CR3 News Magazine 2021 VOL 3: MAY - MEDICAL ISSUE: SURVIVING | Page 78

Chromosomal aberrations in human peripheral lymphocytes are associated with occupational exposure to benzene . Chromosomal aberrations , micronuclei , sister chromatid exchange and sperm head abnormalities have been seen in laboratory species treated in vivo . Chromosomal aberrations and mutations were seen in human cells in vitro and in laboratory animal cells in some in vitro studies . 1 , 2
� Benzene is fetotoxic in mice and rabbits following maternal exposure by inhalation , causing a reduction in birth weight . 2 It is not , however , teratogenic in experimental animals , even at maternally toxic doses .
Monitoring exposure �
Estimates of benzene exposure can be made through measurement of urinary inorganic and organic sulfate conjugates . Measurement of urinary phenol levels has historically been the standard bioassay for benzene exposure , despite the welldescribed limitations of this test . 2
The haematological effects of chronic benzene poisoning in exposed workers can be
detected by monitoring blood counts at regular intervals . For example , the United
States Occupational Safety and Health Administration recommends monthly blood
counts and removal of workers from areas with high benzene exposure if they have
white blood cell counts
below 4000 / mm 3
or erythrocyte counts below
4 000 000 / mm 3 . 8
Risk mitigation recommendations
Eliminate use � Promote the use of alternative solvents in industrial processes , glues and paints . �
Develop and implement policies and legislation to remove benzene from consumer products .
Reduce exposure �
Reduce exposure at petrol filling stations as far as possible by following best practices in location , design and extraction .
Minimize emissions from vehicle exhausts by improved design and regular monitoring of engine settings .
Separate dwelling spaces from areas where vehicles and benzene-containing products are kept . In particular , isolate children from indoor exposure to vehicle emissions .
� Avoid domestic use of benzene-containing products . � Discourage indoor use of unflued oil and gasoline heating . � Prohibit smoking inside buildings .