Taylor Andrew, Angerer Jurgen, Arnaud Josiane, Claeys Françoise, Kristiansen Jesper, Mazarrasa Olav, Menditto Antonio, Patriarca Marina, Pineau Alain, Valkonen Sinikka, Weykamp Cas
Centre for Clinical Science and Measurement, School of Biomedical and Life Sciences, University of Surrey, Guildford, GU2 7XH, UK.
Int Arch Occup Environ Health. 2007 Jan;80(3):254-64. doi: 10.1007/s00420-006-0118-3. Epub 2006 Jun 3.
The European Council Directive 98/24 on the protection of the health and safety of workers exposed to chemical agents sets out provisions for environmental and biological monitoring, making specific reference to binding limit values and health surveillance measures for those with exposure to lead
To compare how the Directive has been implemented at a national level in EU countries and to determine whether workers receive equivalent protection.
Information on selected key issues was collected from 14 EU countries by means of a structured questionnaire.
National occupational exposure limit values generally reflect that set by the Directive (0.15 mg/m(3)), but in five cases lower limits are set. National binding biological limit values range from 20 microg/100 ml blood in one country up to 80 microg/100 ml blood in others. The risk to the unborn child is generally recognised with specific measures for women of child-bearing potential or those that are pregnant or breast feeding. In only three countries are special arrangements included for young workers. Limits at which medical surveillance is put into effect are more consistent at 40 microg/100 ml in most countries. The Directive also refers to guidelines for health surveillance but none have been issued with respect to lead. Thus monitoring strategies and requirements for analytical performance vary considerably.
The results of this survey suggest that protection of workers against the risk of exposure to lead at work is far from uniform across the European Union. Such disparity may also have implications on the requirements set at national level for laboratories measuring lead in blood and/or air. In the interest of harmonisation within the EU, further consideration should be given to the Annex II of the EC Directive 98/24, taking into account the suggestions for lower binding limit values for lead; this should include full guidelines for medical surveillance and requirements for laboratories should be issued.
欧洲理事会关于保护接触化学制剂工人健康与安全的第98/24号指令规定了环境和生物监测的条款,特别提及了铅接触者的约束限值和健康监测措施。
比较该指令在欧盟国家的国家层面是如何实施的,并确定工人是否得到同等保护。
通过结构化问卷从14个欧盟国家收集有关选定关键问题的信息。
国家职业接触限值通常反映了指令设定的值(0.15毫克/立方米),但在五个案例中设定了更低的限值。国家约束性生物限值从一个国家的20微克/100毫升血液到其他国家的80微克/100毫升血液不等。对未出生儿童的风险通常得到认可,对有生育潜力的妇女或怀孕或哺乳的妇女采取了具体措施。只有三个国家为青年工人做出了特殊安排。大多数国家实施医学监测的限值在40微克/100毫升时更为一致。该指令还提到了健康监测指南,但尚未发布关于铅的指南。因此,监测策略和分析性能要求差异很大。
本次调查结果表明,欧盟各国在保护工人免受工作中铅接触风险方面远未统一。这种差异也可能对国家层面测量血液和/或空气中铅的实验室的要求产生影响。为了在欧盟内部实现协调统一,应进一步考虑欧盟第98/24号指令附件二,同时考虑降低铅约束限值的建议;这应包括医学监测的完整指南,并应发布对实验室的要求。