Occupational toxicology is the application of toxicology to chemical hazards in the workplace. It focuses on substances and conditions that people may be exposed to in workplaces, including inhalation and dermal exposures, which are most prevalent when discussing occupational toxicology. These environmental and individual exposures can impact health, and there is a focus on identifying early adverse effects that are more subtle than those presented in clinical medicine. Occupational toxicology interfaces heavily with other subfields of occupational safety and health. Occupational epidemiology studies may inspire toxicological study of causative agents, and toxicological investigations are important in establishing biomarkers for workplace health surveillance. Occupational toxicology studies may suggest or evaluate hazard controls used by industrial hygienists. Toxicological studies are also an important input for performing occupational risk assessment, and establishing standards and regulation such as occupational exposure limits.
Background As of 1983, around 60,000 chemical compounds were considered to be of occupational consequence. Certain sectors have an increased potential for exposure to chemical and biological agents, including manufacturing, construction, mining, logging, and agriculture, as well as service sector workplaces such as in automobile repair, gasoline stations, pipelines, truck and rail transportation, waste management and remediation, and botanical gardens. These sectors contain an increased risk of exposure largely due to the fact that they are working with heavy machinery that can emit potentially harmful fumes when being operated. Additionally, these sectors involve directly handling various substances that can possibly contain harmful chemical compounds. Toxicological studies are experimental laboratory studies on the response of organisms and biological pathways to a substance, and can generate data that are used for other occupational safety and health activities. These studies can range anywhere from 2 weeks to 2 years and primarily focus on determining whether or not the compound is toxic/carcinogenic and how toxic it is if so. To discover if a compound is toxic/carcinogenic, toxicologists expose mice to the compound being studied and examine them over a given amount of time. These toxicologists then look for any patterns in the mice that may suggest toxicity or carcinogenicity and draw a conclusion from this data.
Goals Occupational toxicology generates data that is used to identify hazards and their physiological effects, and quantify dose–response relationships. A major use of this data is for establishing standards and regulation. These may take the form of occupational exposure limits, which are based on ambient concentration levels of toxicants. They also include biological exposure indices, which are based on biomonitoring of a toxicant, its metabolites, or other biomarkers. Toxicologists have a large role in determining what biomarkers may be used for biomonitoring during exposure assessment and workplace health surveillance activities. Occupational toxicology is complementary to occupational epidemiology, to a greater degree than toxicology and epidemiology in general. For example, outbreaks identified through epidemiological studies such as exposure assessment case studies or workplace health surveillance may inspire toxicological study of suspected or confirmed causative agents. Conversely, the results of toxicological investigation are important in establishing biomarkers for workplace health surveillance to identify overexposure and to test the validity of occupational exposure limits. These biomarkers are intended to aid in prevention by identifying early adverse affects, unlike diagnostics for clinical medicine that are designed to reveal advanced pathological states. Toxicological studies have the benefit over epidemiology that they can study new substances before there is exposure in commerce, or when epidemiological data are not available. Toxicology also has the advantage of elucidating not only overt health outcomes, but intermediate biochemical steps such as biotransformation processes, as well as early cellular changes. These can aid in developing measures to prevent or treat toxicity. Occupational toxicology studies may also suggest or evaluate hazard controls used by industrial hygienists. Occupational toxicology differs from environmental toxicology in that the former has smaller number of exposed individuals, but with a wider range of exposure levels. Environmental toxicology tends to focus on situations with low exposure levels for larger numbers of people, where adverse effects may be concentrated in people who are especially susceptible to a given toxicant due to genetic or other factors.
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