A. Schecter et al., DIOXIN CONCENTRATIONS IN THE BLOOD OF WORKERS AT MUNICIPAL WASTE INCINERATORS, Occupational and environmental medicine, 52(6), 1995, pp. 385-387
Objectives-increased concentrations of polychlorinated dibenzo-p-dioxi
ns (PCDDs) and polychlorinated dibenzofurans (PCDFs) in pooled blood s
amples from workers at municipal waste incinerators have been reported
. This study was undertaken to confirm these results in individual blo
od samples from potentially exposed and unexposed workers at municipal
waste incinerators compared with matched unexposed controls and compa
red with concentrations in the slag and fly ash from the municipal was
te incinerators. Methods-Concentrations of PCDDs and PCDFs were determ
ined in the blood of 10 workers from an old municipal waste incinerato
r without adequate pollution controls, 11 workers from a newer inciner
ator with modern pollution controls, and 25 controls from the general
population group matched for age (+/-10 years), sex, and race, and in
the slag and fly ash from the older incinerator. Results-Significant i
ncreases of certain PCDDs and PCDFs were found in the blood of the wor
kers from the older incinerator compared with the controls as follows:
octaCDD (1051 (438) v 637 (344), P < 0.001), hexaCDF (52.3 (28.7) v 3
0.2 (18.2), P < 0.01), heptaCDF (43.9 (30.4) v 22.7 (12.4), P < 0.001)
, total PCDDs (1262 (484) v 825 (454), P < 0.001), total PCDFs (133.0
(68.1) v 93.7 (36.7), P < 0.05), and total PCDD/Fs (1395 (537) v 918 (
437), P < 0.001). The workers from the older incinerator with the grea
test exposure were found to have the most significant increases of the
blood PCDDs and PCDFs, and the pattern of increased PCDD and PCDF con
geners in the blood corresponded to the pattern in the incinerator sla
g and ash. No significant differences were found between the blood con
centrations of the workers at the newer incinerator and the controls.
Conclusion-Occupational exposure to slag and fly ash from municipal wa
ste incinerators may increase the blood concentrations of PCDDs and PC
DFs. Modern pollution control technology in new incinerators may be ab
le to minimise potential exposure to slag and fly ash and thus the abs
orption of PCDDs and PCDFs from this source.