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Acceptable, tolerable, Acceptable, tolerable,

non non - - tolerable tolerable

risks at the workplace risks at the workplace

Herbert. F. Bender, Prof. Dr.

BASF-AG Ludwigshafen

GUS/TD – Hazardous Material Management

History of the German

traffic light model

(2)

Topics

Risks of every day life

Assessment of the risks of carcinogenic substances for all inhabitants of industrial societies

Recommendation of the German Radiation Safety Commission

Comparison of the lethal risks of different industrial and professional areas

Comparison of different risks of chemicals in everyday life

(3)

Risk Perception

Risk of a fatal lightning strike 1 : 1,600,000

Risk of dying from shark attack 1: 70,000,000

Risk in USA of dying as a consequence of a hurricane 1 : 7,000,000 1 : 60,000

Risk of dying by a snakebite 1 : 56,000

Risk for a pregnant woman, dying during childbearth 1 : 300,000

(4)

Risk Perception

Risk of dying in hospital from an infectious disease:

1,000 time higher than from lightning strike!

Optimum hygiene situation could prevent 30% infections in hospitals!

Prof. Daschner,

Uni-Klinikum Freiburg („ German Hygiene pope“)

Most effective measures in hospitals:

hand washing; disinfection!

(5)

Cause of death

Reason annual risk risk per lifetime (80 a)

Smoking 1 : 500 1 : 6

Cancer 1 : 600 1 : 7

Heart disease 1 : 400 1 : 5

Suicide 1 : 8,000 1 : 95

Paragliding 1 : 555 1 : 7

Plane crash 1 : 1,500 1 : 19

(6)

Traffic death in Germany, 2008

Distribution per means of transportation (driver + passenger):

Total number: 4,477

Automobile accident actuated by car defect: < 1 %

Car 2368 53 %

Truck 200 4.5%

Bus 10 0.2 %

Motor-bike 656 14.7 %

Moped 110 2.5 %

Bicycle 456 10.2 %

Pedestrian 653 14.6 %

(7)

Risk from X-ray examination

Additional mortality risk by one time X-ray examination Source: Prof. Jung, Uni Hamburg

Hand 1 : 10 Millionen

Elbow, knee 1 : 1 Million

Lung, cervical spine, skull 1 : 100,000

Thoracic spine, hip, mammography 1 : 40,000

Lumbar spine, abdomen, CT- head 1 : 10,000

Stomach and small intestine (radiography), CT-spine 1 : 2,000 Large intestine and artery (radiography), CT-thorax 1 : 1,000

Kind of examination Risiko

Lung, cervical spine, skull 1 : 100,000

(8)

Risk of Asbestos

Asbestos, 1,000 F/m3 during whole school time: 1 : 1,000,000

Lethal risk of children as pedestrians 1 : 3,000

Asbestos decontamination: longer way to school (10 ms): 1 : 100,000

(9)

Different Exposure Situations

General Population:

(Pt)

Workplace situation:

(Wt)

Exposure duration, in total: 70 a

Annual Exposure : 52 w

Weekly Exposure : 7 d

Daily Exposure : 24 h

Exposure group: everybody including hypersensitive

persons

Exposure : 40 a

Annual Exposure : 44 w

Weekly Exposure : 5 d

Daily Exposure : 8 h

Exposure group : healthy worker

(10)

Starting point of our Discussion

Report of the Federal Environmental Agencies in 1992:

Risk from the 7 most important environmental carcinogens, in total:

Urban population : 1 : 1,000/Pt Rural population: 1 : 5,000/Pt

The risks for the urban population was assessed as being to high.

Goal: adaptation to situation of the rural population Intermediate step:

Urban population : 1 : 2,500/Pt

(11)

Radiation Safety Regulation

Accepted maximum annual radiation dose for employees:

20 mS/a

Accepted maximum lifetime radiation dose for employers:

400 400 mSmS

additional risk cancer : 2 : 100/Wt

Natural Radiation Exposure

radiation dose: 1 mS/a

additional risk cancer: 4 : 1,000/Pt

(12)

Lethal risks in different branches of economy

Forestry 2.5 : 1,000 /Wt

Agriculture 3 : 1,000 /Wt

Construction 2 : 1,000 /Wt

Mining 3 : 1,000 /Wt

Retail 4 : 10,000 /Wt

(13)

Common substances risks of every day life

Arsenic in drinking water (10 µg/l)

5 : 10,000/Pt

Dioxin in food (2 pg Teq/kg)

3 : 10,000/Pt

Diesel engine emissions (5 ng BaP/m

3

)

2 : 10,000/Pt

Cadmium in environmental dust

2 : 100,000/Pt

(14)

Natural carcinogens in food

cauliflower 12 – 66 ppm Brussel sprouts 110 – 1,560 ppm mustard 16,000 – 72,000 ppm

horseradish 4,500 ppm

Allylisothiocyanat

bacon (100 g) 0,3 μg

calamaris 7,9 μg

Dimethyl-nitrosamine

(15)

Thresholds for Carcinogens and Mutagens

Are there currently no health-based thresholds for every carcinogens and mutagens?

Is this statement true for

all all

carcinogens and mutagens?

non-genotoxic

(and non DNA-reactive) carcinogens have thresholds as a basic principle and a health-based OEL can be established!

⇒ carcinogens of category 4 German MAK-List,

SCOEL Group D

genotoxic

carcinogens can also have a threshold

⇒ category 5 of German MAK-List,

SCOEL Group C

(16)

Different kind of Carcinogens

A Carinogen Cat. 1A, 1B or 2 can be quite different!

Category 1A, 1B

Category 2B Category 4 Category 5

genotoxic carcinogens

non-genotoxic Carcinogens

have a threshold have usually no

threshold

with

threshold!

(17)

Risk extrapolation from high to low exposure

Dose [mg/kg/d]

1

10-6 10-4 10-2

100

1

0.1

0.01

0.001

%

Area of experimental

experience

tolerable risk

acceptable risk intermediate

acceptable risk final

(18)

General population

Accepted risks in different countries, e.g. NL (DECOS), USA (EPA)

1 : 1,000,000 Pt

Calculated for the workplace situations, based on the same exposure dose :

4 : 100,000 Wt

(19)

Risk Thresholds in Germany

Tolerable Risk: 4 : 1,000 Wt

Acceptable Risk

(intermediate, until 2018

: 4 : 10,000 Wt)

from 2019:

4 : 100,000 Wt

Acceptable risk:

Risk at the workplace without any additional safety measures required by the agencies

Tolerable Risk:

Threshold, above which employees should not be exposed

(20)

Safety measures concept

Division into 3 risk areas:

Low risk: below acceptable limit

Medium risk: between acceptable and tolerable limit

High risk: above tolerable limit

(21)

Safety measure concept

Priorisation of the different measure options in dependence of the risk

Background

concentration Acceptable risk Tolerable risk

Basic measures

Increased necessity of risk reduction measures

Importance of socio- economic criteria

Area of safety measures Risk

(22)

Consideration: state of technology

Procedure is needed, if state of the technology is belove tolerable concentration

or even

belove acceptable concentration

General principle:

prohibition of degradation

former German TRK-values are not allowed to exceed

(23)

Exposure-Risk-Relationship

Tolerable and acceptable risk: risk

substance independent risks, which express a statistical risk of a cancer disease

Tolerable concentration concentration:

concentration in the air at the workplaces of a specific substance, which correlate with the tolerable risk

Acceptable concentration: concentration

concentration in the air at the workplaces of a specific substance, which correlate with the acceptable risk

(24)

Next steps

Acceptable and tolerable concentration:

defined as TWA (time-weighted-average) for 8 h shift

Peak exposure:

Short time exposure limits (STEL) are established additionally, if needed

Different assessment duration:

For particles without acute (to chronic) health effects:

assessment duration > shift are in discussion

(25)

Next steps

Consideration of background concentration (ubiquitary):

procedure, if background concentration is above acceptable concentration

nitrosamines

Analytical limitations:

procedure, if detection limit is above acceptable concentration and can not be reached with reasonable effort

fibres, nitrosamines

Endogenous carcinogen:

Consideration of endogenous produced carcinogens ethylenoxide

(26)

Risks at the workplace

Assessment of risks at the workplaces - a task for real experts - real

Thank you very much for your attention!

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