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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

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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