Occupational and Environmental Medicine, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden.
Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.
Ann Work Expo Health. 2019 Oct 11;63(8):890-897. doi: 10.1093/annweh/wxz055.
Increased rates of leukaemia have been found among tanker crews. Occupational exposures to the leukomogen benzene during loading, unloading, and tank cleaning are possible causes. Studies on older types of tankers carrying gasoline with most handling being done manually have revealed important exposures to benzene. Our study explores benzene exposures on tankers with both automatic and manual systems. Correlations between benzene exposure and benzene in alveolar air (AlvBe), benzene in urine (UBe), and trans,trans-muconic acid (ttMA) in urine were investigated.
Forty-three male seafarers (22 deck crewmembers and 21 not on deck) on five Swedish different product and chemical tankers transporting 95- or 98-octane gasoline were investigated between 1995 and 1998. The tankers used closed systems for the loading and unloading of gasoline but stripping and tank cleaning were done manually. Benzene in respiratory air was measured using personal passive dosimeters during a 4-h work shift. Samples for biomarker analyses were collected pre- and post-shift. Smoking did occur and crewmembers did not use any respiratory protection during work.
The average 4-h benzene exposure level for exposed was 0.45 mg m-3 and for non-exposed 0.02 mg m-3. Benzene exposure varied with type of work (range 0.02-143 mg m-3). AlvBe, UBe, and ttMA were significantly higher in post-shift samples among exposed and correlated with exposure level (r = 0.89, 0.74, and 0.57, respectively). Smoking did not change the level of significance among exposed.
Benzene in alveolar air, unmetabolized benzene, and ttMA in urine are potential biomarkers for occupational benzene exposure. Biomarkers were detectable in non-exposed, suggesting benzene exposure even for other work categories on board tankers. Work on tankers carrying gasoline with more or less closed handling of the cargo may still lead to significant benzene exposure for deck crewmembers, and even exceed the Swedish Occupational Exposure Limit (OEL; 8-h time-weighted average [TWA]) of 1.5 mg m-3.
在油轮船员中发现白血病发病率上升。在装货、卸货和罐内清洁过程中接触致白血病物质苯,可能是致病原因。对使用老式油轮运输汽油的研究表明,大部分手动操作都可能使工人接触到苯。我们的研究探讨了自动和手动系统的油轮上的苯暴露情况。研究了苯暴露与肺泡气中苯(AlvBe)、尿中苯(UBe)和反,反-粘康酸(ttMA)之间的相关性。
1995 年至 1998 年间,对 5 艘瑞典不同产品和化学品油轮上的 43 名男性海员(甲板船员 22 名,非甲板船员 21 名)进行了调查。这些油轮使用封闭系统装卸汽油,但采用人工进行脱气和罐内清洁。在 4 小时轮班期间,使用个人被动式剂量计测量呼吸空气中的苯。在轮班前和轮班后采集生物标志物分析样本。船员确实有吸烟行为,且在工作时不使用任何呼吸防护设备。
暴露组的平均 4 小时苯暴露水平为 0.45mg/m3,非暴露组为 0.02mg/m3。苯暴露因工作类型而异(范围为 0.02-143mg/m3)。暴露组的肺泡气中苯(AlvBe)、尿中苯(UBe)和 ttMA 在轮班后样本中明显升高,与暴露水平相关(分别为 r=0.89、0.74 和 0.57)。在暴露组中,吸烟并没有改变这一结果的显著性。
肺泡气中的苯、未代谢的苯和尿中的 ttMA 是职业性苯暴露的潜在生物标志物。非暴露组也能检测到生物标志物,这表明即使在油轮上的其他工作类别中,船员仍可能接触到苯。处理货物时或多或少采用封闭式操作的运输汽油的油轮,可能仍会导致甲板船员接触到显著的苯,甚至超过瑞典职业接触限值(8 小时时间加权平均浓度[TWA]为 1.5mg/m3)。