Hughson Graeme W, Cherrie John W
Institute of Occupational Medicine, Research Park North, Riccarton, Edinburgh EH14 4AP, UK.
Ann Occup Hyg. 2005 Mar;49(2):111-23. doi: 10.1093/annhyg/meh089.
Estimation and Assessment of Substance Exposure (EASE) is a rule-based computer expert system used by regulatory authorities within the European Union to assist in assessing exposure for both new and existing substances. It can provide estimates of both inhalation exposure levels and dermal exposure levels to the hands and forearms. This article describes the results of a study in which measurements of workplace dermal zinc exposures were collected for an industry-wide risk assessment and also compared with the levels predicted by EASE. Measurements were obtained from subjects in seven different workplaces that were producing or working with zinc metal or zinc compounds. The work activities were grouped a priori into one of three categories used by EASE for dermal exposure assessment: 'non-dispersive use with intermittent direct handling', 'wide dispersive use with intermittent direct handling' and 'wide dispersive use with extensive direct handling'. The predicted exposure ranges for these categories are 0.1-1, 1-5 and 5-15 mg cm(-2) day(-1). Although the average measured exposure levels for each of the categories increased in line with the predictions from EASE, the model overestimated dermal exposure to the hands by a factor of approximately 50 when the mid-point of the EASE range was compared with the measured mean exposure. Furthermore, a significant additional exposure was found on other parts of the workers' bodies for which EASE does not provide any estimates. Interpretation of the dermal exposure data was complicated by the use of protective gloves, which might have limited the amount of zinc dust adhering to the workers' skin. However, observation of the work activities suggested that the pattern of glove use was such that they would not provide a consistent level of protection. This study provided an opportunity to collect a large amount of dermal zinc exposure data for risk assessment purposes and also enabled a dermal sampling method to be developed and assessed. There is no standard method for dermal dust exposure measurement, and the choice of method was a key factor in the exposure estimation process. With regard to comparison with the EASE predictions, it is possible that EASE could appear to perform more accurately if its predictions were compared with measurements obtained using surrogate skin sampling methods. However, we believe that such sampling can provide a gross overestimate of the dust on the skin surface. We suggest that further development of the EASE system is necessary to ensure that it better reflects whole-body dermal exposures to dusts.
物质暴露评估(EASE)是欧盟监管机构使用的基于规则的计算机专家系统,用于协助评估新物质和现有物质的暴露情况。它可以提供吸入暴露水平以及手部和前臂皮肤暴露水平的估计值。本文描述了一项研究的结果,该研究收集了全行业风险评估中工作场所皮肤锌暴露的测量数据,并与EASE预测的水平进行了比较。测量数据来自七个不同工作场所的受试者,这些场所正在生产或使用锌金属或锌化合物。工作活动被预先归类为EASE用于皮肤暴露评估的三类之一:“间歇性直接处理的非分散性使用”、“间歇性直接处理的广泛分散性使用”和“广泛直接处理的广泛分散性使用”。这些类别的预测暴露范围分别为0.1 - 1、1 - 5和5 - 15毫克/平方厘米·天。尽管每个类别的平均测量暴露水平随着EASE的预测而增加,但当将EASE范围的中点与测量的平均暴露进行比较时,该模型对手部皮肤暴露的高估约为50倍。此外,在工人身体的其他部位发现了显著的额外暴露,而EASE并未对此提供任何估计。由于使用了防护手套,皮肤暴露数据的解释变得复杂,防护手套可能限制了附着在工人皮肤上的锌尘量。然而,对工作活动的观察表明,手套的使用模式并不能提供一致的保护水平。这项研究为收集大量用于风险评估目的的皮肤锌暴露数据提供了机会,还使得一种皮肤采样方法得以开发和评估。目前尚无用于皮肤粉尘暴露测量的标准方法,方法的选择是暴露估计过程中的关键因素。关于与EASE预测的比较,如果将其预测与使用替代皮肤采样方法获得的测量结果进行比较,EASE可能会显得表现得更准确。然而,我们认为这种采样可能会对皮肤表面的粉尘产生严重高估。我们建议有必要进一步开发EASE系统,以确保它能更好地反映全身皮肤对粉尘的暴露情况。