Rb. Dick et H. Ahlers, CHEMICALS IN THE WORKPLACE - INCORPORATING HUMAN NEUROBEHAVIORAL TESTING INTO THE REGULATORY PROCESS, American journal of industrial medicine, 33(5), 1998, pp. 439-453
In February 1996, the United Kingdom Health and Safety Executive spons
ored a workshop on the role of human neurobehavioral tests in the regu
lation of chemical exposures in the workplace. This paper presents the
review of neurobehavioral testing that was initially prepared for the
workshop but has been expanded and updated for publication. Informati
on sources for the review were drawn from ''preamble to the regulation
,'' in the 1989 air contaminants project, an attempt by the Occupation
al Safety and Health Administration to update the 1968 regulatory limi
ts of workplace exposures. The scientific citations listed in the prea
mble provide a chemical database to review for evidence of neurobehavi
oral testing to support limit setting. Several conclusions emerged: 1)
A wide range of nervous system effects were reported in the scientifi
c citations for the 172 chemicals identified with effects on the nervo
us system; 2) Citations of studies with human neurobehavioral test res
ults are used to support limit setting, but many are old studies prima
rily of acute effects; 3) There is frequently a delay of several years
after publication before studies with neurobehavioral testing are cit
ed in regulatory forms; 4) With the 1989 proposed regulatory limits ne
ver legally adopted, there has not been an update for most of the subs
tances affecting the nervous system since 1971; 5) Investigators shoul
d be more aware of the regulatory process and submit studies reporting
neurobehavioral test results to organizations that regulate and recom
mend workplace exposure limits; 6) Issuances in the Federal Register b
y the U.S. Environmental Protection Agency provide a framework for ass
essing neurotoxic risks that can be used by investigators to help iden
tify and report nervous system effects using neurobehavioral testing i
n a more uniform fashion. (C) 1998 Wiley-Liss, Inc.