To Örebro University

Indoor dust contains a complex mixture of chemicals, including endocrine-disrupting chemicals (EDCs), which may pose risks to children's health. As children spend most of their time indoors and have frequent dust contact, their exposure is heightened. This study quantified the endocrine disrupting potential of dust from children's indoor environments in Sweden, and assessed associations with flame retardants and plasticizers in dust, handwipes, and urine.

Fifty dust samples from 18 homes and 11 preschool units were analyzed for estrogen, anti-androgen, and thyroid receptor activities using human osteosarcoma cell-based luciferase reporter assays. Associations were evaluated with 21 legacy and 18 emerging halogenated flame retardants (HFRs) and 11 organophosphate esters (OPEs) in dust and handwipes, as well as nine plasticizers (eight phthalates and di-isononyl cyclohexane 1,2-dicarboxylate (DiNCH)) in dust, and 14 plasticizer metabolites in urine. Samples for biological and chemical analyses were collected from the same designated areas within a limited time frame.

Most dust samples exhibited estrogen receptor agonist (ER) and androgen receptor antagonistic (anti-AR) activity, while thyroid receptor (TR) induction was low. Preschool dust showed significantly higher estrogenic activity than home dust. No seasonal variation was observed. Associations were observed between dust hormonal activities and urinary plasticizer metabolites, as well as HFR and OPE concentrations in dust and handwipes. Relative potency (REP) analyses of 36 HFRs and OPEs revealed notable anti-AR activity for 2,2´,4,4´-tetrabromodiphenyl ether (BDE-47) (REP values 0.85±0.10 (EC25) and 0.93±0.07 (EC50)) and 2,2´,4,4´,6-pentabromo diphenyl ether (BDE-100) (REP values 2.74±0.29 (EC25) and 3.23±0.42 (EC50)). Additionally, BDE-100 showed low ER induction.

Children are exposed to endocrine disrupting chemicals (EDCs) through inhalation and ingestion, as well as through dermal contact in their everyday indoor environments. The dermal loadings of EDCs may contribute significantly to children's total EDC exposure due to dermal absorption as well as hand-to-mouth behaviors. The aim of this study was to measure potential EDCs, specifically halogenated flame retardants (HFRs) and organophosphate esters (OPEs), on children's hands during preschool attendance and to assess possible determinants of exposure in preschool indoor environments in Sweden. For this, 115 handwipe samples were collected in winter and spring from 60 participating children (arithmetic mean age 4.5 years, standard deviation 1.0) and analyzed for 50 compounds. Out of these, 31 compounds were identified in the majority of samples. Levels were generally several orders of magnitude higher for OPEs than HFRs, and 2-ethylhexyl diphenyl phosphate (EHDPP) and tris(2-butoxyethyl) phosphate (TBOEP) were detected in the highest median masses, 61 and 56 ng/wipe, respectively. Of the HFRs, bis(2-ethyl-1-hexyl)-2,3,4,5-tetrabromobenzoate (BEH-TEBP) and 2,2',3,3',4,4',5,5',6,6'-decabromodiphenyl ether (BDE-209) were detected in the highest median masses, 2.8 and 1.8 ng/wipe, respectively. HFR and/or OPE levels were found to be affected by the number of plastic toys, and electrical and electronic devices, season, municipality, as well as building and/or renovation before/after 2004. Yet, the calculated health risks for single compounds were below available reference dose values for exposure through dermal uptake as well as for ingestion using mean hand-to-mouth contact rate. However, assuming a high hand-to-mouth contact rate, at the 95th percentile, the calculated hazard quotient was above 1 for the maximum handwipe mass of TBOEP found in this study, suggesting a risk of negative health effects. Furthermore, considering additive effects from similar compounds, the results of this study indicate potential concern if additional exposure from other routes is as high.

Several plasticizing chemicals induce endocrine disrupting effects in humans, and the indoor environment is suggested to be a source of exposure. As children are particularly vulnerable to the effects from exposure to endocrine disrupting chemicals (EDCs), it is essential to monitor exposure to EDCs such as phthalates and non-phthalate plasticizers in indoor environments intended for use by children. The aim of this study was to assess everyday plasticizer exposure among preschool-aged children in Sweden by measuring urinary plasticizer metabolite concentrations. In addition, it was investigated whether the concentrations would be altered as a result of the children spending part of the day at preschool, in comparison with weekend exposure, when they may spend more time in home environments or engage in various weekend and leisure activities. For this purpose, fourteen metabolites from eight phthalates (di-ethylhexyl phthalate, DEHP; di-n-butyl phthalate, DnBP; di-isobutyl phthalate, DiBP; butyl-benzyl phthalate, BBzP; di-iso-nonyl phthalate, DiNP; di-propylheptyl phthalate, DPHP; di-iso-decyl phthalate, DiDP; and di-ethyl phthalate, DEP) and one non-phthalate plasticizer (di-isononyl cyclohexane 1,2-dicarboxylate, DiNCH) were measured in 206 urine samples collected at four occasions, i.e. twice during the winter and twice during the spring from 54 children (mean 5.1 years, SD 0.94) enrolled at eight preschools in Sweden. A detection frequency (DF) of 99.9% for the 14 metabolites indicates a widespread exposure to plasticizers among children in Sweden. Compared to previous Swedish and international studies performed during approximately the same time period, high urinary concentrations of monobenzyl phthalate (MBzP), a metabolite from the strictly regulated BBzP, were measured in this study (median 17 ng/mL). Overall, high urinary phthalate metabolite concentrations were observed in this study compared to the US CDC-NHANES from the same time period and similar age-group. Compared to European studies, however, similar concentrations were observed for most metabolites and the urinary concentrations from few participating children exceeded the human biomonitoring guidance values (HBM-GV) for children. After days with preschool attendance, lower urinary concentrations of metabolites originating from DEP and phthalates that are strictly regulated within the EU REACH legislation (DEHP, DnBP, and DiBP) and higher concentrations of metabolites originating from DiNP, DPHP, and DiDP, i.e. less or non-regulated phthalates were found compared the urinary concentrations of these metabolites in weekends. This may indicate that factors in the indoor environment itself are important for the extent of the plasticizer exposure. All the analyzed metabolites were measured in lower concentrations in urine collected from children attending preschools built or renovated after the year 2000, while no seasonal differences were observed in this study.

This study analysed settled dust samples in Sweden to assess children's combined exposure to 39 organohalogenated flame retardants (HFRs) and 11 organophosphate esters (OPEs) from homes and preschools. >94 % of the targeted compounds were present in dust, indicating widespread use of HFRs and OPEs in Swedish homes and preschools. Dust ingestion was the primary exposure pathway for most analytes, except BDE-209 and DBDPE, where dermal contact was predominant. Children's estimated intakes of ∑emerging HFRs and ∑legacy HFRs from homes were 1-4 times higher than from preschools, highlighting higher exposure risk for HFRs in homes compared to preschools. In a worst-case scenario, intakes of tris(2-butoxyethyl) phosphate (TBOEP) were 6 and 94 times lower than the reference dose for children in Sweden, indicating a potential concern if exposure from other routes like inhalation and diet is as high. The study also found significant positive correlations between dust concentrations of some PBDEs and emerging HFRs and the total number of foam mattresses and beds/m2, the number of foam-containing sofas/m2, and the number of TVs/m2 in the microenvironment, indicating these products as the main source of those compounds. Additionally, younger preschool building ages were found to be linked to higher ΣOPE concentrations in preschool dust, suggesting higher ΣOPE exposure. The comparison with earlier Swedish studies indicates decreasing dust concentrations for some banned and restricted legacy HFRs and OPEs but increasing trends for several emerging HFRs and several unrestricted OPEs. Therefore, the study concludes that emerging HFRs and OPEs are replacing legacy HFRs in products and building materials in homes and preschools, possibly leading to increased exposure of children.

Background: Since we spend most of our time indoors the indoor environment can lead to exposure to substances like metals. Small children are often more exposed than adults, for instance due to their hand-to-mouth behaviour. Since some metals can have adverse health effects in children the aim of this study was to investigate indoor exposure to metals on children’s hands in preschools.

Method: In the study, 60 children at 8 preschools in two cities in Sweden participated. Metals on the hands were sampled at two different periods (winter and spring) giving a total of 109 samples. During sampling, both hands were wiped using hand-wipes soaked in 1 % HNO3, and sampling was done after two hours of indoor activities. The following metals were analyzed using ICP-MS; beryllium, magnesium, aluminium, vanadium, chromium, manganese, iron, cobalt, nickel, copper, zinc, arsenic, molybdenum, silver, cadmium, antimony, barium, thallium and lead. Results All samples were above limit of quantification (LOQ) except for beryllium and molybdenum (4 %<LOQ) and silver (100 %<LOQ, LOQ=0.001 µg/sample). The lowest mean level was seen for beryllium (0.0034 µg/sample) and highest for magnesium (140 µg/sample). For cadmium, arsenic and lead the mean levels were 0.023, 0.049 and 0.51 µg/sample, respectively. For about half of the metals statistically significantly higher levels (p<0.05) were seen during spring and in one of the cities.

Conclusion: Metals linked to severe health effects like cadmium, arsenic and lead as well as a range of other metals could be detected on children’s hands. These findings indicate an exposure to metals for children both via dermal uptake and oral intake due to hand-to-mouth transfer, but potential contributions to the body burden are unknown. Higher levels were seen during spring and in one of the cities, possible explanations to these observations needs to be looked into more closely.

INTRODUCTION: Wood pellets are used as a source of renewable energy for heating purposes. Common exposures are wood dust and monoterpenes, which are known to be hazardous for the airways. The purpose of this study was to study the effect of occupational exposure on respiratory health in wood pellet workers.

MATERIALS AND METHODS: Thirty-nine men working with wood pellet production at six plants were investigated with a questionnaire, medical examination, allergy screening, spirometry, and nasal peak expiratory flow (nasal PEF). Exposure to wood dust and monoterpenes was measured.

RESULTS: The wood pellet workers reported a higher frequency of nasal symptoms, dry cough, and asthma medication compared to controls from the general population. There were no differences in nasal PEF between work and leisure time. A lower lung function than expected (vital capacity [VC], 95%; forced vital capacity in 1 second [FEV1], 96% of predicted) was noted, but no changes were noted during shifts. There was no correlation between lung function and years working in pellet production. Personal measurements of wood dust at work showed high concentrations (0.16-19 mg/m(3)), and exposure peaks when performing certain work tasks. Levels of monoterpenes were low (0.64-28 mg/m(3)). There was no association between exposure and acute lung function effects.

CONCLUSIONS: In this study of wood pellet workers, high levels of wood dust were observed, and that may have influenced the airways negatively as the study group reported upper airway symptoms and dry cough more frequently than expected. The wood pellet workers had both a lower VC and FEV1 than expected. No cross-shift changes were found.

Objective: Wood dust data collected in the production of wood pellets during 2001 to 2013 were evaluated to study a temporal trend in inhalation exposure. Methods: A linear mixed effects model of natural ln-transformed data was used to express the relative annual difference in inhalation wood dust exposure. Results: There was an annual decrease of -20.5% of the geometric mean wood dust exposure during 2001 until 2013. The results were based on 617 inhalable dust samples collected at 14 different production units. The exposure to wood dust at the industrial premises investigated has decreased from a relatively high level of 6.4 mg m-3 in 2001 to 1.0 mg-3 in 2013. The Swedish Occupational Exposure Limit (SOEL) of 2 mg m-3 may still be exceeded. Conclusion: Analysis of the temporal trend in soft wood production units revealed declines in exposure of 20.5% per annum. It is important that precautions are taken to protect workers from a hazardous exposure to wood dust at the premises as the SOEL of 2 mg m-3 at some occasions is still exceeded. Additional measurements of wood dust exposure should be carried out on a regular basis in wood pellet production units in Sweden as well in other countries.

The main aim of this study was to investigate exposure to airborne substances that are potentially harmful to health during the production of wood pellets, including wood dust, monoterpenes, and resin acids, and as an indicator of diesel exhaust nitrogen dioxide. In addition, area measurements were taken to assess background exposure levels of these substances, volatile organic compounds (VOCs), and carbon monoxide. Measurements were taken at four wood pellet production plants from May 2004 to April 2005. Forty-four workers participated in the study, and a total of 68 personal measurements were taken to determine personal exposure to wood dust (inhalable and total dust), resin acids, monoterpenes, and nitrogen dioxide. In addition, 42 measurements of nitrogen dioxide and 71 measurements of total dust, resin acids, monoterpenes, VOCs, and carbon monoxide were taken to quantify their indoor area concentrations. Personal exposure levels to wood dust were high, and a third of the measured levels of inhalable dust exceeded the Swedish occupational exposure limit (OEL) of 2 mg/m3. Parallel measurements of inhalable and total dust indicated that the former were, on average, 3.2 times higher than the latter. The data indicate that workers at the plants are exposed to significant amounts of the resin acid 7-oxodehydroabietic acid in the air, an observation that has not been recorded previously at wood processing and handling plants. The study also found evidence of exposure to dehydroabietic acid, and exposure levels for resin acids approached 74% of the British OEL for colophony, set at 50 microg/m3. Personal exposure levels to monoterpenes and nitrogen dioxide were low. Area sampling measurements indicated that aldehydes and terpenes were the most abundant VOCs, suggesting that measuring personal exposure to aldehydes might be of interest. Carbon monoxide levels were under the detection limit in all area measurements. High wood dust exposure levels are likely to have implications for worker health; therefore, it is important to reduce exposure to wood dust in this industry.

The aims of the studies underlying this thesis were to assess workers’ air exposure to wood dust and various chemicals, and to evaluate the variability in exposure and occupational dermal exposure to resin acids during the production of wood pellets in Sweden. Personal air measurements of wood dust, monoterpenes, resin acids and nitrogen dioxide (as a marker of diesel exhaust), accompanied by area measurements of these substances, VOCs and carbon monoxide, were performed at up to ten plants. Repeated measurements were also performed to evaluate within- and between-worker variability, determinants of exposure, the probability that a worker’s mean exposure exceeded the occupational exposure limit, OEL (overexposure), and the bias in the exposure-response relationship (attenuation).

Dermal exposure was measured at the forehead, neck, forearm and hand using a tape-stripping method, in which a strip of adhesive tape is applied to the skin and then removed along with the outermost layer of the skin and chemicals adsorbed to this layer. The workers’ exposure to wood dust was high (mean: 2.4 mg/m3), with 35−42 % of the measurements above the Swedish OEL of 2 mg/m3. The exposure is also classified as unacceptable due to the calculated levels of overexposure. Exposure to resin acids like 7-oxodehydroabietic acid and dehydroabietic acid was identified, which has not been previously observed in the wood industry, with mean sum levels of 2.4 _g/m3. Levels of monoterpenes, nitrogen dioxide, VOCs and carbon monoxide were all below their Swedish OELs. A factor that influenced the level of exposure to wood dust and resin acids was the nature of the work done, notably cleaning operations, like sweeping, which increased the exposure slightly. The attenuation was high for the individual-based model, and at least 12 repeated measurements were needed to yield a bias in the exposureresponse relationship of _10 %. The results also showed that dermal exposure to resin acids occurs in these plants, which has not been shown before, and provided indications of both increased exposure during a work shift and diffusion into the skin. The main conclusion is that wood dust exposure at these levels is likely to have implications for the workers’ health in the long run, and, therefore, it is important to reduce exposure to wood dust in this industry.