Background: Workers in a platinum group metals (PGMs) refinery are potentially exposed to various precious metals (iridium, osmium, palladium, platinum, rhodium and ruthenium) and their metal-salt compounds which may cause rhinitis, asthma, contact urticaria and conjunctivitis. Some cases revealed that sensitisation occurred in employees where it was not possible to detect any airborne soluble platinum or where the respiratory soluble platinum exposure was below the occupational exposure limit. It is unclear whether respiratory exposure or a combination of respiratory and dermal exposure may be involved in sensitisation and the possible elicitation of skin symptoms. Objectives: To determine if dermal exposure to PGMs took place during the refining process and in the administration area by using a removal method and to compare dermal exposure on the different anatomical areas and in two different working areas, Areas A and B for each of the PGMs. Methods: Dermal exposure samples were collected with a removal method using GhostwipesTM. The samples were collected from the palm of the hands, the wrists and the necks of the workers, before the shift started, before tea time, before lunch time and after the shift ended. The skin wipes were analysed for the PGMs (iridium, osmium, palladium, platinum, ruthenium and rhodium) according to Methods for the Determination of Hazardous Substances (MDHS) method 46/2, using Inductively Coupled Plasma-Mass Spectrometry. Results: No published data is available on occupational dermal exposure to PGMs in a precious metals refinery. This study proved that dermal exposure to PGMs in the refinery took place and was quantified. The PGM dermal exposure results in general, were very low (measured in nano grams), with platinum having the overall highest exposure. Exposure also occurred the most frequently during the last two intervals of the day, before lunch time and at the end of the shift. Exposure on all three the anatomical areas that were tested in the study, varied much with the palm of the hands having the highest exposure levels. There were also variations in exposure between areas A and B due to the fact that the processes in these two areas differ. Conclusions: It was confirmed that dermal exposure to PGMs took place at the precious metals refinery. The highest exposure took place before lunch time and towards the end of the shift. The metal to which the workers were exposed the most was platinum and the production area where the workers had the highest exposure to most of the metals was Area B. / MSc (Occupational Hygiene), North-West University, Potchefstroom Campus, 2015

Nickel is one of the most commonly known sensitisers and has been classified by the International Agency for Research on Cancer (IARC) as a possible carcinogen to humans (group 2B). Workers at a South African base metal refinery packaging area are potentially exposed to many hazardous chemicals that include nickel. Aims and Objectives: The aim and objectives of this study were to assess dermal and respiratory exposure of workers exposed to nickel in a packaging section at a South African base metal refinery and to assess the change in skin barrier function during a work shift by measuring percentage change in trans epidermal water loss (TEWL), skin hydration and skin surface pH. Skin health was established with a skin questionnaire. Surfaces that workers may come into contact with were also assessed. Method: Respiratory and dermal exposure assessment was done concurrently. Respiratory exposure was assessed and analysed by using the National Institute for Occupational Safety and Health (NIOSH) method 7300. The Institute of Occupational Medicine (IOM) inhalable aerosol sampler was used for personal air sampling. The TEWL index, skin hydration and skin surface pH of the index finger, palm, forearm and forehead were measured before and at the end of the shift with a Derma Measurement Unit, EDS 12 and Skin-pH-Meter® pH 905. These measurements were reported as percentage change in skin barrier function during the shift. Dermal exposure samples were collected with Ghostwipes™ from the index finger and palm of the dominant hand before, during and at the end of the shift, while samples from the forearm and forehead were only collected before and after the shift. Surface sampling was collected and all wipes were analysed for nickel according the NIOSH method 9102, using inductively coupled plasma-atomic emission spectrometry. Results: Respiratory exposure for the whole group of workers in a packaging section was well below the eight hour Time Weighted Average (TWA) respiratory Occupational Exposure Limit (OEL) of 0.5 mg m-3 for nickel. Dermal nickel loading was detected for all the job categories on all the anatomical areas even before the shift had commenced. During the shift more nickel was detected on the index finger and palm of the hand. Levels on the forearm and forehead were much lower in comparison with the index finger and the palm of the hand. Workplace surfaces, which workers may come into contact with on a daily basis, were also contaminated with nickel. Forklift drivers showed high exposure on the index finger and palm of their hands, and this can be attributed to them not wearing any gloves for hand protection. An increase in percentage change for TEWL was seen for most of the job categories on all anatomical areas measured during the shift. Percentage change in skin surface pH and skin hydration varied among job categories. Conclusion: The research addressed the problem statement, with the stated objectives. It was hypothesised that workers at a packaging section of a base metal refinery are exposed to quantifiable levels of nickel through the dermal exposure route. The hypothesis was accepted and control measures together with future studies were recommended. The results confirmed that all workers at a base metal refinery are exposed to quantifiable levels of nickel through the dermal exposure route. Dermal exposure was evident on all anatomical areas for all job categories before the shift had commenced. Personal protective equipment was provided to all employees, but forklift drivers did not wear gloves when operating the forklift. Respirable exposure to nickel was below the OEL. Changes in TEWL and to a lesser extent skin hydration, suggest a deterioration in skin barrier function during the shift. Forklift drivers as well as plate washers may be the highest risk job categories in developing allergic contact dermatitis. Several measures to lower respiratory and dermal exposure to nickel are also recommended. / MSc (Occupational Hygiene), North-West University, Potchefstroom Campus, 2014

Background: Workers in a platinum group metals (PGMs) refinery are potentially exposed to various precious metals (iridium, osmium, palladium, platinum, rhodium and ruthenium) and their metal-salt compounds which may cause rhinitis, asthma, contact urticaria and conjunctivitis. Some cases revealed that sensitisation occurred in employees where it was not possible to detect any airborne soluble platinum or where the respiratory soluble platinum exposure was below the occupational exposure limit. It is unclear whether respiratory exposure or a combination of respiratory and dermal exposure may be involved in sensitisation and the possible elicitation of skin symptoms. Objectives: To determine if dermal exposure to PGMs took place during the refining process and in the administration area by using a removal method and to compare dermal exposure on the different anatomical areas and in two different working areas, Areas A and B for each of the PGMs. Methods: Dermal exposure samples were collected with a removal method using GhostwipesTM. The samples were collected from the palm of the hands, the wrists and the necks of the workers, before the shift started, before tea time, before lunch time and after the shift ended. The skin wipes were analysed for the PGMs (iridium, osmium, palladium, platinum, ruthenium and rhodium) according to Methods for the Determination of Hazardous Substances (MDHS) method 46/2, using Inductively Coupled Plasma-Mass Spectrometry. Results: No published data is available on occupational dermal exposure to PGMs in a precious metals refinery. This study proved that dermal exposure to PGMs in the refinery took place and was quantified. The PGM dermal exposure results in general, were very low (measured in nano grams), with platinum having the overall highest exposure. Exposure also occurred the most frequently during the last two intervals of the day, before lunch time and at the end of the shift. Exposure on all three the anatomical areas that were tested in the study, varied much with the palm of the hands having the highest exposure levels. There were also variations in exposure between areas A and B due to the fact that the processes in these two areas differ. Conclusions: It was confirmed that dermal exposure to PGMs took place at the precious metals refinery. The highest exposure took place before lunch time and towards the end of the shift. The metal to which the workers were exposed the most was platinum and the production area where the workers had the highest exposure to most of the metals was Area B. / MSc (Occupational Hygiene), North-West University, Potchefstroom Campus, 2015

Nickel is one of the most commonly known sensitisers and has been classified by the International Agency for Research on Cancer (IARC) as a possible carcinogen to humans (group 2B). Workers at a South African base metal refinery packaging area are potentially exposed to many hazardous chemicals that include nickel. Aims and Objectives: The aim and objectives of this study were to assess dermal and respiratory exposure of workers exposed to nickel in a packaging section at a South African base metal refinery and to assess the change in skin barrier function during a work shift by measuring percentage change in trans epidermal water loss (TEWL), skin hydration and skin surface pH. Skin health was established with a skin questionnaire. Surfaces that workers may come into contact with were also assessed. Method: Respiratory and dermal exposure assessment was done concurrently. Respiratory exposure was assessed and analysed by using the National Institute for Occupational Safety and Health (NIOSH) method 7300. The Institute of Occupational Medicine (IOM) inhalable aerosol sampler was used for personal air sampling. The TEWL index, skin hydration and skin surface pH of the index finger, palm, forearm and forehead were measured before and at the end of the shift with a Derma Measurement Unit, EDS 12 and Skin-pH-Meter® pH 905. These measurements were reported as percentage change in skin barrier function during the shift. Dermal exposure samples were collected with Ghostwipes™ from the index finger and palm of the dominant hand before, during and at the end of the shift, while samples from the forearm and forehead were only collected before and after the shift. Surface sampling was collected and all wipes were analysed for nickel according the NIOSH method 9102, using inductively coupled plasma-atomic emission spectrometry. Results: Respiratory exposure for the whole group of workers in a packaging section was well below the eight hour Time Weighted Average (TWA) respiratory Occupational Exposure Limit (OEL) of 0.5 mg m-3 for nickel. Dermal nickel loading was detected for all the job categories on all the anatomical areas even before the shift had commenced. During the shift more nickel was detected on the index finger and palm of the hand. Levels on the forearm and forehead were much lower in comparison with the index finger and the palm of the hand. Workplace surfaces, which workers may come into contact with on a daily basis, were also contaminated with nickel. Forklift drivers showed high exposure on the index finger and palm of their hands, and this can be attributed to them not wearing any gloves for hand protection. An increase in percentage change for TEWL was seen for most of the job categories on all anatomical areas measured during the shift. Percentage change in skin surface pH and skin hydration varied among job categories. Conclusion: The research addressed the problem statement, with the stated objectives. It was hypothesised that workers at a packaging section of a base metal refinery are exposed to quantifiable levels of nickel through the dermal exposure route. The hypothesis was accepted and control measures together with future studies were recommended. The results confirmed that all workers at a base metal refinery are exposed to quantifiable levels of nickel through the dermal exposure route. Dermal exposure was evident on all anatomical areas for all job categories before the shift had commenced. Personal protective equipment was provided to all employees, but forklift drivers did not wear gloves when operating the forklift. Respirable exposure to nickel was below the OEL. Changes in TEWL and to a lesser extent skin hydration, suggest a deterioration in skin barrier function during the shift. Forklift drivers as well as plate washers may be the highest risk job categories in developing allergic contact dermatitis. Several measures to lower respiratory and dermal exposure to nickel are also recommended. / MSc (Occupational Hygiene), North-West University, Potchefstroom Campus, 2014