Exposure Assessment.txt

  1. Def'n: exposure
    Contact with a chemical, biological, or physical agent (sum total of exposure - integrated/aggregate/cumulative exposure via all routes of exposure) at the boundary of the body over a specified time period.
  2. Define boundaries of the body.
    • 1. outer boundary (skin, openings into the body)
    • 2. boundaries which agent must cross to be absorbed into the body resulting in internal dose (skin, lungs, GI tract)
  3. Define Exposure Route.
    How a substance contacts body and results in internal dose (inhalation, ingestion, dermal penetration).
  4. What's exposure assessment?
    Measures magnitude, frequency, duration, & route of exposure of animals, materials, ecological components to substances in the environment.

    Describes size & nature of exposed population.

    Determines sources, environmental transport & modification, & fate of pollutants & contaminants (and result of being exposed to contaminants).
  5. Type of contaminant agents.
    Biological, physical, chemical
  6. Origin of contaminant agent.
    Natural & synthetic
  7. What're the 3 main routes of exposure transport?
    Inhalation, dermal, ingestion
  8. Define potential dose & applied dose.
    Potential dose is amt of chemical that's ingested/inhaled/applied to skin, but not yet in body (?).

    • Applied dose is subset of potential dose.
    • - amt of chemical available at the absorption barrier (skin, lung, GI tract).
  9. Define internal dose.
    Amt of chemical that's been absorbed & is available for interaction w/ biologically significant receptors.
  10. Define delivered dose.
    Amt transported to an organ/tissue/fluid of interest.
  11. Define biologically effective dose.
    Amt that reaches cells/sites/membranes where adverse effects occur.

    The best for predicting adverse effects.
  12. Arrange the different dose markers in order of dosage effect.
    Potential --> applied --> internal --> delivered --> biologically effective
  13. What's the unit for exposure?
    exposure = concentration*period of time
  14. What's the eqn for dose?
    dose = absorption rate * time
  15. What's the unit for concentration?
    usually mg/m^3
  16. What's the unit for total dose and TWA dose?
    • Total dose = mass / body wt
    • TWA dose = mg / (kg*day)
  17. What's the difference btw. acute, chronic & subchronic exposure?
    • Acute exposure: generally 1 contact w/ the chemical; usually < 1 day / short term.
    • Chronic exposure: exposure takes place over substantial portion of lifetime
    • Subchronic exposure: exposures of intermediate duration, e.g. usually in temp. job
  18. What're the exposure assessment methods (6)?
    • - monitor general environment
    • - monitor microenvironments
    • - personal exposure monitoring
    • - questionnaires
    • - biological monitoring
    • - modeling
  19. What's the hierarchy of exposure data/surrogates from exposure assessment methods?
    • Most accurate
    • - biomarkers, biological monitoring
    • - personal measurements
    • - area/ambient monitoring in workplace, home & outdoors
    • - surrogate of exposure (e.g. drinking water use)
    • - distance fm industrial site & duration of residence
    • - residence/employment by proximity to industrial site
    • residence/employment in geographic area w/ site
    • Least Accurate
  20. Protective assessments
    • - designed for initial investigations as screening tool, and for risk-based corrective actions.
    • - general criterion is conservatism as it often estimates exposure to most-exposed individual (higher concentration)
    • - use generic parameters
    • - often criticized as overly conservative
    • - often used in prospective risk assessments
  21. Predictive assessments
    • - designed to assess actual exposure to pop'n for use in epid, dose-response studies
    • - uses reasonable case scenario
    • - requires demographic info
    • - requires site-specific parameters
  22. Uncertainty VS vaiarbility
    Uncertainty represents lack of knowledge abt factors affecting exposure/risk, and can lead to inaccurate/biased estimates.

    Variability arises fm true heterogeneity across ppl/places/time, and can affect precision of estimates & degree which they can be generalized.
  23. What's probabilistic models?
    It is uncertainty analysis, which accounts for uncertainty in select parameters evaluating the range & probability of plausible exposure levels.
  24. What's the eqn for intake or absorbed dose?

    volume in L/day * concentration in ug/L * bioavailability
  25. What are the 4 exposure assessment applications?
    • - Environmental & occupational epid
    • - risk assessment
    • - risk management
    • - dx & tx of diseases
  26. odor assessment formula
    X ppm = (Y mg/m3)(24.45) / (molecular weight)
  27. What does it require to assess inhalation exposure (3)?
    • - specification/knowledge of target organ
    • - mechanisms of toxicity
    • - physical properties of contaminant
  28. How is required to assess inhalation exposure if target organ isn't respiratory tract?
    absorbed dose (which is the quantity entering the bloodstream available for distribution to other body compartments)
  29. What's the eqn to estimate ADD (absorbed dose for inhalational exposure)?
    ADD = (C*IR*D*B) / W

    B isn't stable in calculation of inhalational exposure

    • ADD = mg/kg*day
    • C = ug/m^3
    • IR = m^3/day
    • D = day
  30. What does inhalation rate depend on?
    Age, gender, wt, hlth status, level of physical activity
  31. In what situation is bioavailability assumed to be 100% for inhalation exposure?
    when agents depositing in the respiratory exchange region (alveoli & respiratory bronchioles)
  32. What's the diff. between high & low water soluble chemicals?
    Highly h20 soluble chemicals tend to give upper respiratory tract effects with good warning properties

    Low h20 soluble chemicals tend to give deep lung/alveoli effects that have poor warning properties
  33. What're the 2 types of inhalational agents?
    • 1. Gases & vapors: reach all regions of respiratory tract; absorption/toxicity depend on chemical properties
    • 2. Aerosols: toxicity depends on chemical & physical properties
  34. What're the types of aerosols (7) and describe each?
    dust: irregular solid produced fm disintegration of parent material by crushing, grinding, etc.

    fiber: dust particle but with aspect ratio L/W > = 3

    smoke: produced fm combustion of organic matter (spherical particles)

    fume: produced fm condensation of vapor/gaseous combustion product (spherical particles), very small when produced, tend to agglomerate; e.g. fm welding, brazing

    mist: liquid particle formed fm condensation/atomization

    • fog: visible mist
    • smog: smoke & fog; photochemical rxn products
  35. What're the 4 size descriptors for particle? What're they IMP for?
    Most IMP

    • Size - most IMP determinant of aerosol behavior
    • Density
    • Shape
    • Diameter - IMP for descriptor, determined by microscope & aerodynamic

    * particle size (aerodynamic diameter) critical in determining pattern of respiratory deposition that's IMP for regional toxic effects & systemic absorption
  36. What're the 2 particle size distributions?
    Monodisperse: very rare; not in industrial processes; all particles 'same size'/narrow distribution; e.g. pollens, spores

    Polydisperse: typical for industrial processes; range of sizes
  37. What can't Gaussian Distribution describe well?
    Gaussian/normal distri. usually doesn't describe well distributions of aerosols generated fm industrial processes.
  38. What're the factors governing aerosol behavior?
    • 1. Aerodynamics (respiratory tract deposition, design/operation of samplers)
    • 2. Forces acting on aerosols (gravitational/sedimentational, inertial, diffusional, electrostatic, thermal)
  39. What're the 3 different respiratory tract regions?
    NP, tracheobroncial, gas exchange region.
  40. Describe potential agents and their toxic effects in each of the 3 diff. respiratory tract regions.
    • NP
    • Agents: allergens, inorganic dust, salts, etc.
    • Effects: Rhinitis, ulceration, nasal cancer

    • TB:
    • Agents: inorganic acids & bases, cotton dust, grain dust, allergens, etc.
    • Effects: broncho constriction & bronchitis, bronchial carcinoma

    • GER
    • Agents: molds, etc.
    • effects: pulmonary inflammation, pulmonary carcinoma, pulmonary fibrosis
  41. Define the diff btw gas & vapor.
    Gas is in gaseous state when 25 degrees Celcius, 1 atm

    Vapor is gas phase of a substance that's liquid or solid at 25 degrees Celcius, 1 atm
  42. What's the eqn. to est. maximum possible air concentration for pure liquid or solid with vapor pressure?
    C max = vapor pressure / atmospheric pressure * 10^6

    atmospheric pressure = 760 usually when it's rm temp.

    • Assume:
    • 1. closed system
    • 2. saturation conditions
  43. What's the eqn to calculate bioavailability for inhalational exposure?
    B = [(fraction remaining in lower respiratory tract) * (resp. tract absorption efficiency) + (fraction ultimately swallowed) * (GI tract absorption efficiency)]
  44. What's the eqn to calculate fraction remaining in lower resp. tract from part of the eqn to calculate bioavailability?
    • fraction remaining in lower resp. tract
    • = 1 * (alveolar fraction) + 0.5 * (bronchial fraction)
    • = 1 * [(fraction of total particulate mass)*(alveolar deposition fraction)] + 0.5 * (fraction of total particulate mass)*(bronchial deposition fraction)]
Card Set
Exposure Assessment.txt