Szymczak W
Zakładu Epidemiologii Srodowiskowej Instytutu Medycyny Pracy, Lodzi.
Med Pr. 1997;48(6):651-62.
The risk of neoplastic disease, primarily lung cancer, induced by occupational, inhalation exposure to nonorganic arsenic was assessed. In order to identify individual risk in the linear dose-response relationship which would serve as a basis for the risk assessment among persons exposed occupationally, the author also analysed the latest epidemiological studies performed in Sweden, as well as repeated analyses of American studies. This allowed to diminish individual risk by several times. It is thought that a diminished value of individual risk is, in the light of the most up-to-date epidemiological studies, closer to the reality than the value proposed by the Environmental Protection Agency (EPA). Having the value of individual risk related to occupational exposure, equal 1.79 x 10(-4), lung cancer risk after forty years of employment under the exposure level within the range of currently binding MAC values for arsenic (0.05 mg/m3) accounts for 8.95 x 10(-3), thus slightly exceeding the adopted value of 1 x 10(3). Whereas a new value, proposed by the Expert Group for Chemical Factors of the International Commission for Updating the list of MAC and MAI values in 1996, equals 0.01, so the risk for a forty-year employment accounts for 1.79 x 10(-3), in fact the value corresponding to that already approved. In addition, the assessment indicated that smoking increases by 4-6 times the risk of lung cancer induced by exposure to arsenic.
评估了职业性吸入无机砷导致肿瘤性疾病(主要是肺癌)的风险。为了确定线性剂量反应关系中的个体风险,以便为职业暴露人群的风险评估提供依据,作者还分析了瑞典进行的最新流行病学研究以及对美国研究的重复分析。这使得个体风险降低了几倍。根据最新的流行病学研究,认为降低后的个体风险值比美国环境保护局(EPA)提出的值更接近实际情况。职业暴露的个体风险值为1.79×10⁻⁴,在砷的当前约束性职业接触限值(MAC)范围内(0.05毫克/立方米)暴露40年后患肺癌的风险为8.95×10⁻³,略超过采用的1×10⁻³的值。而1996年国际委员会更新MAC和MAI值清单的化学因素专家组提出的新值为0.01,因此40年工作的风险为1.79×10⁻³,实际上与已批准的值相当。此外,评估表明吸烟会使接触砷导致肺癌的风险增加4至6倍。