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(Cr) Toxicity | ATSDR - CSEM - Agency for Toxic Substances and ...

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<strong>Agency</strong> <strong>for</strong> <strong>Toxic</strong> <strong>Substances</strong> <strong>and</strong> Disease Registry Chromium <strong><strong>Toxic</strong>ity</strong><br />

Case Studies in Environmental Medicine (<strong>CSEM</strong>)<br />

Who Is at Risk of Exposure to Chromium?<br />

Learning<br />

Objectives<br />

Upon completion of this section, you will be able to<br />

• identify who is at risk of exposure to chromium.<br />

Introduction Chromium is one of the most widely used industrial metals. Several million<br />

workers worldwide are estimated to be exposed to chromium compounds in<br />

an array of industries such as pigment production, chrome plating, stainless<br />

steel welding, <strong>and</strong> leather tanning. Additionally, it is one of the major<br />

contaminants in various hazardous waste sites worldwide, including the<br />

Superfund sites in the United States [EPA 2002; Medeiros, Rodrigues et al.<br />

2003].<br />

Worker<br />

Exposure<br />

Workers in industries that use chromium are at increased risk of chromium’s<br />

adverse health effects. Those workers at greatest risk are those involved in<br />

stainless steel welding, chromate production, chrome plating, <strong>and</strong> chrome<br />

pigment industries, where exposure is primarily to <strong>Cr</strong>(VI) via inhalation of<br />

aerosols.<br />

An estimated 558,000 workers in the United States are potentially exposed<br />

to chromium <strong>and</strong> chromium-containing compounds in the workplace. In<br />

many occupations, workers are exposed to both trivalent chromium (<strong>Cr</strong>[III])<br />

<strong>and</strong> <strong>Cr</strong>(VI), as soluble <strong>and</strong> insoluble materials [<strong>ATSDR</strong> 2000; OSHA 2006].<br />

General Public The general population is exposed to chromium by inhaling ambient air,<br />

ingesting food, <strong>and</strong> drinking water containing chromium.<br />

Key Points<br />

Progress Check<br />

The presence of chromium compounds at hazardous waste sites can<br />

contribute to the exposure of populations residing or working nearby such<br />

sites. These populations may be exposed through to air containing<br />

particulates or mists of <strong>Cr</strong>(VI) compounds, through drinking water if soluble<br />

<strong>for</strong>ms of <strong>Cr</strong>(VI) leach into groundwater, or through skin contact with soil at<br />

hazardous waste sites.<br />

The potential <strong>for</strong> exposure to <strong>Cr</strong>(VI) at hazardous waste sites must be<br />

determined on a case-by-case basis.<br />

• Workers in industries producing <strong>and</strong> using chromium are at greatest<br />

risk of its adverse effects.<br />

• The general population is exposed to chromium by inhaling ambient<br />

air, ingesting food, <strong>and</strong> drinking water containing chromium.<br />

4. Of the following, who is at risk of chromium exposure?<br />

A. Residents near chromate production facilities.<br />

B. Workers in industries that use chromium.<br />

C. Tobacco smokers.<br />

D. All of the above.<br />

To review relevant content, see “Worker Exposure” <strong>and</strong> “General Public”<br />

in this section.<br />

Page 20 of 67

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