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Khoshakhlagh AH, Mohammadzadeh M, Ghobakhloo S, Cheng H, Gruszecka-Kosowska A, Knight J. Health risk assessment from inhalation exposure to indoor formaldehyde: A systematic review and meta-analysis. JOURNAL OF HAZARDOUS MATERIALS 2024; 471:134307. [PMID: 38678702 DOI: 10.1016/j.jhazmat.2024.134307] [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: 01/14/2024] [Revised: 03/21/2024] [Accepted: 04/12/2024] [Indexed: 05/01/2024]
Abstract
This systematic review and meta-analysis investigated studies on formaldehyde (FA) inhalation exposure in indoor environments and related carcinogenic (CR) and non-carcinogenic (HQ) risk. Studies were obtained from Scopus, PubMed, Web of Science, Medline, and Embase databases without time limitation until November 21, 2023. Studies not meeting the criteria of Population, Exposure, Comparator, and Outcomes (PECO) were excluded. The 45 articles included belonged to the 5 types of sites: dwelling environments, educational centers, kindergartens, vehicle cabins, and other indoor environments. A meta-analysis determined the average effect size (ES) between indoor FA concentrations, CR, and HQ values in each type of indoor environment. FA concentrations ranged from 0.01 to 1620 μg/m3. The highest FA concentrations were stated in water pipe cafés and the lowest in residential environments. In more than 90% of the studies uncertain (1.00 ×10-6 1.00 ×10-4) due to FA inhalation exposure was reported and non-carcinogenic risk was stated acceptable. The meta-analysis revealed the highest CR values due to inhalation of indoor FA in high-income countries. As 90% of the time is spent indoors, it is crucial to adopt effective strategies to reduce FA concentrations, especially in kindergartens and schools, with regular monitoring of indoor air quality.
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Affiliation(s)
- Amir Hossein Khoshakhlagh
- Department of Occupational Health Engineering, School of Health, Kashan University of Medical Sciences, Kashan, Iran
| | - Mahdiyeh Mohammadzadeh
- Department of Health in Emergencies and Disasters, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
| | - Safiye Ghobakhloo
- Department of Environmental Health Engineering, School of Health, Kashan University of Medical Sciences, Kashan, Iran
| | - Hefa Cheng
- MOE Key Laboratory for Earth Surface Processes, College of Urban and Environmental Sciences, Peking University, Beijing 100871, China
| | - Agnieszka Gruszecka-Kosowska
- AGH University of Krakow, Faculty of Geology, Geophysics, and Environmental Protection, Department of Environmental Protection, Al. Mickiewicza 30, 30-059, Krakow, Poland
| | - Jasper Knight
- School of Geography, Archaeology & Environmental Studies, University of the Witwatersrand, Johannesburg 2050, South Africa
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Khoshakhlagh AH, Mohammadzadeh M, Sicard P, Bamel U. Human exposure to formaldehyde and health risk assessment: a 46-year systematic literature review. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2024; 46:206. [PMID: 38724672 DOI: 10.1007/s10653-024-02004-4] [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: 02/16/2024] [Accepted: 04/18/2024] [Indexed: 06/17/2024]
Abstract
After confirming that formaldehyde (FA) is carcinogenic, many studies were conducted in different countries to investigate this finding. Therefore, according to the dispersion of related studies, a bibliometric review of the current literature was performed with the aim of better understanding the exposure to FA and the resulting health risk, for the first time, using the Scopus database and the two open-source software packages, Bibliometrix R package. After screening the documents in Excel, the data was analyzed based on three aspects including performance analysis, conceptual structure, and intellectual structure, and the results were presented in tables and diagrams. A total of 468 documents were analyzed over period 1977-2023, in which 1956 authors from 56 countries participated. The number of scientific publications has grown significantly from 1977 (n = 1) to 2022 (n = 19). Zhang Y., from the Yale School of Public Health (USA), was identified as the most impactful author in this field. The Science of the Total Environment journal was identified as the main source of articles related to exposure to formaldehyde by publishing 25 studies. The United States and China were the most active countries with the most international collaboration. The main topics investigated during these 46 years included "formaldehyde" and "health risk assessment", which have taken new directions in recent years with the emergence of the keyword "asthma". The present study provides a comprehensive view of the growth and evolution of studies related to formaldehyde and the resulting health risks, which can provide a better understanding of existing research gaps and new and emerging issues.
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Affiliation(s)
- Amir Hossein Khoshakhlagh
- Department of Occupational Health Engineering, School of Health, Kashan University of Medical Sciences, Kashan, Iran
| | - Mahdiyeh Mohammadzadeh
- Department of Health in Emergencies and Disasters, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
| | - Pierre Sicard
- ARGANS, 260 Route du Pin Montard, Biot, France
- INCDS "Marin Drăcea", 077030, Voluntari, Romania
| | - Umesh Bamel
- OB and HRM Group, International Management Institute New Delhi, New Delhi, India
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Sofa SA, Roto R, Aflaha R, Natsir TA, Humairah NA, Kusumaatmaja A, Triyana K, Gupta R. Formaldehyde gas sensors based on a quartz crystal microbalance modified with aniline-doped polyvinyl acetate nanofibers. Analyst 2024; 149:1262-1270. [PMID: 38226482 DOI: 10.1039/d3an01856c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2024]
Abstract
Real-time detection of formaldehyde in the atmosphere remains challenging. The available gaseous formaldehyde sensing methods offer limited sensitivity, selectivity, and robustness. We modified a quartz crystal microbalance (QCM) system for selective detection of formaldehyde in air. The QCM surface was functionalized with polyvinyl acetate (PVAc) nanofibers and doped with 2, 4, and 6 wt% aniline to improve the selectivity and sensitivity of the sensor. The chemical content and morphological structure of PVAc nanofibers doped with aniline were confirmed by Fourier-transform infrared (FTIR) spectroscopy, energy-dispersive X-ray (EDX) spectroscopy, and scanning electron microscopy (SEM). The results showed that the modified QCM sensor had a sensitivity of 0.056 Hz ppm-1 with a response and recovery times of 200 s and 90 s, respectively. It gave limits of detection (LOD) and limit of quantification (LOQ) of 28 ppm and 96 ppm, respectively. Moreover, the modified QCM was selective towards formaldehyde compared to the other gases. The current workplace exposure limit (WEL) for formaldehyde is 2 ppm, with a time-weighted average over eight hours. Future work will focus on improving the reported QCM sensor to meet the required LOD for formaldehyde detection in the environment and industrial sites.
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Affiliation(s)
- Sintia Ainus Sofa
- Department of Chemistry, Faculty of Mathematics and Natural Sciences, Universitas Gadjah Mada, Sekip Utara, BLS 21, Yogyakarta 55281, Indonesia.
| | - Roto Roto
- Department of Chemistry, Faculty of Mathematics and Natural Sciences, Universitas Gadjah Mada, Sekip Utara, BLS 21, Yogyakarta 55281, Indonesia.
| | - Rizky Aflaha
- Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Gadjah Mada, Sekip Utara, BLS 21, Yogyakarta 55281, Indonesia
| | - Taufik Abdillah Natsir
- Department of Chemistry, Faculty of Mathematics and Natural Sciences, Universitas Gadjah Mada, Sekip Utara, BLS 21, Yogyakarta 55281, Indonesia.
| | - Nur Aisyah Humairah
- Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Gadjah Mada, Sekip Utara, BLS 21, Yogyakarta 55281, Indonesia
| | - Ahmad Kusumaatmaja
- Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Gadjah Mada, Sekip Utara, BLS 21, Yogyakarta 55281, Indonesia
| | - Kuwat Triyana
- Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Gadjah Mada, Sekip Utara, BLS 21, Yogyakarta 55281, Indonesia
| | - Ruchi Gupta
- School of Chemistry, University of Birmingham, Birmingham, B15 2TT, UK
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Khoshakhlagh AH, Mohammadzadeh M, Manafi SS, Yousefian F, Gruszecka-Kosowska A. Inhalational exposure to formaldehyde, carcinogenic, and non-carcinogenic risk assessment: A systematic review. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2023:121854. [PMID: 37236589 DOI: 10.1016/j.envpol.2023.121854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 05/16/2023] [Accepted: 05/18/2023] [Indexed: 05/28/2023]
Abstract
Formaldehyde is one of the most widely used substances in a variety of industries, although it was classified as a human carcinogen by the International Agency for Research on Cancer (IARC). The present systematic review was conducted to retrieve studies related to occupational exposure to formaldehyde until November 2, 2022. Aims of the study were to identify workplaces exposed to formaldehyde, to investigate the formaldehyde concentrations in various occupations and to evaluate carcinogenic and non-carcinogenic risks caused by respiratory exposure to this chemical among workers. A systematic search was done in Scopus, PubMed and Web of Science databases to find the studies done in this field. In this review, studies that did not meet the criteria specified by Population, Exposure, Comparator, and Outcomes (PECO) approach were excluded. In addition, the inclusion of studies dealing with the biological monitoring of FA in the body and review studies, conference articles, books, and letters to the editors were avoided. The quality of the selected studies was also evaluated using the Joanna Briggs Institute (JBI) checklist for analytic-cross-sectional studies. Finally, 828 studies were found, and after the investigations, 35 articles were included in this study. The results revealed that the highest formaldehyde concentrations were observed in waterpipe cafes (1,620,000 μg/m3) and anatomy and pathology laboratories (4237.5 μg/m3). Carcinogenic and non-carcinogenic risk indicated the potential health effects for employees due to respiratory exposure as acceptable levels of CR = 1.00 × 10-4 and HQ = 1, respectively were reported to be exceeded in more than 71% and 28.57% of the investigated studies. Therefore, according to the confirmation of formaldehyde's adverse health effects, it is necessary to adopt targeted strategies to reduce or eliminate exposure to this compound from the occupational usage.
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Affiliation(s)
- Amir Hossein Khoshakhlagh
- Department of Occupational Health Engineering, School of Health, Kashan University of Medical Sciences, Kashan, Iran
| | - Mahdiyeh Mohammadzadeh
- Social Determinants of Health (SDH) Research Center, Department of Environment Health, Kashan University of Medical Sciences, Kashan, Iran.
| | - Seyede Somayeh Manafi
- Head of Environmental and Urban Health Studies, Tehran Urban Research and Planning Center Municipality of Tehran, Tehran, Iran
| | - Fatemeh Yousefian
- Department of Environmental Health Engineering, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran
| | - Agnieszka Gruszecka-Kosowska
- AGH University of Science and Technology; Faculty of Geology, Geophysics, and Environmental Protection; Department of Environmental Protection; Al. Mickiewicza 30, 30-059 Krakow, Poland
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Choi YH, Kim HJ, Sohn JR, Seo JH. Occupational exposure to VOCs and carbonyl compounds in beauty salons and health risks associated with it in South Korea. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2023; 256:114873. [PMID: 37043945 DOI: 10.1016/j.ecoenv.2023.114873] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 03/21/2023] [Accepted: 04/04/2023] [Indexed: 06/19/2023]
Abstract
Long-term exposure to volatile organic compounds (VOCs) and carbonyl compounds in beauty products may adversely impact the health of beauty salon technicians. Previous studies have focused on assessing indoor air concentrations of chemicals, such as benzene and toluene, and not on personal exposure concentrations. This study measured the indoor and personal exposure concentrations of VOCs and carbonyl compounds in fifty-three beauty salons in Korea. Non-carcinogenic and carcinogenic risks and sensitivity were analyzed using the Monte Carlo simulation technique. The indoor and personal exposure concentrations of acetone were 82.24 µg/m3 and 104.97 µg/m3, respectively, the highest among all measured chemicals. Beauty salon technicians who experienced adverse health effects had significantly higher concentrations of acetone, benzaldehyde, and toluene than those who did not experience adverse health effects (p-value < 0.05). The average hazard quotients of formaldehyde and acetaldehyde were higher than the acceptable risk level (1), and the average cancer risks of formaldehyde exceeded the acceptable risk level (10-6). Wearing personal protective equipment was the most efficient risk reduction strategy for reducing the non-cancer risks of acetaldehyde and formaldehyde and the carcinogenic risks of formaldehyde. The results of this study can be used as a basis for reducing exposure to VOCs and carbonyl compounds among salon technicians.
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Affiliation(s)
- Yun-Hee Choi
- Department of Health and Safety Convergence Science, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, the Republic of Korea; BK21 FOUR R&E Center for Learning Health System, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, the Republic of Korea
| | - Hyun Jung Kim
- Department of Health and Safety Convergence Science, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, the Republic of Korea; Graduate School of Air Quality Management, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, the Republic of Korea
| | - Jong Ryeul Sohn
- Institute of Health Sciences, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, the Republic of Korea; Graduate School of Air Quality Management, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, the Republic of Korea
| | - Ji Hoon Seo
- Institute of Health Sciences, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, the Republic of Korea; Graduate School of Air Quality Management, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, the Republic of Korea.
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Ricklund N, Bryngelsson IL, Hagberg J. Occupational Exposure to Volatile Organic Compounds (VOCs), Including Aldehydes for Swedish Hairdressers. Ann Work Expo Health 2023; 67:366-378. [PMID: 36420746 PMCID: PMC10015803 DOI: 10.1093/annweh/wxac078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 10/20/2022] [Indexed: 11/25/2022] Open
Abstract
Working as a professional hairdresser involves the daily usage of many different hair treatment products containing chemicals in complex mixtures. Exposure may induce symptoms in the airways and on the skin. In this study, exposure of hairdressers to volatile organic compounds (VOCs), including aldehydes, was measured in the personal breathing zone in the spring of 2017. The study included 30 hairdressers evenly distributed over ten hair salons in the town of Örebro, Sweden. Work tasks and indoor climate were also surveilled. A hazard index (HI) based on chronic reference values for health was calculated to indicate combined exposure risk. In total, 90 VOCs, including nine aldehydes, were identified. Individual exposure expressed as a total concentration of VOCs (TVOCs) were in the range of 50-3600 µg/m3 toluene equivalent (median 460 µg/m3) and the HI was in the range 0.0046-13 (median 0.9). Exposure was more strongly influenced by variability among hairdressers than among salons. The HI indicated an increased risk of non-carcinogenic effects (HI ≥ 1) at four of the 10 hair salons. Individual working procedures, ventilation, volumetric usage of hair treatment products, certain chemicals in products (formaldehyde, isopropanol, and 2,4- and 2,6-toluene diisocyanate), and availability of reference values may have affected estimates of exposure risks. Nevertheless, the HI may be suitable as a screening tool to assess potential exposure risk posed to hairdressers since it considers the complexity of chemical mixtures and the chronic component of VOC exposure occurring in all indoor environments.
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Affiliation(s)
- Niklas Ricklund
- Department of Occupational and Environmental Health, Faculty of Business, Science and Engineering, Örebro University, SE 70182 Örebro, Sweden
| | - Ing-Liss Bryngelsson
- Department of Occupational and Environmental Health, Faculty of Business, Science and Engineering, Örebro University, SE 70182 Örebro, Sweden
| | - Jessika Hagberg
- Department of Occupational and Environmental Health, Faculty of Business, Science and Engineering, Örebro University, SE 70182 Örebro, Sweden
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Wang S, Han Q, Wei Z, Wang Y, Deng L, Chen M. Formaldehyde causes an increase in blood pressure by activating ACE/AT1R axis. Toxicology 2023; 486:153442. [PMID: 36706861 DOI: 10.1016/j.tox.2023.153442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Revised: 01/14/2023] [Accepted: 01/23/2023] [Indexed: 01/26/2023]
Abstract
Previous studies suggest some link between formaldehyde exposure and harmful cardiovascular effects. But whether exposure to formaldehyde can cause blood pressure to rise, and if so, what the underlying mechanism is, remains unclear. In this study, C57BL/6 male mice were exposed to 0.1, 0.5, 2.5 mg/m3 of gaseous formaldehyde for 4 h daily over a three-week period. The systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP) and heart rate (HR) of the mice were measured by tail-cuff plethysmography, and any histopathological changes in the target organs of hypertension were investigated. The results showed that exposure to formaldehyde did cause a significant increase in blood pressure and heart rate, and resulted in varying degrees of damage to the heart, aortic vessels and kidneys. To explore the underlying mechanism, a specific inhibitor of angiotensin converting enzyme (ACE) was used to block the ACE/AT1R axis. We observed the levels of ACE and angiotensin II type 1 receptor (AT1R), as well as the bradykinin (BK) in cardiac cytoplasm. The data suggest that exposure to formaldehyde induced an increase in the expression of ACE and AT1R, and decreased the levels of BK. Strikingly, treatment with 5 mg/kg/d ACE inhibitor can attenuate the increase in blood pressure and the pathological changes caused by formaldehyde exposure. This result has improved our understanding of whether, and how, formaldehyde exposure affects the development of hypertension.
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Affiliation(s)
- Shuwei Wang
- Hubei Key Laboratory of Genetic Regulation and Integrative Biology, School of Life Sciences, Central China Normal University, Wuhan 430079 Hubei, China
| | - Qi Han
- Hubei Key Laboratory of Genetic Regulation and Integrative Biology, School of Life Sciences, Central China Normal University, Wuhan 430079 Hubei, China
| | - Zhaolan Wei
- Hubei Key Laboratory of Genetic Regulation and Integrative Biology, School of Life Sciences, Central China Normal University, Wuhan 430079 Hubei, China
| | - Yunyi Wang
- Hubei Key Laboratory of Genetic Regulation and Integrative Biology, School of Life Sciences, Central China Normal University, Wuhan 430079 Hubei, China
| | - Lingfu Deng
- Hubei Key Laboratory of Genetic Regulation and Integrative Biology, School of Life Sciences, Central China Normal University, Wuhan 430079 Hubei, China
| | - Mingqing Chen
- Hubei Key Laboratory of Genetic Regulation and Integrative Biology, School of Life Sciences, Central China Normal University, Wuhan 430079 Hubei, China.
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Kangarlou MB, Fatemi F, Dehdashti A, Iravani H, Saleh E. Occupational health risk assessment of airborne formaldehyde in medical laboratories. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:50392-50401. [PMID: 36795204 DOI: 10.1007/s11356-023-25523-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 01/19/2023] [Indexed: 02/17/2023]
Abstract
The professional use of formaldehyde is a major occupational health concern in medical laboratory operations. Quantification of various risks associated with chronic exposure to formaldehyde may help in understanding the related hazards. This study designed to assess the health risks associated with inhalation exposure to formaldehyde involving biological, cancer, and non-cancer risks in medical laboratories. This study was performed in the hospital laboratories at Semnan Medical Sciences University. Risk assessment was performed in pathology, bacteriology, hematology, biochemistry, and serology laboratories with 30 employees, using formaldehyde in their daily routine operations. We determined area and personal exposures to airborne contaminant, applied standard air sampling, and analytical method recommended by National Institute of Occupational Safety and Health (NIOSH). We addressed formaldehyde-specific hazard by estimating peak blood level, life cancer risk, and the hazard quotient of non-cancer risks, adapted from Environmental Protection Agency (EPA) assessment method. The airborne formaldehyde concentrations in the laboratory personal samples ranged 0.0156-0.5940 ppm (mean = 0.195 ppm, SD = 0.048) and area exposure ranged 0.0285-1.0810 ppm (mean = 0.462 ppm, SD = 0.087). Based on workplace exposure, peak blood levels of formaldehyde were estimated at minimum 0.0026 mg/l to maximum 0.152 mg/l (mean = 0.015 mg/l, SD = 0.016). The mean cancer risk levels in terms of area and personal exposures were estimated respectively at 3.93 E - 8 μg/m3 and 1.84 E - 4 μg/m3, and for the non-cancer risk levels of the same exposures measured respectively at 0.03 μg/m3 and 0.07 μg/m3. Formaldehyde levels were significantly higher among laboratory employees, especially bacteriology workers. Exposure and risk could be minimized by strengthening control measures including the use of management controls, engineering controls, and respiratory protection equipment to reduce exposure levels of all workers to less than the allowed exposure limits and improve indoor air quality in the workplace.
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Affiliation(s)
- Marzieh Belji Kangarlou
- Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.,Department of Occupational Health, Faculty of Medical Sciences, Tarbiat Modarres University, Tehran, Iran
| | - Farin Fatemi
- Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
| | - Alireza Dehdashti
- Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran. .,Research Center of Health Sciences and Technologies, Faculty of Health, Semnan University of Medical Sciences, Semnan, Iran.
| | - Hasan Iravani
- Department of Occupational Health Engineering, School of Health, Neyshabur University of Medical Sciences, Neyshabur, Iran
| | - Elahe Saleh
- Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
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Ban J, Su W, Zhong Y, Liu C, Li T. Ambient formaldehyde and mortality: A time series analysis in China. SCIENCE ADVANCES 2022; 8:eabm4097. [PMID: 35776800 PMCID: PMC10883368 DOI: 10.1126/sciadv.abm4097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The potential health impact of low-level ambient formaldehyde has been historically overlooked. We conducted a two-stage time series analysis to investigate associations between ambient formaldehyde and daily nonaccidental, circulatory, and respiratory mortality and six subtypes based on 5,325,585 deaths in 275 Chinese counties between 2013 and 2018 and estimated a concentration-response curve to identify overall associations. After controlling for confounders from meteorological factors, air pollutants, time trend, and day of the week effect, with a 1-part per billion (ppb) increase in the daily concentration of formaldehyde on lag0 day, we found that mortality risks in nonaccidental, circulatory, and respiratory diseases increased by 0.36%, 0.36% and 0.41%, respectively. The curve indicated a possible threshold concentration at approximately 5 ppb for significant impact on nonaccidental and circulatory diseases. We suggest that ambient formaldehyde may represent a potential threat to public health and needs further investigation to support timely pollution regulation and health protection.
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Affiliation(s)
- Jie Ban
- China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - Wenjing Su
- Department of Environmental Science and Engineering, University of Science and Technology of China, Hefei 230026, China
| | - Yu Zhong
- China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
| | - Cheng Liu
- Department of Precision Machinery and Precision Instrumentation, University of Science and Technology of China, Hefei 230026, China
- Key Laboratory of Environmental Optics and Technology, Anhui Institute of Optics and Fine Mechanics, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei 230031, China
- Center for Excellence in Regional Atmospheric Environment, Institute of Urban Environment, Chinese Academy of Sciences, Xiamen 361021, China
| | - Tiantian Li
- China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
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Kezic S, Nunez R, Babić Ž, Hallmann S, Havmose MS, Johansen JD, John SM, Macan M, Symanzik C, Uter W, Weinert P, Turk R, Macan J, van der Molen HF. Occupational Exposure of Hairdressers to Airborne Hazardous Chemicals: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4176. [PMID: 35409860 PMCID: PMC8998463 DOI: 10.3390/ijerph19074176] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 03/23/2022] [Accepted: 03/23/2022] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Exposure to hazardous chemicals released during hairdressing activities from hair care products puts hairdressers at risk of adverse health effects. Safety assessments of hair products are mainly focused on consumers, but exposure for professional hairdressers might be substantially higher. OBJECTIVE To identify and assess available research data on inhalation exposures of professional hairdressers. METHODS A systematic search of studies between 1 January 2000 and 30 April 2021 was performed in Medline, Embase, Web of Science and in Cochrane registry, toxicological dossiers of the Scientific Committee on Consumer Safety (SCCS) of the European Commission as well as the German MAK Commission. Studies reporting quantitative data on airborne concentrations of chemicals in the hairdresser's workplace were considered. The outcome was an airborne concentration of chemicals in the working environment, which was compared, when possible, with current occupational exposure limits (OEL) or guidance levels. RESULTS In total, 23 studies performed in 14 countries were included. The average number of hairdressing salons per study was 22 (range 1-62). Chemicals most frequently measured were formaldehyde (n = 8), ammonia (n = 5), total volatile organic compounds (TVOC) (n = 5), and toluene (n = 4). More than fifty other chemicals were measured in one to three studies, including various aromatic and aliphatic organic solvents, hydrogen peroxide, persulfate, and particulate matter. Most studies reported environmental air concentrations, while personal exposure was measured only in seven studies. The measured air concentrations of formaldehyde, ammonia, and TVOC exceeded OEL or guidance values in some studies. There was large variability in measuring conditions and reported air concentrations differed strongly within and between studies. CONCLUSION Hairdressers are exposed to a wide spectrum of hazardous chemicals, often simultaneously. Airborne concentrations of pollutants depend on salon characteristics such as ventilation and the number of customers but also on used products that are often country- or client-specific. For exposure to formaldehyde, ammonia, and TVOC exceeding OELs or guidance values for indoor air was observed. Therefore, occupational exposure should be taken into account by safety regulations for hair care products.
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Affiliation(s)
- Sanja Kezic
- Amsterdam UMC, Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands
| | - Roberto Nunez
- Amsterdam UMC, Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands
| | - Željka Babić
- Institute for Medical Research and Occupational Health, HR 10001 Zagreb, Croatia
| | - Sarah Hallmann
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen, 91054 Erlangen, Germany
| | - Martin S Havmose
- National Allergy Research Centre, Department of Skin and Allergy, University of Copenhagen, Gentofte Hospital, 2900 Copenhagen, Denmark
| | - Jeanne D Johansen
- National Allergy Research Centre, Department of Skin and Allergy, University of Copenhagen, Gentofte Hospital, 2900 Copenhagen, Denmark
| | - Swen M John
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, 49076 Osnabrück, Germany
- Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), Osnabrück University, 10777 Berlin, Germany
| | - Marija Macan
- Institute for Medical Research and Occupational Health, HR 10001 Zagreb, Croatia
| | - Cara Symanzik
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, 49076 Osnabrück, Germany
- Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), Osnabrück University, 10777 Berlin, Germany
| | - Wolfgang Uter
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen, 91054 Erlangen, Germany
| | - Patricia Weinert
- Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), Osnabrück University, 10777 Berlin, Germany
| | - Rajka Turk
- Institute for Medical Research and Occupational Health, HR 10001 Zagreb, Croatia
| | - Jelena Macan
- Institute for Medical Research and Occupational Health, HR 10001 Zagreb, Croatia
| | - Henk F van der Molen
- Amsterdam UMC, Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands
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