Cs2 overview-Occupational health

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Carbon disulfide -overview • By Dr.Ashok laddha Occupational Health Physician • MBBS, PGDC ,PGDD, PGDEM, AFIH ,ACLS,BLS Diploma in Workplace Health and safety. MBA-HA(In –Progress)

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Transcript of Cs2 overview-Occupational health

Page 1: Cs2 overview-Occupational health

Carbon disulfide -overview

• By

• Dr.Ashok laddha• Occupational Health

Physician

• MBBS, PGDC ,PGDD, PGDEM, AFIH ,ACLS,BLS

• Diploma in Workplace Health and safety. MBA-HA(In –Progress)

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Overview

• Carbon disulfide (CS2) in its pure form is a colourless, volatile and in-flammable liquid with a sweet aromatic odour.

• The technical product is a yellowish liquid with a disagreeable odour.

• Odour-Like choloroform in pure form and foul in commercial form

• Melting point—110.8 degree C• Boiling point---46.3 degree C• soluble in alcohol, ether, benzene, oil. chloroform, CCl• IUPCA Name---Methanedithione• Vapours are explosive

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Origin of the substance

• Carbon disulfide was formerly manufactured by direct reaction of sulphur vapour and coke in iron or steel retorts at 750 - 1000°C but, since the early 1950's, the preferred method of synthesis has been the catalyzed reaction between sulphur and methane: 600°

• CH4 + S CS2 + 2H2S

• SiO2.gel or Al2O3 (Greenwood & Earnshaw, 1984)

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Sources-1• Carbon disulfide is used in large quantities as an industrial chemical for the

production of viscose rayon fibres. In this technological process, for every kilogram of viscose produced, about 20-30 g of carbon disulfide and 4-6 g of hydrogen sulfide are emitted .

• Additional release of carbon disulfide, carbonyl sulfide and hydrogen sulfide takes place from coal gasification plants

• The ventilation discharge from viscose plants can reach several millions of m3 per hour, with a carbon disulfide content varying from 20 to 240 mg/m3, which represents a total emission of 15-40 tonnes of carbon disulfide daily

• it is also used in the production of carbon tetrachloride and cellophane. • Carbon disulfide is used as a solvent for rubber, sulfur, oils, resins, and

waxes, and has been used for soil fumigation and insect control in stored grain. Industrial processes that produce carbon disulfide as a by-product include coal blast furnaces and oil refining.

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Sources-2

• Other sources include animal waste, in particular pig urine and faeces, fish processing, plastic and refuse combustion, synthetic fibre and starch manufacture, turbines, natural gas and

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Risk grp

• Those engaged in technological processes in the viscose industry.

• The general population living near viscose plants may also be exposed to carbon disulfide emissions.

• Young woman

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Biotransformation-1

• The metabolism of carbon disulfide is basically performed by two main pathways:

• Reaction with amino acids and protein (glutathione) and via the microsomal cytochrome P-450 monooxygenase system .

• Amino acids of blood plasma react with carbon disulfide, forming dithiocarbamic acid and a cyclic compound of the thiazolinone type. The “free” carbon disulfide present in the blood is distributed to various tissues and organs, where it reacts with endogenous amines to form acid-labile metabolites (dithiocarbamates and 2-thio-5-thiazolidinone) excreted in the urine. Dithiocarbamate metabolites are potential chelating agents.

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Biotransformation-2• A part of the carbondisulfide is bound to glutathione (GSH), forming

thiazolidine-2-thione-4-carboxylic acid and then 2-oxythiazolidine-4-carboxylic acid, which is excreted in the urine.

• The other metabolic pathway involves the microsomal cytochrome P-450 monooxygenase system catalyzing the oxidative desulfuration of carbon disulfide to an unstable oxygen intermediate. The intermediate spontaneously degrades to atomic sulfur and carbonyl sulfide or undergoes attack by water, forming atomic sulfur and monothiocarbamate. Carbonyl sulfide is oxidized to atomic sulfur and carbon dioxide .The atomic sulfur liberated in these reactions can be covalently bound to the macromolecules or be oxidized to sulfate and excreted in urine. Formed carbonyl sulfide can be catalyzed by carbonic anhydrase to monothiocarbamate, which is spontaneously degraded to carbon dioxide and HS-.

• The HS-is oxidized to sulfate or other still unknown metabolites. • Monothiocarbamate can enter the urea cycle, forming thiourea, which is

excreted in urine

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elimination

• The elimination of carbon disulfide via exhaled air takes place in a typical three-phase process: rapidly from the respiratory tract, more slowly from the blood and very slowly from tissues and organs .

• A small quantity (about 1%) of unchanged carbon disulfide is excreted via the urine, saliva and faeces.

• The excretion of the “free” carbon disulfide through the skin is about three times greater than that via the urine.

• The majority of metabolized carbon disulfide is excreted in the form of “ethereal sulfates” and the other part in the form of the metabolites mentioned earlier .

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Health effect

• Acute exposure effect

• Sub acute

• Chronic exposure effect

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Routes of exposure

• Skin

• Inhalation

• Ingestion

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Health effect-1

• Acute and subacute poisoning appear due to exposure to carbon disulfide concentrations of 500-3000 mg/m3

• characterized by predominantly neurological and psychiatric symptoms, “encephalopathia sulfocarbonica” such as irritability, anger, mood changes, manic delirium and hallucinations, paranoic ideas, loss of appetite, gastrointestinal disturbances and sexual disorders

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Health effect-2

• More subtle neurological changes at lower carbon disulfide concentrations have been reported; the symptoms are a reduction of nerve conduction velocities and psychological Disturbances .

• In workers exposed for 10-15 years to carbon disulfide in concentrations of around 10 mg/m3, sensory polyneuritis and increased pain threshold were reported .

• These neurological disturbances were accompanied by psychological and neurobehavioural disorders .

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Health effect-3

• At an exposure of between 100 and 500 mg/m3 carbon disulfide has neurological, vascular and other effects on the eye: focal haemorrhage, exudative changes, optic atrophy, retrobulbar neuritis, microaneurisms and vascular sclerosis

• “microangiopathia sulfocarbonica” is reported in young Japanese and Yugoslav workers

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Health effect-4

• In chronic exposure to medium and lower carbon disulfide concentrations (20-300 mg/m3), the effects of carbon disulfide on blood vessels in various organs and tissues,

• especially cerebral and renal arteries, producing encephalopathy and nephropathy, are well established

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Health effect-5

• occupational exposure to carbon disulfide can cause coronary heart disease (CHD), even at lower exposures (30-120 mg/m3)

• Chronic exposure to carbon disulfide concentrations of 50-150 mg/m3affected the endocrine system by causing decreased excretion of some hormones in the urine of young exposed workers

• Decreased thyroxine levels • hypospermia, asthenospermia and teratospermia in

young workers exposed to 40-80 mg/m3 of carbon disulfide

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Health effect in Female

• Menstrual Ir-regularities• Spontaneous abortion• Pre-mature deliveries

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Effect of Acute poisoning

• Exposure to about 10 g/m3 may cause coma or even death due to respiratory failure and convulsion

• Acute toxic effects include central nervous system depression, peripheral neuropathy and cardiovascular collapse. Dyspnoea and respiratory failure may occur following exposure to high concentration. Carbon disulphide is irritant to eyes and skin and may cause corneal erosions and chemical burns respectively.

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Predisposing Conditions for Carbon Disulfide Toxicity-1

• Persons with disorders of the central nervous system, eyes, cardiovascular system, kidneys, and liver may be more sensitive to CS2

• Persons taking disulfiram (Antabuse) may be more sensitive to CS2 since disulfiram is metabolized to cs2

• In persons using drugs such as analgesics, hypnotics, antidiabetics, and anticonvulsants, which are metabolized by oxidative N-demethylation, critical elevations in the plasma levels of these agents may be observed following exposure to CS2. Persons exposed to other neurotoxicants may be at increased risk during carbon disulfide exposure .

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Predisposing Conditions for Carbon Disulfide Toxicity-2

• Peptic ulcer• Gastritis• Chronic gastro-intestinal diseases• Pulmonary conditions that prevents the use of

respirators• Positive iodine- azide test in pre workshift

urine sample

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Odour Nuisance

• It seems unlikely that carbon disulfide in missions from the viscose industry is the major contributor to odour nuisance. Probably, the nuisance caused by viscose odours is mainly due to hydrogen sulfide and carbonyl sulfide; therefore, it occurs at concentrations below the carbon disulfide odour detection threshold of 200 μg/

• Carbon disulfide present in air could be partially decomposed by light. Oxidation leads to the formation of carbonyl sulfide, sulfur dioxide and carbon monoxide . Carbonyl sulfide in particular causes an unpleasant odour.

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Assessment of exposure

• Environmental-Gas detection tube, photmetric analysis, Gas analyzer, Gas liquid chromatograpy

• Biological-Iodine –azide test

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Health examination

• Pre-placement medical examination

• Periodical medical examination

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Pre-placement medical examination

• Medical History• Physical and clinical examination• Special attention to nervous and cardiovascular

system• ECG• exercise TEST• Lipid profile• Ophthalmoscopy to detect possible retinopathy

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Periodical medical examination

• 6 monthly• CBC• Lipid profile, Renal profile, Liver profile• Eye examination-fundoscopy• EMG• EEG• Behavioral testing• Measurement of nerve conduction velocity• Color discrimination testing• Blood glucose tolerance• Thyroid function test

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Control Measures

• Process enclosure• General and local ventilation• Sound work practice• Use of PPE---• High standard of personal hygiene• Should maintain high quality of industrial

hygiene

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Workplace standards

• The threshold limit value (TLV) -Occupational Safety and Health recommends a level of 1 ppm.

• MAC level recommended by group of WHO experts: 60 mg/m3 (no more than 15 minutes). MAC (men workers) 10 mg/m3 (ppm) MAC (women workers) 3 mg/m3 (ppm)