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Benzene Exposure and Biomarkers in Alveolar Air and Urine Among Deck Crews on Tankers Transporting Gasoline
Occupational and Environmental Medicine, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden..
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Sustainable Health.ORCID iD: 0000-0002-5936-1172
Occupational and Environmental Medicine, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden..
Occupational and Environmental Medicine, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden..
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2019 (English)In: Annals of work exposures and health, ISSN 2398-7316, Vol. 63, no 8, p. 890-897Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Increased rates of leukaemia have been found among tanker crews. Occupational exposures to the leukomogen benzene during loading, unloading, and tank cleaning are possible causes. Studies on older types of tankers carrying gasoline with most handling being done manually have revealed important exposures to benzene. Our study explores benzene exposures on tankers with both automatic and manual systems. Correlations between benzene exposure and benzene in alveolar air (AlvBe), benzene in urine (UBe), and trans,trans-muconic acid (ttMA) in urine were investigated.

METHODS: Forty-three male seafarers (22 deck crewmembers and 21 not on deck) on five Swedish different product and chemical tankers transporting 95- or 98-octane gasoline were investigated between 1995 and 1998. The tankers used closed systems for the loading and unloading of gasoline but stripping and tank cleaning were done manually. Benzene in respiratory air was measured using personal passive dosimeters during a 4-h work shift. Samples for biomarker analyses were collected pre- and post-shift. Smoking did occur and crewmembers did not use any respiratory protection during work.

RESULTS: The average 4-h benzene exposure level for exposed was 0.45 mg m-3 and for non-exposed 0.02 mg m-3. Benzene exposure varied with type of work (range 0.02-143 mg m-3). AlvBe, UBe, and ttMA were significantly higher in post-shift samples among exposed and correlated with exposure level (r = 0.89, 0.74, and 0.57, respectively). Smoking did not change the level of significance among exposed.

DISCUSSION: Benzene in alveolar air, unmetabolized benzene, and ttMA in urine are potential biomarkers for occupational benzene exposure. Biomarkers were detectable in non-exposed, suggesting benzene exposure even for other work categories on board tankers. Work on tankers carrying gasoline with more or less closed handling of the cargo may still lead to significant benzene exposure for deck crewmembers, and even exceed the Swedish Occupational Exposure Limit (OEL; 8-h time-weighted average [TWA]) of 1.5 mg m-3.

Place, publisher, year, edition, pages
Oxford University Press, 2019. Vol. 63, no 8, p. 890-897
Keywords [en]
t, t-muconic acid, biological monitoring, chemical/product tanker, gasoline, seafarer
National Category
Public Health, Global Health and Social Medicine Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:umu:diva-162432DOI: 10.1093/annweh/wxz055ISI: 000493125900006PubMedID: 31382272Scopus ID: 2-s2.0-85073126312OAI: oai:DiVA.org:umu-162432DiVA, id: diva2:1344228
Available from: 2019-08-20 Created: 2019-08-20 Last updated: 2025-02-20Bibliographically approved
In thesis
1. Health hazards and cancer in relation to occupational exposures among Swedish seafarers
Open this publication in new window or tab >>Health hazards and cancer in relation to occupational exposures among Swedish seafarers
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis explores health hazards for seafarers in the Swedish merchant fleet, and occupational risks for lung cancer, mesothelioma and hematologic malignancy (HM). A special focus has been exposure to benzene and biomarker levels for work on product or chemical tankers during the mid-1990’ies.

In a case report, we describe two cases of mesothelioma and two cases of lung cancer having worked in the engine room. Cumulative exposure to asbestos were up to 5 fibreyears. Other exposures were carcinogenic PAHs and nitroarenes. A web-based survey to active seafarers in the Swedish merchant fleet revealed noise, the risk of accidents, whole-body vibrations and ergonomic strain as main work environment problems. General health, work ability and safety climate were all rated high. Associations were found between lower airway symptoms and soot (PR 2.4, 95% CI 1.1-5.1) and between hearing impairment and noise exposure (PR 1.5; 95% CI 1.3–1.7). Iso-strain was especially common in the service department. Twenty-two percent of men and 45% of women had been subjected to harassments. The tanker study showed a geometric mean for benzene exposure of 0.45 mg/m3 (4hTWA) during a work shift, with a wide range (0.02-143 mg/m3). Correlations were found between exposure and benzene in alveolar air (p<0.0001), unmetabolised benzene in urine (p<0.0001) and ttMA in urine (p=0.0011). All biomarkers increased significantly during work (p<0.002). In a case-referent study with the observation period 1985 to 2014, the OR for HM was 1.32 (95% CI 0.86-2.02) if work on tankers had started before 1985 and with a cumulated tanker service of at least five years. If work on tankers had started after 1985, the OR was 0.85 (95% CI 0.51-1.43).

In conclusion, health hazards in today’s seafaring relate to physical, chemical and psychosocial factors. Work on tankers with mixed open and closed cargo systems might have led to important benzene up-take. Possibly, the risk for HM for seafarers on tankers has decreased during the last decades.

Place, publisher, year, edition, pages
Göteborg: Sahlgrenska Academy, University of Gothenburg, 2018. p. 63
Keywords
seafarer, work environment, mesothelioma, lung cancer, hematologic malignancy, benzene
National Category
Occupational Health and Environmental Health General Practice
Research subject
Epidemiology; Toxicology; family medicine
Identifiers
urn:nbn:se:umu:diva-167250 (URN)978-91-7833-217-5 (ISBN)978-91-7833-218-2 (ISBN)
Public defence
2018-12-11, Sal Europa, Wallenbergs konferenscentrum., Medicinaregatan 20A, Göteborg, 13:00 (English)
Opponent
Supervisors
Available from: 2020-06-01 Created: 2020-05-29 Last updated: 2022-12-21Bibliographically approved

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