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OSHA REVISES
HAZWOPER PUBLICATION
OSHA revised
its
Hazardous Waste
Operations and Emergency Response booklet (OSHA
Publication 3114 – Hazardous Waste Operations and Emergency
Response).
The revised document (OSHA
3114-07R - 2008)
highlights
the requirements for hazardous waste operations and
emergency response at uncontrolled hazardous waste sites and
treatment, storage and disposal facilities.
It also discusses the steps an employer must take to
protect the health and safety of employees in these
environments. A
copy of the revised document can be downloaded at
http://www.osha.gov/Publications/OSHA3114/OSHA-3114-hazwoper.pdf.
NIOSH TO HOST "NO FIT TEST" RESPIRATOR WORKSHOP
The National Institute for Occupational Safety and Health
(NIOSH) will sponsor a “No Fit Test” Respirator Workshop on
November 6, 2008 in
Pittsburgh,
PA. The NIOSH National Personal
Protective Technology Laboratory and the
University
of Minnesota, School of Public Health,
will host the workshop to focus on the nature and process of
product innovation and development in negative pressure
half-face piece respirators, to gauge the current
“state-of-the-art,” and to stimulate new designs and
approaches for improved respirator fit.
The results of the workshop will lead to a better
understanding of how future NIOSH research can encourage
ongoing development of better fitting respirators without
compromising long-term protection. Registration is free but
required. Information concerning registration can be
obtained at
http://cpheo.sph.umn.edu/mcohs.
NIOSH PUBLISHES EMERGENCY
RESPONDER PPE GUIDELINES FOR CBRN INCIDENTS
NIOSH has released a new
document for emergency response personnel that provides
guidelines for chemical, biological, radiological and
nuclear incidents (CBRN).
NIOSH Publication No.
2008-132 –
Guidance on Emergency Responder Personal Protective
Equipment (PPE) for Response to CBRN Incidents provides
local, State and Federal emergency response entities with
comparison information on the Occupational Safety and Health
Administration/ Environmental Protection Agency (OSHA/EPA)
Protection Levels A, B, and C to Department of Homeland
Security (DHS) adopted Personal Protective Equipment (PPE)
performance based standards for response to terrorism
incidents involving CBRN hazards.
A copy of the document can be downloaded at
http://www.cdc.gov/niosh/docs/2008-132/.
TESTICULAR CANCER IS RECOGNIZED AS
OCCUPATIONAL HAZARD FOR BRITISH COLUMBIA FIREFIGHTERS
The
British Columbia government now
recognizes testicular cancer as an occupational hazard for
firefighters and will also add lung cancer in non-smoking
firefighters to the list. The British Columbia Labor
Minister says the toxic environments firefighters face in
the line of duty put them at increased risk for
life-threatening cancers.
This ruling means that career, volunteer, part-time
and paid on-call firefighters suffering from the diseases
will qualify for worker's compensation benefits, without
having to prove individually that the diseases are linked to
their jobs.
Brain, bladder and kidney cancer are already recognized as
occupational hazards for firefighters in British Columbia, along with non-Hodgkin's
lymphoma, ureter cancer, colorectal cancer and leukemia.
OSHA UNVEILS NEW INTERLINKED SYSTEM ON
ITS STATE PLAN STATE WEB SITE
OSHA and the
Occupational Safety and Health State Plan Association
(OSHSPA) jointly developed a new web page with interlinked
information about State Plans' responses to new federal OSHA
standards or directives issued since June 2006. Links to
charts show the user which State Plans have adopted
standards or procedures identical to OSHA's, and which have
adopted something different. If different, the chart
provides a direct link to the State Plan's document on its
website or how to obtain a copy. In addition, each new
Federal standard or directive links back to the specific
State response chart. New State charts and cross-links to
the Federal standard or directive will be posted six months
after each new Federal issuance.
The web page link is
http://www.osha.gov/dcsp/osp/std_fpc.html
NFPA
FIRE RESEARCH FOUNDATION PUBLISHES
RESPIRATORY EXPOSURE STUDY
FOR FIREFIGHTERS AND OTHER EMERGENCY RESPONDERS
The NFPA Fire Research Foundation recently published a final
report addressing respiratory protection for firefighters
and other emergency response personnel, including fire
investigators that respond to fire scenes to conduct
investigations.
The purpose of the study was
to develop best practice guidance for firefighters and other
emergency responders, to determine when to use
self-contained breathing apparatus (SCBA) and other
respiratory protective equipment when exposed to atmospheres
that are possibly hazardous.
The report notes that
firefighters and other emergency responders are routinely
exposed to hazardous atmospheres that contain potentially
harmful gases and particulates, and should utilize SCBA and
other respiratory protective devices (such as air-purifying
respirators) to protect against possible exposure.
In addition, certain personnel such as fire
investigators should consider protective measures to protect
against on-going respiratory hazards that may be encountered
after fire suppression and overhaul operations are
completed.
The report also includes
model standard operating procedures and guidelines related
to SCBA use and respiratory protection programs.
Copies of the report may be downloaded from the NFPA
web site at
http://www.nfpa.org/categoryList.asp?categoryID=260&URL=Research&Reports/FireProtectionResearchFoundation/Reports&rss=research.
Copies may also be downloaded from the DOWNLOADS section of
this web site.
OSHA NOTICE OF PROPOSED
RULEMAKING PUBLISHED FOR A NEW RESPIRATOR FIT-TESTING
PROTOCOL
OSHA published a Notice of Proposed Rulemaking for a new
respirator fit-testing protocol-the
Abbreviated Bitrex® Qualitative Fit-Testing
(ABQLFT) protocol. The proposed rule would add the
ABQLFT protocol as an alternative to the current
OSHA-approved qualitative fit-test procedures. The ABQLFT
protocol for the seven exercises listed in the existing
OSHA-approved Bitrex fit-test procedure in the Respiratory
Protection standard would shorten the duration of each of
the seven fit-test exercises from one minute to 15 seconds.
The proposed rule would apply to employers in shipyard
employment, and the general and construction industries. The
deadline for comments is Feb. 25, 2008.
OUTBREAK OF
AUSTRALIAN FIREFIGHTER CANCER CASES PROMPTS INQUIRY
An urgent investigation has been launched into a possible
cancer cluster at the Atherton Fire Station in far north
Queensland,
Australia.
One firefighter has died and at least five of his
colleagues have also been diagnosed with the disease over
the last three years.
The cancer rate among firefighters is usually higher
than for the general population, but the United Firefighters
Union says the number of cases at the Atherton station is
extreme.
Over the past four years, there have been two cases of bowel
cancer, one of testicular cancer, and two cases of
inoperable brain tumors.
The Atherton Fire Station scare follows a confirmed
breast cancer cluster at the ABC's former complex in Brisbane. Three or four of the staff with
cancer are still working at the station. Some are receiving
medical treatment and others have been assigned to other
duties. The
service is also investigating reports that a retired
firefighter may also have cancer.
NIOSH ISSUES DONNING PROCESS
INSTRUCTIONS FOR NIOSH APPROVED DISPOSABLE PARTICULATE
RESPIRATORS
The NIOSH National Personal Protective
Technology Laboratory (NPPTL) has updated the list of
approved disposable particulate respirators to include the
donning process and user instructions. If the instructions
for a model are not listed, NIOSH has not received it from
the approval holder. NIOSH encourages all approval holders
to submit the donning processes and user instructions for
all filtering face piece respirators approved by NIOSH. The
current list of approved respirators can be viewed at
http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part.
OSHA PUBLISHES FINAL RULE ON PERSONAL PROTECTIVE
EQUIPMENT
OSHA has announced a final rule that all PPE, with a few
exceptions, will be provided by employers at no cost to
their employees. OSHA anticipates that this rule will have
substantial safety benefits that will result in more than
21,000 fewer occupational injuries per year. This final rule
will clarify who is responsible for paying for PPE, which
OSHA anticipates will lead to greater compliance and
potential avoidance of thousands of workplace injuries each
year.
The final rule contains a few exceptions for ordinary
safety-toed footwear, ordinary prescription safety eyewear,
logging boots, and ordinary clothing and weather-related
gear. The final rule also clarifies OSHA's requirements
regarding payment for employee-owned PPE and replacement
PPE. While these clarifications have added several
paragraphs to the regulatory text, the final rule provides
employees no less protection than they would have received
under the 1999 proposed standard.
The rule also provides
an enforcement deadline of six months from the date of
publication in the
Federal Register to allow employers time to
change their existing PPE payment policies to accommodate
the final rule. According to OSHA,
employers will have
until May 2008 to change their existing PPE policies to
accommodate the final rule.
Additional information can be obtained at
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER&p_id=20094
ARIZONA FIRE DISTRICT FINED FOR
WORKPLACE SAFETY
The Industrial
Commission of Arizona has approved $366,000 in fines against
the Avra Valley Fire District for workplace-safety
violations, among the biggest fines ever levied against an Arizona employer.
The commission initially only approved $55,000 in
fines, however the group later approved higher fines after
determining 12 of the violations were willful. The fines
stem in part from a March 2007 hazardous-materials accident
on Interstate 10 that investigators said was not handled
properly. The citations also include violations found during
routine safety inspections of district fire stations.
The complaints,
listed in public minutes for the commission's Sept. 13
meeting, cited the fire district for:
·
Not developing an
emergency response plan to handle anticipated emergencies.
·
Not ensuring that
appropriate personal protective equipment was brought and
worn to a hazardous-materials site. That site was the March
14 collision.
·
Not establishing
a written exposure-control plan for firefighters and
paramedics exposed to blood-borne pathogens.
Additional information can be found at
http://cms.firehouse.com/content/article/article.jsp?id=56701§ionId=46
OSHA SEEKS COMMENTS ON
COMPREHENSIVE EMERGENCY RESPONSE STANDARD
OSHA published a Request for Information (RFI) in the
September 11, 2007
Federal Register seeking input from the public to
determine what action, if any, the agency should take to
further address emergency response and preparedness. Current
OSHA standards do not reflect all of the major improvements
in safety and health practices that have already been
accepted by the emergency response community and
incorporated into industry consensus standards. This RFI is
intended to gather information about current thinking and
practices relating to emergency responders and skilled
support employees. The agency is accepting comments until
Dec. 10, 2007. Additional information can be found at
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER&p_id=19915.
REPORT: 79 PERCENT OF 9/11
FIREFIGHTERS HAVE HEALTH PROBLEMS
A new FDNY report
shows that 79 percent of firefighters in lower
Manhattan
on September 11, 2001 now have respiratory problems.
Some officials
consider this the most credible proof yet of health
problems, because the department has data about firefighters
lungs from before 9/11. Additional
information and the report can be viewed at
http://cms.firehouse.com/web/online/911/Report--79-Percent-Of-911-Firefighters-Have-Health-Problems/41$56469.
OSHA CITES FIRE DEPARTMENT IN FATAL
CHARLESTON BLAZE
The South Carolina Office of Occupational Safety and Health
released a report citing the Charleston Fire Department in
the deadly June 18 fire that claimed the lives of nine
firefighters.
The fire department was cited with one willful violation for
not providing efficient safety for its firefighters and
three serious violations. The
serious violations included not having specialized
procedures for fighting fires involving metal truss roofs,
not requiring body protection and not requiring self
contained breathing apparatus at all times.
The violations totaled fines of $9,325.
PERSONAL PROTECTIVE EQUIPMENT (PPE) CONFERENCE
NIOSH, along with the Technical Support Working Group, the
National Institute of Justice, the National Fire Protection
Association, and the International Safety Equipment
Association, will be cosponsoring a Personal Protective
Equipment Conference November 28 – 30, 2007, in
Fort Lauderdale, FL.
The conference will highlight emerging technologies in the
area of personal protective equipment. Included will be a
seminar series on standards and next-generation tools,
educational workshops, round-table discussions on the future
directions for PPE research and design, and an exhibition of
new technologies. For more information visit
http://www.tswg.gov/tswg/home/home.htm and click on the
Personal Protective Equipment Conference Banner
MAINE FIRE INVESTIGATOR
INJURED IN CRASH WITH MOOSE
Caribou,
Maine
-
Scott Richardson, an investigator with the Maine State Fire
Marshal’s Office was recently driving his Ford F-150 pickup
truck when a moose appeared in the middle of the road.
Richardson was unable to avoid hitting the
animal and escaped serious injury after the animal was
struck and killed.
The vehicle sustained extensive front-end damage and
was a total loss. Richardson
was taken by the Caribou Fire and Ambulance Department to Cary Medical
Center and treated for
numerous non-life-threatening injuries before being
released.
State police are investigating the incident with assistance
from the Caribou Police Department.
No charges have been filed since the moose was
obviously at fault by attempting to make an unsafe lane
change...Remember, there are always hazards out there that we must constantly be
aware of even while driving to and from a fire scene!
NFPA RESEARCH FOUNDATION STUDY ON FIRE FIGHTER
RESPIRATORY EXPOSURE NEEDS
The NFPA Research Foundation is currently working on a study
on Fire Fighter Respiratory Exposure
to address the use of respiratory protection during overhaul
and similar activities. The purpose is to help clarify best
field practice guidance for when to use, and remove after
using, SCBA and other respiratory equipment.
The results of the study are tentatively scheduled to
be released in December 2007.
Additional information can be obtained at
http://www.firearson.com/documents/document.asp?did=723.
OSHA DEVELOPS DATABASE OF CHEMICAL
INFORMATION
OSHA recently launched a database of information on more
than 800 chemicals commonly found in the workplace. The
OSHA/EPA Occupational Chemical Database allows users to
quickly and easily retrieve information on chemicals such as
their physical properties and exposure limits. The database
compiles information from several government agencies and
organizations, including the National Institute for
Occupational Safety and Health (NIOSH) and the Department of
Transportation (DOT). The on-line data base can be accessed
at
http://www.osha.gov/web/dep/chemicaldata/#target.
STUDY LINKS LUNG DISEASE TO WORLD TRADE CENTER
OPERATIONS
A study recently published by nine doctors
including the medical officer monitoring
New York City firefighters found that
firefighters and rescue workers contracted sarcoidosis as a
result of exposure to toxic dust at ground zero in the year
after Sept. 11, 2001, at a rate more than five times higher
than the years before the attacks.
Sarcoidosis, which can be life-threatening, causes an
inflammation in the lungs that deposits tiny cells in the
organs, leaving scar tissues that damage them. Several
rescue workers and others exposed to trade center dust have
claimed they contracted the disease from their work at
ground zero.
None of the 26 rescue workers, who are in their 30s
and 40s, has died of the disease, and about 10 have improved
or recovered since their diagnoses, the study found. Two of
the firefighters were former smokers, the study found.
The study was published this week in the May issue of
CHEST Physician, a journal published by the American
College
of Chest Physicians.
Additional information can be found at
http://cms.firehouse.com/content/article/article.jsp?id=54653§ionId=46.
OSHA PROPOSED TO UPDATE PPE STANDARDS
OSHA has proposed to revise the personal protective
equipment (PPE) sections of its general industry, shipyard
employment, longshoring, and marine terminals standards
regarding the use of eye and face protective devices and
head and foot protection.
These proposed revisions are a continuation of OSHA's effort
to update references to specific consensus and industry
standards located throughout the agency's standards. The
proposed revisions replace the existing references to
specific, out-of-date consensus standards with performance
language that requires PPE to be constructed in accordance
with good design standards. The proposed revisions include
appendices that may be used to identify good design
standards.
OSHA is also proposing to delete paragraphs in its
ventilation standard as well as its welding, cutting, and
brazing standard that currently reference outdated PPE
consensus standards. In proposing to delete these
paragraphs, OSHA is continuing the process of consolidating
all PPE requirements in Subpart I and intends for all safety
equipment to comply with the performance language design
provisions in revised Subpart I of the general industry
standards. OSHA
is seeking public comments until July 16, 2007.
NIOSH ASSISTS LOCAL OFFICIALS IN EVALUATING POSSIBLE METH
CONTAMINATION
On
March 7, 2007, NIOSH responded to a request from the Grant
County, KY Sheriff’s Office and Northern Kentucky Drug
Strike Force for technical assistance in evaluating
suspected methamphetamine contamination in two vehicles and
a home. Using an innovative NIOSH-designed field method,
NIOSH scientists John Snawder and Cynthia Striley identified
multiple locations where methamphetamine was present, and
provided technical advice for officers’ safety on control
and remediation. For more details on testing for meth
contamination and remediation of such sites, contact John
Snawder at
JSnawder@cdc.gov or Cynthia Striley at
CStriley@cdc.gov.
NIOSH PUBLISHES HEALTH HAZARD EVALUATION CONCERNING
CONTAMINATION AT FIRE SCENE
The
National Institute for Occupational Safety and Health (NIOSH)
recently released a Health Hazard Evaluation Report
(2004-0368-3030) based on a request for a health hazard
evaluation (HHE) by the Bureau of Alcohol, Tobacco, Firearms
and Explosives (ATF) in Austin, Texas. The HHE request was
submitted because of concerns about chemical agents
contaminating the clothing worn at fire scenes by
investigators and possibly causing cross-contamination of
personal washing machines and dryers when the garments are
taken home for laundering. NIOSH investigators conducted a
multi-phased field and laboratory evaluation to investigate
any possible contamination of the agents’ uniforms.
The
report may be downloaded from the DOWNLOADS section
of this web site or from the NIOSH web site at
http://www.cdc.gov/niosh/hhe.
COLORADO FIREFIGHTER CANCER BILL INTRODUCED
Although several studies have previously shown that
firefighters are exposed to carcinogenic fumes during fire
suppression and overhaul operations, few if any are
successful arguing that their health-related problems (i.e.,
various cancers such as lung, brain and bladder) are
job-related. With cancer rates for firefighters higher than
police officers and the general population, they are urging
a change in state law that would relieve them of the burden
of proving specific fires caused certain cancers.
House Bill 1008, sponsored by Mike Cerbo, (D-Denver), would
shift the responsibility to require employers or insurance
companies to prove the disease was not work-related. One of
the Denver Fire Department Battalion Chiefs that testified
at a recent hearing stated that he was aware of three active
or retired colleagues who died of various cancers linked to
specific contaminants triggered during fires. In addition,
union officials indicated that most firefighters stopped
filing workers’ compensation cancer claims years ago because
claims were rejected when firefighters could not pinpoint
the exact fire and chemical exposure evidence. The bill has
drawn opposition from the Colorado Municipal League and
insurance providers, who warn that providing firefighters
with a legal "presumption" that certain high-risk cancers
are work-related will drive up workers comp costs for
employers. The bill is currently being studied and a formal
vote has not occurred.
NEW YORK SEEKS INFORMATION ON WTC RESPONDER DEATHS
In an initiative funded by NIOSH, the New York
State Department of Health is collecting information on
deaths among World Trade Center responders, recovery
workers, and volunteers. This data collection system will
be used to identify and track all fatalities that occur
among WTC responders so that science-based investigations of
root causes can begin to be explored. Further information,
including a mailing address, a toll-free telephone number,
and an email address for contacting the program, is
available at
http://www.nyhealth.gov/environmental/investigations/wtc/health_studies/fatality_investigation.htm.
STUDENTS TO ASSESS LUNG FUNCTION DECLINE AND INJURY
PREVENTION AMONG TUCSON, AZ FIREFIGHTERS
Two UA
Zuckerman College of Public Health graduate students working
on environmental and occupational health issues were each
awarded a $20,000 grant from UCLA’s Southern California
NIOSH Education and Research Center to assess injury
prevention and lung function in firefighters. A
research specialist and PhD student in epidemiology will
author a study that will assess ways to prevent injuries
among City of Tucson firefighters. The pilot study will
identify the work processes and job tasks that may put
firefighters at higher risk for injuries. The goal of the
study is to develop intervention strategies to prevent the
injuries caused by these risks and make their jobs as safe
as possible. To find the root causes for injury,
demographic, biometric and work attributes will be compared
between injured and uninjured firefighters in Tucson for the
years 2000-2005. Preliminary results of the analysis are
expected by late summer 2007.
LUNG
FUNCTION IN RETIRED PHOENIX, AZ FIREFIGHTERS
In a related study,
a senior
research specialist and master of public health student in
environmental and occupational health will determine if
declining lung function rates and smoke exposure in current
firefighters may contribute to the subsequent development of
lung disease in retired firefighters. This study is based on
the premise that firefighters are exposed to products of
combustion that can have acute and chronic effects on
pulmonary function. Although many departments monitor the
respiratory health of firefighters during the course of
their employment, this monitoring generally does not
continue into retirement, when the effects of reduced lung
function are most likely to result in adverse respiratory
symptoms.
Retired firefighters from the Phoenix Fire Department will
be recruited to participate. Participants will be separated
into two groups, those with average annual decline FEV1
exceeding 60 ml per year (accelerated rate of decline) and
those with less rapid decline. Fifty retired firefighters
with an accelerated rate of decline in lung function will be
compared with 50 retirees with less rapid decline.
Participating firefighters will undergo a medical screening
session which will consist of a questionnaire and pulmonary
function testing. The study will determine estimates of
occupational exposure through administrative records from
the Phoenix Fire Department, including the number and types
of fires fought along with percentages of time protective
equipment was utilized. Preliminary results are also
expected by late summer 2007.
WTC RESPONDER INJURY & ILLNESS CLAIMS
In August of 2006, New York Governor George Pataki signed
legislation adopted by the New York State Legislature to
eliminate a technical barrier to claims arising from illness
inflicted by 9/11 toxic exposures. Under the old rule,
workers lost their right to file claims two years after
their exposure ended. The new rule allows workers to
register until August 14, 2007. To date, two deaths have
been officially attributed to toxic exposures on 9/11 and
afterwards and thousands are suffering debilitating
respiratory illness.
Most ominously, a study released in September 2006 by
doctors at Mount Sinai Medical Center reported that nearly
70 percent of roughly 10,000 recovery workers tested at the
center displayed new or worsened respiratory problems since
working at ground zero. The study documents that many of the
problems initially reported by recovery workers have
persisted and grown worse in the years since the clean-up
ended. The author of the study, Dr. Philip J. Landrigan,
noted that dust samples from 9/11 showed the air to be as
caustic as drain cleaner, containing innumerable shards of
glass and a mixture of carcinogenic substances, such as
asbestos and dioxin. When these substances lodge in the
lungs, they can produce cancer decades later. Approximately
40 percent of the WTC responders did not have health
insurance or lost their insurance after they became too ill
to work.
Anyone who worked in the WTC recovery between September 11,
2001 and September 12, 2002, is eligible for registration,
even if a claim was filed and denied within the initial
two-year interval. Also, if an injury claim has already been
filed, it is still wise to file a separate claim for
possible toxic exposure illness. Any new registration must
be notarized and indicate the date and locations of work
performed and the employer's name or the organization for
which volunteer work was performed.
CHANGES TO NFPA STANDARD CALL FOR NIOSH CERTIFICATION
Revisions made for the 2007 edition of the National Fire
Protection Association’s (NFPA) Standard 1981 require that
self-contained breathing apparatus presented for NFPA
approval under the standard for use in chemical, biological,
radiological, and nuclear (CBRN) incidents must also have
certification by NIOSH for such use. For more information,
see the December 8, 2006, letter to all manufacturers at
http://www.cdc.gov/niosh/npptl/resources/pressrel/letters/lttr-120806.html.
OSHA ISSUES FINAL RULE ON RESPIRATOR PROTECTIONS STANDARDS
OSHA published in the August 24, 2006 Federal Register
revisions to its Respiratory Protection Standard. The
changes incorporate new Assigned Protection Factors (APFs)
into agency rules. The additional provisions, those OSHA
says are necessary for a comprehensive workplace
respiratory-protection program, address selection and use of
respirators, training, medical evaluation, and fit testing.
The rules became effective November 22, 2006.
According to OSHA, APFs are numbers that indicate the level
of protection that a respirator or class of respirators is
expected to provide employees when used as part of an
effective program. An APF table was included in the final
standard to guide employers in the selection of
air-purifying, powered air-purifying, supplied-air (or
airline respirator), and self-contained breathing apparatus
(SCBA) respirators.
The agency requires employers to follow the new requirement
and use APFs to choose the appropriate respirator based on
the exposure limit of a contaminant and the level of that
contaminant in the workplace. Employers select respirators
by comparing the exposure level and the maximum
concentration of the contaminant in which a particular type
of respirator can be used. Known as the Maximum Use
Concentration or MUC, this is generally determined by
multiplying the respirator's APF by the contaminant's
exposure limit. If the level of contaminant is expected to
exceed the MUC, the employer must choose a respirator with a
higher APF. The final rule can be reviewed at
http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER&p_id=18846.
FDA APPROVES DRUG KIT TO TREAT CYANIDE POISONING
EMD Pharmaceuticals and Dey, LP, U.S. Affiliates of Merck
KGaA of Darmstadt, Germany, recently announced that the U.S.
Food and Drug Administration (FDA) has approved Cyanokit®
(hydroxocobalamin for injection), for the treatment of known
or suspected cyanide poisoning. The FDA said its approval of
the drug kit improves the nation's ability to respond to
emergencies, including a potential attack by terrorists. In
France, the kit has been used for more than a decade, more
typically to treat cyanide poisoning resulting from smoke
inhalation. Cyanokit's unique mechanism of action makes
possible its use in a pre-hospital or hospital setting. It
is the first cyanide antidote to be approved in the United
States in several decades. Additional information can be
accessed at
http://www.emsresponder.com/features/article.jsp?siteSection=11&id=4577.
METHAMPHETAMINE AND FIRST RESPONDERS AT ISSUE IN UTAH STUDY
The
Rocky Mountain Center for Occupation and Environmental
Health signed a contract with the Utah Labor Commission on
Nov. 8 to begin working on finding answers for 50 Utah
police officers who suffer from medical conditions believed
to be related to exposure to drugs in the 1980s and 90s,
specifically methamphetamines. The officers received little
training on how to handle the chemicals potentially involved
in raids on suspected clandestine drug laboratories. In
addition, the officers were not provided personal protective
clothing and equipment to adequately protect them from the
numerous chemical hazards posed by these labs. Dangerous
chemicals such as ammonia, ephedrine, iodine, red devil lye
and embalming fluids were among some of the ingredients used
in the illegal manufacture of methamphetamine at that time.
To
provide the crucial link, which would determine that those
exposed to drugs in the line of duty should receive medical
compensation, a bill was passed by the Utah State
Legislature. In order to determine whether those exposed to
the drugs during their work were getting sick because of it,
$500,000 was approved to fund the study. To receive
compensation for their medical bills, these officers must
prove that it was the direct exposure to these drugs from
their line of work that is making them ill. Ten out of the
50 police officers have been diagnosed with esophageal
cancer, which is rare among middle-age non-smokers. The
study is due to report to the Utah legislature by October
15, 2008. It is designed to look at the incidence of cancers
and illnesses in all of Utah's past firefighters and police
officers that were exposed to drug-related chemicals.
CANCER
RISK TWICE AS HIGH FOR FIREFIGHTERS
According to a new study of 110,000 of firefighters
worldwide recently published in the Journal of
Occupational and Environmental Medicine, University of
Cincinnati researchers concluded (after analyzing statistics
on 20 different kinds of cancer) that firefighters developed
10 of those deadly diseases more frequently than any other
type of worker and that they face up to twice the risk of
dying from certain types of cancer. The most virulent was
found to be testicular cancer, which the study found was
twice as likely to affect firefighters as other workers.
Firefighters also faced a 53 percent greater chance of
contracting multiple myeloma, a deadly cancer that attacks
bone marrow. Non-Hodgkin lymphoma and prostate cancer also
occurred at significantly higher rates in firefighters than
in other workers. The report also notes that the protective
gear commonly worn by firefighters is primarily designed to
safeguard them from acute exposures, such as those
encountered from heat and carbon monoxide, however it does
not provide an adequate level of protection from exposure to
the various chemical residues that are typically found at
fire scenes that may cause cancer.
HHS
ALLOCATES $75M FOR WTC MEDICAL CARE
The U.S. Department of Health and Human Services (HHS)
recently announced the completion of the allocation of $75
million in federal funds for monitoring, screening, analysis
and medical treatment of emergency responders and recovery
workers at the World Trade Center (WTC) disaster site. These
recent awards build on more than $125 million for screening
and monitoring of more than 30,000 WTC responders, recovery
workers and volunteers that the Department has administered
since 2002.
The allocation includes the granting of $40 million to the
Fire Department of New York, Long Island Occupational and
Environmental Health Center, Mt. Sinai School of Medicine,
City University of New York's Queens College, Bellevue
Hospital/New York University School of Medicine and
University of Medicine and Dentistry of New Jersey's Robert
Wood Johnson Medical School. To date, some 30,000 responders
have been screened under the WTC Medical Monitoring Program.
The program is open to responders in the New York area and
across the country who served at Ground Zero. Eligible
responders who have not yet been screened are urged to
enroll in the program. The funds also support two data
coordination centers at the New York City Fire Department
and the WTC clinical consortium that provide a data base for
scientific reporting on the incidence of responder health
conditions and trends in those conditions over time.
NIOSH ANNOUNCES PROPOSED STUDY ON
REUSABILITY OF FILTERING FACE-PIECE RESPIRATORS
NIOSH
is seeking products or prototypes that disinfect or
sterilize infectious aerosols, such as viruses, for a new
study on the reusability of filtering face-piece respirators
(FFR). Researchers at the NIOSH National Personal Protective
Technology Laboratory propose to study the effects of
decontaminating a diverse array of FFR including
NIOSH-certified N95, P100, and N95 filtering face-piece
respirator/surgical mask. This project will also study the
survivability of a simulant influenza virus on FFR. Details
on the proposed study are available in the September 26,
2006 Federal Register Notice at
http://edocket.access.gpo.gov/2006/E6-15706.htm
NIOSH EXPANDS WTC TOPIC PAGE
NIOSH has expanded its Web topic page on information
related to the NIOSH response to the World Trade Center
terrorist attack of September 11, 2001. The topic page
includes a link to a new U.S. Department of Health and Human
Services (HHS) Web site for information about HHS World
Trade Center Health Resources. This site serves as a central
resource for responders, volunteers, their families, health
care professionals, and others seeking information about
health effects resulting from the September 11, 2001,
attacks on the World Trade Center. The site includes
information and addresses for medical monitoring and
treatment programs for responders, resources for health
professionals who serve the exposed populations, and links
to published scientific reports about health effects
associated with the WTC exposures. The NIOSH page also
includes a draft technical document for standardizing
postmortem examinations of individuals dying after
environmental exposures at the World Trade Center. The draft
document is currently undergoing scientific review and is a
work in progress. The NIOSH topic page can be found at
http://www.cdc.gov/niosh/topics/wtc.
TWO REVISED STANDARDS RELEASED BY NATIONAL FIRE PROTECTION
ASSOCIATION
The
National Fire Protection Association (NFPA) recently
released two revised personal protective equipment (PPE)
certification standards. As part of a Memorandum of
Understanding between NIOSH and NFPA, personnel from the
NIOSH National Personal Protective Technology Laboratory
serve as members of the NFPA committees revising the
standards and contributed scientific, technical and user
information that was critical to the revision process.
NFPA 1994 Standard on
Protective Ensembles for First Responders to CBRN Terrorism
Incidents sets minimum levels of protection for
emergency first responders to incidents involving chemical,
biological, radiological, and nuclear (CBRN) particulate
terrorism agents. The revised standard sets ensemble
protective performance of hazard environments requiring the
use of respiratory protective devices approved to NIOSH CBRN
respirator standards.
NFPA 1971 Standard on
Protective Ensembles for Structural and Proximity Fire
Fighting now includes an optional protection
category for CBRN hazards. More information on the revised
standards can be found on the NFPA Web site,
http://www.nfpa.org.
NEW YOUR CITY OFFICIALS ISSUE WTC MEDICAL GUIDELINES FOR
FIRST RESPONDERS
New York City health officials recently issued long-awaited
guidelines to help doctors detect and treat 9/11-related
illnesses. Since the 2001 terror attacks, thousands of
firefighters, police officers, construction workers and
volunteers who worked at ground zero have been screened for
a host of medical ailments, including severe lung disease
and gastrointestinal problems. The guidelines an important
document to help doctors better recognize and treat these
illnesses and could be vital in getting proper treatment for
ground zero workers who have either relocated, or who came
from elsewhere and must rely on doctors in other states who
are unfamiliar with ground zero symptoms and the most
effective treatments. Additional information can be obtained
at
http://www.emsresponder.com/article/article.jsp?siteSection=1&id=4005.
RESPIRATORY DISORDERS PLAGUE FIRST RESPONDERS
An analysis of New York City firefighters and other
responders exposed to World Trade Center dust found that
rescuers experienced a decrease in lung function equivalent
to more than a decade of age-related decline in the first
year following the 9/11 attacks. According to lung
specialists at Montefiore Medical Center in New York, the
research indicates that for those hardest hit, breathing
disorders remain chronic and may progress to the type of
damage seen in people sickened by decades of smoking.
Doctors analyzed lung function test results of 12,079 New
York Fire Department members and other rescue workers, most
of who were at Ground Zero during or immediately after the
World Trade Center collapse.
While
some first responders have regained near-normal lung
capacity, others have been forced into retirement because of
persistent pulmonary disorders typified by asthma-like
symptoms and a characteristic “World Trade Center cough.”
The complete article can be viewed at
http://cms.firehouse.com/content/article/printer.jsp?id=50486.
NIOSH TO STUDY FIREFIGHTER HYDROGEN CYANIDE POISONING CASE
A team
from the National Institute for Occupational Safety and
Health (NIOSH) is studying cyanide exposures suffered by
several Providence, Rhode Island Local 799 fire fighters. In
March 2006, three seemingly ordinary fires sent nearly two
dozen Providence firefighters to the hospital for cyanide
exposure. Three firefighters -- including one who suffered
cardiac arrest -- had levels of cyanide in their blood that
were high enough to require an antidote. NIOSH staff met
with fire chiefs and union leaders to discuss the
investigation, and conducted interviews and retrieved
records and evidence from the Fire Department and Rhode
Island Hospital. A report is expected to be released within
the next three to six months. The Providence Fire Department
formed its own task force to investigate the incidents. A
copy of their report can be viewed at
http://www.firehouse.com/interactive/calendar/featured/PFDCyanideReport.pdf
COMMERCIALLY AVAILABLE FIRST RESPONDER TEST KITS FOR
DETECTING METHAMPHETAMINE
NIOSH scientists recently partnered with SKC Inc., a
prominent manufacturer of sampling technologies, to
commercialize two low-cost, NIOSH-designed field methods to
help first responders, public health officials, and
remediation workers quickly detect the presence of
methamphetamine on various environmental surfaces. Now, a
single sampling technique can be used to detect trace levels
of the illicit drug on surfaces, or used to evaluate
decontamination efforts or clearance. The kits are available
from SKC Inc. at
http://www.meth-wipe.com.
NIST OFFERS FREE FIREFIGHTER TURNOUT GEAR SOFTWARE
The National Institute of Standard and Technology (NIST)
Building and Fire Research Laboratory has developed software
to assist first responders with the selection of protective
clothing. NIST’s Turnout Gear Selector (ToGS)
software allows users to specify the relative importance of
each of many performance attributes, including thermal
protective performance; system weight; thickness; stiffness;
breathability; and resistance the outer shell to abrasion,
tearing and charring; or to use default values established
at a 2005 NIST-hosted meeting. All turnout gear systems
included in the analysis then are ranked in a bar chart
based on how well they score. When the user changes the
importance of an attribute, the ranking of turnout gear
systems updates. ToGS helps the manufacturers, purchasers
and users of fire turnout gear evaluate and select the
turnout coat and pants ensemble that best meets their needs.
The software helps users understand tradeoffs among performance
attributes when making decisions. Users also can access the
software’s underlying performance data for 41 turnout coat
systems, which include nine different outer shells, five
moisture barriers, eight thermal liners and seven face cloth
materials. The software can be downloaded for free at
http://www2.bfrl.nist.gov/software/togs/.
283
9/11 RESCUERS DIAGNOSED WITH CANCERS
Since 9/11, 283 World Trade Center rescue and recovery
workers have been diagnosed with cancer, and 33 of them have
died of cancer, says a lawyer for the ailing responders. A
lawyer for 8,000 World Trade Center responders, including
police officers, firefighters and construction workers, said
the majority of cases include blood-cell cancers such as
leukemia, lymphoma, Hodgkin's and myeloma. Others suffer
tumors of the tongue, throat, testicles, breast, bladder,
kidney, colon, intestines, and lung. Doctors say the cancers
can strike three to five years after exposure to toxins such
as benzene cancer-causing chemical that permeated the WTC
site from burning jet fuel. A definitive link has not been
established however some of the cases are unusual and are
considered to be “red flags." Additional information can be
obtained at
http://cms.firehouse.com/content/article/article.jsp?sectionId=46&id=49750.
FEDERAL
AGENCY TO STUDY CANCER RISK AMONG FIREFIGHTERS
The
National Institute for Occupational Safety and Health (NIOSH)
recently announced that it would fund a training program to
analyze the cancer risk to firefighters exposed to toxins,
an issue highlighted by a cluster of illnesses among Anne
Arundel County, Maryland firefighters who trained at an
academy in Millersville, Maryland in the 1970s. County
officials said the effort by NIOSH falls short of a request
by U.S. Sen. Barbara A. Mikulski for a full-blown study.
However, they hope NIOSH's decision to launch a national
Hazardous Substance Training Program - which will determine
whether firefighters' exposure to toxins raises their
long-term risk for some cancers, including brain cancer, and
heart disease - in conjunction with the International
Association of Fire Fighters (IAFF) will build momentum
toward a cancer study that would include the Anne Arundel
County fire service. Additional information can be reviewed
at
http://cms.firehouse.com/content/article/article.jsp?id=49394§ionId=46
WASHINGTON, D.C. FIREFIGHTERS TREATED FOR EXPOSURE TO
ASBESTOS
Several Washington D.C. firefighters were recently treated
for possible asbestos exposure after they were called to the
scene of a fire at a building under construction. The fire
started at an old government building in the southwest
section of the city. Firefighters arrived and found heavy
smoke conditions inside the six-floor building.
Hazardous-material crews responded to the scene and set-up a
decontamination area to evaluate each person and help them
wash off any potential contaminants. It should be noted that
not all of the firefighters present on the scene were
wearing their self-contained breathing apparatus (SCBA) to
prevent potential exposure.
MONTEFIORE MEDICAL CENTER-EINSTEIN COLLEGE FDNY HEALTH STUDY
FDNY rescuers who sucked in toxic air while working at
Ground Zero lost the equivalent of 12 years of lung function
after the World Trade Center attacks, according to a
health study completed by Montefiore Medical Center-Einstein
College and the FDNY. According to the report, World Trade
Center exposure produced a substantial reduction in
pulmonary function in New York City Fire Department rescue
workers during the first year following 9/11/01 according to
the analysis of 12,079 fire and EMT workers. The report goes
on to conclude that the respiratory loss was equivalent to
12 years of aging-related decline. The study compared the
health conditions of the FDNY responders who worked on
rescue and recovery efforts at Ground Zero with their
medical test results from the previous five years.
Additional information on the study can be obtained at
http://cms.firehouse.com/content/article/article.jsp?sectionId=46&id=49283.
OSHA UPGRADES E-HASP SOFTWARE
OSHA
recently updated the computer software for generating a
site-specific health and safety plan (HASP) for hazardous
waste sites required under the
Hazardous Waste Operations and Emergency Response
standard (29 CFR 1910.120). The
e-HASP2 program is more practical and user
friendly to health and safety professionals for providing
"model" language acceptable to OSHA in preparing a site's
HASP. It also features an updated chemical database and
embedded decision logic to assist in identifying hazards
associated with site-specific contaminants and choosing
effective site controls for worker protection. Copies of the
software and user’s manual can be downloaded at
http://www.osha.gov/dep/etools/ehasp/index.html
JOHNS HOPKINS UNIVERSITY RELEASES ANNE ARUNDEL COUNTY,
MARYLAND FIRE DEPARTMENT CANCER STUDY
Researchers from the
Johns
Hopkins Bloomberg School of Public Health
completed a 10-month investigation in mid 2005 to determine
if cancers diagnosed among a group of Anne Arundel County,
Md., firefighters could have been caused by smoke inhaled
during training. The investigation, conducted at the request
of the
Maryland Department of Health and Mental Hygiene,
concluded that firefighters generally are at a somewhat
greater risk for developing cancer compared to the general
public, but that the diagnosed cancers in those using the
Anne Arundel County facility could not be directly linked to
the training methods with the evidence available.
From 1971 to 1979, the
burned waste oil containing polychlorinated biphenyls
(PCBs) during its training exercises. The burning of the
waste oil exposed the fire fighters to PCBs and other
potentially carcinogenic compounds created by their
combustion, such as polychlorinated dibenzo-p-dioxins.
The investigation was based on interviews with
firefighters and an extensive review of published research
on cancer occurrence among fire fighters. Seventeen Anne
Arundel County firefighters told investigators they had been
diagnosed with at least one cancer, nearly half of them with
skin cancer. Two firefighters were diagnosed with brain
cancer and three with leukemia or non-Hodgkin’s lymphoma.
Other cancers found were of the bladder, colon, lung and
prostate.
The available research data indicated
that, compared to the general public, firefighters were at a
slightly greater risk for all cancers, and those
specifically of the bladder, brain, colon, lymphatic system,
kidney, pancreas, prostate, skin, rectum and testicles.
Firefighters with greater exposure to fires during their
careers appeared to be at a higher risk for cancers.
However, the Hopkins researchers said it was not possible to
recreate the doses of PCBs and byproducts received by the
firefighters who trained at the Academy in the 1970s and
therefore difficult to estimate the specific risk to this
group.
A copy of the full report can be
downloaded at
http://www.jhsph.edu/publichealthnews/press_releases/2005/fire_fighters/Report-updated.pdf.
PROPOSED RESTRUCTURING AND EXPANSION OF THE NFPA PROJECT ON
FIRE AND EMERGENCY SERVICES PROTECTIVE CLOTHING AND
EQUIPMENT
The
National Fire Protection Association (NFPA) has received a
proposal to restructure and expand the project on Fire
and Emergency Services Protective Clothing and Equipment
into a new Technical Correlating Committee and several
Technical Committees. The restructuring is proposed to
broaden and include certain interests within the emergency
services communities to meet standard development needs
related to protective clothing and equipment (PPE), and
would require new or additional TC representation for law
enforcement, emergency medical services, and certain skilled
trade groups. The proposed restructuring further proposes to
undertake standards development for all first emergency
responders related to all aspects of personal protective
technologies including PPE selection, care, maintenance,
training and use.
The
benefits of the proposed restructuring are intended to
include broader participation by the emergency services, the
opportunity to develop additional new standards, and broader
application of the NFPA codes and standards development
process. It is expected that if the new committee structure
is implemented, these benefits will extend to a wider range
of emergency responders than currently covered and provide a
more consistent and higher level of safety for prevention
fatalities and injuries to emergency service responders. The
new structure will better emulate the intended hierarchy for
a Technical Correlating Committee with respective Technical
Committees.
NIOSH Firefighter and Police Officer Morbidity and Mortality
Report
The Centers for Disease Control and Prevention’s recently
released its
Morbidity and Mortality Weekly Report (MMWR) in
conjunction with Workers Memorial Day that included reports
from NIOSH with findings and recommendations on injuries and
health symptoms from New Orleans police officers and
firefighters associated with response during Hurricane
Katrina, on prevention of line-of-duty fatalities among
firefighters, and on occupational injuries treated in
emergency rooms. Also included is a NIOSH notice on the
observance of Workers Memorial Day, April 28, which was
established to remember those workers who died or were
injured on the job. The MMWR can be accessed at
http://www.cdc.gov/mmwr/PDF/wk/mm5516.pdf.
A Toxic New Wrinkle in the
Post 9/11 WTC Disaster
Sky-high
toxic levels of potentially deadly asbestos still cling to
the fibers of an ordinary white dress shirt worn by a 9/11
volunteer for two days at Ground Zero. The volunteer kept
his contaminated shirt packed in a sealed plastic bag until
last week, when the garment was sent to RJ Lee Group
laboratories for testing.
Analyzed
portions of the shirt collar revealed a chilling
concentration of chrysotile asbestos - 93,000 times higher
than the average typically found in the environment in U.S.
cities. That appears to be even higher than what the EPA
said was found in the most contaminated, blown-out building
after 9/11. Testing also revealed the shirt was contaminated
with zinc, mercury, antimony, barium, chromium, cobalt,
copper, lead and molybdenum. Tons of the heavy metals were
pulverized and burned in the debris in fires that raged for
four months.
The test
results are especially frightening in light of last week's
report by the Centers for Disease Control that 62 percent of
those caught in the massive dust cloud suffered respiratory
problems. Also, 46 percent of civilians living or working in
the immediate area but not caught in the cloud still
experienced respiratory problems - and 57 percent reported
new and worsening respiratory symptoms. The most common
types of diseases caused by asbestos exposure, according to
the center, are mesothelioma, either benign or malignant,
cancer and asbestosis.
Making
matters worse, Dr. Mark Rosen, chief of the Division of
Pulmonary and Critical Care Medicine at Beth Israel
Hospital, said that because it can take decades for asbestos
cancers to develop, "We just won't know the effect [of
Ground Zero exposure] for years."
About
400,000 tons of asbestos were released in the World Trade
Center collapse.
According
to the Mesothelioma Resource Center asbestos becomes
dangerous when it breaks into pieces small enough to enter
deep into the lungs. The longer period of time that a person
is exposed to asbestos fibers, the higher the risk of
developing lung disease later in life."
Six 9/11 Police Officers Have
Brain Cancer
An alarming
number of 9/11 responders have been stricken with brain
cancer - including six NYPD police officers. At least 11 of
the Ground Zero rescue and recovery workers and their
families claim in a class-action lawsuit - which includes
dozens of other cancer victims - that toxic air and dust
caused or triggered the rare, often fatal, brain illness.
The six NYPD cops with brain cancer range in age from 33 to
49. A 40-year-old cop died in June 2004, after going blind
and suffering sinus cancer that spread to his brain. Other
brain-cancer victims include an FDNY fireman, 55, a female
Red Cross social worker, 58, a male Tischman construction
worker, 40, a male city transportation worker, 48, and a
male city environmental protection worker, 49.
13th International Respiratory Protection of
Healthcare Workers and Emergency Responders Conference
The
13th
International Respiratory Protection of Healthcare Workers
and Emergency Responders Conference will be held August 27-September 1, 2006, in
Toronto, Ontario, Canada. Topics for papers include
respiratory protection for healthcare workers, emergency
responders, and those in developing countries, updates on
standards and regulations, emerging hazards and
technologies, and fundamentals of respiratory protection.
More information on the Call for Abstracts is available at
http://www.isrp.com.au/isrpcom/callforpapers_toronto.htm
or by contacting Ziqing Zhuang at
ZZhuang1@cdc.gov. Additional information on the
conference can be found at
http://www.isrp.com/au.
FDNY EMS Paramedic Succumbs to Post 9/11 Cancer
A 41-year old FDNY EMS paramedic that spent several months
at the morgue established at the site of the World Trade
Center sorting debris and body parts died recently. The
medic became ill in late 2003, suffering breathing problems
and chest pain. She was subsequently diagnosed with
mesothelioma, a rare form of cancer associated with asbestos
exposure. She is the third FDNY EMS member to die as a
result of illnesses linked to working at Ground Zero.
The complete article can be viewed at
http://www.emsresponder.com/article/article.jsp?siteSection=1&id=3105.
Australian Rescuers Notified of Possible Asbestos Exposure
At least 250 of the state's emergency services personnel
have been told they could die from exposure to lethal levels
of asbestos incurred during anti-terrorist training drills.
The personnel at risk include members of the Urban Search
and Rescue (USAR) unit, who were told last week that they
may have contracted life-threatening illnesses after
training on a demolition site.
The site was set up to simulate rescues in the event of a
terrorist attack or natural disaster and has been regularly
used by fire brigade, ambulance, police and army personnel
since 2004. Asbestos has been found in huge piles of rubble
which were used to resemble collapsed city buildings.
Emergency workers who spent up to three weeks at a time
crawling through the rubble were contacted by their
department chiefs last week and told the exposure could kill
them.
The
complete article can be viewed at
http://www.emsresponder.com/article/article.jsp?siteSection=1&id=3040.
NIOSH Evaluating and Seeking Stakeholder Input on the NIOSH
Fire Fighter Fatality
Investigation and Prevention Program
NIOSH
is undertaking efforts to seek data and input to guide
future directions of the NIOSH Fire Fighter Fatality
Investigation and Prevention Program. NIOSH is seeking input
from fire chiefs and frontline fire fighters to see how and
where NIOSH reports are being used and to identify ways to
increase the usefulness and impact of the fire fighter
program in reducing fire fighter fatalities. A March 22nd
public meeting in Washington, D.C., will address the broad
array of stakeholder needs and ideas. More information on
the program, survey, and meeting can be found at
http://www.cdc.gov/niosh/fire.
Published Findings Reveal Increase Risk for Brain Cancer
Death Following PCB Exposure
NIOSH scientists published their latest findings from
research to help resolve the question of whether
Polychlorinated Biphenyls (PCBs) pose an occupational risk
for cancer. Despite the production of PCBs having been
banned almost 30 years ago, employees who repair, maintain,
dispose of equipment or otherwise work in environments
containing PCBs may still be exposed occupationally. Studies
to date have not resolved the question as to whether PCBs
can cause job-related cancer. Following up on a 1992 study
with new data, the new report confirmed earlier findings of
higher-than-expected mortality from brain cancer and
melanoma among workers at an Indiana capacitor manufacturing
plant. The report notes limitations of the study, including
lack of information about non-occupational risk factors,
lifestyle choices and previous or subsequent employment. The
NIOSH scientists are pursuing further research that “may
provide some additional insight,” according to their report.
A copy of the report, published in the January 2006 issue of
the journal
Environmental Health Perspectives,
is available at
http://ehp.niehs.nih.gov/members/2005/8253/8253.html.
Decontaminating chemical protective clothing and equipment
subject of new document from AIHA
The American Industrial Hygiene Association (AIHA) in
conjunction with the NIOSH National Personal Protective
Technology Laboratory recently published
Guidelines for the
Decontamination of Chemical Protective Clothing and
Equipment. The guidelines offer methodologies
for decontaminating chemical protective clothing (CPC) and
equipment, including the most current practices for
regulatory compliance, decontamination work plans, waste
management, hazard and risk assessments, CPC reuse, quality
assurance, and training. Ordering information can be found
on the AIHA Web site at
http://www.aiha.org/webapps/commerce/home.aspx.
Retired New York City Police Department Detective Dies of
Respiratory Disease
The president of the NYPD Detectives’ Endowment Association
reported that a retired, 34-year-old
New York
City police detective who spent hundreds of hours searching
for Sept. 11 victims at ground zero died of a respiratory
disease related to the cleanup. James Zadroga is believed to
be the first emergency responder to die as a result of
exposure to World Trade Center dust and debris. Further
details can be viewed at
http://www.msnbc.msn.com/id/10755163/.
Personal Alert Safety
Systems (PASS) Device Investigation
NIOSH
is conducting a technical investigation to understand the
reasons for reported problems with
Personal Alert Safety Systems (PASS) used by fire and
emergency services. PASS systems sound a loud audio alarm if
the wearer becomes immobilized for 25 seconds. The audio
alarm assists rescue crews in locating the downed
firefighter. The performance of PASS systems is covered in a
National Fire Protection Association (NFPA) Standard. An
April 2005 letter from the NIOSH Division of Safety Research
to NFPA raised the possible limitations in PASS performance
in high temperatures encountered when fighting fires. The
possibility of reduced PASS audio alarm in high temperature
environments was identified during line of duty death
investigations by the NIOSH Fire Fighter Fatality
Investigation and Prevention Program Team (http://www.cdc.gov/niosh/firehome.html).
NIOSH presented the findings of the Team to the NFPA
Technical Correlating Committee for Fire and Emergency
Services Protective Clothing and Equipment on which it has
membership. NFPA posted a PASS alarm warning notice on the
NFPA web site while the investigation is on-going (http://www.nfpa.org/itemDetail.asp?categoryID=136&itemID=26606&URL=Codes%20and%20Standards/NFPA%20News).
NIOSH is asking users to notify it of any additional
instances of in-service PASS performance limitations by
emailing
NPPTL_PASS@CDC.GOV. More information is available at
http://www.cdc.gov/niosh/npptl/usernotices/default.html#pass.
NIOSH Convenes Meeting on PAPR and SCBA Use in CBRN
Environments
On
December 13, 2005, NIOSH convened a public meeting with
respirator manufacturers and other stakeholders to continue
discussions on concepts for standards for testing and
certifying powered, air-purifying respirators (PAPRs) and
closed-circuit, self-contained, breathing apparatus (SCBA)
that would be used for respiratory protection against
chemical, biological, radiological, and nuclear (CBRN)
agents. In the public meeting, NIOSH noted that it proposes,
as a first step, to establish criteria administratively for
testing PAPRs for CBRN exposures, so that testing of such
devices can begin in a timely way, and then to develop
formal standards under a notice-and-comment process. If
devices are certified after testing under the
administratively established criteria, manufacturers would
not be required to re-submit them for testing under the
formally established criteria. Additional details are
available at
http://www.cdc.gov/niosh/npptl/
OSHA Offers New HAZWOPER Guidance Document
OSHA
has launched a new Web-based
safety and health guidance document that will assist
workers and employers in determining whether an activity is,
or would be considered, an "emergency response" activity
under OSHA's
Hazardous Waste Operations and Emergency Response (HAZWOPER)
standard. The guide provides an overview of the
conditions in which a response or cleanup activity may fall
under the requirements of HAZWOPER, and is divided into two
sections: The Application of HAZWOPER to Worksite
Response and Cleanup Activities and Employee Training
for Worksite Response and Cleanup Activities. Each
section links to useful information and practical guidance
to help with the appropriate response. Flowcharts are
included in the document for easy reference and to help
outline what compliance pathway workers should follow
depending on the nature of the worksite situation.
NIOSH Division of
Safety Research to Evaluate Fire fighter Fatality
Investigation Program
The Office
of Management and Budget recently granted the Division of
Safety Research (DSR) to proceed with an evaluation of the
NIOSH Fire Fighter Fatality Investigation and Prevention
Program. The evaluation includes a nationwide survey of
fire departments and a number of focus groups consisting of
front-line fire fighters. The study will examine career and
volunteer, large and small size, and urban and rural fire
departments to determine the extent to which the program’s
reports, recommendations, and other products are being
utilized by the fire service for training, policies,
practices, and other prevention efforts. The evaluation will
provide insight into the impact of the NIOSH program, which
began in fiscal year 1998, and help to identify any
enhancements that might further the program’s impact. Data
collection is scheduled to begin in early 2006. NIOSH is
conducting the study in conjunction with RTI International.
NIOSH Signs MOU with Fire Administration
NIOSH and
the U.S. Fire Administration (USFA) signed a memorandum of
understanding on November 21, 2005 to identify collaborative
efforts the two agencies can undertake with the goal of
improving safety and health conditions for fire fighters
throughout the United States. The primary focus of the
agreement involves fostering the use of findings and
recommendations from the NIOSH Fire Fighter Fatality
Investigation and Prevention Program in USFA fire fighter
training materials and programs. More information about the
NIOSH program can be found at:
www.cdc.gov/niosh/firehome.html and more information
about USFA training and education can be found at:
http://www.usfa.fema.gov/training/nfa/. NIOSH Director
John Howard, M.D., and U.S. Fire Administrator R. David
Paulison signed the agreement.
Silver Edition of NIOSH Pocket
Guide Available
NIOSH has
released a new edition of the
NIOSH Pocket Guide to
Chemical Hazards.
The new edition is available as a printed book (DHHS NIOSH
Publication No. 2005-149), and as a CD-ROM (DHHS NIOSH
Publication No. 2005-151) and online at
http://www.cdc.gov/niosh/npg/. One of the
main changes for this new edition of the Pocket Guide,
which has a silver cover, is that particulate respirator
recommendations have been updated. Also, the layout of the
paper version has been changed substantially to make the
book easier to read and use. In addition, the web version is
now searchable. The Pocket Guide contains important |