Trzcinka-Ochocka Małgorzata, Jakubowski Marek, Raźniewska Grazyna
Zakładu Zagrozeń Chemicznych, Instytutu Medycyny Pracy im. prof. dra med. J. Nofera w Lodzi.
Med Pr. 2005;56(5):395-404.
The aim of the study was to assess the current occupational exposure to lead in Poland and to evaluate the competence of laboratories responsible for biological monitoring and analysis of health risks in workers exposed to lead. According to the current data, 26,500 workers are employed in 517 factories, including 1895 persons working under condition of exposure exceeding the Polish MAC level of 0.050 mg/m3. The biological monitoring analysis includes measurements of blood lead (Pb-B). Levels and concentrations of one of the markers of early health effect are carried out only in 22% (112) of plants, covering only 76% (20,300) of all workers. Of the 18 laboratories performing this kind of determinations, only 2 are granted the analytical laboratory accreditation certificate. The obtained data indicate that occupational exposure to lead is still a problem in Polish industry. The proportion (76%) of the workers covered with biological monitoring analysis show that neither the recommendations laid down in the decree of 1996 issued by the Minister of Health and Social Welfare, and reinforced by the Minister of Health in 2004, nor the EU directive (98/24/EC) is universally observed. Both these documents provide for that Pb-B determinations in employees occupationally exposed to lead are compulsory. The competences of the majority of analytical laboratories are not sufficient to evaluate biological monitoring analysis in workers occupationally exposed to lead. They have not yet adopted the obligatory Polish versions of European standards of the quality assurance set in PN-EN ISO/IEC 17025. The Minister of Health issued another decree, dated 20 April 2005, according to which from 1 January 2008 every analytical laboratory will have to possess accreditation.
该研究的目的是评估波兰目前的职业铅暴露情况,并评估负责对铅暴露工人进行生物监测和健康风险分析的实验室的能力。根据现有数据,517家工厂雇佣了26,500名工人,其中1895人在铅暴露条件超过波兰职业接触限值(MAC)0.050毫克/立方米的环境下工作。生物监测分析包括测量血铅(Pb-B)。仅在22%(112家)的工厂中对早期健康影响标志物之一进行了水平和浓度测定,覆盖的工人仅占所有工人的76%(20,300人)。在进行此类测定的18个实验室中,只有2个获得了分析实验室认可证书。所获得的数据表明,职业铅暴露在波兰工业中仍然是一个问题。接受生物监测分析的工人比例(76%)表明,无论是1996年由卫生和社会福利部长发布、并于2004年由卫生部长强化的法令中的建议,还是欧盟指令(98/24/EC),都未得到普遍遵守。这两份文件都规定,对职业铅暴露员工进行血铅测定是强制性的。大多数分析实验室的能力不足以评估职业铅暴露工人的生物监测分析。它们尚未采用PN-EN ISO/IEC 17025中规定的强制性波兰版欧洲质量保证标准。卫生部长于2005年4月20日发布了另一项法令,根据该法令,从2008年1月1日起,每个分析实验室都必须获得认可。