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截至2011年TAWP间皮瘤死亡病例的工作任务及石棉工作场所暴露测量综述。

A Review of Job Assignments and Asbestos Workplace Exposure Measurements for TAWP Mesothelioma Deaths Through 2011.

作者信息

Willis Valerie J, Levin Jeffrey L, Nessim Dalia E

机构信息

Department of Occupational and Environmental Medicine, University of Texas at Tyler Health Science Center, Tyler, Texas, USA.

出版信息

Am J Ind Med. 2025 Jan;68(1):89-95. doi: 10.1002/ajim.23675. Epub 2024 Nov 18.

Abstract

INTRODUCTION

Asbestos workers have a higher risk of developing mesothelioma; however, few studies have looked at specific jobs and job locations within asbestos factories. The purpose of this study was to investigate asbestos exposure in different job locations of the Tyler, Texas asbestos plant to determine if there was a relationship between the duration of exposure and air fiber concentration burden in workers who developed pleural versus peritoneal mesothelioma.

METHODS

This study used a patient information database to compile secondary data on 23 workers who died from mesothelioma through 2011. The airborne fiber exposure burdens for each of the 23 workers were estimated and then stratified by job location category and by type of mesothelioma for analysis.

RESULTS

Most of the worker cases were assigned to the forming area which had the overall highest fiber concentration of all the plant's job locations. Workers who developed pleural mesothelioma spent the most time in the packing and miscellaneous locations, whereas workers who developed peritoneal mesothelioma worked mostly in the forming and miscellaneous locations. There were significant differences in days worked and estimated airborne exposure fiber burden between the pleural and peritoneal mesothelioma cases in the forming and curing locations.

CONCLUSION

Results from this study reiterate the association between occupational asbestos exposure and mesothelioma, emphasizing the importance of concentration of respirable asbestos dust levels and duration of exposure.

摘要

引言

石棉工人患间皮瘤的风险更高;然而,很少有研究关注石棉工厂内的具体工作和工作地点。本研究的目的是调查得克萨斯州泰勒石棉厂不同工作地点的石棉暴露情况,以确定患胸膜间皮瘤与腹膜间皮瘤的工人的暴露持续时间与空气纤维浓度负荷之间是否存在关联。

方法

本研究使用患者信息数据库汇编了截至2011年死于间皮瘤的23名工人的二手数据。估计了这23名工人每人的空气传播纤维暴露负荷,然后按工作地点类别和间皮瘤类型进行分层分析。

结果

大多数工人病例被分配到成型区,该区域是工厂所有工作地点中纤维浓度总体最高的。患胸膜间皮瘤的工人在包装和杂项区域花费的时间最多,而患腹膜间皮瘤的工人大多在成型和杂项区域工作。在成型和固化地点,胸膜间皮瘤病例与腹膜间皮瘤病例在工作天数和估计的空气传播暴露纤维负荷方面存在显著差异。

结论

本研究结果重申了职业性石棉暴露与间皮瘤之间的关联,强调了可吸入石棉粉尘水平浓度和暴露持续时间的重要性。

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