Occupational Toxicology

Industrial workers make up the segment of the population that is most vulnerable to chemical injury. To protect them from occupation-related harm, the American Conference of Governmental and Industrial Hygienists publishes annually revised threshold limit values (TLVs) (1), guidelines for permissible chemical exposure at the work place. TLV refers to concentrations of substances in parts per million or milligrams per cubic meter in the air to which most workers can be exposed on a daily basis without harm. These values apply to the work place only. They are not intended as guidelines for ambient air quality standards for the population at large. Obviously, genetic variations and diverse lifestyles (such as smoking, alcohol use, medication, and drug use) must be considered. Hypersensitive individuals may be adversely affected by exposure to certain chemicals even within the limits of the TLV. Thus, TLVs should be treated as guidelines only and not as fixed standards. The recommended goal is to minimize chemical exposure in the work place as much as possible. TLVs are expressed in three ways: 1. Time-weighted average (TLV–TWA) designates the average concentration of a chemical to which workers may safely be exposed for 8 h per day and 5 days per week. 2. Short-term exposure limit (TLV–STEL) designates permissible exposure for no more than 15 min, and no more than four times per day, with at least 60-min intervals between exposures. 3. Ceiling concentrations (TLV–C) are concentrations that should not be exceeded at any time. How protective the TLVs are is being questioned. The 1990 report that analyzed the scientific underpinnings of the TLVs revealed that at the exposure at or below the TLV, only few cases showed no adverse effect (2). In some cases even 100% of those exposed were affected. On the other hand, there was a good correlation between the TLVs and the measured exposure occurring in the work place. Thus, it appears that the TLVs represent levels of contaminants that may be encountered in the work place, rather than protective thresholds. Biological exposure indices (BEIs) provide another way of looking at exposure to chemicals.