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Levels and characteristic homologue patterns of polychlorinated dibenzo-p-dioxins and dibenzofurans in various incinerator emissions and in air collected near an incinerator.

Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) were monitored in stack gas and fly ash of various Korean incinerators and in air samples collected near the facilities. Concentrations of PCDD/Fs in emissions were investigated, and characteristic PCDD/F homologue patterns were classified using statistical analyses. The PCDD/F emission levels in stack gas and fly ash samples from small incinerators (SIs) were higher than those from municipal solid waste incinerators (MSWIs). The PCDD/F concentrations ranged between 0.38 and 1.16 pg I-TEQ/m3 (21.2-75.2 pg/m3) in ambient air samples. The lower-chlorinated furans were the dominant components in most of the stack gas and fly ash samples from SIs, although this was not the case for fly ash from MSWIs. This homologue pattern is consistent with other studies reporting a high fraction of lower-chlorinated furans in most environmental samples affected by incinerator emissions, and it can be used as an indicator to assess the impact of such facilities on the surrounding environment.

Air Pollutants↗

Effective incineration technology with a new-type rotary waste incinerator.

The technology of steady combustion in a new type of rotary incinerator is firstly discussed. The formation and control of HCl, NOx and SO2 during the incineration of sampled municipal organic solid waste are studied with the incinerator. Results showed that the new model of rotary incinerator can effectively control and reduce the pollutant formations by post combustion.

Environmental Pollution↗

Impact of moisture on volatility of heavy metals in municipal solid waste incinerated in a laboratory scale simulated incinerator.

In this work, the impact of moisture on the volatility of heavy metals present in municipal solid wastes (MSW) in a laboratory scale simulated incinerator was studied, using synthetic waste consisting of 5.4 g of wood powder, 2.6 g lava, 1.9 polythene, 0.19 g polyvinyl chloride, and a given quantity of water and heavy metals represented by lead, zinc and copper in forms of metallic, chlorides and oxides. It is found that the presence of high moisture in MSW will greatly reduce the volatilization of heavy metals in MSW in the incineration process. The volatilization behavior of chlorides, oxides and the metallic species with respect to the effect of moistures is quite different. For copper, the presence of moisture in MSW depresses the volatilization of oxides, and increases that of chloride and the metallic species, while in contrast, the volatilization of both lead and zinc is always depressed by the presence of moisture in MSW, regardless of the chemical forms used. The chemical mechanisms, which govern the volatilization behaviors of different chemical forms in the incineration process, are proposed. Hydrolysis, dewatering of hydrolyzed species, sublimation, chemical transformation of less volatiles to more volatiles or reverse, may participate in and affect the volatilization of heavy metals in MSW.

Air Pollutants↗

Incineration and human health. State of knowledge of the impacts of waste incinerators on human health.

After pollutants from an incineration facility disperse into the air, some people close to the facility may be exposed directly through inhalation or indirectly through consumption of food or water contaminated by deposition of the pollutants from air to soil, vegetation, and water. For metals and other pollutants that are very persistent in the environment, the potential effects may extend well beyond the area close to the incinerator. Persistent pollutants can be carried long distances from their emission sources, go through various chemical and physical transformations, and pass numerous times through soil, water, or food.

Environmental Health↗

Transfer of dioxin risk between nine major municipal waste incinerators in Taiwan.

The objective of this study was to assess site-specific carcinogenic risks of incinerator-emitted dioxins and risk transfers among the areas covered by nine municipal incinerators in Taiwan. We used actual emission data and the industrial source complex short-term model (ISCST3) to determine the dioxin impact areas within the 8 x 8-km simulation regions surrounding the incinerators. We then used multimedia model to estimate cancer risks in individual impact areas for two exposure scenarios, which were sufficient (SFP) and insufficient food production (IFP) for residents' consumption in each impact area. We also used information of food supply and consumption between impact areas to calculate risk transfers among these nine incinerators. We found that dioxins' carcinogenic risks ranged from 1.4 x 10(-8) (Incinerator F) to 7.1 x 10(-5) (Incinerator A) for the nine incinerators under the exposure scenario of SFP, and ranged from 8.7 x 10(-8) (Incinerator D) to 1.1 X 10(-6) (Incinerator E) under the exposure scenario of IFP. The food ingestion was the main exposure pathway, which accounted for 64-99% of total dioxin risks among nine impact areas. For the nine major food items consumed by residents in the impact areas, eggs (14-35%) and chicken (11-26%) were two main routes of dioxin exposure in the SFP scenario, while chicken (8-78%) and vegetables (0.2-81%) were two main routes of dioxin exposure in the IFP scenario. Significant risks of dioxins were transferred among incinerators, which accounted for up to 88% among the incinerators. Incinerator E was the major risk-exporting source to six Incinerators C, D, F, G, H, and I. For these six incinerators, Incinerator E accounted for their 51-88% imported risks. We concluded that risk transfers among incinerators through routes of food consumption should be considered in assessing health risks associated with incinerator-emitted dioxins in Taiwan. We should place high priority on implementing control measures to lower dioxin emissions in important food-exporting areas like Incinerator E. We should also emphasize analyzing dioxin contents in eggs, chicken, and vegetables in order to improve dioxin-related health risk assessments in the future.

Air Pollutants↗

Health survey on workers and residents near the municipal waste and industrial waste incinerators in Korea.

Hazardous substances, such as polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) also have been detected in Municipal Solid Waste (MSW) and industrial waste incinerators in Korea. In this study, we estimated the exposure status of these hazardous substances and their heath effects in workers and residents near the MSW incinerators and residents near the industrial waste incinerators. We interviewed 13 workers and 16 residents from the area around the two MSW incinerators, and further 10 residents from the area around one industrial waste incinerator, which is suspected to emit higher hazardous substances. During the interview we collected information including sociodemographic information, personal habits, work history, detailed gynecologic and other medical history. Blood samples from 45 subjects were also collected for analysis of PCDDs and PCDFs, which were analyzed by HRGC-HRMS (High Resolution Gas Chromatography-High Resolution Mass Spectrometer). In addition to a questionnaire survey, urinary concentrations of 8-hydroxydeoxyguanosine (8-OH-dG) and malondialdehyde (MDA) were measured as oxidative injury biomarkers. Urinary concentrations of 8-OH-dG were determined by in vitro ELISA (JAICA, Fukuroi, Japan). MDA were determined by HPLC using adduct with TBA (thiobarbituric acid). The PCDD/F concentrations in residents from the area around industrial waste incinerator were higher than those in workers and residents from the area around MSW incinerator. The average toxic equivalency (TEQ) concentrations of PCDD/Fs in residents from the area around industrial waste incinerator were 53.4 pg I-TEQs/g lipid. The average TEQ concentrations of PCDD/Fs in workers and residents near MSW incinerator were 12.2 pg I-TEQs/g lipid. Estimated daily intake (EDI) of each person was calculated, and the EDI of all workers and residents near MSW incinerator were within the tolerable daily intake range. But for only 30% of 10 people near the industrial waste incinerator were the EDI within the tolerable daily intake range (1-4 pg I-TEQ/kg bw/day) suggested by WHO (1997). The oxidative stress of residents near the industrial waste incinerator was higher than that in workers and residents from the area around MSW incinerator. This oxidative stress may have been caused by hazardous substances, such as PCDD/Fs emitted by incinerators. The residents from the area around industrial waste incinerator were exposed to hazardous substances such as PCDD/ Fs. Proper protection strategies against these hazardous chemicals are needed.

Benzofurans↗

Polychlorinated dibenzo-p-dioxin and dibenzofuran concentrations in the serum samples of workers at continuously burning municipal waste incinerators in Japan.

OBJECTIVES: To find whether concentrations of polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) in serum increased in workers at municipal incinerators that burn continuously. METHODS: 30 Workers employed at three municipal waste incineration plants (incinerator workers) and 30 control workers were studied. The incinerator workers had worn dust masks or airline masks during the periodic repair work inside the incinerators. Previous job, dietary habit, smoking habit, distance from residence to the incineration plant, and body weight and height were obtained from a questionnaire survey. Concentrations of PCDDs/PCDFs were measured in the serum of the workers and the dust deposited in the plants. The influence of various factors on serum concentrations of PCDDs/PCDFs was examined by multiple regression analysis. RESULTS: Dust analysis showed the greatest amount of octachlorodibenzo-p-dioxin (OCDD), followed by 1,2,3,4,6,7,8-heptachlorodibenzo-p-dioxin (HpCDD), 1,2,3,4,6,7,8-heptachlorodibenzofuran (HpCDF), and octachlorodibenzofuran (OCDF). The toxicity equivalents (TEQs) of PCDDs and PCDFs in the deposited dust were 4.8, 1.0, and 6.4 ng TEQs/g, respectively, for plants A, B, and C. The mean serum TEQs of PCDDs and PCDFs in the incinerator workers and control workers were 19.2 and 22.9 pg TEQs/g lipid, respectively, for area A, 28.8 and 24.5 pg TEQs/g lipid for area B, and 23.4 and 23.6 pg TEQs/g lipid for area C. No significant differences were found between the incinerator workers and the controls for TEQs of PCDDs and PCDFs separately, and TEQs of PCDDs and PCDFs together. However, the serum 1,2,3,4,6,7,8-HpCDF concentration was significantly higher in the incinerator workers than in the controls for all the three areas. When the exposure index to 1,2,3,4,6,7,8-HpCDF is defined as the product of the concentration of 1,2,3,4,6,7,8-HpCDF in the deposited dust and duration of employment, the concentration of 1,2,3,4,6,7,8-HpCDF in serum increased as the exposure index increased. Multivariate analysis suggested that the serum concentration of HpCDF increased with duration of employment at the incineration plants and OCDF increased with employment of > or = 21 years. The other significant variables (p < 0.01 or p < 0.001) were area for hexachlorodibenzo-p-dioxin (HxCDD) and tetrachlorodibenzofuran (TCDF), Brinkman index for HpCDD, and body mass index (BMI) for tetrachlorodibenzo-p-dioxin (TCDD), HpCDD, and TEQs of PCDDs. CONCLUSION: The serum TEQs of PCDDs and PCDFs was not significantly higher among the incinerator workers, but the serum concentration of 1,2,3,4,6,7,8-HpCDF was. This suggests that the incinerator workers had inhaled dust containing PCDDs and PCDFs while working in plants equipped with incinerators that burn continuously.

Adult↗

Incineration of healthcare wastes: management of atmospheric emissions through waste segregation.

The amount of atmospheric pollutants emitted through the incineration of healthcare wastes can be estimated using emission factors. Emission factors have been published without including sufficient information about the types of wastes incinerated. This paper reports the first emission factors estimated for the incineration of wastes segregated into different types according to the Portuguese legislation. One controlled-air incinerator without air pollution control devices was used in the research. The main objectives of the study were: (i) to estimate the emission factors for particulate matter, dioxins, heavy metals and gaseous pollutants, according to the type of waste incinerated; (ii) to evaluate the quality of atmospheric emissions; and (iii) to define a methodology for the management of atmospheric emissions, evaluating the influence of type of waste incinerated and of the segregation method used on the emitted amounts. It was concluded that: (i) when emission factors are not associated with the type of incinerated mixture, the utility of the emission factors is highly doubtful; (ii) without appropriate equipment to control atmospheric pollution, incineration emissions exceed legal limits, neglecting the protection of human health (the legal limit for pollutant concentrations could only be met for NO(x), all other concentrations were higher than the maximum allowed: dioxins, 93-710 times; Hg, 1.3-226 times; CO, 11-24 times; SO(2), 2-5 times; and HCl, 9-200 times); (iii) rigorous segregation methodologies must be used to minimize atmospheric emissions, and incinerate only those wastes that should be incinerated according to the law. A rigorous segregation program can result in a reduction of the amount of waste that should be incinerated by 80%. A reduction in the quantity of waste incinerated results in a reduction on the amounts of pollutants emitted: particulate matter, 98%; dioxins, 99.5%; As, Cd, Cr, Mn and Ni, respectively, 90%, 92%, 84%, 77% and 92%; Hg and Pb, practically eliminated; SO(2) and NO(x), 93%; and CO and HCl, more than 99%.

Air Pollution↗

Dioxin concentrations in the blood of workers at municipal waste incinerators.

OBJECTIVES: Increased concentrations of polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzo-furans (PCDFs) in pooled blood samples from workers at municipal waste incinerators have been reported. This study was undertaken to confirm these results in individual blood samples from potentially exposed and unexposed workers at municipal waste incinerators compared with matched unexposed controls and compared with concentrations in the slag and fly ash from the municipal waste incinerators. METHODS: Concentrations of PCDDs and PCDFs were determined in the blood of 10 workers from an old municipal waste incinerator without adequate pollution controls, 11 workers from a newer incinerator with modern pollution controls, and 25 controls from the general population group matched for age (+/- 10 years), sex, and race, and in the slag and fly ash from the older incinerator. RESULTS: Significant increases of certain PCDDs and PCDFs were found in the blood of the workers from the older incinerator compared with the controls as follows: octaCDD (1051 (438) v 637 (344), P < 0.001), hexaCDF (52.3 (28.7) v 30.2 (18.2), P < 0.01), heptaCDF (43.9 (30.4) v 22.7 (12.4), P < 0.001), total PCDDs (1262 (484) v 825 (454), P < 0.001), total PCDFs (133.0 (68.1) v 93.7 (36.7), P < 0.05), and total PCDD/Fs (1395 (537) v 918 (437), P < 0.001). The workers from the older incinerator with the greatest exposure were found to have the most significant increases of the blood PCDDs and PCDFs, and the pattern of increased PCDD and PCDF congeners in the blood corresponded to the pattern in the incinerator slag and ash. No significant differences were found between the blood concentrations of the workers at the newer incinerator and the controls. CONCLUSION: Occupational exposure to slag and fly ash from municipal waste incinerators may increase the blood concentrations of PCDDs and PCDFs. Modern pollution control technology in new incinerators may be able to minimise potential exposure to slag and fly ash and thus the absorption of PCDDs and PCDFs from this source.

Adult↗

Assessment of combustion products of medical waste incinerators in Alexandria.

The emissions and ashes from medical waste incinerators might perform a threat to the environment and the public health. The aim of the present work is to evaluate the emissions and ashes of six medical wastes incinerators in six hospitals in Alexandria. Five air pollutants were sampled and analyzed in the emissions comprising smoke, lead, carbon monoxide, sulphur dioxide and nitrogen dioxide . Ash samples were analyzed for bacterial count, volatile substances, lead and cadmium. Shape and color of ash were observed visually. The results of the present study have revealed that all the average values of gases in the six incinerators were within the limits stated in Egyptian environmental law, where as carbonaceous particulate (smoke) averages of the six incinerators have exceeded the maximum allowable limit in the law. On the other hand, lead concentration in emissions were far below the maximum allowable limit in the law. Incinerator No 6 emissions have been significantly higher in CO, NO2, SO2 and smoke concentration than the other five incinerators P<0.001, P<0.0006, P<0.0001, and P<0.002 respectively. There was no significant variation in bacterial count of ash samples at 20 degrees C and 37 degrees C between the six studied incinerators. Volatile substance percentage of ash samples in the six incinerators were much higher than the recommended percentage. There was a highly significant variation between the six incinerators (p<0.005). Lead and cadmium concentrations in ash samples were much higher than those in developed countries, meanwhile, more or less as those in developing countries. It is recommended to state specific realistic emissions limits for medical waste incinerators and to substitute sporadic incinerators in hospitals by two central incinerators in proper places outside the city.

Air Pollutants↗

Risks of municipal solid waste incineration: an environmental perspective.

The central focus of the debate over incineration of municipal solid waste (MSW) has shifted from its apparent management advantages to unresolved risk issues. This shift is a result of the lack of comprehensive consideration of risks associated with incineration. We discuss the need to expand incinerator risk assessment beyond the limited view of incinerators as stationary air pollution sources to encompass the following: other products of incineration, ash in particular, and pollutants other than dioxins, metals in particular; routes of exposure in addition to direct inhalation; health effects in addition to cancer; and the cumulative nature of exposure and health effects induced by many incinerator-associated pollutants. Rational MSW management planning requires that the limitations as well as advantages of incineration be recognized. Incineration is a waste-processing--not a waste disposal--technology, and its products pose substantial management and disposal problems of their own. Consideration of the nature of these products suggests that incineration is ill-suited to manage the municipal wastestream in its entirety. In particular, incineration greatly enhances the mobility and bioavailability of toxic metals present in MSW. These factors suggest that incineration must be viewed as only one component in an integrated MSW management system. The potential for source reduction, separation, and recycling to increase the safety and efficiency of incineration should be counted among their many benefits. Risk considerations dictate that alternatives to the use of toxic metals at the production stage also be examined in designing an effective, long-term MSW management strategy.

Air Pollutants↗

Respiratory function among waste incinerator workers.

INTRODUCTION: Whereas air pollutants have been measured in incinerator working areas, few studies have focused on the effects of these pollutants on the lung function of incinerator workers. In France, a study was performed among workers at two urban incinerators, aimed at identifying a link between exposure to different pollutants in incinerator plants and respiratory lung function impairments. METHODS: A follow-up of lung function was carried out on 83 incinerator workers from two incinerator plants, comparing them with a group of 76 non-exposed workers recruited by the same occupational physician. Workers' lung functions were measured during their yearly occupational medical examination, for 3 years. The American Thoracic Society quality criteria were used to control the quality of the flow-volume curves. RESULTS: Base-line lung functions were lower among incinerator workers than among non-exposed workers. The few significant differences were indicative of obstructive symptoms. During the first year the differences observed between the two groups were close to the significant threshold value of 5% for FEF(75)/ PV and FEF(25-75)/PV. During the third year significant differences covered three parameters: FEF(50)/PV, FEF(25-75)/PV and FEF(25-75)/FVC. After smoking habits (pack-years), medical history of allergy or lung diseases and the examination centres had been taken into account in a linear regression, the reduction of FEF(75)/PV in the first year and FEF(25-75)/FVC in the third year was linked to exposure in incinerator plants. There was no significant association between exposure and the differences observed in the FEF(25-75)/PV in the first year or in the FEF(50)/PV and the FEF(25-75)/PV in the third year. CONCLUSION: This analysis of incinerator workers' lung functions has identified some lung impairments among workers exposed to incinerator air pollutants compared to non-exposed workers, thus indicating possible obstructive disorders among incinerator workers. However, these impairments are moderate and in accordance with the low levels of airborne pollutants identified in a previous study.

Adult↗

Dioxin incinerator emissions exposure study Times Beach, Missouri.

PURPOSE: To determine whether living in the vicinity of a hazardous waste incinerator that was burning material contaminated with 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) increased TCDD and toxicity equivalencies (TEQ) in individuals living near the incinerator. METHODS: Participants were randomly chosen from an area close to the incinerator and compared to participants outside of the exposure area. TCDD and related compounds were measured in blood serum before incineration, four months after incineration started, and at the end of incineration. RESULTS: Lipid adjusted serum levels of TCDD and TEQ decreased from pre-incineration to four months after incineration, and decreased further by the end of incineration. CONCLUSION: Incineration of TCDD did not result in any measurable exposure to the population surrounding the incinerator.

Adolescent↗

Dioxin-like PCBs released from waste incineration and their deposition flux.

To investigate the formation and decomposition behaviors of dioxin-like PCBs during incineration of municipal solid wastes in a recently constructed facility, the concentrations of dioxin-like PCBs were measured in municipal solid waste before incineration and in the incinerator emission gas and residues. Using these values, release/inflow ratios of dioxin-like PCB congeners (ratio of the amount released from the incinerator to the amount flowing into the incinerator through waste) were calculated. For PCB congeners 126, 169, and 189, these ratios were greater than 1. In contrast, ratios of the other dioxin-like congeners were much less than 1. To take into account atmospheric sources, the amounts of dioxin-like PCBs released via emissions from municipal solid waste incineration were compared with atmospheric depositions in the Kyoto City area. Most of the PCDD/F congeners and homologue groups were deposited in amounts similar to those found in emissions from the waste incinerator. Deposition of dioxin-like PCB congeners 81, 126, 169, and 189 were also found in amounts similar to those released via the waste incinerator emissions. However, depositions of congeners 105, 114, and 118 greatly exceeded the amounts released via waste incinerator emissions. In reviewing the congener profiles of industrial PCB products and emission gas, the following general trends were observed: (i) For congeners whose contents are high in industrial PCB products (e.g., 105 and 118), the amounts deposited were much higher than the amounts released with waste incineration emission gas. (ii) For congeners whose percentages were high in the waste incineration emission gas (e.g., 126 and 189), the amounts deposited were similar to the amounts released in the waste emission gas.

Air Pollutants↗

Investigation of novel incineration technology for hospital waste.

Conventional incineration systems for hospital waste (HW) emit large amounts of particulate matter (PM) and heavy metals, as well as dioxins, due to the large excess air ratio. Additionally, the final process residues--bottom and fly ashes containing high levels of heavy metals and dioxins--also constitute a serious environmental problem. These issues faced by HW incineration processes are very similar to those confronted by conventional municipal solid waste (MSW) incinerators. In our previous work, we developed a novel technology integrating drying, pyrolysis, gasification, combustion, and ash vitrification (DPGCV) in one step, which successfully solved these issues in MSW incineration. In this study, many experiments are carried out to investigate the feasibility of employing the DPGCV technology to solve the issues faced by HW incineration processes, although there was no MSW incinerator used as a HW incinerator till now. Experiments were conducted in an industrial HW incineration plant with a capacity of 24 tons per day (TPD), located in Zhenzhou, Henan Province. Results illustrated that this DPGCV technology successfully solved these issues as confronted by the conventional HW incinerators and achieved the expected results for HW incineration as it did for MSW incineration. The outstanding performance of this DPGCV technology is due to the fact that the primary chamber acted as both gasifier for organic matter and vitrifying reactor for ashes, and the secondary chamber acted as a gas combustor.

Dioxins↗

Polychlorinated dibenzo-p-dioxin and dibenzofuran concentrations in serum samples of workers at intermittently burning municipal waste incinerators in Japan.

OBJECTIVES: To find whether or not incinerator workers employed at intermittently burning municipal incineration plants are exposed to high concentrations of polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs). METHODS: 20 Workers employed at three municipal waste incineration plants (incinerator workers) and 20 controls were studied. The previous job, dietary, smoking, and body weight and height were obtained from a questionnaire survey. Concentrations of PCDDs and PCDFs were measured in serum samples of the workers and the deposited dust of the plants. The influence of occupational exposure on concentrations of PCDDs and PCDFs in serum samples was examined by multiple regression analysis. RESULTS: Dust analysis showed that dominant constituents were octachlorodibenzo-p-dioxin (OCDD) and 1,2,3,4,6,7,8-heptachlorodibenzo-p-dioxin (HpCDD) among the PCDDs, and 1,2,3,4,6,7,8-heptachlorodibenzofuran (HpCDF) and octachlorodibenzofuran (OCDF) among the PCDFs. The toxicity equivalents (TEQs) of summed PCDDs and PCDFs in the deposited dust were 0.91, 33, and 11 ng TEQ/g, respectively, for plants I, II, and III. The means of TEQ in serum samples of summed PCDDs and PCDFs in the incinerator workers and controls were 22.8 and 16.4 pg TEQ/g lipid for area I, 29.4 and 19.3 pg TEQ/g lipid for area II, and 22.8 and 24.9 pg TEQ/g lipid for area III, which were almost the same as for the general population of Japan. No significant differences in the TEQ of PCDDs and TEQ of PCDDs and PCDDs were found between the incinerator workers and the controls. However, the TEQ of PCDFs was significantly higher among the incinerator workers in areas I and II, and the 1,2,3,4,6,7,8-HpCDF concentration was also significantly higher for all three areas. When the occupational exposure index for each constituent of PCDDs and PCDFs was defined as the product of the duration of employment at the incineration plant and the concentration of the constituent in the deposited dust, multiple regression analysis showed that the concentrations of HxCDF, HpCDF, and TEQ of PCDFs in serum samples increased with the occupational exposure index. The multiple regression analysis also suggested that significant factors affecting the concentrations in serum samples were area for HxCDD, age for TCDD, PeCDD, PeCDF, TEQ of PCDDs, TEQ of PCDFs, and TEQ of summed PCDDs and PCDFs, and BMI for HxCDD, HpCDD, and OCDD. CONCLUSION: This study showed that incinerator workers employed at intermittently burning incineration plants were not necessarily exposed to high concentrations of PCDDs and PCDFs. However, the increases in the concentrations in serum of HxCDF, HpCDF and TEQ of PCDFs with the occupational exposure index suggest that the incinerator workers had inhaled dust containing PCDDs and PCDFs during their work.

Adult↗