Chemical Hazard Pharma
Chemical Hazard Pharma
ABSTRACT
Chemical hazards are a major occupational health and safety (OHS) issue in Pharma industry. Management of chemical
hazards requires the combined efforts of OHS specialists, including generalist OHS professionals, occupational hygienists,
and occupational health practitioners. This paper is about industrial chemicals, the manner in which their toxicity is assessed
and the use of such assessments in regulatory decision-making. It begins with general points concerning toxicological data
availability and hazard identification, then moves on to risk assessment and occupational exposure limits, and finally looks
briefly at three specific toxicological issues, asthma, chronic toxic encephalopathy, and ‘‘low toxicity’’ dust effects on the
lung, where the science is far from resolved after brief consideration of the historical context of chemical reactivity and
toxicity issues, acute and chronic exposure, chemical hazard classification systems, and the identification, risk assessment,
and control of chemical hazards. Preventing exposure to toxic chemicals is a primary concern at hazardous waste sites. Most
sites contain a variety of chemical substances in gaseous, liquid, or solid form. These substances can enter the unprotected
body by inhalation, skin absorption, ingestion, or through a puncture wound (injection). Emphasis is placed on the importance
of working with a range of OHS specialists to ensure a range of skills is directed at preventing fatality, injury, disease, and ill
health arising from this complex area of OHS.
KEY WORDS: Dangerous goods, Globally harmonized system, Hazardous chemical, Hazardous substance, Occupational
exposure standard, Occupational hygiene
*Corresponding author: Dr. O. G. Bhusnure., Department of Quality Assurance, Channabasweshwar Pharmacy College,
Kava Road, Latur - 413 512, Latur, Phone: +91-9765360611. Tel.: 02382-241611. E-mail: omprakashbhusnure@[Link]
According to workplace hazardous materials Table 1: Chemical and that exposure limit
information, chemical hazards are classified as.[3,4] Chemical Exposure limit
Ethyl alcohol 1000 ppm
Class A acetone 1000 ppm
• Compressed gas. Methylene chloride 125 ppm
Isopropyl alcohol 400 ppm
• Dissolved gas or liquefied gas.
Indicating words E O F, F+
Name of the symbol Explosive Oxidizing Highly flammable or extremely flammable
Picture
Indicating words B N R
Name of the symbol Biohazards Dangerous for the Radioactive
environment
i.e., substances capable of inducing an immunological Substances toxic to reproduction refer to substances
response to an otherwise innocuous antigen,[11] are causing either impaired fertility (“RF”) or subsequent
classified either as “Sa,” “Sh,” or “SP.” The label “Sh” developmental effects in the progeny.[16]
designates substances that can cause allergic or irritant
reactions of the skin and the mucosa close to the skin Chemical exposures are generally divided into two
(skin sensitizing) such as irritant contact dermatitis, categories: Acute and chronic. Symptoms resulting
allergic contact dermatitis, protein contact dermatitis, from acute exposures usually occur during or shortly
and contact urticaria.[12,13] The label “Sa” designates after exposure to a sufficiently high concentration of a
substances causing airway sensitization. contaminant.[17] The number of exposures for a given
contaminant, the symptoms of an acute exposure may
These involve allergic reactions such as bronchial be completely different from those resulting from
asthma or rhinoconjunctivitis, and other effects chronic exposure.[18]
associated with systemic reactions (anaphylaxis).
The label “SP” designates substances causing photo For either chronic or acute exposure, the toxic effect
contact sensitization, i.e., an allergic reaction of the may be temporary and reversible or may be permanent
skin due to the interaction of the substance with (disability or death). Some chemicals may cause
ultraviolet radiation.[14] In general, the classification obvious symptoms such as burning, coughing, nausea,
of a substance as sensitizing is based on either tearing eyes, or rashes. Other chemicals may cause
sufficient empirical evidence of allergenic and/or health.
irritant effects or in cases where the allergenic effect
can be considered probable on the basis of appropriate EFFECTS OF CHEMICALS
empirical evidence.[15] EXPOSURE ON HUMAN BODY
Mutagenic • Skin burn,
According to Annex 6 of the council directive 67/548/ • Ache,
ECC mutagenic substances refer to substances • Anthrax,
giving rise to an enhanced occurrence of genetic • Ulcer in hand, nose, etc.
mutations that may be transmitted to the offspring, • Cancer,
i.e., permanent changes in the amount of the genetic • Irritation on windpipe,
material resulting in a change of the phenotypic • Many chemicals can cause severe burns, if they
characteristics of the organism and its offspring. come in contact with living tissue,
DIFFERENT WAYS OF CHEMICAL Figure 1: Gas state chemicals will be inhaled or liquid state
chemicals can be absorbed by the skin
HAZARDS CAUSE HARM
• Catching fire.
• Explosive or reactive.
• Corrosive.
• Irritant.
• Causing chronic organ damage over time.
• Causing an allergic reaction.
• Causing genetic or reproductive harm.[20]
troublesome primary irritant and sensitizer. Rather though weaker, irritant properties; workers bottling
extensive compressing and grinding, thrice repeated, tablets of this dye often suffer from a conjunctivitis
are necessary to prepare the material in the form of considerable severity if they transfer the material
of tablets; dust control during these operations is to their eyes by injudicious rubbing with dust-stained
mandatory, but extremely difficult, because of the hands.[22]
structure of the machines involved. In a study made
at the Abbott Laboratories (Watrous, 1944), exposure Nicotinic acid
to the dust at levels between 035 and 4–2 µg/l was Nicotinic acid and its salts have a peculiar effect on the
sufficient to cause conjunctivitis in more than half of skin of certain workers who handle these chemicals
the workmen, and dermatitis, rhinitis, and stomatitis in bulk: This consists of a diffuse erythema on the
in about a third. Similar symptoms have recently exposed parts of the skin, usually not accompanied
been described by Barlow et al. (1946). Acriflavine by itching, and resembling sunburn in appearance. It
another dye of the acridine series, possesses similar, is usually transient, disappearing in from 12 to 24 h,
though sometimes it assumes a popular character on from systemic absorption of the powdered drug by
the 2nd day and lasts several days.[22] inhalation. In a series of four cases showing industrial
dermatitis from exposure to penicillin, Friedlaender
Powdered penicillin et al. (1946) found the patients to be sensitive to pure
Dry powdered penicillin has proved to be a potent crystalline penicillin rather than to any particular
sensitizer and skin irritant in all the American factories impurity in the commercial product.[22]
where it is handled. It may produce follicular erythema,
diffuse; popular rashes on the exposed parts of the Local anesthetics
body, or, in some cases, severe generalized urticaria The local anesthetics, procaine, butyl (butacaine
which persists for days or weeks after exposure ceases. sulfate), and butesin (n-butyl aminobenzoate), form
In the latter cases, it seems probable that a generalized a group of substances more or less prone to cause
sensitivity has been created by the previous contact sensitization and dermatitis on prolonged contact with
with the substance, and that the urticaria results the skin. The tendency for procaine to sensitize the skin
of dentists and others who frequently spilled solutions Chloroform and ethylene dichloride
on their hands were recognized many years ago and Chloroform and ethylene dichloride (1,2-dichloroethane)
was one of the factors which made prepared solutions are occasionally used to extract alkaloids and other fat-
in cartridges so popular with dentists. Women engaged soluble principles. Both solvents are liver poisons, and
in filling cartridges with sterile solutions of procaine men working with them under ordinary conditions may
are subject to a characteristic occupational dermatitis develop certain vague symptoms which are referable
caused by excess solution overflowing from the tubes to the gastrointestinal tract and which suggest very
and running down their arms.[22] slight liver damage. These consist of anorexia, a heavy
feeling in the epigastrium, and fatigue. At this time the
Neoarsphehamine
urine may give a positive test for urobilinogen, and in
Neoarsphenamine, sensitization of the skin in those my experience, this is an indication for transferring
who pack it in ampoules. In such cases, the minute the workman temporarily to other employment. By-
amount of dust which settles on the skin during the products may accumulate relatively high concentrations
process may cause popular rashes on the exposed skin in parts of the plant and cause unexpected effects.
areas. In one such case, the skin was so sensitive to
contact with the drug that a patch test made with a few In pharmaceutical industry, most of the dermatitis can
milligrams of the powder exhibited vesiculation within be attributed to synthetic drugs, especially acridine
12 h. Such marked reactions, however, are rare; patch and phenothiazines.
tests are usually negative, but many mild dermatoses
of this kind subside when contact with the drug ceases CHEMICAL SAFETY GUIDELINES
and recur when it is resumed. Neoarsphenamine
may also act as a primary irritant if it is allowed to Always follow these guidelines when working with
accumulate under the nails of those handling it.[22] chemicals [Table 2 and Figure 2]:
• Assume that any unfamiliar chemical is hazardous
2-methyl-1, 4-naphthoquinone and treat it as such.
-2-methyl-1, 4-naphthoquinone, a synthetic form of • Know all the hazards of the chemicals with
Vitamin K, has the property of sensitizing the skin which you work. For example, perchloric acid is
and producing dermatitis. Workers who handle this a corrosive, an oxidizer, and a reactive. Benzene
chemical present a dark-brown staining of the skin, and is an irritant that is also flammable, toxic, and
may later show popular or eczematoid dermatitis.[22] carcinogenic.
• Never underestimate the potential hazard of any
Sulfonechloramides chemical or combination of chemicals. Consider
At least two sulfonechloramides which are used any mixture or reaction product to be at least as
as antiseptics or disinfectants have rather unusual hazardous as - if not more hazardous than - its most
properties as local irritants and sensitizers. hazardous component.
• Never use any substance that is not properly labeled. It
When these chemicals contaminate the working
may not be what you think it is date all chemicals when
environment in the form of dust, they may produce
they are received and again when they are opened.
dermatitis, rhinitis, conjunctivitis, and bronchitis in
their capacity as primary irritants.[22] Follow all chemical safety instructions, such as those
listed in material safety data sheets or on chemical
Solvents
container labels, and precisely.
Methyl alcohol is not commonly used. Ethyl alcohol • Minimize your exposure to any chemical, regardless
offers medical hazards only to the extent to which it is of its hazard rating, and avoid repeated exposure.
denatured with more toxic materials. • Use personal protective equipment (PPE), as
appropriate for that chemical.
Benzene
• Use the buddy system when working with hazardous
Benzene itself is, unfortunately, such an excellent solvent chemicals. Do not work in the laboratory alone.[23]
for many active principles, as well as for numerous
important synthetic chemicals, that it constitutes a major
HEALTH AND SAFETY
problem in the pharmaceutical industry. This is not the
place to describe or discuss the well-known facts about MANAGEMENT DUTIES IN
acute and chronic benzene poisoning, except to affirm RELATION TO HAZARDOUS
from my own experience that these well-established CHEMICALS
facts are still completely unknown or disregarded in
more backward works, and that they cry out for more Under the WHS act, a person conducting a business
popular diffusion among workmen and foremen, even or undertaking has the primary duty to ensure, so far
in the most progressive organizations.[22] as is reasonably practicable, that the health and safety
of workers and other persons are not put at risk from Resuscitation
work carried out as part of the conduct of the business Resuscitation means restoration of life of one who
or undertaking. This includes ensuring the safe use, is apparently dead (collapsed or shocked). Further
handling and storage of substances. supportive care should be provided as with any other
medical emergency.
The WHS regulations include specific duties for
a person conducting a business or undertaking to Decontamination
manage the risks to health and safety associated with
using, handling, generating, and storing hazardous A victim whose skin or clothing has been contaminated
chemicals at a workplace. requires immediate removal of garments and shoes.
Then, vigorous showering with soap and water, including
The duties include: attention to the fingernails and scalp is advised.[26]
• Correct labeling of containers and
• Pipework, using warning placards and Symptomatic Treatment
• Outer warning placards and displaying of safety Acute overexposure may result in a variety of signs
signs.[24] and symptoms that require general supportive
medical management regardless of the specific agent.
HAZARDOUS CHEMICALS Examples include the control of convulsive seizures
GENERATED OR bronchospasm.[26]
resistant safety footwear is required. Inappropriate or Precautionary statements are separated into five
poorly maintained PPE itself can act as a source of categories:
chemical exposure (e.g. contaminated gloves can be a • Prevention statements refer to precautions to be
source of ongoing exposure through persistent permeation taken to prevent an accident or exposure.
or occlusion of the chemical inside the gloves). • Response statements refer to instructions in case of
an accident.
While it would be expected that the risk associated • Storage statements refer to instructions for safe
with tasks such as decanting of chemicals would be storage of the chemical.
controlled through the enclosure or other engineering • Disposal statements refer to appropriate disposal
controls, some chemical handling tasks may require instructions.
eye protection. Depending on the task, this may be • General statements for use as appropriate.[35]
safety goggles or full face protection.
There is a wide range of PPE for respiratory protection. INDUSTRIAL SAFETY SYSTEM
While Australian standards provide information on The Industrial Safety System and Type
appropriate selection of respirators, the interpretation
Industrial automation has minimized the human
of these standard and the selection of the appropriate
respiratory protection require specialist Knowledge. interaction with the machines but has not completely
Fitting, maintenance and user training are important eliminated it. Industrial safety systems are introduced to
for all types of PPE, but especially for respiratory protect the human who works in hazardous plants. Some
protection.[34] examples of these are oil and gas, chemical, and nuclear
plants. The industrial safety systems not only protect the
humans but also protect the environment and the plant
IDENTIFYING CHEMICAL
itself from the chemical reactions [Figure 5].
HAZARDS
Process Control System
Chemical Label
These systems do not control any process but in fact,
Current labeling requirements in Australia vary
come into play when it is not possible to control
according to the intended use of the material and is
a process through normal means. They are rather
based on the classification of chemicals in accordance
installed as a protective measure and are quickly
with the requirements of the Australian Code for the
becoming the need of every working environment.[36]
Transport of Dangerous Goods by Road and Rail
(NTC, 2011) and/or the Standard for the Uniform They are installed for the monitoring of the
Scheduling of Drugs and Poisons (TGA, 2007). 10. manufacturing environment, and they control the
Introduction of the GHS, along with the national manufacturing process electronically. A laser diode
model work. is used for the detection of liquid or gas present in
the environment. If the gas or liquid is detected, then
The manufacturer or importer is responsible for
their particular frequency signature is converted to a
ensuring that any chemical or chemical product is
digital signal and the processor identifies the signal
classified and labeled according to current regulatory
received.[36]
requirements. From the perspective of the OHS
professional and the workplace user of the chemical, Safety Shutdown System
the important label components under the GHS
are signal words, hazard statements, precautionary These systems are particularly helpful in the state of
statements, and pictograms.[35] emergency as they automatically shutdown a system
to a safe state whenever they sense a danger. They can
Signal words are used to indicate the relative level be connected to the fire and gas systems to achieve
of severity of a hazard. The GHS uses “danger” and securer working environment.[36]
“warning” as signal words. “Danger” is used for a
more severe or significant hazard, while “warning” is Fire and Gas Systems
used for the less severe hazards. These systems are highly sensitive and intelligent.
They sense the inflammable gas, material, or liquid
Hazard statements describe the nature of a hazard, spill at an early stage. They also detect the fire within
including the degree of hazard, where appropriate. the working environment and give audible and visual
A unique hazard statement is assigned to each hazard signals of the threat detected. These systems can be
class and category.[35] activated automatically or manually.
Precautionary Statements There are other systems such as pressure safety valves
Precautionary statements are assigned to each hazard and emergency shutdown systems that are widely
class and category. used in the manufacturing industry.
The “Laboratory Standard,” 29 CFR 1910.1450, • Know the current legal requirements concerning
requires a Chemical Hygiene Program and designated regulated substances.
Chemical Hygiene Officer. The basic tenets of safe • Determine the required levels of PPE and equipment.
laboratory work will be found in your local Chemical • Ensure that facilities and training for the use of any
Hygiene Program.[36] material being ordered are adequate.[36]
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