Hand Wipes Research Articles

Assessment of dermal exposure to halogenated flame retardants: Comparison using direct measurements from hand wipes with an indirect estimation from settled dust concentrations

There are few studies estimating dermal exposure to halogenated flame retardants in adults. To fill this gap, sixty-one hand wipe samples were collected from a Norwegian adult cohort using gauze pads immersed in isopropanol. BDE-47, BDE-209, bis(2‑ethyl‑hexyl)‑3,4,5,6‑tetrabromophthalate (BEH-TEBP) and decabromodiphenylethane (DBDPE) were the most frequently detected chemicals. The highest median mass in hand wipes was that of sumEHFR (570 ng), followed by sumHBCDD (180 ng) and sumPBDE (2.9 ng). The high EHFR level was mainly driven by tetrabromobisphenol A (TBBPA) which accounted for 77% of the total mass. Positive and significant correlations were observed between FR levels in hand wipes and settled dust (0.26 < r < 0.56, p < 0.05), as well as between FR levels in hand wipes and the number of electronic consumer products at home (0.27 < r < 0.40, p < 0.05). Significant bivariate associations with number of laptops/tablets and phones/mobiles were further confirmed by multivariate linear regression analyses. Dermal exposure was estimated using the levels measured in handwipes. The estimated median dermal exposure was 2600, 840 and 6.2 pg/kg bw/d for sumEHFR, sumHBCDD and sumPBDE, respectively. Further, we compared these results with the dermal exposure as estimated indirectly by utilizing previously reported FR levels in settled dust collected from the residences of the same studied cohort. With the indirect approach, higher dermal exposures to sumPBDE but lower exposures to sumEHFR and sumHBCDD were observed compared to the direct dermal exposure estimated via hand wipes. Comparable exposure estimates between hand wipes and the indirect method were obtained for α‑, β‑tetrabromoethylcyclohexane (DBE-DBCH), DBDPE, BDE-28, -35, -49, -99, -153, 154, and -183. For other individual HFRs, the exposure estimates obtained from the two approaches were significantly different (Mann-Whitney U test, p < 0.05). Both methods gave similar dermal exposure estimates for many individual FRs. However, it is important to be aware of the value and limitations of each method when using them to estimate human exposure.

Brominated Flame Retardants and Organophosphate Esters in Preschool Dust and Children's Hand Wipes.

Children spend a considerable part of their day in preschool, where they may be exposed to hazardous chemicals in indoor dust. In this study, brominated flame retardants (BFRs) and organophosphate esters (OPEs) were analyzed in preschool dust ( n = 100) and children's hand wipe samples ( n = 100), and diphenyl phosphate (DPHP) was analyzed in urine ( n = 113). Here we assessed children's exposure via dust, identified predictors for chemicals in dust, and studied correlations between different exposure measures. The most abundant BFRs in dust were decabromodiphenyl ether (BDE-209) and decabromodiphenyl ethane (DBDPE) found at median levels of 270 and 110 ng/g dust, respectively. Tris(2-butoxyethyl) phosphate (TBOEP) was the most abundant OPE, found at a median level of 79 000 ng/g dust. For all OPEs and some BFRs, there were significant correlations between the levels in dust and hand wipes. In addition, triphenyl phosphate (TPHP) in preschool dust was significantly correlated with the corresponding metabolite DPHP in children's urine. The levels of pentaBDEs in dust were higher in older preschools compared with newer, whereas levels of DBDPE were higher in newer preschools. Children's estimated intakes of individual BFRs and OPEs via preschool dust were below available health-based reference values. However, there are uncertainties about the potential health effects of some emerging BFRs and OPEs.

Lead Exposure in Young Children over a 5-Year Period using Alternative Exposure Measures with the US EPA IEUBK Model

Background/Aim: In predicting blood lead (PbB) levels in children, the IEUBK model recommends use of site specific data for soil, house dust, ambient air, water, and diet. We evaluated the model by substituting dust fall accumulation and hand wipe data instead of house dust collected by vacuum cleaner, and exterior dust sweepings instead of soil. Most uses have been on industrial sites such as mining and smelting. Methods: Simulations were undertaken on a comprehensive data set, including measured PbB, for 108 children monitored over a 5-year period in Sydney. In contrast to all other IEUBK model studies to our knowledge, data were stratified over the age ranges from 1 to 5 years as well as using data aggregated over the time of the study for each individual. Results were compared with those obtained by mixed model analyses and structural equation modelling. Results: The geometric mean contributions to total Pb intake for a child aged 1-2 years was 0.1% for air, 42% for diet, 5.3% for water and 42% for soil and dust. The median predicted versus measured PbB values were not significantly different over age of collection for soil with petri dish dust (PDD), soil with hand wipes, or sweepings with PDD although the geometric means showed large ranges over the different ages. The predicted PbB values are strongly influenced by soil Pb. Use of site specific soil values with default dust estimates results in higher predicted PbB with the contribution of soil+dust to total Pb exposure for default estimations being 8 to 42% higher than for site specific soil and dust. Conclusions: Our results indicate that it is possible to use alternative measures of soil and dust exposure to provide reliable predictions of PbB in urban environments although very high Pb values for sweepings give an overestimation of PbB.

Lead exposure in young children over a 5-year period from urban environments using alternative exposure measures with the US EPA IEUBK model – A trial

The US Environmental Protection Agency (EPA) Integrated Exposure Uptake Biokinetic (IEUBK) model has been widely used to predict blood lead (PbB) levels in children especially around industrial sites. Exposure variables have strongly focussed on the major contribution of lead (Pb) in soil and interior dust to total intake and, in many studies, site-specific data for air, water, diet and measured PbB were not available. We have applied the IEUBK model to a comprehensive data set, including measured PbB, for 108 children monitored over a 5-year period in Sydney, New South Wales, Australia. To use this data set, we have substituted available data (with or without modification) for standard inputs as needed. For example, as an alternative measure for soil Pb concentration (μg/g), we have substituted exterior dust sweepings Pb concentration (μg/g). As alternative measures for interior dust Pb concentration (μg/g) we have used 1) 30-day cumulative petri dish deposition data (PDD) (as µg Pb/m2/30days), or 2) hand wipe data (as μg Pb/hand). For comparison, simulations were also undertaken with estimates of dust Pb concentration derived from a prior regression of dust Pb concentration (μg/g) on dust Pb loading (μg/ft2) as concentration is the unit specified for the Model. Simulations for each subject using observed data aggregated over the 5-year interval of the study, the most usual application of the IEUBK model, showed using Wilcoxon tests that there was a significant difference between the observed values and the values predicted by the Model containing soil with hand wipes (p < 0.001), and soil and PDD (p = 0.026) but not those for the other two sets of predictors, based on sweepings and PDD or sweepings and wipes. Overall, simulations of the Model using alternative exposure measures of petri dish dust (and possibly hand wipes) instead of vacuum cleaner dust and dust sweepings instead of soil provide predicted PbB which are generally consistent with each other and observed values. The predicted geometric mean PbBs were 2.17 ( ± 1.24) μg/dL for soil with PDD, 1.95 ( ± 1.17) μg/dL for soil with hand wipes, 2.36 ( ± 1.75) μg/dL for sweepings with PDD, and 2.15 ( ± 1.69) for sweepings with hand wipes. These results are in good agreement with the observed geometric mean PbB of 2.46 ( ± 0.99) μg/dL. In contrast to all other IEUBK model studies to our knowledge, we have stratified the data over the age ranges from 1 to 5 years. The median of the predicted values was lower than that for the observed values for every combination of age and set of measures; in some cases, the difference was statistically significant. The differences between observed and predicted PbB tended to be greatest for the soil plus wipes measure and for the oldest age group. Use of ‘default dust’ values calculated from the site-specific soil values, a common application of the IEUBK model, results in predicted PbB about 22% (range 0 to 52%) higher than those from soil with PDD data sets. Geometric mean contributions estimated from the Model to total Pb intake for a child aged 1–2 years was 0.09% for air, 42% for diet, 5.3% for water and 42% for soil and dust. Our results indicate that it is feasible to use alternative measures of soil and dust exposure to provide reliable predictions of PbB in urban environments.

Multi-pathway human exposure assessment of phthalate esters and DINCH

Phthalate esters are substances mainly used as plasticizers in various applications. Some have been restricted and phased out due to their adverse health effects and ubiquitous presence, leading to the introduction of alternative plasticizers, such as DINCH. Using a comprehensive dataset from a Norwegian study population, human exposure to DMP, DEP, DnBP, DiBP, BBzP, DEHP, DINP, DIDP, DPHP and DINCH was assessed by measuring their presence in external exposure media, allowing an estimation of the total intake, as well as the relative importance of different uptake pathways. Intake via different uptake routes, in particular inhalation, dermal absorption, and oral uptake was estimated and total intake based on all uptake pathways was compared to the calculated intake from biomonitoring data. Hand wipe results were used to determine dermal uptake and compared to other exposure sources such as air, dust and personal care products. Results showed that the calculated total intakes were similar, but slightly higher than those based on biomonitoring methods by 1.1 to 3 times (median), indicating a good understanding of important uptake pathways. The relative importance of different uptake pathways was comparable to other studies, where inhalation was important for lower molecular weight phthalates, and negligible for the higher molecular weight phthalates and DINCH. Dietary intake was the predominant exposure route for all analyzed substances. Dermal uptake based on hand wipes was much lower (median up to 2000 times) than the total dermal uptake via air, dust and personal care products. Still, dermal uptake is not a well-studied exposure pathway and several research gaps (e.g. absorption fractions) remain. Based on calculated intakes, the exposure for the Norwegian participants to the phthalates and DINCH was lower than health based limit values. Nevertheless, exposure to alternative plasticizers, such as DPHP and DINCH, is expected to increase in the future and continuous monitoring is required.

Air, hand wipe, and surface wipe sampling for Bisphenol A (BPA) among workers in industries that manufacture and use BPA in the United States

ABSTRACTFor decades, bisphenol A (BPA) has been used in making polycarbonate, epoxy, and phenolic resins and certain investment casting waxes, yet published exposure data are lacking for U.S. manufacturing workers.In 2013–2014, BPA air and hand exposures were quantified for 78 workers at six U.S. companies making BPA or BPA-based products. Exposure measures included an inhalable-fraction personal air sample on each of two consecutive work days (n = 146), pre- and end-shift hand wipe samples on the second day (n = 74 each), and surface wipe samples (n = 88). Potential determinants of BPA air and end-shift hand exposures (after natural log transformation) were assessed in univariate and multiple regression mixed models.The geometric mean (GM) BPA air concentration was 4.0 µg/m3 (maximum 920 µg/m3). The end-shift GM BPA hand level (26 µg/sample) was 10-times higher than the pre-shift level (2.6 µg/sample). BPA air and hand exposures differed significantly by industry and job. BPA air concentrations and end-shift hand levels were highest in the BPA-filled wax manufacturing/reclaim industry (GMAir = 48 µg/m3, GMHand-End = 130 µg/sample) and in the job of working with molten BPA-filled wax (GMAir = 43 µg/m3, GMHand-End = 180 µg/sample), and lowest in the phenolic resins industry (GMAir = 0.85 µg/m3, GMHand-End = 0.43 µg/sample) and in the job of flaking phenolic resins (GMAIR = 0.62 µg/m3, GMHand-End = 0.38 µg/sample). Determinants of increased BPA air concentration were industry, handling BPA containers, spilling BPA, and spending ≥50% of the shift in production areas; increasing age was associated with lower air concentrations. BPA hand exposure determinants were influenced by high values for two workers; for all other workers, tasks involving contact with BPA-containing materials and spending ≥50% of the shift in production areas were associated with increased BPA hand levels. Surface wipe BPA levels were significantly lower in eating/office areas (GM = 9.3 µg/100 cm2) than in production areas (GM = 140 µg/100 cm2).In conclusion, worker BPA exposure was associated with tasks and conditions affecting both inhalation and dermal exposure. The potential for BPA-related health effects among these workers is unknown.

Assessment of the efficacy of a patient hand wipe: development of a test method

Much attention has focused on hand decontamination for healthcare workers, but little attention has been paid to patient hand hygiene. Patients confined to bed are often unable to access handwashing facilities. They could use an alcohol hand rub, but these are not advised for soiled hands or social hand hygiene. One alternative is the use of a hand wipe. However, it is important to ascertain the effectiveness of hand wipes for removal of transient micro-organisms from the hands. To develop a method to assess the antimicrobial efficacy of hand wipes compared with handwashing, and thus determine if a hand wipe can be acceptable for patient hand hygiene. The methodology was based on European Standards EN 1499 (2013) and EN 1500 (2013) as there is no standard for hand wipes. The hands of 20 healthy volunteers were contaminated artificially by immersion in Escherichia coli, and then sampled before and after the use of a reference soft soap or hand wipes for 60 s. The counts obtained were expressed as log10, and the log10 reductions were calculated. The hand wipe with no antimicrobial agent (control wipe) was inferior to the soft soap. However, the antimicrobial hand wipe was statistically non-inferior to the soft soap. A log10 reduction of 3.54 was obtained for the soft soap, 2.46 for the control hand wipe, and 3.67 for the antimicrobial hand wipe. The evidence suggests that the antimicrobial hand wipe, when applied for 60 s, is at least as good as soap and water, representing an acceptable alternative to handwashing from a bactericidal perspective.

Occupational safety of pressurized intraperitoneal aerosol chemotherapy (PIPAC).

Pressurized intraperitoneal aerosol chemotherapy (PIPAC) has emerged as a novel method to treat extensive, small volume peritoneal metastases. The clinical use of chemotherapy containing aerosols represents a potential occupational health hazard. We report the results of toxicological analysis during the first two clinical PIPAC procedures performed at Ghent University Hospital. After extensive preparation and in vitro testing, two patients were treated with PIPAC: the first using doxorubicin (2.86 mg in 51.43 mL) and cisplatin (14.28 mg in 164.3 mL), the second using oxaliplatin (182.10 mg in 186.42 mL). A standardized safety checklist was developed and used. Aerosol delivery was combined with electrostatic precipitation (ePIPAC). The following samples were obtained at several time points and locations: environmental air, floor surface wipes, surgeon's gloves, surgeon's hand wipes, circuit filters, and fluid from the water seal collection chamber container placed along the closed aerosol waste evacuating line. Platinum concentration was measured in these samples using voltammetry. Sample collection and analysis were performed by an independent external laboratory. Platinum was not detected on the four floor locations after both procedures (detection limit 0.02 ng/cm2). Similarly, no platinum was detected in environmental air during both PIPACs at the surgeon's or anesthesiologist's position (detection limit 4.0-27 ng/m3). No platinum contamination was detected on the hands, outer pair of gloves, or inner pair of gloves of the surgeon (detection limit 70 and 50 ng respectively). Platinum was not detected on the filters and in the air-seal container liquid. With adequate preparation and precautions, a clinical PIPAC program can be established without measurable chemotherapy exposure to the operating room environment or healthcare workers.

The application of baby hand and mouth wet wipes to the nursing of patients with oral care

Objective To explore a new comfortable, effective and safe oral-nursing method, which is not only more acceptable for fully conscious patients but also more practical and convenient for nurses without increasing labor intensity or time. Methods A total of 207 conscious inpatients with indwelling gastric tube who could not take care of themselves were enrolled in this study and randomly divided into treatment group (101 cases) and control group (106 cases). The control group was treated with 0.9% saline-soaked cotton ball to conduct oral nursing, while the treatment group were treated with the baby hand and mouth wet wipes instead.The oral cleanliness degree (nurses' evaluation), comfort level (patients' evaluation), nursing time, bacterial constitution of oral secretion and incidence rate of complication were assessed 7 days after oral-nursing. Results The oral cleanliness degree and comfort level of the treatment group were obviously higher than that of the control group (P<0.05). The nursing time and the incidence rate of complication were significantly lower than that of the treatment group (P<0.05). Conclusion The baby hand and mouth wet wipes instead of the saline-soaked cotton ball to conduct oral nursing can clean oral cavity comprehensively and improve the breathing odor, reduce the oral complications, reduce the nurses' work labor and is more acceptabl for patients as well.This modified oral-nursing method is meaningful to improve the nursing quality and worth to be popularized. Key words: Oral nursing; Baby hand and mouth wet wipes; Effect observation

Health risk assessment from dermal exposure to pesticide residues on vegetables among greengrocers in fresh market, Bangkok, Thailand

ABSTRACTPesticide residues (PRs) in market vegetables have been reported regularly. Greengrocers may be exposed to several sorts of PRs on vegetables through hand contact. Health risk assessment from occupational exposure to PRs on vegetables is particularly concerning. This study was conducted among 91 vegetable vendors at a large fresh market in Bangkok. Hand wipe samples were collected in the dry season to extract and analyze PRs including organophosphates (OPs), pyrethroids (PYs), and carbamates (CAs) by gas chromatography (GC-FPD/GC-μECD) and liquid chromatography (LC–MS). The results showed that all wipe samples contained OPs, PYs, and CAs, mainly chlorpyrifos (0.01–0.14 µg/hands) and cypermethrin (0.42–11.64 µg/hands). The frequently detected PRs were aldicarb (87.2%), carbofuran (69.2%), permethrin (63.7%), and profenofos (60.0%). At 99th percentile values of PR exposure, average daily dose was 2.42 × 10−5 mg/kg/d and hazard index did not exceed the acceptable level (0.287). Glove wearing, hand washing, and work-related factors were significantly associated with PRs on hands after adjusted for gender (p-value < 0.05). Greengrocers may therefore not be at risk from PRs on vegetables and exposure via hands during their work. However, these findings suggest that proper personal hygiene practices among greengrocers should be considered to prevent them from PR exposure and potential health risks.

Feasibility: An important but neglected issue in patient hand hygiene.

Patient hand hygiene may be a useful strategy to prevent acquisition of pathogens and to reduce the risk for transmission by colonized patients. Several studies demonstrate that patients and long-term-care facility (LTCF) residents may have difficulty using hand hygiene products that are provided; however, none of them measure feasibility for patients to use different hand hygiene products. A convenience sample of 42 hospitalized patients and 46 LTCF residents was assessed for their ability to use 3 hand sanitizer products (8-oz pushdown pump bottle, 2-oz pocket-sized bottle with a reclosable lid, and alcohol-impregnated hand wipes). The time (seconds) required for accessing each product was compared among acute-care patients and LTCF residents. Participants provided feedback on which product they preferred and found easiest to use. Of 88 participants, 86 (97.7%) preferred the pushdown pump, 2 (2.3%) preferred the bottle with the reclosable lid, and none preferred the hand wipes. For both hospitalized patients and LTCF residents, the average time required to access the pushdown pump was significantly less than the time required to access the other products (pushdown pump, 0.45 seconds; bottle with reclosable lid, 3.86 seconds; and wipes, 5.66 seconds; P < .001). Feasibility and ease of use should be considered in the selection of hand hygiene products for patients and LTCF residents.

Phthalate Esters on Hands of Office Workers: Estimating the Influence of Touching Surfaces

Phthalate esters (PAEs) are known to be transferred to hands by contact with surfaces, however, little is known about the associations between masses on hand wipes and the frequency or duration of touching surfaces, especially surfaces in office environments. Relationships between PAEs on hands and multiple surfaces in offices were investigated. Wipes of hands, computers, and mobile phones as well as dust on furniture were collected from 55 offices in China. Positive associations were found between masses of di-2-ethylhexyl phthalate (DEHP), dibutyl phthalate (DnBP), benzyl butyl phthalate (BBP), and di-n-octyl phthalate (DnOP) on wipes of hands and wipes of keyboards of computers. When workers used keyboards with polymer covers (dust covers), masses of these lipophilic PAEs on hands were significantly correlated with masses on keyboards rather than dust on furniture. For workers who used keyboards without polymer covers, masses on hands were related to masses in dust on furniture. Use of polymer covers c...

Estimation of the daily soil/dust (SD) ingestion rate of children from Gansu Province, China via hand-to-mouth contact using tracer elements.

A total of 60 children (31 males and 29 females) between the ages of 3 and 12years were randomly selected from Lanzhou City in Gansu Province, northwest China. Hand (soil/dust) SD samples from these children were collected using hand wipes. We determined the approximate amounts of hand SD and the concentrations of three tracer soil elements (Ce, Y, and V) in these samples. The approximate amounts of hand SD ranged from 42.28 to 173.76mg, with a median value of 85.42mg. In addition, the mean amounts of hand SD estimated using the concentrations of Ce, Y, and V in the samples were 4.63, 3.43, and 3.42mg, respectively. The amount of hand SD varied greatly among the age groups: primary school children had more hand SD than kindergarten children, males had more hand SD than females, and children from rural areas had more hand SD than those from urban areas. The rates of daily ingestion of hand SD for kindergarten and primary school children were estimated to be 7.73 and 6.61mg/day, respectively.

Occurrence of organophosphorus flame retardants on skin wipes: Insight into human exposure from dermal absorption

This study surveyed occurrences and influencing factors of organophosphorus flame retardants (PFRs) on skin surface. Skin wipe samples from palms, back-of-hands and forearms of 30 adults were collected by using gauze pads soaked in isopropyl alcohol in Beijing, China. Tris(chloropropyl) phosphate isomers (∑TCPP), tris(2-chloroethyl) phosphate (TCEP) and triphenyl phosphate (TPHP) were the most abundant compounds with detection frequencies higher than 97%. ∑TCPP showed the highest mean level (4.6μg/m2), followed by TPHP (2.4μg/m2) and TCEP (1.6μg/m2). Levels on palms were slightly higher than on back-of-hands, and both were substantially higher than those on forearms. TCEP and ∑TCPP levels were strong reliable in three repeated measurements from 4 participants over a three month period (intraclass correlation of coefficient of 0.91 and 0.95, respectively), while TPHP levels were not. Washing with soap and water removed a large fraction of PFRs on hands with median reduction of 76, 72 and 67% for TCEP, ∑TCPP and TPHP, respectively. Paired dust samples, table surface wipe and hand wipe samples were collected from 17 offices (13 surface wipes and 22 hand wipes) in Beijing. Hand wipe TCEP, ∑TCPP and TPHP were neither correlated with dust samples nor with table surface wipe samples. Two methods were used for dermal exposure assessments. The estimated lower median total exposure from palms, back-of-hands and forearms by the relative absorption method were 0.6, 1.0, 0.3ng/kg BW-d for TCEP, ∑TCPP and TPHP, respectively. These estimates were in the same range as those via dust ingestion for adults in Beijing, suggesting dermal absorption is likely a significant pathway of human PFR exposure.

Correction to Measuring Personal Exposure to Organophosphate Flame Retardants using Silicone Wristbands and Hand Wipes.

Correction to Measuring Personal Exposure to Organophosphate Flame Retardants using Silicone Wristbands and Hand Wipes.

Predictors of polybrominated diphenyl ether (PBDE) serum levels in a cohort of U.S. children aged 1-5 years

Introduction. We investigated predictors of polybrominated diphenyl ether (PBDE) serum concentrations among young children in the southeastern United States. Methods. Serum levels of PBDE congeners (BDE-47, -99, -100, -153, -154, -209) were measured via gas chromatography-tandem mass spectrometry in a sample of 81 healthy children aged 1-5 years who were under anesthesia for ear tube surgery. Demographics and behaviors such as smoking and breastfeeding were reported by parents on a questionnaire; a research nurse recorded anthropometric measures and insurance status. In a subset of 17 children, PBDEs were measured in a house dust sample collected with a solvent-cleaned high volume small surface sampler (HVS3) vacuum, and from two hand wipes sampled from the child at a home visit. In linear and Tobit regression we modeled natural log-transformed serum PBDE levels of the most frequently detected congeners (PBDE-153 and ∑BDE-47,-99,-100) as a function of child characteristics, including median household income in the child’s residential zip code from the U.S. Census. Results. A $10,000 increase in median income in a child’s zip code was associated with a 21% (95%CI=9-32%) lower serum BDE-153 concentration and a 17% (95%CI=6–27%) lower serum concentration of ∑BDE-47,-99,-100. A similar pattern was observed for other markers of socioeconomic status. Higher BMI z-score was associated with lower serum levels of BDE-153, but not ∑BDE-47,-99,-100. Among the subset of children who participated in a home visit, serum PBDEs were positively correlated with hand wipe PDBEs, most strongly for ∑BDE-47,-99,-100 (Spearman r=0.48), but not dust PBDEs. Conclusions. Results suggest socioeconomic factors are strong predictors of serum PBDE levels among young children in the southeastern United States. This study adds to the evidence indicating PBDEs measured on hand wipes are more predictive of serum PBDE levels than vacuum-collected dust from the home.

Comprehensive Study of Human External Exposure to Organophosphate Flame Retardants via Air, Dust, and Hand Wipes: The Importance of Sampling and Assessment Strategy.

We compared the human exposure to organophosphate flame retardants (PFRs) via inhalation, dust ingestion, and dermal absorption using different sampling and assessment strategies. Air (indoor stationary air and personal ambient air), dust (floor dust and surface dust), and hand wipes were sampled from 61 participants and their houses. We found that stationary air contains higher levels of ΣPFRs (median = 163 ng/m(3), IQR = 161 ng/m(3)) than personal air (median = 44 ng/m(3), IQR = 55 ng/m(3)), suggesting that the stationary air sample could generate a larger bias for inhalation exposure assessment. Tris(chloropropyl) phosphate isomers (ΣTCPP) accounted for over 80% of ΣPFRs in both stationary and personal air. PFRs were frequently detected in both surface dust (ΣPFRs median = 33 100 ng/g, IQR = 62 300 ng/g) and floor dust (ΣPFRs median = 20 500 ng/g, IQR = 30 300 ng/g). Tris(2-butoxylethyl) phosphate (TBOEP) accounted for 40% and 60% of ΣPFRs in surface and floor dust, respectively, followed by ΣTCPP (30% and 20%, respectively). TBOEP (median = 46 ng, IQR = 69 ng) and ΣTCPP (median = 37 ng, IQR = 49 ng) were also frequently detected in hand wipe samples. For the first time, a comprehensive assessment of human exposure to PFRs via inhalation, dust ingestion, and dermal absorption was conducted with individual personal data rather than reference factors of the general population. Inhalation seems to be the major exposure pathway for ΣTCPP and tris(2-chloroethyl) phosphate (TCEP), while participants had higher exposure to TBOEP and triphenyl phosphate (TPHP) via dust ingestion. Estimated exposure to ΣPFRs was the highest with stationary air inhalation (median =34 ng·kg bw(-1)·day(-1), IQR = 38 ng·kg bw(-1)·day(-1)), followed by surface dust ingestion (median = 13 ng·kg bw(-1)·day(-1), IQR = 28 ng·kg bw(-1)·day(-1)), floor dust ingestion and personal air inhalation. The median dermal exposure on hand wipes was 0.32 ng·kg bw(-1)·day(-1) (IQR = 0.58 ng·kg bw(-1)·day(-1)) for ΣTCPP. The selection of sampling and assessment strategies could significantly affect the results of exposure assessment.

Characterizing Flame Retardant Applications and Potential Human Exposure in Backpacking Tents.

Flame retardant (FR) chemicals are applied to products to meet flammability standards; however, exposure to some additive FRs has been shown to be associated with adverse health effects. Previous research on FR exposure has primarily focused on chemicals applied to furniture and electronics; however, camping tents sold in the United States, which often meet flammability standard CPAI-84, remain largely unstudied in regards to their chemical treatments. In this study, FRs from five brands of CPAI-84-compliant, two-person backpacking tents were measured and potential exposure was assessed. Dermal and inhalation exposure levels were assessed by collecting hand wipes from 20 volunteers before and after tent setup and by using active air samplers placed inside assembled tents, respectively. Organophosphate flame retardants (OPFRs) were the most commonly detected FR in the tent materials and included triphenyl phosphate (TPHP), tris(1,3-dichloro-2-propyl)phosphate (TDCIPP) and tris(2-chloroethyl)phosphate (TCEP). Levels of OPFRS measured on hand wipes were significantly higher post-tent setup compared to pre setup, and in the case of TDCIPP, levels were 29 times higher post setup. OPFRs were also detected at measurable concentrations in the air inside of treated tents. Significant, positive correlations were found between FR levels in treated textiles and measures of dermal and inhalation exposure. These results demonstrate that dermal exposure to FRs occurs from handling camping tents and that inhalation exposure will likely occur while inside a tent.

Consumer Poultry Handling Behavior in the Grocery Store and In-Home Storage

Considerable work on consumers' food safety habits has highlighted issues associated with home food preparation. However, consumer handling of foods, such as poultry, during shopping and storage has not been noted. The objective of this study was to determine consumer behaviors during purchasing and initial storage of raw poultry to determine potential cross-contamination issues. A shop-along observational study was conducted to determine actual shopping, transportation, and storage behavior of consumers who purchase raw poultry products. Neither hand sanitizer nor wipes were observed in 71% of grocery store meat sections of stores visited. Plastic bags could be found in the meat section 85% of the time, but only 25% of shoppers used the bag for their raw poultry purchases. During checkout, the poultry was bagged separately from other products 71% of the time. A majority of shoppers stored raw poultry in the original package without an additional container or overwrap. Overall, there needs to be an increase in food safety education on the handling of poultry during purchasing, transportation, and storage.

Measuring Personal Exposure to Organophosphate Flame Retardants Using Silicone Wristbands and Hand Wipes.

Organophosphate flame retardants (PFRs) are widely used as replacements for polybrominated diphenyl ethers in consumer products. With high detection in indoor environments and increasing toxicological evidence suggesting a potential for adverse health effects, there is a growing need for reliable exposure metrics to examine individual exposures to PFRs. Silicone wristbands have been used as passive air samplers for quantifying exposure in the general population and occupational exposure to polycyclic aromatic hydrocarbons. Here we investigated the utility of silicone wristbands in measuring exposure and internal dose of PFRs through measurement of urinary metabolite concentrations. Wristbands were also compared to hand wipes as metrics of exposure. Participants wore wristbands for 5 consecutive days and collected first morning void urine samples on 3 alternating days. Urine samples were pooled across 3 days and analyzed for metabolites of the following PFRs: tris(1,3-dichloroisopropyl) phosphate (TDCIPP), tris(1-chloro-2-isopropyl) phosphate (TCIPP), triphenyl phosphate (TPHP), and monosubstituted isopropylated triaryl phosphate (mono-ITP). All four PFRs and their urinary metabolites were ubiquitously detected. Correlations between TDCIPP and TCIPP and their corresponding urinary metabolites were highly significant on the wristbands (rs = 0.5-0.65, p < 0.001), which suggest that wristbands can serve as strong predictors of cumulative, 5-day exposure and may be an improved metric compared to hand wipes.