Woźniak Helena, Wiecek Edward
Zakładu Zagrozeń Chemicznych i Pyłowych Instytutu Medycyny Pracy, Łodzi.
Med Pr. 2002;53(3):219-27.
An appropriate evaluation of exposure to dust containing both crystalline silica and asbestos (e.g., some mines of rock materials, installation and disassembly of thermal insulation and frictional products etc.) requires that the presence of these two potentially carcinogenic dust components should be taken into account. In Poland, the present legal regulations provide for rather extensive freedom in both defining the scope of studies performed and interpreting their results. In consequences, the evaluation of dust exposure at similar workposts in different plant is based on different criteria, which means that in some cases the presence of free crystalline silica (MAC value for dust containing from 2 to 50% of SiO2--is 4 mg/m3 for total dust and 1 mg/m3 for respirable dust) is taken into account, and in others the presence of mineral fibers such as chrysotile and other fibrous mineral except for crocidolite (MAC value--1 mg/m3 and 0.2 f/cm3, respectively). The evaluation of exposure usually involves only one factor, i.e. free silica crystalline (more favorable for the administration of a given plant). The present study reveals that depending on the criterion adopted for evaluating the exposure at a given workpost (e.g. exchange of thermal insulation), the working conditions may be classified as safe (criterion for the presence of SiO2) or as harmful to workers' health if a complete composition of mineral dust (chrysotile, amosite, quartz) is considered. In order to clarify the present situation, the authors present in this paper the proposals on the scope of required studies (measurements of total and respirable dust, as well as respirable mineral fibers concentrations, determination of SiO2 contents, identification of dust crystalline phases) and the principles on which the interpretation of results should be based.
对同时含有结晶二氧化硅和石棉的粉尘暴露进行适当评估(例如,某些石料矿、隔热和摩擦产品的安装与拆卸等),需要考虑这两种潜在致癌粉尘成分的存在。在波兰,现行法律法规在定义所开展研究的范围和解释研究结果方面给予了相当大的自由度。结果,对不同工厂类似工作岗位的粉尘暴露评估基于不同标准,这意味着在某些情况下考虑了游离结晶二氧化硅的存在(对于二氧化硅含量为2%至50%的粉尘,总粉尘的最高容许浓度值为4毫克/立方米,可吸入粉尘为1毫克/立方米),而在其他情况下考虑了矿物纤维如温石棉和除青石棉外的其他纤维状矿物的存在(最高容许浓度值分别为1毫克/立方米和0.2纤维/立方厘米)。暴露评估通常只涉及一个因素,即游离结晶二氧化硅(对特定工厂的管理更为有利)。本研究表明,根据用于评估给定工作岗位暴露的标准(例如隔热材料更换),如果仅考虑二氧化硅的存在,工作条件可能被归类为安全,而如果考虑矿物粉尘的完整成分(温石棉、铁石棉、石英),则可能对工人健康有害。为了厘清当前状况,作者在本文中提出了关于所需研究范围(总粉尘和可吸入粉尘的测量以及可吸入矿物纤维浓度、二氧化硅含量的测定、粉尘结晶相的鉴定)以及结果解释应依据的原则的建议。