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关于人体中化学物质的最大允许负荷问题。

To the question of maximal permissible load with chemical substances in man.

作者信息

Rosíval L, Vargová M

出版信息

Czech Med. 1984;7(1):15-24.

PMID:6723477
Abstract

The authors introduce an over-all evaluation of a maximum admissible drug load in man, as related to professional exposure, environmental atmosphere, water, soil, and foodstuffs. To minimize the occurrence of lesions, it is necessary to disclose and classify the environmental factors responsible for homeostasis of the human organism. Moreover, it is desirable to establish the limits of biologically adverse changes of the medium. A real adaptation is possible provided the above changes are sufficiently slow and enable development of optimum mechanisms of reactions within the biological homeostasis. The establishment of an effective system for optimalization of man's environment necessitates further advancement and improvement of methods and their more adequate selection. This adequacy should respond to the real conditions of evaluation of relationships of man and populations with dynamically changing environment. The understanding of general regularities and mechanisms of this complex action will be indispensable. The to-date experience implies that the criteria for determination of the maximum permissible load of environment and man with chemical compounds are quantitative relationships between intensity, frequency and duration of exposure to chemicals in the atmosphere, and the magnitude of undesirable changes in man and his environment. The classification of acceptable or permissible limits of concentration (or other index of exposure) of chemical substances in the atmosphere pursues the protection of the population from undesirable effects under variable conditions of exposure (chemical compounds in working places, atmosphere, alien foreign substances in food, water or soil). The number of potentially toxic substances to be evaluated both hygienically and toxicologically, amounts to about 25 000. Newly introduced chemical compounds annually make about 1000-5000, of which approximately 10% need a thorough examination. The limits can be divided into several groups: Maximum permissible concentrations of chemical compounds (MAC) in working and external atmosphere, water, and partially in soil and food. For these a denomination "derived working limits". Limits of chemical compounds based on their intake by the human organism are sometimes called "primary protection standard". These may correlate with the acceptable daily intake of foreign substances (additives and contaminating substances). The longest tradition enjoys the classification of food additives, which has been supervised since 1956 by the Joint Committee of FAO experts and WHO experts for pesticide residues (1).(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

作者介绍了对人体最大可接受药物负荷的全面评估,这与职业暴露、环境大气、水、土壤和食品有关。为尽量减少病变的发生,有必要揭示并分类那些对人体生物稳态负责的环境因素。此外,确定环境生物性有害变化的限度是很有必要的。如果上述变化足够缓慢,并能在生物稳态范围内形成最佳反应机制,那么真正的适应就是可能的。建立一个优化人类环境的有效系统,需要进一步改进和完善方法,并进行更恰当的选择。这种恰当性应符合评估人类及人群与动态变化环境之间关系的实际情况。理解这种复杂作用的一般规律和机制将是必不可少的。迄今为止的经验表明,确定环境和人体中化学物质最大允许负荷的标准,是大气中化学物质暴露的强度、频率和持续时间与人体及其环境中不良变化程度之间的定量关系。对大气中化学物质浓度(或其他暴露指标)的可接受或允许限度进行分类,旨在保护人群在不同暴露条件下(工作场所的化学化合物、大气、食品、水或土壤中的外来物质)免受不良影响。需要从卫生学和毒理学角度进行评估的潜在有毒物质数量约为25000种。每年新引入的化学化合物约有1000 - 5000种,其中约10%需要进行全面检查。这些限度可分为几组:工作场所和外部大气、水以及部分土壤和食品中化学化合物的最大允许浓度(MAC),对于这些有一个名称叫“导出工作限值”。基于人体对化学化合物摄入量的限度有时被称为“初级保护标准”。这些可能与外来物质(添加剂和污染物)的每日可接受摄入量相关。食品添加剂的分类有着最长的传统,自1956年以来一直由粮农组织专家和世卫组织农药残留专家联合委员会监管。(摘要截取自400字)

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