Bailey W H
Exponent, New York, NY 10170, USA.
Health Phys. 2002 Sep;83(3):402-8. doi: 10.1097/00004032-200209000-00010.
Scientists are forced to address many sources of uncertainty in the setting of exposure limits. This paper discusses the rationale for some of the approaches that have been used for many years to address uncertainties encountered in the setting of occupational and public exposure limits to protect against non-cancer effects of chemicals. These approaches are quite different from the methodology that has been adopted for the setting of exposure limits to power-frequency electric and magnetic fields to avoid adverse effects of induced electric fields and currents. The limitations of the non-standard electric and magnetic fields guideline methodology are described. To address these limitations, a probabilistic approach to developing exposure limits for electric and magnetic fields has been proposed. As a demonstration, this approach has been applied to the estimation of magnetic field exposures that would not pose significant risks of cardiac stimulation from electric fields induced in the torso. The results of this probabilistic analysis demonstrate the importance of explicitly characterizing potential sources of uncertainty and variability. Furthermore, the use of fixed, single point estimates of dosimetric parameters by electric and magnetic fields guideline-setting organizations provides more than adequate protection to individuals from the risk of cardiac stimulation. The mean magnetic field level that would increase the risk of cardiac stimulation is shown by this approach to be about three times higher than is predicted by dosimetric formulas used by the ACGIH and ICNIRP. If input data for parameters affecting the risk of adverse effects with lower thresholds, i.e., nerve stimulation, are developed and validated, this method could be used in the setting of electric and magnetic fields standards based more strongly on quantitative assessments of experimental data.
科学家们在设定接触限值时不得不应对诸多不确定性来源。本文讨论了多年来用于应对在设定职业和公众接触限值以防范化学品非致癌效应过程中所遇到的不确定性的一些方法的基本原理。这些方法与为设定工频电场和磁场的接触限值以避免感应电场和电流的不利影响而采用的方法截然不同。文中描述了非标准电场和磁场导则方法的局限性。为解决这些局限性,有人提出了一种制定电场和磁场接触限值的概率方法。作为一个示例,该方法已应用于估计不会因躯干中感应电场而带来显著心脏刺激风险的磁场暴露情况。这一概率分析的结果表明了明确表征潜在不确定性和变异性来源的重要性。此外,电场和磁场导则制定组织使用剂量学参数的固定单点估计值为个人提供了足够的保护,使其免受心脏刺激风险。通过这种方法得出的会增加心脏刺激风险的平均磁场水平比美国政府工业卫生学家会议(ACGIH)和国际非电离辐射防护委员会(ICNIRP)使用的剂量学公式所预测的要高出约三倍。如果能够开发并验证影响具有较低阈值的不良反应(即神经刺激)风险的参数的输入数据,那么这种方法可用于更有力地基于实验数据的定量评估来设定电场和磁场标准。