Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr University Bochum (IPA), Bochum, Germany.
Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr University Bochum (IPA), Bochum, Germany.
Int J Hyg Environ Health. 2023 Jun;251:114190. doi: 10.1016/j.ijheh.2023.114190. Epub 2023 May 28.
Diesel engine exhaust (DEE) and some of the polycyclic aromatic hydrocarbons (PAH) it contains are carcinogenic to humans (for example benzo(a)pyrene) and can cause lung cancer in workers. The objective of this study was to assess exposures to DEE and its component PAH and the potential associations between these two health hazards in a salt and potash mining population.
Between 2017 and 2019, 1003 underground workers (mining n = 801, maintenance n = 202) and 243 above-ground facility workers from two German mines participated. Personal exposure to DEE was assessed in air as elemental carbon for diesel particulate matter (EC-DPM), whereas exposure to PAH was assessed in pre- and post-shift urine samples in terms of 1-hydroxypyrene (1-OHP). Associations between EC-DPM and 1-OHP were studied using linear regression models.
The highest EC-DPM exposures were measured in mining workers (median 0.06 mg/m³) followed by workers in the maintenance (0.03 mg/m) and facility areas (<0.02 mg/m). Exposures above the current German occupational threshold level of 0.05 mg/m were observed in 56%, 17%, and 5% of mining, maintenance and facility workers, respectively. 1-OHP increased statistically significantly across a work shift in underground workers but not in facility workers. Regression analyses revealed an increase of post-shift 1-OHP by almost 80% in mining and 40% in maintenance compared with facility workers. 1-OHP increased with increasing EC-DPM among underground workers. However, internal exposure of 1-OHP mainly remained at levels similar to those of the German general population in more than 90% of the urine samples.
While exposures to DEE above the current German OEL for EC-DPM are quite common in the studied population of underground salt and potash miners (39.5% overall), urinary concentrations of 1-OHP did not reflect these findings.
柴油机废气(DEE)及其所含的一些多环芳烃(PAH)对人类具有致癌性(例如苯并[a]芘),可导致工人患肺癌。本研究的目的是评估盐矿和钾矿开采人群中接触 DEE 及其成分 PAH 的情况,并评估这两种健康危害之间的潜在关联。
2017 年至 2019 年间,来自德国两家矿场的 1003 名井下工人(采矿 801 人,维护 202 人)和 243 名地面设施工人参与了此项研究。通过空气样本中的元素碳(EC-DPM)来评估 DEE 的个体暴露水平,而通过矿工和维护工人工作前及工作后的尿液样本中的 1-羟苊(1-OHP)来评估 PAH 的暴露水平。使用线性回归模型研究 EC-DPM 与 1-OHP 之间的相关性。
矿工的 EC-DPM 暴露水平最高(中位数 0.06mg/m³),其次是维护工人(0.03mg/m³)和地面设施工人(<0.02mg/m³)。矿工、维护工人和地面设施工人的 EC-DPM 暴露水平分别有 56%、17%和 5%超过当前德国职业接触限值 0.05mg/m³。地下矿工的 1-OHP 在工作班次内呈统计学意义上的增加,但地面设施工人没有增加。回归分析显示,与地面设施工人相比,矿工和维护工人的 1-OHP 后移增加了近 80%和 40%。地下矿工的 1-OHP 随 EC-DPM 的增加而增加。然而,在超过 90%的尿液样本中,1-OHP 的内暴露水平仍与德国一般人群的水平相似。
在所研究的地下盐矿和钾矿矿工人群中,接触 DEE 的水平超过当前德国 EC-DPM 的职业接触限值(总体为 39.5%)较为常见,但 1-OHP 的尿液浓度并未反映出这一发现。