Lecture1-Introduction to Industrial Hygiene

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    Introduction to

    Industrial Hygiene

    Patrick N. Breysse, PhD, CIHPeter S.J . Lees, PhD, CIH

     J ohns Hopkins University

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    Section A

    Definition of Industrial Hygiene 

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    What Is Industrial Hygiene?

    Definition

     –  Science and art devoted to theanticipation, recognition, evaluation,

    and control of those workplaceenvironmental factors which may

    cause sickness, impaired health and

    well-being, or significant discomfortand inefficiency among workers or

    among citizens of the community4

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    What Is an Industrial Hygienist?

     A person who by study, training, and

    experience can: –  Anticipate

     –  Recognize –  Evaluate

     –  Controlworkplace environmental hazards

    5

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    Some Occupational Hazards

    Chemical agents

     –  Gases, vapors and particulate aerosols

    Physical (energy) agents

     –  Noise, ionizing / non-ionizing radiation,heat and cold stress

    Biological agents –  Infectious agents, allergens

    Psychological stressors

    Ergonomic/safety6

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    Industrial Hygiene Concepts

     Anticipation/recognition of potential or

    actual hazards through knowledge of: –  Materials

     –  Operations –  Processes

     –  Conditions Scope of IH activities encompasses the

    “cradle-to-grave” concept (research

    through waste disposal)Continued 7

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    Industrial Hygiene Concepts

    Evaluation of environmental factors

    through: –  Measurement of exposure intensity

     –  Determination of exposurefrequency, and duration

     –  Comparison with regulatory,professional, and internal standards

     –  Judgement: weigh all factors

    8

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    Control of Exposures

    Employ methods to eliminate or reduce

    exposure resulting in elimination orreduction of the occurrence of

    occupational disease through:

     –  Engineering (including process)

    interventions

     –  Administrative/programmatic

    measures

     –  Personal protective equipment9

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    Opportunities for Control

    Illustration by Patrick Breysse 10

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    Section B

    Environmental/Occupational

    Health Paradigm 

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    Environmental/Occupational

    Health Paradigm

    Source ExternalExposure

    InternalExposure

    EarlyBiological

    Effect

    HealthEffect

    Exposure

     Assessment

    Grinding

    Chipping

    Milling

    SawingSweeping

    Heating

    Welding

    Biomarkers Biomarkers

    Clinical

    Manifestation

    DiseaseDeath

    12

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    IH in the

    Exposure Response Paradigm

       R  e  s  p

      o  n  s  e   (   i  n   d   i  v   i   d  u

      a   l 

      o  r  p  o  p  u   l  a   t   i  o  n   )

    Exposure13

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    Exposure

    Definitions and Concepts

    Contact between outer boundary of the

    human body (skin, nose, lungs, GI tract)and a pollutant or mixture of pollutants

    Requires the presence of a pollutant andthe contact between the person and that

    medium (vs. potential exposure)

    Quantified by concentration of the

    contaminant and the time of contact

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    Exposure Assessment

    Route of exposure: Inhalation,

    ingestion, dermal, injection Magnitude of exposure: Concentration

    in media (ppm, mg/m3

    , f/cm3

    ) Duration of exposure: Minutes, hours,

    days, lifetime

    Frequency of exposure: Daily, weekly,

    seasonally

    15

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    Section C

    The Industrial Hygiene Profession

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    Education of an

    Industrial Hygienist

    Usually requires advanced education in

    engineering and the biological sciences  A combination of education and

    experience is necessary in order to takethe American Board of Industrial

    Hygiene (ABIH) exam for certification in

    industrial hygiene (CIH)

    17

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    Who Is an Industrial Hygienist?

    Education

     –  Undergraduate degree in sciencesor engineering (28%)

     –  Graduate level (68%)

    ContinuedSource: Taken from AIHA membership survey, 2000 18

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    Who Is an Industrial Hygienist?

    Employed by

     –  Industry (47%) –  Consulting (23%)

     –  Government (14%) –  Academia (5%)

     –  Insurance (3%) –  Labor (1%)

    Source: Taken from AIHA membership survey, 2000 19

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    American Board

    of Industrial Hygiene

    Established to improve the practice and

    educational standards of the profession Primary influence through certification

     –  CIH by written exam and five yearspractice

     –  Not required for practice (no

    licensing)

     –  Five-year recertification cycle

     –  Approximately 9,000 in United States20

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    Professional Organizations

     American Industrial Hygiene

     Association (AIHA) –  Founded 1939

     –  Nonprofit professional society for IHprofessionals

     –  Exists to promote the field

     –  12,500 members in 2000

    Continued 21

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    Professional Organizations

     American Conference of Governmental

    Industrial Hygienists (ACGIH) –  Founded 1938

     –  Free exchange of ideas andpromotion of standards and

    techniques in industrial health

    Continued 22

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    Professional Organizations

     ACGIH

     –  Approximately 5,000 members –  Full members government and

    academic IHs only –  Increased role for associate

    members

     –  Publish threshold limit values (TLVs)

    and Biological Exposure Indices

    (BEIs)23

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    Section D

    Risk Assessment 

    and Industrial Hygiene 

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    Risk Assessment

    Risk assessment is usually considered

    to be an environmental term, but it is anessential part of the industrial hygiene

    profession

    Broadly defined as the methodology

    that predicts the likelihood of unwanted

    events (explosions, injuries, naturalcatastrophes, diseases, death)

    25

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    Risk Assessment

    Comparison of Terminology

    Industrial Hygiene Environmental

     Anticipation andRecognition

    Hazard identification

    Evaluation Exposure and toxicityassessment and Risk

    characterization

    Control Risk management

    Hazard communication Risk communication26

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    Risk Assessment

    The act of comparing exposure

    measurements with exposure limits(TLVs, PELs, etc.) is a fundamental

    aspect of risk characterization which is

    the final step in the risk assessment

    process

    Continued 27

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    Risk Assessment

    Risk assessment Equation 1:

    ( )Exposureof LevelExposureof UnitEffectHealthof Prob.

    Risk

    ×⎟⎟ ⎠

     ⎞⎜⎜⎝ 

    ⎛ 

    =

    Continued 28

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    Risk Assessment

     Another form of Equation 1:

    ( )Dose AbsorbedDose AbsorbedEffectHealthof Prob.

    Risk

    ×⎟ ⎠

     ⎞⎜⎝ 

    ⎛ 

    =

    Continued 29

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    Risk Assessment

    Equation 1: Determining the probability

    of a negative health effect by combiningthe dose-response and exposure

    assessment over some relevant period

    of time

    Exposure is an approximation for dose

     Absorbed dose is the relative or specificamount of material that gets into the

    body and therefore can do harm30

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    Role of Risk Assessment

    Source: The Federal Register, 2 August 1986 31