Hardt Jochen, Angerer Jürgen
Clinic of Augsburg, Institute of Laboratory Medicine, Microbiology, and Environmental Hygiene, Augsburg, Germany.
Int Arch Occup Environ Health. 2003 Sep;76(7):492-8. doi: 10.1007/s00420-003-0451-8. Epub 2003 Jun 24.
Pyrethroids are applied as insecticides throughout the world. Human metabolism of pyrethroids results in urinary metabolites that are suitable for biological monitoring. The aim of the study was to evaluate individual exposure due to occupational application of pyrethroids as a precondition for the assessment of health risks.
Thirty-six workers who applied insecticides and other pesticides in Germany collected samples of their urine (24 h) after having used various pyrethroids (alpha-cypermethrin, cypermethrin, cyfluthrin, deltamethrin, tau-fluvalinate, permethrin, lambda-cyhalothrin) in agriculture, greenhouses or indoor pest control. Biological monitoring was carried out and metabolites were analysed in 61 urine samples by GC-MS: cis-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1-carboxylic acid and trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1-carboxylic acid ( cis-Cl(2)CA and trans-Cl(2)CA), cis-3-(2,2-dibromovinyl)-2,2-dimethylcyclopropane-1-carboxylic acid ( cis-Br(2)CA), 3-phenoxybenzoic acid (3-PBA) and 4-fluoro-3-phenoxybenzoic acid (FPBA). Forty-five urine specimens collected (24 h) from persons with no occupational exposure to pyrethroids served as controls. Concentrations were related to creatinine content and expressed as microgrammes per gramme creatinine.
Control urine samples revealed a considerable background excretion of pyrethroid metabolites by the general population. The 95th percentile of the concentrations of Cl(2)CA and cis-Br(2)CA were 2.1 and 0.1 microg/g creatinine, respectively. FPBA was not detected in any control urine and was found in only one sample within the complete study. After occupational application of pyrethroids the highest concentrations of metabolites in urine samples were detected within the group of indoor pest-control operators. The maximum concentrations (median values) of Cl(2)CA, 3-PBA, and cis-Br(2)CA were 92.4 microg/g (1.8 microg/g), 57.5 microg/g (1.4 microg/g) and 1.1 microg/g (median below detection limit), respectively. Workers in greenhouses excreted metabolites with median concentrations as follows: 2.9 microg/g Cl(2)CA, 0.5 microg/g cis-Br(2)CA and 2.9 microg/g 3-PBA. Medians of the metabolite concentrations in specimens from agricultural workers were below the detection limit with regard to Cl(2)CA and cis-Br(2)CA, but the value was 0.6 microg/g for 3-PBA. Pest-control operators excreted significantly higher concentrations of Cl(2)CA and 3-PBA than workers in agriculture on a collective basis. Comparison of the excreted concentrations of metabolites with values of acceptable daily intake (ADI) of pyrethroids set by WHO revealed that the amount of pyrethroids that had been taken up during occupational application was not considerably higher than the ADI.
As a consequence, we conclude that adverse health effects are not to be expected after workers' occupational exposure to pyrethroids in Germany, provided that the application is carried out properly. Good working practices need to be supported by adequate supervision with regard to occupational hygiene and medicine.
拟除虫菊酯作为杀虫剂在全球范围内广泛使用。人类对拟除虫菊酯的代谢会产生适合进行生物监测的尿液代谢物。本研究旨在评估因职业接触拟除虫菊酯而导致的个体暴露情况,以此作为评估健康风险的前提条件。
在德国,36名施用杀虫剂和其他农药的工人在农业、温室或室内害虫防治工作中使用了各种拟除虫菊酯(α-氯氰菊酯、氯氰菊酯、氟氯氰菊酯、溴氰菊酯、氟胺氰菊酯、氯菊酯、高效氯氟氰菊酯)后,收集了他们的尿液样本(24小时)。进行了生物监测,并通过气相色谱-质谱联用仪(GC-MS)分析了61份尿液样本中的代谢物:顺式-3-(2,2-二氯乙烯基)-2,2-二甲基环丙烷-1-羧酸和反式-3-(2,2-二氯乙烯基)-2,2-二甲基环丙烷-1-羧酸(顺式-Cl₂CA和反式-Cl₂CA)、顺式-3-(2,2-二溴乙烯基)-2,2-二甲基环丙烷-1-羧酸(顺式-Br₂CA)、3-苯氧基苯甲酸(3-PBA)和4-氟-3-苯氧基苯甲酸(FPBA)。从无职业性接触拟除虫菊酯的人员中收集了45份尿液样本(24小时)作为对照。浓度与肌酐含量相关,并以每克肌酐中微克数表示。
对照尿液样本显示普通人群中拟除虫菊酯代谢物有相当程度的背景排泄。Cl₂CA和顺式-Br₂CA浓度的第95百分位数分别为2.1和0.1微克/克肌酐。在任何对照尿液中均未检测到FPBA,且在整个研究中仅在一个样本中发现。职业性接触拟除虫菊酯后,尿液样本中代谢物的最高浓度在室内害虫防治操作人员组中检测到。Cl₂CA、3-PBA和顺式-Br₂CA的最高浓度(中位数)分别为92.4微克/克(1.8微克/克)、57.5微克/克(1.4微克/克)和1.1微克/克(中位数低于检测限)。温室中的工人排泄的代谢物中位数浓度如下:Cl₂CA为2.9微克/克、顺式-Br₂CA为0.5微克/克、3-PBA为2.9微克/克。农业工人样本中Cl₂CA和顺式-Br₂CA的代谢物浓度中位数低于检测限,但3-PBA的值为0.6微克/克。总体而言,害虫防治操作人员排泄的Cl₂CA和3-PBA浓度明显高于农业工人。将排泄的代谢物浓度与世界卫生组织设定的拟除虫菊酯每日允许摄入量(ADI)值进行比较,结果显示职业性接触期间摄入的拟除虫菊酯量并不显著高于ADI。
因此,我们得出结论,在德国,只要正确进行施用,工人职业性接触拟除虫菊酯后预计不会产生不良健康影响。良好的工作实践需要在职业卫生和医学方面得到充分监督的支持。