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Min G, Shin J, Kim D, Choe Y, Woo J, Choi KY, Lee J, Cho M, Lee J, Ra JS, Yang W. Potential health risks to disinfection workers from exposure to active substances in COVID-19 biocidal products. Heliyon 2024; 10:e28249. [PMID: 38596037 PMCID: PMC11002044 DOI: 10.1016/j.heliyon.2024.e28249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 03/14/2024] [Accepted: 03/14/2024] [Indexed: 04/11/2024] Open
Abstract
The importance of disinfection has recently been emphasized due to the increasing risk of the spread of infections such as coronavirus disease-2019 (COVID-19). In addition, disinfection for preventing the spread of COVID-19 is highly recommended. The increased use of biocidal products raises concerns regarding the potential health risks from exposure among disinfection workers. This study aimed to assess these exposure and health risks using questionnaires targeting disinfection workers who were exposed to the active substances in biocidal products used for disinfection during the COVID-19 pandemic. A follow-up survey was conducted among 271 disinfection workers for 10 working days within two weeks, and exposure factors with reference to disinfection were evaluated through interview-administered questionnaires. An exposure algorithm was used to evaluate the exposure of disinfection workers during disinfection. The hazard index (HI) was calculated by dividing the inhalation concentration obtained using the exposure algorithm and the dermal dose according to occupational exposure limits (OEL). A sensitivity analysis was conducted to identify the exposure factors with the greatest impact on the inhalation and dermal exposure algorithms. A logistic regression analysis was performed to verify the relationship with health effects and sociodemographic and exposure characteristics. The average number of disinfections performed during 10 working days was 17.5 ± 12.3 times. The type of disinfection work was divided into 2806 cases of COVID-19 prevention and disinfection and 1956 cases of regular pesticide application to prevent and remove any pests. The HI was ≥1, indicating a potential health risk, with the use of ethanol (6.50E+00), quaternary ammonium compounds (QACs; 1.49E+01), and benzalkonium chloride (BKC; 1.73E+00). Dermal exposure was more hazardous than inhalation exposure for 6 of the 11 active substances in biocidal products. The weight fraction and exposure time were the factors that most significantly influenced the inhalation and dermal exposure algorithms in the sensitivity analysis. Higher exposure concentrations were more likely to affect health (AOR: 3.239, 95% CI: 1.155-9.082). This study provides valuable information regarding the exposure and risk of disinfection workers to 11 biocidal active substances included in common disinfectants. Our results suggest that the use of ethanol, BKC, and QACs has potential health risks to disinfection workers, with a higher possibility of negative health impacts with increasing exposure concentration.
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Affiliation(s)
- Gihong Min
- Department of Health and Safety, Daegu Catholic University, Gyeongbuk, South Korea
| | - Jihun Shin
- Department of Health and Safety, Daegu Catholic University, Gyeongbuk, South Korea
| | - Dongjun Kim
- Department of Health and Safety, Daegu Catholic University, Gyeongbuk, South Korea
| | - Youngtae Choe
- Department of Health and Safety, Daegu Catholic University, Gyeongbuk, South Korea
| | - Jaemin Woo
- Department of Health and Safety, Daegu Catholic University, Gyeongbuk, South Korea
| | - Kil Yong Choi
- Department of Environmental Energy Engineering, Anyang University, Anyang, South Korea
| | - Jangwoo Lee
- Convergence Research Center for Big-data, Cheminet Ltd, Seoul, South Korea
| | - Mansu Cho
- Department of Health and Safety, Daegu Catholic University, Gyeongbuk, South Korea
| | - Jongdae Lee
- Department of Environmental Health Science, Soonchunhyang University, Chungnam, South Korea
| | - Jin-Sung Ra
- Eco-testing & Risk Assessment Center, Korea Institute of Industrial Technology, Ansan, South Korea
| | - Wonho Yang
- Department of Health and Safety, Daegu Catholic University, Gyeongbuk, South Korea
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Clausen PA, Kofoed-Sørensen V, Jensen SP, Larsen BXN, Jensen ACØ, Frederiksen M, Wolkoff P. Characterization of the aerosol release from spray cleaning and disinfection products - Spray scenarios in a climate chamber. Int J Hyg Environ Health 2023; 252:114220. [PMID: 37429119 DOI: 10.1016/j.ijheh.2023.114220] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 07/03/2023] [Accepted: 07/03/2023] [Indexed: 07/12/2023]
Abstract
Cleaning work using spray products has been associated with adverse respiratory effects but little is known of the exposure concentrations. The purpose of this study was to characterize aerosol generation at spray scenarios in a controlled climate chamber. Spraying on vertically and horizontally oriented surfaces, as well as spraying on a cloth, was investigated. Furthermore, the effect of nozzle geometry was tested. The average mass generation rates of six pressurized spray cans and 13 trigger sprays were about 1.7 g/s and did not differ significantly, but the average values of the individual sprays had large variations (0.5-3.1 g/s). The time required to halve the air concentration of aerosol particles, the half-life time, was determined for all spray products. The average half-life time of the total particle mass concentration (TPMC) of the pressurized spray cans was 0.5 h versus 0.25 h for trigger sprays. Gravimetrically determined airborne fractions of pressurized spray cans tended to be higher than those of trigger sprays. However, airborne fractions based on the measured peak TPMC were up to three orders of magnitude smaller. A comparison of different trigger spray nozzles when spraying the same product showed that the TPMC can be up to 18 times higher for the largest emitting nozzle. The distance of the nozzle to a cloth should be 1 cm to significantly reduce the concentration of the generated aerosols. ConsExpo modeling predicted the measured peak TPMC well but less well the decay.
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Affiliation(s)
- Per Axel Clausen
- National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen Ø DK-2100, Denmark.
| | - Vivi Kofoed-Sørensen
- National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen Ø DK-2100, Denmark
| | - Simon Pelle Jensen
- National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen Ø DK-2100, Denmark
| | - Bianca Xuan Nguyen Larsen
- National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen Ø DK-2100, Denmark
| | | | - Marie Frederiksen
- National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen Ø DK-2100, Denmark
| | - Peder Wolkoff
- National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen Ø DK-2100, Denmark
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Park SK, Lee HJ, Song E, Jung Y, Yoo HJ, Oh JE, Shin HM, Kwon JH. Filling gaps between exposure modeling and the analysis of urinary biomarkers using personal air monitoring: An intervention study of permethrin used in home insecticide spray. INDOOR AIR 2022; 32:e13090. [PMID: 36040288 DOI: 10.1111/ina.13090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 06/17/2022] [Accepted: 07/23/2022] [Indexed: 06/15/2023]
Abstract
Permethrin is one of the most widely used active ingredients in spray-type home insecticides. However, indoor permethrin exposure resulting from the use of home insecticides is not well-characterized, as measured permethrin concentrations in indoor environmental and biological media with a known application rate are scarce. We conducted an intervention study with four participants for seven days. We conducted personal air monitoring and collected 24-h urine samples in which we quantified time-weighted average (TWA) permethrin concentrations in indoor air (Cair ) and urinary concentrations of two permethrin metabolites, 3-phenoxybenzoic acid (3-PBA) and cis/trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane carboxylic acid (cis/trans-DCCA). We also estimated (1) TWA Cair using a simple indoor air model and (2) urinary excreted (UE) mass using a simple excretion model with both estimated and measured TWA Cair . Measurements of TWA Cair from personal air monitoring were lower than those estimated from the indoor model by a factor of 2.9 to 49.4. The ratio of estimated to measured UE mass ranged 3.5-18.2 when using estimated TWA Cair and 1.1-2.9 when using measured TWA Cair . Smaller ratios in estimating internal permethrin exposure from personal air monitoring suggest that personal air monitoring could reduce uncertainties in permethrin exposure assessment resulting from the use of spray-type insecticides.
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Affiliation(s)
- Seon-Kyung Park
- Division of Environmental Science and Ecological Engineering, Korea University, Seoul, Republic of Korea
| | - Heon-Jun Lee
- Department of Environmental Engineering, Pusan National University, Busan, Republic of Korea
| | - Eugene Song
- Department of Consumer Science, Chungbuk National University, Chungbuk, Republic of Korea
| | - Yerin Jung
- Division of Environmental Science and Ecological Engineering, Korea University, Seoul, Republic of Korea
- Department of Earth and Environmental Sciences, University of Texas at Arlington, Arlington, Texas, USA
| | - Hyun Jung Yoo
- Department of Consumer Science, Chungbuk National University, Chungbuk, Republic of Korea
| | - Jeong-Eun Oh
- Department of Environmental Engineering, Pusan National University, Busan, Republic of Korea
| | - Hyeong-Moo Shin
- Department of Environmental Science, Baylor University, Waco, Texas, USA
- Department of Environmental and Occupational Health, University of California, Irvine, CA, USA
| | - Jung-Hwan Kwon
- Division of Environmental Science and Ecological Engineering, Korea University, Seoul, Republic of Korea
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Osimitz TG, Droege W. Adverse Outcome Pathway for Antimicrobial Quaternary Ammonium Compounds. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2022; 85:494-510. [PMID: 35191814 DOI: 10.1080/15287394.2022.2037479] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Quaternary ammonium compounds (QACs) or quats are a large class of antimicrobial chemicals used in households and institutions as sanitizers and disinfectants. These chemicals are utilized as food processing sanitizers, algicides, in the process of water treatment, and preservatives in cosmetics. The aim of this study was to determine an Adverse Outcome Pathway (AOP) whereby two widely used QACs, alkyl dimethyl benzyl ammonium chloride (ADBAC) and didecyl dimethyl ammonium chloride (DDAC), may result in respiratory tract and gastrointestinal tract effects. When inhaled or ingested, these QACs are incorporated into the epithelial cell membrane at the point of contact. With sufficient dosage, the epithelial membrane is disrupted, reducing its fluidity, and releasing cellular contents. Further, ADBAC and DDAC might disrupt mitochondrial functions leading to decreased ATP production. Both events might lead to cell death, either attributed to direct lysis, necrosis, or apoptosis. Pro-inflammatory mediators are recruited to the tissue, inducing inflammation, edema, and excess mucus production. The primary tissue-level adverse outcome is epithelial degeneration and dysplasia. Most important, no apparent metabolism or distribution is involved in QAC action. Based upon this knowledge, it is suggested to replace default Uncertainty Factors for risk assessments with a set of Data Derived Extrapolation Factors.
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Affiliation(s)
- T G Osimitz
- Science Strategies, LLC, Charlottesville, VA USA
| | - W Droege
- Science Strategies, LLC, Charlottesville, VA USA
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Park SK, Lee HJ, Song E, Kim Y, Kim DY, Lee JH, Yoo HJ, Oh JE, Kwon JH. Exposure to permethrin used as a home insecticide: A case study comparing model predictions and excretion of metabolites. ENVIRONMENT INTERNATIONAL 2021; 155:106581. [PMID: 33910076 DOI: 10.1016/j.envint.2021.106581] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 04/09/2021] [Accepted: 04/12/2021] [Indexed: 06/12/2023]
Abstract
Pyrethroids have been widely used as an active ingredient in home insecticide products since the 1960 s. Although their occurrence in indoor environments has been studied, the contribution of home insecticide application to the aggregate exposure to pyrethroids is not well known. The objective of this study was to estimate the consumer exposure to permethrin, a representative pyrethroid, via the use of home insecticide spray during the summer season using biomonitoring and personal exposure modeling. Exposure to permethrin was assessed by analyzing its urinary metabolites, 3-phenoxybenzoic acid (3-PBA) and cis/trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropan carboxylic acid (cis/trans-DCCA), for a group of consumers (n = 27). The levels of metabolites were also compared with those predicted by a screening exposure model considering personal exposure parameters. The levels of metabolites in 15 participants increased significantly (p < 0.05) with the application of home insecticide products, thereby suggesting that the heavy use of home insecticides during summer could be an important exposure route of permethrin in addition to other sources, such as food consumption. The total amount of excreted 3-PBA and cis/trans-DCCA was lower than the amount estimated by the exposure model for most participants by a factor of 0.9-861.0. These differences could be attributed to the rapid loss of permethrin after application, including sorption to indoor surfaces, reaction with indoor substances, individual biological variations, and ventilation during application. However, the screening exposure model used for the initial safety assessment of biocidal products generally performed well because it did not underestimate the personal exposure to permethrin during the application of home insecticide spray.
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Affiliation(s)
- Seon-Kyung Park
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea
| | - Heon-Jun Lee
- Department of Environmental Engineering, Pusan National University, 63 Busandaehak-ro, Geumjeong-gu, Busan 46241, Republic of Korea
| | - Eugene Song
- Department of Consumer Science, Chungbuk National University, 1 Chungdae-ro, Seowon-Gu, Chungbuk 28644, Republic of Korea
| | - Yoonsub Kim
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea
| | - Du Yung Kim
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea
| | - Jong-Hyeon Lee
- EH R&C, Environmental Research Center, 410 Jeongseojin-ro, Seo-gu, Incheon 22689, Republic of Korea
| | - Hyun Jung Yoo
- Department of Consumer Science, Chungbuk National University, 1 Chungdae-ro, Seowon-Gu, Chungbuk 28644, Republic of Korea
| | - Jeong-Eun Oh
- Department of Environmental Engineering, Pusan National University, 63 Busandaehak-ro, Geumjeong-gu, Busan 46241, Republic of Korea
| | - Jung-Hwan Kwon
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea.
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Hahn S, Meyer J, Roitzsch M, Delmaar C, Koch W, Schwarz J, Heiland A, Schendel T, Jung C, Schlüter U. Modelling Exposure by Spraying Activities-Status and Future Needs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7737. [PMID: 34360034 PMCID: PMC8345348 DOI: 10.3390/ijerph18157737] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/30/2021] [Accepted: 07/01/2021] [Indexed: 12/30/2022]
Abstract
Spray applications enable a uniform distribution of substances on surfaces in a highly efficient manner, and thus can be found at workplaces as well as in consumer environments. A systematic literature review on modelling exposure by spraying activities has been conducted and status and further needs have been discussed with experts at a symposium. This review summarizes the current knowledge about models and their level of conservatism and accuracy. We found that extraction of relevant information on model performance for spraying from published studies and interpretation of model accuracy proved to be challenging, as the studies often accounted for only a small part of potential spray applications. To achieve a better quality of exposure estimates in the future, more systematic evaluation of models is beneficial, taking into account a representative variety of spray equipment and application patterns. Model predictions could be improved by more accurate consideration of variation in spray equipment. Inter-model harmonization with regard to spray input parameters and appropriate grouping of spray exposure situations is recommended. From a user perspective, a platform or database with information on different spraying equipment and techniques and agreed standard parameters for specific spraying scenarios from different regulations may be useful.
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Affiliation(s)
- Stefan Hahn
- Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany;
| | - Jessica Meyer
- Federal Institute for Occupational Safety and Health BAuA, Friedrich-Henkel-Weg 1-25, 44149 Dortmund, Germany; (J.M.); (M.R.); (J.S.); (U.S.)
| | - Michael Roitzsch
- Federal Institute for Occupational Safety and Health BAuA, Friedrich-Henkel-Weg 1-25, 44149 Dortmund, Germany; (J.M.); (M.R.); (J.S.); (U.S.)
| | - Christiaan Delmaar
- National Institute for Public Health and the Environment RIVM, PB 1, 3720 Bilthoven, The Netherlands;
| | - Wolfgang Koch
- Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany;
| | - Janine Schwarz
- Federal Institute for Occupational Safety and Health BAuA, Friedrich-Henkel-Weg 1-25, 44149 Dortmund, Germany; (J.M.); (M.R.); (J.S.); (U.S.)
| | - Astrid Heiland
- Federal Institute for Risk Assessment BfR, Max-Dohrn-Straße 8–10, 10589 Berlin, Germany; (A.H.); (T.S.); (C.J.)
| | - Thomas Schendel
- Federal Institute for Risk Assessment BfR, Max-Dohrn-Straße 8–10, 10589 Berlin, Germany; (A.H.); (T.S.); (C.J.)
| | - Christian Jung
- Federal Institute for Risk Assessment BfR, Max-Dohrn-Straße 8–10, 10589 Berlin, Germany; (A.H.); (T.S.); (C.J.)
| | - Urs Schlüter
- Federal Institute for Occupational Safety and Health BAuA, Friedrich-Henkel-Weg 1-25, 44149 Dortmund, Germany; (J.M.); (M.R.); (J.S.); (U.S.)
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Jung Y, Kim Y, Seol HS, Lee JH, Kwon JH. Spatial Uncertainty in Modeling Inhalation Exposure to Volatile Organic Compounds in Response to the Application of Consumer Spray Products. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5334. [PMID: 34067803 PMCID: PMC8157054 DOI: 10.3390/ijerph18105334] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Revised: 05/11/2021] [Accepted: 05/14/2021] [Indexed: 11/16/2022]
Abstract
(1) Background: Mathematical exposure modeling of volatile organic compounds (VOCs) in consumer spray products mostly assumes instantaneous mixing in a room. This well-mixed assumption may result in the uncertainty of exposure estimation in terms of spatial resolution. As the inhalation exposure to chemicals from consumer spray products may depend on the spatial heterogeneity, the degree of uncertainty of a well-mixed assumption should be evaluated under specific exposure scenarios. (2) Methods: A room for simulation was divided into eight compartments to simulate inhalation exposure to an ethanol trigger and a propellant product. Real-time measurements of the atmospheric concentration in a room-sized chamber by proton transfer reaction mass spectrometry were compared with mathematical modeling to evaluate the non-homogeneous distribution of chemicals after their application. (3) Results: The well-mixed model overestimated short-term exposure, particularly under the trigger spray scenario. The uncertainty regarding the different chemical proportions in the trigger did not significantly vary in this study. (4) Conclusions: Inhalation exposure to aerosol generating sprays should consider the spatial uncertainty in terms of the estimation of short-term exposure.
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Affiliation(s)
- Yerin Jung
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Korea; (Y.J.); (Y.K.)
- Program in Public Health, University of California, Irvine, CA 92697, USA
| | - Yoonsub Kim
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Korea; (Y.J.); (Y.K.)
- Environment & Safety Research Center, Samsung Electronics Co. Ltd., Samsungjeonja-ro 1, Gyeonggi-do, Hwaseong-si 18448, Korea
| | - Hwi-Soo Seol
- EH R&C, Environmental Research Center, 410 Jeongseojin-ro, Seo-gu, Incheon 22689, Korea; (H.-S.S.); (J.-H.L.)
| | - Jong-Hyeon Lee
- EH R&C, Environmental Research Center, 410 Jeongseojin-ro, Seo-gu, Incheon 22689, Korea; (H.-S.S.); (J.-H.L.)
| | - Jung-Hwan Kwon
- Division of Environmental Science and Ecological Engineering, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Korea; (Y.J.); (Y.K.)
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Schendel T, Rogasch EC. Insights Gained from an Approximate Analytical Solution of the Evaporation Model Used by ConsExpo Web. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18062829. [PMID: 33802140 PMCID: PMC8000556 DOI: 10.3390/ijerph18062829] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 03/05/2021] [Accepted: 03/07/2021] [Indexed: 11/16/2022]
Abstract
Evaporation of chemicals is an important source of inhalative exposure. We analyzed here the ConsExpo evaporation model, which is characterized by a set of nonlinear differential equations only solvable by numerical means. It shows qualitatively different behavior for different parameters, but the exact conditions remain unclear. This article presents an approximate analytical solution of the ConsExpo evaporation model, derived by using a specific linearization of the nonlinear equations valid for small concentrations. From this solution, three different boundary cases or regimes are found: quick release, near equilibrium, and ventilation driven regime. Depending on the evaporation regime, different parameters influence peak substance air concentration: Quick release regime: total substance amount and room volume; near equilibrium regime: vapor pressure, substance concentration in the product, and molecular weight of the product matrix; ventilation driven regime: vapor pressure, substance concentration in the product, room volume, surface area, mass transfer coefficient, ventilation rate, and molecular weight of the product matrix. A graphical method is developed to display the position of a given scenario in relation to the three regimes. Thus, the approximate analytical solution allows for a given situation to prioritize research for reducing uncertainty of the most sensitive parameters and helps to identify promising risk management measures.
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Chemicals inhaled from spray cleaning and disinfection products and their respiratory effects. A comprehensive review. Int J Hyg Environ Health 2020; 229:113592. [PMID: 32810683 DOI: 10.1016/j.ijheh.2020.113592] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 05/20/2020] [Accepted: 07/03/2020] [Indexed: 12/13/2022]
Abstract
Spray cleaning and disinfection products have been associated with adverse respiratory effects in professional cleaners and among residents doing domestic cleaning. This review combines information about use of spray products from epidemiological and clinical studies, in vivo and in vitro toxicological studies of cleaning chemicals, as well as human and field exposure studies. The most frequent chemicals in spray cleaning and disinfection products were compiled, based on registrations in the Danish Product Registry. The chemicals were divided into acids, bases, disinfectants, fragrances, organic solvents, propellants, and tensides. In addition, an assessment of selected cleaning and disinfectant chemicals in spray products was carried out. Chemicals of concern regarding respiratory effects (e.g. asthma) are corrosive chemicals such as strong acids and bases (including ammonia and hypochlorite) and quaternary ammonium compounds (QACs). However, the evidence for respiratory effects after inhalation of QACs is ambiguous. Common fragrances are generally not considered to be of concern following inhalation. Solvents including glycols and glycol ethers as well as propellants are generally weak airway irritants and not expected to induce sensitization in the airways. Mixing of certain cleaning products can produce corrosive airborne chemicals. We discuss different hypotheses for the mechanisms behind the development of respiratory effects of inhalation of chemicals in cleaning agents. An integrative assessment is needed to understand how these chemicals can cause the various respiratory effects.
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