Journal of occupational and environmental hygiene
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J Occup Environ Hyg · Jan 2015
Volatile Organic Compounds Off-gassing from Firefighters' Personal Protective Equipment Ensembles after Use.
Firefighters' personal protective equipment (PPE) ensembles will become contaminated with various compounds during firefighting. Some of these compounds will off-gas following a response, which could result in inhalation exposure. This study was conducted to determine the magnitude and composition of volatile organic compounds (VOCs) generated during controlled structure burns that subsequently off-gassed from the firefighters' PPE, and were systemically absorbed and exhaled in firefighters' breath. ⋯ Air concentrations of BTEXS measured off-gassing from firefighters' used PPE and in firefighters' post-burn exhaled breath were significantly correlated. The firefighters may have absorbed BTEXS through both the dermal route (during firefighting) and inhalation route (from off-gassing PPE after firefighting). Firefighters should be made aware of the potential for inhalation exposure when doffing and traveling in confined vehicles with contaminated PPE and take measures to minimize this exposure pathway.
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J Occup Environ Hyg · Jan 2015
Comparative StudyPenetration of Combustion Aerosol Particles Through Filters of NIOSH-Certified Filtering Facepiece Respirators (FFRs).
Filtering facepiece respirators (FFRs) are commonly worn by first responders, first receivers, and other exposed groups to protect against exposure to airborne particles, including those originated by combustion. Most of these FFRs are NIOSH-certified (e.g., N95-type) based on the performance testing of their filters against charge-equilibrated aerosol challenges, e.g., NaCl. However, it has not been examined if the filtration data obtained with the NaCl-challenged FFR filters adequately represent the protection against real aerosol hazards such as combustion particles. ⋯ The findings were attributed to several effects, including the degradation of an N95 filter due to hydrophobic organic components generated into the air by combustion. Their interaction with fibers is anticipated to be similar to those involving "oily" particles. The findings of this study suggest that the efficiency of N95 respirator filters obtained with the NaCl aerosol challenge may not accurately predict (and rather overestimate) the filter efficiency against combustion particles.
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J Occup Environ Hyg · Jan 2015
Mobile Phones as a Potential Vehicle of Infection in a Hospital Setting.
The objective of this article is to investigate the potential role of mobile phones as a reservoir for bacterial colonization and the risk factors for bacterial colonization in a hospital setting. We screened 226 staff members at a regional Australian hospital (146 doctors and 80 medical students) between January 2013 and March 2014. The main outcomes of interest were the types of microorganisms and the amount of contamination of the mobile phones. ⋯ This study demonstrates that mobile phones are potentially vehicles for pathogenic bacteria in a hospital setting. Only a minority of our participants reported cleaning their phones routinely. Disinfection guidelines utilizing alcohol wipes should be developed and implemented.
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J Occup Environ Hyg · Jan 2015
Protection of firefighters against combustion aerosol particles: simulated workplace protection factor of a half-mask respirator (pilot study).
The present pilot study investigated the penetration of ultrafine particles originated by combustion of different materials into elastomeric half-mask respirators equipped with two P100 filters. We determined the Simulated Workplace Protection Factor (SWPF) for 11 firefighters wearing elastomeric half-mask respirators and performing activities simulating those conducted during fire overhaul operations. The tests were performed in a controlled laboratory setting. ⋯ Based on the total aerosol concentration, the "total" SWPF ranged from 4,222 (minimum) to 35,534 (maximum) with values falling primarily in a range from 11,171 (25 percentile) to 26,604 (75 percentile) and a median value being ≈15,000. This is consistent with the recently reported fit factor (FF) data base.((1)) The size-resolved SWPF data revealed a dependency on the particle size. It was concluded that a portable device such as PAMS can be used on firefighters during overhaul operations (as well as on other workers wearing elastomeric half-mask respirators) to monitor the aerosol concentrations in real time and ultimately help prevent overexposure.
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Although numerous studies have reported the physiological strain associated with firefighting, cardiac responses during a large-scale fire operation have not been reported and cardiac responses have not been compared based on crew assignment. The aims of this study were (1) to characterize cardiac strain during simulated high-rise firefighting, and (2) to compare the cardiac strain associated with different work assignments (fire suppression vs. search and rescue) and different modes of vertical ascent (stairs vs. elevator). Firefighters (N = 42) completed one assignment (fire suppression, search and rescue, or material support) during one of two trials that differed by ascent mode. ⋯ HRmean and HRpeak were 47 and 34 beats/min higher (p < 0.01), respectively, when materials were transported to the staging area using the stairs compared with the elevator. Study findings suggest that high-rise firefighting results in considerable cardiac strain and that search and rescue and material support crews experienced more cardiac strain than fire suppression crews due primarily to differences in assignment duration. Furthermore, using stairs to transport firefighters and equipment to upper floors results in significantly greater cardiac strain than using the elevator.