Friday, 25 March 2011 04:37

Skin Problems

The first reports of skin complaints among people working with or near VDUs came from Norway as early as 1981. A few cases have also been reported from the United Kingdom, the United States and Japan. Sweden, however, has provided many case reports and public discussion on the health effects of exposure to VDUs was intensified when one case of skin disease in a VDU worker was accepted as an occupational disease by the Swedish National Insurance Board in late 1985. The acceptance of this case for compensation coincided with a marked increase in the number of cases of skin disease that were suspected to be related to work with VDUs. At the Department of Occupational Dermatology at Karolinska Hospital, Stockholm, the caseload increased from seven cases referred between 1979 and 1985, to 100 new referrals from November 1985 to May 1986.

Despite the relatively large number of people who sought medical treatment for what they believed to be VDU-related skin problems, no conclusive evidence is available which shows that the VDUs themselves lead to the development of occupational skin disease. The occurrence of skin disease in VDU-exposed people appears to be coincidental or possibly related to other workplace factors. Evidence for this conclusion is strengthened by the observation that the increased incidence of skin complaints made by Swedish VDU workers has not been observed in other countries, where the mass media debate on the issue has not been as intense. Further, scientific data collected from provocation studies, in which patients have been purposely exposed to VDU-related electromagnetic fields to determine whether a skin effect could be induced, have not produced any meaningful data demonstrating a possible mechanism for development of skin problems which could be related to the fields surrounding a VDU.


Case Studies: Skin Problems and VDUs

Sweden: 450 patients were referred and examined for skin problems which they attributed to work at VDUs. Only common facial dermatoses were found and no patients had specific dermatoses that could be related to work with VDUs. While most patients felt that they had pronounced symptoms, their visible skin lesions were, in fact, mild according to standard medical definitions and most of the patients reported improvement without drug therapy even though they continued to work with VDUs . Many of the patients were suffering from identifiable contact allergies, which explained their skin symptoms . Epidemiological studies comparing the VDU-work patients to a non-exposed control population with a similar skin status showed no relationship between skin status and VDU work. Finally, a provocation study did not yield any relation between the patient symptoms and electrostatic or magnetic fields from the VDUs (Wahlberg and Lidén 1988; Berg 1988; Lidén 1990; Berg, Hedblad and Erhardt 1990; Swanbeck and Bleeker 1989).In contrast to a few early nonconclusive epidemiological studies (Murray et al. 1981; Frank 1983; Lidén and Wahlberg 1985), a large-scale epidemiological study (Berg, Lidén, and Axelson 1990; Berg 1989) of 3,745 randomly selected office employees, of whom 809 persons were medically examined, showed that while the VDU-exposed employees reported significantly more skin problems than a nonexposed control population of office employees, upon examination, they were not actually found to have no more visible signs or more skin disease.

Wales (UK): A questionnaire study found no difference between reports of skin problems in VDU workers and a control population (Carmichael and Roberts 1992).

Singapore: A control population of teachers reported significantly more skin complaints than did the VDU users (Koh et al. 1991).


It is, however, possible that work-related stress could be an important factor that can explain VDU-associated skin complaints. For example, follow-up studies in the office environment of a subgroup of the VDU-exposed office employees being studied for skin problems showed that significantly more people in the group with skin symptoms experienced extreme occupational stress than people without the skin symptoms. A correlation between levels of the stress-sensitive hormones testosterone, prolactin and thyroxin and skin symptoms were observed during work, but not during days off. Thus, one possible explanation for VDU-associated facial skin sensations could be the effects of thyroxin, which causes the blood vessels to dilate (Berg et al. 1992).

 

Back

Friday, 25 March 2011 04:21

Musculoskeletal Disorders

Introduction

VDU operators commonly report musculoskeletal problems in the neck, shoulders and upper limbs. These problems are not unique to VDU operators and are also reported by other workers performing tasks which are repetitive or which involve holding the body in a fixed posture (static load). Tasks which involve force are also commonly associated with musculoskeletal problems, but such tasks are not generally an important health and safety consideration for VDU operators.

Among clerical workers, whose jobs are generally sedentary and not commonly associated with physical stress, the introduction into workplaces of VDUs caused work-related musculoskeletal problems to gain in recognition and prominence. Indeed, an epidemic-like increase in reporting of problems in Australia in the mid 1980s and, to a lesser extent, in the United States and the United Kingdom in the early 1990s, has led to a debate about whether or not the symptoms have a physiological basis and whether or not they are work-related.

Those who dispute that musculoskeletal problems associated with VDU (and other) work have a physiological basis generally put forward one of four alternative views: workers are malingering; workers are unconsciously motivated by various possible secondary gains, such as workers’ compensation payments or the psychological benefits of being sick, known as compensation neurosis; workers are converting unresolved psychological conflict or emotional disturbance into physical symptoms, that is, conversion disorders; and finally, that normal fatigue is being blown out of proportion by a social process which labels such fatigue as a problem, termed social iatrogenesis. Rigorous examination of the evidence for these alternative explanations shows that they are not as well supported as explanations which posit a physiological basis for these disorders (Bammer and Martin 1988). Despite the growing evidence that there is a physiological basis for musculoskeletal complaints, the exact nature of the complaints is not well understood (Quintner and Elvey 1990; Cohen et al. 1992; Fry 1992; Helme, LeVasseur and Gibson 1992).

Symptom Prevalence

A large number of studies have documented the prevalence of musculoskeletal problems among VDU operators and these have been predominantly conducted in western industrialized countries. There is also growing interest in these problems in the rapidly industrializing nations of Asia and Latin America. There is considerable inter-country variation in how musculoskeletal disorders are described and in the types of studies carried out. Most studies have relied on symptoms reported by workers, rather than on the results of medical examinations. The studies can be usefully divided into three groups: those which have examined what can be called composite problems, those which have looked at specific disorders and those which have concentrated on problems in a single area or small group of areas.

Composite problems

Composite problems are a mixture of problems, which can include pain, loss of strength and sensory disturbance, in various parts of the upper body. They are treated as a single entity, which in Australia and the United Kingdom is referred to as repetitive strain injuries (RSI), in the United States as cumulative trauma disorders (CTD) and in Japan as occupational cervicobrachial disorders (OCD). A 1990 review (Bammer 1990) of problems among office workers (75% of the studies were of office workers who used VDUs) found that 70 studies had examined composite problems and 25 had found them to occur in a frequency range of between 10 and 29% of the workers studied. At the extremes, three studies had found no problems, while three found that 80% of workers suffer from musculoskeletal complaints. Half of the studies also reported on severe or frequent problems, with 19 finding a prevalence between 10 and 19%. One study found no problems and one found problems in 59%. The highest prevalences were found in Australia and Japan.

Specific disorders

Specific disorders cover relatively well-defined problems such as epicondylitis and carpal tunnel syndrome. Specific disorders have been less frequently studied and found to occur less frequently. Of 43 studies, 20 found them to occur in between 0.2 and 4% of workers. Five studies found no evidence of specific disorders and one found them in between 40–49% of workers.

Particular body parts

Other studies focus on particular areas of the body, such as the neck or the wrists. Neck problems are the most common and have been examined in 72 studies, with 15 finding them to occur in between 40 and 49% of workers. Three studies found them to occur in between 5 and 9% of workers and one found them in more than 80% of workers. Just under half the studies examined severe problems and they were commonly found in frequencies that ranged between 5% and 39%. Such high levels of neck problems have been found internationally, including Australia, Finland, France, Germany, Japan, Norway, Singapore, Sweden, Switzerland, the United Kingdom and the United States. In contrast, only 18 studies examined wrist problems, and seven found them to occur in between 10% and 19% of workers. One found them to occur in between 0.5 and 4% of workers and one in between 40% and 49%.

Causes

It is generally agreed that the introduction of VDUs is often associated with increased repetitive movements and increased static load through increased keystroke rates and (compared with typewriting) reduction in non-keying tasks such as changing paper, waiting for the carriage return and use of correction tape or fluid. The need to watch a screen can also lead to increased static load, and poor placement of the screen, keyboard or function keys can lead to postures which may contribute to problems. There is also evidence that the introduction of VDUs can be associated with reductions in staff numbers and increased workloads. It can also lead to changes in the psychosocial aspects of work, including social and power relationships, workers’ responsibilities, career prospects and mental workload. In some workplaces such changes have been in directions which are beneficial to workers.

In other workplaces they have led to reduced worker control over the job, lack of social support on the job, “de-skilling”, lack of career opportunities, role ambiguity, mental stress and electronic monitoring (see review by Bammer 1987b and also WHO 1989 for a report on a World Health Organization meeting). The association between some of these psychosocial changes and musculoskeletal problems is outlined below. It also seems that the introduction of VDUs helped stimulate a social movement in Australia which led to the recognition and prominence of these problems (Bammer and Martin 1992).

Causes can therefore be examined at individual, workplace and social levels. At the individual level, the possible causes of these disorders can be divided into three categories: factors not related to work, biomechanical factors and work organization factors (see table 1). Various approaches have been used to study causes but the overall results are similar to those obtained in empirical field studies which have used multivariate analyses (Bammer 1990). The results of these studies are summarized in table 1 and table 2. More recent studies also support these general findings.

Table 1. Summary of empirical fieldwork studies which have used multivariate analyses to study the causes of musculoskeletal problems among office workers

 

Factors


Reference


No./% VDU users


Non-work


Biomechanical

Work organisation

Blignault (1985)

146/90%

ο

ο

South Australian Health Commission Epidemiology Branch (1984)

456/81%

 

 

 

Ryan, Mullerworth and Pimble (1984)

52/100%

 

 

Ryan and
Bampton (1988)

143

     

Ellinger et al. (1982)

280

 

Pot, Padmos and
Bowers (1987)

222/100%

not studied

Sauter et al. (1983b)

251/74%

ο

 

Stellman et al. (1987a)

1, 032/42%

not studied

 

ο = non-factor ●= factor.

Source: Adapted from Bammer 1990.

 

Table 2. Summary of studies showing involvement of factors thought to cause musculoskeletal problems among office workers

 

Non-work

Biomechanical

Work organization

Country

No./% VDU
users

Age

Biol.
predisp.

Neuro ticism

Joint
angles

Furn.
Equip.
Obj.

Furn.
Equip.
Subj.

Visual
work

Visual
self

Years
in job

Pressure

Autonomy

Peer
cohesion

Variety

Key-
boarding

Australia

146/
90%

Ø

 

Ø

 

Ø

     

Ø

Ο

Ø

Australia

456/
81%

Ο

   

     

Ø

Ο

   

Ο

Australia

52/143/
100%

   

     

Ο

Ο

 

 

Ο

Germany

280

Ο

Ο

   

Ø

 

Ο

Ο

   ●

Ο

Netherlands

222/
100%

     

 

Ø

Ø

 

Ο

 

(Ø)

Ο

United States

251/
74%

Ø

     

Ø

 

 

Ο

 

(Ø)

 

United States

1,032/
42%

       

Ø

   

Ο

 

 

Ο = positive association, statistically significant. ● = negative association, statistically significant.  ❚ = statistically significant association. Ø = no statistically significant association. (Ø) = no variability in the factor in this study. ▲ = the youngest and the oldest had more symptoms.

Empty box implies that the factor was not included in this study.

1 Matches references in table 52.7.

Source: adapted from Bammer 1990.

 

Factors not related to work

There is very little evidence that factors not related to work are important causes of these disorders, although there is some evidence that people with a previous injury to the relevant area or with problems in another part of the body may be more likely to develop problems. There is no clear evidence for involvement of age and the one study which examined neuroticism found that it was not related.

Biomechanical factors

There is some evidence that working with certain joints of the body at extreme angles is associated with musculoskeletal problems. The effects of other biomechanical factors are less clear-cut, with some studies finding them to be important and others not. These factors are: assessment of the adequacy of the furniture and/or equipment by the investigators; assessment of the adequacy of the furniture and/or equipment by the workers; visual factors in the workplace, such as glare; personal visual factors, such as the use of spectacles; and years on the job or as an office worker (table 2).

Organizational factors

A number of factors related to work organization are clearly associated with musculoskeletal problems and are discussed more fully elsewhere is this chapter. Factors include: high work pressure, low autonomy (i.e., low levels of control over work), low peer cohesion (i.e., low levels of support from other workers) which may mean that other workers cannot or do not help out in times of pressure, and low task variety.

The only factor which was studied for which results were mixed was hours using a keyboard (table 2). Overall it can be seen that the causes of musculoskeletal problems on the individual level are multifactorial. Work-related factors, particularly work organization, but also biomechanical factors, have a clear role. The specific factors of importance may vary from workplace to workplace and person to person, depending on individual circumstances. For example, the large-scale introduction of wrist rests into a workplace when high pressure and low task variety are hallmarks is unlikely to be a successful strategy. Alternatively, a worker with satisfactory delineation and variety of tasks may still develop problems if the VDU screen is placed at an awkward angle.

The Australian experience, where there was a decline in prevalence of reporting of musculoskeletal problems in the late 1980s, is instructive in indicating how the causes of these problems can be dealt with. Although this has not been documented or researched in detail, it is likely that a number of factors were associated with the decline in prevalence. One is the widespread introduction into workplaces of “ergonomically” designed furniture and equipment. There were also improved work practices including multiskilling and restructuring to reduce pressure and increase autonomy and variety. These often occurred in conjunction with the implementation of equal employment opportunity and industrial democracy strategies. There was also widespread implementation of prevention and early intervention strategies. Less positively, some workplaces seem to have increased their reliance on casual contract workers for repetitive keyboard work. This means that any problems would not be linked to the employer, but would be solely the worker’s responsibility.

In addition, the intensity of the controversy surrounding these problems led to their stigmatization, so that many workers have become more reluctant to report and claim compensation when they develop symptoms. This was further exacerbated when workers lost cases brought against employers in well-publicized legal proceedings. A decrease in research funding, cessation in publication of incidence and prevalence statistics and of research papers about these disorders, as well as greatly reduced media attention to the problem all helped shape a perception that the problem had gone away.

Conclusion

Work-related musculoskeletal problems are a significant problem throughout the world. They represent enormous costs at the individual and social levels. There are no internationally accepted criteria for these disorders and there is a need for an international system of classification. There needs to be an emphasis on prevention and early intervention and this needs to be multifactorial. Ergonomics should be taught at all levels from elementary school to university and there need to be guidelines and laws based on minimum requirements. Implementation requires commitment from employers and active participation from employees (Hagberg et al. 1993).

Despite the many recorded cases of people with severe and chronic problems, there is little available evidence of successful treatments. There is also little evidence of how rehabilitation back into the workforce of workers with these disorders can be most successfully undertaken. This highlights that prevention and early intervention strategies are paramount to the control of work-related musculoskeletal problems.

 

Back

Friday, 25 March 2011 04:16

Reproductive Effects - Human Evidence

The safety of visual display units (VDUs) in terms of reproductive outcomes has been questioned since the widespread introduction of VDUs in the work environment during the 1970s. Concern for adverse pregnancy outcomes was first raised as a result of numerous reports of apparent clusters of spontaneous abortion or congenital malformations among pregnant VDU operators (Blackwell and Chang 1988). While these reported clusters were determined to be no more than what could be expected by chance, given the widespread use of VDUs in the modern workplace (Bergqvist 1986), epidemiologic studies were undertaken to explore this question further.

From the published studies reviewed here, a safe conclusion would be that, in general, working with VDUs does not appear to be associated with an excess risk of adverse pregnancy outcomes. However, this generalized conclusion applies to VDUs as they are typically found and used in offices by female workers. If, however, for some technical reason, there existed a small proportion of VDUs which did induce a strong magnetic field, then this general conclusion of safety could not be applied to that special situation since it is unlikely that the published studies would have had the statistical ability to detect such an effect. In order to be able to have generalizable statements of safety, it is essential that future studies be carried out on the risk of adverse pregnancy outcomes associated with VDUs using more refined exposure measures.

The most frequently studied reproductive outcomes have been:

  • Spontaneous abortion (10 studies): usually defined as a hospitalized unintentional cessation of pregnancy occurring before 20 weeks of gestation.
  • Congenital malformation (8 studies): many different types were assessed, but in general, they were diagnosed at birth.
  • Other outcomes (8 studies) such as low birthweight (under 2,500 g), very low birthweight (under 1,500 g), and fecundability (time to pregnancy from cessation of birth control use) have also been assessed. See table 1.

 

Table 1. VDU use as a factor in adverse pregnancy outcomes

Objectives

Methods

Results

Study

Outcome

Design

Cases

Controls

Exposure

OR/RR (95% CI)

Conclusion

Kurppa et al.
(1986)

Congenital malformation

Case-control

1, 475

1, 475 same age, same delivery date

Job titles,
face-to-face
interviews

235 cases,
255 controls,
0.9 (0.6-1.2)

No evidence of increased risk among women who reported exposure to VDU or among women whose job titles indicated possible exposure

Ericson and Källén (1986)

Spontaneous abortion,
infant died,
malformation,
very low birthweight

Case-case

412
22
62
26

1, 032 similar age and from same registry

Job titles

1.2 (0.6-2.3)
(applies to pooled outcome)

The effect of VDU use was not statistically significant

Westerholm and Ericson
(1986)

Stillbirth,
low birthweight,
prenatal mortality,
malformations

Cohort

7

13
43

4, 117

Job titles

1.1 (0.8-1.4)
NR(NS)
NR(NS)
1.9 (0.9-3.8)

No excesses were found for any of the studied outcomes.

Bjerkedal and Egenaes (1986)

Stillbirth,
first week death,
prenatal death,
low birthweight,
very low birthweight,
preterm,
multiple birth,
malformations

Cohort

17
8
25
46
10
97
16
71

1, 820

Employment records

NR(NS)
NR(NS)
NR(NS)
NR(NS)
NR(NS)
NR(NS)
NR(NS)
NR(NS)

The study concluded that there was no indication that introduction of VDUs in the centre has led to any increase in the rate of adverse pregnancy outcomes.

Goldhaber, Polen and Hiatt
(1988)

Spontaneous abortion,
malformations

Case-control

460
137

1, 123 20% of all normal births, same region, same time

Postal questionnaire

1.8 (1.2-2.8)
1.4 (0.7-2.9)

Statistically increased risk for spontaneous abortions for VDU exposure. No excess risk for congenital malformations associates with VDU exposure.

McDonald et al. (1988)

Spontaneous abortion,

stillbirth,
malformations,

low birthweight

Cohort

776

25
158

228

 

Face-to-face interviews

1.19 (1.09-1.38)
current/0.97 previous
0.82 current/ 0.71 previous
0.94 current/1, 12
(89-1, 43) previous
1.10

No increase in risk was found among women exposed to VDUs.

Nurminen and Kurppa (1988)

Threatened abortion,
gestation  40 weeks,
low birthweight,
placental weight,
hypertension

Cohort

239
96
57
NR
NR

 

Face-to-face interviews

0.9
VDU:30.5%, non: 43.8%
VDU:25.4%, non: 23.6%
other comparisons (NR)

The crude and adjusted rate ratios did not show statistically significant effects for working with VDUs.

Bryant and Love (1989)

Spontaneous abortion

Case-control

344

647
Same hospital,
age, last menstrual period, parity

Face-to-face interviews

1.14 (p = 0.47) prenatal
0.80 (p = 0.2) postnatal

VDU use was similar between the cases and both the prenatal controls and postnatal controls.

Windham et al. (1990)

Spontaneous abortion,
low birth weight,
intra-uterine growth
retardation

Case-control

626
64
68

1,308 same age, same last menstrual period

Telephone interviews

1.2 (0.88-1.6)
1.4 (0.75-2.5)
1.6 (0.92-2.9)

Crude odds ratios for spontaneous abortion and VDU use less than 20 hours per week were 1.2; 95% CI 0.88-1.6, minimum of 20 hours per week were 1.3; 95% CI 0.87-1.5. Risks for low birthweight and intra-uterine growth retardation were not significantly elevated.

Brandt and
Nielsen (1990)

Congenital malformation

Case-control

421

1,365; 9.2% of all pregnancies, same registry

Postal questionnaire

0.96 (0.76-1.20)

Use of VDUs during pregnancy was not associated with a risk of congenital malformations.

Nielsen and
Brandt (1990)

Spontaneous abortion

Case-control

1,371

1,699 9.2%
of all pregnancies, same registry

Postal questionnaire

0.94 (0.77-1.14)

No statistically significant risk for spontaneous abortion with VDU exposure.

Tikkanen and Heinonen
(1991)

Cardiovascular malformations

Case-control

573

1,055 same time, hospital delivery

Face-to-face interviews

Cases 6.0%, controls 5.0%

No statistically significant association between VDU use and cardiovascular malformation

Schnorr et al.
(1991)

Spontaneous abortion

Cohort

136

746

Company records measurement of magnetic field

0.93 (0.63-1.38)

No excess risk for women who used VDUs during first trimester and no apparent
exposure – response relation for time of VDU use per week.

Brandt and
Nielsen (1992)

Time to pregnancy

Cohort

188
(313 months)

 

Postal questionnaire

1.61 (1.09-2.38)

For a time to pregnancy of greater than 13 months, there was an increased relative risk for the group with at least 21 hours of weekly VDU use.

Nielsen and
Brandt (1992)

Low birthweight,
preterm birth,
small for gestational
age,
infant mortality

Cohort

434
443
749
160

 

Postal questionnaire

0.88 (0.67-1.66)
1.11 (0.87-1.47)
0.99 (0.62-1.94)
NR(NS)

No increase in risk was found among women exposed to VDUs.

Roman et al.
(1992)

Spontaneous abortion

Case-control

150

297 nulliparous hospital

Face-to-face interviews

0.9 (0.6-1.4)

No relation to time spent using VDUs.

Lindbohm
et al. (1992)

Spontaneous abortion

Case-control

191

394 medical registers

Employment records field measurement

1.1 (0.7-1.6),
3.4 (1.4-8.6)

Comparing workers with exposure to high magnetic field strengths to those with undetectable levels the ratio was 3.4 (95% CI 1.4-8.6)

OR = Odds ratio. CI = Confidence Interval. RR = Relative risk. NR = Value not reported. NS = Not statistically significant.

Discussion 

Evaluations of reported clusters of adverse pregnancy outcomes and VDU use have concluded that there was a high probability that these clusters occurred by chance (Bergqvist 1986). In addition, the results of the few epidemiologic studies which have assessed the relation between VDU use and adverse pregnancy outcomes have, on the whole, not shown a statistically significant increased risk.

In this review, out of ten studies of spontaneous abortion, only two found a statistically significant increased risk for VDU exposure (Goldhaber, Polen and Hiatt 1988; Lindbohm et al. 1992). None of the eight studies on congenital malformations showed an excess risk associated with VDU exposure. Of the eight studies which looked at other adverse pregnancy outcomes, one has found a statistically significant association between waiting time to pregnancy and VDU use (Brandt and Nielsen 1992).

Although there are no major differences between the three studies with positive findings and those with negative ones, improvements in exposure assessment may have increased the chances of finding a significant risk. Though not exclusive to the positive studies, these three studies attempted to divide the workers into different levels of exposure. If there is a factor inherent in VDU use which predisposes a woman to adverse pregnancy outcomes, the dose received by the worker may influence the outcome. In addition, the results of the studies by Lindbohm et al. (1992) and Schnorr et al. (1991) suggest that only a small proportion of the VDUs may be responsible for increasing the risk of spontaneous abortion among users. If this is the case, failure to identify these VDUs will introduce a bias that could lead to underestimating the risk of spontaneous abortion among VDU users.

Other factors associated with work on VDUs, such as stress and ergonomic constraints, have been suggested as possible risk factors for adverse pregnancy outcomes (McDonald et al. 1988; Brandt and Nielsen 1992). Failure of many studies to control for these possible confounders may have lead to unreliable results.

While it may be biologically plausible that exposure to high levels of extremely low frequency magnetic fields through some VDUs carries an increased risk for adverse pregnancy outcomes (Bergqvist 1986), only two studies have attempted to measure these (Schnorr et al. 1991; Lindbohm et al. 1992). Extremely low frequency magnetic fields are present in any environment where electricity is used. A contribution of these fields to adverse pregnancy outcomes could only be detected if there was a variation, in time or in space, of these fields. While VDUs contribute to the overall levels of magnetic fields in the workplace, only a small percentage of the VDUs are thought to have a strong influence on the magnetic fields measured in the working environment (Lindbohm et al. 1992). Only a fraction of the women working with VDUs are thought to be exposed to levels of magnetic radiation above that which is normally encountered in the working environment (Lindbohm et al. 1992). The lack of precision in exposure assessment encountered in counting all VDU users as “exposed” weakens the ability of a study to detect the influence of magnetic fields from VDUs on adverse pregnancy outcomes.

In some studies, women who are not gainfully employed represented a large proportion of the comparison groups for women exposed to VDUs. In this comparison, certain selective processes may have affected the results (Infante-Rivard et al. 1993); for instance, women with severe diseases are selected out of the workforce, leaving healthier women more likely to have favourable reproductive outcomes in the workforce. On the other hand, an “unhealthy pregnant worker effect” is also possible, since women who have children may stop work, whereas those without children and who experience pregnancy loss may continue working. A suggested strategy to estimate the magnitude of this bias is to do separate analyses with and without women not gainfully employed.

 

Back

Friday, 25 March 2011 04:03

Reproductive Hazards - Experimental Data

The purpose of the experimental studies described here, using animal models is, in part, to answer the question as to whether extremely low frequency (ELF) magnetic field exposures at levels similar to those around VDU workstations can be shown to affect reproductive functions in animals in a manner that can be equated to a human health risk.

The studies considered here are limited to in vivo studies (those performed on live animals) of reproduction in mammals exposed to very low frequency (VLF) magnetic fields with appropriate frequencies, excluding, therefore, studies on the biological effects in general of VLF or ELF magnetic fields. These studies on experimental animals fail to demonstrate unequivocally that magnetic fields, such as are found around VDUs, affect reproduction. Moreover, as can be seen from considering the experimental studies described in some detail below, the animal data do not shed a clear light on possible mechanisms for human reproductive effects of VDU use. These data complement the relative absence of indications of a measurable effect of VDU use on reproductive outcomes from human population studies.

Studies of Reproductive Effects of VLF Magnetic Fields in Rodents

VLF magnetic fields similar to those around VDUs have been used in five teratological studies, three with mice and two with rats. The results of these studies are summarized in table 1. Only one study (Tribukait and Cekan 1987), found an increased number of foetuses with external malformations. Stuchly et al. (1988) and Huuskonen, Juutilainen and Komulainen (1993) both reported a significant increase in the number of foetuses with skeletal abnormalities, but only when the analysis was based on the foetus as a unit. The study by Wiley and Corey (1992) did not demonstrate any effect of magnetic field exposures on placental resorption, or other pregnancy outcomes. Placental resorptions roughly correspond to spontaneous abortions in humans. Finally, Frölén and Svedenstål (1993) performed a series of five experiments. In each experiment, the exposure occurred on a different day. Among the first four experimental subgroups (start day 1–start day 5), there were significant increases in the number of placental resorptions among exposed females. No such effects were seen in the experiment where exposure started on day 7 and which is illustrated in figure 1.

Table 1. Teratological studies with rats or mice exposed to 18-20 kHz saw-tooth formed magnetic fields

   

Magnetic field exposure

 

Study

Subject1

Frequency

Amplitude2

Duration3

Results4

Tribukait and Cekan (1987)

76 litters of mice
(C3H)

20 kHz

1 μT, 15 μT

Exposed to day 14 of pregnancy

Significant increase in external malformation; only if foetus is used as the unit of observation; and only in the first half of the experiment; no difference as to resorption or foetal death.

Stuchly et al.
(1988)

20 litters of rats
(SD)

18 kHz

5.7μT, 23μT,
66μT

Exposed throughout
pregnancy

Significant increase in minor skeletal malformations; only if foetus is used as the unit of observation; some decrease in blood cell concentrations no difference as to resorption, nor as to other types of malformations

Wiley and Corey
(1992)

144 litters of
mice (CD-1)

20 kHz

3.6 μT, 17μT,
200 μT

Exposed throughout
pregnancy

No difference as to any observed outcome (malformation,
resorption, etc.).

Frölén and
Svedenstål
(1993)

In total 707
litters of mice
(CBA/S)

20 kHz

15 μT

Beginning on various days of pregnancy in
different subexperiments

Significant increase in resorption; only if exposure starts on day 1 to day 5; no difference as to malformations

Huuskonen,
Juutilainen and
Komulainen
(1993)

72 litters of rats
(Wistar)

20 kHz

15 μT

Exposed to day 12 of pregnancy

Significant increase in minor skeletal malformations; only if foetus is used as the unit of observation; no difference as to
resorption, nor as to other types of malformations.

1 Total number of litters in the maximum exposure category.

2 Peak-to-peak amplitude.

3 Exposure varied from 7 to 24 hours/day in different experiments.

4 “Difference” refers to statistical comparisons between exposed and unexposed animals, “increase”  refers to a comparison of the highest exposed group vs. the unexposed group.

 

Figure 1. The percentage of female mice with placental resorptions in relation to exposure

VDU040F1

The interpretations given by the researchers to their findings include the following. Stuchly and co-workers reported that the abnormalities they observed were not unusual and ascribed the result to “common noise that appears in every teratological evaluation”. Huuskonen et al., whose findings were similar to Stuchly et al., were less negative in their appraisal and considered their result to be more indicative of a real effect, but they too remarked in their report that the abnormalities were “subtle and would probably not impair the later development of the foetuses”. In discussing their findings in which effects were observed in the early onset exposures but not the later ones, Frölén and Svedenstål suggest that the effects observed could be related to early effects on reproduction, before the fertilized egg is implanted in the uterus.

In addition to the reproductive outcomes, a decrease in white and red blood cells were noted in the highest exposure group in the study by Stuchly and co-workers. (Blood cell counts were not analysed in the other studies.) The authors, while suggesting that this could indicate a mild effect of the fields, also noted that the variations in blood cell counts were “within the normal range”. The absence of histological data and the absence of any effects on bone marrow cells made it difficult to evaluate these latter findings.

Interpretation and comparison of studies 

Few of the results described here are consistent with one another. As stated by Frölén and Svedenstål, “qualitative conclusions with regard to corresponding effects in human beings and test animals may not be drawn”. Let us examine some of the reasoning that could lead to such a conclusion.

The Tribukait findings are generally not considered to be conclusive for two reasons. First, the experiment only yielded positive effects when the foetus was used as the unit of observation for statistical analysis, whereas the data themselves actually indicated a litter-specific effect. Second, there is a discrepancy in the study between the findings in the first and the second part, which implies that the positive findings may be the result of random variations and/or uncontrolled factors in the experiment.

Epidemiological studies investigating specific malformations have not observed an increase in skeletal malformations among children born of mothers working with VDUs—and thus exposed to VLF magnetic fields. For these reasons (foetus-based statistical analysis, abnormalities probably not health-related, and lack of concordance with epidemiological findings), the results—on minor skeletal malformations—are not such as to provide a firm indication of a health risk for humans.


Technical Background

Units of observation

When statistically evaluating studies on mammals, consideration must be given to at least one aspect of the (often unknown) mechanism. If the exposure affects the mother—which in turn affects the foetuses in the litter, it is the status of the litter as a whole which should be used as the unit of observation (the effect which is being observed and measured), since the individual outcomes among litter-mates are not independent. If, on the other hand, it is hypothesized that the exposure acts directly and independently on the individual foetuses within the litter, then one can appropriately use the foetus as a unit for statistical evaluation. The usual practice is to count the litter as the unit of observation, unless evidence is available that the effect of the exposure on one foetus is independent of the effect on the other foetuses in the litter.


Wiley and Corey (1992) did not observe a placental resorption effect similar to that seen by Frölén and Svedenstål. One reason put forward for this discrepancy is that different strains of mice were used, and the effect could be specific for the strain used by Frölén and Svedenstål. Apart from such a speculated species effect, it is also noteworthy that both females exposed to 17 μT fields and controls in the Wiley study had resorption frequencies similar to those in exposed females in the corresponding Frölén series, whereas most non-exposed groups in the Frölén study had much lower frequencies (see figure 1). One hypothetical explanation could be that a higher stress level among the mice in the Wiley study resulted from the handling of animals during the three hour period without exposure. If this is the case, an effect of the magnetic field could perhaps have been “drowned” by a stress effect. While it is difficult to definitely dismiss such a theory from the data provided, it does appear somewhat far-fetched. Furthermore, a “real” effect attributable to the magnetic field would be expected to be observable above such a constant stress effect as the magnetic field exposure increased. No such trend was observed in the Wiley study data.

The Wiley study reports on environmental monitoring and on rotation of cages to eliminate the effects of uncontrolled factors which might vary within the room environment itself, as magnetic fields can, while the Frölén study does not. Thus, control of “other factors” is at least better documented in the Wiley study. Hypothetically, uncontrolled factors that were not randomized could conceivably offer some explanations. It is also interesting to note that the lack of effect observed in the day 7 series of the Frölén study appears to be due not to a decrease in the exposed groups, but to an increase in the control group. Thus variations in the control group are probably important to consider while comparing the disparate results of the two studies.

Studies of Reproductive Effects of ELF Magnetic Fields in Rodents

Several studies have been performed, mostly on rodents, with 50–80 Hz fields. Details on six of these studies are shown in table 2. While other studies of ELF have been carried out, their results have not appeared in the published scientific literature and are generally available only as abstracts from conferences. In general the findings are of “random effects”, “no differences observed” and so on. One study, however, found a reduced number of external abnormalities in CD–1 mice exposed to a 20 mT, 50 Hz field but the authors suggested that this might reflect a selection problem. A few studies have been reported on species other than rodents (rhesus monkeys and cows), again apparently without observations of adverse exposure effects.

Table 2. Teratological studies with rats or mice exposed to 15-60 Hz sinusoidal or square pulsed magnetic fields

   

Magnetic field exposure

   

Study

Subject1

Frequency

Amplitude

Description

Exposure duration

Results

Rivas and Rius
(1985)

25 Swiss mice

50 Hz

83 μT, 2.3 mT

Pulsed, 5 ms pulse duration

Before and during pregnancy and offspring growth; total 120 days

No significant differences at birth in any measured parameter; decreased male body weight when adult

Zecca et al. (1985)

10 SD rats

50 Hz

5.8 mT

 

Day 6-15 of pregnancy,
3 h/day

No significant differences

Tribukait and Cekan (1987)

35 C3H mice

50 Hz

1 μT, 15 μT
(peak)

Square wave-forms, 0.5 ms duration

Day 0-14 of pregnancy,
24 h/day

No significant differences

Salzinger and
Freimark (1990)

41 off-springs of SD rats. Only male pups used

60 Hz

100 μT (rms).

Also electric
field exposure.

Uniform circular polarized

Day 0-22 of pregnancy and
8 days after birth, 20 h/day

Lower increase in operand response during training commencing at 90 days of age

McGivern and
Sokol (1990)

11 offsprings of SD rats. Only male pups used.

15 Hz

800 μT (peak)

Square wave-forms, 0.3 ms duration

Day 15-20 of pregnancy,
2x15 min/day

Territorial scent marking behaviour reduced at 120 days of age.
Some organ weight increased.

Huuskonen et al.
(1993)

72 Wistar rats

50 Hz

12.6μT (rms)

Sinusoidal

Day 0-12 of pregnancy,
24 h/day

More foetuses/litter. Minor skeletal malformations

1 Number of animals (mothers) in the highest exposure category given unless otherwise noted.

 

As can be seen from table 2, a wide range of results were obtained. These studies are more difficult to summarize because there are so many variations in exposure regimens, the endpoints under study as well as other factors. The foetus (or the surviving, “culled” pup) was the unit used in most studies. Overall, it is clear that these studies do not show any gross teratogenic effect of magnetic field exposure during pregnancy. As remarked above, “minor skeletal anomalies” do not appear to be of importance when evaluating human risks. The behavioural study results of Salzinger and Freimark (1990) and McGivern and Sokol (1990) are intriguing, but they do not form a basis for indications of human health risks at a VDU workstation, either from the standpoint of procedures (use of the foetus, and, for McGivern, a different frequency) or of effects.

Summary of specific studies

Behavioural retardation 3–4 months after birth was observed in the offspring of exposed females by Salzinger and McGivern. These studies appear to have used individual offspring as the statistical unit, which may be questionable if the stipulated effect is due to an effect on the mother. The Salzinger study also exposed the pups during the first 8 days after birth, so that this study involved more than reproductive hazards. A limited number of litters was used in both studies. Furthermore, these studies cannot be considered to confirm each other’s findings since the exposures varied greatly between them, as can be seen in table 2.

Apart from a behavioural change in the exposed animals, the McGivern study noted an increased weight of some male sex organs: the prostate, the seminal vesicles and the epididymis (all parts of the male reproductive system). The authors speculate as to whether this could be linked to stimulation of some enzyme levels in the prostate since magnetic field effects on some enzymes present in the prostate have been observed for 60 Hz.

Huuskonen and co-workers (1993) noted an increase in the number of foetuses per litter (10.4 foetuses/litter in the 50 Hz exposed group vs. 9 foetuses/litter in the control group). The authors, who had not observed similar trends in other studies, downplayed the importance of this finding by noting that it “may be incidental rather than an actual effect of the magnetic field”. In 1985 Rivas and Rius reported a different finding with a slightly lower number of live births per litter among exposed versus nonexposed groups. The difference was not statistically significant. They carried out the other aspects of their analyses on both a “per foetus” and “per litter” basis. The noted increase in minor skeletal malformations was only seen with the analysis using the foetus as the unit of observation.

Recommendations and Summary

Despite the relative lack of positive, consistent data demonstrating either human or animal reproductive effects, attempts at replications of the results of some studies are still warranted. These studies should attempt to reduce the variations in exposures, methods of analysis and strains of animals used.

In general, the experimental studies performed with 20 kHz magnetic fields have provided somewhat varied results. If adhering strictly to the litter analysis procedure and statistical hypothesis testing, no effects have been shown in rats (although similar nonsignificant findings were made in both studies). In mice, the results have been varied, and no single coherent interpretation of them appears possible at present. For 50 Hz magnetic fields, the situation is somewhat different. Epidemiological studies which are relevant to this frequency are scarce, and one study did indicate a possible risk of miscarriage. By contrast, the experimental animal studies have not produced results with similar outcomes. Overall, the results do not establish an effect of extremely low frequency magnetic fields from VDUs on the outcome of pregnancies. The totality of results fails thus to suggest an effect of VLF or ELF magnetic fields from VDUs on reproduction.

 

Back

Friday, 25 March 2011 04:00

Ocular and Visual Problems

There have been a comparatively large number of studies devoted to visual discomfort in visual display unit (VDU) workers, many of which have yielded contradictory results. From one survey to another, there are discrepancies in reported prevalence of disorders ranging from practically 0 per cent to 80 per cent or more (Dainoff 1982). Such differences should not be considered too surprising because they reflect the large number of variables which can influence complaints of eye discomfort or disability.

Correct epidemiological studies of visual discomfort must take into account several population variables, such as sex, age, eye deficiencies, or use of lenses, as well as socio-economic status. The nature of the job being carried out with the VDU and the characteristics of the workstation layout and of the work organization are also important and many of these variables are interrelated.

Most often, questionnaires have been used to assess the eye discomfort of VDU operators. The prevalence of visual discomfort differs thus with the content of questionnaires and their statistical analysis. Appropriate questions for surveys concern the extent of symptoms of distress asthenopia suffered by VDU operators. Symptoms of this condition are well known and can include itching, redness, burning and tearing of the eyes. These symptoms are related to the fatigue of the accommodative function in the eye. Sometimes this eye symptoms are accompanied by a headache, with the pain located in the front portion of the head. There may also be disturbances in eye function, with symptoms such as double vision and reduced accommodative power. Visual acuity, itself, however, is rarely depressed, provided the conditions of measurement are carried out with a constant pupil size.

If a survey includes general questions, such as “Do you feel well at the end of the working day?” or “Have you ever had visual problems when working with VDUs?” the prevalence of positive responses may be higher than when single symptoms related to asthenopia are evaluated.

Other symptoms may also be strongly associated to asthenopia. Pains in the neck, shoulders and arms are frequently found. There are two main reasons that these symptoms may occur together with eye symptoms. The muscles of the neck participate in keeping a steady distance between eye and screen in VDU work and VDU work has two main components: screen and keyboard, which means that the shoulders and arms and the eyes are all working at the same time and thus may be subject to similar work-related strains.

User Variables Related to Visual Comfort

Sex and Age

In the majority of surveys, women report more eye discomfort than men. In one French study, for example, 35.6% of women complained of eye discomfort, against 21.8% of men (p J 05 significance level) (Dorard 1988). In another study (Sjödren and Elfstrom 1990) it was observed that while the difference in the degree of discomfort between women (41%) and men (24%) was great, it “was more pronounced for those working 5-8 hours a day than for those working 1-4 hours a day”. Such differences are not necessarily sex-related, however, since women and men seldom share similar tasks. For example, in one computer plant studied, when women and men were both occupied in a traditional “woman’s job”, both sexes displayed the same amount of visual discomfort. Furthermore when women worked in traditional “men’s jobs”, they did not report more discomfort than men. In general, regardless of sex, the number of visual complaints among skilled workers who use VDUs on their jobs is much lower than the number of complaints from workers in unskilled, hectic jobs, such as data entry or word processing (Rey and Bousquet 1989). Some of these data are given in table 1.

Table 1. Prevalence of ocular symptoms in 196 VDU operators according to 4 categories

Categories

Percentage of symptoms (%)

Females in "female" jobs

81

Males in "female" jobs

75

Males in "male" jobs

68

Females in "male" jobs

65

Source: From Dorard 1988 and Rey and Bousquet 1989.

The highest number of visual complaints usually arise in the 40–50-year-old group, probably because this is the time when changes in accommodation ability of the eye are occurring rapidly. However, although older operators are perceived as having more visual complaints than younger workers, and, as a consequence, presbyopia (vision impairment due to ageing) is often cited as the main visual defect associated with visual discomfort at VDU workstations, it is important to consider that there is also a strong association between having acquired advanced skills in VDU work and age. There is usually a higher proportion of older women among unskilled female VDU operators, and younger male workers tend to more often be employed in skilled jobs. Thus before broad generalizations about age and visual problems associated with VDU can be made, the figures should be adjusted to take into account the comparative nature and skill level of the work being done at the VDU.

Eye defects and corrective lenses

In general, about half of all VDU operators display some kind of eye deficiency and most of these people use prescriptive lenses of one type or another. Often VDU user populations do not differ from the working population as far as eye defects and eye correction are concerned. For example, one survey (Rubino 1990) conducted among Italian VDU operators revealed that roughly 46% had normal vision and 38% were nearsighted (myopic), which is consistent with figures observed among Swiss and French VDU operators (Meyer and Bousquet 1990). Estimates of the prevalence of eye defects will vary according to the assessment technique used (Çakir 1981).

Most experts believe that presbyopia itself does not appear to have a significant influence on the incidence of asthenopia (persistent tiredness of the eyes). Rather, the use of unsuitable lenses appears to be likely to induce eye fatigue and discomfort. There is some disagreement about the effects in shortsighted young persons. Rubino has observed no effect while, according to Meyer and Bousquet (1990), myopic operators readily complain of undercorrection for the distance between eye and screen (usually 70 cm). Rubino also has proposed that people who suffer from a deficiency in eye coordination may be more likely to suffer from visual complaints in VDU work.

One interesting observation that resulted from a French study involving a thorough eye examination by ophthalmologists of 275 VDU operators and 65 controls was that 32% of those examined could have their vision improved by good correction. In this study 68% had normal vision, 24% were shortsighted and 8% farsighted (Boissin et al., 1991). Thus, although industrialized countries are, in general, well equipped to provide excellent eye care, eye correction is probably either completely neglected or inappropriate for those working at a VDU. An interesting finding in this study was that more cases of conjunctivitis were found in the VDU operators (48%) than in the controls. Since conjunctivitis and poor eyesight are correlated, this implies that better eye correction is needed.

Physical and Organizational Factors Affecting Visual Comfort

It is clear that in order to assess, correct and prevent visual discomfort in VDU work an approach which takes into account the many different factors described here and elsewhere in this chapter is essential. Fatigue and eye discomfort can be the result of individual physiological difficulties in normal accommodation and convergence in the eye, from conjunctivitis, or from wearing glasses that are poorly corrected for distance. Visual discomfort can be related to the workstation itself and can also be linked to work organization factors such as monotony and time spent on the job with and without a break. Inadequate lighting, reflections on screen, flicker and too much luminance of characters can also increase the risk of eye discomfort. Figure 1 illustrates some of these points.

Figure 1. Factors that increase the risk of eye fatigue among VDU workers

VDU030F1

Many of the appropriate characteristics of workstation layout are described more fully earlier in the chapter.

The best viewing distance for visual comfort which still leaves enough space for the keyboard appears to be about 65 cm. However, according to many experts, such as Akabri and Konz (1991), ideally, “it would be best to determine an individual’s dark focus so workstations could be adjusted to specific individuals rather than population means”. As far as the characters themselves go, in general, a good rule of thumb is “bigger is better”. Usually, letter size increases with the size of the screen, and a compromise is always struck between the readability of letters and the number of words and sentences that can be displayed on the screen at one time. The VDU itself should be selected according to the task requirements and should try to maximize user comfort.

In addition to the design of the workstation and the VDU itself is the need to allow the eyes to rest. This is particularly important in unskilled jobs, in which the freedom of “moving around” is generally much lower than in skilled jobs. Data entry work or other activities of the same type are usually performed under time pressure, sometimes even accompanied by electronic supervision, which times operator output very precisely. In other interactive VDU jobs which involve using databases, operators are obliged to wait for a response from the computer and thus must remain at their posts.

Flicker and eye discomfort

Flicker is the change in brightness of the characters on the screen over time and is more fully described above. When characters do not refresh themselves frequently enough, some operators are able to perceive flicker. Younger workers may be more affected since their flicker fusion frequency is higher than that of older people (Grandjean 1987). The rate of flicker increases with increase in brightness, which is one reason why many VDU operators do not commonly make use of the whole range of brightness of the screen that are available. In general a VDU with a refresh rate of at least 70 Hz should “fit” the visual needs of a large proportion of VDU operators.

The sensitivity of the eyes to flicker is enhanced by increased brightness and contrast between the fluctuating area and the surrounding area. The size of the fluctuating area also affects sensitivity because the larger the area to be viewed, the larger the area of the retina that is stimulated. The angle at which the light from the fluctuating area strikes the eye and the amplitude of modulation of the fluctuating area are other important variables.

The older the VDU user, the less sensitive the eye because older eyes are less transparent and the retina is less excitable. This is also true in sick people. Laboratory findings such as these help to explain the observations made in the field. For example, it has been found that operators are disturbed by flicker from the screen when reading paper documents (Isensee and Bennett as quoted in Grandjean 1987), and the combination of fluctuation from the screen and fluctuation of fluorescent light has been found to be particularly disturbing.

Lighting

The eye functions best when the contrast between the visual target and its background is maximum, as for example, with a black letter on white paper. Efficiency is further enhanced when the outer edge of the visual field is exposed to slightly lower levels of brightness. Unfortunately, with a VDU the situation is just the reverse of this, which is one reason that so many VDU operators try to protect their eyes against excess light.

Inappropriate contrasts in brightness and unpleasant reflections produced by fluorescent light, for example, can lead to visual complaints among VDU operators. In one study, 40% of 409 VDU workers made such complaints (Läubli et al., 1989).

In order to minimize problems with lighting, just as with viewing distances, flexibility is important. One should be able to adapt light sources to the visual sensitivity of individuals. Workplaces should be provided to offer individuals the opportunity to adjust their lighting.

Job characteristics

Jobs which are carried out under time pressure, especially if they are unskilled and monotonous, are often accompanied by sensations of general fatigue, which, in turn, can give rise to complaints of visual discomfort. In the authors’ laboratory, it was found that visual discomfort increased with the number of accommodative changes the eyes needed to make to carry out the task. This occurred more often in data entry or word processing than in tasks which involved dialogues with the computer. Jobs which are sedentary and provide little opportunity for moving around also provide less opportunity for muscular recovery and hence enhance the likelihood of visual discomfort.

Job organization

Eye discomfort is just one aspect of the physical and mental problems that can be associated with many jobs, as described more fully elsewhere in this chapter. It is not surprising, therefore, to find a high correlation between the level of eye discomfort and job satisfaction. Although night work is still not widely practised in office work, its effects on eye discomfort in VDU work may well be unexpected. This is because, although there are few data as yet available to confirm this, on the one hand, eye capacity during the night shift may be somehow depressed and thus more vulnerable to VDU effects, while on the other hand, the lighting environment is easier to adjust without disturbance from natural lighting, provided that the reflections from fluorescent lamps on dark windows are eliminated.

Individuals who use VDUs to work at home should ensure that they provide themselves with the appropriate equipment and lighting conditions to avoid the adverse environmental factors found in many formal workplaces.

Medical Surveillance

No single, particular hazardous agent has been identified as a visual risk. Asthenopia among VDU operators appears rather to be an acute phenomenon, although there is some belief that sustained strain of accommodation may occur. Unlike many other chronic diseases, misadjustment to VDU work is usually noticed very soon by the “patient”, who may be more likely to seek medical care than will workers in other workplace situations. After such visits, spectacles are often prescribed, but unfortunately they are sometimes ill adapted to needs of the workplace which have been described here. It is essential that practitioners be specially trained to care for patients who work with VDUs. A special course, for example, has been created at the Swiss Federal Institute of Technology in Zurich just for this purpose.

The following factors must be taken into consideration in caring for VDU workers. In comparison to traditional office work, the distance between the eye and the visual target, the screen, is usually of 50 to 70 cm and cannot be changed. Therefore, lenses should be prescribed which take this steady viewing distance into account. Bifocal lenses are inappropriate because they will require a painful extension of the neck in order for the user to read the screen. Multifocal lenses are better, but as they limit rapid eye movements, their use can lead to more head movements, producing additional strain.

Eye correction should be as precise as possible, taking into account the slightest visual defects (e.g., astigmatism) and also the viewing distance of the VDU. Tinted glasses which reduce the illumination level in the centre of the visual field should not be prescribed. Partially tinted spectacles are not useful, since eyes at the workplace are always moving in all directions. Offering special spectacles to employees, however, should not mean that further complaints of visual discomfort from workers may be ignored since the complaints could be justified by poor ergonomic design of the workstation and equipment.

It should be said, finally, that the operators who suffer the most discomfort are those who need raised illumination levels for detail work and who, at the same time, have a higher glare sensitivity. Operators with undercorrected eyes will thus display a tendency to get closer to the screen for more light and will be in this way more exposed to flicker.

Screening and secondary prevention

The usual principles of secondary prevention in public health are applicable to the working environment. Screening therefore should be targeted towards known hazards and is most useful for diseases with long latency periods. Screening should take place prior to any evidence of preventable disease and only tests with high sensitivity, high specificity and high predictive power are useful. The results of screening examinations can be used to assess the extent of exposure both of individuals and of groups.

Since no severe adverse effects on the eye have ever been identified in VDU work, and since no hazardous level of radiations associated with visual problems have been detected, it has been agreed that there is no indication that work with VDUs “will cause disease or damage to the eye” (WHO 1987). The ocular fatigue and eye discomfort that have been reported to occur in VDU operators are not the kinds of health effect which generally form the basis for medical surveillance in a secondary prevention programme.

However, pre-employment visual medical examinations of VDU operators are widespread in most member countries of the International Labour Organization, a requirement supported by trade unions and employers (ILO 1986). In many European countries (including France, the Netherlands and the United Kingdom), medical surveillance for VDU operators, including ocular tests, has also been instituted subsequent to the issuing of Directive 90/270/EEC on work with display screen equipment.

If a programme for the medical surveillance of VDU operators is to be set up, the following issues must be addressed in addition to deciding on the contents of the screening programme and the appropriate testing procedures:

  • What is the meaning of the surveillance and how should its results be interpreted?
  • Are all VDU operators in need of the surveillance?
  • Are any ocular effects which are observed appropriate for a secondary prevention programme?

 

Most routine visual screening tests available to the occupational physician have poor sensitivity and predictive power for eye discomfort associated with VDU work (Rey and Bousquet 1990). Snellen visual testing charts are particularly inappropriate for the measurement of visual acuity of VDU operators and for predicting their eye discomfort. In Snellen charts the visual targets are dark, precise letters on a clear, well illuminated background, not at all like typical VDU viewing conditions. Indeed, because of the inapplicability of other methods, a testing procedure has been developed by the authors (the C45 device) which simulates the reading and lighting conditions of a VDU workplace. Unfortunately, this remains for the time being a laboratory set-up. It is important to realise, however, that screening examinations are not a substitute for a well-designed workplace and good work organization.

Ergonomic Strategies to Reduce Visual Discomfort

Although systematic ocular screening and systematic visits to the eye specialist have not been shown to be effective in reducing visual symptomatology, they have been widely incorporated into occupational health programmes for VDU workers. A more cost-effective strategy could include an intensive ergonomic analysis of both the job and the workplace. Workers with known ocular diseases should try to avoid intensive VDU work as much as possible. Poorly corrected vision is another potential cause of operator complaints and should be investigated if such complaints occur. The improvement of the ergonomics of the workplace, which could include providing for a low reading angle to avoid a decreased blinking rate and neck extension, and providing the opportunity to rest and to move about on the job, are other effective strategies. New devices, with separate keyboards, allow distances to be adjusted. The VDU may also be made to be moveable, such as by placing it on a mobile arm. Eye strain will thus be reduced by permitting changes in viewing distance which match the corrections to the eye. Often the steps taken to reduce muscular pain in the arms, shoulders and back will at the same time also allow the ergonomist to reduce visual strain. In addition to the design of equipment, the quality of the air can affect the eye. Dry air leads to dry eyes, so that appropriate humidification is needed.

In general the following physical variables should be addressed:

  • the distance between the screen and the eye
  • the reading angle, which determines the position of the head and the neck
  • the distance to walls and windows
  • the quality of paper documents (often very poor)
  • luminances of screen and surroundings (for artificial and natural lighting)
  • flicker effects
  • glare sources and reflections
  • the humidity level.

 

Among the organizational variables that should be addressed in improving visual working conditions are:

  • content of the task, responsibility level
  • time schedules, night work, duration of work
  • freedom to “move around”
  • full time or part time jobs, etc.

 

Back

Workstation Design

On workstations with visual display units

Visual displays with electronically generated images (visual display units or VDUs) represent the most characteristic element of computerized work equipment both in the workplace and in private life. A workstation may be designed to accommodate just a VDU and an input device (normally a keyboard), as a minimum; however, it can also provide room for diverse technical equipment including numerous screens, input and output devices, etc. As recently as the early 1980s, data entry was the most typical task for computer users. In many industrialized countries, however, this type of work is now performed by a relatively small number of users. More and more, journalists, managers and even executives have become “VDU users”.

Most VDU workstations are designed for sedentary work, but working in standing postures may offer some benefits for the users. Thus, there is some need for generic design guidelines applicable to simple and complex workstations used both while sitting and standing. Such guidelines will be formulated below and then applied to some typical workplaces.

Design guidelines

Workplace design and equipment selection should consider not only the needs of the actual user for a given task and the variability of users’ tasks during the relatively long life cycle of furniture (lasting 15 years or longer), but also factors related to maintenance or change of equipment. ISO Standard 9241, part 5, introduces four guiding principles to be applied to workstation design:

Guideline 1: Versatility and flexibility.

A workstation should enable its user to perform a range of tasks comfortably and efficiently. This guideline takes into account the fact that users’ tasks may vary often; thus, the chance of a universal adoption of guidelines for the workplace will be small.

Guideline 2: Fit.

The design of a workstation and its components should ensure a “fit” to be achieved for a variety of users and a range of task requirements. The concept of fit concerns the extent to which furniture and equipment can accommodate an individual user’s various needs, that is, to remain comfortable, free from visual discomfort and postural strain. If not designed for a specific user population, e.g., male European control room operators younger than 40 years of age, the workstation concept should ensure fit for the entire working population including users with special needs, e.g., handicapped persons. Most existing standards for furniture or the design of workplaces take only parts of the working population into consideration (e.g., “healthy” workers between the 5th and 95th percentile, aged between 16 and 60, as in German standard DIN 33 402), neglecting those who may need more attention.

Moreover, though some design practices are still based on the idea of an “average” user, an emphasis on individual fit is needed. With regard to workstation furniture, the fit required may be achieved by providing adjustability, designing a range of sizes, or even by custom-made equipment. Ensuring a good fit is crucial for the health and safety of the individual user, since musculoskeletal problems associated with the use of VDUs are common and significant.

Guideline 3: Postural change.

The design of the workstation should encourage movement, since static muscular load leads to fatigue and discomfort and may induce chronic musculoskeletal problems. A chair that allows easy movement of the upper half of the body, and provision of sufficient space to place and use paper documents as well as keyboards at varying positions during the day, are typical strategies for facilitating body movement while working with a VDU.

Guideline 4: Maintainability—adaptability.

The design of the workstation should take into consideration factors such as maintenance, accessibility, and the ability of the workplace to adapt to changing requirements, such as the ability to move the work equipment if a different task is to be performed. The objectives of this guideline have not received much attention in the ergonomics literature, because problems related to them are assumed to have been solved before users start to work at a workstation. In reality, however, a workstation is an ever-changing environment, and cluttered workspaces, partly or fully unsuitable for the tasks at hand, are very often not the result of their initial design process but are the outcome of later changes.

Applying the guidelines

Task analysis.

Workplace design should be preceded by a task analysis, which provides information about the primary tasks to be performed at the workstation and the equipment needed for them. In such an analysis, the priority given to information sources (e.g., paper-based documents, VDUs, input devices), the frequency of their use and possible restrictions (e.g., limited space) should be determined. The analysis should include major tasks and their relationships in space and time, visual attention areas (how many visual objects are to be used?) and the position and use of the hands (writing, typing, pointing?).

General design recommendations

Height of the work surfaces.

If fixed-height work surfaces are to be used, the minimum clearance between the floor and the surface should be greater than the sum of the popliteal height (the distance between the floor and the back of the knee) and thigh clearance height (sitting), plus allowance for footwear (25 mm for male users and 45 mm for female users). If the workstation is designed for general use, the popliteal height and thigh clearance height should be selected for the 95th percentile male population. The resulting height for the clearance under the desk surface is 690 mm for the population of Northern Europe and for North American users of European origin. For other populations, the minimum clearance needed is to be determined according to the anthropometric characteristics of the specific population.

If the legroom height is selected this way, the top of the work surfaces will be too high for a large proportion of intended users, and at least 30 per cent of them will need a footrest.

If work surfaces are adjustable in height, the required range for adjustment can be calculated from the anthropometric dimensions of female users (5th or 2.5th percentile for minimum height) and male users (95th or 97.5th percentile for maximum height). A workstation with these dimensions will in general be able to accommodate a large proportion of persons with little or no change. The result of such a calculation yields a range between 600 mm to 800 mm for countries with an ethnically varied user population. Since the technical realization of this range may cause some mechanical problems, best fit can also be achieved, for example, by combining adjustability with different size equipment.

The minimum acceptable thickness of the work surface depends on the mechanical properties of the material. From a technical point of view, a thickness between 14 mm (durable plastic or metal) and 30 mm (wood) is achievable.

Size and form of the work surface.

The size and the form of a work surface are mainly determined by the tasks to be performed and the equipment needed for those tasks.

For data entry tasks, a rectangular surface of 800 mm by 1200 mm provides sufficient space to place the equipment (VDU, keyboard, source documents and copy holder) properly and to rearrange the layout according to personal needs. More complex tasks may require additional space. Therefore, the size of the work surface should exceed 800 mm by 1,600 mm. The depth of the surface should allow placing the VDU within the surface, which means that VDUs with cathode ray tubes may require a depth of up to 1,000 mm.

In principle, the layout displayed in figure 1 gives maximum flexibility for organizing the workspace for various tasks. However, workstations with this layout are not easy to construct. Thus, the best approximation of the ideal layout is as displayed in figure 2. This layout allows arrangements with one or two VDUs, additional input devices and so on. The minimum area of the work surface should be larger than 1.3 m2.

Figure 1. Layout of a flexible workstation that can be adapted to fit the needs of users with different tasks

VDU020F1

Figure 2. Flexible layout

VDU020F2

Arranging the workspace.

The spatial distribution of equipment in the workspace should be planned after a task analysis determining the importance and use frequency of each element has been conducted (table 1). The most frequently used visual display should be located within the central visual space, which is the shaded area of figure 3, while the most important and frequently used controls (such as the keyboard) should be located within optimum reach. In the workplace represented by the task analysis (table 1), the keyboard and the mouse are by far the most frequently handled pieces of equipment. Therefore, they should be given the highest priority within the reach area. Documents which are frequently consulted but do not need much handling should be assigned priority according to their importance (e.g., handwritten corrections). Placing them on the right-hand side of the keyboard would solve the problem, but this would create a conflict with the frequent use of the mouse which is also to be located to the right of the keyboard. Since the VDU may not need adjustment frequently, it can be placed to the right or left of the central field of vision, allowing the documents to be set on a flat document holder behind the keyboard. This is one possible, though not perfect, “optimized” solution.

Table 1. Frequency and importance of elements of equipment for a given task

VDU020T1

Figure 3. Visual workplace range

VDU020F3

Since many elements of the equipment possess dimensions comparable to corresponding parts of the human body, using various elements within one task will always be associated with some problems. It also may require some movements between parts of the workstation; hence a layout like that shown in figure 1 is important for various tasks.

In the course of the last two decades, computer power that would have needed a ballroom at the beginning was successfully miniaturized and condensed into a simple box. However, contrary to the hopes of many practitioners that miniaturization of equipment would solve most problems associated with workplace layout, VDUs have continued to grow: in 1975, the most common screen size was 15"; in 1995 people bought 17" to 21”:monitors, and no keyboard has become much smaller than those designed in 1973. Carefully performed task analyses for designing complex workstations are still of growing importance. Moreover, although new input devices have emerged, they have not replaced the keyboard, and require even more space on the work surface, sometimes of substantial dimensions, e.g., graphic tablets in an A3-format.

Efficient space management within the limits of a workstation, as well as within work rooms, may help in developing acceptable workstations from an ergonomic point of view, thus preventing the emergence of various health and safety problems.

Efficient space management does not mean saving space at the expense of the usability of input devices and especially vision. Using extra furniture, such as a desk return, or a special monitor-holder clamped to the desk, may appear to be a good way to save desk space; however, it may be detrimental to posture (raised arms) and vision (raising the line of vision upwards from the relaxed position). Space-saving strategies should ensure that an adequate visual distance (approximately 600 mm to 800 mm) is maintained, as well as an optimum line-of-vision, obtained from an inclination of approximately 35º from the horizontal (20º head and 15º eyes).

New furniture concepts.

Traditionally, office furniture was adapted to the needs of businesses, supposedly reflecting the hierarchy of such organizations: large desks for executives working in “ceremonial” offices at one end of the scale, and small typists furniture for “functional” offices at the other. The basic design of office furniture did not change for decades. The situation changed substantially with the introduction of information technology, and a completely new furniture concept has emerged: that of systems furniture.

Systems furniture was developed when people realized that changes in working equipment and work organization could not be matched by the limited capabilities of existing furniture to adapt to new needs. Furniture today offers a tool-box that enables the user organizations to create workspace as needed, from a minimal space for just a VDU and a keyboard up to complex workstations that can accommodate various elements of equipment and possibly also groups of users. Such furniture is designed for change and incorporates efficient and flexible cable management facilities. While the first generation of systems furniture did not do much more than add an auxiliary desk for the VDU to an existing desk, the third generation has completely broken its ties to the traditional office. This new approach offers great flexibility in designing workspaces, limited only by the available space and the abilities of organizations to use this flexibility.

Radiation

Radiation in the context of VDU applications

Radiation is the emission or transfer of radiant energy. The emission of radiant energy in the form of light as the intended purpose for the use of VDUs may be accompanied by various unwanted by-products such as heat, sound, infrared and ultraviolet radiation, radio waves or x rays, to name a few. While some forms of radiation, like visible light, may affect humans in a positive way, some emissions of energy can have negative or even destructive biological effects, especially when the intensity is high and the duration of exposure is long. Some decades ago exposure limits for different forms of radiation were introduced to protect people. However, some of these exposure limits are questioned today, and, for low frequency alternating magnetic fields, no exposure limit can be given based on levels of natural background radiation.

Radiofrequency and microwave radiation from VDUs

Electromagnetic radiation with a frequency range from a few kHz to 109 Hertz (the so-called radiofrequency, or RF, band, with wavelengths ranging from some km to 30 cm) can be emitted by VDUs; however, the total energy emitted depends on the characteristics of the circuitry. In practice, however, the field strength of this type of radiation is likely to be small and confined to the immediate vicinity of the source. A comparison of the strength of alternating electric fields in the range of 20 Hz to 400 kHz indicates that VDUs using cathode ray tube (CRT) technology emit, in general, higher levels than other displays.

“Microwave” radiation covers the region between 3x108 Hz to 3x1011 Hz (wavelengths 100 cm to 1 mm). There are no sources of microwave radiation in VDUs that emit a detectable amount of energy within this band.

Magnetic fields

Magnetic fields from a VDU originate from the same sources as alternating electric fields. Although magnetic fields are not “radiation”, alternating electric and magnetic fields cannot be separated in practice, since one induces the other. One reason why magnetic fields are discussed separately is that they are suspected to have teratogenic effects (see discussion later in this chapter).

Although the fields induced by VDUs are weaker than those induced by some other sources, such as high-voltage power lines, power plants, electrical locomotives, steel ovens and welding equipment, the total exposure produced by VDUs may be similar since people may work eight or more hours in the vicinity of a VDU but seldom near power lines or electric motors. The question of the relationship between electromagnetic fields and cancer, however, is still a matter for debate.

Optical radiation

“Optical” radiation covers visible radiation (i.e., light) with wavelengths from 380 nm (blue) to 780 nm (red), and the neighbouring bands in the electromagnetic spectrum (infrared from 3x1011 Hz to 4x1014 Hz, wavelengths from 780 nm to 1 mm; ultraviolet from 8x1014 Hz to 3x1017 Hz). Visible radiation is emitted at moderate levels of intensity comparable with that emitted by room surfaces (»100 cd/m2). However, ultraviolet radiation is trapped by the glass of the tube face (CRTs) or not emitted at all (other display technologies). Levels of ultraviolet radiation, if detectable at all, stay well below occupational exposure standards, as do those of infrared radiation.

X rays

CRTs are well-known sources of x rays, while other technologies like liquid crystal displays (LCDs) do not emit any. The physical processes behind emissions of this type of radiation are well understood, and tubes and circuitry are designed to keep the emitted levels far below the occupational exposure limits, if not below detectable levels. Radiation emitted by a source can only be detected if its level exceeds the background level. In the case of x rays, as for other ionizing radiation, the background level is provided by cosmic radiation and by radiation from radioactive materials in the ground and in buildings. In normal operation, a VDU does not emit x rays exceeding the background level of radiation (50 nGy/h).

Radiation recommendations

In Sweden, the former MPR (Statens Mät och Provråd, the National Council for Metrology and Testing) organization, now SWEDAC, has worked out recommendations for evaluating VDUs. One of their main objectives was to limit any unwanted by-product to levels that can be achieved by reasonable technical means. This approach goes beyond the classical approach of limiting hazardous exposures to levels where the likelihood of an impairment of health and safety seems to be acceptably low.

At the beginning, some recommendations of MPR led to the unwanted effect of reducing the optical quality of CRT displays. However, at present, only very few products with extremely high resolution may suffer any degradation if the manufacturer attempts to comply with the MPR (now MPR-II). The recommendations include limits for static electricity, magnetic and electric alternating fields, visual parameters, etc.

Image Quality

Definitions for image quality

The term quality describes the fit of distinguishing attributes of an object for a defined purpose. Thus, the image quality of a display includes all properties of the optical representation regarding the perceptibility of symbols in general, and the legibility or readability of alphanumeric symbols. In this sense, optical terms used by tube manufacturers, like resolution or minimum spot size, describe basic quality criteria concerning the abilities of a given device for displaying thin lines or small characters. Such quality criteria are comparable with the thickness of a pencil or brush for a given task in writing or painting.

Some of the quality criteria used by ergonomists describe optical properties that are relevant for legibility, e.g., contrast, while others, like character size or stroke width, refer more to typographical features. In addition, some technology-dependent features like the flicker of images, the persistence of images, or the uniformity of contrast within a given display are also considered in ergonomics (see figure 4).

Figure 4. Criteria for image evaluation

VDU020F4

Typography is the art of composing “type”, which is not only shaping the fonts, but also selecting and setting of type. Here, the term typography is used in the first meaning.

Basic characteristics

Resolution.

Resolution is defined as the smallest discernible or measurable detail in a visual presentation. For example, the resolution of a CRT display can be expressed by the maximum number of lines that can be displayed in a given space, as usually done with the resolution of photographic films. One can also describe the minimum spot size that a device can display at a given luminance (brightness). The smaller the minimum spot, the better the device. Thus, the number of dots of minimum size (picture elements—also known as pixels) per inch (dpi) represents the quality of the device, e.g., a 72 dpi device is inferior to a 200 dpi display.

In general, the resolution of most computer displays is well below 100 dpi: some graphic displays may achieve 150 dpi, however, only with limited brightness. This means, if a high contrast is required, the resolution will be lower. Compared with the resolution of print, e.g., 300 dpi or 600 dpi for laser printers, the quality of VDUs is inferior. (An image with 300 dpi has 9 times more elements in the same space than a 100 dpi image.)

Addressability.

Addressability describes the number of individual points in the field that the device is capable of specifying. Addressability, which is very often confused with resolution (sometimes deliberately), is one specification given for devices: “800 x 600” means that the graphic board can address 800 points on every one of 600 horizontal lines. Since one needs at least 15 elements in the vertical direction to write numbers, letters and other characters with ascenders and descenders, such a screen can display a maximum of 40 lines of text. Today, the best available screens can address 1,600 x 1,200 points; however, most displays used in industry address 800 x 600 points or even less.

On displays of the so-called “character-oriented” devices, it is not dots (points) of the screen that are addressed but character boxes. In most such devices, there are 25 lines with 80 character positions each in the display. On these screens, each symbol occupies the same space regardless of its width. In industry the lowest number of pixels in a box is 5 wide by 7 high. This box allows both upper and lower case characters, although the descenders in “p”, “q” and “g”, and the ascenders above “Ä” or “Á” cannot be displayed. Considerably better quality is provided with the 7 x 9 box, which has been “standard” since the mid-1980s. To achieve good legibility and reasonably good character shapes, the character box size should be at least 12 x 16.

Flicker and refresh rate.

The images on CRTs and on some other types of VDU are not persistent images, as on paper. They only appear to be steady by taking advantage of an artefact of the eye. This, however, is not without penalty, since the screen tends to flicker if the image is not refreshed constantly. Flicker can influence both performance and comfort of the user and should always be avoided.

Flicker is the perception of brightness varying over time. The severity of flicker depends on various factors such as the characteristics of the phosphor, size and brightness of the flickering image, etc. Recent research shows that refresh rates up to 90 Hz may be needed to satisfy 99 per cent of users, while in earlier research, refresh rates well below 50 Hz were thought to be satisfactory. Depending on various features of the display, a flicker-free image may be achieved by refresh rates between 70 Hz and 90 Hz; displays with a light background (positive polarity) need a minimum of 80 Hz to be perceived as flicker-free.

Some modern devices offer an adjustable refresh rate; unfortunately, higher refresh rates are coupled with lower resolution or addressability. The ability of a device to display high “resolution” images with high refresh rates can be assessed by its video bandwidth. For displays with high quality, the maximum video bandwidth lies above 150 MHz, while some displays offer less than 40 MHz.

To achieve a flicker-free image and a high resolution with devices with lower video bandwidth, the manufacturers apply a trick that stems from commercial TV: the interlace mode. In this case, every second line on the display is refreshed with a given frequency. The result, however, is not satisfactory if static images, such as text and graphics, are displayed and the refresh rate is below 2 x 45 Hz. Unfortunately, the attempt to suppress the disturbing effect of flicker may induce some other negative effects.

Jitter.

Jitter is the result of spatial instability of the image; a given picture element is not displayed at the same location on the screen after each refresh process. The perception of jitter cannot be separated from the perception of flicker.

Jitter may have its cause in the VDU itself, but it can also be induced by interaction with other equipment at the workplace, such as a printer or other VDUs or devices that generate magnetic fields.

Contrast.

Brightness contrast, the ratio of the luminance of a given object to its surroundings, represents the most important photometric feature for readability and legibility. While most standards require a minimum ratio of 3:1 (bright characters on dark background) or 1:3 (dark characters on bright background), optimum contrast is actually about 10:1, and devices of good quality achieve higher values even in bright environments.

The contrast of “active” displays is impaired when the ambient light is increased, while “passive” displays (e.g., LCDs) lose contrast in dark environments. Passive displays with background lighting may offer good visibility in all environments under which people may work.

Sharpness.

Sharpness of an image is a well-known, but still ill-defined feature. Hence, there is no agreed-upon method to measure sharpness as a relevant feature for legibility and readability.

Typographical features

Legibility and readability.

Readability refers to whether a text is understandable as a series of connected images, while legibility refers to the perception of single or grouped characters. Thus, good legibility is, in general, a precondition for readability.

Legibility of text depends on several factors: some have been investigated thoroughly, while other relevant factors like character shapes are yet to be classified. One of the reasons for this is that the human eye represents a very powerful and robust instrument, and the measures used for performance and error rates often do not help to distinguish between different fonts. Thus, to some extent, typography still remains an art rather than a science.

Fonts and readability.

A font is a family of characters, designed to yield either optimum readability on a given medium, e.g., paper, electronic display or projection display, or some desired aesthetic quality, or both. While the number of available fonts exceeds ten thousand, only a few fonts, numbered in tens, are believed to be “readable”. Since legibility and readability of a font are also affected by the experience of the reader—some “legible” fonts are believed to have become so because of decades or even centuries of use without changing their shape—the same font may be less legible on a screen than on paper, merely because its characters look “new”. This, however, is not the main reason for the poor legibility of screens.

In general, the design of screen fonts is restricted by shortcomings in technology. Some technologies impose very narrow limits on the design of characters, e.g., LEDs or other rastered screens with limited numbers of dots per display. Even the best CRT displays can seldom compete with print (figure 5). In the last years, research has shown that speed and accuracy of reading on screens is about 30% lower than on paper, but whether this is due to features of the display or to other factors is not yet known.

Figure 5. Appearance of a letter at various screen resolutions and on paper (right)

VDU020F5

Characteristics with measurable effects.

The effects of some characteristics of alphanumeric representations are measurable, e.g., apparent size of the characters, height/width ratio, stroke width/size ratio, line, word and character spacing.

The apparent size of the characters, measured in minutes of arc, shows an optimum by 20' to 22'; this corresponds to about 3 mm to 3.3 mm in height under normal viewing conditions in offices. Smaller characters may lead to increased errors, visual strain, and also to more postural strain due to restricted viewing distance. Thus, text should not be represented in an apparent size of less than 16'.

However, graphical representations may require text of smaller size to be displayed. To avoid errors, on the one hand, and a high visual load for the user on the other, parts of the text to be edited should be displayed in a separate window to assure good readability. Characters with an apparent size of less than 12' should not be displayed as readable text, but replaced by a rectangular grey block. Good programs allow the user to select the minimum actual size of characters that are to be displayed as alphanumerics.

The optimum height/width ratio of characters is about 1:0.8; legibility is impaired if the ratio is above 1:0.5. For good legible print and also for CRT screens, the ratio of character height to stroke width is about 10:1. However, this is only a rule of thumb; legible characters of high aesthetical value often show different stroke widths (see figure 5).

Optimal line spacing is very important for readability, but also for space saving, if a given amount of information is to be displayed in limited space. The best example for this is the daily newspaper, where an enormous amount of information is displayed within a page, but is still readable. The optimum line spacing is about 20% of character height between the descenders of a line and the ascenders of the next; this is a distance of about 100% of the character height between the baseline of a line of text and the ascenders of the next. If the length of the line is reduced, the space between the lines may be reduced, too, without losing readability.

Character spacing is invariable on character-oriented screens, making them inferior in readability and aesthetic quality to displays with variable space. Proportional spacing depending on the shape and width of the characters is preferable. However, a typographical quality comparable to well-designed printed fonts is achievable only on few displays and when using specific programs.

Ambient Lighting

The specific problems of VDU workstations

During the last 90 years of industrial history, the theories about the lighting of our workplaces have been governed by the notion that more light will improve vision, reduce stress and fatigue, as well as enhance performance. “More light”, correctly speaking “more sunlight”, was the slogan of people in Hamburg, Germany, more than 60 years ago when they took to the streets to fight for better and healthier homes. In some countries like Denmark or Germany, workers today are entitled to have some daylight at their workplaces.

The advent of information technology, with the emergence of the first VDUs in working areas, was presumably the first event ever when workers and scientists began to complain about too much light in working areas. The discussion was fuelled by the easily detectable fact that most VDUs were equipped with CRTs, which have curved glass surfaces prone to veiling reflections. Such devices, sometimes called “active displays”, lose contrast when the level of ambient lighting becomes higher. Redesigning lighting to reduce the visual impairments caused by these effects, however, is complicated by the fact that most users also use paper-based information sources, which generally require increased levels of ambient light for good visibility.

The role of ambient light

Ambient light found in the vicinity of VDU workstations serves two different purposes. First, it illuminates the workspace and working materials like paper, telephones, etc. (primary effect). Secondly, it illuminates the room, giving it its visible shape and giving the users the impression of a light surrounding (secondary effect). Since most lighting installations are planned according to the concept of general lighting, the same lighting sources serve both purposes. The primary effect, illuminating passive visual objects to make them visible or legible, became questionable when people started to use active screens that do not need ambient light to be visible. The remaining benefit of the room lighting was reduced to the secondary effect, if the VDU is the major source of information.

The function of VDUs, both of CRTs (active displays) and of LCDs (passive displays), is impaired by the ambient light in specific ways:

CRTs:

  • The curved glass surface reflects bright objects in the environment, and forms a kind of visual “noise”.
  • Depending on the intensity of ambient illumination, the contrast of displayed objects is reduced to a degree that readability or legibility of the objects is impaired.
  • Images on colour CRTs suffer a twofold degradation: First, the brightness contrast of all displayed objects is reduced, as on monochrome CRTs. Secondly, the colours are changed so that colour contrast is also reduced. In addition, the number of distinguishable colours is reduced.

 

LCDs (and other passive displays):

  • The reflections on LCDs cause less concern than those on CRT surfaces, since these displays have flat surfaces.
  • In contrast to active displays, LCDs (without backlight) lose contrast under low levels of ambient illumination.
  • Due to poor directional characteristics of some display technologies, visibility or legibility of displayed objects is substantially reduced if the main direction of light incidence is unfavourable.

 

The extent to which such impairments exert a stress on users or lead to a substantial reduction of visibility/readability/legibility of visual objects in real working environments varies greatly. For example, the contrast of alphanumeric characters on monochrome (CRT) displays is reduced in principle, but, if the illuminance on the screen is ten times higher than in normal working environments, many screens will still have a contrast sufficient to read alphanumeric characters. On the other hand, colour displays of computer-aided design (CAD) systems decrease substantially in visibility so that most users prefer to dim the artificial lighting or even to switch it off, and, in addition, to keep the daylight out of their working area.

Possible remedies

Changing illuminance levels.

Since 1974, numerous studies have been performed which led to recommendations for reducing illuminance at the workplace. However, these recommendations were mostly based on studies with unsatisfactory screens. The recommended levels were between 100 lux and 1,000 lx, and generally, levels well below the recommendations of the existing standards for office lighting (e.g., 200 lx or 300 to 500 lx) have been discussed.

When positive screens with a luminance of approximately 100 cd/m2 brightness and some kind of efficient anti-glare treatment are used, the utilization of a VDU does not limit the acceptable illuminance level, since users find illuminance levels up to 1,500 lx acceptable, a value which is very rare in working areas.

If the relevant characteristics of the VDUs do not allow comfortable working under normal office lighting, as can occur when working with storage tubes, microimage readers, colour screens etc., the visual conditions can be improved substantially by introducing two-component lighting. Two-component lighting is a combination of indirect room lighting (secondary effect) and direct task lighting. Both components should be controllable by the users.

Controlling glare on screens.

Controlling glare on screens is a difficult task since almost all remedies that improve the visual conditions are likely to impair some other important characteristic of the display. Some remedies, proposed for many years, such as mesh filters, remove reflections from the displays but they also impair the legibility of the display. Low luminance luminaires cause less reflected glare on screens, but the quality of such lighting generally is judged by users to be worse than that of any other type of lighting.

For this reason, any measures (see figure 6) should be applied cautiously, and only after analysing the real cause of the annoyance or disturbance. Three possible ways of controlling glare on screens are: selection of the correct location of the screen with respect to glare sources; selection of suitable equipment or addition of elements to it; and use of lighting. The costs of the measures to be taken are of the same order: it costs almost nothing to place screens in such a way as to eliminate reflected glare. However, this may not be possible in all cases; thus, equipment-related measures will be more expensive but may be necessary in various working environments. Glare control by lighting is often recommended by lighting specialists; however, this method is the most expensive but not the most successful way of controlling glare.

Figure 6. Strategies for controlling glare on screens

VDU020F6

The most promising measure at present is the introduction of positive screens (displays with bright background) with an additional anti-glare treatment for the glass surface. Even more successful than this will be the introduction of flat screens with a nearly matt surface and bright background; such screens, however, are not available for general use today.

Adding hoods to displays is the ultima ratio of the ergonomists for difficult work environments like production areas, towers of airports or operator cabins of cranes, etc. If hoods are really needed, it is likely that there will be more severe problems with lighting than just reflected glare on visual displays.

Changing luminaire design is mainly accomplished in two ways: first, by reducing the luminance (corresponds to apparent brightness) of parts of the light fittings (so called “VDU lighting”), and secondly, by introducing indirect light instead of direct light. The results of current research show that introducing indirect light yields substantial improvements for users, reduces visual load, and is well accepted by users.

 

Back

Friday, 25 March 2011 03:40

Overview

New information technologies are being introduced in all industrial sectors, albeit to varying extents. In some cases, the costs of computerizing production processes may constitute an impediment to innovation, particularly in small and medium-sized companies and in developing countries. Computers make possible the rapid collection, storage, processing and dissemination of large quantities of information. Their utility is further enhanced by their integration into computer networks, which allow resources to be shared (Young 1993).

Computerization exerts significant effects on the nature of employment and on working conditions. Beginning about the mid-1980s, it was recognized that workplace computerization may lead to changes in task structure and work organization, and by extension to work requirements, career planning and stress suffered by production and management personnel. Computerization may exert positive or negative effects on occupational health and safety. In some cases, the introduction of computers has rendered work more interesting and resulted in improvements in the work environment and reductions of workload. In others, however, the result of technological innovation has been an increase in the repetitive nature and intensity of tasks, a reduction of the margin for individual initiative and the isolation of the worker. Furthermore, several companies have been reported to increase the number of work shifts in an attempt to extract the largest possible economic benefit from their financial investment (ILO 1984).

As far as we have been able to determine, as of 1994 statistics on the worldwide use of computers are available from one source only—The Computer Industry Almanac (Juliussen and Petska-Juliussen 1994). In addition to statistics on the current international distribution of computer use, this publication also reports the results of retrospective and prospective analyses. The figures reported in the latest edition indicate that the number of computers is increasing exponentially, with the increase becoming particularly marked at the beginning of the 1980s, the point at which personal computers began to attain great popularity. Since 1987, total computer processing power, measured in terms of the number of million instructions per second executed (MIPS) has increased 14-fold, thanks to the development of new microprocessors (transistor components of microcomputers which perform arithmetical and logical calculations). By the end of 1993, total computing power attained 357 million MIPS.

Unfortunately, available statistics do not differentiate between computers used for work and personal purposes, and statistics are unavailable for some industrial sectors. These knowledge gaps are most likely due to methodological problems related to the collection of valid and reliable data. However, reports of the International Labour Organization’s tripartite sectoral committees contain relevant and comprehensive information on the nature and extent of the penetration of new technologies in various industrial sectors.

In 1986, 66 million computers were in use throughout the world. Three years later, there were more than 100 million, and by 1997, it is estimated that 275–300 million computers will be in use, with this number reaching 400 million by 2000. These predictions assume the widespread adoption of multimedia, information highway, voice recognition and virtual reality technologies. The Almanac’s authors consider that most televisions will be equipped with personal computers within ten years of publication, in order to simplify access to the information highway.

According to the Almanac, in 1993 the overall computer: population ratio in 43 countries in 5 continents was 3.1 per 100. It should however be noted that South Africa was the only African country reporting and that Mexico was the only Central American country reporting. As the statistics indicate, there is a very wide international variation in the extent of computerization, the computer:population ratio ranging from 0.07 per 100 to 28.7 per 100.

The computer:population ratio of less than 1 per 100 in developing countries reflects the generally low level of computerization prevailing there (table 1) (Juliussen and Petska-Juliussen 1994). Not only do these countries produce few computers and little software, but lack of financial resources may in some cases prevent them from importing these products. Moreover, their often rudimentary telephone and electrical utilities are often barriers to more widespread computer use. Finally, little linguistically and culturally appropriate software is available, and training in computer-related fields is often problematic (Young 1993).

 


Table 1. Distribution of computers in various regions of the world

 

REGION

COMPUTERS PER 100 PEOPLE

   

NORTH AMERICA

 

   United States

28.7

   Canada

8.8

CENTRAL AMERICA

 

   Mexico

1.7

SOUTH AMERICA

 

   Argentina

1.3

   Brazil

0.6

   Chile

2.6

   Venezuela

1.9

WESTERN EUROPE

 

   Austria

9.5

   Belgium

11.7

   Denmark

16.8

   Finland

16.7

   France

12.9

   Germany

12.8

   Greece

2.3

   Ireland

13.8

   Italy

7.4

   Netherlands

13.6

   Norway

17.3

   Portugal

4.4

   Spain

7.9

   Sweden

15

   Switzerland

14

   United Kingdom

16.2

EASTERN EUROPE

 

   Czech Republic

2.2

   Hungary

2.7

   Poland

1.7

   Russian Federation

0.78

   Ukraine

0.2

OCEANIA

 

   Australia

19.2

   New Zealand

14.7

AFRICA

 

   South Africa

1

ASIA

 

   China

0.09

   India

0.07

   Indonesia

0.17

   Israel

8.3

   Japan

9.7

   Korea, Republic of

3.7

   Phillipines

0.4

   Saudi Arabia

2.4

   Singapore

12.5

   Taiwan

7.4

   Thailand

0.9

   Turkey

0.8

Less than 1

1 - 5   6 - 10   11 - 15   16-20   21 - 30

Source: Juliussen and Petska-Juliussen 1994.


 

Computerization has significantly increased in the countries of the former Soviet Union since the end of the Cold War. The Russian Federation, for example, is estimated to have increased its stock of computers from 0.3 million in 1989 to 1.2 million in 1993.

The largest concentration of computers is found in the industrialized countries, especially in North America, Australia, Scandinavia and Great Britain (Juliussen and Petska-Juliussen 1994). It was principally in these countries that the first reports of visual display unit (VDU) operators’ fears regarding health risks appeared and the initial research aimed at determining the prevalence of health effects and identifying risk factors undertaken. The health problems studied fall into the following categories: visual and ocular problems, musculoskeletal problems, skin problems, reproductive problems, and stress.

It soon became evident that the health effects observed among VDU operators were dependent not only on screen characteristics and workstation layout, but also on the nature and structure of tasks, organization of work and manner in which the technology was introduced (ILO 1989). Several studies have reported a higher prevalence of symptoms among female VDU operators than among male operators. According to recent studies, this difference is more reflective of the fact that female operators typically have less control over their work than do their male counterparts than of true biological differences. This lack of control is thought to result in higher stress levels, which in turn result in increased symptom prevalence in female VDU operators.

VDUs were first introduced on a widespread basis in the tertiary sector, where they were used essentially for office work, more specifically data entry and word processing. We should not therefore be surprised that most studies of VDUs have focused on office workers. In industrialized countries, however, computerization has spread to the primary and secondary sectors. In addition, although VDUs were used almost exclusively by production workers, they have now penetrated to all organizational levels. In recent years, researchers have therefore begun to study a wider range of VDU users, in an attempt to overcome the lack of adequate scientific information on these situations.

Most computerized workstations are equipped with a VDU and a keyboard or mouse with which to transmit information and instructions to the computer. Software mediates information exchange between the operator and the computer and defines the format with which information is displayed on the screen. In order to establish the potential hazards associated with VDU use, it is first necessary to understand not only the characteristics of the VDU but also those of the other components of the work environment. In 1979, Çakir, Hart and Stewart published the first comprehensive analysis in this field.

It is useful to visualize the hardware used by VDU operators as nested components that interact with each other (IRSST 1984). These components include the terminal itself, the workstation (including work tools and furniture), the room in which the work is carried out, and the lighting. The second article in this chapter reviews the main characteristics of workstations and their lighting. Several recommendations aimed at optimizing working conditions while taking into account individual variations and variations in tasks and work organization are offered. Appropriate emphasis is placed on the importance of choosing equipment and furniture which allow flexible layouts. This flexibility is extremely important in light of international competition and rapidly evolving technological development that are constantly driving companies to introduce innovations and while simultaneously forcing them to adapt to the changes these innovations bring.

The next six articles discuss health problems studied in response to fears expressed by VDU operators. The relevant scientific literature is reviewed and the value and limitations of research results highlighted. Research in this field draws upon numerous disciplines, including epidemiology, ergonomics, medicine, engineering, psychology, physics and sociology. Given the complexity of the problems and more specifically their multifactorial nature, the necessary research has often been conducted by multidisciplinary research teams. Since the 1980s, these research efforts have been complemented by regularly organized international congresses such as Human-Computer Interaction and Work with Display Units, which provide an opportunity to disseminate research results and promote the exchange of information between researchers, VDU designers, VDU producers and VDU users.

The eighth article discusses human-computer interaction specifically. The principles and methods underlying the development and evaluation of interface tools are presented. This article will prove useful not only to production personnel but also those interested in the criteria used to select interface tools.

Finally, the ninth article reviews international ergonomic standards as of 1995, related to the design and layout of computerized workstations. These standards have been produced in order to eliminate the hazards to which VDU operators can be exposed in the course of their work. The standards provide guidelines to companies producing VDU components, employers responsible for the purchase and layout of workstations, and employees with decision-making responsibilities. They may also prove useful as tools with which to evaluate existing workstations and identify modifications required in order to optimize operators’ working conditions.

 

Back

Thursday, 24 March 2011 23:13

Organizing for Fire Protection

Private Emergency Organization

Profit is the main objective of any industry. To achieve this objective, an efficient and alert management and continuity of production are essential. Any interruption in production, for any reason, will adversely affect profits. If the interruption is the result of a fire or explosion, it may be long and may cripple the industry.

Very often, a plea is taken that the property is insured and loss due to fire, if any, will be indemnified by the insurance company. It must be appreciated that insurance is only a device to spread the effect of the destruction brought by fire or explosion on as many people as possible. It cannot make good the national loss. Besides, insurance is no guarantee of continuity of production and elimination or minimization of consequential losses.

What is indicated, therefore, is that the management must gather complete information on the fire and explosion hazard, evaluate the loss potential and implement suitable measures to control the hazard, with a view to eliminating or minimizing the incidence of fire and explosion. This involves the setting up of a private emergency organization.

Emergency Planning

Such an organization must, as far as possible, be considered from the planning stage itself, and implemented progressively from the time of selection of site until production has started, and then continued thereafter.

Success of any emergency organization depends to a large extent on the overall participation of all workers and various echelons of the management. This fact must be borne in mind while planning the emergency organization.

The various aspects of emergency planning are mentioned below. For more details, a reference may be made to the US National Fire Protection Association (NFPA) Fire Protection Handbook or any other standard work on the subject (Cote 1991).

Stage 1

Initiate the emergency plan by doing the following:

  1. Identify and evaluate fire and explosion hazards associated with the transportation, handling and storage of each raw material, intermediate and finished products and each industrial process, as well as work out detailed preventive measures to counteract the hazards with a view to eliminating or minimizing them.
  2. Work out the requirements of fire protection installations and equipment, and determine the stages at which each is to be provided.
  3. Prepare specifications for the fire protection installation and equipment.

 

Stage 2

Determine the following:

  1. availability of adequate water supply for fire protection in addition to the requirements for processing and domestic use
  2. susceptibility of site and natural hazards, such as floods, earthquakes, heavy rains, etc.
  3. environments, i.e., the nature and extent of surrounding property and the exposure hazard involved in the event of a fire or explosion
  4. existence of private (works) or public fire brigade(s), the distance at which such fire brigade(s) is (are) located and the suitability of the appliances available with them for the risk to be protected and whether they can be called upon to assist in an emergency
  5. response from the assisting fire brigade(s) with particular reference to impediments, such as railway crossings, ferries, inadequate strength and (or) width of bridges in relation to the fire appliances, difficult traffic, etc.
  6. socio-political environment , i.e., incidence of crime, and political activities leading to law-and-order problems.

 

Stage 3

Prepare the layout and building plans, and the specifications of construction material. Carry out the following tasks:

  1. Limit the floor area of each shop, workplace, etc. by providing fire walls, fire doors, etc.
  2. Specify the use of fire-resistant materials for construction of building or structure.
  3. Ensure that steel columns and other structural members are not exposed.
  4. Ensure adequate separation between building, structures and plant.
  5. Plan installation of fire hydrants, sprinklers, etc. where necessary.
  6. Ensure the provision of adequate access roads in the layout plan to enable fire appliances to reach all parts of the premises and all sources of water for fire-fighting.

 

Stage 4

During construction, do the following:

  1. Acquaint the contractor and his or her employees with the fire risk management policies, and enforce compliance.
  2. Thoroughly test all fire protection installations and equipment before acceptance.

 

Stage 5

If the size of the industry, its hazards or its out-of-the-way location is such that a full-time fire brigade must be available on the premises, then organize, equip and train the required full-time personnel. Also appoint a full-time fire officer.

Stage 6

To ensure full participation of all employees, do the following:

  1. Train all personnel in the observance of precautionary measures in their day-to-day work and the action required of them upon an outbreak of fire or explosion. The training must include operation of fire-fighting equipment.
  2. Ensure strict observance of fire precautions by all concerned personnel through periodic reviews.
  3. Ensure regular inspection and maintenance of all fire protection systems and equipment. All defects must be rectified promptly.

 

Managing the emergency

To avoid confusion at the time of an actual emergency, it is essential that everyone in the organization knows the precise part that he (she) and others are expected to play during the emergency. A well-thought-out emergency plan must be prepared and promulgated for this purpose, and all concerned personnel must be made fully familiar with it. The plan must clearly and unambiguously lay down the responsibilities of all concerned and also specify a chain of command. As a minimum, the emergency plan should include the following:

1.      name of the industry

2.      address of the premises, with telephone number and a site plan

3.      purpose and objective of the emergency plan and effective date of its coming in force

4.      area covered, including a site plan

5.      emergency organization, indicating chain of command from the work manager on downwards

6.      fire protection systems, mobile appliances and portable equipment, with details

7.      details of assistance availability

8.      fire alarm and communication facilities

9.      action to be taken in an emergency. Include separately and unambiguously the action to be taken by:

  • the person discovering the fire
  • the private fire brigade on the premises
  • head of the section involved in the emergency
  • heads of other sections not actually involved in theemergency
  • the security organization
  • the fire officer, if any
  • the works manager
  • others

       10.     chain of command at the scene of incident. Consider all possible situations, and indicate clearly who is to assume command in each case, including the circumstances under which another organization is to be called in to assist.

11.      action after a fire. Indicate responsibility for:

  • recommissioning or replenishing of all fire protectionsystems, equipment and water sources
  • investigating the cause of fire or explosion
  • preparation and submission of reports
  • initiating remedial measures to prevent re-occurrence of similar emergency.

 

When a mutual assistance plan is in operation, copies of emergency plan must be supplied to all participating units in return for similar plans of their respective premises.

Evacuation Protocols

A situation necessitating the execution of the emergency plan may develop as a result of either an explosion or a fire.

Explosion may or may not be followed by fire, but in almost all cases, it produces a shattering effect, which may injure or kill personnel present in the vicinity and/or cause physical damage to property, depending upon the circumstances of each case. It may also cause shock and confusion and may necessitate the immediate shut-down of the manufacturing processes or a portion thereof, along with the sudden movement of a large number of people. If the situation is not controlled and guided in an orderly manner immediately, it may lead to panic and further loss of life and property.

Smoke given out by the burning material in a fire may involve other parts of the property and/or trap persons, necessitating an intensive, large-scale rescue operation/evacuation. In certain cases, large-scale evacuation may have to be undertaken when people are likely to get trapped or affected by fire.

In all cases in which large-scale sudden movement of personnel is involved, traffic problems are also created—particularly if public roads, streets or areas have to be used for this movement. If such problems are not anticipated and suitable action is not preplanned, traffic bottlenecks result, which hamper and retard fire extinguishment and rescue efforts.

Evacuation of a large number of persons—particularly from high-rise buildings—may also present problems. For successful evacuation, it is not only necessary that adequate and suitable means of escape are available, but also that the evacuation be effected speedily. Special attention should be given to the evacuation needs of disabled individuals.

Detailed evacuation procedures must, therefore, be included in the emergency plan. These must be frequently tested in the conduct of fire and evacuation drills, which may also involve traffic problems. All participating and concerned organizations and agencies must also be involved in these drills, at least periodically. After each exercise, a debriefing session must be held, during which all mistakes are pointed out and explained. Action must also be taken to prevent repetition of the same mistakes in future exercises and actual incidents by removing all difficulties and reviewing the emergency plan as necessary.

Proper records must be maintained of all exercises and evacuation drills.

Emergency Medical Services

Casualties in a fire or explosion must receive immediate medical aid or be moved speedily to a hospital after being given first aid.

It is essential that management provide one or more first-aid post(s) and, where necessary because of the size and hazardous nature of the industry, one or more mobile paramedical appliances. All first-aid posts and paramedical appliances must be staffed at all times by fully trained paramedics.

Depending upon the size of the industry and the number of workers, one or more ambulance(s) must also be provided and staffed on the premises for removal of casualties to hospitals. In addition, arrangement must be  made to ensure that additional ambulance facilities are available at short notice when needed.

Where the size of the industry or workplace so demands, a full-time medical officer should also be made available at all times for any emergency situation.

Prior arrangements must be made with a designated hospital or hospitals at which priority is given to casualties who are removed after a fire or explosion. Such hospitals must be listed in the emergency plan along with their telephone numbers, and the emergency plan must have suitable provisions to ensure that a responsible person shall alert them to receive casualties as soon as an emergency arises.

Facility Restoration

It is important that all fire protection and emergency facilities are restored to a “ready” mode soon after the emergency is over. For this purpose, responsibility must be assigned to a person or section of the industry, and this must be included in the emergency plan. A system of checks to ensure that this is being done must also be introduced.

Public Fire Department Relations

It is not practicable for any management to foresee and provide for all possible contingencies. It is also not economically feasible to do so. In spite of adopting the most up-to-date method of fire risk management, there are always occasions when the fire protection facilities provided on the premises fall short of actual needs. For such occasions, it is desirable to preplan a mutual assistance programme with the public fire department. Good liaison with that department is necessary so that the management knows what assistance that unit can provide during an emergency on its premises. Also, the public fire department must become familiar with the risk and what it could expect during an emergency. Frequent interaction with the public fire department is necessary for this purpose.

Handling of Hazardous Materials

Hazards of the materials used in industry may not be known to fire-fighters during a spill situation, and accidental discharge and improper use or storage of hazardous materials can lead to dangerous situations that can seriously imperil their health or lead to a serious fire or explosion. It is not possible to remember the hazards of all materials. Means of ready identification of hazards have, therefore, been developed whereby the various substances are identified by distinct labels or markings.

Hazardous materials identification

Each country follows its own rules concerning the labelling of hazardous materials for the purpose of storage, handling and transportation, and various departments may be involved. While compliance with local regulations is essential, it is desirable that an internationally recognized system of identification of hazardous materials be evolved for universal application. In the United States, the NFPA has developed a system for this purpose. In this system, distinct labels are conspicuously attached or affixed to containers of hazardous materials. These labels indicate the nature and degree of hazards in respect of health, flammability and the reactive nature of the material. In addition, special possible hazards to fire-fighters can also be indicated on these labels. For an explanation of the degree of hazard, refer to NFPA 704, Standard System for the Identification of the Fire Hazards of Materials (1990a). In this system, the hazards are categorized as health hazards, flammability hazards, and reactivity (instability) hazards.

Health hazards

These include all possibilities of a material causing personal injury from contact with or absorption into the human body. A health hazard may arise out of the inherent properties of the material or from the toxic products of combustion or decomposition of the material. The degree of hazard is assigned on the basis of the greater hazard that may result under fire or other emergency conditions. It indicates to fire-fighters whether they can work safely only with special protective clothing or with suitable respiratory protective equipment or with ordinary clothing.

Degree of health hazard is measured on a scale of 4 to 0, with 4 indicating the most severe hazard and 0 indicating low hazard or no hazard.

Flammability hazards

These indicate the susceptibility of the material to burning. It is recognized that materials behave differently in respect of this property under varying circumstances (e.g., materials that may burn under one set of conditions may not burn if the conditions are altered). The form and inherent properties of the materials influence the degree of hazard, which is assigned on the same basis as for the health hazard.

Reactivity (instability) hazards

Materials capable of releasing energy by itself, (i.e., by self-reaction or polymerization) and substances that can undergo violent eruption or explosive reactions on coming in contact with water, other extinguishing agents or certain other materials are said to possess a reactivity hazard.

The violence of reaction may increase when heat or pressure is applied or when the substance comes in contact with certain other materials to form a fuel-oxidizer combination, or when it comes in contact with incompatible substances, sensitizing contaminants or catalysts.

The degree of reactivity hazard is determined and expressed in terms of the ease, rate and quantity of energy release. Additional information, such as radioactivity hazard or prohibition of water or other extinguishing medium for fire-fighting, can also be given on the same level.

The label warning of a hazardous material is a diagonally placed square with four smaller squares (see figure 1).

Figure 1. The NFPA 704 diamond.

FIR060F3

The top square indicates the health hazard, the one on the left indicates the flammability hazard, the one on the right indicates the reactivity hazard, and the bottom square indicates other special hazards, such as radioactivity or unusual reactivity with water.

To supplement the above mentioned arrangement, a colour code may also be used. The colour is used as background or the numeral indicating the hazard may be in coded colour. The codes are health hazard (blue), flammability hazard (red), reactivity hazard (yellow) and special hazard (white background).

 

 

 

 

Managing hazardous materials response

Depending on the nature of the hazardous material in the industry, it is necessary to provide protective equipment and special fire-extinguishing agents, including the protective equipment required to dispense the special extinguishing agents.

All workers must be trained in the precautions they must take and the procedures they must adopt to deal with each incident in the handling of the various types of hazardous materials. They must also know the meaning of the various identification signs.

All fire-fighters and other workers must be trained in the correct use of any protective clothing, protective respiratory equipment and special fire-fighting techniques. All concerned personnel must be kept alert and prepared to tackle any situation through frequent drills and exercises, of which proper records should be kept.

To deal with serious medical hazards and the effects of these hazards on fire-fighters, a competent medical officer should be available to take immediate precautions when any individual is exposed to unavoidable dangerous contamination. All affected persons must receive immediate medical attention.

Proper arrangements must also be made to set up a decontamination centre on the premises when necessary, and correct decontamination procedures must be laid down and followed.

Waste control

Considerable waste is generated by industry or because of accidents during handling, transportation and storage of goods. Such waste may be flammable, toxic, corrosive, pyrophoric, chemically reactive or radioactive, depending upon the industry in which it is generated or the nature of goods involved. In most cases unless proper care is taken in safe disposal of such waste, it may endanger animal and human life, pollute the environment or cause fire and explosions that may endanger property. A thorough knowledge of the physical and chemical properties of the waste materials and of the merits or limitations of the various methods of their disposal is, therefore, necessary to ensure economy and safety.

Properties of industrial waste are briefly summarized below:

  1. Most industrial waste is hazardous and can have unexpected significance during and after disposal. The nature and behavioural characteristics of all waste must therefore be carefully examined for their short- and long-term impact and the method of disposal determined accordingly.
  2. Mixing of two seemingly innocuous discarded substances may create an unexpected hazard because of their chemical or physical interaction.
  3. Where flammable liquids are involved, their hazards can be assessed by taking into consideration their respective flash points, ignition temperature, flammability limits and the ignition energy required to initiate combustion. In the case of solids, particle size is an additional factor that must be considered.
  4. Most flammable vapours are heavier than air. Such vapours and heavier-than-air flammable gases that may be accidentally released during collection or disposal or during handling and transportation can travel considerable distances with the wind or towards a lower gradient. On coming in contact with a source of ignition, they flash back to source. Major spills of flammable liquids are particularly hazardous in this respect and may require evacuation to save lives.
  5. Pyrophoric materials, such as aluminium alkyls, ignite spontaneously when exposed to air. Special care must therefore be taken in handling, transportation, storage and disposal of such materials, preferably carried out under a nitrogen atmosphere.
  6. Certain materials, such as potassium, sodium and aluminium alkyls, react violently with water or moisture and burn fiercely. Bronze powder generates considerable heat in the presence of moisture.
  7. The presence of potent oxidants with organic materials can cause rapid combustion or even an explosion. Rags and other materials soaked with vegetable oils or terpenes present a risk of spontaneous combustion due to the oxidation of oils and subsequent build-up of heat to the ignition temperature.
  8. Several substances are corrosive and may cause severe damage or burns to skin or other living tissues, or may corrode construction materials, especially metals, thereby weakening the structure in which such materials may have been used.
  9. Some substances are toxic and can poison humans or animals by contact with skin, inhalation or contamination of food or water. Their ability to do so may be short lived or may extend over a long period. Such substances, if disposed of by dumping or burning, can contaminate water sources or come into contact with animals or workers.
  10. Toxic substances that are spilled during industrial processing, transportation (including accidents), handling or storage, and toxic gases that are released into the atmosphere can affect emergency personnel and others, including the public. The hazard is all the more severe if the spilled substance(s) is vaporized at ambient temperature, because the vapours can be carried over long distances due to wind drift or run-off.
  11. Certain substances may emit a strong, pungent or unpleasant odour, either by themselves or when they are burnt in the open. In either case, such substances are a public nuisance, even though they may not be toxic, and they must be disposed of by proper incineration, unless it is possible to collect and recycle them. Just as odorous substances are not necessarily toxic, odourless substances and some substances with a pleasant odour may produce harmful physiological effects.
  12. Certain substances, such as explosives, fireworks, organic peroxides and some other chemicals, are sensitive to heat or shock and may explode with devastating effect if not handled carefully or mixed with other substances. Such substances must, therefore, be carefully segregated and destroyed under proper supervision.
  13. Waste materials that are contaminated with radioactivity can be as hazardous as the radioactive materials themselves. Their disposal requires specialized knowledge. Proper guidance for disposal of such waste may be obtained from a country’s nuclear energy organization.

 

Some of the methods that may be employed to dispose of industrial and emergency waste are biodegradation, burial, incineration, landfill, mulching, open burning, pyrolysis and disposal through a contractor. These are briefly explained below.

Biodegradation

Many chemicals are completely destroyed within six to 24 months when they are mixed with the top 15 cm of soil. This phenomenon is known as biodegradation and is due to the action of soil bacteria. Not all substances, however, behave in this way.

Burial

Waste, particularly chemical waste, is often disposed of by burial. This is a dangerous practice in so far as active chemicals are concerned, because, in time, the buried substance may get exposed or leached by rain into water resources. The exposed substance or the contaminated material can have adverse physiological effects when it comes in contact with water that is drunk by humans or animals. Cases are on record in which water was contaminated 40 years after burial of certain harmful chemicals.

Incineration

This is one of the safest and most satisfactory methods of waste disposal if the waste is burned in a properly designed incinerator under controlled conditions. Care must be taken, however, to ensure that the substances contained in the waste are amenable to safe incineration without posing any operating problem or special hazard. Almost all industrial incinerators require the installation of air pollution control equipment, which must be carefully selected and installed after taking into consideration the composition of the stock effluent given out by the incinerator during the burning of industrial waste.

Care must be taken in the operation of the incinerator to ensure that its operative temperature does not rise excessively either because a large amount of volatiles is fed or because of the nature of the waste burned. Structural failure can occur because of excessive temperature, or, over time, because of corrosion. The scrubber must also be periodically inspected for signs of corrosion which can occur because of contact with acids, and the scrubber system must be maintained regularly to ensure proper functioning.

Landfill

Low-lying land or a depression in land is often used as a dump for waste materials until it becomes level with the surrounding land. The waste is then levelled, covered with earth and rolled hard. The land is then used for buildings or other purposes.

For satisfactory landfill operation, the site must be selected with due regard to the proximity of pipelines, sewer lines, power lines, oil and gas wells, mines and other hazards. The waste must then be mixed with earth and evenly spread out in the depression or a wide trench. Each layer must be mechanically compacted before the next layer is added.

A 50 cm layer of earth is typically laid over the waste and compacted, leaving sufficient vents in the soil for the escape of gas that is produced by biological activity in the waste. Attention must also be paid to proper drainage of the landfill area.

Depending on the various constituents of waste material, it may at times ignite within the landfill. Each such area must, therefore, be properly fenced off and continued surveillance maintained until the chances of ignition appear to be remote. Arrangements must also be made for extinguishing any fire that may break out in the waste within the landfill.

Mulching

Some trials have been made for reusing polymers as mulch (loose material for protecting the roots of plants) by chopping the waste into small shreds or granules. When so used, it degrades very slowly. Its effect on the soil is, therefore, purely physical. This method has, however, not been used widely.

Open burning

Open burning of waste causes pollution of the atmosphere and is hazardous in as much as there is a chance of the fire getting out of control and spreading to the surrounding property or areas. Also, there is a chance of explosion from containers, and there is a possibility of harmful physiological effects of radioactive materials that may be contained in the waste. This method of disposal has been banned in some countries. It is not a desirable method and should be discouraged.

Pyrolysis

Recovery of certain compounds, by distillation of the products given out during pyrolysis (decomposition by heating) of polymers and organic substances, is possible, but not yet widely adopted.

Disposal through contractors

This is probably the most convenient method. It is important that only reliable contractors who are knowledgeable and experienced in the disposal of industrial waste and hazardous materials are selected for the job. Hazardous materials must be carefully segregated and disposed of separately.

Specific classes of materials

Specific examples of the types of hazardous materials that are often found in today’s industry include: (1) combustible and reactive metals, such as magnesium, potassium, lithium, sodium, titanium and zirconium; (2) combustible refuse; (3) drying oils; (4) flammable liquids and waste solvents; (5) oxidizing materials (liquids and solids); and (6) radioactive materials. These materials require special handling and precautions that must be carefully studied. For more details on identification of hazardous materials and hazards of industrial materials, the following publications may be consulted: Fire Protection Handbook (Cote 1991) and Sax’s Dangerous Properties of Industrial Materials (Lewis 1979).

 

Back

Thursday, 24 March 2011 22:53

Active Fire Protection Measures

Life Safety and Property Protection

As the primary importance of any fire protection measure is to provide an acceptable degree of life safety to inhabitants of a structure, in most countries legal requirements applying to fire protection are based on life safety concerns. Property protection features are intended to limit physical damage. In many cases these objectives are complementary. Where concern exists with the loss of property, its function or contents, an owner may choose to implement measures beyond the required minimum necessary to address life safety concerns.

Fire Detection and Alarm Systems

A fire detection and alarm system provides a means to detect fire automatically and to warn building occupants of the threat of fire. It is the audible or visual alarm provided by a fire detection system that is the signal to begin the evacuation of the occupants from the premises. This is especially important in large or multi-storey buildings where occupants would be unaware that a fire was underway within the structure and where it would be unlikely or impractical for warning to be provided by another inhabitant.

Basic elements of a fire detection and alarm system

A fire detection and alarm system may include all or some of the following:

  1. a system control unit
  2. a primary or main electrical power supply
  3. a secondary (stand-by) power supply, usually supplied from batteries or an emergency generator
  4. alarm-initiating devices such as automatic fire detectors, manual pull stations and/or sprinkler system flow devices, connected to “initiating circuits” of the system control unit
  5. alarm-indicating devices, such as bells or lights, connected to “indicating circuits” of the system control unit
  6. ancillary controls such as ventilation shut-down functions, connected to output circuits of the system control unit
  7. remote alarm indication to an external response location, such as the fire department
  8. control circuits to activate a fire protection system or smoke control system.

 

Smoke Control Systems

To reduce the threat of smoke from entering exit paths during evacuation from a structure, smoke control systems can be used. Generally, mechanical ventilation systems are employed to supply fresh air to the exit path. This method is most often used to pressurize stairways or atrium buildings. This is a feature intended to enhance life safety.

Portable Fire Extinguishers and Hose Reels

Portable fire extinguishers and water hose reels are often provided for use by building occupants to fight small fires (see figure 1). Building occupants should not be encouraged to use a portable fire extinguisher or hose reel unless they have been trained in their use. In all cases, operators should be very cautious to avoid placing themselves in a position where safe egress is blocked. For any fire, no matter how small, the first action should always be to notify other building occupants of the threat of fire and summon assistance from the professional fire service.

Figure 1. Portable fire extinguishers.

FIR050F4

Water Sprinkler Systems

Water sprinkler systems consist of a water supply, distribution valves and piping connected to automatic sprinkler heads (see figure 2). While current sprinkler systems are primarily intended to control the spread of fire, many systems have accomplished complete extinguishment.

Figure 2. A typical sprinkler installation showing all common water supplies, outdoor hydrants and underground piping.

FIR050F1

A common misconception is that all automatic sprinkler heads open in the event of a fire. In fact, each sprinkler head is designed to open only when sufficient heat is present to indicate a fire. Water then flows only from the sprinkler head(s) that have opened as the result of fire in their immediate vicinity. This design feature provides efficient use of water for fire-fighting and limits water damage.

 

 

Water supply

Water for an automatic sprinkler system must be available in sufficient quantity and at sufficient volume and pressure at all times to ensure reliable operation in the event of fire. Where a municipal water supply cannot meet this requirement, a reservoir or pump arrangement must be provided to provide a secure water supply.

Control valves

Control valves should be maintained in the open position at all times. Often, supervision of the control valves can be accomplished by the automatic fire alarm system by provision of valve tamper switches that will initiate a trouble or supervisory signal at the fire alarm control panel to indicate a closed valve. If this type of monitoring cannot be provided, the valves should be locked in the open position.

Piping

Water flows through a piping network, ordinarily suspended from the ceiling, with the sprinkler heads suspended at intervals along the pipes. Piping used in sprinkler systems should be of a type that can withstand a working pressure of not less than 1,200 kPa. For exposed piping systems, fittings should be of the screwed, flanged, mechanical joint or brazed type.

Sprinkler heads

A sprinkler head consists of an orifice, normally held closed by a temperature-sensitive releasing element, and a spray deflector. The water discharge pattern and spacing requirements for individual sprinkler heads are used by sprinkler designers to ensure complete coverage of the protected risk.

Special Extinguishing Systems

Special extinguishing systems are used in cases where water sprinklers would not provide adequate protection or where the risk of damage from water would be unacceptable. In many cases where water damage is of concern, special extinguishing systems may be used in conjunction with water sprinkler systems, with the special extinguishing system designed to react at an early stage of fire development.

Water and water-additive special extinguishing systems

Water spray systems

Water spray systems increase the effectiveness of water by producing smaller water droplets, and thus a greater surface area of water is exposed to the fire, with a relative increase in heat absorption capability. This type of system is often chosen as a means of keeping large pressure vessels, such as butane spheres, cool when there is a risk of an exposure fire originating in an adjacent area. The system is similar to a sprinkler system; however, all heads are open, and a separate detection system or manual action is used to open control valves. This allows water to flow through the piping network to all spray devices that serve as outlets from the piping system.

Foam systems

In a foam system, a liquid concentrate is injected into the water supply before the control valve. Foam concentrate and air are mixed, either through the mechanical action of discharge or by aspirating air into the discharge device. The air entrained in the foam solution creates an expanded foam. As expanded foam is less dense than most hydrocarbons, the expanded foam forms a blanket on top of the flammable liquid. This foam blanket reduces fuel vapour propagation. Water, which represents as much as 97% of the foam solution, provides a cooling effect to further reduce vapour propagation and to cool hot objects that could serve as a source of re-ignition.

Gaseous extinguishing systems

Carbon dioxide systems

Carbon dioxide systems consist of a supply of carbon dioxide, stored as liquified compressed gas in pressure vessels (see figures 3 and 4). The carbon dioxide is held in the pressure vessel by means of an automatic valve that is opened upon fire by means of a separate detection system or by manual operation. Once released, the carbon dioxide is delivered to the fire by means of a piping and discharge nozzle arrangement. Carbon dioxide extinguishes fire by displacing the oxygen available to the fire. Carbon dioxide systems can be designed for use in open areas such as printing presses or enclosed volumes such as ship machinery spaces. Carbon dioxide, at fire-extinguishing concentrations, is toxic to people, and special measures must be employed to ensure that persons in the protected area are evacuated before discharge occurs. Pre-discharge alarms and other safety measures must be carefully incorporated into the design of the system to ensure adequate safety for people working in the protected area. Carbon dioxide is considered to be a clean extinguishant because it does not cause collateral damage and is electrically non-conductive.

Figure 3. Diagram of a high-pressure carbon dioxide system for total flooding.

FIR050F2

 

Figure 4. A total flooding system installed in a room with a raised floor.

FIR050F3

Inert gas systems

Inert gas systems generally use a mixture of nitrogen and argon as an extinguishing medium. In some cases, a small percentage of carbon dioxide is also provided in the gas mixture. The inert gas mixtures extinguish fires by reducing oxygen concentration within a protected volume. They are suitable for use in enclosed spaces only. The unique feature offered by inert gas mixtures is that they reduce the oxygen to a low enough concentration to extinguish many types of fires; however, oxygen levels are not sufficiently lowered to pose an immediate threat to occupants of the protected space. The inert gases are compressed and stored in pressure vessels. System operation is similar to a carbon dioxide system. As the inert gases cannot be liquefied by compression, the number of storage vessels required for protection of a given enclosed protected volume is greater than that for carbon dioxide.

Halon systems

Halons 1301, 1211 and 2402 have been identified as ozone-depleting substances. Production of these extinguishing agents ceased in 1994, as required by the Montreal Protocol, an international agreement to protect the earth’s ozone layer. Halon 1301 was most often used in fixed fire protection systems. Halon 1301 was stored as liquefied, compressed gas in pressure vessels in a similar arrangement to that used for carbon dioxide. The advantage offered by halon 1301 was that storage pressures were lower and that very low concentrations provided effective extinguishing capability. Halon 1301 systems were used successfully for totally enclosed hazards where the extinguishing concentration achieved could be maintained for a sufficient time for extinguishment to occur. For most risks, concentrations used did not pose an immediate threat to occupants. Halon 1301 is still used for several important applications where acceptable alternatives have yet to be developed. Examples include use on-board commercial and military aircraft and for some special cases where inerting concentrations are required to prevent explosions in areas where occupants could be present. The halon in existing halon systems that are no longer required should be made available for use by others with critical applications. This will militate against the need to produce more of these environmentally sensitive extinguishers and help protect the ozone layer.

Halocarbon systems

Halocarbon agents were developed as the result of the environmental concerns associated with halons. These agents differ widely in toxicity, environmental impact, storage weight and volume requirements, cost and availability of approved system hardware. They all can be stored as liquefied compressed gases in pressure vessels. System configuration is similar to a carbon dioxide system.

Design, Installation and Maintenance of Active Fire Protection Systems

Only those skilled in this work are competent to design, install and maintain this equipment. It may be necessary for many of those charged with purchasing, installing, inspecting, testing, approving and maintaining this equipment to consult with an experienced and competent fire protection specialist to discharge their duties effectively.

Further Information

This section of the Encyclopaedia presents a very brief and limited overview of the available choice of active fire protection systems. Readers may often obtain more information by contacting a national fire protection association, their insurer or the fire prevention department of their local fire service.

 

Back

This article describes several significant radiation accidents, their causes and the responses to them. A review of the events leading up to, during and following these accidents can provide planners with information to preclude future occurrences of such accidents and to enhance an appropriate, rapid response in the event a similar accident occurs again.

Acute Radiation Death Resulting from an Accidental Nuclear Critical Excursion on 30 December 1958

This report is noteworthy because it involved the largest accidental dose of radiation received by humans (to date) and because of the extremely professional and thorough work-up of the case. This represents one of the best, if not the best, documented acute radiation syndrome descriptions that exists (JOM 1961).

At 4:35 p.m. on 30 December 1958, an accidental critical excursion resulting in fatal radiation injury to an employee (K) took place in the plutonium recovery plant at the Los Alamos National Laboratory (New Mexico, United States).

The time of the accident is important because six other workers had been in the same room with K thirty minutes earlier. The date of the accident is important because the normal flow of fissionable material into the system was interrupted for year-end physical inventory. This interruption caused a routine procedure to become non-routine and led to an accidental “criticality” of the plutonium-rich solids that were accidentally introduced into the system.

Summary of estimates of K’s radiation exposure

The best estimate of K’s average total-body exposure was between 39 and 49 Gy, of which about 9 Gy was due to fission neutrons. A considerably greater portion of the dose was delivered to the upper half of the body than to the lower half. Table 1 shows an estimate of K’s radiation exposure.

Table 1. Estimates of K’s radiation exposure

Region and conditions

Fast neutron
absorbed dose (Gy)

Gamma
absorbed dose (Gy)

Total
absorbed dose (Gy)

Head (incident)

26

78

104

Upper abdomen
(incident)

30

90

124

Total body (average)

9

30-40

39-49

 

Clinical course of patient

In retrospect, the clinical course of patient K can be divided into four distinct periods. These periods differed in duration, symptoms and response to supportive therapy.

The first period, lasting from 20 to 30 minutes, was characterized by his immediate physical collapse and mental incapacitation. His condition progressed to semi-consciousness and severe prostration.

The second period lasted about 1.5 hours and began with his arrival by stretcher at the emergency room of the hospital and ended with his transfer from the emergency room to the ward for further supportive therapy. This interval was characterized by such severe cardiovascular shock that death seemed imminent during the whole time. He seemed to be suffering severe abdominal pain.

The third period was about 28 hours long and was characterized by enough subjective improvement to encourage continued attempts to alleviate his anoxia, hypotension and circulatory failure.

The fourth period began with the unheralded onset of rapidly increasing irritability and antagonism, bordering on mania, followed by coma and death in approximately 2 hours. The entire clinical course lasted 35 hours from the time of radiation exposure to death.

The most dramatic clinicopathological changes were observed in the haemopoietic and urinary systems. Lymphocytes were not found in the circulating blood after the eighth hour, and there was virtually complete urinary shutdown despite administration of large amount of fluids.

K’s rectal temperature varied between 39.4 and 39.7°C for the first 6 hours and then fell precipitously to normal, where it remained for the duration of his life. This high initial temperature and its maintenance for 6 hours were considered in keeping with his suspected massive dose of radiation. His prognosis was grave.

Of all the various determinations made during the course of the illness, changes in white cell count were found to be the simplest and best prognostic indicator of severe irradiation. The virtual disappearance of lymphocytes from the peripheral circulation within 6 hours of exposure was considered a grave sign.

Sixteen different therapeutic agents were employed in the symptomatic treatment of K over about a 30-hour period. In spite of this and continued oxygen administration, his heart tones became very distant, slow and irregular about 32 hours after irradiation. His heart then became progressively weaker and suddenly stopped 34 hours 45 minutes after irradiation.

Windscale Reactor No. 1 Accident of 9-12 October 1957

Windscale reactor No. 1 was an air-cooled, graphite-moderated natural uranium-fuelled plutonium production reactor. The core was partially ruined by fire on 15 October 1957. This fire resulted in a release of approximately 0.74 PBq (10+15 Bq) of iodine-131 (131I) to the downwind environment.

According to a US Atomic Energy Commission accident information report about the Windscale incident, the accident was caused by operator judgement errors concerning thermocouple data and was made worse by faulty handling of the reactor that permitted the graphite temperature to rise too rapidly. Also contributory was the fact that fuel temperature thermocouples were located in the hottest part of the reactor (that is, where the highest dose rates occurred) during normal operations rather than in parts of the reactor which were hottest during an abnormal release. A second equipment deficiency was the reactor power meter, which was calibrated for normal operations and read low during the annealing. As a result of the second heating cycle, the graphite temperature rose on 9 October, especially in the lower front part of the reactor where some cladding had failed because of the earlier rapid temperature rise. Although there were a number of small iodine releases on 9 October, the releases were not recognized until 10 October when the stack activity meter showed a significant increase (which was not regarded as highly significant). Finally, on the afternoon of 10 October, other monitoring (Calder site) indicated the release of radioactivity. Efforts to cool the reactor by forcing air through it not only failed but actually increased the magnitude of the radioactivity released.

The estimated releases from the Windscale accident were 0.74 PBq of 131I, 0.22 PBq of caesium-137 (137Cs), 3.0 TBq (1012Bq) of strontium-89 (89Sr), and 0.33 TBq of strontium-90
(90Sr). The highest offsite gamma absorbed dose rate was about 35 μGy/h due to airborne activity. Air activity readings around the Windscale and Calder plants often were 5 to 10 times the maximum permissible levels, with occasional peaks of 150 times permissible levels. A milk ban extended over a radius of approximately 420 km.

During operations to bring the reactor under control, 14 workers received dose equivalents greater than 30 mSv per calendar quarter, with the maximum dose equivalent at 46 mSv per calendar quarter.

Lessons learned

There were many lessons learned concerning natural uranium reactor design and operation. The inadequacies concerning reactor instrumentation and reactor operator training also bring up points analogous to the Three Mile Island accident (see below).

No guidelines existed for short-term permissible exposure to radioiodine in food. The British Medical Research Council performed a prompt and thorough investigation and analysis. Much ingenuity was used in promptly deriving maximum permissible concentrations for 131I in food. The study Emergency Reference Levels that resulted from this accident serves as a basis for emergency planning guides now used worldwide (Bryant 1969).

A useful correlation was derived for predicting significant radioiodine contamination in milk. It was found that gamma radiation levels in pastures which exceeded 0.3 μGy/h yielded milk which exceeded 3.7 MBq/m3.

Absorbed dose from inhalation of external exposure to radioiodines is negligible compared to that from drinking milk or eating dairy products. In an emergency, rapid gamma spectroscopy is preferable to slower laboratory procedures.

Fifteen two-person teams performed radiation surveys and obtained samples. Twenty persons were used for sample coordination and data reporting. About 150 radiochemists were involved in sampling analysis.

Glass wool stack filters are not satisfactory under accident conditions.

Gulf Oil Accelerator Accident of 4 October 1967

Gulf Oil Company technicians were using a 3 MeV Van de Graaff accelerator for the activation of soil samples on 4 October 1967. The combination of an interlock failure on the power key of the accelerator console and the taping of several of the interlocks on the safety tunnel door and the target room inside door produced serious accidental exposures to three individuals. One individual received approximately 1 Gy whole-body dose equivalent, the second received close to 3 Gy whole-body dose equivalent and the third received approximately 6 Gy whole-body dose equivalent, in addition to approximately 60 Gy to the hands and 30 Gy to the feet.

One of the accident victims reported to the medical department, complaining of nausea, vomiting and generalized muscular aches. His symptoms initially were misdiagnosed as flu symptoms. When the second patient came in with approximately the same symptoms, it was decided that they may possibly have received significant radiation exposures. Film badges verified this. Dr. Niel Wald, University of Pittsburgh Radiological Health Division, supervised the dosimetry tests and also acted as coordinating physician in the work-up and treatment of the patients.

Dr. Wald very quickly had absolute filter units flown in to the western Pennsylvania hospital in Pittsburgh where the three patients had been admitted. He set up these absolute filter/laminar flow filters to clean the patients’ environment of all biological contaminants. These “reverse isolation” units were used on the 1 Gy exposure patient for about 16 days, and on the 3 and 6 Gy exposure patients for about a month and half.

Dr. E. Donnal Thomas from the University of Washington arrived to perform a bone marrow transplant on the 6 Gy patient on the eighth day after exposure. The patient’s twin brother served as the bone marrow donor. Although this heroic medical treatment saved the 6 Gy patient’s life, nothing could be done to save his arms and legs, each of which received tens-of-gray absorbed dose.

Lessons learned

If the simple operating procedure of always using a survey meter when entering the exposure room had been followed, this tragic accident would have been avoided.

At least two interlocks had been taped closed for long periods of time prior to this accident. Defeating of protective interlocks is intolerable.

Regular maintenance checks should have been made on the key-operated power interlocks for the accelerator.

Timely medical attention saved the life of the person with the highest exposure. The heroic procedure of a complete bone marrow transplant together with the use of reverse isolation and quality medical care were all major factors in saving this person’s life.

Reverse isolation filters can be obtained in a matter of hours to be set up in any hospital to care for highly exposed patients.

In retrospect, medical authorities involved with these patients would have recommended amputation earlier and at a definitive level within two or three months after the exposure. Earlier amputation decreases the likelihood of infection, gives a shorter period of severe pain, reduces pain medication required for the patient, possibly reduces the patient’s hospital stay, and possibly contributes to earlier rehabilitation. Earlier amputation should, of course, be done while correlating dosimetry information with clinical observations.

The SL–1 Prototype Reactor Accident (Idaho, USA, 3 January 1961)

This is the first (and to date the only) fatal accident in the history of US reactor operations. The SL-1 is a prototype of a small Army Package Power Reactor (APPR) designed for air transportation to remote areas for production of electrical power. This reactor was used for fuel testing, and for reactor crew training. It was operated in the remote desert location of the National Reactor Testing Station in Idaho Falls, Idaho, by Combustion Engineering for the US Army. The SL-1 was not a commercial power reactor (AEC 1961; American Nuclear Society 1961).

At the time of the accident, the SL-1 was loaded with 40 fuel elements and 5 control rod blades. It could produce a power level of 3 MW (thermal) and was a boiling water–cooled and –moderated reactor.

The accident resulted in the deaths of three military personnel. The accident was caused by the withdrawal of a single control rod for a distance of more than 1 m. This caused the reactor to go into prompt criticality. The reason why a skilled, licensed reactor operator with much refuelling operation experience withdrew the control rod past its normal stop point is unknown.

One of the three accident victims was still alive when initial response personnel first reached the scene of the accident. High activity fission products covered his body and were embedded in his skin. Portions of the victim’s skin registered in excess of 4.4 Gy/h at 15 cm and hampered rescue and medical treatment.

Lessons learned

No reactor designed since the SL-1 accident can be brought to “prompt-critical” state with a single control rod.

All reactors must have portable survey meters onsite that have ranges greater than 20 mGy/h. Survey meters of 10 Gy/h maximum range are recommended.

Note: The Three Mile Island accident showed that 100 Gy/h is the required range for both gamma and beta measurements.

Treatment facilities are required where a highly contaminated patient can receive definitive medical treatment with reasonable safeguards for attendant personnel. Since most of these facilities will be in clinics with other ongoing missions, control of airborne and waterborne radioactive contaminants may require special provisions.

X-ray Machines, Industrial and Analytical

Accidental exposures from x-ray systems are numerous and often involve extremely high exposures to small portions of the body. It is not unusual for x-ray diffraction systems to produce absorbed dose rates of 5 Gy/s at 10 cm from the tube focus. At shorter distances, 100 Gy/s rates have often been measured. The beam is usually narrow, but even a few seconds’ exposure can result in severe local injury (Lubenau et al. 1967; Lindell 1968; Haynie and Olsher 1981; ANSI 1977).

Because these systems are often used in “non-routine” circumstances, they lend themselves to the production of accidental exposures. X-ray systems commonly used in normal operations appear to be reasonably safe. Equipment failure has not caused severe exposures.

Lessons learned from accidental x-ray exposures

Most accidental exposures occurred during non-routine uses when equipment was partially disassembled or shield covers had been removed.

In most serious exposures, adequate instruction for the staff and maintenance personnel had been lacking.

If simple and fail-safe methods had been used to ensure that x-ray tubes were turned off during repairs and maintenance, many accidental exposures would have been avoided.

Finger or wrist personnel dosimeters should be used for operators and maintenance personnel working with these machines.

If interlocks had been required, many accidental exposures would have been avoided.

Operator error was a contributing cause in most of the accidents. Lack of adequate enclosures or poor shielding design often worsened the situation.

Industrial radiography accidents

From the 1950s through the 1970s, the highest radiation accident rate for a single activity has consistently been for industrial radiographic operations (IAEA 1969, 1977). National regulatory bodies continue to struggle to reduce the rate by a combination of improved regulations, strict training requirements and ever tougher inspection and enforcement policies (USCFR 1990). These regulatory efforts have generally succeeded, but many accidents associated with industrial radiography still occur. Legislation allowing huge monetary fines may be the most effective tool in keeping radiation safety focused in the minds of industrial radiography management (and also, therefore, in workers’ minds).

Causes of industrial radiography accidents

Worker training. Industrial radiography probably has lower education and training requirements than any other type of radiation employment. Therefore, existing training requirements must be strictly enforced.

Worker production incentive. For years, major emphasis for industrial radiographers was placed on the amount of successful radiographs produced per day. This practice can lead to unsafe acts as well as to occasional non-use of personnel dosimetry so that exceeding dose equivalent limits would not be detected.

Lack of proper surveys. Thorough surveying of source pigs (storage containers) (figure 1) after every exposure is most important. Not performing these surveys is the single most probable cause of unnecessary exposures, many of which are unrecorded, since industrial radiographers rarely use hand or finger dosimeters (figure 1).

Figure 1. Industrial radiography camera

ION060F1

Equipment problems. Because of heavy use of industrial radiographic cameras, source winding mechanisms can loosen and cause the source to not completely retract into its safe storage position (point A in figure 1). There are also many instances of closet-source interlock failures that cause accidental exposures of personnel.

Design of Emergency Plans

Many excellent guidelines, both general and specific, exist for the design of emergency plans. Some references are particularly helpful. These are given in the suggested readings at the end of this chapter.

Initial drafting of emergency plan and procedures

First, one must assess the entire radioactive material inventory for the subject facility. Then credible accidents must be analysed so that one can determine the probable maximum source release terms. Next, the plan and its procedures must enable the facility operators to:

    1. recognize an accident situation
    2. classify the accident according to severity
    3. take steps to mitigate the accident
    4. make timely notifications
    5. call for help efficiently and quickly
    6. quantify releases
    7. keep track of exposures both on- and offsite, as well as keep emergency exposures ALARA
    8. recover the facility as quickly as practical
    9. keep accurate and detailed records.

                     

                    Types of accidents associated with nuclear reactors

                    A list, from most likely to least likely, of types of accidents associated with nuclear reactors follows. (The non-nuclear reactor, general-industrial type accident is by far the most likely.)

                      1. Low level unexpected release of radioactive material with little or no external radiation exposure to personnel. Usually occurs during major overhauls or in shipment of spent resin or spent fuel. Coolant system leakage and coolant-sample sink spills are often causes of spread of radioactive contamination.
                      2. Unexpected external exposure of personnel. This usually occurs during major overhauls or routine maintenance.
                      3. A combination of contamination spread, contamination of personnel, and low-level personnel external radiation exposure is the next most likely accident. These accidents occur under the same conditions as 1 and 2 above.
                      4. Gross surface contamination due to a major reactor coolant system leak or a leak of spent fuel coolant.
                      5. Chips or large particles of activated CRUD (see definition below) in or on skin, ears or eyes.
                      6. High-level radiation exposure of plant personnel. This is usually caused by carelessness.
                      7. Release of small but greater than permissible quantities of radioactive wastes to outside the plant boundary. This is usually associated with human failures.
                      8. Meltdown of reactor. Gross contamination offsite plus high personnel exposure would probably occur.
                      9. Reactor excursion (SL–1 type of accident).

                                       

                                      Radionuclides expected from water-cooled reactor accidents:

                                        • activated corrosion and erosion products (commonly known as CRUD) in the coolant; for example, cobalt-60 or -58 (60Co, 58Co), iron-59 (59Fe), manganese-58 (58Mn) and tantalum-183 (183Ta)
                                        • low level fission products usually present in the coolant; for example, iodine-131 (131I) and caesium-137 (137Cs)
                                        • in boiling water reactors, 1 and 2 above plus continuous off-gassing of low levels of tritium 
                                        • (3H) and noble radioactive gases such as xenon-133 and -135 (133Xe, 135Xe), argon-41 (41Ar), and krypton-85 (85Kr)
                                        • tritium (3H) manufactured inside the core at the rate of 1.3 × 10–4 atoms of 3H per fission (only a fraction of this leaves the fuel).

                                              Figure 2. Example of a nuclear power plant emergency plan, table of contents

                                              ION060T2

                                              Typical Nuclear Power Plant Emergency Plan, Table of Contents

                                              Figure 2 is an example of a table of contents for a nuclear power plant emergency plan. Such a plan should include each chapter shown and be tailored to meet local requirements. A list of typical power reactor implementation procedures is given in figure 3.

                                              Figure 3. Typical power reactor implementation procedures

                                              ION060F5

                                              Radiological Environmental Monitoring during Accidents

                                              This task is often called EREMP (Emergency Radiological Environmental Monitoring Programme) at large facilities.

                                              One of the most important lessons learned for the US Nuclear Regulatory Commission and other government agencies from the Three Mile Island accident was that one cannot successfully implement EREMP in one or two days without extensive prior planning. Although the US government spent many millions of dollars monitoring the environment around the Three Mile Island nuclear station during the accident, less then 5% of the total releases were measured. This was due to poor and inadequate prior planning.

                                              Designing Emergency Radiological Environmental Monitoring Programmes

                                              Experience has shown that the only successful EREMP is one that is designed into the routine radiological environmental monitoring programme. During the early days of the Three Mile Island accident, it was learned that an effective EREMP cannot be established successfully in a day or two, no matter how much manpower and money are applied to the programme.

                                              Sampling locations

                                              All routine radiological environmental monitoring programme locations will be used during long-term accident monitoring. In addition, a number of new locations must be set up so that motorized survey teams have pre-determined locations in each portion of each 22½° sector (see figure 3). Generally, sampling locations will be in areas with roads. However, exceptions must be made for normally inaccessible but potentially occupied sites such as camp grounds and hiking trails within about 16 km downwind of the accident.

                                              Figure 3. Sector and zone designations for radiological sampling and monitoring points  within emergency planning zones

                                              ION060F4

                                              Figure 3 shows the sector and zone designation for radiation and environmental monitoring points. One may designate 22½° sectors by cardinal directions (for example, N, NNE, and NE) or by simple letters (for example, A through R). However, use of letters is not recommended because they are easily confused with directional notation. For example, it is less confusing to use the directional W for west rather than the letter N.

                                              Each designated sample location should be visited during a practice drill so that people responsible for monitoring and sampling will be familiar with the location of each point and will be aware of radio “dead spaces,” poor roads, problems with finding the locations in the dark and so on. Since no drill will cover all the pre-designated locations within the 16 km emergency protection zone, drills must be designed so that all sample points will be visited eventually. It is often worthwhile to predetermine the ability of survey team vehicles to communicate with each pre-designated point. The actual locations of the sample points are chosen utilizing the same criteria as in the REMP (NRC 1980); for example, line of site, minimum exclusion area, closest individual, closest community, closest school, hospital, nursing home, milch animal herd, garden, farm and so                                                                                                                     on.

                                              Radiological monitoring survey team

                                              During an accident involving significant releases of radioactive materials, radiological monitoring teams should be continuously monitoring in the field. They also should continuously monitor onsite if conditions allow. Normally, these teams will monitor for ambient gamma and beta radiation and sample air for the presence of radioactive particulates and halogens.

                                              These teams must be well trained in all monitoring procedures, including monitoring their own exposures, and be able to accurately relay these data to the base station. Details such as survey-meter type, serial number, and open-or closed-window status must be carefully reported on well-designed log sheets.

                                              At the beginning of an emergency, an emergency monitoring team may have to monitor for 12 hours without a break. After the initial period, however, field time for the survey team should be decreased to eight hours with at least one 30 minute break.

                                              Since continuous surveillance may be needed, procedures must be in place to supply the survey teams with food and drink, replacement instruments and batteries, and for back-and-forth transfer of air filters.

                                              Even though survey teams will probably be working 12 hours per shift, three shifts a day are needed to provide continuous surveillance. During the Three Mile Island accident, a minimum of five monitoring teams was deployed at any one time for the first two weeks. The logistics for supporting such an effort must be carefully planned in advance.

                                              Radiological environmental sampling team

                                              The types of environmental samples taken during an accident depend on the type of releases (airborne versus water), direction of the wind and time of year. Soil and drinking water samples must be taken even in winter. Although radio-halogen releases may not be detected, milk samples should be taken because of the large bioaccumulation factor.

                                              Many food and environmental samples must be taken to reassure the public even though technical reasons may not justify the effort. In addition, these data may be invaluable during any subsequent legal proceedings.

                                              Pre-planned log sheets using carefully thought out offsite data procedures are essential for environmental samples. All persons taking environmental samples should have demonstrated a clear understanding of procedures and have documented field training.

                                              If possible, offsite environmental sample data collection should be done by an independent offsite group. It is also preferable that routine environmental samples be taken by the same offsite group, so that the valuable onsite group may be used for other data collection during an accident.

                                              It is notable that during the Three Mile Island accident every single environmental sample that should have been taken was collected, and not one environmental sample was lost. This occurred even though the sampling rate increased by a factor of more than ten over pre-accident sampling rates.

                                              Emergency monitoring equipment

                                              The inventory of emergency monitoring equipment should be at least double that needed at any given time. Lockers should be placed around nuclear complexes in various places so that no one accident will deny access to all of these lockers. To ensure readiness, equipment should be inventoried and its calibration checked at least twice a year and after each drill. Vans and trucks at large nuclear facilities should be completely outfitted for both on and offsite emergency surveillance.

                                              Onsite counting laboratories may be unusable during an emergency. Therefore, prior arrangements must be made for an alternate or a mobile counting laboratory. This is now a requirement for US nuclear power plants (USNRC 1983).

                                              The type and sophistication of environmental monitoring equipment should meet the requirements of attending the nuclear facility’s worst credible accident. Following is a list of typical environmental monitoring equipment required for nuclear power plants:

                                                1. Air sampling equipment should include units which are battery operated for short-term sampling and AC operable with strip chart recorders and alarm capabilities for longer-term surveillance.
                                                2. Liquid sampling equipment should contain continuous samplers. The samplers must be operable in the local environment, no matter how harsh it is.
                                                3. Portable gamma survey meters for implant work should have a maximum range of 100 Gy/h, and separate survey equipment should be able to measure beta radiation up to 100 Gy/h.
                                                4. Onsite, personnel dosimetry must include beta measurement capability, as well as finger thermoluminescent dosimeters (TLDs) (figure 4). Other extremity dosimetry also may be needed. Extra sets of control dosimeters are always needed in emergencies. A portable TLD reader may be needed to link with the station computer via telephone modem in emergency locations. In-house survey teams, such as rescue and repair teams, should have low- and high-range pocket dosimeters as well as pre-set alarm dosimeters. Careful thought must be given to pre-established dose levels for teams that may be in high radiation areas.
                                                5. Supplies of protective clothing should be supplied in emergency locations and in emergency vehicles. Extra back-up protective clothing should be available in case of accidents lasting for an extended period of time.
                                                6. Respiratory protection equipment should be in all emergency lockers and vehicles. Up-to-date lists of respiratory trained personnel should be kept in each of the major emergency equipment storage areas.
                                                7. Mobile vehicles equipped with radios are essential for emergency radiation monitoring survey teams. The location and availability of back-up vehicles must be known.
                                                8. Environmental survey team equipment should be stored in a convenient place, preferably offsite, so that it is always available.
                                                9. Emergency kits should be placed in the Technical Support Center and the Emergency Offsite Facility so that replacement survey teams need not go onsite in order to receive equipment and be deployed.
                                                10. For a severe accident involving the release of radioactive materials into the air, preparations must be in place for the use of helicopters and single-engine airplanes for airborne surveillance.

                                                                 

                                                                Figure 4. An industrial radiographer wearing a TLD badge and a ring thermoluminescent dosimeter (optional in the US)

                                                                ION060F2

                                                                Data analysis

                                                                Environmental data analysis during a serious accident should be shifted as soon as possible to an offsite location such as the Emergency Offsite Facility.

                                                                Pre-set guidelines about when environmental sample data are to be reported to management must be established. The method and frequency for transfer of environmental sample data to governmental agencies should be agreed upon early in the accident.

                                                                Health Physics and Radiochemistry Lessons Learned from the Three Mile Island Accident

                                                                Outside consultants were needed to perform the following activities because plant health physicists were fully occupied by other duties during the early hours of the 28 March 1979 Three Mile Island accident:

                                                                  • radioactive effluent release assessment (gaseous and liquid), including sample collection, coordination of laboratories for sample counting, quality control of laboratories, data collection, data analysis, report generation, distribution of data to government agencies and power plant owner
                                                                  • dose assessment, including suspected and actual overexposure investigations, skin contamination and internal deposition investigations, significant exposure mock-ups, and dose calculations
                                                                  • radiological environmental monitoring programme, including complete coordination of sample taking, data analysis, report generation and distribution, action-point notifications, expansion of programme for the accident situation and then contraction of the programme for up to one year after the accident
                                                                  • special beta dosimetry studies, including studies of the state of the art in beta personnel monitoring, modelling of the beta dose to skin from radioactive contaminants, inter-comparisons of all commercially available beta-gamma TLD personnel dosimetry systems.

                                                                         

                                                                        The above list includes examples of activities that the typical utility health physics staff cannot adequately accomplish during a serious accident. The Three Mile Island health physics staff was very experienced, knowledgeable and competent. They worked 15 to 20 hours per day for the first two weeks of the accident without a break. Yet, additional requirements caused by the accident were so numerous that they were unable to perform many important routine tasks that ordinarily would be performed easily.

                                                                        Lessons learned from the Three Mile Island accident include:

                                                                        Auxiliary building entry during accident

                                                                          1. All entries must be on a new radiation work permit reviewed by the senior health physicist onsite and signed by the unit superintendent or designated alternate.
                                                                          2. The appropriate control room should have absolute control over all Auxiliary and Fuel Handling Building entries. No entries must be allowed unless a health physicist is at the control point during the entry.
                                                                          3. No entries without a properly operating survey meter of appropriate range should be allowed. A spot check of meter response should be performed immediately prior to entry.
                                                                          4. Exposure history for all persons prior to their entry into a high radiation area must be obtained.
                                                                          5. Allowable exposures during entry, no matter how important the task should be designated.

                                                                           

                                                                          Primary coolant sampling during accident

                                                                            1. All samples to be taken on a new radiation work permit should be reviewed by the senior health physicist onsite and signed by the unit superintendent or alternate.
                                                                            2. No coolant samples should be taken unless an extremity dosimeter is worn.
                                                                            3. No coolant samples should be taken without the availability of shielded gloves and tongs at least 60 cm long in case a sample is more radioactive than expected.
                                                                            4. No coolant samples should be taken without a leaded-glass personnel shield in place in case a sample is more radioactive than expected.
                                                                            5. Sample-taking should be discontinued if the exposure to an extremity or to the whole-body is likely to exceed pre-set levels stated on the radiation work permit.
                                                                            6. Significant exposures should be distributed among a number of workers if possible.
                                                                            7. All cases of skin contamination in excess of action levels within 24 hours should be reviewed.

                                                                                         

                                                                                        Make-up valve room entry

                                                                                          1. Beta and gamma area surveys using remote detectors with appropriate maximum range must be performed.
                                                                                          2. Initial entry in an area with an absorbed dose rate of more than 20 mGy/h must have prior review to verify that exposure to radiation will be kept as low as reasonably achievable.
                                                                                          3. When water leaks are suspected, possible floor contamination should be detected.
                                                                                          4. A consistent programme for type and placement of personnel dosimetry must be put into operation.
                                                                                          5. With persons entering an area with an absorbed dose rate of more than 20 mGy/h, TLDs must be assessed immediately after exit.
                                                                                          6. It should be verified that all radiation work permit requirements are being carried out prior to entry into an area with an absorbed dose rate of more than 20 mGy/h.
                                                                                          7. Controlled-time entries into hazardous areas must be timed by a health physicist.

                                                                                                       

                                                                                                      Protective actions and offsite environmental surveillance from the local government’s perspective

                                                                                                      1. Before beginning a sampling protocol, criteria for stopping it should be established.
                                                                                                      2. Outside interference should not be allowed.
                                                                                                      3. Several confidential telephone lines should be in place. The numbers should be changed after each crisis.
                                                                                                      4. The capabilities of aerial measuring systems are better than most people think they are.
                                                                                                      5. A tape recorder should be in hand and data recorded regularly.
                                                                                                      6. While the acute episode is in progress, the reading of newspapers, watching television and listening to the radio should be abandoned as these activities only add to existing tensions.
                                                                                                      7. Food delivery and other comforts such as sleeping facilities should be planned for as it may be impossible to go home for a while.
                                                                                                      8. Alternate analytic capabilities should be planned for. Even a small accident can alter laboratory background radiation levels significantly.
                                                                                                      9. It should be noted that more energy will be expended in heading off unsound decisions than in dealing with real problems.
                                                                                                      10. It should be understood that emergencies cannot be managed from remote locations.
                                                                                                      11. It should be noted that protective action recommendations are not amenable to committee vote.
                                                                                                      12. All non-essential calls should be put on hold, time-wasters are to be hung up on.

                                                                                                                     

                                                                                                                    The Goiânia Radiological Accident of 1985

                                                                                                                    A 51 TBq 137Cs teletherapy unit was stolen from an abandoned clinic in Goiânia, Brazil, on or around 13 September 1985. Two people looking for scrap metal took home the source assembly of the teletherapy unit and attempted to disassemble the parts. The absorbed dose rate from the source assembly was about 46 Gy/h at 1 m. They did not understand the meaning of the three-bladed radiation symbol on the source capsule.

                                                                                                                    The source capsule ruptured during disassembly. Highly soluble caesium-137 chloride (137CsCl) powder was disbursed throughout a part of this city of 1,000,000 people and caused one of the most serious sealed source accidents in history.

                                                                                                                    After the disassembly, remnants of the source assembly were sold to a junk dealer. He discovered that the 137CsCl powder glowed in the dark with a blue colour (presumably, this was Cerenkov radiation). He thought that the powder could be a gemstone or even supernatural. Many friends and relatives came to see the “wonderful” glow. Portions of the source were given to a number of families. This process continued for about five days. By this time a number of people had developed gastro-intestinal syndrome symptoms from radiation exposure.

                                                                                                                    Patients who went to the hospital with severe gastro-intestinal disorders were misdiagnosed as having allergic reactions to something they ate. A patient who had severe skin effects from handling the source was suspected of having some tropical skin disease and was sent to the Tropical Disease Hospital.

                                                                                                                    This tragic sequence of events continued undetected by knowledgeable personnel for about two weeks. Many people rubbed the 137CsCl powder on their skins so that they could glow blue. The sequence might have continued much longer except that one of the irradiated persons finally connected the illnesses with the source capsule. She took the remnants of the 137CsCl source on a bus to the Public Health Department in Goiânia where she left it. A visiting medical physicist surveyed the source the next day. He took actions on his own initiative to evacuate two junkyard areas and to inform authorities. The speed and overall size of response of the Brazilian government, once it became aware of the accident, were impressive.

                                                                                                                    About 249 people were contaminated. Fifty-four were hospitalized. Four people died, one of whom was a six-year-old girl who received an internal dose of about 4 Gy from ingesting about 1 GBq (109 Bq) of 137Cs.

                                                                                                                    Response to the accident

                                                                                                                    The objectives of the initial response phase were to:

                                                                                                                      • identify the main sites of contamination
                                                                                                                      • evacuate residences where levels of radioactivity exceeded the intervention levels adopted
                                                                                                                      • establish health physics controls around these areas, preventing access where necessary
                                                                                                                      • identify persons who had incurred significant doses or were contaminated.

                                                                                                                             

                                                                                                                            The medical team initially:

                                                                                                                              • upon its arrival in Goiânia, took histories and triaged according to acute radiation syndrome symptoms
                                                                                                                              • sent all acute radiation patients to Goiânia Hospital (which was set up in advance for contamination and exposure control)
                                                                                                                              • transferred by air the next day the six most critical patients to the tertiary care center at a naval hospital in Rio de Janeiro (later eight more patients were transferred to this hospital)
                                                                                                                              • made arrangements for cytogenetic radiation dosimetry
                                                                                                                              • based medical management on each patient on that patient’s clinical course
                                                                                                                              • gave informal instruction to clinical laboratory staff to diminish their fears (the Goiânia medical community was reluctant to help).

                                                                                                                                         

                                                                                                                                        Health physicists:

                                                                                                                                          • assisted physicians in radiation dosimetry, bioassay and skin decontamination
                                                                                                                                          • coordinated and interpreted analysis of 4,000 urine and faecal samples in a four-month period
                                                                                                                                          • whole-body counted 600 individuals
                                                                                                                                          • coordinated radio-contamination monitoring of 112,000 individuals (249 were contaminated)
                                                                                                                                          • performed aerial survey of entire city and suburbs utilizing hastily assembled NaI detectors
                                                                                                                                          • performed auto-mounted NaI detector surveys of over 2,000 km of roads
                                                                                                                                          • set up action levels for decontamination of people, buildings, autos, soil and so on
                                                                                                                                          • coordinated 550 workers employed in decontamination efforts
                                                                                                                                          • coordinated demolition of seven houses and decontamination of 85 houses
                                                                                                                                          • coordinated hauling of 275 truckloads of contaminated waste
                                                                                                                                          • coordinated decontamination of 50 vehicles
                                                                                                                                          • coordinated packaging of 3,500 cubic metres of contaminated waste
                                                                                                                                          • utilized 55 survey meters, 23 contamination monitors and 450 self-reading dosimeters.

                                                                                                                                                                   

                                                                                                                                                                  Results

                                                                                                                                                                  Acute radiation syndrome patients

                                                                                                                                                                  Four patients died as a result of absorbed doses ranging from 4 to 6 Gy. Two patients exhibited severe bone marrow depression, but lived in spite of absorbed doses of 6.2 and 7.1 Gy (cytogenetic estimate). Four patients survived with estimated absorbed doses from 2.5 to 4 Gy.

                                                                                                                                                                  Radiation-induced skin injury

                                                                                                                                                                  Nineteen of twenty hospitalized patients had radiation-induced skin injuries, which started with swelling and blistering. These lesions later ruptured and secreted fluid. Ten of the nineteen skin injuries developed deep lesions about four to five weeks after irradiation. These deep lesions were indicative of significant gamma exposure of deeper tissues.

                                                                                                                                                                  All skin lesions were contaminated with 137Cs, with absorbed dose rates up to 15 mGy/h.

                                                                                                                                                                  The six-year-old girl who ingested 1 TBq of 137Cs (and who died one month later) had generalized skin contamination that averaged 3 mGy/h.

                                                                                                                                                                  One patient required an amputation about a month after exposure. Blood-pool imaging was useful in determining the demarcation between injured and normal arterioles.

                                                                                                                                                                  Internal contamination result

                                                                                                                                                                  Statistical tests showed no significant differences between body burdens determined by whole body counting as opposed to those determined by urinary excretion data.

                                                                                                                                                                  Models that related bioassay data with intakes and body burden were validated. These models were also applicable for different age groups.

                                                                                                                                                                  Prussian Blue was useful in promoting the elimination of 137CsCl from the body (if dosage was greater than 3 Gy/d).

                                                                                                                                                                  Seventeen patients received diuretics for the elimination of 137CsCl body burdens. These diuretics were ineffective in de-corporating 137Cs and their use was stopped.

                                                                                                                                                                  Skin decontamination

                                                                                                                                                                  Skin decontamination using soap and water, acetic acid, and titanium dioxide (TiO2) was performed on all patients. This decontamination was only partly successful. It was surmised that sweating resulted in recontaminating the skin from the 137Cs body burden.

                                                                                                                                                                  Contaminated skin lesions are very difficult to decontaminate. Sloughing of necrotic skin significantly reduced contamination levels.

                                                                                                                                                                  Follow-up study on cytogenetic analysis dose assessment

                                                                                                                                                                  Frequency of aberrations in lymphocytes at different times after the accident followed three main patterns:

                                                                                                                                                                  In two cases the frequencies of incidence of aberrations remained constant up to one month after the accident and declined to about 30% of the initial frequency three months later.

                                                                                                                                                                  In two cases a gradual decrease of about 20% every three months was found.

                                                                                                                                                                  In two of the cases of highest internal contamination there were increases in the frequency of incidence of aberrations (by about 50% and 100%) over a three-month period.

                                                                                                                                                                  Follow-up studies on 137Cs body burdens

                                                                                                                                                                    • Patients’ actual committed doses followed by bioassay.
                                                                                                                                                                    • Effects of Prussian Blue administration followed.
                                                                                                                                                                    • In vivo measurements for 20 people made on blood samples, wounds and organs to look for non-homogenous distribution of 137Cs and its retention in body tissues.
                                                                                                                                                                    • A woman and her newborn baby studied to look for retention and transfer by nursing.

                                                                                                                                                                           

                                                                                                                                                                          Action levels for intervention

                                                                                                                                                                          House evacuation was recommended for absorbed dose rates greater than 10 μGy/h at 1 m height inside the house.

                                                                                                                                                                          Remedial decontamination of property, clothing, soil and food was based on a person not exceeding 5 mGy in a year. Applying this criterion for different pathways resulted in decontaminating the inside of a house if the absorbed dose could exceed 1 mGy in a year and decontaminating soil if the absorbed dose rate could exceed 4 mGy in a year (3 mGy from external radiation and 1 mGy from internal radiation).

                                                                                                                                                                          The Chernobyl Nuclear Power Reactor Unit 4 Accident of 1986

                                                                                                                                                                          General description of the accident

                                                                                                                                                                          The world’s worst nuclear power reactor accident occurred on 26 April 1986 during a very low-powered electrical engineering test. In order to perform this test, a number of safety systems were switched off or blocked.

                                                                                                                                                                          This unit was a model RBMK-1000, the type of reactor that produced about 65% of all nuclear power generated in the USSR. It was a graphite-moderated, boiling-water reactor that generated 1,000 MW of electricity (MWe). The RBMK-1000 does not have a pressure-tested containment building and is not commonly built in most countries.

                                                                                                                                                                          The reactor went prompt critical and produced a series of steam explosions. The explosions blew off the entire top of the reactor, destroyed the thin structure covering the reactor, and started a series of fires on the thick asphalt roofs of units 3 and 4. Radioactive releases lasted for ten days, and 31 people died. The USSR delegation to the International Atomic Energy Agency studied the accident. They stated that the Chernobyl Unit 4 RBMK experiments that caused the accident had not received required approval and that the written rules on reactor safety measures were inadequate. The delegation further stated, “The staff involved were not adequately prepared for the tests and were not aware of the possible dangers.” This series of tests created the conditions for the emergency situation and led to a reactor accident which most believed could never occur.

                                                                                                                                                                          Release of Chernobyl Unit 4 accident fission products

                                                                                                                                                                          Total activity released

                                                                                                                                                                          Roughly 1,900 PBq of fission products and fuel (which together were labelled corium by the Three Mile Island Accident Recovery Team) were released over the ten days that it took to put out all the fires and seal off Unit 4 with a neutron absorbing shielding material. Unit 4 is now a permanently sealed steel and concrete sarcophagus that properly contains the residual corium in and around the remains of the destroyed reactor core.

                                                                                                                                                                          Twenty-five per cent of the 1,900 PBq was released on the first day of the accident. The rest was released during the next nine days.

                                                                                                                                                                          The most radiologically significant releases were 270 PBq of 131I, 8.1 PBq of 90Sr and 37 PBq of 137Cs. This can be compared with the Three Mile Island accident, which released 7.4 TBq of 131I and no measurable 90Sr or 137Cs.

                                                                                                                                                                          Environmental dispersion of radioactive materials

                                                                                                                                                                          The first releases went in a generally northern direction, but subsequent releases went toward the westerly and southwesterly directions. The first plume arrived in Sweden and Finland on 27 April. Nuclear power plant radiological environmental monitoring programmes immediately discovered the release and alerted the world about the accident. Part of this first plume drifted into Poland and East Germany. Subsequent plumes swept into eastern and central Europe on 29 and 30 April. After this, the United Kingdom saw Chernobyl releases on 2 May, followed by Japan and China on 4 May, India on 5 May and Canada and the US on 5 and 6 May. The southern hemisphere did not report detecting this plume.

                                                                                                                                                                          The deposition of the plume was governed mostly by precipitation. The fallout pattern of the major radionuclides (131I, 137Cs, 134Cs, and 90Sr) was highly variable, even within the USSR. The major risk came from external irradiation from surface deposition, as well as from ingestion of contaminated food.

                                                                                                                                                                          Radiological consequences of the Chernobyl Unit 4 accident

                                                                                                                                                                          General acute health consequences

                                                                                                                                                                          Two persons died immediately, one during the building collapse and one 5.5 hours later from thermal burns. An additional 28 of the reactor’s staff and fire-fighting crew died from radiation injuries. Radiation doses to the offsite population were below levels that can cause immediate radiation effects.

                                                                                                                                                                          The Chernobyl accident almost doubled the worldwide total of deaths due to radiation accidents through 1986 (from 32 to 61). (It is interesting to note that the three dead from the SL-1 reactor accident in the US are listed as due to a steam explosion and that the first two to die at Chernobyl are also not listed as radiation accident deaths.)

                                                                                                                                                                          Factors which influenced onsite health consequences of the accident

                                                                                                                                                                          Personnel dosimetry for the onsite persons at highest risk was not available. The absence of nausea or vomiting for the first six hours after exposure reliably indicated those patients who had received less than potentially fatal absorbed doses. This also was a good indication of patients who did not require immediate medical attention because of radiation exposure. This information together with blood data (decrease in lymphocyte count) was more useful than personnel dosimetry data.

                                                                                                                                                                          Fire-fighters’ heavy protective garments (a porous canvas) allowed high specific activity fission products to contact bare skin. These beta doses caused severe skin burns and were a significant factor in many of the deaths. Fifty-six workers received severe skin burns. The burns were extremely difficult to treat and were a serious complicating element. They made it impossible to decontaminate the patients prior to transport to hospitals.

                                                                                                                                                                          There were no clinically significant internal radioactive material body burdens at this time. Only two people had high (but not clinically significant) body burdens.

                                                                                                                                                                          Of the about 1,000 people screened, 115 were hospitalized due to acute radiation syndrome. Eight medical attendants working onsite incurred the acute radiation syndrome.

                                                                                                                                                                          As expected, there was no evidence of neutron exposure. (The test looks for sodium-24 (24Na) in blood.)

                                                                                                                                                                          Factors which influenced offsite health consequences of the accident

                                                                                                                                                                          Public protective actions can be divided into four distinct periods.

                                                                                                                                                                            1. The first 24 h: The downwind public remained indoors with doors and windows shut. Distribution of potassium iodide (KI) began in order to block thyroid uptake of 131I.
                                                                                                                                                                            2. One to seven days: Pripyat was evacuated after safe evacuation routes were established. Decontamination stations were established. The Kiev region was evacuated. The total number of people evacuated was more than 88,000.
                                                                                                                                                                            3. One to six weeks: The total number of evacuated people rose to 115,000. All these were medically examined and resettled. Potassium iodide was administered to 5.4 million Russians, including 1.7 million children. Thyroid doses were reduced by about 80 to 90%. Tens of thousands of cattle were removed from contaminated areas. Local milk and foodstuffs were banned over a large area (as dictated by derived intervention levels).
                                                                                                                                                                            4. After 6 weeks: The 30 km radius circle of evacuation was divided into three sub-zones: (a) a zone of 4 to 5 km where no public re-entry is expected in the foreseeable future, (b) a 5 to 10 km zone where limited public re-entry will be allowed after a specific time and (c) a 10 to 30 km zone where the public will eventually be allowed to return.

                                                                                                                                                                                   

                                                                                                                                                                                  A great effort has been expended in decontaminating offsite areas.

                                                                                                                                                                                  The total radiological dose to the USSR population was reported by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) to be 226,000 person-Sv (72,000 person-Sv committed during the first year). The worldwide estimated collective dose equivalent is on the order of 600,000 person-Sv. Time and further study will refine this estimate (UNSCEAR 1988).


                                                                                                                                                                                  International Organizations

                                                                                                                                                                                   

                                                                                                                                                                                  International Atomic Energy Agency

                                                                                                                                                                                  P.O. Box 100

                                                                                                                                                                                  A-1400 Vienna

                                                                                                                                                                                  AUSTRIA

                                                                                                                                                                                   

                                                                                                                                                                                  International Commission on Radiation Units and Measurements

                                                                                                                                                                                  7910 Woodmont Avenue

                                                                                                                                                                                  Bethesda, Maryland 20814

                                                                                                                                                                                  U.S.A.

                                                                                                                                                                                   

                                                                                                                                                                                  International Commission on Radiological Protection

                                                                                                                                                                                  P.O. Box No. 35

                                                                                                                                                                                  Didcot, Oxfordshire

                                                                                                                                                                                  OX11 0RJ

                                                                                                                                                                                  U.K.

                                                                                                                                                                                   

                                                                                                                                                                                  International Radiation Protection Association

                                                                                                                                                                                  Eindhoven University of Technology

                                                                                                                                                                                  P.O. Box 662

                                                                                                                                                                                  5600 AR Eindhoven

                                                                                                                                                                                  NETHERLANDS

                                                                                                                                                                                   

                                                                                                                                                                                  United Nations Committee on the Effects of Atomic Radiation

                                                                                                                                                                                  BERNAM ASSOCIATES

                                                                                                                                                                                  4611-F Assembly Drive

                                                                                                                                                                                  Lanham, Maryland 20706-4391

                                                                                                                                                                                  U.S.A.


                                                                                                                                                                                   

                                                                                                                                                                                   

                                                                                                                                                                                   

                                                                                                                                                                                  Back

                                                                                                                                                                                  Page 34 of 87

                                                                                                                                                                                  " DISCLAIMER: The ILO does not take responsibility for content presented on this web portal that is presented in any language other than English, which is the language used for the initial production and peer-review of original content. Certain statistics have not been updated since the production of the 4th edition of the Encyclopaedia (1998)."

                                                                                                                                                                                  Contents