NIOSH Research Rounds

We are very excited about the potential health benefits from this approach. Now, what we really need is more mines participating with us in field studies, so we can optimize the technique with input from future users. We would be grateful if mine operators and health and safety managers could contact us to talk about how we can work together to help protect workers from silica exposure diseases.

For more information, click the titles below:

• Promoting Early Exposure Monitoring for Respirable Crystalline Silica: Taking the Laboratory to the Mine Site
• Mining Project: Monitoring and Control of Airborne Toxic Substances in Mining
• Mining Topic: Exposure Monitoring of Dust and Toxic Substances
• Silica

Draft Recommendations for Handling Silver Nanomaterials Undergo Public Comments

Engineered nanoparticles have unique size-driven properties that can affect their physical, chemical, and biological behavior. Because of the physical-chemical properties at the nanoscale, silver nanomaterials are being used in an increasing number of products. These products include consumer goods, such as electronics and textile coatings, and antibacterial items for medical use. With increased use, however, comes the possibility that growing numbers of workers may be exposed during the manufacture and use of the materials. In keeping with our leadership role in evaluating and assessing whether workers exposed to nanomaterials are at risk, the National Institute for Occupational Safety and Health (NIOSH) recently evaluated the available literature on silver and nanosilver to determine if there is sufficient evidence for a size-specific recommended exposure limit (REL).

Published information on workers’ exposure to silver is limited but indicates that workplace airborne concentrations can exceed recommended limits without good risk management practices, such as using engineering controls. These limits include the current Occupational Safety and Health Administration (OSHA) permissible exposure limit (PEL) and the NIOSH REL of 10 µg/m³. Long-term exposures have been noted to cause localized and generalized argyria, which is an irreversible bluish-gray pigmentation of the skin. NIOSH also evaluated laboratory studies that demonstrated possible lung and liver effects, but these were of uncertain clinical significance when extrapolating study doses to humans.

After evaluating the available scientific evidence, NIOSH has determined that it is insufficient to support developing a size-specific REL for silver nanomaterials. In the absence of information to support a size-specific REL, worker exposures to silver dust, fume, and soluble compounds should be maintained below the NIOSH REL of 10 µg/m³ as an 8-hour time-weighted average.

The draft recommendations now are available for public comments until April 22, 2016. After the public comment period, NIOSH will revise the document in response to the public and peer review comments received before publishing the final recommendations.

For more information, click the titles below:

• External Review Draft—NIOSH Current Intelligence Bulletin: Health Effects of Occupational Exposure to Silver Nanomaterials
• Nanotechnology

High Smoking Rate Found Among Support Workers in Healthcare and Social Assistance Sector

Workers in support occupations in the healthcare and social assistance sector are significantly more likely to smoke cigarettes than are workers in all other occupations in that sector, according to a recent study by investigators at the National Institute for Occupational Safety and Health (NIOSH). These findings indicate that smoking-cessation programs in healthcare and social assistance could reach more at-risk workers by specifically targeting certain jobs. This sector comprises ambulatory health care services; hospitals; nursing and residential care facilities; and social assistance.

One of the main objectives of the national Healthy People 2020 program is to reduce cigarette smoking in the general population to 12% or less. For this study, investigators analyzed 2008 to 2012 data from the National Health Interview Survey and found that 16% of the approximately 19 million workers in healthcare and social assistance reported current cigarette smoking. The jobs with the highest smoking rates were record keeping, scheduling, dispatching, and distributing, with slightly more than one-third of workers reporting that they currently smoke. The second highest rates were among workers in nursing, psychiatric, and home health aides occupations, with just over one-fourth reporting that they currently smoke.

Although the occurrence of smoking is higher among men than among women in the general U.S. working population, this study found that the occurrence was higher among women. This finding could stem from the disproportionately high number of women (80%) working in the health care and social assistance sector. In findings similar to those of other studies, smoking was also most prevalent among workers between the ages of 25 and 44 years, who earned less than $35,000 per year, and who had no health insurance.

For more information, click the titles below:

• Cigarette Smoking Prevalence among Adults Working in the Health Care and Social Assistance Sector, 2008 to 2012
• Tobacco Smoke in the Workplace

Extensive Evaluation and Review Lead to Updated Guidance Document on Working in Heat

In the 30 years since the National Institute for Occupational Safety and Health (NIOSH) made major recommendations to prevent work-related heat stress, recent events have raised questions about working safely in hot environments. For example, during the Deepwater Horizon response and cleanup of 2010, crews worked through the hot Gulf of Mexico summer. That event, and the evaluation of accumulated research and literature characterizing effects of working with heat stress, prompted NIOSH to revise its guidance document Criteria for a Recommended Standard: Occupational Exposure to Heat and Hot Environments after an extensive scientific review. Although the recommended alert and exposure limits still protect workers in hot environments and remain unchanged, the revised document includes updated research findings, training, and intervention tools.

Working in hot environments—both outdoors and indoors—increases the risk of heat stress, which can cause injuries, disease, reduced productivity, and even death. To continue to protect workers from this serious work-related hazard, NIOSH investigators collaborated with other scientific experts, partners, and the public, through a request for comments and peer review, to revise the criteria document.

The finalized document includes guidance for safety and health professionals and employers, describing methods to protect workers from heat stress. These methods include medical monitoring; acclimatization; a recommendation of drinking 1 cup (8 oz.) of water or other fluids every 15–20 minutes; and differentiating between the symptoms of classic and exertional heat stroke. In classic heat stroke, sweating is usually absent, but in exertional heat stroke, sweating often occurs. Exertional heat stroke is more likely to occur in workers, so it is particularly important to re-educate workers who may have incorrectly learned that heat stroke occurs only without sweating. New training tools include a urine color chart, which is a good indicator of hydration status, and occupation-related case studies. As NIOSH continues to study this evolving area of workplace safety and health, possible subjects for future research are the effects of climate change on workers and of heat stress on chemical absorption in the body.

For more information, click the titles below:

• NIOSH Criteria for a Recommended Standard: Occupational Exposure to Heat and Hot Environments
• Heat Stress