Lecture 5 - Hazard and Risk Assessment Flashcards

(26 cards)

1
Q

Hazard

A

The intrinsic potential of a chemical or drug to cause adverse health effects (or unwanted environmental changes)

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2
Q

Risk

A

The likelihood that a hazard will induce adverse health effects under particular conditions of exposure

Risk = intrinsic hazard of substance x exposure

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3
Q

Hazard identification, hazard assessment, and risk assessment

A
  • The identification of an intrinsic hazard
  • Characterisation of the hazard (particular potency)
  • The likelihood that an adverse health effect will be induced under particular conditions of exposure
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4
Q

Potency

A

What amount/level of exposure is required to elicit an adverse health effect

Measured by a dose response

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5
Q

Contact sensitisation: what is it also known as, what is it used for, and what is the underlying mechanisms?

’’

A

Allergic contact dermatitis

Hazard identification and risk assessment

Monitoring allergic reactions caused by low molecular weight reactive chemicals

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6
Q

Murine local lymph node assay

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A

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7
Q

EC3

’’

A

Application concentration of test - chemical required to provoke a 3-fold increase in LN proliferative activity compared with concurrent vehicle treated controls.

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8
Q

Risk assessment: how variable is it between different chemicals, what are the typical steps, and what do these steps allow calculation of?

A

Risk assessment process is fundamentally the same regardless of product/ingredient

Step 1: Hazard identification
Step 2: Dose-response assessment
Step 3: Exposure assessment
Step 4: Risk characterization

Acceptable Exposure Level (RfD)

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9
Q

RfD: what is it, what does it mean, and how is it calculated?

A

Acceptable Exposure Level

Estimate of daily exposure to an agent that is assumed to be without a health impact on the human population

NOEL/UF - no-observable effect level divided by uncertainty factor

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10
Q

NOEL: what is it, what is it based on, and how conservative are its values?

A

No observed effect level of a substance

Based on robust hazard identification data

Assigned a conservative default value if hazard identification data is less robust

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11
Q

SAF: what is it and how is it measured?

A

Sensitisation assessment factors - uncertainty factors (Uf)

Extrapolate data from the NOEL (experimental) to consumer exposure (real life)

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12
Q

Hazard identification: what is it determined from and what does it allow to be gathered?

A
  • Pre-clinical studies e.g. Guinea-Pig Test, local Lymph Node Assay (LLNA)
  • Human data (historical)
  • Structure-based predictive approach

Weight of evidence approach

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13
Q

Skin sensitisation risk assessment dose response: what does it measure?

A
  • Allergen potency
  • Uncertainty factors
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14
Q

Skin sensitisation risk assessment dose response: what are the three areas for consideration?

A
  • Inter-individual susceptibility - age, gender, ethnicity, genetic effects
  • Vehicle or product matrix (delivery) effects - composition of the consumer product versus the experimental NOEL vehicle and presence of irritants and penetration enhancers (mixed chemicals with the substance have what kind of effect)
  • Use considerations - site of contact, dermal integrity, occlusion
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15
Q

Occlusion

A

The blockage of an opening - typically a plaster blocking an open wound

Typically may result in increased absorption to the blocked location

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16
Q

Uncertainty factors: what are some examples, what are their issues, and by what degree do they increase the SAF?

A
  • Inter-individual variation - large differences, difficult to assess - 10
  • Product - role of vehicle/matrix - 0.3 (inert objects), 1 (most products), or 3 (containing penetration enhancers)
  • Frequency/duration of use -0 extended periods of use may result in bioaccumulation - 1 (intermittent/limited use) or 3 (extended use)
  • Occlusion - skin could be occluded - 1 (all body parts could be covered by clothing)
  • Skin condition/site - pre-existing inflammation or a site prone to irritation - 1 (no inflammation), 3 (pre-existing inflammation or site), or 10 (sensitive sites (ie axilla))
17
Q

Inter-individual variation: why and to what degree may it affect SAF?

A

Large differences, difficult to assess

  • 10
17
Q

Uncertainty fctors: what are some examples, what are their issues, and by whar defree do they increase the SAF?

A
  • Inter-individual variation - large differences, difficult to assess - 10
  • Product - rold of vehicle/matrix - 0.3 (inert objects), 1 (most products), or 3 (containning penetration enhancers)
  • Frequency/duration of use -0 extended periods of use may result in bioaccumulation - 1 (intermittent/limited use) or 3 (extended use)
  • Occlusion - skin could be occluded - 1 (all body parts could be covered by clothing)
  • Skin condition/site - pre-existing inflammation or site prone to irriliattion - 1 (no inflammation), 3 (pree existing inflammaruin or site), or 10 (sensitive sites (ie axilla))
18
Q

Product variation: why and to what degree may it affect SAF?

A

Role of vehicle/matrix

  • 0.3 (inert objects)
  • 1 (most products)
  • 3 (containing penetration enhancers)
19
Q

Frequency/duration of use: why and to what degree may it affect SAF?

A

Extended periods of use may result in bioaccumulation

  • 1 (intermittent/limited use)
  • 3 (extended use)
20
Q

Occlusion: why and to what degree may it affect SAF?

A

Skin could be occluded

  • 1 (all body parts could be covered by clothing)
21
Q

Skin condition/site: why and to what degree may it affect SAF?

A

Pre-existing inflammation or a site prone to irritation

  • 1 (no inflammation)
  • 3 (pre-existing inflammation or site)
  • 10 (sensitive sites (ie axilla))
22
Q

Skin sensitisation risk assessment risk characterisation: what stage of risk assessment is this, what does it do, and why is it so important?

A

Step 4

Calculate the maximum acceptable exposure level using NOEL and uncertainty factors, and comparing this value to the calculated consumer exposure (RfD/CE)

The amount per xg/xm² that is in the acceptable level should be accepted for use, but the amount per xg/xm² that is in the uncertainty factor zone or NOEL zone is unlikely to be accepted for use

23
Q

axilla

24
Does skin sensitisation risk assessment work?
Yes, some allergies have increased over time (IgE-mediated allergies by 10-100 fold), but contact dermatitis hasn't been seen to increase
25
Example of bad skin sensitisation risk assessment ''
Methylisothiazolinone (MI) was used in products and caused mass contact dermatitis (exceeding the number of people visiting dermatologists about nickel allergies (typically the leading cause of contact dermatitis visits)) Chloromethylisothiazolinone was the primary allergen, experiments removed the chloro part to attempt to reduce allergy to it, in vitro tests misunderstood its potency, and it was thought to be a weak/moderate allergen instead of the strong allergen that it is - the number of allergies increased considerably Regulations were made - the number of people having allergic reactions to MI reduced significantly