Hematological study of petrol station workers exposed to unleaded petrol

Abstract

This study was undertaken to assess the level of exposure of petrol station workers to toxic components of unleaded petrol and to investigate whether this exposure, under normal working conditions, is associated with any significant changes in hematological parameters. In this cross-sectional study, 400 subjects (200 exposed and 200 reference subjects) were included. Atmospheric concentrations of benzene (B), toluene (T), and xylene (X) (BTX) were measured and all subjects underwent complete blood counts and white blood cell differential tests. The geometric means of airborne concentrations of BTX were lower than their recommended exposure limits. The results of blood tests showed that the means of red blood cell distribution width and hematocrit parameters, while within the normal range, were significantly different in the two groups. In conclusions, the average exposure level of petrol station workers to BTX did not exceed the current threshold limit values for these chemicals. Additionally, overt hematotoxicity is unlikely to be the outcome of exposure to unleaded petrol under the conditions described in our study. Possible long-term consequences of subtle, clinically insignificant changes in the hematological parameters of exposed employees observed in this study deserve further investigation.