Week 4: Industrial Hygiene, Environmental Management, and Environmental Ethics Flashcards

1
Q

What are the 2 types of doses?

A

Internal dose and biologically-effective dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define internal and biologically-effective dose.

A

Internal Dose: the amount of a substance crossing one of the route barriers into the body

Biologically-effective dose: the amount of a substance reaching a target organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the mathematical formula for dose?

A

Dose: concentration x exposure duration x rate at which material reaches body boundary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define exposure science. What is the difference between industrial hygiene evolved in workplaces and exposure science?

A

Exposure science: modern field focused on exposure assessment in both workplace and environment

IH (occupational hygiene) evolved from measuring to controlling exposures and workplace risks

Exposure scientists measure/quantify exposures in general population (often in
research setting); results used for risk assessment, public health policymaking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What do industrial hygiene and exposure both try to do? What are 4 reasons why it is important?

A

Both try to quantify exposures

Important for:
Assessing potential problems
Directing preventive efforts, monitoring success
Checking compliance with regulations
In research, quantifying association between exposures and health outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are 4 details about anticipation and recognition?

A

IH paradigm: anticipation, recognition, evaluation
control; anticipation, 1st step

Hygienist gathers info. on site history, process, job
titles, materials safety data sheets on chemicals used

Develops preliminary list of potential hazards: safety hazards (e.g., inappropriate chemical storage), health hazards: physical (e.g., repetitive motion), chemical (acute, chronic hazards), biological (e.g., blood-borne pathogens), environmental (threats to public safety [e.g., chlorine tank rupture], health [e.g., solvents leaking to groundwater], or welfare, ecological damage)

Recognition phase: site visit/walk-through (visual
inspection), review health and safety programs, identify
workers at risk; write-up, incl. hazard eval. plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are 3 details about evaluation?

A

Quantify exposure through sampling/measurement: area sampling: in a room, in vicinity of some workers, personal sampling: in breathing zone of individuals, biological sampling/biomarkers: body fluids, breath, hair

Population sampling: identify/enumerate all who
could be sampled, choose sampling strategy (census of
all, stratified, convenience [biased], worst-case)

Instruments:
Direct reading: near real-time; available for many physical hazards (e.g., temp., noise, humidity, UV, radiation) and
pollutants (gases, vapors, airborne particles)
Sample collection: collects sample (e.g., volume of air) for
laboratory analysis; increasing volume increases contaminant mass collected, sensitivity for low levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why are sample collection instruments used?

A

Used instead of direct reading if multiple pollutants or additional laboratory analyses needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define active sample collection. Give the formulas and pros/cons.

A

Active: pump draws air through absorbing medium
Total volume air sampled = flow rate x sampling duration
Contaminant concentration = mass collected / volume of air
sampled (e.g., ug/m3)
Versatile, sensitive, specific for contaminants analyzed in
laboratory, but can be bulky, noisy, need batteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define passive sample collection. Give the formulas.

A

Passive: uses diffusion (concentration gradient) instead
of pump to collect air in absorbing medium that
removes compound by reaction or absorption
Flow rate of air to surface computed using Fick’s law;
Volume sampled = flow rate x sampling time;
Concentration = mass / volume (e.g., ug/m3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Out of active and passive sample collection, which is used for biomonitoring?

A

Passive sample collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is control? What are 6 control strategies?

A

Control of workplace hazards = primary prevention

Substitution: replace hazardous materials/processes
w/less hazardous (e.g., replace benzene w/toluene)

Isolation: engineering controls to limit access to
hazardous materials (e.g., enclosed solvent washer)

Ventilation: introduce fresh air, use exhaust hoods

Administrative controls: policies/procedures to reduce
risk (e.g., lockout tag-out, worker rotation)

Protective devices (e.g., two-handed “On”)

Personal protective equipment (PPE) (e.g., respirators,
gloves, safety glasses, hardhats, etc.) – least preferable
of all control strategies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Frequency, intensity, and duration of exposure

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 3 principal routes of exposure? Give 4 details.

A

Inhalation, ingestion, and dermal

These routes of exposure are different from the exposure pathway, or the path by
which the contaminant moves from a source to a human receptor.

For example, pesticide exposures in children may come from several pathways.

Children may ingest pesticides from residues present on food (a dietary pathway);
they may get pesticides on their skin from their parents’ contaminated clothing if
the parents work on a farm (a take-home pathway); if spraying takes place close to
their home, they may inhale pesticide particles or vapors (a drift pathway)

These pathways differ substantially and each requires entirely different assessment
and control strategies to reduce exposure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Contrast the 2 exposure assessment methods.

A

Imputing/modeling: indirect, used when direct measurements lacking or only partial data
Time-location studies, dietary exposure estimation
Exposure scenarios: typical individuals, activities, locations,
available data; inexpensive, used in risk assessment
Job-exposure matrix

Direct measurements (expensive, more accurate)
Environmental: fixed locations/area sampling
Personal exposures: portable devices; reflects time, location,
behavior; video exposure monitoring;
Biomarkers (gold standard): parent compounds or metabolites in body fluids, tissues; proves absorption, reflects bioavailability; genetic differences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Contrast aggregate and cumulative exposure assessment.

A

Aggregate: assessing simultaneously all routes and
pathways for a particular compound (e.g., agricultural
worker’s exposure to particular pesticide through inhalation, dermal absorption while working, and at home [residues on food, contamination on clothing])

Cumulative: aggregate exposure to series of compounds
(or nonchemical exposures, e.g., malnutrition) with similar biological mechanisms (e.g., organophosphate pesticides, inhibit acetylcholin-esterase needed for nerve signal conduction)

17
Q

What are 2 ingestion assessment challenges?

A

Duplicate diet studies: directly measure dietary contaminant
intake; duplicate sample of all food eaten by subject, weighed, homogenized, analyzed; difficult on large scale

Food diary studies: subjects record foods, portion sizes; re-
searcher purchases at store, measures concentrations; conc.
x amount eaten (from diary) = exposure; cheaper, more subjects but measurement error (foods eaten not measured)

18
Q

What are 2 dermal absorption assessment challenges? Give 2 details.

A

Patch sampling: adsorbent patches on skin, clothes; exposed during activities, removed, measured, summed over all exposed areas of body for total exposure

Tape stripping: removes single layer of skin cells

Both sample only portion of exposed skin

Fluorescent tracer method reveals where on skin exposed

19
Q

What are 4 regulatory agencies and what do they do?

A

OSHA: assure safe and healthful working conditions for working men and women by
setting and enforcing standards and by providing training, outreach, education and
assistance

EPA: responsible for maintaining and enforcing national standards under a variety of
environmental laws, in consultation with state, tribal, and local governments.

FDA: responsible for protecting and promoting public health through the control and
supervision of food safety, tobacco products, dietary supplements, prescription and over-the-counter pharmaceutical drugs, vaccines, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices, cosmetics, animal foods & feed and veterinary products

USDA: aims to meet the needs of farmers and ranchers, promote agricultural trade and production, work to assure food safety, protect natural resources, foster rural communities and end hunger in the United States and internationally

20
Q

Define ethics and morals.

A

Ethics: more formal view of morality; in professional
life, a normative process of deciding what we ought
to do or not do

Morals: core beliefs about what is important, valuable, or right with regard to conduct, character

21
Q

What are the 3 key modern ethics principles primary to environmental health?

A

Scientific integrity (honesty, truth-telling): when a risk is discovered that requires public attention, EH professionals should advocate their concerns

Justice: in public health, usually framed as social justice,
highlighting differences that affect health status unfairly

Welfare: social effort designed to promote the basic physical and material well-being of people in need

22
Q

What are 4 environmental health ethics controversies?

A

Public regulation of behavior vs. individual freedom: extent to which government (and employers) may appropriately manage behavior, factors affecting health
Nondisclosure vs. right to know

scientific research and public health advocacy:
Scientists/academics need to maintain objectivity, are
cautious in making claims about policy implications of data

Environmental justice: some policies/practices harm certain groups unfairly

Common resources: poorly managed common resources quickly depleted

23
Q

What are 4 climate change ethical challenges?

A

Future generations: warming levels reached now will
persist 1000’s of years; most of globe uninhabitable for
mammals by 2300 (McMichael & Dear 2010)

Discounting: must control climate change now; non-
linear approach needed for valuing future risks

Technological prospects: costs of scaling up existing alternative energy technologies manageable
(Mountford 2014), but disagreements on safety (e.g.,
nuclear, geoengineering)

Consumption: must limit; some countries maintain health at lower consumption levels