Aleksandr B Stefaniak, Virginia M Weaver, Maureen Cadorette, Leslie G Puckett, Brian S Schwartz, Laurie D Wiggs, Mark D Jankowski, Patrick N Breysse
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引用次数: 11
Abstract
Beryllium operations and accompanying medical surveillance of workers at Los Alamos National Laboratory began in the 1940s. In 1999 a Former Workers Medical Surveillance Program that includes screening for chronic beryllium disease was initiated. As part of this program, historical beryllium exposure conditions were reconstructed from archived paper and electronic industrial hygiene data sources to improve understanding of past beryllium uses and airborne concentration levels. Archived industrial hygiene sampling reports indicated beryllium was principally used in technical areas-01 and -03, primarily being machined. Beryllium was also used at 15 other technical areas in activities that ranged from explosives detonation to the manufacture of X-ray windows. A total of 4528 personal breathing zone and area air samples for beryllium, combined for purposes of calculating summary statistics, were identified during the records review phase. The geometric mean airborne beryllium concentration for the period 1949-1989 for all technical areas was 0.04 microg Be/m(3) with 97 percent of all sample below the 2.0 microg Be/m(3) occupational exposure limit (OEL). Average beryllium concentrations per decade were less than 1 microg Be/m(3) and annual geometric mean concentrations in technical area-03, the largest user of beryllium, were generally below 0.1 microg Be/m(3), indicating exposure was generally well-controlled, that is, below the OEL. Typical of many retrospective exposure assessments, not all archived data could be extracted and summarized. Despite this, we report a reasonable summary of potential beryllium uses and airborne concentration levels a worker may have encountered from 1949-1989. These data can be used to more effectively identify former worker populations at potential risk for chronic beryllium disease and to offer these workers screening as part of the Former Worker Medical Surveillance Program, and in the event that a case is diagnosed, help to understand historical exposure conditions.
美国洛斯阿拉莫斯国家实验室(Los Alamos National Laboratory)的工作人员从20世纪40年代开始进行铍操作和伴随的医疗监控。1999年启动了一项前工人医疗监测方案,其中包括对慢性铍病的筛查。作为该计划的一部分,从存档的纸张和电子工业卫生数据源重建了历史铍暴露条件,以提高对过去铍使用和空气中浓度水平的理解。存档的工业卫生抽样报告表明,铍主要用于技术领域-01和-03,主要用于机械加工。铍还被用于其他15个技术领域的活动,从炸药引爆到x射线窗的制造。在记录审查阶段,共确定了4528个个人呼吸区和区域的铍空气样本,合并起来用于计算汇总统计数据。1949年至1989年期间,所有技术领域空气中铍的几何平均浓度为0.04微Be/m(3), 97%的样品低于2.0微Be/m(3)职业暴露限值(OEL)。每十年的平均铍浓度低于1 μ g Be/m(3),而铍最大使用者技术区-03的年几何平均浓度一般低于0.1 μ g Be/m(3),表明暴露总体上得到了很好的控制,即低于OEL。典型的许多回顾性暴露评估,并不是所有存档的数据都可以提取和总结。尽管如此,我们报告了1949年至1989年期间工人可能遇到的潜在铍用途和空气浓度水平的合理总结。这些数据可用于更有效地识别具有慢性铍病潜在风险的前工人群体,并为这些工人提供筛查,作为前工人医疗监测计划的一部分,并且在诊断病例的情况下,有助于了解历史暴露条件。