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ASBESTOS - All Ferns
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C 5 mppc (2 mppcf, time-weighted average)
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or 12 fibers /1 > 5 (* in length
Asbestos Is e generic tern thee applies to e number of nleerel silicates.
Incombustible in air and separable into filaments. The most widely used in
industry is chrysotlle, a magnesium silicate from serpentine. Other types
include amoalte (an iron magnesium silicate) crocldolite (a sodium iron sill*
cate), tremollte (a calcium magnesium silicate) and anthophyllita (also an
Iron magnesium silicate).
That exposure to asbestos is associated with development of a poten
tially disabling pneumoconiosis in man has been amply demonstrated by indus
trial experience (1,2,3,!*, 5,6, 7, 8, 9). A threshold limit of 5 mppcf was
recommended by Dreessen et al. (6), in 1938 after studying 5^1 employees in
k asbestos textile plants where massive exposures to chrysotlle occurred.
Only 3 doubtful cases of pneumoconiosis were found at the time of the study in
these exposed to dust concentrations under 5 mppcf, whereas numerous well-
marked cases were found above 5 mppcf. Counts were from implnger-collected
samples in ethyl alcohol and distilled water. Both fibrous and nonfibrous
particles were counted, but the latter greatly predominated. Although chemical
analyses of collected samples of air-borne dust corresponded to those of settled
dust, it is believed that dust counts of particulates by lmplnger can be expected
to give only an indirect measure of the risk cf asbestos is because lmplnger
sampling collects all particulates, including asbestos.
A conference on the biologic effects of asbestos (10) in I965. called
attention to the very real probability that the 5 mppcf limit reeonmended by
Dreessen is inadequate to give complete working-life-time protection against
all forms of asbestos. Medical data on which the limit had been based were
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Inadequate; more than half of the asbestos workers studied were under 30 years of age and thus provided an insufficient exposure tlaa for asbestosis to develop. Of the 10$ workers exposed to < $ mppcf, 62 had worked < $ years; 101. < 10 years; only 4 had > 10 years exposure. Seven of 36 workers exposed to $ - 9.9 nppcf for 5 - 9.9 years had asbestosis; 3 of 50 workers exposed to 10 - 19.9 mppcf for < 5 years had asbestosis (6). Moreover, it was a "point* in time" study; aany of the ill were missing and the dead uncounted, hence not considered in the over-all evaluation of the limit.
The asbestos conference (10) further called attention to the rising worldwide race cf Increase in lung cancer among asbestos workers, particularly bronchial cancers, and also noted with alarm a widespread Incidence of pleural and diffuse mesotheliomas, tumors heretofore overlooked and only recently (1959) associated with exposure to asbestos. The epidemiology of the early cases was especially revealing in pointing out the scope of asbestos exposures; many of the mesothelioma cases had no industrial association, but were "neighborhood" cases or cases traced to users of asbestos. Exposures to asbestos extend far beyond those of miners and millers of asbestos or textile weavers, and include carpenters (sawing asbestos board). Insulators and pipe loggers, dockers hand ling asbestos cargo, brake-lining workers, rubber compounders and several others.
The Cosaittee on Hygienic Standards of the British Occupational Hygiene Society from an evaluation of medical evidence from Great Britain and data from the U. S. Public Health Service Study (6) has recommended the following criteria for limiting exposure to chrvsotile asbestos assuming a l risk of contracting asbestos disease during a 50-year working exposure (11).
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A*bescos, coacd
3
Ouse Category
Flbsrs
N Negligible Lov
Medium High
<0.5 0.5 - 2.0 >2 - 10
> 10
a) Averaged during a 3-month period
b) Greater than 5 ^ In length
From cheae criteria, a limit of 100 fibera/ml-yeara vaa proposed,
hence a limit of 2 fibers/ml averaged over a 50-year period.
In arriving at an asbestos limit based on American experience and
considerations applicable to the American industrial scene, the following
predominated. Recent evaluation of the health experience in asbestos plants
indicated that the 5 mppcf limit was not sufficiently low to protect workers
exposed for 30 years, a period rarely exceeded in America. Balzer and Cooper
(12) supported this view in a report that asbestosls Is occurring among
insulation workers from levels thee were deemed highly unlikely to have exceed
ed a time-weighted average of 5 mppcf. A retrospective investigation of the
association between lung cancer in asfcestof workers and smoking by Sellkoff
et al. (13) revealed that asbestos neoplasias were strongly associated with
smokers.
In accordance with these findings, the 5 mppcf limit was made a ceil
ing value below which all concentrations should fluctuate. This is equiva
lent to a time-weighted average value of slightly less than 2 mppcf, as shown
by Ayer (1U) from the following determined for asbestos, where of the
samples only exceed the 5 mppcf limit:
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Asbestos, contd.
% Samples Exceeding 5 mppef
Average Concentration
mppef
1 1.3 2 1.5
10 C*V 25 4.5 Inisouch as tha count by laplnger procedure often consists prinertly
of extraneous particulates (textile plants) an alternate fiber-count say
be oada by the membrane filter method using phase-contrast illumination
at 430 X magnification (15). For the purposes of determining significant
asbestos exposure, the membrane*filter method in which only fibers greater
than 5 micra (pi) in length are counted, is recommended. On this basis,
6 fibers/milliliter greater than 5 H had been founi to be equivalent to
1 mppef. Hence for a time-weighted average limit by count of asbestos
particles of 2 mppef, the corresponding limit based on fibers of specified
size is 12 flbers/ml. This limit is intended to reduce to an insignifi
cant risk, the occurrence of asbestos disease among those exposed for
30 years to all forms of asbestos.
Thera is still asbestos disease;appearing in industry. It is not
known to what extent this represents a reservoir effect of past exposures,
or if the 5 mppef level is still contributing to the disease incidence.
For this reason the 5 mppef is reconaended as a celling value (2 rppcf
as a time-weighted average) until a more definite value can be established
based on medical findings.
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RgEREWCESt 1. Merevether, E. R. A.: J. lad. Hyg., J2, 196, 239 (1950). Fnetmoconlosis
Abstracts, 1926-1938, Vol. 1 p. 128. 2. Wood, W. B., Gioyne, S. R.: Lanett, Dee. 22, lS0fc, pp. 1388*1363. 3. Fulton, W. B, Dooley, A., Matthew, J. L., Coots, R. Lt Penn. Dept,
of Labor and Xnd. Bull. 42 (1933). 4. Lanza, A. J-, McConnell, W. J., Pehnel, J. W.: Pub. Health Rep. JO, 1 (1595)* 5. Donnelly, J.: J. ind. Kyg. & To*. 18, 222,(1936). 6. Dreessen, W. C., DellaValle, J. V., Edvarda, T. T., Miller, J. W., Sayers,
R. R.: Pub. Health Bull. No. 2Ul, Washington, D. C. 1938. 7. Lynch, M.: Arch. Ind. Health 11, 185, (1955). 8. Smith, R. W.: Arch. Ind. Health 12, I98 (1955). 9. Cartier, P.j Arch. Ind. Health 11, 204 (1955). 10. Biologic Effecta of Asbestos, H. E. Whipple, ed.. Ana. N. ?. Acad.
Sciencea 132. Art. 1, 1965, 765 pp. 11. Report of Committee on Hygier.e Standarda, Brit. Occ. Hlth. Soc. "Hygiene
Standarde for Chrysotile Asbestos Dust" December 1967. 12. Balzer, J. L., Cooper, U. C., Ind. I!yg. Nava Report Dec. 1C67. 13. Selikoff, I. V., Haocand, 2. C., Churg, V., J. Am. Med. Assn. 204. 10U (1968). 14. Ayer, H. E.: Memorandum to Committee Member Jan. 1968. 15. Ayer, H. E., Lynch, J. R., Penney, J. H.: Ann. N. Y. Acad. Sciences 132,
Art. 1, p. 274 (1965).
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