中国六溴环十二烷(HBCD)的职业环境健康风险评估

为了反映中国的六溴环十二烷(HBCD)职业健康风险状况,结合中国HBCD相关行业的生产状况,构建了6种中国的HBCD职业暴露情景,预估可能暴露于HBCD的职业人群数量为614～963人.然后利用EASE模型模拟职业暴露水平,并通过安全边际表征职业健康风险.结果表明,职业人群主要通过呼吸和皮肤途径接触HBCD,其相应的内暴露水平可达到0.07～1.63 mg/(kg·d)和0～0.84mg/(kg·d);由此可以估算职业人群总的暴露剂量达到0.07～1.80mg/(kg·d),这比普通人群对HBCD的暴露水平高3～5个数量级.风险评估表明,16％的职业人群具有反复染毒的风险,69％的职业人群具有产生生殖毒性的风险,总计职业人群中具有健康风险的人数为424.04～665.70,约占职业人群数量的70％,由此可见HBCD的职业暴露能够损害工人健康.     

中美粉尘职业暴露检测、评价与管理方法对比研究

为了进一步提高我国工作场所粉尘检测和评价工作的科学性,对我国和美国工作场所中粉尘的采样、检测数据的统计处理、评价以及工作场所的管理等方面进行了对比。结果表明,美国把粉尘职业暴露水平的检测、数据的统计处理、评价以及再检测与评价进行有机结合并形成完善的管理体系,我国和美国的粉尘采样方法基本相同,但我国缺少对工作场所粉尘职业暴露水平检测结果的统计处理以及再检测与评价的管理规定。通过对中美两国相关内容的对比和分析,针对完善我国粉尘暴露检测、数据统计处理、评价以及再检测与评价方面提出建议。     

煤矿工人职业健康研究进展的知识图谱分析

为研究煤矿工人职业健康的发展趋势,促进煤炭企业实施职业健康防护工作,基于知识图谱分析方法,采用CiteSpace软件分析中国知网(CNKI)和Web of Science(WoS)核心数据库中收录的近20年煤矿工人职业健康文献的关键词聚类及突现。研究结果表明:煤矿工人职业健康研究可分为职业健康危害因素、职业病及职业相关疾病三维度。职业相关疾病主要体现在行为和身心疾病、心脑血管疾病与代谢性疾病及慢性非特异性呼吸系统疾病3个层面;与职业病相比,职业相关疾病多呈现为“多因一果”特征,确诊难度更大;基于高频词突现特征,尘肺、听力损失、心理压力、高血压等是煤矿工人健康的主要威胁,此类健康问题与职业暴露有关,风险评价与管控是应对危害的重要措施;新兴研究热点为职业相关疾病的成因与防范,及职业健康与脑科学、智能化等领域的交叉研究。     

根据循证医学理论和方法研制我国的《非常规工作制条件下职业接触限值调整指南》

对我国现行的职业接触限值及其制订依据进行梳理,系统研究美国、加拿大等国家职业接触限值调整的原理及方法,根据循证医学的理论和方法,确定我国《非常规工作制条件下职业接触限值调整指南》的制定依据、基本框架,梳理重要术语以及核心技术参数等,并对722种化学有害因素进行分类,包括修改魁北克模型第三版中73种物质的分类,比较核对我国现行职业接触限值标准（GBZ2.1-2007）,依据GBZ2.1的编制说明以及其他相关资料,补充魁北克模型中尚未涵盖的36种物质及其分类,在此基础上,进一步讨论《指南》解决的核心问题及需进一步配套进行的科学研究。     

药物粉尘的职业卫生风险评估与管理研究综述

为完善我国药物粉尘职业危害因素的防治体系,保障从业人员的职业健康与制药产业的可持续发展,分析国内外职业性接触药物粉尘导致不良健康效应的案例,论证其职业危害性;从风险评估与风险管理2个层面,综述药物粉尘研究的历程与成果,并基于我国研究现状对未来提出展望与建议。结果表明:药物粉尘具有毒性、致敏性、致癌性、生殖毒性以及其他危害性等,但目前在我国并未引起广泛重视;制药行业整体上已形成对药物粉尘的风险评估与管理体系,但诸多细节亟待完善;我国对于药物粉尘的研究不够深入、全面,处于起步阶段,需多方协力共同进行提升。     

某市区重点行业职业病危害因素现状调查研究

对某市区重点行业15家企业职业病危害因素进行检测与评价,对普查结果进行综合分析。结果表明:15家企业工作场所化学有害因素职业卫生现状情况良好,但噪声危害程度较大;在6个重点行业中,电子制造行业有害因素合格率最低,为84%,其次是纺织行业,有害因素合格率为85%,其他化学原料及化学制品、化工、木制家具、石材加工四个行业合格率均较高;市直以上企业职业卫生现状情况优于区属企业,300-2000人之间较大规模的企业职业卫生现状情况优于300人以下的企业。同时,对企业提出了职业危害现状的改进措施与建议。     

医护人员血源性病原体职业危害研究进展

本研究的目的是了解医护人员血源性病原体职业接触流行特征、职业危害及其研究进展。结果表明,发生针刺及其他锐器损伤的最主要的职业群体是护理人员,最容易导致医护人员损伤的锐器为注射器针头、玻璃安瓿、缝合针和手术刀片等,导致医护人员锐器伤的最常见的医疗操作是注射、缝合和采血。发生血源性病原体职业接触后,医护人员可能感染HBV、HCV及HIV等多种血源性病原体。国内既往研究大多关注伤害发生率及相关危险因素,未对血源性病原体职业接触后感染HBV、HCV及HIV的风险开展研究,尚需通过建立队列,开展前瞻性调查研究。     

Risk reduction concept to provide design criteria for Emergency Systems for onshore LNG plants

The functional safety requirement is widely applied in the process plant industry in accordance with the international standards, such as IEC and ISA. The requirement is defined as safety integrity level (SIL) based on the risk reduction concept for protection layers, from original process risk to tolerable risk level. Although the standards specify both, the Prevention System and the Emergency System, as level of protection layers, the standards specify in detail only the use of the Prevention System (i.e., Safety Instrumented System (SIS)). The safety integrity level is not commonly allocated to the Emergency System (e.g., Fire and Gas System, Emergency Shutdown System and Emergency Depressuring System). This is because the required risk reduction can be normally achieved by only the Prevention System (i.e., SIS and Pressure Safety Valve (PSV)). Further, the risk reduction level for the Emergency System is very difficult to be quantified by the actual SIL application (i.e., evaluated based on the single accident scenario, such as an accident from process control deviation), since the escalation scenarios after Loss of Containment (LOC) greatly vary depending on the plant design and equipment. Consequently, there are no clear criteria for evaluating the Emergency System design. This paper aims to provide the functional safety requirement (i.e., required risk reduction level based on IEC 61508 and 61511) as design criteria for the Emergency System.In order to provide clear criteria for the Emergency System evaluation, a risk reduction concept integrated with public’s perception of acceptable risk criteria is proposed and is applied to identify the required safety integrity level for the Emergency System design. Further, to verify the safety integrity levels for the Emergency Systems, the probabilistic model of the Emergency Systems was established considering each Emergency System (e.g., Fire and Gas System, Emergency Shutdown System and Emergency Depressuring System) relation as the Overall Emergency System. This is because the Overall Emergency System can achieve its goal by the combined action of each individual system, including inherent safe design, such as separation distance.The proposed approach applicability was verified by conducting a case study using actual onshore Liquefied Natural Gas Plant data. Further, the design criteria for Emergency Systems for LNG plants are also evaluated by sensitivity analysis.     

Organizational policy and other factors associated with emergency medical technician seat belt use

INTRODUCTION: The purpose of this study was to determine factors associated with seat belt usage among Emergency Medical Technicians (EMTs). METHODS: As part of biennial re-registration paperwork, nationally registered EMTs completed a survey on the safety and health risks facing Emergency Medical Services (EMS) providers. Respondents were asked to describe their seat belt use while in the front seats of an ambulance. They were categorized as "high" in seat belt use if it had been more than a year since they had not worn their seat belt or "low" in seat belt use if they had not worn their seat belt at least once within the past 12 months. A logistic regression model was fit to estimate the association between seat belt use, organizational seat belt policy, type of EMS organization worked for, EMT certification level, and the size of community where EMS work is performed. RESULTS: Of the 41,823 EMTs that re-registered in 2003, surveys were received from 29,575 (70.7%). A significant interaction between organizational seat belt policy and type of EMS organization was found to exist. Participants reporting no organizational seat belt policy had lower odds of seat belt usage when compared to individuals that do have a seat belt policy. Odds Ratios ranged from 0.20 (95% CI 0.10-0.40) for military organizations to 0.59 (95% CI 0.38-0.93) for private EMS organizations. Paramedics and those working in rural areas also had lower odds of seat belt use. CONCLUSION: Several factors were found to be associated with seat belt usage among EMTs while in the front compartment of an ambulance. However, it appears that only one, organizational policy, is a modifiable characteristic.     

某大型机加车间数控机床噪声暴露特点与分析研究

为研究大型机加车间噪声现状和特点,选取某大型机加车间数控机床开展现场实测,并对噪声测量结果进行分析。结果显示:数控机床产生的噪声是非稳态噪声;数控机床产生的噪声在车间传播,声场分布不均匀;加工某转向工件频率在500～5 300 Hz,峰值频率分别为500,800,2 000,5 000 Hz;对机加数控机床操作岗位工作人员的8 h噪声暴露量进行测量,测量值为89.2 dB(A)。研究结果表明:评价大型机加车间噪声,测量重点应选在机床操作岗位和人行通道;应重点关注被测机床周围20 m内的噪声值;机加工作场所测量时间段的选择取决于作业持续时间。     

纳米颗粒暴露评价研究综述

对国外最新的人造纳米颗粒的暴露评价方法和研究结果进行综述,旨在为我国今后工作现场的职业卫生暴露评价提供指导.检索和查阅2000-2010年发表的涉及纳米颗粒暴露评价的同行评审期刊的英文文献和报告,并对暴露评价设备和方法进行比较和分析,归纳描述部分研究结果,总结纳米颗粒暴露评价的特殊性和挑战,探讨解决这些问题的关键步骤.最后,提出今后在职业现场开展纳米暴露评价的2个可行的方法.     

中国GBZ2.1与德国MAK工作场所化学有害因素职业接触限值比较研究

系统比较中国现行职业接触限值标准GBZ2.1-2007与德国职业接触限值MAK在定义、制定原则和具体数值方面的差异,为中国GBZ2.1的修订提供建议和依据。将 GBZ2.1中规定的OELs与德国MAK于2015年公布的化学有害因素 OELs ,按不同类型建立比较分析数据库,并进行比较分析,分析结果表明:中德2国在职业接触限值的制定原则,化学有害因素的来源、数量与标识等方面有显著差异。 因此,我国应加强对化学性有害因素孕期毒性接触限值的研究和应用。中德在选择化学性有害因素制定OELs时各有侧重,我国在重金属方面制定的OELs,如:钴、钼、铍、铊等,是德国MAK以及美国ACGIH中所未有的,而德国则不再为致癌物质制定OELs。中、德均制定有OELs的化学性有害因素在数值上差异较大,中国有部分OELs同时高于德国MAK和美国ACGIH。我国的职业接触限值更新频率较慢,应缩短OELs更新周期,在对现行的GBZ2.1进行制修订时,可将发达国家OELs作为1项参考。德国风险分级评估方法对致癌物质的管理和评估值得进一步探讨及研究。