holy cow ...

So, we all have our opinions about PPE. We express them to our employers / employees. Most likely repeatedly. In detail. We wonder at times (or at least I do), where all this information goes. Does an employee take this to another job? Does my colleague tell his kid to be safe? Well, I just had the most amazing thing happen. I got quoted on Minnesota Public Radio's Marketplace website. I have never had my professional opinion put forth in such a public manner. Of course, what happens? My husband then starts arguing about whether this statement is actually 100% true. Well, what if Respirator A is actually a bit more effective than Respirator B, although both are marketed as N-95? If A is more expensive than B, then my statement to MPR is invalid ... I suppose I should have argued in that case, if B is more expensive than A, then I could equally have said cheaper is better, and been equally wrong. As if anything in the world is ever 100% exactly the same 100% of the time ...

Libby, part 2

earlier in the saga, the EPA posted Q&A about the earlier suit: Q : Can Grace sue me to recover money it is required to pay EPA for cleanup of my property?

A : Yes. Grace has the right to sue you, but the court must first decide to what extent you may be held responsible. EPA provided No Action Assurances to owners of residential and business properties in Libby. These assurances indicate that EPA will not seek the cost of cleanup from you. The No Action Assurance will tell the court that EPA does not believe you should be held responsible for those costs.

So, the EPA won't screw you out of money to pay for this??? What in god's name do they think funds the EPA? My taxes. Oh, okay - so EPA won't see restitution from the residents - they get it from me! Grace being able to sue a homeowner to recoup money they need to spend to cover their illegal/unethical activities which caused the homeowner to get asbestosis(read: lung cancer)? How much more obscene can you get?

Libby, part 1

Well, a bit delayed with posting ... From February... W.R. Grace was back in the news with a new lawsuit. This is the owner of the vermiculite mine in Libby, Montana. The stupendous point of this is that the defendants in the suit are the Grace executives, not the company. This is the first time the EPA has tried this. They - unlike OSHA - are allowed to directly bring suit against individuals. Actually, I’m not sure OSHA is even allowed to sue anyone, just implement fines. I’m sure the rest of the legal community is waiting with baited breath (assuming we don’t have asbestosis, of course). The company did ban smoking at the mine in 1978 — smoking compounds the dangers of asbestos, doctors say — and also issued respirator masks to workers. But showers that the miners could have used at the end of their shifts before heading home were ruled out, because they might have overly worried people. In the largest judgment after trial (in 2003) in the history of the federal Superfund law, the Justice Department and the Environmental Protection Agency announced that the District Court of Montana has ordered W.R. Grace & Co. to pay over $54.5 million to reimburse the federal government for the costs of investigation and cleanup of asbestos contamination in Libby, Montana. There is asbestos all over the entire town. Usually asbestos abatement brings an image of workers in Tyvek suits & respirators working behind plastic sheeting. This abatement is somehow supposed to be the entire city of Libby.

Bitrex

Good heavens, this stuff tastes gross! Last night's class on respirators ended with a call for volunteers to go through a qualitative fit-test with a filtering face-piece respirator. How do you know if it's a respirator or a dust mask? If it says NIOSH, it's a respirator. There being only 6 people in the class, it's not as though one can hide in the back of the room. No one seemed to be leaping at the opportunity, so I volunteered. I guess there's benefits of being the oldest student - I'm pretty immune to most things that embarrass my younger classmates. I've never done qualitative fit testing before, only the quantitative method. They used bitrex as the sensory stimulus. They asked if I knew what it tasted like, simply to avoid having to check. I got a whiff of it once, being in close proximity to someone getting this done. Blech. Since we weren't waiting 1 minute for each of these activities (reading, turning head, lifting chin, etc), I was getting one whopping huge amount of bitrex pumped into the Bag On Head. They're looking kind of curious - I'm not sure why. The whole point is to demonstrate that even an N95 (read: not an N100) is perfectly capable of protecting against this stuff. Then ... wham. The standard bug-eyed, open mouth, sounds of disgust and grabbing for the hood. An hour later walking through campus with some classmates, I licked my lips only to realize it was still there. I think recommending employees rinse their face should be required, whether or not they fail. I failed on the step requiring someone to bend over. I'm not toooo surprised. It wasn't fitting really well under my chin. I was actually surprised it fit as well as it did. I'm curious about what size I was wearing - despite being a woman, I have a fairly broad face. I wear a size Large for full-face respirators, and depending on the manufacturer either Medium or Large for the half-face fitted ones. Yet another reason to offer multiple sizes to employees and make them try on more than one size. Of course you have them, because you're required to (1910.134 Apdx A - first point made) - but you should make them try more than one. Curiously, a rep from 3M told me that different chemicals are used in different countries. Not a surprising statement, eh? But ... apparently there is a distinct difference in sensitivity to some of the compounds. Americans have a lower sensitivity to one of the sweet-smelling chemicals, presumably due to the high sugar content of our regular diets.

Process Man (a.k.a. Chemical Worker's Song)

Well, if you're from Newfoundland, you've likely heard of these men: Great Big Sea. I've loved their music since I saw them on some Canadian channel playing outdoors at a ski resort in shorts in the Winter while it was snowing. This is also one of my favorite of their songs. The original version on Up (and that I heard live, about 12 feet from the stage in Ann Arbor) was powerful in the way that a capella music can be. This recording has either poor audio detail, or the lead singer was having vocal problems & slurring a bit, just a bit. I mention this only in that - if you like this - the standard studio recording is even better for the clarity (as is often the case). Process Man - the ballad of a fellow stuck in the chemical manufacturing world. work & breathe among the fumes that trail across the sky... and it's go boys, go, they'll time your every breath ... 'cause every day you're in this place you're 2 days nearer death ...

[chem free] Makeup

This is the cosmetic "makeup"; not the "amount needed to equalize something (e.g. make up air); and not emotional reattachment (e.g. make up with my girl friend). So, I'm curious ... from a stealth-ad: Mineral makeup is make-up that's made of all natural, finely ground minerals from the earth, without any of the chemicals, dyes, and preservatives found in traditional makeup. It gives you a light, natural, long-lasting glow that simply can't be duplicated by other types of makeup. One of my favorite phrases is "chemical free". I've seen it on food, on coffee, and now on (of all things) make up. What do these people think is in this stuff, if not chemicals? Because the way it's written certainly implies it's chemical free. Note the prepositional phrase (in traditional makeup) is waaaaaay down the long sentence. What you read is without any chemical, dyes or blah blah blah. If these are so wonderfully healthy for you, and are great for sensitive skin - what kind of exposure control systems do they have in the manufacturing plant? I can pretty much guarantee there's an amazing amount of ventilation to cope with the really fine powder. I'd also bet dermal PPE is required to avoid getting this stuff on your skin because it's irritating. (of course, this is sold as a mixture direct-to-customer-not-hazardous product, so there's no MSDS for it). Did they mention that asbestos is a very nice, naturally occurring "chemical free" and "dye free" mineral? Not that there's necessarily anything wrong with these product. I've got a bottle of eye shadow powder that I like. But I bought it because I liked the color; I have no delusions that any of my cosmetics are actually good for me.

HF leak on highway

The picture is far more impressive than the text: managed to stop the slowly dripping liquid . Of course, I'm curious: How slow is 'slowly dripping' compared to 16 tons [just over 14,500 kg] ?

Cutting off the nose to save the penis

what a title! Definitely not the ordinary work hazard. One expects reproductive hazards from radiation or chemical exposure. I never would have thought of bicycle riding. NIOSH bicycle saddles and reproductive health prolonged riding with certain types of bicycle saddles (the seat) results in higher pressure to the urogenital area (crotch) for male cyclists, reducing male reproductive function. These studies focused on police departments with a bicycle patrol as part of the force. Changing the style of seat for 6 months improved the man's function. The title is from the "nose-less" bicycle seats which were studied.

Mercury increase in Great Lakes

Levels of mercury in pike and walleye increasing from: Minnesota Public Radio

February 17, 2009

St. Paul, Minn. — Mercury levels are increasing in pike and walleye in Minnesota. Minnesota Pollution Control Agency scientist Bruce Monson studied data from the past 25 years.

Monson found that from the 1980s through the mid 1990s mercury levels decreased, but since then they've been on the rise. Monson says that corresponds to an increase in global mercury emissions from 1990 to 1995.

"We're affected by global emissions. 90 percent of the mercury that gets deposited is actually from outside the state." [READ: China]

Minnesota has already greatly reduced its mercury emission levels, and it will cut emissions again by 93 percent by 2025. The state is also working with other states to push the federal government into take action to cut mercury pollution globally.

100 pounds of Hg

largest mercury spill in 20 years the fact that this isn't simply the largest is scarier. Reading the idiocy posted by idiots reading the papers is even scarier. "He said he was unaware of any damage to workers' health." It's amazing what you can be unaware of, simply by not being told. No one could possibly know within 24 hours whether or not the workers' health is impaired. Still ... I had a job once where I was explicitly told to "take your time getting back here", so that the corporate president could go on TV and say "we don't have that information yet". Of course not, I had it. So, I'm not really impressed anymore with "I'm unaware of ...." He added he did not know which company employed the supervisors who gave his employees their instructions. -- this is just a prime example of failure to stay on top of your employees' safety. If anyone is giving my employees directions involving their health, I damn well want to know who they are. I might now know what was said/done, but I would at least know who ran my safety program. ...notified the state's Office of Emergency Services about a spill of one pint of mercury - equal to 14 pounds. About three weeks later, the company amended its report to 90 pounds. ... reported the [second] spill to the state as six pounds and about a week later amended that amount to 90 pounds do you think someone might have checked into this, after the first amendment? Changing it to a larger amount doesn't surprise me - once you have a better idea of what happened, I would expect the number to increase. But from 14 to 90? That's not just a little blip, that's a 500% increase. Under laws effective last year, any company failing to notify the center promptly about a reportable spill could face a fine of up to $32,500 a day, EPA officials said. come on ... does ANYONE actually think the EPA will even try to fine these people? He added that the law now requires a professional survey assuring asbestos has been removed from a site, but "there is no similar requirement to have a professional survey for mercury and other hazardous materials." I might understand this, in a general sort of way. Tearing down the Gustavus Adolphus building on 16th & Lake really wouldn't warrant one's attention for hazardous materials. But a manufacturing site, which is known to have used hazardous chemicals in large quantities? Anyone who has ever dealt with older companies and especially older facilities in disrepair knows that it is almost a sure-fire guarantee to find 'unexpected' items. (I could tell you horror stories about cleaning a deep freezer which had, at one time, belonged to an infectious disease laboratory.) Hazardous materials assessment should precede demolition or major construction activities at any facility. That could be as simple as "looked around, it was an office, no asbestos, no radon, check" - or in the case of an old pesticide plant, like the one just west of me in the Philips Neighborhood: "um, old pesticide manufacturing plant, no one owns it anymore, it's a Brownfield, there's arsenic all over the neighborhood ...".

questions for noise monitoring

As I progressed with this project, I realized that I should ask more questions. Sure, these are patently obvious, and are probably mentioned in any text on the topic. But, hey, this is why the first time doing something is educational. And of course, some of these I realized ought to have been asked after getting data I didn't want. Do you move to other tasks in the day? If so, find out which ones & how long they are at each station. How long do you stay at this work station? If the answer is less than a full shift, find out where else they are (& what they're doing). Is this a normal day for you? Do you normally run this (gizmo) more? less? Is production running faster or slower? Are you doing more tasks than usual? How long have you been doing this task, i.e., years, months, weeks You should establish how much experience the worker has with this task, which might be different than their seniority/time-in-grade might indicate. 30 years with the company might mean she's been doing this task for 6 months. Are you working overtime today? Often? Will you need to set the measuring instruments to accommodate a longer measurement? When you do calculations, you'll need to know what their normal exposure is, if today is different. Who else does this task or works at this station? Do you have someone who just helps out occasionally? This might be different than the answer you get from the supervisor. You're more interested in finding the perhaps unofficial or unknown "helpers", to make sure the helpers get included in your surveillance program. Is this task done every day? If this isn't a routine task, find out how often it is done. You might manage to catch someone doing a quarterly or annual task. And, if you miss the infrequent/irregular jobs, find out when they happen so that you can catch it next time.* As with anything else, have a pre-printed sheet with all of these questions. If you expect to have standard answers, put the standard answer with the question, so that you can easily circle it, rather than write it. E.g.: How long have you been doing this task? less than 6 months 1 year 5 years more than 10 years How long are you at this work station? 8 hours 4 hours 2 hours other ________ The easier it is for you to gather information, the more relaxed the employees will be. If it's quick and painless, it won't interrupt their work (as much). * Especially with irregular jobs, I find it much better to be able to approach the Supervisor and ask for a very specific thing: "Please contact me the next time you shut down Machine 5 for cleaning?" If you already know what you want (because you got the information from the worker), the manager will be either a) impressed that you know what you want and hopefully b) more likely to do it, because she knows what you want. This will also benefit your relationship with the worker: Asking them for information indicates your respect for their professional competence.

Porcine ebola

One doesn't normally think of infection control with slaughterhouses. And, if one does, it's more likely to be hoof & mouth or BSE, not ebola.

Jan 27, 2009 (CIDRAP News) – Health officials in the Philippines recently announced that a worker who had contact with sick pigs tested positive for antibodies to the Ebola Reston virus, a pathogen that was discovered about a month ago for the first time in pigs.

Eric Tayag, head of the National Epidemiology Centre, said the case represent the first known pig-to-human Ebola Reston virus transmission, If you haven't run across it, the Center for Infectious Disease Research and Policy ( CIDRAP) has a great website. This is, of course, one of those morbidly interesting sources. As we commented, after each of our environmental health courses: "oh my god, I never want to breathe, eat, or drink again, 'cause I'm gonna die!" The Journal of Emerging Infectious Diseases is also a great read Pro-Med Mail is an on-line public-input disease tracking system.

Herpes exposure control

New drug may [great science word] prevent transmission of herpes virus. great for infectious disease prevention ... i'd be curious as to whether the majority of herpes cases are due to casual sex vs. long-term partner sex. An estimated one in five Americans have genital herpes, according to the U.S. Centers for Disease Control and Prevention, while 100 million have HSV-1. okay, class - which is bigger? 1 in 5 or 100 million? I doubt they actually expect the average person reading this to know the current population. Which is, according to the U.S. Census Bureau 306 million ∴ 1 in 3 have HSV-1 Why not write: An estimated one in five americans have genital herpes,..., while one in three have HSV-1. ~or~ An estimated 60 million Americans have genital herpes,..., while 100 million have HSV-1. Perhaps they (reasonably) fear Jane Doe will think 1 in 3 is smaller than 1 in 5? Maybe they don't really want me to know how many people have HSV-2? Or perhaps they just don't really want me to know anything, such as: An estimated 1 in five Americans have genital herpes,..., while the number with HSV-1 is about one and a half times higher.

War on Science

Slate.com declared the War on Science to be over. Meanwhile the Columbia Journalism Review reported: CNN, the Cable News Network, announced yesterday that it will cut its entire science, technology, and environment news staff, including Miles O'Brien, its chief technology and environment correspondent, as well as six executive producers. Mediabistro’s TVNewser broke the story. “We want to integrate environmental, science and technology reporting into the general editorial structure rather than have a stand alone unit,” ... "integrate" generally doesn't mean "eliminate and leave the rest hanging". Let's just eliminate the advertising department, Joe, and let the Marketing and Sales fellows cover it as an integrated unit, but only after we fire all of the advertising guys. "integrate" should be 'reorganize and then cut jobs'. The War on Science will be over when I'm long dead and gone, if ever. The ever-increasing number of parents who reject modern medicine in toto ... ... who seek to embrace 'natural' or 'homeopathic' or 'alternative' medicine while blissfully living encapsulated from disease in a society built on what they reject ... ... who refuse to acknowledge the potential for "science" to be able to explain better than the Bible ... ... Those who refuse to acknolwedge the potential for "science" to support religion** ... ... all of this simply reinforces an undeclared and often unacknowledged War on Science. ** Of the number of people I know who are devout scientists, a significant proprotion of them are concurrently devout theists.

Not really unprecedented

Outbreaks of measles in U.K. mirrors problems we've had here. About 10 or so years ago, several universities started requiring incoming students to be vaccinated for measles.* This was at a point where the ACIP changed its recommendations for MMR vaccines (measles, mumps, and rubella/German measles). The traditional vaccination practices, they were discovering, were inadequate for long-term immunity. Fair enough; hey, this is why CDC has a reportable disease requirement. I realized that I am old enough to fall into that period. I figured I'd get vaccinated again. That's another story. I did. Not so for thousands of people who have decided to abrogate their personal & social responsibility. Yes, this is one point upon which I am both conversant and very strongly opinionated. Sure, I'm often opinionated; I try to be knowledgeable about it; I try to see other points of view. I've seen them here and they're irrational and scientifically unsubstantiated. Don't get me going on the whole thimerosal 'controversy' or 'conspiracy'. Maybe I'll make a different post on that, using the concepts of Risk Assessment to explain my opinion; it will take more time than I have right now to do this well and accurately. While I realize measles is far more common than mumps and rubella, and is therefore more immediate in people's minds, it is also the least risky of the 3 to long-term health. [I don't recall where I read this, so if it's not correct, please let me know.] It is a cogent example of ignoring a greater risk due to the fact that it's less likely to happen, and thus less likely for people to believe it has anything to do with them. Eventually the herd immunity will fall below the level necessary to effectively control these diseases. At which point, we're going to have an large outbreak, if not an epidemic. And, at which point, all of these "don't vaccinate my child; I'm the parent and know better" parents are going to line up and demand to know why the government hasn't done anything to prevent this. Failure to vaccinate your child or yourself against the major communicable vaccine-preventable diseases is inexcusable. Before you think I'm an ideologue on the point, there are other vaccine-preventable diseases for which I also consider less important. It's not an absolute yes/no question. But, it is not only the potential for disease, but also the potential consequences of communicating the disease. Polio - well, this is one where I understand a reluctance to vaccinate; however, considering the extent of global travel, it is no longer a valid argument that "we don't have it here, it's only over there [i.e., in some 3rd world country]." I understand, but do not agree with their argument. An interesting article in Minnesota Parent magazine addresses puts forth the problem in personal terms. (The stats are Minnesota-based.) There are also vaccines for rabies, anthrax, and monkey pox. I'm not about to get in line to have any of these, much less ask for them for my kids. [Although, as a point of disclosure, I have actually been vaccinated for the first two, but that was occupationally related and justified based upon a much higher risk of exposure than I have now.] Hey, cool - "Warning, some of these photos are quite graphic" notice for medical photos of these diseases (measles, mumps, rubella, polio (still & video), tetanus, diphtheria (personal note: these are the grossest) & pertussis . I bet if these were more widely available, it might change some people's choice about whether to get vaccinated, considering the current American obsession with body images. I realize there is legally an option to refuse to be vaccinated.** This in the past was generally used by some religious sects which object to any 'modern' medicine. We need to seriously and objectively assess the effectiveness and appropriateness of our current policies. The objectivity needs to be placed on all sides of the argument. * Currently, the Academic Health Center at the University of Minnesota (schools of medicine, nursing, dentistry, pharmacology, veterinary medicine and public health) require vaccination for HepB, DTP, MMR and annual TB tests. What a pain trying to get all the documentation for this, when school started! ** Non Medical Exemptions to School Immunization Requirements, secular trends and association of state policy with pertussis incidence, Omer, Pan, Halsey, et al., J. Am. Med. Assoc., 2006;296:1757-1763 as pdf and .htm ~~ concludes that the looser exemption rules are, the higher the incidence of disease. Other information: Advisory Council of Immunization Practices has an extensive list of vaccine-preventable diseases and individual information on both the disease and vaccine. ACIP is part of the Centers for Disease Control & Prevention (CDC). There is a new adult schedule posted here in .pdf and .htm versions. Summary of Notifiable Diseases (several years worth) The photos linked above are on the CDC website, but are from the Public Health Image Library.

Phthalates - EPA assessment?

Oy! yet again, one is confronted with material from academic courses, and realizes 'hey, this actually was useful!" EPA considering risk assessment for phthalates

Phthalates have been used in toys, cosmetics, personal-care products, food packaging, pharmaceuticals, medical devices, and cleaning and building materials. They have been found in products such as teethers and pacifiers that babies put in their mouths.

President George W. Bush signed a law this year banning three types of phthalates in children's toys and child care items, except for minute amounts, while temporarily banning three others pending further study. - well, even an idiot can get it right once in a while -

The same six phthalates have been banned in European toys for nearly a decade.

Risk Communication

The Godfather Guru of Risk Communication, Peter Sandman, has quite a few columns on his website, www.psandman.com, including this one, Simplification Made Simple, published in the Sept. 2008 issue of The Synergist. The website has the unabridged version.

Zamboni Inhalation Risks

Zamboni: originally developed by Frank Zamboni in '49, registered as an international trademark, it is nonetheless used as a generic colloquialism for ice resurfacing vehicles in ice hockey arenas. Think of a giant ride-on lawn mower that melts the ice and then squeegees it smooth, using an internal combustion engine for power both to move & melt. They can slice your fingers off. [well, duh]. They can scare the bejeepers out of small children by leaving a bloody trail of crimson transmission fluid on the ice. They can become runaway weapons of vehicular mayhem if controlled by a vodka-swilling driver. When will society wise up to the inherent dangers of the seemingly innocent Zamboni? From the CBC comes yet another story of Zamboni baloney: Public health officials in Quebec City are alerting people who attended a weekend hockey tournament in Portneuf to be vigilant about any breathing problems, after a Zamboni used at the event emitted toxic fumes. Seven people were sent to hospital with chest pains and breathing problems after playing hockey at the St. Ubalde arena rink on Sunday. Two of them are still in intensive care, while another is suffering from a build-up of liquid in the lungs. Health officials suspect the patients inhaled nitrogen-oxide emitted by a Zamboni machine with an improperly calibrated motor, operating in an arena that wasn't very well ventilated. IAQ: Electric surfacers: apparently they leave the ice harder & players happier Problems in hockey rinks (esp. PM2.5): What's more, 14 per cent also tested higher than 100,000 particles of pollution per cubic centimetre, roughly the equivalent of the air quality that might be experienced standing next to Toronto's Highway 401, the busiest road in the country. --- parts per cubic centimeter? I realize the US (and industrial hygienists are even worse than most American scientists) is pretty oblivious to the whole concept of S.I. units or 'metric'. But why not ppm? or even per cubic meter (like us)? Guarding: Chop off kid's fingers Powered Industrial Trucks: ZUI: zamboni under the influence Totally unrelated to health, but really cool photos: looks like the zamboni ran over a penguin:

stupidity in action

One of my biggest pet peeves is the "modern" belief that vaccinations are no longer necessary as a public health measure. of the measles patients, 33 were from Indiana and 1 resided in Illinois. Patients ranges in age from 9 to 49 (mean age: 12). Measles vaccination was documented for 2 persons, one of whom had received 1 dose, and one who had received 2 doses. [3 doses being the magic 'fully vaccinated' number]. MMWR, vol. 54, no. 42, pp. 1073-1074, 2005, Import-Associated Measles Outbreak Now, I realize that it is possible to get vaccinated and no have immunity (e.g., me). I also realize that vaccination does not provide life-long immunity (e.g., the patients over 40). But really, 31 of these people suffered through a case of the measles (and its attendant infection-related health problems) due to a simple refusal to vaccinate their children.

10 Germiest Jobs

The magic list is supposedly: 1. Teacher/day-care worker 2. Cashier, bank employee 3. Tech support/computer repair 4. Doctor or nurse 5. Lab scientist 6. Police officer 7. Animal control officer 8. Janitor or plumber 9. Sanitation worker (AKA garbage man/woman) 10. Meat packer Hands down, I have absolutely no doubt about #1. Though the article thinks pest control workers climbing around in dark basements after rats should be added to the list. While I would not want the job, it would take one monster basement to be that 'germy'. The only biologically active thing in mine is the cat's litter box. The rats, not the basement, are going to be diseased.