— -a \ April, }$70 Industrial Hygiene Engineering and the Process-Environment System tubing to a ive nominal ). An elec* .mp providtmgh these J. E. MUTCHLER* imber walls t vapor or >. The test ate of 3540 the solvent, dues of oneand twice both singly : adsorption of 10 liters : sealed and analysis. To and volume liters of peaneentration *f 0.5.1,1.5, Environmental Rtstarch Laboratory, Tht Dow Chemical Company, Midland, Michigan £ K systems approach to industrial health would help integrate the concepts applied by engineers, industrial hygienists, toxicologists, and physicians, and organize them into a strategy for health maintenance that b compatible and measurable along com­ mon lines. The advantages of a systems approach to industrial health are viewed in terms of the application and refinement «{ industrial hygiene standards, participation of the engineering professions, communication amoag all members of the occupational health team, and transition we are enjoying with the increasing use of automation, process control and computer technology. Introduction I to one sec- ;1 wasmeas. glass tube ith Parafilm. as injected sal with a was capped t of all fourintrations of >0 ppm, 100 of air were oal. tatriK on the matrixes of sounds were t. The tubes ay to assure nt(s) by the il in the de* exactly the •coal sections —concepts and methods which we have in N HIS INTRODUCTION to Industrial common, and which can be reduced to quan­ Hygiene Highlights, Professor Theodore tities measurable along common lines. One concept that relates to all the disci­ Hatch1 reminds us that “it is the responsibility of industrial hygienists, toxicologists and phy­ plines within the field of occupational health sicians constantly to review the adequacy of is that of an “acceptable exposure level" or the methods they employ to demonstrate an “industrial hygiene standard” for inhala­ health maintenance." This is a challenge to tion of materials in the work place. We are familiar with threshold limit values all of us who have sensed the broadening horizons of our profession. For if we are to (TLVs), maximum acceptable concentrations (MACs), and, in more recent years, the mul­ apply the principles of industrial hygiene suc­ tiple guidelines of the Z-37 Committee of the cessfully in this time of rampant technological change, we must keep abreast of new develop­ America National Standards Institute (AN­ ments in the basic disciplines that comprise SI). Much attention has been given to the development of these standards, but it ap­ our multidisciplinary profession. Effective management of occupational pears that there has been less concern for the health programs requires—more than ever— validation and refinement of those guidelines, coordination and teamwork among those spe­ and clearly, even less concern for the applica­ tion of industrial hygiene standards in the cialties that function within this broad field. We need to know and understand how each work place. Specifically, two aspects of the application discipline that deals with occupational health can complement and interact with other mem­ of standards are glossed over to our disad­ vantage. First is the fact that TLV’s and bers of the occupational health team. One measure of the compatibility of an other hygienic standards are not easy to use interdisciplinary' approach to occupational properly. Second, many of the engineers in health is the emphasis we place on the con­ industry who could be, are not using the con­ cepts and methods applied to industrial hy­ cept of an industrial hygiene standard in their giene by several specialties—by engineers, in­ decision making. Therefore, we do not benefit dustrial hygienists, toxicologists and physicians as fully as we could from the assistance the engineering profession could give us in the overall control of industrial health hazards. •Present address: George D. Clayton and An delates. What can be done to improve this situation? 25711 Southfield Road, Southfield, Michjpn 48075. I taterials was .-arbon disul- 233 i ? T AP00001036 234 Mareh-April, 1970 NEW EMPLOYEES'^ EXPERIENCED ^•WORKERS, _______________ X RETIREES ENER6Y INDUSTRIAL OPERATION RiW MATERIALS - WASTE EFFLUENTS >W.SALA8LE PRODUCTS Figure 1. An industrial operation. The Need for e Systems Approach Clearly, the application of knowledge from engineering and medical research, industrial toxicology, and field experience in environ­ mental control requires some communication system for the essential interplay to exist among the various parent disciplines within our field. If the communication is effective, that interaction can thrive. On the other hand, if each discipline inter­ ested in occupational health attacks a parti­ cular problem independently, we likely will not meet the total need. Thus, we should adopt an integrated approach in organizing ourselves to deal with our common concerns. In the integration of interdisciplinary inter­ est which focuses on a complex problem, one promising technique is “systems analysis.” Webster defines a system as a “regularly inter­ acting or interdependent group of items form­ ing a unified whole.”* In simplest terms, a system consists of a set of components which, when combined, produce a useful result. A “system” in terms of industrial health might be an organizational framework that defines the strategy for assuring the heaithfulness of a worker population. To that end, the system might be composed of certain subsys­ tems which could be examined and treated separately. If we step back and look at an industrial operation and examine the various inputs and outputs from that industrial unit, we observe an interesting fact: From a larger viewpoint an industrial operation takes three inputs— new employees, raw materials, and energy— and converts them into three distinguishable products (see Figure 1). First, there are the salable products which are sold in the market­ place for profit. Second, there are waste effluents which take the form of solid, liquid, or gaseous materials—and in turn may contrib­ American ute to the total environmental burden of air, water and soil pollution. Third, there is an output from the system which is of direct con­ cern to those of us interested in occupational health—the exposed workers and retirees. We have implied, then, that the work en­ vironment is only part of a larger system. Specifically, every work situation has three ele­ ments: a process (perhaps a limited operation or function task), a work environment, and a worker. Within an industrial unit the process, the work environment, and the worker are not totally independent entities. Each is affected, or could be affected, by the other two de­ ments. In many cases, one cannot alter a process or even change a job procedure with­ out changing the quality of the work environ­ ment A worker often has enough latitude in his work procedure to create differences in the degree of exposure he will encounter on his job. All three of these items—the process, the work environment, and the worker—must receive attention in an occupational health program. It is at this point that some of the func­ tional differences within the occupational health team become important and necessary. Clearly, the physicians, the nurses, and the supportive role of toxicology must deal with the worker and his health; the industrial hygienists must deal primarily with the work environment; and the logical extension of this approach would have the engineers dealing with the process—which, after all, is causing the environmental stress in the first place. back to o so that i necessary, simple clt Likcwb critical n must kno mental ct feedback standards tinually vand exiiei Figure environmi the contn idating ir. systcmatii er with st exposed v hygiene a: cation of grates ses field into goal. This p: industrial basis but) tive inter. represenu we have cological . exposed v on his he sured in tl The en that part i the Proce opposed tc with the 1 If we sc portion of ing simile control nc The Need for Feedback Control of health hazards in the work en­ vironment can be neither comprehensive nor complete unless we systematically use the in­ formation that such considerations yield. In a self-regulated system the key element for con­ trol is "feedback.” This refers to a circularity of the flow among two or more parts of the system structure. Such an arrangement assures that the output of the system is maintained at a desired level. Typically, this requires con­ stant monitoring of the system output, a com­ parison of thfc output with standards, evalua­ tion of any discrepancies, and a flow of infor­ mation concerning the abnormal deviations The Proce: Figure System. T control nr application Most engi _ with the i r APOOOOf037 ( f /, 1970 American. Industrial Hygiene Association Journal I of air, re is an retconpalional back to other elements in the system structure so that the procedures may be changed if necessary. Figure 2 shows an example of a simple closed-loop system with feedback. Likewise, in industrial health we have a critical need for feedback information. We must know the adequacy of specific environ­ mental control techniques. We also must have feedback concerning our industrial hygiene standards. Useful standards should be con­ tinually verified or modified as our knowledge and experience grow.* Figure 3 shows a system both for assuring environmental control—in eluding feedback on the control techniques employed—and for val­ idating industrial hygiene, standards through systematic documentation of exposure togeth­ er with systematic medical surveillance of the exposed worker. This combination industrial hygiene and medical survey is a simple appli­ cation of a “systems analysis” because it inte­ grates several functional specialties in our field into a unit that moves toward the same goal. This particular approach centers upon the industrial hygiene standard that could be a basis but by no means the only basis for effec­ tive interaction among the parent disciplines represented in the overall system. Here then we have a strategy for harnessing the toxi­ cological feedback that is available from the exposed worker in terms of the effect, if any, on his health at the levels of exposure mea­ sured in the work environment. The engineering function is represented in that part of the overall system that deals with the Process and the Work Environment—as opposed to that part of the system which deals with the Worker. If we separate out the Process-Environment portion of the overall system we notice a strik­ ing similarity with the typical engineering control network. n'V ,ork cnsysirm. liioc clc|M’ial»on it, and a process, r arc not affected, two clealtcr a ire withcnviion- titude in rnri-s in unter on . process, rr—must ll health die func- upational necessary'. and the deal with ndustrial dre work ■on of this rs dealing is causing place. work enrnsive nor ise the in.•ield. In a n for concircularity' iris of the ent assures intamed at piircs connit, a comd*. evaluaiv of infordeviations , 235 Yet, effective communication on how engi­ neering techniques can be utilized is an essen­ tial need and deserves more attention In practice. The advantage we have in this respect is that engineers in general tend to deal with as large a system as they can handle from a com­ putational standpoint. Therefore, the indus­ trial hygiene standard could be used as an engineering standard in a larger system that includes the work environment. Specifically, the design of a process should be directly related to the acceptable degree of environmental contamination by materials used or produced by the process. Environ, mental problems, unfortunately, are often created by poor engineering design. In other vi «• I The Process-Environment System “ j > 1 1 Figure 4 depicts the Process-Environment System. This is represented as a closed-loop control network that stresses the engineering application of industrial hygiene standards. Most engineers are not primarily concerned with the requirements of industrial hygiene. v* > AP00001038 March-April, 1970 236 Fiouhe 4. The Protest-Environment Syitem. words, environmental control must start on the drawing board. Second, the operation of the process can vary in a manner that will cause fluctuations in the level of contamination of the work en­ vironment Again the acceptable exposure level serves as a guidepost toward which all future changes and improvements in the op­ eration of the processes should be directed. Third, the industrial hygiene standard di­ rectly affects the measurement ol contamina­ tion in a particular work environment—such measurements to be used for judging accept­ ability of control, following comparison with the standard that applies in that particular case. With airborne chemical X, for example, there may be several ways to measure and monitor airborne concentrations of that con­ taminant in the work room air. The level of the threshold limit will often govern what type of instrument is used, and thereby the accuracy of the resulting information. Fourth, we often think of a threshold limit value as the standard against which the esti­ mate of the exposure is judged, but it is not enough to take such judgment for granted, for often the comparison of the measurement and the standard is made with inadequate infor­ mation. Especially in the use of multiple guidelines, such as those of the Z-37 Commit­ tee of ANSI, we need a carefully planned approach—both to gather the proper infor­ mation and then to use it meaningfully. Finally, the measured deviation from the industrial hygiene standard frequently points the way to the type of engineering control or improvement that results when the measured concentration exceeds the standard. In other words, how far must we journey to arrive at the desired degree of contaminant control? If the deviation from the TLV is near zero, there is a different set of alternatives available than if the measured exposure exceeds the TLV by a gross amount. Today’s technological advances have brought us closer to the day when we can control the work environment just as we routinely control a manufacturing process. First we have seen the development of con­ tinuous monitoring, which can be an effective diagnostic tool for the identification of pre­ dominant sources of contamination in the work environment, the proper selection of contaminant control methods, and the docu­ mentation of occupational exposures. The second development in this respect is the digital computer. When coupled to an en­ vironmental monitor the computer provides an effective means of reducing voluminous amounts of information into manageable form. These data, in turn, can be used to show both short-term and long-term trends of exposure. When correlated with day-to-day plant oper­ ation such information can result in even lower exposures.4'* In addition, such data can be used to describe the exposures of workmen in what is in effect a continuing industrial hygiene survey. These two developments parallel the trend in the process industries where “on-stream process analyzers” and “computer applica­ tions” have mushroomed into prominence. Automatic regulation of product quality is commonplace—and the marriage of instrujnentation and the computer has provided the engineering profession with some powerful new techniques. This is important to our field because our allies in the engineering profession are in­ creasingly well-versed in such techniques, and to the extent that engineers become engaged in environmental control, we can expect to take advantage of these and other technologi­ cal advances in controlling the quality of the * APOOOOf039 •April, 1970 in from the rntly point! 5 control or ip measured cl. In other to arrive at mt control? s near aero, •« available tweeds the nrcs have sen vc can just as vve ttc process, tent of conan effective :ion of pretion in the selection of d the docures. is respect is rd to an en•_cr provides • voluminous jrabie form, o show both ri exposure. ; plant operIt in even ch data can nf workmen 5 industrial el the trend “on-stream er applicasrominence. t quality is t of instru•rovided the e powerful aecause our ion are inniques, and ne engaged a expect to technologilality of the American Industrial Hygiene Association ''Journal work environment. Advantages of Process-Environment System Adequate Surveillance A new process or facility should never be considered acceptable from our point of view until studies have proved the environmental control to be adequate. In view of the im­ portance of process operation and its effect on the quality of the work environment, environ­ mental surveillance often must be repeated regularly or, better yet, made a permanent feature of the Process-Environment System. frequency of environmental sampling is an important question, especially where we are confronted with variable concentrations or cyclic operations. A continuous monitor can be invaluable when we try to characterize the environment in such a way that our measure­ ments are truly comparable with accepted hygienic standards. Also, the use of multiple guidelines in the control of the environment requires that a large number of regularly spaced samples be used to estimate the inten­ sity of exposure. Figure 5 shows a schematic representation of a multipoint continuous monitor that could be used to document exposures, and to aid in the control of air concentrations.* The several sampling probes extend into work areas where the worker spends his time during normal work activity. The concentrations at each of his work areas—or sampling locations —must be weighted according to the time spent there to estimate the time-weighted av­ erage concentration, the basis of most of the threshold limit values. In addition, continuous monitors, if ap­ propriately used, offer other important ad­ vantages. Among these are: (1) diagnostic air sampling, including time-dependent and location-dependent patterns, (2) efficient documentation, and (3) reduced material loss. While controlling the air concentrations of a contaminant in the work room it is often possible to achieve an important savings from reduced material loss, especially if the con­ taminant is a raw material or product. Here is one area where it is very easy to enlist the help of the engineer. His prime concern with the economics of the operation of his process 237 i » 1 voMtau i * 4 * li i-l lns=^ J 1 * ,, | auTKuMimmnl —• 1 hum \£OMWnR'J ItvWK Ficvm 5. Schematic diagram of a continuous environmental monitoring system. may help us to achieve our objective of limit­ ing emissions into the work room. Sometimes it is possible to pay for a continuous monitor­ ing system in a short time with the savings realized by its use. Figure 5 indicates that the information from the schematic environmental monitor flows through a “computer.” This again is in­ dicative of the changing technology that bears on our field and at the same time opens new doors of opportunity for us to do a better job. A continuous analyzer generates a great volume of information, and the full use of the data coming from such a device depends on how well we can reduce the output to mean­ ingful terms. The digital computer offers us great help at this point because it can quickly translate a flood of concentration data into a comprehensive summary, including several parameters that may be of importance. Proper Application of Standards In a typical control system the error-detect­ ing mechanism is critical. In the case of en­ vironmental surveillance, we are interested in comparing the estimated worker exposure with the appropriate industrial hygienic standards. Whenever volatile substances are present in the work room, the concentrations will likely fluctuate so widely that it will be advantageous to monitor the environment continuously and test it repeatedly against the various standards that can be applied. In addition, the applica­ tion of hygienic standards as they are defined virtually requires the use of continuous or semicondnuous sampling procedures, reduc­ tion of the measurements to the appropriate parameters, and then comparison with each of the appropriate guidelines. For example. Table I shows the various in- i 4 c* s i AP00001040 i March-April, 1970 A ronment concept is that adequate environ­ mental surveillance allows the use of feedback to provide a check on our environmental con­ trol efforts—to the extent that we correlate the environmental information with medical findings on the same worker population, we can use that feedback information to validate or refine our hygienic standards. l 238 Table I Industrial Hygiene Standard for Carbon Tetrachloride TLV or "acceptable Mir TWA” 10 ppm Acceptable celling concentration Acceptable Bisiaum concentration lor peaks above acceptable ceiling 25 ppm 200 ppm Acceptable number of peak concentration! of 5-minute duration for Mu period 2 dustrial hygiene standards that are available for carbon tetrachloride. To judge the ac­ ceptability of a particular work environment using these parameters, we would need a mea­ surement in the worker’s breathing zone at least even- 5 minutes for 8 hours. This mini­ mum of 96 samples would then have to be reduced to the various sampling statistics that could be compared with the standards. Relatively little attention has been given to this problem of characterizing the work en­ vironment in a manner that will allow proper application of hygienic standards; it must re­ ceive more attention in the future. Table II shows one exposure summary that could be used to judge the intensity of exposure along several guidelines, both short-term and long­ term. This exposure summary covers a 7-day period and reduces over 100,000 measure­ ments to an informative, compact table. The information comes from a continuous environ­ mental monitor linked directly to a digital computer. Documentation and Feedback The third advantage of the Process-Envi­ w .v Ct nl c< As the problems of concern in the work room from environmental stresses become more subtle and complex, the need for sys­ tematic studies on the relationship between exposure and consequence increases, and we need more than ever to complement the re­ sults from laboratory studies with planned systematic findings on groups of people ex­ posed to the suspected agent under real conditions.*-*-1 c;» \vt Summary Progress in our field—occupational health —will continue to depend on a "team ap­ proach.” As Professor Hatch1 pointed out, we must continually examine the methods we use to achieve results. Surely we must go beyond that and be willing to apply new techniques to our field whenever it can be demonstrated that such application will en­ able us to do a better job in conserving the health of the worker in the industrial environ­ ment. The development of our profession will depend on how well we integrate the common interests that each discipline brings to the field of occupational health. Our progress will also Tabus II ; I Data Summary from a Continuous Environmental Monitor Department—-chemical plant Material —methyl chloride Date —2/17/59 to 2/23/69 • Sampling Location (raw data) i 2 5 4 s i Mean concentration 14.3 29.5 35.S 42.5 61.3 79.3 Standard deviation Frequency distribution 25 ppm 50 ppm 100 ppm 200 ppm 300 ppm IS.} M 19.4 9.1 22.4 21.0 19.5 8.5 1.9 0.5 0.2 0.1 49.4 9.1 0.2 0.0 0.0 60.5 *14 100.0 16.4 n 100.0 100.0 14.5 0.3 0.0 39.6 13.S 11 0.0 100.0 % 51.4 6.7 1.1 0.1 93.5 74.9 45.7 30.7 17.3 66.2 62.7 51.1 43.0 33.4 107.0 98.8 96.1 75.7 47.8 91.6 12.2 63.0 34.9 45.6 164.7 145.0 109.7 94.9 69.8 170.5 150.2 121.4 107.9 87.8 76.2 (7.6 S1.0 41.5 30.5 Maximum concentration 5 minutes 10 minutes 30 minutes 1 hour 4 hours 0.4 0.3 Job Classification v A 26.8 0.0 AP00001041 American Industrial Hygiene Association Journal be measured by how well we find compatible, systematic methods of using the newest tools available to each basic discipline in our field. A systems approach to industrial, health would help us to take advantage of the tran­ sition we will enjoy with increasing use of automation, process control, and the digital computer. From a systems engineering point of view there is really little difference between controlling the process and controlling the work environment associated with it. A logi­ cal point of reference for the transition ahead would be the Process-Environment System. 239 References 1. Hjmk, T. In Crellty, L. V.s Miuliul Hytir»« HighUghU, Vol. I., d, 2, Industrial Hygrieet fousdatioa ®{ America, Inc., Pittsburgh, F*. (limit). 2. Winner’s S*z*ntk New ColUgimlt Dictionary, O, £ C. Mtrriam Company. Springfield, Matt. (1967). S. wish, D. D.: Evolution of Our Concept! ot Standards. Arch. Environ. Htelth 10; >46 (2965), 4. ftmsoM, J. E.» H. R. KoviX, »od E. J. SocKusca: Hie Appiicaiioo ot Computer Science to Industrial Hygiene. Amer. 7*4. Hyg. Asia*. J. 27i 180 (1966). 5. Bkarrr.v. E. D., R. D. yuwA»r, and J, E. Mctchlxk: Monitoring Expoturet to Vinyl Chloride Vapor; Breath Analysis ana oCntimious Air Sampling. Amcr. 7*4. Hyg. Aat>c. J. 30; 537 (1969). 6. Hatch, T. F.: Significant Dimension* of the Dose-Re* Ipome Relationship* Attk. Environ. Httltk 16: 571 (1968). J. SroKiNOBR, H. E.l Industrial Contribution to Threshold Limit Values. Arch. Environ. Health 10; 609 (1965). Received June 9,1969 Gordon Research Conference The 1970 Gordon Research Conference on Toxicology and Safety Evaluations will be held at Kimball Union Academy, Meriden, New Hampshire, July 2731. This conference has been of considerable interest to industrial hygienists for a number of years because of the close relationship of problems encountered in industrial health work. This year the Chairman is J. Wesley Clayton, Jr. and Vice-Chairman is Edward D. Palmes. The program is as follows: July 27. (R. A. Scala, discussion leader): H. H, Cornish, “Serum isozymes and organ damage”; J. L. Radomski, “The metabolism of 1- and 2-naphthylamine as related to carcinogenesis.” (S. L. Fries*, discussion leader): J. M. Barnes, “Toxic substances and the nervous system.” July 28. (S. Epstein, discussion leader): C. Jacobson, “Test systems for the reproductive evaluation of mutagens”; D. J. Kllian, "The role of CVtOgeniCS in evaluating the toxicity of chemical compounds.” (H. V. Mailing, Discussion leader): C. Valenti, “Effects of psychotropic drugs on mammalian chromosomes in vitro and in vivo observations." July 29. (C. H. Hine, discussion leader): R. E. Hodges, “The role of human studies in evaluating potentially hazardous agents”; L. H. Schmidt, “What nonhuman primates have taught us relative to the action of chemicals on living systems.” (Sidney Leskovitz, discussion leader): B. Pemis, “Immunological problems in toxicology.” July 30. (W. B. Ennis, discussion leader): D, O. King, “Rational Manage­ ment of the environment”; K. C. Barrons, “Benefits of agricultural chemicals.” (J. P. Frawley, discussion leader): L. Cole, “The chemical threat to our en­ vironment.” _ July 31. (E. D. Palmes, discussion leader): T. Foin, “Technology, popula­ tion and the environment.” Attendance at the Conference is by application only. Application forms and full information regarding requirements for attendance may be obtained by writing to Dr. Alexander M. Cruickshank, Director Gordon Research Confer­ ence, Pastore Chemical Laboratory, University of Rhode Island, Kingston, Rhode Island 02881 (Telephone: 401-783-4011). Applications for this Con­ ference should be submitted before June 1,1970.