Annals of Occupational Hygiene Advance Access originally published online on January 7, 2005
Annals of Occupational Hygiene 2005 49(2):167-178; doi:10.1093/annhyg/meh094
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© 2004 British Occupational Hygiene Society Published by Oxford University Press;
Dermal Exposure to Polycyclic Aromatic Hydrocarbons among Road Pavers
1 Finnish Institute of Occupational Health, Topeliuksenkatu 41 aA, FIN-00250 Helsinki, Finland; 2 University of Kuopio, Department of Environmental Science, PL 1627, FIN-70211 Kuopio, Finland
* Author to whom correspondence should be addressed at the Department of Industrial Hygiene and Toxicology. Tel: +358-30-4741; fax: +358-30-4742114; e-mail: virpi.vaananen{at}ttl.fi
| ABSTRACT |
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Objectives: Dermal exposure to polycyclic aromatic hydrocarbons (PAHs) and the role of an industrial by-product, coal fly ash, on workers' PAH exposure were investigated during stone mastic asphalt (SMA) paving and remixing.
Methods: PAH exposure was measured at eight sites during the laying of SMA containing coal fly ash or limestone (conventional SMA) as the filler. Six of the surveys were carried out during SMA paving and two during remixing of SMA (hot recycling at the paving site). Dermal PAH exposure was measured by hand washing (using sunflower oil and wiping with Kleenex tissues) before and after the work shift, and by placing exposure pads on the workers' wrists during the work shift. The analyses included 15 native PAHs from the hand-washing samples determined using high-performance liquid chromatography equipped with a two-channel fluorescence detector and 16 native PAHs and four methylated PAHs from the exposure pads using gas chromatography with mass-selective detection.
Results: The PAH results obtained using the pad and hand-washing methods (concentrations after the work shift) were equivalent and showed a strong correlation (r = 0.757, P < 0.001, N = 23 for total PAHs). There was a statistically significant difference between pre- and post-shift samples as measured by hand washing. The skin contamination by PAHs was significantly higher (P < 0.01) during remixing than during SMA paving. The variation in PAH contamination on the skin explained more of the variation in the excretion of urinary 1-hydroxypyrene and phenanthrols than the variation in the respiratory PAH concentrations.
Conclusions: The industrial by-product investigated in asphalt, coal fly ash, had no statistically significant effect on the workers' dermal PAH exposure. The dermal exposure of paving workers to PAHs was higher during remixing than during SMA paving.
Keywords: coal fly ash dermal PAH exposure paving polycyclic aromatic hydrocarbons remixing skin contamination
| INTRODUCTION |
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Bitumen, which is used mainly in road paving and roofing, is a by-product of oil refining. It is a complex mixture of high molecular weight organic compounds including polycyclic aromatic hydrocarbons (PAHs). Asphalt is a mixture of bitumen with stone, sand, or filler. Stone mastic asphalt (SMA) contains about 6 w-% bitumen, 10 w-% filler (which in the current study was either coal fly ash or limestone) and 0.4 w-% fibre; the rest is composed of stones of various sizes. Coal fly ash is an industrial by-product of the combustion of coal and it may contain PAH compounds. The concentration of PAHs in coal fly ash depends on the origin of the coal, the burning temperature of the coal in the power plant and the combustion technique utilized in the power plant (Li et al., 1983
Our earlier studies showed that the addition of an industrial by-product, coal fly ash, as the filler into SMA did not affect airborne PAH exposure nor the level of PAH metabolites in the urine of paving workers (Väänänen et al., 2003
). Repaving operations have been reported to increase respiratory PAH exposure in paving crews (Burstyn et al., 2000
). According to our earlier studies, repaving workers had a higher level of PAH metabolites in their urine than paving workers (Väänänen et al., 2003
). The mutagenic potency of asphalt fumes collected during paving was higher than that of the laboratory-generated fumes in Salmonella typhimurium tests without S9, and the remixing fumes were more mutagenic than the SMA paving fumes and laboratory-generated fumes with S9 (Heikkilä et al., 2003
).
Many 23-ring PAHs can cause irritation, and some of the 46-ring PAHs are carcinogenic (IARC, 1973
). The skin can be a target organ for carcinogens, but dermal application of coal tar, creosote and bitumen may also lead to the formation of DNA adducts in the lungs (Schoket et al., 1988a
,b
). Genevois et al. (1996)
detected DNA adducts in skin, lung and lymphocytes after rats were painted with undiluted bitumen fume condensates. Laboratory-generated bitumen roofing fumes (Sivak et al., 1997
; Niemeyer et al., 1988
), raw roofing bitumen (Sivak et al., 1997
) and bitumen paints (Robinson et al., 1984
) have been shown to be carcinogenic in animal studies when applied dermally to mice. In a study by Emmet et al. (1981)
, however, raw roofing bitumen was not carcinogenic after dermal treatments. In the recent IARC (International Agency for Research on Cancer) European epidemiological study of cancer mortality among asphalt workers, the standardized mortality ratio (SMR) of lung cancer was slightly higher in those workers employed in jobs entailing exposure to bitumen (1.17, 95% CI 1.041.30) than in construction workers (1.01, 95% CI 0.891.15) (Boffetta et al., 2003a
). Analysis restricted to road pavers and based on quantitative estimates of bitumen fume exposure suggests an association between lung cancer mortality and the average level of exposure to bitumen fumes (SMR = 1.23, 95% CI 1.021.48) but not the duration of exposure or cumulative exposure (Boffetta et al., 2003b
).
Occupational exposure assessment has been based mainly on the air concentrations of the chemicals. However, some chemicals also have a skin notation in the occupational exposure limit (OEL) values, indicating that these chemicals are able to enter the body through the skin. Nevertheless, there are no standardized techniques for assessing skin exposure. Fenske (1993)
has classified the methods of assessing dermal exposure into three groups: surrogate skin techniques, removal techniques and fluorescent tracer techniques. Surrogate skin techniques include patches (pads) and clothing which act as passive samplers (Soutar et al., 2000
). Hand washing and skin wiping, which are common techniques used for dermal exposure sampling, belong to the removal techniques (Brouwer et al., 2000
). In addition to these techniques, different sampling materials and methods of analysis complicate the comparison of the results of published studies.
Occupational dermal PAH exposure has been most commonly measured using skin wipes (Wolff et al., 1989
; Hicks, 1995
; Kuljukka et al., 1997
), hand washing (Zhou, 1997
; Jongeneelen et al., 1988
) and exposure pads (Jongeneelen et al., 1988
; Van Rooij et al., 1992
; Van Rooij, 1994
). There are not many studies on the skin contamination of road paving workers. In road paving with petroleum asphalt, the geometric mean (GM) concentration in post-shift wiping samples has been measured as 1.4 ng/cm2 for pyrene, which has often been used as a marker compound (Zhou, 1997
). The skin contamination of workers appeared to increase 10-fold when the asphalt contained coal tar (Jongeneelen et al., 1988
). In some work environments where PAH exposure has been high, skin contamination by PAHs has demonstrated a stronger correlation with urinary 1-hydroxypyrene (1-OHP) excretion than with the PAH concentration in the breathing zone air (Van Rooij et al., 1992
, 1993a
,c
).
The aim of this study was to investigate whether the use of recycled industrial by-products such as coal fly ash instead of limestone in SMA increases the exposure of paving workers to PAHs and modifies the genotoxicity of fumes. The exposure was studied by measuring the concentrations of airborne impurities, urinary PAH metabolites and dermal PAH exposure. The results for air and urinary PAH concentrations and the mutagenicity of fumes have been published earlier (Heikkilä et al., 2003
; Väänänen et al., 2003
). In this article, we present the dermal PAH exposure data.
| Materials and methods |
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Subjects and study design
The dermal PAH exposure of road pavers was studied at eight paving sites in Finland during the paving seasons in 1999 and 2000. In the Nordic countries, the paving season lasts from April to October. At six paving sites, SMA containing coal fly ash (SMAcoal fly ash) or limestone (SMAlime) as the filler was used, and remixing (REM) of SMA containing coal fly ash or limestone was carried out at two sites. The SMA mixtures were laid at temperatures of 160210°C, but during remixing, the old asphalt layer was first heated to 160250°C, then scraped and mixed in situ with virgin asphalt (190°C). The heaters were warmed with liquefied gas.
Paving teams with four to nine members (i.e. paver operator, screedman, shovellers/rakermen, adhesive sprayer, heater operators and traffic controllers) participated in the study. The paver operator sits on top of and controls the paving machine. The screedman operates the paving screed to give the desired dimensions, and stands in the back of the paving machine. The shovellers and rakermen correct manually spread asphalt with hand tools such as rakes and shovels. The adhesive sprayer applies bitumen emulsion onto the road before the spreading of new asphalt. Heater operators control the heaters, which are used at the remixing paving sites. Traffic controllers guide the passing traffic and are thus farther away from the paving site. The number of individual workers was 21; some of the pavers worked at several paving sites and thus gave more than one sample. The numbers of participating paving workers and samples collected are presented in Table 1.
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The paving machines were not equipped with a cabin or a ventilation system. The asphalt workers did not wear respiratory masks or use any barrier creams, but most of them wore gloves. The workers could not wash their hands or take a shower at the paving sites.
SMAcoal fly ash was rarely laid, and the paving companies had already planned their paving schedules before the paving season; we were therefore not able to randomize the selection of the sampling days or paving teams.
Dermal exposure sampling and analysis
Exposure pad method
At four SMA paving sites and two remixing paving sites, the workers wore exposure pads made of polypropylene (Millipore, AN1H4700, pore size 10 µm) on both wrists. The polypropylene prefilters were cut to fit into a plastic case (disk) (outer diameter 38 mm, inner diameter 29 mm) with a wristband. The exposure pad was worn like a watch. The effective sampling area of one pad was 6.6 cm2 (13.2 cm2 for two pads). Sampling time covered the whole work shift. Both pads from a worker were combined, and extracted ultrasonically with 10 ml cyclohexane (pro analysi, Merck)/dichloromethane (SupraSolv, Merck) mixture (4/1 w/w) for 60 min. Before the extraction, 20 µl of a mixture containing six deuterated PAH compounds with a concentration of 100 pg/µl [naphthalene-d8, biphenyl-d10, phenanthrene-d10, pyrene-d10, benzo(a)anthracene-d12, benzo(a)pyrene-d12, benzo(ghi)perylene-d12 (Chiron, Trondheim, Norway)] was added as an internal standard. The extract was evaporated to a volume of 100 µl under a gentle flow of nitrogen in a TurboVap® LV Evaporator (Zymark, PLD Finland Oy, Hopkinto, MA, USA). After evaporation, 4 µl of anthracene-d10, with a concentration of 1.2 ng/µl, was added as an instrument peak. The samples were analysed using high-resolution gas chromatography with mass-selective detection [HRGCMS system, AutoSpec-Q (Micromass, Altringham, UK)] using the high resolutionselective ion monitoring (HR-SIM) technique. The molecular ions monitored are listed in Table 2. The ionization technique used was electron ionization (EI, 70 eV). The temperature of the ion source was set to 230°C and to 300°C in the transfer line. A 30 m x 0.32 mm x 0.25 µm capillary GC column (cross-linked 5% phenyl methylsilicone, HP-5) was used. The pressure of the carrier gas (helium) was set at 15 psi. The injector temperature was 260°C. The column temperature was programmed as follows: 40°C for 1 min, an increase of 5°C/min up to 270°C, and holding at 270°C for 13 min.
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The pad analyses were performed for 16 PAH compounds listed by the EPA (Environmental Protection Agency) standard and four methylated PAH compounds (Table 2). Methylated PAHs were 1-methylphenanthrene, 2,10/4,10-dimethylphenanthrene, 1,4-dimethylphenanthrene and 5-methylchrysene. These methylated compounds were included because 1-methylphenanthrene and 1,4- and 4,10-dimethylphenanthrene are mutagenic compounds, and 5-methylchrysene has been found in animal studies to be carcinogenic (IARC, 1983
Hand-washing method
At all paving sites, the contamination of the workers' hands was sampled by wiping the hands with sunflower oil and paper tissue (Jongeneelen et al., 1988
). The surface area of the hands was estimated to be 820 cm2 (Ness, 1994
). At the beginning and at the end of the work shift, the workers' hands were washed with 3 ml of sunflower oil followed by rubbing the hands together for 1 min. The oil was wiped from the hands with one Kleenex cleaning tissue (200 x 210 mm, Kimberly Clark), which was stored in a glass vial. The analytes were extracted with 30 ml of dichloromethane (SupraSolv, Merck) in a shaking apparatus for 30 min, followed by 30 min sonication. Then 10 ml of the solvent was evaporated to a volume of 12 ml, and acetonitrile (HPLC grade, LabScan) was added to give a volume of 3 ml. After centrifugation, the samples were analysed using HPLC apparatus equipped with a two-channel fluorescence detector (HPLCFLD) following an in-house method (Kuusimäki et al., 2003
). The limits of quantification (LOQ) were 0.040.1 ng/cm2. Recoveries for the detected PAH compounds varied from 30 to 83%, and were 75% for naphthalene, 83% for phenanthrene and 60% for pyrene. The relative standard deviation (RSD) varied from 5 to 35%, and was 14% for naphthalene, 9% for phenanthrene and 9% for pyrene.
Determination of the air samples and the metabolites in the urine samples
Air samples were collected in the breathing zones of the asphalt workers. The PAH compounds were collected on Teflon filters (SKC 225-17-07, 2 µm, SKC Inc., Eighty Four, PA, USA) connected to XAD-2 adsorbent tubes (OrboTM-43, SupelpakTM, Supelco, Bellefonte, PA, USA). A flow rate of 1 l/min was used and the sampling time was the whole work shift, about 8 h. The air samples were analysed after solvent extraction using the same HPLCFLD method as for the hand-washing samples (Kuusimäki et al., 2003
; Väänänen et al., 2003
).
Urine samples were collected from the paving workers before and after the work shift. Metabolites of naphthalene, phenanthrene and pyrene in urine were analysed. Concentrations of PAH metabolites were adjusted to the creatinine to compensate for variations in the urine flow (Clark and Thomson, 1949
). The urinary 1- and 2-naphthols were acid-hydrolysed, cleaned on an Oasis HLB column and determined as their pentafluorobenzylbromide derivatives using gas chromatography with a mass-selective detector (GCMSD) using negative ion chemical ionization. 1-, 2-, 3-, 4- and 9-phenanthrols and 1-OHP were deconjugated from the glucuronide and sulphate conjugates using enzymatic hydrolysis, cleaned on solid phase Bond Elut C18 cartridges and analysed using HPLCFLD (Keimig and Morgan, 1986
; Elovaara et al., 2003
; Väänänen et al., 2003
).
Statistical methods
The effect of coal fly ash and paving techniques on dermal contamination were studied using a Student's t-test for two independent samples. The differences in the PAH concentrations on the workers' hands between pre-shift and post-shift samples were evaluated using a t-test for two paired samples. Pearson's correlation coefficient (r) and linear models were used to examine the strength of the relationship between the exposure pad and hand-washing methods. We examined the association between the urinary PAH metabolites and skin contamination or airborne PAHs using one-variable fixed-effect linear models (Väänänen et al., 2003
). When we calculated the Pearson's correlation coefficients and used linear models, logarithmic transformation was performed on all values. In the analyses, results below the detection limit were replaced by values of half of the LOQ.
| RESULTS |
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When the filler used with the SMA was coal fly ash, the pavers' skin contamination with PAHs was slightly lower than when the filler was limestone. The GM of total PAHs measured from the pads was 4.6 ng/cm2 during laying of SMAcoal fly ash and 7.5 ng/cm2 during laying of SMAlimestone. During remixing the GM of total PAHs was 7.8 ng/cm2 when the SMA contained coal fly ash and 10 ng/cm2 when the SMA contained limestone. However, we could not find statistically significant differences (P > 0.05) in the dermal exposure of the paving workers between the use of coal fly ash and limestone as the filler in asphalt. The concentrations of PAH compounds on the pads on the workers' wrist are presented in Table 3.
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Within the paving team, the screedman and the paver operator had the most contaminated hands. The GMs of total PAHs on their exposure pads were 13 and 8.9 ng/cm2, respectively. There was no statistically significant difference in skin contamination between the paving jobs, but when the paver operators, screedmen, shovellers/rakermen and heater operators were compared with the traffic controllers, the difference in PAHs was statistically significant. The amount of pyrene on the exposure pads of screedmen and paver operators was about 40 times higher than the corresponding value on the exposure pads of the traffic controllers. The GMs of pyrene on their exposure pads were 1.45, 1.48 and 0.04 ng/cm2, respectively. The hand-washing method revealed a statistically significant (P < 0.05) difference between the amounts of the PAHs in the pre- and post-shift samples (Table 4). The skin exposure results for 46-ring PAHs classified by job categories are presented in Fig. 1.
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The results showed that there was a strong linear relationship between the pad and hand-washing methods (concentration after the work shift). Pearson's correlation coefficient (r) was 0.907 for pyrene (P < 0.001, N = 23), 0.933 for 46-ring PAHs (P < 0.001, N = 23) and 0.757 for total PAHs (P < 0.001, N = 23). The arithmetic means (AMs) for total PAHs and pyrene for all road pavers were the same using both methods, when the amount was calculated per cm2. The results are shown in Fig. 2.
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The dermal exposure of the workers laying or remixing SMA differed significantly. The total amount of native PAHs (arithmetic mean) was 3-fold higher and the amount of 46-ring PAHs (arithmetic mean) was 6-fold higher during remixing work than during SMA paving. The highest difference between paving and remixing was observed in the concentrations of pyrene and fluoranthene (Table 4). The concentrations of pyrene and fluoranthene were more than seven times higher on the skin of the remixing workers than on the skin of the SMA workers.
The main PAH compounds were 2,10/4,10-dimethylphenanthrene, phenanthrene, 1-methylphenanthrene and naphthalene on the workers' skin in SMA paving, whereas in remixing, 2,10/4,10-dimethylphenanthrene, pyrene, fluoranthene and phenanthrene were the main PAHs. In SMA paving, the proportion of quantified alkylated phenanthrenes was 52 w-% of the measured compounds including native PAHs and methylated PAHs. The proportion was 7 w-% for PAHs containing 46 aromatic rings and 41 w-% for PAHs containing 23 aromatic rings. In the remixing of SMA, the proportions of quantified alkylated phenanthrenes, PAHs containing 46 aromatic rings and PAHs containing 23 aromatic rings were 34, 22 and 44 w-%, respectively. The concentrations of the PAH compounds on the workers' skin found using both sampling methods are presented in Tables 3 and 4, according to the laying technique and the asphalt mixture.
Dermal naphthalene exposure was lower than phenanthrene exposure (Tables 3 and 4), and it did not correlate statistically significantly with the concentrations of urinary naphthols or with airborne naphthalene.
The skin contamination by phenanthrene showed a strong linear relationship with the urinary phenanthrols. Pearson's correlation coefficients between the sum of the urinary phenanthrols and phenanthrene on the skin were 0.519 (P = 0.0111, N = 23 for the pad method) and 0.729 (P = 0.0001, N = 22 for the hand-washing method). The airborne phenanthrene showed a strong linear relationship with phenanthrene on the skin (r = 0.733, P < 0.0001, N = 25 for the pad method).
The dermal pyrene results for both sampling methods correlated statistically significantly with the post-shift 1-OHP urine concentrations (r = 0.689, P = 0.0003, N = 23 for the pads and r = 0.618, P = 0.0022, N = 22 for hand washing). Also, the measured amount of pyrene on the skin of the road pavers showed a strong linear relationship with the airborne pyrene concentrations (r = 0.721, P < 0.0001, N = 25 for the pad method).
| DISCUSSION |
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The use of industrial by-products in asphalt is increasing. However, there are only a few studies on the occupational exposure of workers who are involved in recycled asphalt or in asphalt modified with industrial waste materials (Watts et al., 1998
The dermal exposure of road pavers has been studied in only a few studies (Hicks, 1995
; Zhou, 1997
; Jongeneelen et al., 1988
). In two studies, the paving asphalt was petroleum based and in one study the asphalt contained coal tar. In our study and in Zhou's study, where the asphalt was petroleum based, the measured skin contamination with pyrene was at the same level (Zhou, 1997
). In our study, the GM of total PAHs was higher (6.8 ng/cm2 determined by exposure pads, and 7.8 ng/cm2 determined by hand washing) than that measured in Zhou's study (2.2 ng/cm2 in the post-shift hand-washing samples), probably because Zhou measured only nine PAH compounds. In another study on petroleum asphalt, the skin contamination was measured by wiping the back of the hand or the forehead with a premoistened Whatman smear tab (Hicks, 1995
). The limits of detection for separate PAH compounds were high in this study, and the amount of PAHs exceeded the limits in only a few samples.
Our results confirm earlier published data that the dermal PAH contamination of road pavers using petroleum-based asphalt is about one-tenth that reported in workers exposed to bitumen containing coal tar or coal tar pitch (Jongeneelen et al., 1988
; Wolff et al., 1989
).
The results of dermal exposure studies are not readily comparable because of different sampling techniques. We used two sampling and two analytical methods to measure the PAHs on the skin; one was polypropylene pads together with HRGCMS, and the other hand washing together with HPLCFLD. We used the methods to compare two generally used sampling techniques, to get information of the level of alkylated PAHs on skin and to confirm the concentration of native PAHs by two methods. The PAH results analysed using HPLCFLD from bitumen matrix have been criticized because of the poor resolution of 46-ring PAHs (Watts et al., 1998
; Butler et al., 2000
). The baseline in HPLC chromatograms is elevated owing to the high concentration of alkylated PAH compounds in the matrix. According to our unpublished results, both methods, HRGCMS and HPLCFLD, gave equal native PAH results.
Exposure pads have several advantages, including their ease of application, small size, low cost and passive sampling, but they also have some drawbacks; for example, the pad material differs from natural skin and thus PAH adsorption into the pad may be different from PAH adsorption into the skin. The area of the exposure pad is small, which makes it difficult to assess the total dermal exposure. Also, the location of the pads is problematic: should they be worn outside or under the clothing (Ness, 1994
)? On the other hand, hand washing and wiping methods may easily underestimate the level of skin absorption because they measure the residue on the skin and not all the contamination is recovered during washing or wiping. In our study, the exposure pads measured the deposition of bitumen fumes, and to a lesser extent direct contact with contaminated surfaces or bitumen. The washing method measured the deposition of bitumen fumes as well as direct contact with bitumen, for example, via the work equipment. Sample preparation was more convenient with the exposure pads than with the hand-washing samples due to the sunflower oil. Nevertheless, the results of these two methods were equal (Fig. 2).
In our study, dermal exposure to PAHs was higher in workers who were remixing SMA than in SMA paving workers, even though the breathing zone PAH concentrations did not differ statistically significantly between the remixing and SMA paving groups (Väänänen et al., 2003
). One obvious reason for the higher skin contamination of the remixing workers was that only two out of eight workers wore gloves, whereas more than half of the SMA pavers used gloves and long-sleeved coats or shirts during their work shifts. Personal factors, such as the use of protective clothing, individual working methods, the frequency of changing work clothes and laundering, and personal hygiene can influence the skin contamination. With simple hygienic operations, skin contamination can be reduced considerably (Van Rooij et al., 1994
; Lafontaine et al., 2002
). However, some of these hygienic operations, such as hand washing, are not possible for workers at paving sites. A second reason for the difference may be the fact that remixing workers used light fuel oil for cleaning their equipment more carelessly than did SMA workers, who also used only vegetable oil for cleaning in two paving sites. Fuel oil contains PAHs (IARC, 1989
), and Moen et al. (1996)
have reported that workers who had oil contamination on their skin during their work in an engine room had increased concentrations of 1-OHP in their urine. In our study, the use of light fuel oil increased dermal pyrene and urinary 1-OHP concentrations, but not the concentration of pyrene in the breathing zone of the workers (P < 0.05). A third reason may be that according to our data, the airborne pyrene appeared more in the particle phase than in the vapour phase during remixing than during SMA paving, although the total amounts of airborne pyrene (both vapour and particle phase) were equal.
Bitumen fumes contain high levels of phenanthrene and naphthalene and many of their alkylated derivatives, and these compounds are the main PAH groups in the fumes (Binet et al., 2002
; Heikkilä et al., 2003
). In our study, the amounts of 1-methylphenanthrene and 2,10/4,10-dimethylphenanthrene on the skin were high compared with the amount with native PAHs. In addition to these analysed alkylated PAHs, pavers' skin is certainly contaminated with other alkylated PAHs and thiophenes. 1-Methylphenanthrene, 1,4- and 4,10-dimethylphenanthrenes are mutagenic to Salmonella typhimurium in the presence of metabolic activation, and 1,4-dimethylphenanthrene is also active as a tumour initiator (IARC, 1983
; LaVoie et al., 1983
). Binet et al. (2002)
have suggested that some thiophenes are responsible for the genotoxicity of bitumen fumes. The amounts of methylated and sulphur-containing PAHs in bitumen fumes are so high that the concentration of native PAHs alone may not be an appropriate indicator of exposure to carcinogenic PAHs.
There are still no accepted standards or limit values for evaluating dermal exposure. However, many chemicals carry a skin notation in the OEL lists indicating that skin absorption is a possible route of exposure. It is known that bitumen fume condensates penetrate the skin rapidly owing to a reduction in viscosity attributable to the mixing of the vapour and particle phases (Genevois et al., 1996
; Binet et al., 2002
). The German committee on MAK (maximum workplace concentration) has assigned a skin notation to bitumen fumes because it has been shown in animal studies that carcinogenic compounds, present in bitumen fumes, are able to permeate the skin (Deutsche Forschungsgemeinschaft, 2001
). Paradoxically, PAH compounds have no skin notation, although many studies have concluded that skin absorption of PAHs can be considerable (Van Rooij et al., 1992
, 1993b
,c
, 1994
; Elovaara et al., 1995
). Estimates for the absorption of pyrene through the skin vary from 23 to 75% of the total dose (Van Rooij et al., 1993a
; Brzeznicki et al., 1997
; Lafontaine et al., 2002
). In our study, skin contamination with PAHs showed a strong correlation with urinary PAH metabolites. The airborne pyrene correlated moderately with the urinary 1-OHP (r = 0.403, P = 0.027, N = 30) and the airborne phenanthrene showed a moderate correlation with the sum of urinary phenanthrols (r = 0.441, P = 0.015, N = 30). The differences in Pearson's correlation coefficient between our earlier published article (Väänänen et al., 2003
) and this article resulted from the logarithmic transformation and the different number of samples: two samples have not been included in the statistical analysis because they were incomplete.
According to the one-variable fixed-effect linear model, the variation in dermal pyrene contamination explained more of the variation in 1-OHP excretion (R2 = 47% for the exposure pad method, R2 = 38% for the hand-washing method) than did the airborne pyrene concentration (R2 = 16%). Also, phenanthrene on the skin (R2 = 27% for the exposure pad method and R2 = 53% for the hand-washing method) had a greater effect on the variation in urinary phenanthrols than airborne phenanthrene (R2 = 19%). Our conclusion is that skin contamination with PAHs increases significantly the total body burden of PAHs among paving workers.
| ACKNOWLEDGEMENTS |
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Antti Hesso and Jarkko Tornaeus are thanked for performing the HRGCMS analysis. The authors gratefully acknowledge the assistance of Erkki Nykyri and Ritva Luukkonen in the statistical calculations, and the co-operation of Kimmo Peltonen, Asko Saarela and Petri Peltonen. This study was conducted in association with the project of the Finnish Research Programme on Environmental Health (SYTTY). The Academy of Finland, the Finnish Work Environment Fund, the Emil Aaltonen Foundation, the Finnish National Road Administration and the participating companies are thanked for financial support.
Received January 5, 2004; in final form August 9, 2004
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