Assessment of the occupational exposures to fine and ultrafine particles in several industrial settings and exploration of its respiratory health effects
Respiratory effects, such as lung function, of short-term exposures to fine and ultrafine particles are not well documented for occupational exposures, even though many workers are exposed daily to levels considerably higher than in the general environment. This limited understanding can be attributed to the lack of exposure data. Currently, studies assessing occupational exposures to fine particles and ultrafine fraction are few and lack standardized methods to allow a general conclusion about workers’ exposures. The steps for improving exposure assessment include the harmonization of sampling strategies and the assessment of additional information related to the size distribution (e.g. particles of median diameter of 2.5 and 4 µm, and ultrafine particles), chemical composition, and the oxidative potential of these particles. Thus, in a context of uncertainty about the acute respiratory risks, with many potentially exposed workers and in the absence of comparable exposure data, the needs for developing knowledge in this field are enormous. Hence, the main objective of this thesis was to estimate the risk of daily exposures to fine and ultrafine particles in various workplaces with three specific objectives: (1)  to quantify and characterize exposures to fine and ultrafine particles in different workplaces in Québec by an innovative multi-metric approach; (2) to estimate the oxidative potential and oxidative burden of particles in two occupational settings from a construction trades school; (3) to separately estimate, by a systematic review and meta-analysis, the associations between short-term (i.e. daily and sub-daily) occupational and environmental exposures to fine particles and its acute respiratory effects on lung function in healthy adults.  For the first objective, measurements were performed in an underground mine, a subway tunnel, a truck repair workshop, and a smelting industry for at least 12 sampling days each. Direct-reading instruments and filter-based methods were used and included measurements of the number concentration, mass concentration, size distribution, transmission electron microscopy and composition (e.g. Total carbon (TC) and elemental carbon (EC)) of particles. For the second objective, the oxidative potential (OPAA) and oxidative burden (OBAA) were assessed by the ascorbate assay with a synthetic respiratory tract lining fluid. Personal PM4 (Nwelding = 53; Nconstruction = 54) samples were collected from the breathing zone, while area samples of both PM4 (Nwelding = 54; Nconstruction = 33) and PM2.5 fractions (Nwelding = 53; Nconstruction = 34) were collected at distances of around 1.5 meter from the apprentices. For the third objective, we searched bibliographic databases to identify studies investigating associations between daily and sub-daily exposures to fine particles (i.e. PM2.5 and PM4) and lung function parameters (e.g. Forced Expiratory Volume in 1 sec, FEV1) in healthy adults. Separately for environmental and occupational studies, we summarized findings using random-effects meta-analyses when five or more independent estimates of association were available. The highest particle number concentrations were observed in the underground mine, welding shop and smelting industry. For the workplaces with diesel exposure, the underground mine had the highest geometric mean of particle number concentration (134,000 particles/cm3) compared to the subway tunnel (32,800 particles/cm3) and the truck repair workshop (22,700 particles/cm3). This same pattern of exposure in these workplaces were also observed for the mass concentration of fine particles, TC and EC. The TC/EC ratio was 1.4 in the mine, 2.5 in the tunnel and 8.7 in the workshop, indicating significant organic carbon interference in the non-mining workplaces that can affect exposure estimation when TC is used as an indicator of diesel exposure. Measurements of the size distribution and images captured by transmission electron microscopy indicated that the particles found in all workplaces were mainly in the ultrafine size fraction. Particles collected in the welding shop and construction site were associated with important levels of redox activity. Welding particles had higher OPAA (3.3 ρmol/min/µg) and OBAA (1,750 ρmol/min/m3) compared to the construction site (OPAA = 1.4 ρmol/min/µg; OBAA = 486 ρmol/min/m3). These levels of OBAA largely exceeded the levels found in environmental settings. In both workplaces, OPAA levels were not influenced by the different sampling strategies (i.e. area versus personal measurements) or size fractions (i.e. PM2.5 and PM4). However, driven by the higher particulate matter concentrations, the OBAA from personal samples was higher compared to area samples in the welding shop. The systematic review and meta-analysis showed that associations between daily exposures to fine particles and lung function in environmental settings were more pronounced than in occupational settings for a same exposure increment. An increase of 10 µg/m3 in the daily and sub-daily exposures to respirable fine particles were associated with FEV1 reductions of 0.87 mL (95% CI: -1.36 to -0.37 mL; I2= 54%) in occupational studies, and a similar increase in fine particles was associated with a reduction of 7.63 mL (95% CI: -10.62 to -4.63 mL; I2= 0%) in environmental studies. Similar results were observed for associations with the forced vital capacity.  In summary, this thesis’s results showed that workers are exposed to important levels of particles expressed in terms of mass and number concentrations, and these particles are mainly in the ultrafine size range. The high particulate matter concentrations combined with an elevated oxidative potential resulted in significant levels of oxidative burden that largely exceeded those from environmental settings. Also, occupational exposures during a work shift may result in respiratory health effects described in terms of reduction in workers’ lung function. Based on our results, improvements in industrial hygiene practices and the surveillance of exposure to fine and ultrafine particles in the workplace are needed to control and limit potential health risks of daily exposure to these pollutants.
fine particles ultrafine particles occupational exposures oxidative potential oxidative burden lung function