Identifying and Prioritizing Hazardous Chemicals in Construction Metal Structure Coating Systems: A Roadmap for Data-Driven Disease Prevention.

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of industrial medicine Pub Date : 2024-12-03 DOI:10.1002/ajim.23677
Paridhi Patel, Dhimiter Bello, Anila Bello
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Abstract

Introduction: Occupational exposure as a painter was classified by the International Agency for Research on Cancer (IARC) as a Group 1 carcinogen (carcinogenic to humans) in 1989. Chemical agents responsible for cancers and other illnesses among industrial painters are not well-documented. The goal of this systematic review and synthesis was to document the chemistries of metal structure coating systems, summarize data gaps on occupational exposures and health effects among painters, and identify and prioritize hazardous chemicals to guide future exposure and occupational health studies, and ultimately disease prevention efforts.

Methods: We reviewed coating products approved by the Northeast Protective Coating Committee (NEPCOAT) for use in steel bridges in New England, with a special focus on Part B of these reactive chemical systems, and related literature on exposures and health effects.

Results: From the review of safety datasheets (SDS), we identified 61 unique CAS numbers belonging to different Part B chemical groups of isocyanate- and epoxy-based formulations, including amine hardeners, solvents, nanomaterials, and other additives. The list of identified ingredients contained 14 potent sensitizers, two IARC Group 1 known carcinogens, and 7 IARC Group 2B possible carcinogens. Cancers of the lungs, urinary bladder, liver, kidneys, and gastrointestinal system, allergic contact dermatitis, lung fibrosis, and asthma were some possible disease endpoints. Existing occupational exposure studies focused on solvent exposures, while exposure and biomonitoring studies of amine hardeners and other ingredients of concern in these formulations are lacking.

Conclusions: The list of chemicals of concern identified here, including sensitizers and carcinogens, can serve as a basis for analytical method development and field exposure assessment studies. A national multi-pronged strategy to reduce chemical exposures and health risks among construction painters is warranted, including research on exposure monitoring and reduction efforts, longitudinal epidemiological studies, and product reformulation.

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识别和优先处理建筑金属结构涂层系统中的危险化学品:数据驱动的疾病预防路线图。
简介:1989年,画家的职业暴露被国际癌症研究机构(IARC)列为1类致癌物(对人类致癌)。导致工业画家罹患癌症和其他疾病的化学物质并没有得到充分的证明。本系统综述和综合的目的是记录金属结构涂层系统的化学成分,总结油漆工职业暴露和健康影响方面的数据缺口,识别和优先考虑危险化学品,以指导未来的暴露和职业健康研究,并最终预防疾病。方法:我们审查了东北保护涂层委员会(NEPCOAT)批准用于新英格兰钢桥的涂层产品,特别关注这些反应性化学系统的B部分,以及有关暴露和健康影响的相关文献。结果:从安全数据表(SDS)的审查中,我们确定了61个独特的CAS编号,属于异氰酸酯和环氧基配方的不同B部分化学基团,包括胺硬化剂、溶剂、纳米材料和其他添加剂。经鉴定的成分清单中包含14种强致敏物质,两种IARC第1组已知致癌物,以及7种IARC第2B组可能致癌物。肺癌、膀胱癌、肝癌、肾癌和胃肠道系统癌、过敏性接触性皮炎、肺纤维化和哮喘是一些可能的疾病终点。现有的职业接触研究侧重于溶剂接触,而缺乏对这些配方中胺固化剂和其他令人关注的成分的接触和生物监测研究。结论:这里确定的关注化学品清单,包括致敏剂和致癌物,可作为分析方法开发和实地接触评估研究的基础。有必要在全国范围内采取多管齐下的战略,减少建筑油漆工的化学品接触和健康风险,包括对接触监测和减少工作的研究、纵向流行病学研究和产品重新配方。
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来源期刊
American journal of industrial medicine
American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.90
自引率
5.70%
发文量
108
审稿时长
4-8 weeks
期刊介绍: American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.
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