3. Assessment of Exposure Flashcards

1
Q

What is risk?

A

Risk is the likelihood of a hazard causing harm
Exposure is necessary for there to be a risk.
Hazard x exposure = risk

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2
Q

What is hazard?

A

Something that has the potential to harm you.

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3
Q

What are the relationships between:

  • Exposure and risk
  • Hazard/toxicity and risk
A

The more you are exposed the higher the risk

The more hazardous the more likelihood for risk

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4
Q

What parameters make up total exposure?

A

Exposure = how much x how often x how long

= intensity x frequency x duration

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5
Q

What is an exposure pathway?

A

The route a substance takes from its source (where it began) to its endpoint, and how people can come into contact

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6
Q

What is beneficial about knowing the exposure pathway?

A

Some exposures have a super simple route and some have really long ones. Knowing the pathway tells us how we can control exposure to a person directly or even limiting output of something into the pathway.

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7
Q

What are the 5 parts of an exposure pathway? How are they defined?

A
  1. A source of exposure, such as using a consumer product for a household task or a chemical spilled from a truck onto a highway. (where the toxicant originated from, not the toxicant itself)
  2. An environmental media and transport mechanism, such as movement through the indoor or outdoor air or groundwater.
  3. A point of exposure, such as a person’s house or a private well.
  4. A route of exposure: eating, drinking, breathing, or touching. Not to be confused with exposure pathway.
  5. A receptor population: a person or group of people potentially or actually exposed.
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8
Q
Ingestion and inhalation are examples of which part of the exposure pathway?
A. Exposure transport
B. Exposure media
C. Exposure route
D. Point of exposure
E. Exposure population
A

C. Exposure route

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9
Q

What are the different methods of collecting data?

A
  1. Quantitative personal dosimeter measurements
    - Ex: Measure of how much radioactivity each person is exposed to by wearing a dosimeter.
  2. Quantitative ambient measurements in vicinity of residence or activity
    - Measurement of the toxicity in the general area. Ex: CO measure in your house
  3. Quantitative surrogates of exposure, e.g., estimates of drinking water
    - Ex: We measured the amount of lead in ur water and estimated how much water you have drunk in the past couple of days to estimate how much lead you were exposed to
  4. Residence or employment in proximity of source of exposure
  5. Residence or employment in general geographic area, e.g., county, of source of exposure
    - General approximation. Ex: air, water, and soil in general geographic area
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10
Q

At what point in the exposure pathway is each method of collecting data taken at?

A
  1. Quantitative personal dosimeter measurements
    - Receptor Population
  2. Quantitative ambient measurements in vicinity of residence or activity
    - Point of exposure
  3. Quantitative surrogates of exposure, e.g., estimates of drinking water
    - Transport/point
  4. Residence or employment in proximity of source of exposure
    - Source
  5. Residence or employment in general geographic area, e.g., county, of source of exposure
    - Source
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11
Q

What is the most accurate type of exposure data?

A
  1. Quantitative personal dosimeter measurements. The other levels are still useful but we have to take them with a grain of salt because there is variability and error that we have to be aware of.
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12
Q

What is the least accurate type of exposure data?

A
  1. Residence or employment in general geographic area, e.g., county, of source of exposure
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13
Q

Which exposure data would be the best approximation to an actual exposure level?
A. Analysis of shellfish indicated there is approximately 20 μg domoic acid (toxin) per gram of shellfish in the USA
B. Water in your private well shows a reading of 1.3 ppm of copper
C. Ground water in Dresden, Ontario showed 39 out of 54 analyses on its raw water supply contained up to 6.4 μg/L of the pesticide atrazine
D. California is the least healthy state in terms of air pollution, at a value of 12.8 (of particulate matter)

A

B. Water in your private well shows a reading of 1.3 ppm of copper

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14
Q

What challenges might we face in measuring exposure?

A

Factors influencing biodistribution
-> Different levels of toxicity in different species

Homogeneous vs heterogeneous

  • > its easy to test water bc its homogenous
  • > Soil and food is heterogeneous and its harder to measure

Time activity patterns
-> over time you may not be exposed to the same amount

Mixtures
-> its difficult to say that one specific substance is toxic on its own and doesn’t have interference with other molecules (ex: synergy)

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15
Q

What are the steps of Identification and quantification of chemicals in the environment and living beings?

A
  1. Sample
  2. Measure
  3. Evaluate Data
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16
Q

What are the steps of getting a sample?

A
  1. Defining the question: why and what to sample

2. Develop a sampling scheme: how, where, and when

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17
Q

What are the questions needed to develop a sampling scheme?

A

How long to sample?
- Minimum time needed to obtain sufficient amount for lab analysis: Sensitivity of analytical procedure, Dependent on contaminant concentration

Whom to sample?

How many samples to collect?

How should the samples be obtained?

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18
Q

What are the different areas you can sample from?

A

Air, soil, water, food, and tissues

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19
Q

What are we testing for when sampling air? Why?

A

Pollutants from fuel combustion, industrial processes, solid waste disposal, explosions, fires, pesticide drift

Particulate matter in an aerosol or suspension
- Lungs trap particles 0.5-5 um in size

Particles enter through the nose and mouth (nose and throat irritation). Larger particles (ex: particulate matter <=10 microns) are eliminated through coughing, sneezing, and swallowing. Smaller particles (ex: PM <= 2.5) can travel deep into the lungs causing heart and lung problems.

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20
Q

How do you sample air?

A

By an air sampling device: by directing air through a filter (not good for volatile matter…better for larger particles) or through an absorbent (to capture gases). To trap particles, concentrate it, and eventually measure it.

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21
Q

What is the relationship between the quality of air and the presence of industries?

A

Direct correlation between the quality of air (bad: smog and particulate matter) and the presence of industries (more).

22
Q

How can soil be sampled? What does it depend on?

A

Soil is very heterogeneous therefore it is difficult.

Depends on properties of pollutants:
- Surface sampling strategy
- Vertical distribution – coring devices:
To determine the depth of contamination and cleaning needed (go deeper because closer to ground water? less deep because we care about playgrounds?)

23
Q

What are the general guidelines for sampling soil?

A
  • Collect separate samples according to: soil type, slope, crop, history, fertilizer, etc..
  • Collect 20-25 sub-samples
  • Sample on a grid system: simple random (sample random locations in the soil), stratified random (divide soil into grids and sample randomly within each grid), systematic (even sampling across the space).
24
Q

Which factors might influence sampling of soil?
A. Soil type, property of the pollutant
B. Property of pollutant, biodistribution
C. Biodistribution, soil type
D. Crop history, size of PM

A

A. Soil type, property of the pollutant (Can impact how deep it goes into the soil, how many samples we need to take because it’s a difficult pollutant to detect, can it get into the air?, etc.)

25
Q

What is important to consider when sampling water?

A
  • Pollutants from agriculture, industry municipal wastes or spills (history)
  • Up and downstream effects
  • Speed of flow of water
26
Q

What are the strategies for sampling water?

A
  • Surface water: grab technique (go elbow deep, take an amount of water, and test it)
  • Continuous monitoring (water constantly flowing through a testing device)
  • Entrapment procedures to concentrate particles and organic pollutants
27
Q

What are polychlorinated biphenyls (PCBs)?

A

They are very stable molecules that can be found in every day products that are not safe for humans. Due to their toxicity, they were banned in 2001 but they are still detected in people because they are very stable and take long to break down.
There are safety regulations in place:
- Water (EPA maximum level): 0.0005 milligrams/Liter (0.0005 ppm)
- Air (OSHA permissible exposure limit): 1 mg/m3 (1 μg/L)

28
Q

How did pointe-claire have PCB contamination?

A
  • Employees in Pointe-Claire detect an unknown substance leaking into the city’s storm drains
  • Quebec environment ministry finds the leaks contain PCBs
  • Investigation: company illegally storing PCBs in West Island for 15 years
  • Quebec judge rules Pointe-Claire PCB-contaminated land owner must submit clean-up timetable
29
Q

Why is measuring toxicant exposure based on food complicated?

A

Toxic agents can be acquired during production, harvesting, processing, packaging (ex: ink on package), transportation (ex: a breeding ground for toxins to accumulate or introduction of new toxins), storage, cooking, and serving.

30
Q

How is food sampled?

A
  1. Direct sample analysis +
  2. Assess exposure by:
    - Dietary survey of individual consumers
    And/or
    - Per capita consumption rates e.g, (production + import) / population
31
Q

What is the Food and Nutrition Surveillance Group (Food Directorate) in Canada?

A
  • National food and nutrition related surveys
  • Facilitates the dissemination of results
  • Research and development of dietary assessment tools
32
Q

What is a tolerable daily intake (TDI)?

A

Estimated quantity of a contaminant that we can be exposed over a lifetime without posing a significant health risk.

33
Q

How is the TDI determined for different foods?

A

We have to consider how much of the food we are actually eating too. So if we know that there are some foods that humans eat a lot more, we need to adjust the values to make sure we are always below the toxic rate
- so in general food stuff its lower than in for example dried food and spices because we eat more of it.

34
Q

When are tissues sampled?

A

Forensic/medical studies:

  • Body fluids: saliva, blood, urine, semen
  • Body tissues: liver, kidney

Experimental studies

  • (i.e. to study Metabolism; Toxicokinetics; Toxicodynamics)
  • (Particularly in occupational exposure)

Environmental studies (plants and animals)

35
Q

What are the requirements for medical tissue sampling?

A
  • Patient consent not required
  • Identity of specimen is presumed
  • Screening result is sufficient for medical decision
  • Results are used for medical evaluation
36
Q

What are the requirements for forensic tissue sampling?

A
  • Subject must consent to be tested
  • Identity of specimen must be proved
  • Only confirmed results can be considered positive
  • Results are used for legal action
37
Q

Why would sampling tissues be used in the workplace?

A
  • To determine if an employee used illegal drugs (USA)
  • Used in military (Canada: mandatory only in military personnel before deployment), criminal justice, public & private sectors
  • NIDA (National Institute of Drug Abuse; USA) performs tests for 5 groups of drugs: Cocaine, Opiates, Marijuana - THC, PCP (1-(1-phenylcyclohexyl)piperidine), Amphetamines
38
Q

What is the court of arbitration for sport (CAS)?

A

An institution that settles disputes related to sports.

Example: drugs in sports

  • Anabolic-androgenic steroids (AAS)
  • Human growth hormone (hGH)
  • Erythropoietin (epo increases RBC production)
  • Blood transfusions (increase RBCs thus O2 supply)
39
Q

Why is a urine test useful? What is an important consideration?

A
  • Least invasive method of tissue sampling
  • Looking for metabolites in a substance
  • Timing is important because compounds might not reside long enough in urine due to ADME
40
Q
What is the duration of drug  residence in urine for: Phencyclidine 
Marijuana
Methadone
Opiates
Cocaine metabolites 
Inhalants or LSD
A
Phencyclidine: 1 week
Marijuana: 3-30 days
Methadone: 3 days
Opiates: 2 days
Cocaine metabolites : 2-4 days 
Inhalants or LSD: undetectable
41
Q

What are the 3 steps for measuring a sample?

A
  1. Extraction
  2. Separation
  3. Identification
42
Q

Explain the first step of measuring a sample.

A

1st step: extraction
Make the sample homogeneous (typically liquid phase):
- physical (crush, blend etc)
- chemical (extracting with solvent)

43
Q

Explain the second step of measuring a sample.

A

2nd step: separation
Concentrate and separate out what we actually want to measure because there could be multiple chemicals present in the newly homogeneous sample that are not relevant

44
Q

What is a method of separation? Explain the method.

A

Chromatography: Separation based on physical and chemical properties: hydrophobic or not, charged or not.

Purpose: concentration & purification of samples

Principle: compounds interact differently with different phases

  • stationary (solid/liquid) phase
  • mobile (liquid/gas) phase

So unique properties of compound will determine its solubility, affinity, retention time

45
Q

What is the stationary phase in chromatography? And what are the types?

A

Stationary Phases: silica (glass/sand beads) + functional groups

  • Reverse phase: hydrocarbon chains (bind to hydrophobic compounds)
  • Anion Exchange: ammonium (+) groups (bind negative compounds)
  • Cation Exchange: carboxyl groups (-)
46
Q

What do we need to consider when choosing a method of identification/quantification during the third step of measurement?

A
  • Sensitivity (limit of detection and amount of sample)
  • Throughput (e.g., connect to separation method –HPLC)
  • Specificity (interfering compounds; i.e. complex samples)
  • Identification vs. quantification (presence of substance vs how much of a substance is present)
  • Accessibility
  • Cost
  • Accuracy
47
Q

What are different methods of identification/ quantification?

A

Spectroscopic methods:

  • UV/Vis/IR spectra
  • Using light or energy for detection

Colorimetric/optical (not quantitative its qualitative):

  • Using color
  • Ex: pregnancy test. An antibody that is conjugated and produces a coloured signal when it detects a substance. Can be less sensitive than other methods. Usually less expensive.

Mass spectrometry:

  • Can detect the exact mass of even small amounts of isotopes and detect super low levels of a substance
  • It can also break the molecule and measure the exact mass of each fragment and give you a fingerprint of your exact molecule.
  • Would use if you have very small levels of something or if its super similar to other types of particles.
48
Q

How do you evaluate the data of a sample?

A
  • Compare sample to controls (positive and negative) and standards
  • Statistical significance
  • Relevance and risk assessment
49
Q

How are we exposed to arsenic?

A
Agriculture and forestry 
Industrial chemicals 
Glass industry 
Alloys and electronics 
Others (pharmaceuticals)
50
Q

What are examples of medical uses of arsenic?

A
  • anti-syphilitic, psoriasis

- analogs may have anti-leukemic action

51
Q

What can occur due to arsenic exposure?

A
  1. Acute toxicity

2. Chronic toxicity: skin cancer (IARC Group 1), diabetes, cardiovascular disease