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Exposures of Fire Fighters during Training Exercises

Dr. Brian E. McCarry, Lorraine Shaw, Don Shaw and Sujan Fernando

Occupational and Environmental Health Laboratory (OEHL)

McMaster University

Ontario Professional Fire Fighters Association, Health & Safety 2012 Delta Chelsea Hotel, Toronto

February 9, 2012

Fire Fighter Exposure Study: Research Goals

Overall Goal of Study: To assess exposures of fire fighters to chemicals during fires.

Exposures of Concern: Gases: carbon monoxide, aldehydes, hydrocarbons, VOCs, etc.

Volatile Organic Compounds: benzene, methoxyphenols, etc.

Semi-volatile Compounds: polycyclic aromatic hydrocarbons (PAH).

Particulate Material: fine and ultra-fine particles

Exposure Assessments: Air Exposures: monitor using active and passive samplers

Dermal Exposures: monitor by skin sampling

Internal Exposures: analyse chemicals and metabolites in urine.

Routes of Chemical Exposures

• Inhalation Exposures – when not wearing SCBA, e.g., during knockdown and overhaul.

• Ingestion Exposures - should be minimal for fire fighters.

• Dermal (skin) exposures – surprisingly little is known about skin exposures.

Fire Fighter Training Centre, Toronto Fire Department

Burn House Training Exercises conducted at:

Burlington, Hamilton (2x), Ottawa, Toronto

Sampling and Analysis: Air: particulate, gases (12), VOCs (17), PAH (25)

Skin: Different exposures at different sites on body?

Urine: Measures of true exposures

Occupational Exposure Limits: Aldehydes

Contaminant Ontario OEL

8 Hr

Ontario OEL

15 min

ACGIH TLV 8 Hr

ACGIH TLV 15 min

Formaldehyde 1 ppm 0.3 ppm, A2

Acrolein (Skin) 0.1 ppm 0.1 ppm, A4

Crotonaldehyde 0.2 ppm

Furfural (Skin) 2 ppm 2 ppm, A3

Acetaldehyde C 25 ppm, A3

Propionaldehyde 20 ppm 20 ppm

Polycyclic Aromatic Hydrocarbons (PAH) are by-products of incomplete combustion of carbon-based fuels (wood, plastic, coal, gasoline, diesel fuel, etc.). Some PAH are carcinogens*. PAH are metabolized and excreted as hydroxy-PAH. The levels of hydroxy-PAH in urine are considered to be an excellent measure of human PAH exposures whether via inhalation or ingestion (or dermal) routes.

Naphthalene** Anthracene** Chrysene

Benzo[a]pyrene* Coronene

PAH Primer

** indicates compound

exists primarily in gas phase

Satellite photo of wildfires north of Los Angeles, October 13, 2008

Many wildfire fire fighters are

exposed to high levels of smoke when fighting these fires. There

are serious concerns about smoke exposures of these fire fighters.

Exposures of Wildfire Fire Fighters

Simpson C., “Evaluation of Urinary Methoxyphenols as Biomarkers of Wood Smoke Exposure.” Environ. Sci. Technol., 2006, 40, 2163-2170.

Study found methoxyphenols in fire fighter urine and proposed these compounds served as markers of wood smoke exposures. We added 20 of these compounds to our suite of target analytes.

Air Sampling and

Analysis of Smoke Samples

Air Sampling: • Active air samplers: Filters and tubes that use powered pumps

• Passive air samplers: Personal Passive Dosimeters (PPDs)

Twisters

Air Sampling Equipment

Twister® and 3M Personal Passive Dosimeter (PPD)

Gas sampling tube Particulate filter attached to an air pump.

Agilent 6890N Gas Chromatograph coupled to a Agilent 5973N MSD

Analytical Instrumentation

Ideal instrument for separation and analysis of volatile and semi-volatile compounds.

GC-MS Chromatogram of Smoke Extract (Twister)

6.00 7.00 8.00 9.00 10.00 11.00 12.00 13.00 14.00 15.00

50000

100000

150000

200000

250000

300000

350000

400000

450000

500000

550000

600000

650000

700000

Time-->

Abundance

TIC: SF100107F.D

1 2

3 4

5 6

7 8

Identification of Some Major Wood Smoke Components: (1) 2-methoxyphenol

(2) 2-methoxy-4-methylphenol

(3) 4-ethyl-2-methoxyphenol

(4) 2-methoxy-4-vinylphenol

(5) 2,6-dimethoxyphenol

(6) 2-methoxy-4-(1-propenyl)phenol

(7) 1,2,4-trimethoxybenzene

(8) 5-tert-butylpyrogallol

Methoxyphenols are major components of wood smoke, along with 1000’s of

other chemicals including PAH.

Exposures in Training Exercises: Particulate and Gases

Toronto Fire Service Burn House Exercise

Air Sampling Equipment and Skin Sampling Sites

Air filter (particulate) and tube (gases)

Passive air samplers

Air pump for air filter and tube sampler

Skin sampling: back, fingers, forehead, neck, wrist

back

fingers

wrist

forehead

neck

Airborne Particulate Concentrations: 20 Firefighters at 5 Burn House Exercises

0

50

100

150

200

250

300

350

400 AF

D1

AFD

2 AF

D3

AFD

4 AF

D5

BFD

1 B

FD2

BFD

3 B

FD4

CFD

1 C

FD2

CFD

3 C

FD4

CFD

5 C

FD6

CFD

7 C

FD8

DFD

1 D

FD2

(lost

) D

FD3

EFD

1(lo

st)

EFD

2 EF

D3

EFD

4 EF

D5

Tota

l Par

ticul

ate

(mg/

m3 )

Firefighter ID

OEL 10 mg/m3

Formaldehyde Concentrations in Air 20 Fire fighters

0

2

4

6

8

10

12

Form

alde

hyde

(ppm

)

Firefighter ID

OEL 0.3 ppm

Formaldehyde ~ 2.5 % of TVOC

0 100 200 300 400

AFD

1 AF

D2

AFD

3 AF

D4

AFD

5

BFD

1 B

FD2

BFD

3 B

FD4

CFD

1 C

FD2

CFD

3 C

FD4

CFD

5 C

FD6

CFD

7 C

FD8

DFD

1 D

FD2

(lost

) D

FD3

EFD

1(lo

st)

EFD

2 EF

D3

EFD

4 EF

D5

Tota

l Par

ticul

ate

(mg/

m3 )

Firefighter ID

0 100 200 300 400 500 600 700

AFD

1 AF

D2

AFD

3 AF

D4

AFD

5

BFD

1 B

FD2

BFD

3 B

FD4

CFD

1 C

FD2

CFD

3 C

FD4

CFD

5 C

FD6

CFD

7 C

FD8

DFD

1 D

FD2

DFD

3

EFD

1 EF

D2

EFD

3 EF

D4

EFD

5

Firefighter ID

0 20 40 60 80

AFD

1 AF

D2

AFD

3 AF

D4

AFD

5

BFD

1 B

FD2

BFD

3 B

FD4

CFD

1 C

FD2

CFD

3 C

FD4

CFD

5 C

FD6

CFD

7 C

FD8

DFD

1 D

FD2

DFD

3

EFD

1 EF

D2

EFD

3 EF

D4

EFD

5

Firefighter ID

0 2 4 6 8

10 12

AFD

1 AF

D2

AFD

3 AF

D4

AFD

5

BFD

1 B

FD2

BFD

3 B

FD4

CFD

1 C

FD2

CFD

3 C

FD4

CFD

5 C

FD6

CFD

7 C

FD8

DFD

1 D

FD2

DFD

3

EFD

1 EF

D2

EFD

3 EF

D4

EFD

5

Tota

l VO

C

(mg/

m3)

B

TEX

(mg/

m3 )

Sampler lost during exercise

Comparison of Particulate and VOC Profiles

BTEX: ~ 10% of TVOC

Formaldehyde: ~ 2.5% of TVOC

Form

alde

yde

(ppm

)

Gas and Particle Phase Methoxyphenol Concentrations in Air and on Skin

Skin

0

1000

2000

3000

4000

5000

Con

cent

ratio

n (u

g/m

3 )

AFD

1AF

D2

AFD

3AF

D4

AFD

5

BFD

1BF

D2

BFD

3BF

D4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

Gas PhaseParticle Phase

Air

0

5

10

15

20

25

Con

cent

ratio

n (n

g/cm

2 )

AFD

1AF

D2

AFD

3AF

D4

AFD

5

BFD

1BF

D2

BFD

3BF

D4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

Gas Phase Particle Phase

Skin

0

100

200300

400

500

600700

800

900

Con

cent

ratio

n (u

g/m

3 )

AFD

1AF

D2

AFD

3AF

D4

AFD

5

BFD

1BF

D2

BFD

3BF

D4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

Gas PhaseParticle Phase

Gas and Particle Phase PAH in Air and on Skin

Air

0

1

23

4

5

67

8

9

Conc

entra

tion

(ng/

cm2 )

AFD

1AF

D2

AFD

3AF

D4

AFD

5

BFD

1BF

D2

BFD

3BF

D4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

Gas PhaseParticle Phase

Skin

Skin Sampling at Training Exercises:

Evaluation of Dermal Exposures to Smoke

Skin Sampling and Analysis Strategies

Skin Sampling Protocol:

There are no standard methods for sampling chemicals on skin.

We have used a filter paper wipe method with rubbing alcohol (isopropanol).

Fire fighters were sampled before and after exercise in training facility at 5 body sites:

back, fingers, forehead, neck and wrist

Alcohol on Filter Paper Wipe

Skin Sampling of Ottawa Fire Fighters

Methoxyphenol and PAH: Air and FF Skin Profiles

0

1000

2000

3000

4000

5000

Conc

entra

tion

(ug/

m3 )

AFD

1AF

D2

AFD

3AF

D4

AFD

5

BFD

1BF

D2

BFD

3BF

D4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

Methoxyphenols PAH

Air Sampler Profiles

FF Skin Profiles – All Sites

PAH and Methoxyphenol Concentrations at 5 Skin Sites

0

20

40

60

80

100

120

140

160

Con

cent

ratio

n (n

g/cm

2 )

AFD

1A

FD2

AFD

3A

FD4

AFD

5

BFD

1B

FD2

BFD

3B

FD4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

FingersBackForeheadNeckWrist

PAH and Methoxyphenol Percentage Compositions on Skin (n=20)

0

5

10

15

20

25

30

35

40

Wrist Neck Forehead Back Fingers

Perc

ent C

ompo

sitio

n

T-test (p values)

0.05 0.34 0.18 0.02

Conclusion: All skin sites receive identical chemical exposures except for fingers.

Urine Sampling after Training Exercise: Analysis of PAH Metabolites and

Methoxyphenols in Urine

HydroxyPAH and Methoxyphenols as Exposure Indicators

The determination of hydroxyPAH in urine is considered to be the best measure of PAH exposures in humans.

For many years, 1-hydroxypyrene was the only compound used as a PAH exposure marker. Today, a suite of hydroxyPAH is advocated as the new measure of PAH exposure (as used in NHANES Study).

Selected methoxyphenols are good indicators of wood smoke exposures.

Urine Sample

Step 1: Provide Urine Sample

Criteria for Selection of a ‘Good’ Methoxyphenol Smoke Marker

Simpson C., “Evaluation of Urinary Methoxyphenols as Biomarkers of Wood Smoke Exposure.” Environ. Sci. Technol., 2006, 40, 2163-2170.

0

5000

10000

15000

20000

25000

26 07:12 26 12:00 26 16:48 26 21:36 27 02:24 27 07:12 27 12:00

Time (Hrs)

Con

cent

ratio

n (n

g/g

Cre

atin

ine)

BFD4BFD3DFD3AFD5CFD8

1. Low concentration of compound in all volunteers prior to smoke exposure 2. Low concentration in the second next-morning urine (post-exposure)

1 2

05000

1000015000200002500030000350004000045000

Conc

entra

tion

(ng/

g Cr

eatin

ine)

AFD

1AF

D2

AFD

3AF

D4

AFD

5

BFD

1BF

D2

BFD

3BF

D4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

Pre Exposure

Pre Exposure1-23Hrs Net24Hrs

0

500

1000

1500

2000

2500

3000

3500

Conc

entra

tion

(ng/

g Cr

eatin

ine)

AFD1

AFD2

AFD3

AFD4

AFD5

BFD1

BFD2

BFD3

BFD4

CFD1

CFD2

CFD3

CFD4

CFD5

CFD6

CFD7

CFD8

DFD1

DFD2

DFD3

Pre Exposure

Pre Exposure1-23Hrs Net24Hrs

Levels of Methylsyringol in Urine

Levels of 3 Hydroxyfluorenes in Urine

Methylsyringol and Hydroxyfluorene Levels in FF Urine

Good correlation between methylsyringol & hydroxyfluorene profiles in fire fighter urine.

Net Methylsyringol Levels in FF Urine

05000

1000015000200002500030000350004000045000

Co

nce

ntr

atio

n (n

g/g

C

reat

inin

e)

CF

D1

BF

D1

CF

D2

CF

D3

AF

D1

AF

D2

CF

D4

BF

D2

CF

D5

AF

D3

CF

D6

DF

D1

AF

D4

DF

D2

CF

D7

DF

D3

AF

D5

CF

D8

BF

D3

BF

D4

Pre Exposure

Pre Exposure1-23Hrs Net24Hrs

Sorted as lowest to highest methylsyringol levels: top 5 highlighted

24-h Time Profile of Methylsyringol in Urine (Top 5 FF)

Simpson C., “Evaluation of Urinary Methoxyphenols as Biomarkers of Wood Smoke Exposure.” Environ. Sci. Technol., 2006, 40, 2163-2170.

0

5000

10000

15000

20000

25000

26 07:12 26 12:00 26 16:48 26 21:36 27 02:24 27 07:12 27 12:00

Time (Hrs)

Co

nc

en

tra

tio

n (

ng

/g C

rea

tin

ine

)

BFD4BFD3DFD3AFD5CFD8

Post Exposure1

(6000 ± 4000)

Pre Exposure1

(700 ± 700)

Net Methylsyringol Levels in FF Urine

05000

1000015000200002500030000350004000045000

Co

nce

ntr

atio

n (n

g/g

C

reat

inin

e)

CF

D1

BF

D1

CF

D2

CF

D3

AF

D1

AF

D2

CF

D4

BF

D2

CF

D5

AF

D3

CF

D6

DF

D1

AF

D4

DF

D2

CF

D7

DF

D3

AF

D5

CF

D8

BF

D3

BF

D4

Pre Exposure

Pre Exposure1-23Hrs Net24Hrs

Sorted as lowest to highest methylsyringol levels: top 5 highlighted

Time Profile of Methylsyringol in 5 Low Exposure Firefighters

0

200

400

600

800

1000

26 07:12 26 12:00 26 16:48 26 21:36 27 02:24 27 07:12 27 12:00Time (Hrs)

Co

nc

en

tra

tio

n (

ng

/g C

rea

tin

ine

)

BFD2AFD1CFD3CFD4AFD2

Pre Exposure Values of Simpson

(700 ± 700)

Note: Scale on this graph is 25 times less than previous graph; same profiles

Methylsyringol is an excellent marker for wood smoke

Comparison: Methylsyringol Profiles in Air, on Skin and in Urine

0

100

200

300

400

500

Conc

entra

tion (

ug/m

3 )

CFD1

BFD1

CFD2

CFD3

AFD1

AFD2

CFD4

BFD2

CFD5

AFD3

CFD6

DFD1

AFD4

DFD2

CFD7

DFD3

AFD5

CFD8

BFD3

BFD4

0

0.5

1

1.5

2

2.5

3Co

ncen

tratio

n (ng

/cm2 )

CFD1

BFD1

CFD2

CFD3

AFD1

AFD2

CFD4

BFD2

CFD5

AFD3

CFD6

DFD1

AFD4

DFD2

CFD7

DFD3

AFD5

CFD8

BFD3

BFD4

0

5000

10000

15000

20000

25000

30000

35000

40000

45000

Conc

entra

tion

(ng/

g Cr

eatin

ine)

CFD1

BFD1

CFD2

CFD3

AFD1

AFD2

CFD4

BFD2

CFD5

AFD3

CFD6

DFD1

AFD4

DFD2

CFD7

DFD3

AFD5

CFD8

BFD3

BFD4

Air

Skin

Urine

Some correlation between air and skin profiles. Good correlation (13) Poorer correlation (7) No correlation between air and skin profiles to urine profiles.

Fluorene in Air and on Skin; Hydroxyfluorenes in Urine

0

5

10

15

20

25

30

35

Conc

entra

tion

(ug/

m3 )

CFD1

BFD1

CFD2

CFD3

AFD1

AFD2

CFD4

BFD2

CFD5

AFD3

CFD6

DFD1

AFD4

DFD2

CFD7

DFD3

AFD5

CFD8

BFD3

BFD4

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

Conc

entra

tion (

ng/cm

2 )

CFD1

BFD1

CFD2

CFD3

AFD1

AFD2

CFD4

BFD2

CFD5

AFD3

CFD6

DFD1

AFD4

DFD2

CFD7

DFD3

AFD5

CFD8

BFD3

BFD4

0

500

1000

1500

2000

2500

3000

3500

Conc

entra

tion

(ng/

g Cr

eatin

ine)

CFD1

BFD1

CFD2

CFD3

AFD1

AFD2

CFD4

BFD2

CFD5

AFD3

CFD6

DFD1

AFD4

DFD2

CFD7

DFD3

AFD5

CFD8

BFD3

BFD4

Air

Skin

Urine

Modest correlation between air and skin fluorene profiles. No correlation between air/skin fluorene profiles and hydroxyfluorene profiles in urine. There must be other routes of exposure.

Conclusions: Fire Fighter Exposures

Fire fighters training exercises experienced wide range of exposures to fire-generated chemicals (~100-fold range).

Gas-phase chemicals (aldehydes, VOCs, BTEX, PAH and methoxyphenols) showed different levels but similar profiles.

Skin analyses showed 4 sites had statistically identical exposures; fingers received slightly greater exposures. Skin exposures should be viewed as whole body exposures.

Methylsyringol and 3 hydroxyfluorenes are excellent urinary exposure markers and are cleared from the body within 18-20 h.

Reasonable correlation between air exposures and skin loadings.

No correlation between air exposures and skin loadings to levels of markers in urine. These exposures may be due to operational issues with breathing apparatus.

Acknowledgements We would like to thank:

the Ontario WSIB for funding this study.

Fire Services in Burlington, Hamilton, Ottawa and Toronto for all their cooperation and assistance.

the Ontario Professional Fire Fighters Association for their kind invitation to speak at this conference.

Contact Information

For more information about this study, please contact:

Dr. Brian E. McCarry or Lorraine Shaw Department of Chemistry and Chemical Biology

McMaster University 1280 Main St. West

Hamilton, ON L8S 4M1

Phone: 905-525-9140 ext. 24504 e-mail: mccarry@mcmaster.ca or shawl@mcmaster.ca

TFS Firefighter Results – Comparisons to NHANES

Methoxyphenol and PAH Concentrations in Air

0

1000

2000

3000

4000

5000

Con

cent

ratio

n (u

g/m

3 )

AFD

1A

FD2

AFD

3A

FD4

AFD

5

BFD

1B

FD2

BFD

3B

FD4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

Methoxyphenols

PAH

Methoxyphenol and PAH Concentrations on FF Skin

0

5

10

15

20

25

Con

cent

ratio

n (n

g/cm

2 )

AFD

1A

FD2

AFD

3A

FD4

AFD

5

BFD

1B

FD2

BFD

3B

FD4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

Methoxyphenols

PAH

Mean value of sum of five skin samples: back, fingers, forehead, neck, wrist

Gas Phase and Particle Phase Distribution of Compounds in Air

Methoxyphenols PAH

0

20

40

60

80

100G

uaia

col

Met

hylG

uaia

col

Ethy

lGua

iaco

l

Euge

nol

Prop

ylG

uaia

col

Syrin

gol

Isoe

ugen

ol

Met

hyls

yrin

gol

Ethy

lsyr

ingo

l

Acet

ovan

illone

Gua

iacy

lace

tone

Acet

osyr

ingo

ne

Buty

lsyr

ingo

ne

Prop

ylsy

ringo

l

Nap

htha

lene

2-m

ethy

lnap

htha

lene

1-m

ethy

lnap

htha

lene

Acen

apht

hyle

ne

Biph

enyl

Acen

apht

hene

Fluo

rene

Phen

enth

rene

Fluo

rant

hene

Pyre

ne

Benz

o[gh

i]flu

oran

then

e

Benz

o[c]

phen

anth

rene

Cyc

lope

nta[

cd]p

yren

e

Benz

[a]a

nthr

acen

e

Chr

ysen

e

Benz

o[b]

fluor

anth

ene

Benz

o[j]f

luor

anth

ene

Benz

o[k]

fluor

anth

ene

Benz

o[a]

fluor

anth

ene

Benz

o[e]

pyre

ne

Benz

o[a]

pyre

ne

Pery

lene

% G

as P

hase

AFDDFDBFDCFD

PM concentration in Air versus Particulate Organics on Skin

Particle Phase Compounds vs Particulate Matter

R2 = 0.6333

0

5

10

15

20

25

30

0 50 100 150 200 250

Particulate Matter in Air (mg/m3)

Sk

in C

on

ce

ntr

ati

on

(n

g/c

m2)

Clean-up of Urine Samples Solid Phase Extraction (SPE):

1. Load the urine sample onto SPE cartridge – many compounds adsorb to cartridge.

2. Rinse off unwanted compounds. Compounds of interest remain on cartridge.

3. Elute compounds of interest from cartridge and collect in tubes.

Various sizes and types of SPE cartridges

available

Urine samples being loaded onto SPE cartridges

Air Samplers on an Ottawa Fire Fighter

Air filter (particulate) and tube (gases)

Passive air samplers

Air pump for air filter and tube sampler

• Water (~95%)

• Expended foods and metabolic wastes (~5%)

• Metabolites consist of organic molecules and salts.

• Organic molecules in urine include urea, creatinine, uric acid and many other chemicals.

• Toxic and unneeded substances are:

1. excreted directly into the urine, or

2. chemically modified in the lung or liver then excreted in the urine.

Major Components of Urine

Urine Sample

5.00 6.00 7.00 8.00 9.0010.0011.0012.0013.0014.0015.0016.0017.0018.000

1e+07

2e+07

3e+07

4e+07

5e+07

6e+07

7e+07

Time-->

Abundance

TIC: SF90723A.D

5.00 6.00 7.00 8.00 9.0010.0011.0012.0013.0014.0015.0016.0017.0018.000

1e+07

2e+07

3e+07

4e+07

5e+07

6e+07

7e+07

Time-->

Abundance

TIC: SF100121B.D

Chromatogram of raw urine: before clean-up on SPE cartridge

Chromatogram of urine after clean-up on SPE cartridge

Analyses Before and After Sample Clean-up

Gas chromatography-mass spectrometry Analysis of Urine

Comparison: Methylsyringol Profiles in Air and on Skin

0

100

200

300

400

500

Conc

entra

tion

(ug/

m3 )

CFD1

BFD1

CFD2

CFD3

AFD1

AFD2

CFD4

BFD2

CFD5

AFD3

CFD6

DFD1

AFD4

DFD2

CFD7

DFD3

AFD5

CFD8

BFD3

BFD4

0

0.5

1

1.5

2

2.5

3

Conc

entra

tion

(ng/

cm2 )

CFD1

BFD1

CFD2

CFD3

AFD1

AFD2

CFD4

BFD2

CFD5

AFD3

CFD6

DFD1

AFD4

DFD2

CFD7

DFD3

AFD5

CFD8

BFD3

BFD4

Air

Skin

Net Methylsyringol Levels in FF Urines

05000

1000015000200002500030000350004000045000

Con

cent

ratio

n (n

g/g

Cre

atin

ine)

CFD

1B

FD1

CFD

2C

FD3

AFD

1A

FD2

CFD

4B

FD2

CFD

5A

FD3

CFD

6D

FD1

AFD

4D

FD2

CFD

7D

FD3

AFD

5C

FD8

BFD

3B

FD4

1-23Hrs Net

Fluorenes Concentration in Air and Skin

0

5

10

15

20

25

30

35

Con

cent

ratio

n (u

g/m

3 )

CFD

1BF

D1

CFD

2C

FD3

AFD

1AF

D2

CFD

4BF

D2

CFD

5AF

D3

CFD

6D

FD1

AFD

4D

FD2

CFD

7D

FD3

AFD

5C

FD8

BFD

3BF

D4

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

Con

cent

ratio

n (n

g/cm

2 )

CFD

1

BFD

1

CFD

2

CFD

3

AFD

1

AFD

2

CFD

4

BFD

2

CFD

5

AFD

3

CFD

6

DFD

1

AFD

4

DFD

2

CFD

7

DFD

3

AFD

5

CFD

8

BFD

3

BFD

4

Air

Skin

Net OH Fluorene levels in Urine

0

500

1000

1500

2000

2500

3000

3500

Con

cent

ratio

n (n

g/g

Cre

atin

ine)

CFD

1B

FD1

CFD

2C

FD3

AFD

1A

FD2

CFD

4B

FD2

CFD

5A

FD3

CFD

6D

FD1

AFD

4D

FD2

CFD

7D

FD3

AFD

5C

FD8

BFD

3B

FD4

1-23Hrs Net

Presentation Outline:

Research Goals

Background: Chemical products of combustion

Health effects of exposures

Occupational Exposure Limits

Sampling and analysis: Air, skin and urine sampling

Pilot Smoke Exposure study

Toronto Fire Service study

Conclusions

Fire Fighter Exposure Study

Particle-phase PAH and Methoxyphenol Concentrations on Skin

0

5

10

15

20

25

Con

cent

ratio

n (n

g/cm

2 )

AFD

1A

FD2

AFD

3A

FD4

AFD

5

BFD

1B

FD2

BFD

3B

FD4

CFD

1C

FD2

CFD

3C

FD4

CFD

5C

FD6

CFD

7C

FD8

DFD

1D

FD2

DFD

3

• The Ontario WSIB has funded a 3-year study titled: “Determination of Ontario Firefighter’s Exposure to

Particulate, Volatile and Semi-Volatile Organics During Fire Fighting Including Measurements of Air Concentrations, Skin Concentrations and PAH Metabolites in Urine.”

• Research work commenced in February, 2009.

• This presentation covers the last year of work.

Fire Fighter Exposure Study

Gases: • Aldehydes (e.g., formaldehyde, acrolein) • Carbon monoxide (CO) and carbon dioxide (CO2) • Oxides of nitrogen (NO, NO2)

Organic Compounds: • Methoxyphenols (products of lignin [wood] breakdown) • Polycyclic Aromatic Hydrocarbons (PAH) • Volatile Organic Compounds (VOCs)

Particulate Material: • Sub-micron particles (fine and ultra-fine particles)

Background – Products of Wood Combustion

Exposure Comparisons to US Population The NHANES Study

• National Health and Nutrition Examination Survey (NHANES) is a US program designed to assess the health and nutritional status of adults and children across the US.

• Annual monitoring of blood serum and urine of approximately 5,000 people from 15 locations across the US; all ages and all major ethnic backgrounds.

• NHANES monitors for >500 chemicals, including bio-monitoring of PAH metabolites in urine for smokers and nonsmokers.

• Fire fighters’ hydroxyPAH metabolite levels can compared to

NHANES values (i.e., average of US population).

NHANES Data – HydroxyPAH in Urine of US Population

Exposures in Burn Houses: Fire Fighter Air and Skin Exposures

Concentrations of Volatile Organics 20 Fire fighters (≈150 compounds detected)

0

100

200

300

400

500

600

700

TVO

C (m

g/m

3 )

Firefighter ID

Concentrations of BTEX in Air 20 Fire fighters (6 compounds)

0

10

20

30

40

50

60

70

BTE

X (m

g/m

3 )

Firefighter ID

BTEX = ~10% of TVOC

Fire Fighter Exposure Study: Methodology

Smoke Sampling: Burn house training exercises: Burlington, Hamilton (2x), Ottawa, Toronto

Sampling Method Development: Gases and VOCs: conventional occupational health sampling equipment

Air Samplers: conventional active samplers and various passive samplers

Skin Samples: new area of research – no ‘standard’ methods

Urine Samples: true measure of exposures to chemicals

Analytical methods have been developed to determine: Chemicals in the smoke

Chemicals on the skin

Chemicals in urine, pre- and post-exposure.

Occupational Exposure Limits: Benzene and Derivatives (BTEX)

Contaminant Ontario OEL

8 Hr Ontario OEL

15 min ACGIH TLV

8 Hr ACGIH TLV

15 min

Benzene (Skin) 0.5 ppm 2.5 ppm 0.5 ppm 2.5 ppm, A1

Ethyl benzene 100 ppm 125 ppm 100 ppm 125 ppm, A3

Toluene 20 ppm 20 ppm, A4

Xylene 100 ppm 150 ppm 100 ppm 150 ppm, A4

ACGIH Categories of Carcinogenicity:

A1 – Confirmed human carcinogen A2 – Suspected human carcinogen A3 – Confirmed animal carcinogen with unknown relevance to humans

Chemical Analysis of Wood Smoke Extract

6.00 7.00 8.00 9.00 10.00 11.00 12.00 13.00 14.00 15.00

50000

100000

150000

200000

250000

300000

350000

400000

450000

500000

550000

600000

650000

700000

Time-->

Abundance

TIC: SF100107F.D

1 2

3 4

5 6

7 8

PAH are minor components in this chromatogram

14.0014.1014.2014.3014.4014.5014.6014.7014.8014.9015.0015.10

10000

15000

20000

25000

30000

35000

40000

45000

50000

55000

60000

65000

70000

75000

80000

Time-->

Abundance

TIC: SF100107F.D

14.36

14.82

Fluoranthene Pyrene

Comparison: Air Particulate and Particle Phase PAH and Methoxyphenols

0

5

10

15

20

25

Concen

tration (

ng/cm2 )

AFD1

AFD2

AFD3

AFD4

AFD5

BFD1

BFD2

BFD3

BFD4

CFD1

CFD2

CFD3

CFD4

CFD5

CFD6

CFD7

CFD8

DFD1

DFD2

DFD3

Profiles of Hydroxyfluorenes in Urine: Before and After Exposures

0

500

1000

1500

2000

2500

3000

3500

Con

cent

ratio

n (n

g/g

Cre

atin

ine)

CFD

1B

FD1

CFD

2C

FD3

AFD

1A

FD2

CFD

4B

FD2

CFD

5A

FD3

CFD

6D

FD1

AFD

4D

FD2

CFD

7D

FD3

AFD

5C

FD8

BFD

3B

FD4

Pre Exposure

Pre Exposure1-23Hrs Net24Hrs

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