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Health hazards arising from global transport of goods Xaver Baur 1 , Lygia T. Budnik 2 , Stefan Kloth 2 , Alexandra M. Preisser 2 , Heidi Schwarzenbach 3 1 Institute for Occupational Medicine, Campus Benjamin Franklin, CharitéSchool of Medicine Berlin, Germany. [email protected] 2 Institute for Occupational and Maritime Medicine, Department of Occupational Health, School of Medicine, University of Hamburg, Germany 3 Department of Tumor Biology. School of Medicine, University of Hamburg, Charité – University Medicine Berlin Institute for Occupational Medicine Prof. Dr. med. X. Baur

Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

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Page 1: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Health hazards arising from global transport of goods

Xaver Baur1, Lygia T. Budnik2, Stefan Kloth2, Alexandra M. Preisser2,  Heidi Schwarzenbach3

1 Institute for Occupational Medicine, Campus Benjamin Franklin, Charité‐School of Medicine Berlin, Germany. [email protected]

2 Institute for Occupational and Maritime Medicine, Department of Occupational Health, School of Medicine, University of Hamburg, Germany

3 Department of Tumor Biology. School of Medicine, University of Hamburg, 

Charité – University Medicine BerlinInstitute for Occupational Medicine

Prof. Dr. med. X. Baur

Page 2: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

International transport of consumer goods has increased

during the last two decades

Importing countries require that freight containers should be fumigated by methyl bromid or heat-treated in order to hinter the word wide pest

distribution (IPSM 15)

Hamburg 9 Millionen TEU(2015:18 Millionen)

Rotterdam:11 Millionen TEU

Page 3: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Hazard identification

Container fumigation in India

Page 4: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

A crew member was found dead in his cabin one day after a cargo fumigation

BUDNIK

17.11.2004Port workers to be tested for methyl bromide levelsFour Nelson widows, whose husbands died from the degenerative brain 

disorder motor neurone disease after years of working for businesses based at the port, are calling for the inquiry. „

Fatalities: pulmonary edema, hemorrhages throughout the body, shrunken brain cells, heart, liver, kidney damage (4 days after 30 min exposure)

Chronic Disorders: mainly respiratory and neurological

Page 5: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Databank www.EOMsociety.orgPatients with Fumigant Intoxications

Page 6: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Aim of our study:

evaluate possible health risks due to toxic chemical residues in containers to:

seafarers, dock workers, container unloaders: transport/warehouse/ storage room workers, controlling bodies (inspecting bodies, customs, water police etc.), and bystanders.

Exposure in container atmosphere could be associated with increased health risk for those entering the container

Page 7: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

LTBLTB

BUDNIK

Air measurement of closed container units (ports of Rotterdam and Hamburg)

2006-2012: ~ 5000 Container Units

• field studies (on site devices)• validated lab analyses (TD-GCMS)(also screen for adopted MeBr alternatives)

X. Baur, B. Poschadel, L.T. Budnik Occup. Environ. Med., 67 (2010) 207-212L.T. Budnik, S. Fahrenholtz, S. Kloth, X. Baur J. Environ. Monit. 12 (2010) 936-942.

Page 8: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

ChinaSE Asia

Indian Subcontinent

South AmericaEurope & N‐ America

Middle East Africaothers

most

least

Page 9: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Percentage of fumigant residues (for at least one of seven major fumigants and/or toxic industrial chemicals)

Page 10: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Highest concentrations found (single units):  

methyl bromide:   750,000 ppb (750 x occupational exposure limit)phosphine: 1,100,000 ppb (11,000 x occupational exposure limit)1,2 dichloroethane: 450,000 ppb (450 x occupational exposure limit)(ethylene dichloride)benzene:  800,000 ppb (800 x occupational exposure limit)toluene:    110,000,000 ppb (2,500 x occupational exposure limit)

70 % exceed community exposure levels chronic RELs, OEHHA

35 % exceed occupational exposure limits acute RELs, NIOSH

0.6 % exceed IDLH (Immediately Dangerous for Life or Health, NIOSH) 

Page 11: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

products fromfumigated container

products fromfumigated container

Page 12: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

0 2000 4000 6000 8000 10000 12000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 2000 4000 6000 8000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 10000 20000 30000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 3000 6000 9000 12000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

propylene dichloride

propylene dichloride

propylene dichloride

propylene dichloride

Measurement data of 4 shoe containers

Page 13: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

0 5000 10000 15000 20000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 500 1000 1500 2000 2500

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 2000 4000 6000 8000 10000 12000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 2000 4000 6000 8000 10000 12000 14000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 1000 2000 3000 4000 5000 6000 7000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 2000 4000 6000 8000 10000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 2000 4000 6000 8000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 200000 400000 600000 800000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 2000 4000 6000 8000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 20000 40000 60000 80000 100000 120000

ethylene dichloridemethyl bromide

methylene chloride propylene dichloridetetrachloro-methane

carbon disulfidechloropicrin

benzene toluene

0 500 1000 1500 2000 2500 3000 3500

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 200 400 600 800 1000 1200

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 40000 80000 120000 160000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 10000 20000 30000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 200 400 600 800 1000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 25000 50000 75000 100000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 3000 6000 9000 12000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 20000 40000 60000 80000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 2000 4000 6000 8000 10000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

0 1000 2000 3000 4000 5000

ethylene dichloridemethyl bromide

methylene chloride propylene

tetrachloro-methanecarbon disulfide

chloropicrinbenzene

toluene

Page 14: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

05000

10000150002000025000

Sulfuryldifluorid

Methylbromid

Schwefelko

hlenstoff

1,2-Dichloret

hanBenzolToluol

Chlorpikrin XChlormethan

Dichlorm

ethan

1,1-Dichloret

han

Trichlormethan

Tetrachlorm

1,2-Dic

1 day in the emission chamber

Cocoa butterCocoa butter

ppb

methyl bromide

24,161 ppb= 94 mg/m3

(mit Headspace‐Analyse GC‐MS)

7.6 mg methyl bromide/ g product

additional analysismethyl bromide in the product

Page 15: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Findings (I)• Fumigation is becoming a standard procedure,

especially in Asia• Fumigated containers are usually not de-fumigated• Other fumigants than methyl bromide are used • Usually no labeling

Page 16: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

There is a need for a panel of suitable effect biomarkers for detection of such endangering chemical exposures

Page 17: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Budnik et al., 2013 PLoS ONE 8(5)

Page 18: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

. Cell‐free DNA may provide information from intoxicated organs

Data from: Budnik et al., 2013 PLoS ONE 8(5)

Page 19: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Exposure was associated with elevated serum levels of circulating 79 bp mitochondrial DNA  (mtDNA‐79) 

serum mtDNA‐79 level serum mtDNA‐79 level

All exposed vs ControlsMeBr exposed vs Controls

Data from: Budnik et al., 2013 PLoS ONE 8(5)

Page 20: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

serum mtDNA integrity

p=0.0158

serum mtDNA-230 levelp=0.005

The increased integrity of mtDNA (mtDNA-230/mtDNA-79) in exposed individuals implicates apoptotic processes.

Page 21: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Findings (II)Findings (II)

Our findings• show enhanced hemoglobin adducts and cell free

mtDNA levels (esp. -79) in workers exposed to halogenated hydrocarbon pesticides

• corraborate the data showing increased mtDNA in patients exposed to low levels of benzene (<100 ppb)

Our findings• show enhanced hemoglobin adducts and cell free

mtDNA levels (esp. -79) in workers exposed to halogenated hydrocarbon pesticides

• corraborate the data showing increased mtDNA in patients exposed to low levels of benzene (<100 ppb)

• indicate that mitochondrial DNA has a potential to serve as a biomarker recognizing vulnerable risk groups after exposure to toxic/carcinogenic chemicals

• indicate that mitochondrial DNA has a potential to serve as a biomarker recognizing vulnerable risk groups after exposure to toxic/carcinogenic chemicals

Page 22: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Conclusion: Urgent need for action- to rise awareness of enterprises and endangered

workers- to measure before entering an import container (or

ventilate for at least 6 hours)- to improve regulations at national and international

levels- for controls and sanctions if regulations are not

followed- for medical surveillance of exposed workers- for detailed ongoing studies on the changing toxic

airborne load of import containers and freightand the potential health risk especially of vulnerable consumers

Page 23: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Foto

: Jan

a Fi

sche

r, Zf

AM

Page 24: Health hazards arising from global transport of goods · Health hazards arising from global transport of goods Xaver Baur1,Lygia T. Budnik2, Stefan Kloth2, Alexandra M. 3Preisser2,

Internet search from: 28.05.2009AgriSeek.com