight hour samples collected between 8: 00 A.M. and 5: 00 P,.n., and reflect what could be intermittently higher concentrations during those h~rs compared to night time periods~ for example. Table 2 records the chrysotile content of 22 samples collected in the five boroughs of New York. It should be noted that tbe samples analyz~d in all of the studies discussed above were taken during a period when fireproofing high rise buildings by spraying asbestoscontaining materials was permitted. The practice was especially common in New York City. While no sampling station was known to be located adjacent to an active cons~ruction site, unusually high levels could nevertheless have resulted from the procedure. Other sources that may have'contributed to these air concentrations include automobile braking, other construction activities~ consumer use of asbestos products and ~intenance or repair activities of' asbestos-containing materials (thermal insulation, for example). CHRYSOTILE ASBESTOS CONCENTRATIONS ABOUT CONSTRUCTION SITES To determine if construction activities could indeed be a significant source of chrysotile fiber in the ambient air. six-to-eigh~ hour dayt~e sampling was conducted in lo~er Manhattan in 1969 about sites where extensive spraying of asbestos-containing fireproofing material w~s taking place. 4,7 Eight sampling sites were established about the World Trade Center construction site during the period when asbestos materials were sprayed on the steelvork of. the first tower. Table 3 shows the results of those sites locate.d vithin one-half mile of the Trade Center site and demonstrated that spray tirQ~roofin~ (!.qn cont!'ibtlt~ @i~ifie&'atly to !!l.~h@.atos !'l.ir pollution. In ~om.1a iD.~t.tl!iei!H;\'> chr::.1soc:f.le tsbestos levels ap'fn:o:::::l.mately 100 t~:t.mes the c~onc.~nn'atiot'l.s ty?i~a,lly found j.)l the ~.mb::tent ai:x: B'c;~e obst.!!:ved. 5 CHRYSOTILE ASBESTOS CONCENTRATIONS IN U. S. SCHOOL BUIlDINGS Of particular concern recently hp~ been the finding of extensive a~beeto~ use in public school buildings. Asbestos surfaces have been found in :oore than 10% of pupil areas in schools of New Jersey. with CWo-thirds of these surfaces having some evidence of damage. As these values appear typical of conditions in many other states, it has been estimated that from two to six million pupils and 100,000 to 300,000 teachers may he exposed to released asbestos fibers in sch00 I s across t h e natlon. d To obtain a measure of contamination for this use of asbestos, ten schools were sampled in the urban centers of New York and Net.; Jersey and suburban areas of Massachusetts and New Jersey. Schools were selected for sampling because of visible damage. in some cases extensive, and thus are not typical of all schools. Table 4 lists the distribution of chrysotile concentrations found in samples :aken over four to eight hours in these ten schools. Chrysotile asbestos ~oncentrations ranged from 9 ng/m3 to 1950 ng/m3 with an average of 217 ng/mJ. )utside air samples at three of the schools varied fro~ 3 ng/m3 to 30 ng/m3 Yith in average of 14 ng/m3 . In all samples but ~o (which measured 320 ng/m3) no . lsbestos was visible on the floor of the ar~ sampled although surface damage ~ ;enerally present near the area sampled. The highest value (1950 ng/m3) ~ in sample folloiJing routir. e sweeping of a hallway in a school with water damage to the sbestos surface. However, no visible asbestos was seen on the hallway floor. ecause the schools were selected on the basis of Visible damage) these results annat be considered typical of all schools with asbestos surfaces. They do, ho~ver~ llustrate the extensive contamination that can occur, ' 6 CHRYSOTltE CONCENTRATIONS IN TEE HOMES OF WOFJCERS The finding of asbestos disease in family contacts of individuals occupationally exposed to the fiber directs attention to air concentrations in the hames of such workers. Thirteen samples have been collected in the homes of asbestos mine and mill employees and analyzed for chrysotile. The workers were employed at mine operations in California and Newfoundland and did not, at the time of sampling (1973 and 1976) have access to shower facilities nor commonly change clothes before going hallie. Table 5 lists the concentrations range of these samples. Three samples taken in homes of non-miners in Newfoundland yielded concentrations of 32, 45, and 65 ng/m3 . In contrast, the workers homes were much higher. pOinting to the need for appropriate shower and change facilities in asbestos workplaces. As asbestos cancers have been documented in family contacts of workers, concentrations such as seen here should be viewed with particular concern. DISCUSSION Three sets of data have been obtained demonstrating significant environmental contamination by asbestos in different circumstances. Seventeen samples collected at various sites about the World Trade Center during the spraying of asbestos materials on the steelwork for fireproofing purposes were analyzed for chrysotile asbestos. Twenty-seven samples collected in public schools with damaged asbestos surfaces and 13 in the homes of asbestos mine and mill employees iJere also studied. In all cases the sampling Was designed to refle~t the more serious instances of contamination in th~8e ci~cumstances, l~e sev~~it~ of some. of L:he conditions sampled 'Has suHiciently ireeat th~t it ig diffieu.lt ~"r-~~.-~_-"'"..~t~._~_~._,r_"_;tU-,.,.",,,:,~":.;;.~~.:<",,,,.,~,,,". ,.._. "~~~~~~r..y~~~~~~~"t";*~,.:.<~~:W~,t,'_.I'.'\,',!\1t<._~_'""_", .,._.,"'".(\(.1."~~~.J.J-_ - ., '~'~'W'~" ,~. .. 4'" ..,,~/,)1:or-41 -,)t'I~<'L;v!~,~~ ' t "" . . < ~~ .r1""''''''~~'''':::S'~l~)~~:''-'~~'?'~<t'':'~~~~~~'';'~>'''1''<Mfh..-.,:,....t~.r..-'''"'~~~_~><~. , . ' 7 Of 57 air samples collected and analyzed for chrysotile asbestos to assess the degree of environmental contamination 1 37 exceeded 50 ng/m3 (Tables 3 - 5). In contrast only three of 209 ambient air samples exceeded this value (Tables ,1,2) and, in each of the three, source contamination may have been an important contributor of asbestos. Nevertheless, only two of the 57 samples were in excess of 1000 ng/m3 In the absence of any other data to the cont=ary, these concentrations appear to be the representative of serious environmental contamination. Thus, prudence would dictate that the findings of such air concentrations in environmental circumstances should lead to appropriate control or remedial action. In the absence of appropriate action, asbestos-related malignancies could develop in large populations so exposed. Parenthetically, the data on asbestos concentrations about spray asbestos sites did lead to the prohibition of the process by various states and muni~ipalities in 1971 and 1972 and by the EPA in 19- 73. 9 A second consideration also indicates that air concentrations approaching 1000 ng/m3 in environmental circumstances be rapidly controlled. Data suggest that workers exposed to concentratlons of 2 f longer than 5 microns per ml of air (the current occupatlonal asbestos standard) in a British chrysotile products manufacturing facility may develop serious asbestos disease. 10 In this factory 2 f/ml was determined to be equivalent to 120,000 ng/mJ.ll As some non-fibrous material may have been included in the conversion determination, a better relationship sugges~s that ~ f/ml is approximately 60~OOO mg/m3 12 Epidemio1ogicpl data of this factory's current mortality experience suggests that 10% of the deaths of lo~ term employees 'l-li11 be occupatic.)Ual1y related at; r~ Vml. 10 The ~~cess 8 would primarily consist of deaths from mesothelioma and lung cancer. Other data are in hand linking the incidence of lung cancer in worker~ engaged in asbestos mining and milling and asbestos products manufacturing to total dust concentrations in the workplace. 13,14 The best fit to these data demonstrate a linear relationship between total dust and the rate of excess mortality from bronchogenic carcinoma. Even though fiber concentrations are unavailable in these studies, the linear relationship, with no evidence of a threshold below which disease does not appear, suggests that any extrapolation of the risk of asbestos disease in occupational circumstances to environmental exposures should utilize a linear relationship_ If 10% of the deaths in workers exposed to 60,000 ng/m3 are asbestos related, such an extrapolation suggests that 1/6000 deaths will be asbestos related at daily environmental exposures of 100 ng/m3 and 1/600 at 1000 ng/m3. If the exposures are intermittent, the risk would be correspondingly reduced. While these risks are conSiderably less than those of occupational circumstances, concern arises from the fact that millions of people may be exposed to multiple sources of lower concentrations through the da:ily use of such products as'asbestos insulated hair dryers, habitation of public and private buildings containing asbestos materials as fireproof2ng~ acoustic or thermal insulation, and in other environmental circumstances. Table 1 Distribution of 24-hour chrysotile asbestos concentrations in ambient air of United States cities 1969 - 1970 Asbestos concentration (ng!m3) Less than Number of samples Percentage of samples 1 61 32.6 2 119 63.6 5 164 87.7 10 176 -94.2 20 184 98.5 50 185 99.0 100 187 100.0 Table 2 Distribution of 4- to a-hour daytime chrysotile asbestos concentrations in tbe ambient air of New York City 1969 - 1970 Asbestos concentration , CngJm3) Less than Number of samples Percentage of samples 1 0 0.0 2 1 4.5 5 4 18.1 10 8 36.4 20 1.6 72.7 50 21 95.4 100 22 100.0 Table 3 Distribution of 6- to 8-hour chrysotile asbestos concentrations within one-half mile of the spraying of asbestos materials on building steelwork 1969 - 1970 Asbestos concentration (ng/m3 ) Less than 5 10 20 50 100 200 SOD Number of samples a 3 8 14 16 16 17 Percentage of samples 0.0 17.6 47.1 82.3 94.1 94.1 1 '~_9jtl~~~~ ~~ ~;f :;;::' ::;>j~ \,-'\ I(,""\ "'~'' ,f ;'j,t r::~ ;;:2S!II!rJl"J.~ !!t~~~!.~,,5@1~~i~Il "._ - _i ~ ..... ~. __ ~ _, __ .(_~, _ _ ..!'.~ ...~_~.;._. _ _ _ .... __ w ____ _ _ ,,_ .J. . _. - _ ..... " . _ . , . _ , . . " . ' .- ._. - - -- - " . " ' Table 4 Distribution of chrysoti1e asbestos concentrations in 4- to a-hour samples taken in public schools with damaged asbestos surfaces Asbestos concentration (ng/m3) Less than 5 10 20 50 100 200 500 1000 2000 Number of sa.mE1es 0 1 1 6 12 19 25 26 27 Percentage of samples 0.0 3.7 3.7 22.2 44.4 70.4 92 .. 6 96.3 100.0 < '" Table 5 Distribution of 4-hour chrysotile asbestos concentrations in tbe air of homes of asbestos mine and mill employees Asbestos concentratIon (ng/m3 ) Less than Number of samples Percentage of samples 50 100 , 200 500 1000 2000 5000 0 0.0 4 30.8 8 61.5 10 76.9 12 92.3 12 92.3 13 100.0 , I References 1. Nicholson. W. J. Cancer following occupational exposure to asbestos and vinyl chloride. 1977. Cancer 39:1792-1801. 2. Newhouse, M. and Thompson, H.. Mesothelioma of pleura and peritoneum folloving exposure to asbestos in the London area. Br. J. Ind. Med. ~:261-269.(1965) 3. Anderson, R. A. et al. Asbestosis among household contacts of asbestos factory ,vorkerso Ann. N. Y. Acad. Sci. In press. (1979) 4. Greenberg, M. and Davies, T.A. Mesothelioma Register 1967-68. Bt. J. of Ind. Med. 31:91-104. 1974 5. Nicholson, W. J. and Pundsack, F. L. Asbestos in the environment. Biological effects of Asbestos, Lyon, International Agency for Research on Cancer, 126-130. (1973) 6. Nicholson, W. J. Measurement of asbestos in ambient air, Final Report, Contract CPA 70-92, National Air Pollution Control Administration (1971). 7. Nicholson, W. J.~ Roh1. A. N. and Ferrand. E. F. Asbestos air pollution in Nev York City. In Proceedings of the Second Clean Air Congress, (eds.) England. H. M. and Barry, W. T. Academic Press, New York (1971) 8. Nicholson. W. J. et al. Contamination of U.S. Schools by asbestos surfacing materials. N. Y. Acad. Sci. In Press. (1979) 90 U.S. Environmental Protection. National emission standards for hazardous air pollutants. Federal Register ~:8820 (April 6) 10. Peto, J. The hygiene standard for chrysotile asbestos. Lancet 1:484-489. (1978) 11. Committee on Hygiene Standards. Hygiene standards for chrysoti1e asbes~os dust. British Occupational Hygiene Society. Ann. Occup. Hyg. 11:47-69 12. U~ S. Environmental Protection Agency. Criteria for asbestos in water. (1979) 13. McDonald, JoC. Mortality in Canadian miners and millers ~~posed to chrysotile. Ann. N.Y. Acad. Sci. In press. 1979 14. Henderson, V. L. and Enterline, Philip. Asbestos exposure factors associated with excess cancer and respitatory disease mortality. ,Ann, N. Y. Acad. Sci. In press. 1979