Abstract
Purpose
This article summarises a systematic literature review of skin exposure assessment methods and concepts for deriving skin (dermal) exposure limits for metals, using the construction industry, where there is a high prevalence of occupational skin exposures as a test environment.
Methods
A systematic literature review was undertaken across ten databases key to Occupational Health and Safety. Articles were considered for inclusion if they evaluated skin or surface exposure to metals or discussed the feasibility of establishing skin or surface exposure limits in an occupational setting. Only full text, peer-reviewed articles were retrieved. All publications up to 30/06/2019 were considered. The quality of evidence was evaluated based on methodology.
Results
A total of 71 studies were selected for inclusion in the review with 49 on skin exposure assessment methods for metals and 22 relating to the derivation of skin exposure limits. The use of wipe sampling methodologies was shown to be standardised and effective for sampling skin exposures to metals. In contrast, there was no scientific consensus on the concept of quantitative skin exposure limits.
Conclusion
There was greater strength of evidence that wipe methods for the measurement of metals would work well. A research gap with respect to the development of health-based skin exposure limits for metals was identified. Frameworks currently proposed for devising quantitative skin exposure limits are provided. These approaches could be adapted to improve the risk assessment of skin exposures to surface metal contaminants.
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Acknowledgements
Subject matter experts from the following Divisions at ANSTO provided peer review: Nuclear Science Technology and Landmark Infrastructure, Human Health Research Theme Leader (Dr Marie-Claude Gregoire) and High Reliability, Work Health and Safety Manager (Ralph Blake).
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This study is funded by Australian Nuclear Science and Technology Organisation (ANSTO). This research is supported by an Australian Government Research Training Program (RTP) Scholarship.
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CN conducted the initial literature review, analysis and drafted the manuscript, with contributions and reviews from BD and VG. All contributors have given final approval of the version to be published.
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ANSTO is supporting the Principal Investigator to conduct the research as part of her studies at the University of Wollongong (UOW) and employment at ANSTO.
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No ethics committee approval was required for this systematic literature review as it did not involve the collection of new empirical data. No investigator will receive personal financial benefit (other than their normal salary) from involvement in this study.
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Naylor, C.L., Davies, B. & Gopaldasani, V. Quantitative skin exposure assessment of metals: a systematic literature review of current approaches for risk assessment using the construction industry as an exposure scenario. Int Arch Occup Environ Health 93, 789–803 (2020). https://doi.org/10.1007/s00420-020-01531-8
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DOI: https://doi.org/10.1007/s00420-020-01531-8