Evidence map›Paper›PMID 35421664›Full record

ArticleInternational journal of hygiene and environmental health2022

Firefighters' urinary concentrations of VOC metabolites after controlled-residential and training fire responses.

Kenneth W Fent, Alexander C Mayer, Christine Toennis, Deborah Sammons, Shirley Robertson, I-Chen Chen, Deepak Bhandari, Benjamin C Blount, Steve Kerber, Denise L Smith and 1 more

Abstract read
In one paragraph

Article in International journal of hygiene and environmental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kenneth W FentDivision of Field Studies and Engineering, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Cincinnati, OH, USA.
Alexander C MayerDivision of Field Studies and Engineering, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Cincinnati, OH, USA. Electronic address: Nru1@cdc.gov.
Christine ToennisHealth Effects Laboratory Division, NIOSH, CDC, Cincinnati, OH, USA.
Deborah SammonsHealth Effects Laboratory Division, NIOSH, CDC, Cincinnati, OH, USA.
Shirley RobertsonHealth Effects Laboratory Division, NIOSH, CDC, Cincinnati, OH, USA.
I-Chen ChenDivision of Field Studies and Engineering, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC), Cincinnati, OH, USA.
Deepak BhandariDivision of Laboratory Sciences, National Center for Environmental Health, CDC, Atlanta, GA, USA.
Benjamin C BlountDivision of Laboratory Sciences, National Center for Environmental Health, CDC, Atlanta, GA, USA.
Steve KerberFire Safety Research Institute, Underwriters Laboratories Inc, Columbia, MD, USA.
Denise L SmithHealth and Human Physiological Sciences, Skidmore College, Saratoga Springs, NY, USA; Illinois Fire Service Institute, University of Illinois at Urbana-Champaign, IL, USA.
Gavin P HornFire Safety Research Institute, Underwriters Laboratories Inc, Columbia, MD, USA; Illinois Fire Service Institute, University of Illinois at Urbana-Champaign, IL, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionFirefighters are exposed to volatile organic compounds (VOCs) during structural fire responses and training fires, several of which (e.g., benzene, acrolein, styrene) are known or probable carcinogens. Exposure studies have found that firefighters can absorb chemicals like benzene even when self-contained breathing apparatus (SCBA) are worn, suggesting that dermal absorption contributes to potentially harmful exposures. However, few studies have characterized VOC metabolites in urine from firefighters.

objectivesWe quantified VOC metabolites in firefighters' urine following live firefighting activity across two field studies.

methodsIn two separate controlled field studies, spot urine was collected before and 3 h after firefighters and firefighter students responded to simulated residential and training fires. Urine was also collected from instructors from the training fire study before the first and 3 h after the last training scenario for each day (instructors led three training scenarios per day). Samples were analyzed for metabolites of VOCs to which firefighters may be exposed.

resultsIn the residential fire study, urinary metabolites of xylenes (2MHA), toluene (BzMA), and styrene (MADA) increased significantly (at 0.05 level) from pre- to post-fire. In the training fire study, MADA concentrations increased significantly from pre- to post-fire for both firefighter students and instructors. Urinary concentrations of benzene metabolites (MUCA and PhMA) increased significantly from pre- to post-fire for instructors, while metabolites of xylenes (3MHA+4MHA) and acrolein (3HPMA) increased significantly for firefighter students. The two highest MUCA concentrations measured post-shift from instructors exceeded the BEI of 500 μg/g creatinine.

conclusionsSome of the metabolites that were significantly elevated post-fire are known or probable human carcinogens (benzene, styrene, acrolein); thus, exposure to these compounds should be eliminated or reduced as much as possible through the hierarchy of controls. Given stringent use of SCBA, it appears that dermal exposure contributes in part to the levels measured here.

Indexed as

Air Pollutants, OccupationalFirefightersFiresOccupational ExposurePolycyclic Aromatic HydrocarbonsVolatile Organic CompoundsAcroleinBenzeneCarcinogensHumansStyrenesXylenesAcroleinAir Pollutants, OccupationalBenzeneCarcinogensPolycyclic Aromatic HydrocarbonsStyrenesVolatile Organic CompoundsXylenesAcroleinBenzeneBiomarkerFireStyreneUrine

Identifiers

PMID35421664
PMCPMC9969558

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.