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Occupational Exposure to Carbon Nanotubes and Nanofibers

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3.4 Systemic Responses <strong>to</strong> Pulmonary <strong>Exposure</strong> <strong>to</strong> SWCNT <strong>and</strong> MWCNT ..... 203.4.1 Translocation of CNT <strong>to</strong> Systemic Sites ............................ 203.4.2 Systemic Inflammation ......................................... 203.5 <strong>Carbon</strong> <strong>Nanofibers</strong> (CNF) ........................................... 204 Conclusions—Hazard <strong>and</strong> <strong>Exposure</strong> Assessment ................................ 335 CNT Risk Assessment <strong>and</strong> Recommended <strong>Exposure</strong> Limit ...................... 375.1 Risk Assessment <strong>and</strong> Recommended <strong>Exposure</strong> Limit (REL) .............. 375.2 Other Derived <strong>Occupational</strong> <strong>Exposure</strong> Limits for CNT .................. 435.3 Evaluation of Uncertainties in CNT Risk Assessment <strong>and</strong> REL ............ 465.3.1 Strength of Evidence for Estimating a Health-Based RELfor CNT <strong>and</strong> CNF ............................................ 465.3.2 Major Areas of Uncertainty .................................... 465.3.3 Minor Areas of Uncertainty .................................... 486 Recommendations ........................................................ 516.1 <strong>Exposure</strong> Assessment ............................................... 516.1.1 <strong>Exposure</strong> Moni<strong>to</strong>ring Program .................................. 516.1.2 CNT <strong>and</strong> CNF Measurement ................................... 526.1.3 Method 5040 Limit of Detection ................................ 556.2 Engineering Controls ............................................... 586.3 Worker Education <strong>and</strong> Training ...................................... 586.4 Cleanup <strong>and</strong> Disposal ............................................... 636.5 Personal Protective Clothing ......................................... 636.6 Respira<strong>to</strong>rs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 646.7 Medical Screening <strong>and</strong> Surveillance ................................... 656.7.1 Worker Participation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 656.7.2 Program Oversight ............................................ 686.7.3 Screening Elements ............................................ 686.7.4 Worker Education ............................................. 696.7.5 Periodic Evaluation of Data <strong>and</strong> Surveillance Program ............. 697 Research Needs ........................................................... 717.1 Workplace <strong>Exposure</strong>s, Measurement, <strong>and</strong> Controls ........................... 717.2 Experimental <strong>and</strong> Human Studies ..................................... 71References ................................................................. 73Appendix A—Quantitative Risk Assessment of CNT ............................. 91A.1 Introduction ....................................................... 95A.2 Methods ........................................................... 96A.2.1 Rodent Dose-response Data .................................... 97A.2.2 Estimated Lung Dose in Animals ................................ 98A.2.3 Animal Dose-response Modeling <strong>and</strong> BMD Estimation ............... 103A.3 Results ............................................................ 110A.3.1 Benchmark Dose <strong>and</strong> Working Lifetime <strong>Exposure</strong> Estimates ........ 110xviiiNIOSH CIB 65 • <strong>Carbon</strong> <strong>Nanotubes</strong> <strong>and</strong> <strong>Nanofibers</strong>

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