Abstract
This study investigated personal exposure of mail carriers to atmospheric benzene, toluene, ethylbenzene, and xylenes (BTEX) and estimated their carcinogenic and non-carcinogenic risks due to their exposure to these compounds. A total of 36 mail carriers and 24 post office employees as the control group working in Tehran were included in this study. Spot urine samples were also collected before and after shifts. Monte Carlo simulations were used to estimate the distributions of carcinogenic and non-carcinogenic risks from BTEX exposures. Mail carriers were exposed to 10.4 (± 6.2), 35.3 (± 15.5), 5.5 (± 2.3), and 23.1 (± 10.4) μg/m3 as the average (±SD) concentrations of benzene, toluene, ethylbenzene, and xylenes, respectively. The urinary concentrations of these compounds were 124.0 (±61.2), 242.5 (±96.9), 140.7 (±74.2), and 444.3 (±147.0) ng/L, respectively. These values were significantly higher than those observed for control group. For mail carriers, after-shift urinary concentrations of BTEX were statistically higher than before-shifts concentrations. Carcinogenic risks of mail carriers were higher than those for control group with a mean of 5.82×10−6 exceeding the US EPA limits. Sensitivity analyses showed that concentration had the highest effect on the estimated risks, followed by exposure frequency and exposure time. This study showed that mail carriers are exposed to BTEX at levels that increase their risk to develop cancer. Therefore, programs to reduce the cancer risk among mail carriers should be designed to reduce exposures, possibly by changing shift hours, working days per year, and total years of occupation.
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Data will be available upon the reasonable request from the corresponding author.
References
Abtahi M, Fakhri Y, Oliveri Conti G, Ferrante M, Taghavi M, Tavakoli J et al (2018) The concentration of BTEX in the air of Tehran: a systematic review-meta analysis and risk assessment. Int J Environ Res Public Health 15(9):1837
Alexopoulos EC, Chatzis C, Linos A (2006) An analysis of factors that influence personal exposure to toluene and xylene in residents of Athens, Greece. BMC Public Health 6(1):50. https://doi.org/10.1186/1471-2458-6-50
Amini H, Hosseini V, Schindler C, Hassankhany H, Yunesian M, Henderson SB, Künzli N (2017) Spatiotemporal description of BTEX volatile organic compounds in a Middle Eastern megacity: Tehran Study of Exposure Prediction for Environmental Health Research (Tehran SEPEHR). Environ Pollut 226:219–229
ATSDR (2004). Interaction profile for: Benzene, Toluene, Ethylbenzene, and Xylenes (BTEX). U.S. Department of Health and Human Services, Public Health Service, Agency for Toxic Substances and Disease Registry (ATSDR). Atlanta, GA, US.
Bakhtiari R, Hadei M, Hopke PK, Shahsavani A, Rastkari N, Kermani M, Yarahmadi M, Ghaderpoori A (2018) Investigation of in-cabin volatile organic compounds (VOCs) in taxis; influence of vehicle’s age, model, fuel, and refueling. Environ Pollut 237:348–355. https://doi.org/10.1016/j.envpol.2018.02.063
Chan C-C, Wu T-H (2005) Effects of ambient ozone exposure on mail carriers’ peak expiratory flow rates. Environ Health Perspect 113(6):735–738
D'Andrea MA, Reddy GK (2018) Health risks associated with benzene exposure in children: a systematic review. Glob Pediatr Health 5:2333794x18789275. https://doi.org/10.1177/2333794x18789275
Dehghani M, Fazlzadeh M, Sorooshian A, Tabatabaee HR, Miri M, Baghani AN, Delikhoon M, Mahvi AH, Rashidi M (2018) Characteristics and health effects of BTEX in a hot spot for urban pollution. Ecotoxicol Environ Saf 155:133–143
Denison L, Torre P, Bardsley T (2004) Factors that influence personal exposure to air pollution. Epidemiology 15(4):S191
Eller PM, Cassinelli ME (1994) NIOSH manual of analytical methods. National Institute for Occupational Safety and Health, United States
Hadei M, Hopke PK, Rafiee M, Rastkari N, Yarahmadi M, Kermani M, Shahsavani A (2018a) Indoor and outdoor concentrations of BTEX and formaldehyde in Tehran, Iran: effects of building characteristics and health risk assessment. Environ Sci Pollut Res 25(27):27423–27437. https://doi.org/10.1007/s11356-018-2794-4
Hadei M, Hopke PK, Shahsavani A, Moradi M, Yarahmadi M, Emam B, Rastkari N (2018b) Indoor concentrations of VOCs in beauty salons; association with cosmetic practices and health risk assessment. J Occup Med Toxicol 13(1):30
Hadei M, Shahsavani A, Kermani M, Emam B, Yarahmadi M, Bakhtiari R (2018c) Traffic-related concentrations of BTEX, formaldehyde and acetaldehyde in tehran; concentrations and spatial variability. J Air Pollut Health 3(2):63–72
Hadei M, Shahsavani A, Hopke PK, Kermani M, Yarahmadi M, Mahmoudi B (2019) Comparative health risk assessment of in-vehicle exposure to formaldehyde and acetaldehyde for taxi drivers and passengers: effects of zone, fuel, refueling, vehicle's age and model. Environ Pollut 254:112943. https://doi.org/10.1016/j.envpol.2019.07.111
Hamid HHA, Jumah NS, Latif MT, Kannan N (2017) BTEXs in indoor and outdoor air samples: source apportionment and health risk assessment of benzene. J Environ Sci 1(1):49–56
Hazrati S, Rostami R, Fazlzadeh M (2015) BTEX in indoor air of waterpipe cafés: levels and factors influencing their concentrations. Sci Total Environ 524:347–353
IRIS (1988) Chemical Assessment Summary: Ethylbenzene; CASRN 100-41-4. U.S. Environmental Protection Agency: National Center for Environmental Assessment. Washington, DC, US.
IRIS (2003a) Chemical Assessment Summary: Benzene; CASRN 71-43-2. U.S. Environmental Protection Agency: National Center for Environmental Assessment. Washington, DC, US.
IRIS (2003b) Chemical Assessment Summary: Xylenes; CASRN 1330-20-7. U.S. Environmental Protection Agency: National Center for Environmental Assessment. Washington, DC, US.
IRIS (2005) Chemical Assessment Summary: Toluene; CASRN 108-88-3. U.S. Environmental Protection Agency, National Center for Environmental Assessment. Washington, DC, US.
Karakatsani A, Kapitsimadis F, Pipikou M, Chalbot MC, Kavouras IG, Orphanidou D, Papiris S, Katsouyanni K (2010) Ambient air pollution and respiratory health effects in mail carriers. Environ Res 110(3):278–285. https://doi.org/10.1016/j.envres.2009.11.002
Kim C, Chapman RS, Hu W, He X, Hosgood HD, Liu LZ, Lai H, Chen W, Silverman DT, Vermeulen R, Tian L, Bassig B, Shen M, Zhang Y, Ma S, Rothman N, Lan Q (2014) Smoky coal, tobacco smoking, and lung cancer risk in Xuanwei, China. Lung Cancer 84(1):31–35. https://doi.org/10.1016/j.lungcan.2014.01.004
LaGrega MD, Buckingham PL, Evans JC (2010) Hazardous waste management, Reissue. Waveland Press, Illinois, US
Moradi M, Hopke P, Hadei M, Eslami A, Rastkari N, Naghdali Z, Kermani M, Emam B, Farhadi M, Shahsavani A (2019) Exposure to BTEX in beauty salons: biomonitoring, urinary excretion, clinical symptoms, and health risk assessments. Environ Monit Assess 191(5):286
Ong CN, Kok PW, Ong HY, Shi CY, Lee BL, Phoon WH, Tan KT (1996) Biomarkers of exposure to low concentrations of benzene: a field assessment. Occup Environ Med 53:328–333
Rafiee A, Delgado-Saborit JM, Gordi E, Quémerais B, Kazemi Moghadam V, Lu W, Hashemi F, Hoseini M (2018) Use of urinary biomarkers to characterize occupational exposure to BTEX in healthcare waste autoclave operators. Sci Total Environ 631-632:857–865
Rafiee A, Delgado-Saborit JM, Sly PD, Amiri H, Hoseini M (2019) Lifestyle and occupational factors affecting exposure to BTEX in municipal solid waste composting facility workers. Sci Total Environ 656:540–546
Ramírez N, Cuadras A, Rovira E, Borrull F, Marcé RM (2012) Chronic risk assessment of exposure to volatile organic compounds in the atmosphere near the largest Mediterranean industrial site. Environ Int 39(1):200–209
Ran J, Qiu H, Sun S, Tian L (2018) Short-term effects of ambient benzene and TEX (toluene, ethylbenzene, and xylene combined) on cardiorespiratory mortality in Hong Kong. Environ Int 117:91–98
Shahbazi HB, Mahdi, Afshin H, Hosseini V (2015) Tehran’s air pollution emission inventory for the year 2013- Volume II: mobile sources [In Persian]. Tehran Air Quality Control Company, Tehran
Singh GK, Balzer BW, Desai R, Jimenez M, Steinbeck KS, Handelsman DJJAOCB (2015) Requirement for specific gravity and creatinine adjustments for urinary steroids and luteinizing hormone concentrations in adolescents. Ann Clin Biochem 52(6):665–671
Słomińska M, Konieczka P, Namieśnik J (2014) The fate of BTEX compounds in ambient air. Crit Rev Environ Sci Technol 44(5):455–472. https://doi.org/10.1080/10643389.2012.728808
US EPA (1989) Risk Assessment Guidance for Superfund. Volume I: Human Health Evaluation Manual. US Enivornment Protection Agency, United States
US EPA (1990) Clean Air Act; For Hazardous Air Pollutants (HAPs). EPA, United States
US EPA (1999). Integrated risk information system (IRIS). Available at: https://www.epa.gov/iris. EPA, US.
US EPA (2005) Guidelines for carcinogen risk assessment. Risk Assessment Forum, US Environmental Protection Agency, United States
Waidyanatha S, Rothman N, Fustinoni S, Smith MT, Hayes RB, Bechtold W, Dosemeci M, Guilan L, Yin S, Rappaport SM (2001) Urinary benzene as a biomarker of exposure among occupationally exposed and unexposed subjects. Carcinogenesis 22:279–286
WHO (2010) WHO guidelines for indoor air quality: selected pollutants. World Health Organization, Geneva
World Health Organization (1996) Biological monitoring of chemical exposure in the workplace: guidelines. World Health Organization, Geneva
Yaghmaien K, Hadei M, Hopke P, Gharibzadeh S, Kermani M, Yarahmadi M, Emam B, Shahsavani A (2019) Comparative health risk assessment of BTEX exposures from landfills, composting units, and leachate treatment plants. [journal article]. Air Qual Atmos Health 12(4):443–451. https://doi.org/10.1007/s11869-019-00669-w
Yousefian F, Hassanvand MS, Nodehi RN, Amini H, Rastkari N, Aghaei M, Yunesian M, Yaghmaeian K (2020) The concentration of BTEX compounds and health risk assessment in municipal solid waste facilities and urban areas. Environ Res 191:110068
Zuskin E, Mustajbegovic J, Schachter EN, Kern J, Vadjic V, Strok N, Turcic N, Ebling Z (2000) Respiratory findings in mail carriers. Int Arch Occup Environ Health 73(2):136–143. https://doi.org/10.1007/s004200050019
Acknowledgements
The authors wish to thank Shahid Beheshti University of Medical Sciences (grant number # 15287).
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This study was funded by Shahid Beheshti University of Medical Sciences, Tehran, Iran (grant number #15287). This study was ethically approved by Shahid Beheshti University of Medical Sciences, Tehran, Iran (IR.SBMU.PHNS.REC.1397.013).
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Appendix
Appendix
Health risk assessment
The daily intake is calculated from the following equation:
where C, CF, IR, EF, ED, BW, and AT are the concentration of compound (μg/m3), the conversion factor (mg/μg), inhalation rate (m3/day), exposure frequency (days/year), exposure duration (years), body weight (kg), and averaging time (days), respectively.
Sample size sufficiency
Sufficiency of sample sizes was checked using the following equation.
k=n2/n1=0.66
- Δ = |μ2-μ1|:
-
absolute difference between two means
- σ1, σ2:
-
variance of mean #1 and #2
- n1:
-
sample size for group #1
- n2:
-
sample size for group #2
- α :
-
probability of type I error (usually 0.05)
- β :
-
probability of type II error (usually 0.2)
- z :
-
critical Z value for a given α or β
- k :
-
ratio of sample size for group #2 to group #1
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Ghaderpoury, A., Hadei, M., Hopke, P.K. et al. Assessment of BTEX exposure and carcinogenic risks for mail carriers in Tehran, Iran. Air Qual Atmos Health 14, 1365–1373 (2021). https://doi.org/10.1007/s11869-021-01027-5
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DOI: https://doi.org/10.1007/s11869-021-01027-5