Health Hazard Evaluation Report HETA 86-477-1755, Cumberland County Homemaker Home Health Aid Service, Bridgeton, New Jersey

摘要

Following a request from the manager of the Cumberland County Home Health Aid Service (SIC-8059), Bridgeton, New Jersey, the facility was investigated for hazards related to previous incineration of plastic hospital syringes. The syringes were composed of polypropylene and butyl rubber, and investigations were aimed at determining symptoms related to exposure to the pyrolysis products carbon-monoxide (630080), formaldehyde (50000), acrolein (107028), and crotonaldehyde (4170303); other possible factors (dust, ventilation); and wipe samples. Observations revealed probable recirculation of pyrolysis products into office areas, as well as a significant dust burden. Initial symptoms reported involved respiratory and mucous membrane irritation. Continuing symptoms included throat irritation, eye irritation, and rhinitis. The authors conclude that, in spite of negative wipe tests, the workers have probably had continued exposure due to the adherence of irritants onto dust particles. Recommendations include removal of all unnecessary mobile objects and cleaning of remaining objects with a HEPA filtering vacuum, complete cleaning of the entire building with mild detergent, and removal of all materials stored there by the hospital, since their presence would be a continued source of production and dissemination of dust.