Melanie Gorman
Ng
ab,
Stan
de Poot
ac,
Kaspar
Schmid
a,
Hilary
Cowie
a,
Sean
Semple
ab and
Martie
van Tongeren
*ab
aInstitute of Occupational Medicine, Research Avenue North, Edinburgh, EH14 4AP, UK. E-mail: Martie.vanTongeren@iom-world.org; Fax: +44 (0)131 449 8084; Tel: +44 (0)131 449 8084
bEnvironmental & Occupational Medicine, Division of Applied Health Sciences, University of Aberdeen, Aberdeen, AB25 2Z9, UK
cRadbout University Nijmegen Medical Centre, Nijmegen, 6525GA, Netherlands
First published on 15th November 2013
Several methods exist to estimate dermal exposure and it is unclear how comparable they are. These methods fall into three main categories: (i) removal techniques (such as wiping or rinsing); (ii) interception techniques (such as gloves, patches, or coveralls); and (iii) fluorescent tracer techniques. Controlled experiments were conducted to compare two removal methods for exposure to particulate, and a removal method with an interception method for exposure to liquids. Volunteers' hands were exposed to three liquid solutions (glycerol–water solutions of different concentrations) and three particulates (Epsom salts, calcium acetate and zinc oxide) in simulated exposure scenarios. Both hands were exposed and a different sampling method was used on each to allow comparison of methods. Cotton glove samplers and a cotton wipe sampling method were compared for exposure to liquids. For exposure to powders a cotton wipe sampling method was compared to rinsing the hands in deionised water. Wipe and rinse methods generally yielded similar results for Epsom salts and zinc oxide (geometric mean [GM] ratios of wipe-to-rinse measurements of 0.6 and 1.4, respectively) but they did not for calcium acetate (GM wipe-to-rinse ratio of 4.6). For glycerol solutions measurements from the glove samplers were consistently higher than wipe samples. At lower levels of exposure the relative difference between the two methods was greater than at higher levels. At a hand loading level of 24000 μg cm−2 (as measured by wiping) the glove-to-wipe ratio was 1.4 and at a hand loading of 0.09 μg cm−2 the ratio was 42.0. Wipe and rinse methods may be directly comparable but the relationship between glove and wipe sampling methods appears to be complex. Further research is necessary to enable conversion of exposure measurements from one metric to another, so as to facilitate more reliable risk assessment.
Environmental impactDermal exposure sampling methods are used in occupational and environmental settings to estimate exposure to hazardous materials through contact with the skin. These methods are not standardised and a variety of techniques exist making it difficult to compare measurements across studies, or to pool measurements. This study compared a skin wipe measurement method with a skin rinsing method and a glove dosimeter method in exposure simulations. The wipe and rinse methods yielded similar results and it may be possible to directly compare measurements taken with these methods. However, the relationship between glove and wipe sampling was more complex. Although measurements from wipes were consistently exceeded by those from gloves, the factor by which they were exceeded ranged from 1.3 to 52 depending on the exposure pathway and magnitude. Measurements from wipes and gloves cannot be directly compared, and it is not possible to use a simple conversion factor to enable comparison. |
The substances used in the experiments were chosen to meet the needs of the portion of the study that examined the effect of substance characteristics on dermal exposure. The particulates used in experiments were calcium acetate (hydrate 99%, Acros Organics, Belgium), zinc oxide (Zoco 112 USP grade, Combined Chemical Services Ltd, UK) and magnesium sulphate heptahydrate, commonly known as Epsom salts (Food & Bath Grade, The Essential Oil Company Ltd, UK). The liquids were glycerol solutions (molecular biology reagent grade, Sigma-Aldrich Company Ltd, UK) diluted with deionised water to create solutions of differing viscosity. Solutions of 20%, 50% and 87% glycerol were used.
To simulate exposure by immersion 25 mL beakers were filled with 20 mL of the test substance and the volunteers placed their index finger into the substance until the tip of the finger reached the bottom of the beaker. The finger remained in the beaker for 10 s and was then removed and exposure on the skin was measured. The procedure was conducted with both hands and a different sampling method used for each hand.
To simulate exposure by contact with contaminated surfaces, liquid and particulate were loaded onto steel, timber and fabric (polyester/cotton) surface samples measuring at least 14.5 × 26 cm. This was accomplished using particulate and liquid loading chambers described by Gorman Ng et al.11 These were designed to achieve relatively uniform loading across each experimental trial. Surface loading was measured using gauze swabs (Topper 8 brand 5 × 5 cm) and Whatman glass microfiber filters (GE Healthcare UK Limited, Buckinghamshire, UK) as deposition coupons for liquids and particulate respectively. The loaded surfaces were placed onto a Salter Bathroom scale (HoMedics Group Ltd, Tonbridge, UK). Subjects pressed the palm and fingers of one hand to the surface with a force of about 50 N for 5 s. The hand was then removed and dermal exposure measured. Each trial was immediately repeated with the volunteer's other hand using a test surface of the same type freshly loaded with the same substance and dermal exposure was measured using a different measurement method.
Exposure by deposition was simulated using two 0.039 m3 acrylic glass deposition chambers (one for dusts and one for mists). There were two holes fitted with nitrile cuffs on the front faces of both chambers through which the volunteer placed both of his or her hands. Aerosol was generated in the chamber by dropping five grams of particulate through a tube from the top to the bottom of the chamber, creating a dust cloud when the particulate hit the bottom of the chamber. Liquids were introduced to the chamber by spraying 42 mg of glycerol solution into a small hole at the top back face of the chamber (opposite and above the hands). Airborne concentrations within the chambers were monitored using XAD-7 OVS tubes (Product 226-57, SKC Ltd. Dorset, UK) for glycerol and an IOM sampler with a pre-weighed Whatman 25 mm glass fibre filter for airborne particles.12 Volunteers held both hands inside the chamber for 30 min and either dust or mist was introduced to the chamber at the beginning of the test and again every 5 min for a total of six introduction events. At the end of the 30 min exposure period the hands were removed from the chamber with the nitrile cuffs still attached to the wrist to avoid contact between the hands and the side of the chamber. Dermal exposure was measured using a different measurement method for each hand.
Hand rinse methods were based on methods described in a review of hand wash and skin wipe methodology by Brouwer et al.14 Subjects placed their entire hand in a 19 × 19 cm sealable plastic bag (Empire Tapes PLC, Rotherham, UK) filled with 500 mL of deionised water and shook the hand for 30 s to dislodge material. The hand was then removed from the water and held above the opening of the bag to allow excess water on the hand to drip into the bag. The bag was then sealed and stored within a second sealable bag before analysis.
Cotton fourchette gloves (www.justgloves.co.uk product number VP0873) were used as an interception device. These were placed on the hands prior to exposure simulation and then removed at the end of each trial. They were pulled off from the cuff by a researcher wearing clean nitrile gloves and placed in glass jars where they were stored prior to chemical analysis.
Hand surface areas were estimated from hand traces and finger width measurements taken with a Toolzone Electronic Digital Caliper (KDP Tools Ltd., Devon, UK) using methods described by Gorman Ng et al.11
Pre-exposure hand wipes or hand rinses and blank glove samples were taken to capture background levels of exposure. Subjects thoroughly washed their hands and rinsed with deionised water before each background sample was taken. Hands were allowed to air dry to prevent contamination from towels and soap was not used in trials where glycerol was used.
Glycerol solutions were determined as glycerol on gloves and wipes and deposition coupons using the analytical measurement techniques described by NIOSH method 5523.16 Samples were desorbed in methanol and an aliquot of each sample was analysed by gas chromatography with a flame ionisation detector (GC/FID).
The efficiency of the sampling methods for determining the substances was estimated and expressed as a percentage of recovered material. This was done for all test substances from all test matrices (hand wipe, hand rinse, glove) and was described by Gorman Ng et al.11 The analytical methods for dermal sampling, limits of detection (LOD), and sampling efficiency are summarised in Table 1. All samples were analysed once.
Sampling method | Substance | Epsom salts | Zinc oxide | Calcium acetate | Glycerol |
---|---|---|---|---|---|
Analysed as analytical method | Magnesium OSHA ID 121 ICP/AESa | Zinc OSHA ID 121 ICP/AESa | Calcium OSHA ID 121 ICP/AESa | Glycerol NIOSH 5523 GC/FIDb | |
a Inductively coupled plasma/atomic emission spectrometry. b Gas chromatography/flame ionisation detection. c Samples > 50 mg. d Samples < 50 mg. | |||||
Glove | Limit of detection (mg) | — | — | — | 0.60 |
Sampling efficiency (%) | — | — | — | 53c, 63d | |
Wipe | Limit of detection (mg) | 0.10 | 0.16 | 0.030 | 0.02 |
Sampling efficiency (%) | 53 | 85 | 70 | 68c, 44d | |
Rinse | Limit of detection (mg) | 0.010 | 0.010 | 0.010 | — |
Sampling efficiency (%) | 85 | 97 | 110 | — |
Particulate collected on filters in the airborne particulate samples from the deposition trials and deposition coupons from the surface transfer trials was determined by gravimetric analysis on a Sartorius model KC BA100 balance. The XAD tubes used to measure airborne glycerol in deposition trials were capped following the experiment and stored in a refrigerator at 5 °C prior to chemical analysis by GC/FID.
Data from the different exposure pathway simulations were pooled and analysed using ANOVA with mass per unit area exposure as an outcome variable and sampling method, substance, and exposure pathway as explanatory variables. All models were blocked by subject to examine the effect of intra- and inter-subject variation. Interactions between explanatory variables were also examined.
Separate analyses were carried out for liquids and particulates. For liquids the difference between glove and wipe sampling methods was examined; for powders the difference between wipe and rinse sampling methods was examined.
The distribution of the mass per unit area data for both liquids and particulate was examined with histograms and Q–Q plots. Data that appeared to be log-normally distributed were analysed on a natural log scale.
Air concentration (mg m−3) | Surface loading (μg cm−2) | |||||
---|---|---|---|---|---|---|
N | AMa | SDa | N | AMa | SDa | |
a AM = arithmetic mean, SD = standard deviation. Arithmetic means and standard deviations are reported because the data for liquids approximated a normal distribution, and the data for solids more closely approximated a normal distribution than a lognormal distribution. b Note that in experiments of surface loading of powders surface loading was measured using deposition coupons placed alongside each surface. This was not possible for surface loading of liquids so test surfaces were used to estimate the surface loading. This is the reason for the difference in number of observations. | ||||||
Powders | ||||||
Calcium acetate | 4 | 44 | 14 | 12 | 90 | 52 |
Epsom salts | 4 | 0.90 | 0.90 | 12 | 140 | 97 |
Zinc oxide | 4 | 0.60 | 0.40 | 12 | 110 | 35 |
Liquids | ||||||
20% glycerol | 4 | 67 | 8.4 | 3 | 86 | 18 |
50% glycerol | 4 | 34 | 14 | 3 | 130 | 20 |
87% glycerol | 4 | 18 | 18 | 3 | 130 | 20 |
Exposure pathway | Surface contact | Immersion | |||||
---|---|---|---|---|---|---|---|
Particulate | CA | ES | ZO | CA | ES | ZO | |
a CA = calcium acetate; ES = Epsom salts; ZO = zinc oxide GM = geometric mean; GSD = geometric standard deviation. | |||||||
Wipe | N | 12 | 12 | 12 | 4 | 4 | 4 |
GM | 30 | 23 | 16 | 400 | 100 | 300 | |
GSD | 2.9 | 3.5 | 2.7 | 1.4 | 3.1 | 3.3 | |
Rinse | N | 12 | 12 | 12 | 3 | 3 | 4 |
GM | 6.5 | 36 | 12 | 110 | 110 | 210 | |
GSD | 5.9 | 4.4 | 2.3 | 6.8 | 10.5 | 2.6 | |
Wipe to rinse ratio | 4.6 | 0.6 | 1.4 | 3.6 | 0.9 | 1.4 | |
P-values (ANOVA) | Sampling method | 0.022 | |||||
Substance | 0.302 | ||||||
Exposure pathway | <0.001 | ||||||
Interaction exposure pathway and substance | 0.053 | ||||||
Interaction substance and sampling method | 0.005 |
Surface transfer was simulated using three different surface types. Differences in exposure related to surface type in this dataset were discussed by Gorman Ng et al.11 To investigate whether surface type has any effect on measurements by different sampling methods an additional ANOVA was carried out, restricted to data from the simulations of surface transfer of powders. In this analysis surface type and sampling method were both significantly related to the measured mass per unit area exposure but there was no significant interaction between the two, indicating that the effect of sampling method on measurement value does not vary with surface type. Measurements from different surface types are therefore combined in Table 3.
Exposure pathway | Immersion | Deposition | |||||
---|---|---|---|---|---|---|---|
Glycerol Solution | 20% | 50% | 87% | 20% | 50% | 87% | |
a GM = geometric mean; GSD = geometric standard deviation. | |||||||
Glove | N | 4 | 4 | 4 | 4 | 4 | 4 |
GM | 28![]() |
39![]() |
32![]() |
15 | 6.3 | 3.8 | |
GSD | 2.5 | 2.5 | 1.7 | 1.5 | 1.2 | 1.6 | |
Wipe | N | 4 | 4 | 4 | 4 | 4 | 4 |
GM | 2700 | 7400 | 24![]() |
0.34 | 0.12 | 0.09 | |
GSD | 1.9 | 1.2 | 1.5 | 11 | 5.7 | 4.7 | |
Glove to wipe ratio | 10 | 5.3 | 1.3 | 44 | 53 | 42 | |
P-values (ANOVA) | Sampling method | <0.001 | |||||
Substance | 0.919 | ||||||
Exposure pathway | <0.001 | ||||||
Interaction exposure pathway and substance | 0.007 | ||||||
Interaction exposure pathway and sampling method | <0.001 |
The experiments involved side-by-side comparisons of different sampling methods used on the right and left hands and assumed that exposures on these two hands would be equivalent. While there are may be differences in size, muscularity and skin thickness between the dominant and non-dominant hand these were largely accounted for by varying the use of the dominant and non-dominant hand randomly across volunteers and scenarios and by adjusting exposure measurements by hand surface area measurements taken for each hand. There may be differences in dermal absorptive rate and capacity across the two hands but this is unlikely to have affected the conclusions of the study. The exposure durations were too short to allow significant absorption and the powders used in the study are not readily absorbed by the skin. Glycerol can be absorbed by the skin but in this case a removal method was compared to an interception method (which does not involve contact between the substances and the skin) so differing rates of absorption across the two hands would not affect the results.
The large number of results below the LODs reduced the amount of data available for analysis. Additional experimental work at higher levels of exposure could provide information about the differences between sampling methods for surface transfer of liquids and deposition of powders. This may be important as the differences in the glove-to-wipe ratio between the immersion and deposition pathways provided evidence that the effect of sampling methods on exposure can vary by the exposure pathway. Despite this limitation the laboratory experiments provided useful, preliminary information about the effect of dermal sampling methods on exposure estimates.
In all experiments, much higher masses of glycerol solution were determined on glove samples than on wipes. The absorption of glycerol by the gloves probably contributed to the differences between the two sampling methods. Glycerol can be absorbed into the stratum corneum and wipe samples will fail to determine glycerol that has been absorbed and will underestimate exposure, however the exposure durations (≤30 min) were probably too short for this have contributed significantly to the differences between gloves and wipes.17 Additionally, cotton gloves rapidly absorb liquids and may overestimate exposure. Experiments conducted by Brouwer suggest that cotton gloves may also overestimate exposure to powders.18 The difference between glove and wipe measurements were lower for the deposition pathway than for the immersion pathway and this may have been related to the lower exposure in deposition scenarios. Again this may have been due to absorption of liquid by the gloves. As the gloves and skin were saturated with glycerol in immersion experiments there may have been less scope for overestimation by the gloves. Additionally, the exposure duration in the deposition simulations (the lowest exposure scenario) was 30 min which was much longer than the 10 s exposure duration in the immersion simulation. This longer exposure duration may have provided a greater opportunity for absorption of glycerol into the stratum corneum and could have contributed to the large difference between wipe and glove samples during the deposition experiments. However, the 30 min exposure duration is too short to allow sufficient dermal absorption to fully explain the difference. Differences between the absorption rates and carrying capacity of sampling media and the skin probably contribute significantly to the differences between interception and removal methods for all substances. These results suggest that it may not be possible to use a simple multiplier to make glove and wipe measurements directly comparable as their differences may depend on the amount and duration of exposure.
The effect of exposure level and duration on the relative performance of different sampling methods is supported by other studies. Davis et al. compared a cotton glove sampling method with ethanol hand rinses in field measurements of dermal exposure to azinphosmethyl during apple thinning at 1, 2, 6 and 9 days after pesticide application.19 In general the measurements were higher for gloves than for rinses. Between day 2 and day 9 the estimated exposures decreased by nearly half due to pesticide decay. The ratio of glove measurement to rinse measurement was 4.7 on day 2 and was 5.5 on day 9; the authors did not determine whether or not this difference in ratios was statistically significant.
Fenske et al. also compared cotton glove and alcohol rinse sampling among orchard workers. They measured dermal exposure to captan among 4 fruit pickers in a side-by-side comparison in which one hand was sampled with a cotton glove sampler and the other with a rinse.20 They also assessed the effect of sampling time on measured exposure and measured exposure at intervals of 0.5, 1.0, 1.5 and 3.0 h of picking. Again the measurements from gloves were consistently higher than rinse measurements. They also found that exposure duration had an effect on the measured exposure rate from glove samples. The rate of exposure measured by gloves at 0.5 h (43.6 mg h−1) was double the rate measured at 3.0 h (21.0 mg h−1). The authors attributed this difference to a reduction in absorptive capacity after initial absorption due to collection of moisture, soil and/or sweat, and captan residues on the gloves. In further analysis of the data they also found that amongst workers with a high picking rate (and therefore high exposure) the effect of sampling time on measured exposure was especially pronounced. The difference between measurements from gloves and rinses was significant at 0.5 h (glove to rinse ratio of 2.4) and decreased with increasing exposure duration and consequent higher cumulative exposure (ratio of 1.4 at 3.0 h).
In the current study, results from rinse and wipe samples were also compared in side-by-side experiments of exposure to three powders. For both zinc oxide and calcium acetate measurements were higher on wipe samples than rinse samples (about 4 times higher for calcium acetate and about 1.3 times higher for zinc oxide). Epsom salts rinse samples were 1.6 times higher than wipe samples. It is not surprising that wipes yielded slightly higher measurements than rinses for zinc oxide as it is insoluble in water. However, calcium acetate is very soluble in water so it is unexpected that wipe samples were higher in this case. Analysis of background samples indicated that background levels of calcium were higher than those of magnesium or zinc. However, this was adjusted for so it cannot fully explain the finding. Both wipe and rinse samples were stored in plastic containers prior to analysis. Wipes were stored in Sterilin® tubes and rinse samples were stored in sealable plastic bags. Although the tubes were rinsed with solvent prior to sample analysis and bags were agitated to evenly distribute solute, losses due to adsorption onto the walls of the storage vessels may have differed between the tubes and bags. This was not investigated in the current study but may provide further information on differences between sampling methods if studied in future work.
Epsom salts were granular particles while zinc oxide and calcium acetate were fine powders. The researchers who carried out the experiments observed that it was difficult to pick up large particles on the skin with wipes. This may explain the lower values measured by wipes relative to rinses for Epsom salts. In real-life scenarios such large particles are unlikely to remain on the skin so the relatively poor performance of wipe sampling for measuring these materials is probably not a concern for exposure assessors. In general, these results suggest that for exposure to powders wipe sampling measurements produce data broadly comparable to those generated by rinse sampling techniques. No previously published studies have compared wipe and rinse sampling methods for exposure to particulate. Fenske et al.13 compared a wipe and rinse method in field measurements of exposure to the pesticide azinphos-methyl amongst orchard workers and found that rinse measurements were about 6 times higher than wipe measurements.13 The difference between the findings of the current study and the Fenske et al. study may be due to the substance characteristics, differences in the sampling methods used, or differences between field and laboratory experiments.
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