Department of Occupation Health and Toxicology, School of Public Health, Fudan University, Shanghai 200000, China.
Department of Occupation Health, Shanghai Municipal Health Commission, Shanghai 200000, China.
Biomed Environ Sci. 2021 Apr 20;34(4):290-298. doi: 10.3967/bes2021.038.
This study was designed to conduct a retrospective and systematic occupational health risk assessment (OHRA) of enterprises that used benzene, toluene, and xylene (BTX) in Shanghai, China.
All data for the study were obtained from 1,705 occupational health examination and evaluation reports from 2013 to 2017, and a semiquantitative model following Chinese OHRA guidelines (GBZ/T 298-2017) was applied for the assessment.
The selected enterprises using BTX were mainly involved in manufacturing of products. Using the exposure level method, health risk levels associated with exposure to BTX were classified as medium, negligible, or low. However, the risk levels associated with benzene and toluene were significantly different according to job types, with gluers and inkers exhibiting greater health risks. For the same job type, the health risk levels assessed using the comprehensive index method were higher than those using the exposure level method.
Our OHRA reveals that workers who are exposed to BTX still face excessive health risk. Additionally, the risk level varied depending on job categories and exposure to specific chemicals. Therefore, additional control measures recommended by OHRA guidelines are essential to reduce worker exposure levels.
本研究旨在对上海市使用苯、甲苯和二甲苯(BTX)的企业进行回顾性和系统的职业健康风险评估(OHRA)。
本研究的数据全部来自于 2013 年至 2017 年的 1705 份职业健康检查和评估报告,并采用了中国 OHRA 指南(GBZ/T 298-2017)的半定量模型进行评估。
所选使用 BTX 的企业主要涉及产品制造。使用暴露水平法,与接触 BTX 相关的健康风险水平被分类为中等、可忽略或低。然而,根据工作类型,与苯和甲苯相关的风险水平存在显著差异,胶工和油墨工的健康风险更高。对于相同的工作类型,使用综合指数法评估的健康风险水平高于使用暴露水平法。
我们的 OHRA 表明,接触 BTX 的工人仍面临过高的健康风险。此外,风险水平还取决于工作类别和接触特定化学物质的情况。因此,需要采取 OHRA 指南推荐的额外控制措施来降低工人的暴露水平。