Kangarlou Marzieh Belji, Dehdashti Alireza, Saleh Elaheh
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Department of Occupational Health, Faculty of Medical Sciences, Tarbiat Modarres University, Tehran, Iran.
MethodsX. 2024 Aug 28;13:102937. doi: 10.1016/j.mex.2024.102937. eCollection 2024 Dec.
A comprehensive risk assessment method was applied to examine the risks associated with airborne formaldehyde occupational exposure among hospital laboratory staff. The method assessed exposure levels and health impacts by integrating area and personal air sampling, biological monitoring, and self-reported health data. Samples were collected from 74 workplaces across various departments using NIOSH method 3500 and were analyzed via UV-vis spectrophotometry. The data showed significant differences in exposure levels between departments (p≤0.05) and confirmed the efficacy of the method in identifying risk differences. Despite average personal exposure levels being measured lower than occupational limits, individual assessments indicated that some participants surpassed these limits, emphasizing the necessity of personal monitoring for workers with higher risks. The high prevalence of respiratory symptoms, such as cough and wheezing among staff, indicated the need for further investigation and targeted interventions. Although estimated cancer and non-cancer risks were within safe thresholds, the study emphasized the importance of continuous exposure monitoring and the implementation of effective control measures in hospital laboratory departments with formaldehyde emission. This integrated method improved the reliability and generalizability of formaldehyde exposure risk assessments and aided in the development of safe occupational health practices.•The method integrated personal and area sampling with advanced calibration for precise occupational exposure evaluation in laboratories.•The method used of biomarkers to assess formaldehyde absorption in the body estimating both cancerous and non-cancerous health risks associated with occupational exposure.•Addressed traditional method limitations and integrated risk components to improve data reliability for workplace safety and health risk management.
采用一种综合风险评估方法,以检查医院实验室工作人员空气中甲醛职业暴露相关风险。该方法通过整合区域和个人空气采样、生物监测及自我报告的健康数据,评估暴露水平和健康影响。使用美国国家职业安全与健康研究所(NIOSH)方法3500从各部门的74个工作场所采集样本,并通过紫外可见分光光度法进行分析。数据显示各部门之间的暴露水平存在显著差异(p≤0.05),并证实了该方法在识别风险差异方面的有效性。尽管个人平均暴露水平低于职业限值,但个体评估表明,一些参与者超过了这些限值,这凸显了对高风险工人进行个人监测的必要性。工作人员中咳嗽和喘息等呼吸道症状的高患病率表明需要进一步调查和采取针对性干预措施。尽管估计的癌症和非癌症风险处于安全阈值内,但该研究强调了持续暴露监测的重要性,以及在有甲醛排放的医院实验室部门实施有效控制措施的重要性。这种综合方法提高了甲醛暴露风险评估的可靠性和可推广性,并有助于制定安全的职业健康实践。
•该方法将个人和区域采样与先进校准相结合,用于实验室精确的职业暴露评估。
•该方法使用生物标志物评估体内甲醛吸收情况,估计与职业暴露相关的癌症和非癌症健康风险。
•解决了传统方法的局限性,整合了风险要素,以提高工作场所安全与健康风险管理的数据可靠性。