与旅客和货物运输部门有关的化学风险

Mónica Santos, A. Almeida, Catarina Lopes
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Contents Individuals with jobs in this sector are exposed to chemical agents resulting from incomplete combustion, engine emissions and elements secondary to the evaporation of fuels. Although some exist in low concentrations, they have carcinogenic potential. After the decrease in lead in gasoline, other substances began to be used more, such as benzene, toluene and xylene; as well as ethanol and metanol, in order to increase efficiency. The International Agency for Research on Cancer has classified benzene as a human carcinogen. In practice, a decrease in the number of blood cells is observed (anemia, thrombocytopenia, leukopenia or even leukemia); although the mechanism is not fully understood. Taxi drivers are considered to be sufficiently exposed professionally to present these changes. The concentration of benzene for these is two to three times lower than that found in the vicinity of structures in the oil industry (for example), but still three times higher than the limit recommended by the American Conference of Government Industrial Hygienists. There is also exposure to other hydrocarbons, particulate matter, heavy metals such as lead and volatile organic compounds. Discussion and Conclusions The Chemical Risk associated with passenger and/or goods transport vehicles is relevant and reasonably little studied, although some medical consequences are very relevant. In terms of collective protection measures, only the use of HEPA filters are mentioned in some contexts, as well as having or not having the window open and the air circulation system on; in the context of individual protection measures, none of the consulted articles developed them. 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引用次数: 0

摘要

导言/框架/目标司机面临许多职业危害;然而,在化学水平上的联系不是特别发达,也不容易找到关于这个主题的参考书目。本次审查的目的是总结所描述的最相关的内容,以便加强职业健康与安全小组与客户就这一部门开展的工作。这是一篇文献综述,于2022年2月在“CINALH plus全文、Medline全文、效果评价摘要数据库、Cochrane对照试验中央注册库、Cochrane系统评价数据库、Cochrane方法学注册库、护理和联合健康Collection: comprehensive、MedicLatina和RCAAP”数据库中进行检索。在该部门工作的个人暴露于不完全燃烧、发动机排放和燃料蒸发后产生的化学剂。虽然有些浓度很低,但它们具有致癌潜力。汽油中的铅降低后,其他物质开始被更多地使用,如苯、甲苯和二甲苯;以及乙醇和甲醇,以提高效率。国际癌症研究机构已将苯列为人类致癌物。在实践中,血细胞数量减少(贫血、血小板减少症、白细胞减少症甚至白血病);尽管其机制尚未完全了解。出租车司机被认为有足够的专业知识来呈现这些变化。这些地方的苯浓度比石油工业建筑附近的苯浓度低两到三倍,但仍然比美国政府工业卫生学家会议建议的限值高三倍。还会接触到其他碳氢化合物、颗粒物、铅等重金属和挥发性有机化合物。讨论和结论:与客运和/或货物运输车辆相关的化学品风险是相关的,但研究很少,尽管一些医疗后果非常相关。在集体防护措施方面,在某些情况下只提到使用HEPA过滤器,以及是否打开窗户和空气循环系统;在个别保护措施方面,所咨询的文章都没有提出这些措施。对于在这些部门有几个客户的健康和安全小组来说,通过发表文章更好地评估情况并传播其数据和结论,掌握更多在这一领域工作的知识,并能够提供更健康和更安全的工作环境,是有意义的。关键词:化学品风险,司机,出租车司机,职业健康,职业医学。
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Risco Químico associado ao setor dos Transportes de Passageiros e Mercadorias
Introduction/framework/objectives Drivers are subject to numerous occupational hazards; however, the associates at the Chemical level are not particularly developed, nor is bibliography on the subject easily found. The aim of this review was to summarize what is most relevant described, in order to enhance the work developed by the Occupational Health and Safety teams with clientes on this sector. Methodology This is a Bibliographic Review, initiated through a search carried out in February 2022, in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Contents Individuals with jobs in this sector are exposed to chemical agents resulting from incomplete combustion, engine emissions and elements secondary to the evaporation of fuels. Although some exist in low concentrations, they have carcinogenic potential. After the decrease in lead in gasoline, other substances began to be used more, such as benzene, toluene and xylene; as well as ethanol and metanol, in order to increase efficiency. The International Agency for Research on Cancer has classified benzene as a human carcinogen. In practice, a decrease in the number of blood cells is observed (anemia, thrombocytopenia, leukopenia or even leukemia); although the mechanism is not fully understood. Taxi drivers are considered to be sufficiently exposed professionally to present these changes. The concentration of benzene for these is two to three times lower than that found in the vicinity of structures in the oil industry (for example), but still three times higher than the limit recommended by the American Conference of Government Industrial Hygienists. There is also exposure to other hydrocarbons, particulate matter, heavy metals such as lead and volatile organic compounds. Discussion and Conclusions The Chemical Risk associated with passenger and/or goods transport vehicles is relevant and reasonably little studied, although some medical consequences are very relevant. In terms of collective protection measures, only the use of HEPA filters are mentioned in some contexts, as well as having or not having the window open and the air circulation system on; in the context of individual protection measures, none of the consulted articles developed them. It would be relevant for a Health and Safety team with several clients in these sector, to better assess the situation and disseminate their data and conclusions through the publication of article(s), to have more knowledge to work in this area and be able to provide a healthier and safer work environment. Keywords: chemical risk, driver, taxi driver, occupational health and occupational medicine.
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