<p>Occupational Exposure Limits (OELs) are used as an important regulatory instrument to protect workers’ health from adverse effects of chemical exposures. The OELs mirror the outcome of the risk assessment and risk management performed by the standard setting actor. In paper I the OELs established by 18 different organisations or national regulatory agencies from the industrialised world were compared. The comparison concerned: (1) what chemicals have been selected and (2) the average level of exposure limits for all chemicals. In paper II the OELs established by 7 different national regulatory agencies of EU member states are compared to those of the European Commission (EC). In addition to the same comparisons as performed in the first study a comparison level was introduced (3) the similarity between the OELs of these EU member states and the OELs recommended by the EC.</p><p>List of OELs were collected through the web-pages of, and e-mail communication with the standard-setting agencies. The selection of agencies was determined by availability of the lists. The database of paper I contains OELs for a total of 1341 substances; of these 25 substances have OELs from all 18 organisations while more than one third of the substances are only regulated by one organisation alone. In paper II this database was narrowed down to the European perspective.  The average level of OELs differs substantially between organisations; the US OSHA exposure limits are (on average) nearly 40 % higher than those of Poland. Also within Europe there was a nearly as large difference. The average level of lists tends to decrease over time, although there are exceptions to this. The similarity index in paper II indicates that the exposure limits of EU member states are converging towards the European Commission’s recommended OELs. These two studies also showed that OELs for the same substance can vary significantly between different standard-setters. The work presented in paper III identifies steps in the risk assessment that could account for these differences. Substances for which the level of OELs vary by a factor of 100 or more were identified and their documentation sought for further scrutiny. Differences in the identification of the critical effect could explain the different level of the OELs for half of the substances. The results reported in paper III also confirm the tendency of older OELs generally being higher. Furthermore, several OELs were more than 30 years old and were based on out-dated knowledge. But the age of the data review could not account for all the differences in data selection, only one fifth of the documents referred to all available key studies. Also the evaluation of the key studies varied significantly.</p>

Thesis--University of Oklahoma. / Includes bibliographical references (leaves 45-46).

Thesis--University of Oklahoma. / Includes bibliographical references (leaves 52-53).

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style="font-size: 12pt / line-height: 115% / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / ">This study has reveled the levels of knowledge and compliance towards Universal Precautions and examined the factors that are influential in having a positive and negative effect on their adoption by healthcare practitioners in practice. Despite acceptable knowledge regarding the potential for infection and mechanisms to prevent these infections, this study has found out that health care workers are not as compliant with universal precautions as they need to be. The findings that compliance correlated directly with knowledge, with in-service training and with availability of protective equipment, provide important indications for future interventions. Therefore a regular on job refreshing training program on Universal Precautions, a written guideline and reminder poster on Universal Precautions and personal protective equipment need to be made available for all health care providers in every department of the hospital for better compliance. <span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><o:p></o:p></span></p> <p>&nbsp / </p>

<p>Background: Health care workers, more specifically, nursing students are at increased risk of occupational injury and exposure to blood borne pathogens. Compliance with universal precautions (UP) will minimise risk or transmission of HIV and HBV (Hepatitis B virus) according to the Department of Health of South Africa. Aim: The aim of this study was to investigate the knowledge and practice of universal precautions amongst nursing students and their fear of occupational exposure to blood borne pathogens. Rationale: The rationale for the study was to investigate what the students&rsquo / knowledge and practice of UP were, to see if this could be a possible contributing factor to occupational exposure. Research design: The study was a quantitative, cross sectional survey using a questionnaire that included one open ended question. Participants: The participants for the study were the undergraduate nursing students in year levels two to four (n = 253) who and were selected by means of stratified random sampling. Procedures: A questionnaire was administered to the participants by the researcher. Analysis of the data collected was done through statistical package for social sciences (SPSS 16.0) and content analysis. Results: The researcher established that there is indeed a lack of knowledge regarding UP and that the students&rsquo / self reported practice of UP is poor. No statistically significant correlation between knowledge and practice of UP were found. There is underreporting of occupational exposures to staff at the School of Nursing. The majority of students reported a moderate to severe fear for occupational exposures and contributing factors raised by them are reality in the clinical facilities.</p>

Various hazardous chemical substances are used daily as part of manufacturing and processing. Exposure to these hazardous chemical substances (HCSs) can cause adverse health effects in the exposed workers. Occupational exposure limits (OELs) are used to control exposure to these HCSs and thereby protect workers from the adverse effects that exposure may induce. The aim of this study was to compare South African list of OELs as contained in the Hazardous Chemical Substance Regulations (HCSR) to several developed and developing countries based on two aspects: (1) the number of substances that are selected and regulated by the lists of each country (2) and the overall level of the OELs set by the different countries and jurisdictions. Due to the nature and the large amount of data the study is divided into two parts. The first part is a comparison of South African OELs with nine developed countries and jurisdictions along with the Mine Health and Safety Act Regulation 22.9 (MHSR) of South Africa. The second comparison was conducted between South African and the four developing BRICS countries. BRICS is an acronym for: Brazil, Russia, India, China and South Africa, all are leading developing countries. Substance selection and coverage was compared by analysing the number of overlapping and uniquely regulated OELs that existed between countries. The over-all level of OELs was determined and quantified by using the statistical method, the geometric means of ratios. These ratios were compared in order to establish how the levels of OELs of the South African HCSR compare with the level of the various other countries. Results indicated that there are large and unsystematic differences between the selection of HCSs that are regulated by different countries and jurisdictions. Individual coverage and selection of HCSs between the various developing and developed countries and jurisdictions in the study was inconsistent and dissimilar. A high number of HCSs are regulated by only one of the various countries included in this study. Among the developed countries 20.8% of substances are uniquely regulated, whereas 46% of HCSs are regulated by only one of the various developing countries. According to the geometric means of ratios Occupational Safety and Health Administration (OSHA) is the only jurisdiction in a developed country that has a higher overall level of OELs when compared to South Africa as for the rest of the developed countries they all yielded a lower overall level of OELs. American Conference of Governmental Industrial Hygiene (ACGIH) had the lowest overall level of OELs. When compared with the BRICS countries South Africa had a higher overall level of OELs. The average overall level of OELs differs substantially between the BRICS countries; Russia having the lowest, and Brazil having the highest overall limit when compared relative to South African HCSR. Strong similarities were found between South African HCSR and MHSR indicating national similarity. The South African OELs for HCSs have an overall higher level than the majority of developed and developing countries. Various factors may be responsible for these differences among countries and jurisdictions. These factors include, variations in scientific reasoning, the risk acceptance of the negative impact that various HCSs might induce and the time lags that countries have between updates. Further differences may be explained by the difference in consideration of socio-economical and practical feasibility of an OEL and the predominant industries in a country. / Thesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013

Various hazardous chemical substances are used daily as part of manufacturing and processing. Exposure to these hazardous chemical substances (HCSs) can cause adverse health effects in the exposed workers. Occupational exposure limits (OELs) are used to control exposure to these HCSs and thereby protect workers from the adverse effects that exposure may induce. The aim of this study was to compare South African list of OELs as contained in the Hazardous Chemical Substance Regulations (HCSR) to several developed and developing countries based on two aspects: (1) the number of substances that are selected and regulated by the lists of each country (2) and the overall level of the OELs set by the different countries and jurisdictions. Due to the nature and the large amount of data the study is divided into two parts. The first part is a comparison of South African OELs with nine developed countries and jurisdictions along with the Mine Health and Safety Act Regulation 22.9 (MHSR) of South Africa. The second comparison was conducted between South African and the four developing BRICS countries. BRICS is an acronym for: Brazil, Russia, India, China and South Africa, all are leading developing countries. Substance selection and coverage was compared by analysing the number of overlapping and uniquely regulated OELs that existed between countries. The over-all level of OELs was determined and quantified by using the statistical method, the geometric means of ratios. These ratios were compared in order to establish how the levels of OELs of the South African HCSR compare with the level of the various other countries. Results indicated that there are large and unsystematic differences between the selection of HCSs that are regulated by different countries and jurisdictions. Individual coverage and selection of HCSs between the various developing and developed countries and jurisdictions in the study was inconsistent and dissimilar. A high number of HCSs are regulated by only one of the various countries included in this study. Among the developed countries 20.8% of substances are uniquely regulated, whereas 46% of HCSs are regulated by only one of the various developing countries. According to the geometric means of ratios Occupational Safety and Health Administration (OSHA) is the only jurisdiction in a developed country that has a higher overall level of OELs when compared to South Africa as for the rest of the developed countries they all yielded a lower overall level of OELs. American Conference of Governmental Industrial Hygiene (ACGIH) had the lowest overall level of OELs. When compared with the BRICS countries South Africa had a higher overall level of OELs. The average overall level of OELs differs substantially between the BRICS countries; Russia having the lowest, and Brazil having the highest overall limit when compared relative to South African HCSR. Strong similarities were found between South African HCSR and MHSR indicating national similarity. The South African OELs for HCSs have an overall higher level than the majority of developed and developing countries. Various factors may be responsible for these differences among countries and jurisdictions. These factors include, variations in scientific reasoning, the risk acceptance of the negative impact that various HCSs might induce and the time lags that countries have between updates. Further differences may be explained by the difference in consideration of socio-economical and practical feasibility of an OEL and the predominant industries in a country. / Thesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013

Motivation: The investigation of agricultural respiratory hazards has lagged behind the investigation of hazards in mining and other heavy industries. Relatively few epidemiological data are available addressing pulmonary infections in the context of the agricultural work environment, especially for the South African population. Poultry house dust was generally considered nuisance or inert, meaning it has little adverse effect on human lungs. New research shows that because poultry house dust is largely organic and contain bacteria and other bioactive substances, it cannot be considered inert. Several published research manuscripts document that the legal and recommended exposure limits for the toxic substances found in the agricultural environment are to high for concentrated animal feeding operations (CAFO's). In CAFO's there is a mixture of biologically active agents that can work synergistic to produce respiratory and systemic effects at much lower levels. Most of the current legal exposure limits used in South Africa are adopted from international limits and guidelines. Because of the influence of geography, climate and degree of industrialisation on the agricultural air quality, the relevance of the foreign exposure limits is questionable. Aim: To determine if there is a correlation between occupational exposure to poultry farm dust and the lung function of poultry farm workers in the Potchefstroom district, South Africa. Also to determine if the current legal exposure limits used for ammonia and particulate matter (PM) in South Africa, offer adequate worker protection for poultry farm workers exposed to biologically active dust. Methodology: This was an observational, cross-sectional pilot study. A target population of fifty contract workers concerned with the removal and disposal of poultry manure were identified in the Potchefstroom district and a random sample of nineteen was drawn for participation in this study. Exposure to total and respirable dust were determined by means of personal sampling for the full duration of the time averaging period (8-hour TWA). Area monitoring for ammonia and bio-aerosols were done in poultry houses in three specific demarcated areas around Potchefstroom, and weather conditions were taken into account. Lung function tests (spirometry) were conducted before and after each work shift. Interviewer administered questionnaires were used to assess occupational and exposure histories and to detect symptoms of organic dust exposure. Results and conclusions: The mean total- and respirable dust concentrations complied with the legal limits of OSHA, NlOSH and the Regulations for hazardous chemical substances of 1995. However, fifty five percent of the measured total dust concentrations and all of the respirable dust measurements exceeded Donham's recommended values for human health. The spirometric values of the subjects were normal; there was no statistical difference between the mean baseline FEV1/FVC and the mean predicted FEV1/FVC. Results also show no statistically significant cross shift changes in any of the measured variables and there is no significant correlation of the measured dust concentrations to any of the spirometric measurements. It can be concluded that occupational exposure to ammonia, particulate matter and micro-organisms on poultry farms in the Potchefsroom district, South Africa, do not have any adverse effects on the workers' lung function and the workers are adequately protected in the short term, by the legal limits that are currently used in South Africa. / Thesis (M.Sc. (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2006.

Exposure to air contaminants is significantly associated with both short-term and long-term health effects. However, the precise mechanisms that derive such effects are not always understood. While an extensive background database from in vivo toxicological studies have been developed, most toxicity data is from oral and dermal chemical exposures rather than inhalation exposure. There is a need to explore new alternative approaches to provide toxicity information particularly on this technically demanding area. This research explores the potential of in vitro methods for toxicity assessment of workplace air contaminants. A tiered approach for in vitro toxicity testing of workplace contaminants was designed in which appropriate air sampling and exposure techniques were developed. A diversified battery of in vitro assays including the MTS (tetrazolium salt, Promega), NRU (neutral red uptake, Sigma) and ATP (adenosine triphosphate, Promega) and a multiple human cell system including: A549- lung derived cells; HepG2-liver derived cells, and skin fibroblasts were used. Primarily the application and merits of in vitro methods for prediction of toxicity of selected workplace contaminants including Ammonium hydroxide, Cadmium chloride, Cobalt chloride, Formaldehyde, Glutaraldehyde, Manganese chloride, Mercuric chloride, Sodium dichromate, Sulphureous acid and Zinc chloride was confirmed. To study the toxicity of airborne contaminants an indirect exposure method was established using air sampling techniques followed by static and dynamic direct exposure methods by culturing cells on porous membranes to reveal representative data relating to human airborne exposures. The static method enabled the measurement of an airborne IC50 (50% inhibitory concentration) value for selected volatile organic compounds (VOCs) including: Xylene (IC50 = 5,350-8,200 ppm) and Toluene (IC50 = 10,500- 16,600 ppm) after 1 hr exposure. By implementing the dynamic method, airborne IC50 values were calculated for gaseous contaminants including: NO2 (IC50 = 11 ?? 3.54 ppm; NRU), SO2 (IC50 = 48 ?? 2.83 ppm; ATP) and NH3 (IC50 = 199 ?? 1.41 ppm; MTS). A higher sensitivity of in vitro methods was observed compared to in vivo published data. A range of in vitro bioassays in conjunction with exposure techniques developed in this thesis may provide an advanced technology for a comprehensive risk assessment of workplace air contaminants.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2005. / Härtill 4 uppsatser.