SlideShare a Scribd company logo
1 of 26
WORKING FOR A HEALTHY FUTURE




Benzene – Monitoring, Managing
and Reducing the Risk

John Cherrie




INSTITUTE OF OCCUPATIONAL MEDICINE . Edinburgh . UK                www.iom-world.org
Summary…
•    Benzene and the diseases it causes
•    Sources in the workplace
•    Monitoring exposure
    •   Air monitoring
    •   Biological monitoring
    •   Modelling exposure
    •   Skin exposure
•    Risk assessment
    •   The Occupational Exposure Limit for benzene
•    Risk management
Benzene is…

•    Benzene is an aromatic hydrocarbon
•    It is colorless, flammable with a
     sweet smell
•    It was first isolated and identified in
     1825 by Michael Faraday
•    It has had many varied industrial and
     consumer uses
    •   In the past it was even used as an after-
        shave lotion because of its pleasant
        smell.
Mr Jones has leukaemia…

•    He was diagnosed in 2010
•    Mr Jones worked offshore
     for an oil company between
     1990 to 2000
•    He came into contact with
     natural gas and natural gas
     condensate
•    These streams contain
     some benzene, e.g. 0.1 to
     5% for condensate
Benzene is hazardous to health…

•    It affects the blood forming system
•    Main adverse effects are various cancers from
     long-term exposure
•    According to the International Agency for
     Research on Cancer…
     •   acute non-lymphocytic leukaemia
•    Plus limited evidence it may also cause…
     •   acute lymphocytic leukaemia
     •   chronic lymphocytic leukaemia
     •   multiple myeloma
     •   non-Hodgkin lymphoma
Sources in the workplace…

•    Benzene was frequently used as an industrial
     solvent in the past
•    Now it can be found in small quantities in…
     •   gasoline
     •   petrochemical streams – onshore and offshore
     •   emissions from coke ovens and other similar
         processes
•    It may also be found in the wider environment at
     very low levels
Monitoring exposure…

•    Air monitoring
    •   Colorimetric detector tubes
    •   Active pump-based systems
    •   Diffusive samplers
    •   Direct-reading instruments
•    There are standard methods available from HSE

•    Biological monitoring
•    Estimating exposure using simple models
•    Is there any risk from skin contact?
                                  http://www.hse.gov.uk/pubns/mdhs/
Active samplers…

•    A glass or metal tube
     containing an adsorbent
     material
•    Air is drawn through the
     adsorbent by a pump
•    Tube located close to
     workers nose/mouth




                                http://www.skcltd.com/
Diffusive sampling…

•    Sometimes called “passive”
     samplers
•    Simple container with an
     adsorbent material and a
     small air gap between inlet
     opening and the surface of the
     adsorbent
•    Most commonly the adsorbent
     is activated charcoal
•    Sampler worn on the lapel
Mr Jones…

•    In 2000, HSE made about 250 measurements
     of occupational exposure to benzene during
     routine offshore oil and gas production
     operations
•    91% of measurements were less than 0.05 ppm
     99% were less than 0.5 ppm, as 8-hr average
•    Higher levels are measured during specific
     tasks, e.g. up to 10 ppm in opening
     valves, changing of filters, pipeline clean-out
Direct-reading monitors…

•    For example, Photo-ionisation
     detector (PID)
•    Results can show minute-by-minute
     fluctuations
•    Data can be stored for later analysis
•    Generally respond to a range of
     compounds, although some types can
     be relatively specific for benzene
•    Care needed to get data relevant to
     exposure
                      http://www.raesystems.com/products/ultrarae-3000
Mr Jones…

•    Measurements using a direct reading instrument
     ranged from zero to 200 ppm
•    No information about where measurements made
•    No details of the duration of measurements

•    Many measurements may have been made very
     close to leaks
•    The limited information about the samples makes
     the data useless
Biological monitoring…
•    Analysis of blood, urine or exhaled
     breath for benzene or its metabolites
     •   e.g. urinary S-phenylmercapturic acid
•    Samples should be collected before
     and after work
•    Samples reflect difference between
     individuals, both in their exposure and
     the way they metabolise benzene
•    Benzene is mostly eliminated from the
     body within about 24-hr
Quality assurance for measurements…

•    Workplace Analysis Scheme for Proficiency
     (WASP)
     •   http://www.hsl.gov.uk/centres-of-excellence/proficiency-
         testing-schemes/wasp.aspx
•    Use an qualified and experienced person
     •   http://www.bohs.org/education/professional/
•    UK Accreditation Service
     •   for sampling and analysis
Quality assurance for measurements…




      http://www.ukas.com/TestingSearch.asp?qt=search+our+website
Exposure modelling tools…

•    There are a number of model tools available to
     estimate workplace exposure
     •   COSHH Essentials
         www.hse.gov.uk/coshh/essentials
     •   Stofenmanager
         www.stoffenmanager.nl
     •   Advanced REACH Tool (ART)
         www.advancedREACHtool.com
Exposure modelling tools…
Skin exposure to benzene…

•    Benzene may pass through the
     unbroken skin and contribute to
     systemic exposure
•    Benzene is very volatile so splashes
     and spills onto the skin may evapourate
•    Probably only a problem if
     the skin is occluded,
     e.g. spills inside gloves
•    Solvents also damage the skin
     barrier and may cause dermatitis
Workplace Exposure Limits…

•    Limits in the UK are published by the HSE, but
     mostly are now derived from European Indicative
     Occupational Exposure Limits
    •   Specified over 8-hr and/or 15-min
    •   Units of concentration parts per million
        (ppm) or mg/m3
•    Benzene limit unchanged since 2003
•    No biological monitoring guidance
     value for benzene
EH40 entry for benzene…
Mr Jones…

•    Overall his exposure was probably less than
     1 ppm

    •   Background level <0.05 ppm
    •   Average of the peak exposure levels…
        5 x 1/8 = 0.625 ppm


•    Risk was probably adequately controlled
     under COSHH Regulations
Principles of Good Control Practice…
    …
•    Minimise emission, release and spread of substances
•    Take into account all relevant routes of exposure
•    Control exposure by measures that are proportionate to
     the health risk
•    Choose the most effective and reliable control options
•    Where needed provide suitable personal protective
     equipment
•    Review regularly all elements of controls
•    Inform and train all employees
•    Ensure control measures does not increase overall risk

                      http://www.hse.gov.uk/coshh/detail/goodpractice.htm
Specific risk management for benzene

•    Always use a fuel retriever when draining
     petrol tanks or pipelines
•    Don’t blow out fuel lines with compressed air
•    Use protective gloves such as disposable
     nitrile where there is a risk of short-term skin
     contact
Is there an important health problem?

•    We have estimated the number of leukaemia
     deaths occurring in Britain from past exposure
•    Risk estimates for acute non-lymphocytic
     leukaemia
     •   RR = 2.17 for workers in industrial chemicals
     •   RR = 1.32 for land transport
     •   RR = 1.11 for low benzene exposure
•    Using these data and estimates of the number of
     people exposed gives…
•    7 leukaemia cases per year due to benzene
                Rushton L, Brown TP, Cherrie JW, et al. How much does benzene contribute to the
                overall burden of cancer due to occupation? ChemBiol Interact 2010;184:290–292.
Conclusions…

•    Benzene is a known human carcinogen
•    There are about 20k people exposed to higher
     levels and 700k to low levels
•    Monitoring exposure is relatively simple and and
     methods are adequately standardised
•    Few people are likely to be exposed above the
     current Workplace Exposure Limit
•    Very few people in Britain now get leukaemia
     because of benzene exposure

More Related Content

Similar to Benzene - monitoring, managing and reducing the risk

Interpretation of dermal exposure measurements and model outputs
Interpretation of dermal exposure measurements and model outputsInterpretation of dermal exposure measurements and model outputs
Interpretation of dermal exposure measurements and model outputsRetired
 
Risk assessment and management in britain
Risk assessment and management in britainRisk assessment and management in britain
Risk assessment and management in britainRetired
 
ETE444-lec7-lab-on-a-chip-microfluidics.pdf
ETE444-lec7-lab-on-a-chip-microfluidics.pdfETE444-lec7-lab-on-a-chip-microfluidics.pdf
ETE444-lec7-lab-on-a-chip-microfluidics.pdfmashiur
 
ETE444-lec7-lab-on-a-chip-microfluidics.pdf
ETE444-lec7-lab-on-a-chip-microfluidics.pdfETE444-lec7-lab-on-a-chip-microfluidics.pdf
ETE444-lec7-lab-on-a-chip-microfluidics.pdfmashiur
 
HAZARD_IDENTIFICATION_ibadan[1].pptx
HAZARD_IDENTIFICATION_ibadan[1].pptxHAZARD_IDENTIFICATION_ibadan[1].pptx
HAZARD_IDENTIFICATION_ibadan[1].pptxEmmanuelAlajemba
 
7205 health hazards in construction 2015
7205 health hazards in construction 2015 7205 health hazards in construction 2015
7205 health hazards in construction 2015 John Newquist
 
Updating the european carcinogens directive
Updating the european carcinogens directiveUpdating the european carcinogens directive
Updating the european carcinogens directiveRetired
 
Root Canal Irrigation During Endodontic Treatment
Root Canal Irrigation During Endodontic TreatmentRoot Canal Irrigation During Endodontic Treatment
Root Canal Irrigation During Endodontic TreatmentIraqi Dental Academy
 
Particulate Containment Validation By Prashant kondragunta, ISS
Particulate Containment Validation By Prashant kondragunta, ISSParticulate Containment Validation By Prashant kondragunta, ISS
Particulate Containment Validation By Prashant kondragunta, ISSInternational Safety Systems
 
Chemical based hazards
Chemical based hazardsChemical based hazards
Chemical based hazardsMukesh Patil
 
Industrial Hygiene 2021
Industrial Hygiene 2021Industrial Hygiene 2021
Industrial Hygiene 2021John Newquist
 
Copd and dust
Copd and dustCopd and dust
Copd and dustRetired
 
STERILISATION AND DISINFECTION.pptx
STERILISATION AND DISINFECTION.pptxSTERILISATION AND DISINFECTION.pptx
STERILISATION AND DISINFECTION.pptxSachinDwivedi57
 
Particulate Containment Validation: An Effective Tool in Reducing Pharmaceuti...
Particulate Containment Validation: An Effective Tool in Reducing Pharmaceuti...Particulate Containment Validation: An Effective Tool in Reducing Pharmaceuti...
Particulate Containment Validation: An Effective Tool in Reducing Pharmaceuti...Kartik Vora
 
Haz Mat Monitoring And You!!!
Haz Mat Monitoring And You!!!Haz Mat Monitoring And You!!!
Haz Mat Monitoring And You!!!disastermaster
 
Cannabis Production Safety 2019
Cannabis Production Safety 2019Cannabis Production Safety 2019
Cannabis Production Safety 2019John Newquist
 
Asepsis sterilization and infection control /certified fixed orthodontic cour...
Asepsis sterilization and infection control /certified fixed orthodontic cour...Asepsis sterilization and infection control /certified fixed orthodontic cour...
Asepsis sterilization and infection control /certified fixed orthodontic cour...Indian dental academy
 

Similar to Benzene - monitoring, managing and reducing the risk (20)

Interpretation of dermal exposure measurements and model outputs
Interpretation of dermal exposure measurements and model outputsInterpretation of dermal exposure measurements and model outputs
Interpretation of dermal exposure measurements and model outputs
 
Risk assessment and management in britain
Risk assessment and management in britainRisk assessment and management in britain
Risk assessment and management in britain
 
Chemical Based hazards.
Chemical Based hazards. Chemical Based hazards.
Chemical Based hazards.
 
ETE444-lec7-lab-on-a-chip-microfluidics.pdf
ETE444-lec7-lab-on-a-chip-microfluidics.pdfETE444-lec7-lab-on-a-chip-microfluidics.pdf
ETE444-lec7-lab-on-a-chip-microfluidics.pdf
 
ETE444-lec7-lab-on-a-chip-microfluidics.pdf
ETE444-lec7-lab-on-a-chip-microfluidics.pdfETE444-lec7-lab-on-a-chip-microfluidics.pdf
ETE444-lec7-lab-on-a-chip-microfluidics.pdf
 
aan ppt.pptx
aan ppt.pptxaan ppt.pptx
aan ppt.pptx
 
HAZARD_IDENTIFICATION_ibadan[1].pptx
HAZARD_IDENTIFICATION_ibadan[1].pptxHAZARD_IDENTIFICATION_ibadan[1].pptx
HAZARD_IDENTIFICATION_ibadan[1].pptx
 
7205 health hazards in construction 2015
7205 health hazards in construction 2015 7205 health hazards in construction 2015
7205 health hazards in construction 2015
 
Updating the european carcinogens directive
Updating the european carcinogens directiveUpdating the european carcinogens directive
Updating the european carcinogens directive
 
Disinfectants
DisinfectantsDisinfectants
Disinfectants
 
Root Canal Irrigation During Endodontic Treatment
Root Canal Irrigation During Endodontic TreatmentRoot Canal Irrigation During Endodontic Treatment
Root Canal Irrigation During Endodontic Treatment
 
Particulate Containment Validation By Prashant kondragunta, ISS
Particulate Containment Validation By Prashant kondragunta, ISSParticulate Containment Validation By Prashant kondragunta, ISS
Particulate Containment Validation By Prashant kondragunta, ISS
 
Chemical based hazards
Chemical based hazardsChemical based hazards
Chemical based hazards
 
Industrial Hygiene 2021
Industrial Hygiene 2021Industrial Hygiene 2021
Industrial Hygiene 2021
 
Copd and dust
Copd and dustCopd and dust
Copd and dust
 
STERILISATION AND DISINFECTION.pptx
STERILISATION AND DISINFECTION.pptxSTERILISATION AND DISINFECTION.pptx
STERILISATION AND DISINFECTION.pptx
 
Particulate Containment Validation: An Effective Tool in Reducing Pharmaceuti...
Particulate Containment Validation: An Effective Tool in Reducing Pharmaceuti...Particulate Containment Validation: An Effective Tool in Reducing Pharmaceuti...
Particulate Containment Validation: An Effective Tool in Reducing Pharmaceuti...
 
Haz Mat Monitoring And You!!!
Haz Mat Monitoring And You!!!Haz Mat Monitoring And You!!!
Haz Mat Monitoring And You!!!
 
Cannabis Production Safety 2019
Cannabis Production Safety 2019Cannabis Production Safety 2019
Cannabis Production Safety 2019
 
Asepsis sterilization and infection control /certified fixed orthodontic cour...
Asepsis sterilization and infection control /certified fixed orthodontic cour...Asepsis sterilization and infection control /certified fixed orthodontic cour...
Asepsis sterilization and infection control /certified fixed orthodontic cour...
 

More from Retired

Occupational health and hygiene research: A talk at the Scottish Parliament
Occupational health and hygiene research: A talk at the Scottish ParliamentOccupational health and hygiene research: A talk at the Scottish Parliament
Occupational health and hygiene research: A talk at the Scottish ParliamentRetired
 
Dermal exposure science: it’s not skin-deep
Dermal exposure science: it’s not skin-deep Dermal exposure science: it’s not skin-deep
Dermal exposure science: it’s not skin-deep Retired
 
Jim Vincent and inhalable dust
Jim Vincent and inhalable dustJim Vincent and inhalable dust
Jim Vincent and inhalable dustRetired
 
A holistic approach to managing workplace exposure to solar UV
A holistic approach to managing workplace exposure to solar UVA holistic approach to managing workplace exposure to solar UV
A holistic approach to managing workplace exposure to solar UVRetired
 
Keynote presentation on Current and Future Trends in Exposure Science
Keynote presentation on Current and Future Trends in Exposure Science Keynote presentation on Current and Future Trends in Exposure Science
Keynote presentation on Current and Future Trends in Exposure Science Retired
 
Exposure assessment for occupational epidemiology part 2
Exposure assessment for occupational epidemiology part 2Exposure assessment for occupational epidemiology part 2
Exposure assessment for occupational epidemiology part 2Retired
 
Exposure assessment for occupational epidemiology part 1
Exposure assessment for occupational epidemiology part 1Exposure assessment for occupational epidemiology part 1
Exposure assessment for occupational epidemiology part 1Retired
 
The exposome and work
The exposome and workThe exposome and work
The exposome and workRetired
 
Control banding and beyond
Control banding and beyondControl banding and beyond
Control banding and beyondRetired
 
Exposure assessment for epidemiology
Exposure assessment for epidemiologyExposure assessment for epidemiology
Exposure assessment for epidemiologyRetired
 
What's the point of occupational exposure limits
What's the point of occupational exposure limitsWhat's the point of occupational exposure limits
What's the point of occupational exposure limitsRetired
 
Modelling dermal exposure
Modelling dermal exposureModelling dermal exposure
Modelling dermal exposureRetired
 
Measurement of dermal exposure - principles and methods
Measurement of dermal exposure - principles and methodsMeasurement of dermal exposure - principles and methods
Measurement of dermal exposure - principles and methodsRetired
 
Why is dermal exposure important?
Why is dermal exposure important?Why is dermal exposure important?
Why is dermal exposure important?Retired
 
Skin exposure modelling and measurement - introduction
Skin exposure modelling and measurement - introductionSkin exposure modelling and measurement - introduction
Skin exposure modelling and measurement - introductionRetired
 
Use of sensors in occupational exposure assessment
Use of sensors in occupational exposure assessment Use of sensors in occupational exposure assessment
Use of sensors in occupational exposure assessment Retired
 
8. IOHA - where is it all going
8. IOHA - where is it all going 8. IOHA - where is it all going
8. IOHA - where is it all going Retired
 
7. IOHA - the occupational exposome
7. IOHA -  the occupational exposome7. IOHA -  the occupational exposome
7. IOHA - the occupational exposomeRetired
 
6. IOHA - constructing the exposome
6. IOHA - constructing the exposome6. IOHA - constructing the exposome
6. IOHA - constructing the exposomeRetired
 

More from Retired (20)

Occupational health and hygiene research: A talk at the Scottish Parliament
Occupational health and hygiene research: A talk at the Scottish ParliamentOccupational health and hygiene research: A talk at the Scottish Parliament
Occupational health and hygiene research: A talk at the Scottish Parliament
 
Dermal exposure science: it’s not skin-deep
Dermal exposure science: it’s not skin-deep Dermal exposure science: it’s not skin-deep
Dermal exposure science: it’s not skin-deep
 
Jim Vincent and inhalable dust
Jim Vincent and inhalable dustJim Vincent and inhalable dust
Jim Vincent and inhalable dust
 
24,869
24,86924,869
24,869
 
A holistic approach to managing workplace exposure to solar UV
A holistic approach to managing workplace exposure to solar UVA holistic approach to managing workplace exposure to solar UV
A holistic approach to managing workplace exposure to solar UV
 
Keynote presentation on Current and Future Trends in Exposure Science
Keynote presentation on Current and Future Trends in Exposure Science Keynote presentation on Current and Future Trends in Exposure Science
Keynote presentation on Current and Future Trends in Exposure Science
 
Exposure assessment for occupational epidemiology part 2
Exposure assessment for occupational epidemiology part 2Exposure assessment for occupational epidemiology part 2
Exposure assessment for occupational epidemiology part 2
 
Exposure assessment for occupational epidemiology part 1
Exposure assessment for occupational epidemiology part 1Exposure assessment for occupational epidemiology part 1
Exposure assessment for occupational epidemiology part 1
 
The exposome and work
The exposome and workThe exposome and work
The exposome and work
 
Control banding and beyond
Control banding and beyondControl banding and beyond
Control banding and beyond
 
Exposure assessment for epidemiology
Exposure assessment for epidemiologyExposure assessment for epidemiology
Exposure assessment for epidemiology
 
What's the point of occupational exposure limits
What's the point of occupational exposure limitsWhat's the point of occupational exposure limits
What's the point of occupational exposure limits
 
Modelling dermal exposure
Modelling dermal exposureModelling dermal exposure
Modelling dermal exposure
 
Measurement of dermal exposure - principles and methods
Measurement of dermal exposure - principles and methodsMeasurement of dermal exposure - principles and methods
Measurement of dermal exposure - principles and methods
 
Why is dermal exposure important?
Why is dermal exposure important?Why is dermal exposure important?
Why is dermal exposure important?
 
Skin exposure modelling and measurement - introduction
Skin exposure modelling and measurement - introductionSkin exposure modelling and measurement - introduction
Skin exposure modelling and measurement - introduction
 
Use of sensors in occupational exposure assessment
Use of sensors in occupational exposure assessment Use of sensors in occupational exposure assessment
Use of sensors in occupational exposure assessment
 
8. IOHA - where is it all going
8. IOHA - where is it all going 8. IOHA - where is it all going
8. IOHA - where is it all going
 
7. IOHA - the occupational exposome
7. IOHA -  the occupational exposome7. IOHA -  the occupational exposome
7. IOHA - the occupational exposome
 
6. IOHA - constructing the exposome
6. IOHA - constructing the exposome6. IOHA - constructing the exposome
6. IOHA - constructing the exposome
 

Recently uploaded

Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 

Recently uploaded (20)

Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 

Benzene - monitoring, managing and reducing the risk

  • 1. WORKING FOR A HEALTHY FUTURE Benzene – Monitoring, Managing and Reducing the Risk John Cherrie INSTITUTE OF OCCUPATIONAL MEDICINE . Edinburgh . UK www.iom-world.org
  • 2. Summary… • Benzene and the diseases it causes • Sources in the workplace • Monitoring exposure • Air monitoring • Biological monitoring • Modelling exposure • Skin exposure • Risk assessment • The Occupational Exposure Limit for benzene • Risk management
  • 3. Benzene is… • Benzene is an aromatic hydrocarbon • It is colorless, flammable with a sweet smell • It was first isolated and identified in 1825 by Michael Faraday • It has had many varied industrial and consumer uses • In the past it was even used as an after- shave lotion because of its pleasant smell.
  • 4. Mr Jones has leukaemia… • He was diagnosed in 2010 • Mr Jones worked offshore for an oil company between 1990 to 2000 • He came into contact with natural gas and natural gas condensate • These streams contain some benzene, e.g. 0.1 to 5% for condensate
  • 5. Benzene is hazardous to health… • It affects the blood forming system • Main adverse effects are various cancers from long-term exposure • According to the International Agency for Research on Cancer… • acute non-lymphocytic leukaemia • Plus limited evidence it may also cause… • acute lymphocytic leukaemia • chronic lymphocytic leukaemia • multiple myeloma • non-Hodgkin lymphoma
  • 6. Sources in the workplace… • Benzene was frequently used as an industrial solvent in the past • Now it can be found in small quantities in… • gasoline • petrochemical streams – onshore and offshore • emissions from coke ovens and other similar processes • It may also be found in the wider environment at very low levels
  • 7. Monitoring exposure… • Air monitoring • Colorimetric detector tubes • Active pump-based systems • Diffusive samplers • Direct-reading instruments • There are standard methods available from HSE • Biological monitoring • Estimating exposure using simple models • Is there any risk from skin contact? http://www.hse.gov.uk/pubns/mdhs/
  • 8. Active samplers… • A glass or metal tube containing an adsorbent material • Air is drawn through the adsorbent by a pump • Tube located close to workers nose/mouth http://www.skcltd.com/
  • 9. Diffusive sampling… • Sometimes called “passive” samplers • Simple container with an adsorbent material and a small air gap between inlet opening and the surface of the adsorbent • Most commonly the adsorbent is activated charcoal • Sampler worn on the lapel
  • 10. Mr Jones… • In 2000, HSE made about 250 measurements of occupational exposure to benzene during routine offshore oil and gas production operations • 91% of measurements were less than 0.05 ppm 99% were less than 0.5 ppm, as 8-hr average • Higher levels are measured during specific tasks, e.g. up to 10 ppm in opening valves, changing of filters, pipeline clean-out
  • 11. Direct-reading monitors… • For example, Photo-ionisation detector (PID) • Results can show minute-by-minute fluctuations • Data can be stored for later analysis • Generally respond to a range of compounds, although some types can be relatively specific for benzene • Care needed to get data relevant to exposure http://www.raesystems.com/products/ultrarae-3000
  • 12.
  • 13. Mr Jones… • Measurements using a direct reading instrument ranged from zero to 200 ppm • No information about where measurements made • No details of the duration of measurements • Many measurements may have been made very close to leaks • The limited information about the samples makes the data useless
  • 14. Biological monitoring… • Analysis of blood, urine or exhaled breath for benzene or its metabolites • e.g. urinary S-phenylmercapturic acid • Samples should be collected before and after work • Samples reflect difference between individuals, both in their exposure and the way they metabolise benzene • Benzene is mostly eliminated from the body within about 24-hr
  • 15. Quality assurance for measurements… • Workplace Analysis Scheme for Proficiency (WASP) • http://www.hsl.gov.uk/centres-of-excellence/proficiency- testing-schemes/wasp.aspx • Use an qualified and experienced person • http://www.bohs.org/education/professional/ • UK Accreditation Service • for sampling and analysis
  • 16. Quality assurance for measurements… http://www.ukas.com/TestingSearch.asp?qt=search+our+website
  • 17. Exposure modelling tools… • There are a number of model tools available to estimate workplace exposure • COSHH Essentials www.hse.gov.uk/coshh/essentials • Stofenmanager www.stoffenmanager.nl • Advanced REACH Tool (ART) www.advancedREACHtool.com
  • 19. Skin exposure to benzene… • Benzene may pass through the unbroken skin and contribute to systemic exposure • Benzene is very volatile so splashes and spills onto the skin may evapourate • Probably only a problem if the skin is occluded, e.g. spills inside gloves • Solvents also damage the skin barrier and may cause dermatitis
  • 20. Workplace Exposure Limits… • Limits in the UK are published by the HSE, but mostly are now derived from European Indicative Occupational Exposure Limits • Specified over 8-hr and/or 15-min • Units of concentration parts per million (ppm) or mg/m3 • Benzene limit unchanged since 2003 • No biological monitoring guidance value for benzene
  • 21. EH40 entry for benzene…
  • 22. Mr Jones… • Overall his exposure was probably less than 1 ppm • Background level <0.05 ppm • Average of the peak exposure levels… 5 x 1/8 = 0.625 ppm • Risk was probably adequately controlled under COSHH Regulations
  • 23. Principles of Good Control Practice… … • Minimise emission, release and spread of substances • Take into account all relevant routes of exposure • Control exposure by measures that are proportionate to the health risk • Choose the most effective and reliable control options • Where needed provide suitable personal protective equipment • Review regularly all elements of controls • Inform and train all employees • Ensure control measures does not increase overall risk http://www.hse.gov.uk/coshh/detail/goodpractice.htm
  • 24. Specific risk management for benzene • Always use a fuel retriever when draining petrol tanks or pipelines • Don’t blow out fuel lines with compressed air • Use protective gloves such as disposable nitrile where there is a risk of short-term skin contact
  • 25. Is there an important health problem? • We have estimated the number of leukaemia deaths occurring in Britain from past exposure • Risk estimates for acute non-lymphocytic leukaemia • RR = 2.17 for workers in industrial chemicals • RR = 1.32 for land transport • RR = 1.11 for low benzene exposure • Using these data and estimates of the number of people exposed gives… • 7 leukaemia cases per year due to benzene Rushton L, Brown TP, Cherrie JW, et al. How much does benzene contribute to the overall burden of cancer due to occupation? ChemBiol Interact 2010;184:290–292.
  • 26. Conclusions… • Benzene is a known human carcinogen • There are about 20k people exposed to higher levels and 700k to low levels • Monitoring exposure is relatively simple and and methods are adequately standardised • Few people are likely to be exposed above the current Workplace Exposure Limit • Very few people in Britain now get leukaemia because of benzene exposure

Editor's Notes

  1. People who breathe in high levels of benzene may develop Drowsiness Dizziness Rapid or irregular heartbeat Headaches Tremors Confusion Unconsciousness Death (at very high levelsThemajor effect of benzene from long-term exposure is on the blood.Benzene causes harmful effects on the bone marrow and can cause a decrease in red blood cells, leading to anemia. Long-term exposure to high levels of benzene in the air can cause leukemia, cancer of the blood-forming organs.
  2. According to HSE in the UK there are perhaps about 20k exposed to relatively high levels and 0.5 to 0.7 million to low levels (e.g. mechanics, taxi drivers, traffic wardens etc)
  3. Explain that the middle two approaches require subsequent chemical analysis