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WOOD DUSTS

WESTERN RED CEDAR


TLV–TWA, 0.5 mg/m3, Inhalable particulate matter
Sensitizer (SEN)
A4 — Not Classifiable as a Human Carcinogen

ALL OTHER SPECIES*


TLV–TWA, 1 mg/m3, Inhalable particulate matter

CARCINOGENICITY
A1 — Confirmed Human Carcinogen: Oak, Beech
A2 — Suspected Human Carcinogen: Birch, Mahogany, Teak, and Walnut
A4 — Not Classifiable as a Human Carcinogen: All other wood dusts
*For species suspected to be allergenic, see Table 1.

TLV® Recommendation based on the evidence of sensitization potential of


this dust.
Western Red Cedar
All Other Wood Dust Species
There have been many studies showing the
strong association between occupational exposure Studies of workers exposed to wood dust have
to Western red cedar dust as an allergen and occu- observed decreased lung function compared to
pational asthma. Brooks and colleagues (1981) ob- unexposed controls (Goldsmith and Shy, 1988a, b;
served no asthma cases among splitters exposed at Liou et al., 1996; Chan-Yeung et al., 1980; Hessel et
0.5 mg/m3 total dust. Vedal and colleagues (1986) al., 1995; Mandryk et al., 1999, 2000; Noertjojo et
observed a 5% asthma prevalence among workers al., 1996) or across a workshift (Al Zuhair et al.,
exposed to less than 1 mg/m3 total dust (of note, this 1981; Holness et al., 1985; Mandryk et al., 1999).
is a relatively low reported prevalence of asthma These effects have been observed among workers
even for the general population), but they observed exposed to wood dust from a variety of tree species
a 15% prevalence in the group exposed to over in a variety of settings (e.g., lumber mills, furniture
2 mg/m3 total dust (with a maximum value of 6 mg/m3) manufacturing, cabinet making) and countries.
of Western red cedar dust. Chan-Yeung and Some studies examined lung function or
Desjardins (1992) reported that four workers from symptoms by level of exposure and observed
the same facility first developed asthma after being patterns consistent with a dose-response relation-
transferred from jobs with exposure below 0.3 mg/m3 ship (Halpin et al., 1994a; Pisaniello et al., 1991;
total dust to jobs with exposures ranging from 0.2 to Andersen et al., 1977; Whitehead et al., 1981a, b;
0.6 mg/m3 total dust. Noertjojo and colleagues Holness et al., 1985; Mandryk et al., 1999, 2000),
(1996) observed significant declines in lung function although only a few of these studies have supplied
among workers whose mean exposure was the information necessary to determine a TLV
0.3 mg/m3 total dust, but not among those whose (Halpin et al., 1994a, b; Schlunssen et al., 2001;
mean exposure was 0.13 mg/m3 total dust. Asthma Andersen et al., 1977; Whitehead et al., 1981a, b;
has been attributed to occupational exposure to Whitehead, 1982; Holness et al., 1985). Andersen et
allergenic dusts from many different tree species in al. (1977) observed a dose-response relationship
addition to Western red cedar, based on case between the level of exposure and prevalence of
reports or epidemiologic studies (Table 1). Unfortu- mucostasis, with an 11% prevalence of mucostasis
nately, very little data regarding the actual levels of among workers with a mean exposure of 2.2 mg/m3
exposure necessary to cause asthma are available. total dust. Halpin and colleagues (1994a, b) observed
Based on the studies of Western red cedar, a an increased prevalence of symptoms among
TLV–TWA of 0.5 mg/m3, inhalable particulate matter,
is recommended. A SEN notation is appropriate

ACGIH® © 2012 Wood dusts – 1


TABLE 1. Commercially Important Tree Species Associated with Asthma and/or Cancer
Carcino-
genicity
Common Name Latin Name Designation Potential Allergenic Reference
SOFTWOODS
Alaska yellow cedar Chamaecyparis nootkatensis A4
California redwood Sequoia sempervirens A4 Chan-Yeung and Abboud, 1976;
doPico, 1978
Douglas fir Pseudotsuga mensiesii A4
Eastern white cedar Thuja occidentalis A4 Cartier et al., 1986; Malo et al., 1994
Fir Abies A4
Amabilis fir Abies amabilis
Alpine fir Abies lasiocarpa
Balsam fir Abies balsamea
Grand fir Abies grandis
Silver fir Abies alba
Hemlock Tsuga A4
Western hemlock Tsuga heterophylla
Mountain hemlock Tsuga mertensiana
Juniper Juniperus A4
Larch Larix occidentalis A4
Pine Pinus A4 Skovsted et al., 2000
Spruce Picea A4
Black spruce Picea mariana
Engleman spruce Picea engrlmannii
Norway spruce Picea abies
Sitka spruce Picea sitchemsis
White spruce Picea glauca
Western red cedar Thuja plicata A4 Chan-Yeung et al., 1973; Paggiaro
and Chan-Yeung, 1987
HARDWOODS
Alder Alnus rubra A4
Ash Fraxinus spp. A4 Malo and Cartier, 1989; Szmidt and
Gondorowicz, 1994; Fernández-Rivas
et al., 1997
Aspen/Poplar/Cottonwood Populus A4
Beech Fagus A1
Birch Betula A2
Cherry Prunus A4
Chestnut Castanea A4
Elm Ulmus A4
Hickory Carya A4
Hornbeam/White beech Carpinus A4
Lime or Basswood Tilia A4
Maple Acer A4
Oak Quercus A1 Malo et al., 1995; Sosman et al., 1969
Sycamore Platanus A4
Walnut Juglans A2
Willow Salix A4
TROPICAL WOODS
Abirucana Pouteria A4 Booth et al., 1976
Andiroba Carapa spp. A4
African blackwood Dalbergia melanoxyn A4
African zebra Microberlinia A4 Bush et al., 1978
Afrormosia Pericopsis elata A4
Antiaris Antiaris Africana, Antiaris A4 Cabanes Higuero et al., 2001
toxicara
Continued on page 3
2 – Wood dusts ACGIH® © 2012
TABLE 1. Commercially Important Tree Species Associated with Asthma and/or Cancer (continued)
Carcino-
genicity
Common Name Latin Name Designation Potential Allergenic Reference
Australian blackwood Acacia melanoxyn A4
Balsa Ochroma A4
Cabreuva Myrocarpus fastigiatus A4 Innocenti et al., 1991; Baur et al.,
2000
Cedar of Lebanon Cedra libani A4 Greenberg, 1972
Central American walnut Juglans olanchana A4 Bush and Clayton, 1983
Cocabolla Dalbergia retusa A4 Eaton, 1973
East Indian rosewood/ Dalbergia latifolia A4
Bombay blackwood
African ebony Diospryos crassiflora A4 Maestrelli et al., 1987
Fernam bouc Caesalpinia A4 Hausen and Herrmann, 1990
Honduras rosewood Dalbergia stevensonii A4
Incense machilus A4
Incense cedar Calocedrus decurrens A4
Iroko or Kambala Chlorophora excelsa A4 Azofra and Olaguibel, 1989;
Pickering et al., 1972; Hernandez et
al., 1999
Jarrah Eucalyptus marginata A4
Jutelong A4
Kauri Agathis australis A4
Kejaat Pterocarpus angolensis A4 Ordman, 1949
Kotibe Nesorgordonia papaverifera A4 Reques and Fernandez, 1988
Limba Terminalia superba A4
Mahogany (African) Khaya spp. A2 Sosman et al., 1969
Makore Tieghemella heckelii A4 Ordman, 1949; Obata et al., 2000
Mango Mangifera indica A4
Mansonia/Beté Mansonia altissima A4 Lo Coco et al., 1987; Ordman, 1949
Meranti Shorea sp. A4
Motiné A4
Nara Pterocarpus indicus A4 Tochigi et al., 1983
Nyatoh Palaquium hexandrum A4
Obeche/African maple/ Triplochiton scleroxylon A4 Hinojosa et al., 1984, 1986; Innocenti
Samba and Angotzi, 1980; Reijula et al.,
1994; Weber and Haussinger, 1988;
Quirce et al., 2000
Okume Aucoumea klaineana A4 Ordman, 1949
Palisander/Brazilian Dalbergia nigra A4 Colas et al., 1985; Godnić-Cvar and
rosewood/Tulip Gomzi , 1990
wood/Jakaranda
Pau marfim Balfourodendron riedelianum A4 Basomba et al., 1991
Ramin Gonystylus bancanus A4 Howie et al., 1976; Hinojosa et al.,
1986
Rimu Dacrydium cupressinum A4
Sandal wood Santalum album A4
Sheesham Dalbergia sissoo A4
Soapbark dust Quillaja saponaria A4 Raghuprasad et al., 1980
Spindle tree wood Euonymus europaeus A4 Herold et al., 1991
Tanganyika aningre Aningeria altissima A4 Paggiaro et al., 1981
Tasmanian oak Eucalyptus delagatensis, E. A4
regnans, E. obliqua
Tawa Beilschmedia tawa A4
Teak Tectona grandis A2

ACGIH® © 2012 Wood dusts – 3


workers with a mean exposure of 3.0 mg/m3 inhalable 1.96 mg/m3 total dust, but with a relatively wide
dust, compared to both workers with a mean exposure deviation of dust measurement. Recent work by
of 0.7 mg/m3 inhalable dust and controls. Based on Kalliny et al. (2008) and Glindmeyer et al. (2008)
the study by Holness and colleagues (1985), a 10% evaluating separate measurement of wood dust
drop in forced expiratory volume in 1 second (FEV1) volatiles and solids may be a promising technique
would be predicted based on 1.5 mg/m3 total dust for the future. However, this is still a research
exposure over a 40-year working life. Whitehead method, and most of the past health studies are
(1982) estimated that chronic personal exposures based on measurement of total wood dust. For that
above 2 mg/m3 total dust from both hardwoods and reason, the TLV continues to be based on total dust.
softwoods were associated with decreased There is much inconsistency in the studies with
pulmonary function among sawmill and furniture regard to the specific nature of the health effects;
workers. Furthermore, pine-exposed workers had nevertheless, to protect workers from developing
significantly decreased post-shift FEV1 and decreases in pulmonary function and other occupa-
increased reported wheezing at these relatively low tional lung diseases, a TLV–TWA of 1 mg/m3,
levels. This study was a cross-sectional design inhalable particulate matter, is recommended.
associated with the underestimation of risk
associated with the healthy-worker effect (i.e., that ill Carcinogenicity of Wood Dusts
workers will drop out of the workforce and are less Many studies have observed large excess risks
likely to be represented in cross-sectional studies). of sino-nasal cancer, particularly adenocarcinoma,
While there was some variability in the results, among workers employed in wood dust-exposed
many other studies have observed increased symp- jobs (IARC, 1995). Based on interviews with cancer
toms or decreased lung function among workers patients, exposure to oak and beech was clearly
with mean exposures to wood dust that were similar associated with an excess risk of cancer, while birch,
to those reported above. The highest reported level mahogany, teak, and walnut were strongly sus-
at which no adverse effects were observed was 3.3 pected (IARC, 1995; Andersen et al., 1977; Leclerc
mg/m3 inhalable dust (Al Zuhair et al., 1981); how- et al., 1994; Acheson et al., 1984; Leroux-Robert,
ever, that was not a recent study, and measure- 1974; Luboinski and Marandas, 1975; Engzell et al.,
ment of inhalable dust has lately become more 1978; Kleinsasser and Schroeder, 1989). However,
precise. Subsequently, Wilhelmsson and Drettner the mechanism by which exposure to wood dust
(1984) observed decreased mucociliary clearance increases the risk of cancer is not clear, and it is
and forced vital capacity (FVC) among furniture possible that other tree species are also carcino-
workers with a mean exposure of 2 mg/m3 total dust. genic. Based on the evidence currently available, an
Goldsmith and Shy (1988a, b) observed decreased A1, Confirmed Human Carcinogen, notation is
airflow among workers whose mean exposure was assigned to beech and oak, while an A2, Suspected
described as approximately 2 mg/m3 total dust or Human Carcinogen, notation is assigned to birch,
less. Although there were biohazardous, concomi- mahogany, teak, and walnut. The remaining tree
tant compounds such as endotoxin, Mandryk and species are assigned a designation of A4, Not
colleagues (1999) observed decreased pulmonary Classifiable as a Human Carcinogen.
function and increased symptoms among sawmill No studies have thus far examined the risk of
workers with a mean exposure to 4.8 mg/m3 inhal- sino-nasal cancer in relationship to quantitative
able dust; additional studies by Mandryk et al. estimates of wood dust exposure, although a
(2000) showed significantly increased respiratory number of studies have observed a dose-response
symptoms and lung function changes (including relationship using semi-quantitative estimates of
cross-shift decrements) with geometric mean of 1.53 wood dust exposure based on job title and industry
mg/m3 inhalable dust for green mills and 1.71 mg/m3 (Hayes et al., 1986; Demers et al., 1995a; Leclerc et
for dry mills. Ahman and colleagues (1995, 1996) al., 1994). Because of the long latency of sino-nasal
observed an elevated prevalence of respiratory cancer, it is largely assumed that the effective period
symptoms among industrial arts teachers with a of exposure for most studies was 20 to 30 years
mean exposure of 0.6 mg/m3 total dust, but partici- prior to diagnosis, which equates to the 1950s and
pants were also potentially exposed to other 1960s for most studies. Unfortunately, there are very
respiratory irritants. Chan-Yeung and colleagues few measurements from that period. Sampling in the
(1980) observed decreased lung function among British furniture industry in the early 1980s indicated
sawmill workers with a mean exposure of 0.5 mg/m3 exposure levels ranging from 2.1 to 8.1 mg/m3
total dust, but the authors described the changes as inhalable dust, while the mean exposure in a 1974
slight. Most recently in a cross-sectional study, survey was 5.9 mg/m3 total dust, and it can be safely
Schlunssen et al. (2001) found increased reported assumed that earlier exposures were at least as
asthma and asthma symptoms in Danish wood- high. While the very high risks of sino-nasal cancer
workers (including decreased post-shift FEV1 among may have been associated with exposure levels
pine exposed workers) exposed to predominantly greater than 2 mg/m3 inhalable dust, it is not clear
softwoods of 0.94 ± 2.10 mg/m3 inhalable and 0.60 ± whether relative risks of 2 to 5, which have been

4 – Wood dusts ACGIH® © 2012


observed in more recent studies, may be associated used; and secondary wood industries, where dried
with lower exposures. Recent data suggest that wood is used (e.g., furniture and cabinet manufac-
occupational wood dust levels < 1 mg/m3 (inhalable turing, wood pattern and model shops, and other
particulate matter) may substantially decrease the manu-facturing industries). In addition, substantial
risk of nasal cancer (Teschke et al., 1997). These amounts of wood are used in construction. Although
data further support the TLV Committee recom- many of the processes performed within these
mendation of a TLV–TWA of 1 mg/m3, inhalable industries are similar, the levels of exposure may be
particulate matter. quite different due to the characteristics of the wood
used, the degree to which engineering controls are
TLV® Basis used to limit exposure, and other factors.
The most important factor that will influence the
Western red cedar: Asthma; degree to which a worker will be exposed to wood
All other species: Pulmonary function. dust is the type of operation being performed. In
general terms, wood dust may be generated during
Chemical and Physical Characteristics woodworking processes by either shattering the
Tree species can be botanically classified as wood cells or by chipping out whole cells or groups
either gymnosperms, which generally have scale-like of cells (Hinds, 1988). Shattering produces much
or needle-like leaves, or angiosperms, which gener- finer particle sizes than chipping and generally
ally have broad leaves and are deciduous in the creates more dust. Dust produced from chipped cells
temperate regions of the world. For practical pur- is of less concern with regard to human health
poses, trees are usually classified as softwoods because the particles are usually so large that they
(temperate gymnosperms or conifers), hardwoods do not remain suspended in air and, therefore,
(temperate angiosperms), or tropical woods (which cannot be inhaled under most circumstances. In a
are primarily angiosperms but also include some general sense, woodworking processes designed to
gymnosperms). Commercially important tree species create a smooth surface, such as sanding or
and species specifically mentioned in this review are grinding, should result in more shattering of cells
listed in Table 1 with both their common and Latin than rougher wood-working processes. Another
names. factor influencing the generation of wood dust is how
Wood is primarily composed of cellulose, hemi- the point of operation is oriented relative to the wood
cellulose, and lignin. In addition to these basic surface and grain. Woodworking operations per-
components, wood also contains hundreds of high- formed parallel to the natural grain of the wood are
and low-molecular-weight organic compounds, less likely to shatter cells than processes performed
collectively known as “wood extractives,” that protect perpendicular to the grain. As one might logically
trees from attack by bacteria, fungi, and other assume, the volume of wood dust generated should
potentially harmful agents, as well as provide grain also increase with the velocity of the process. For
and color to the wood. The extractives represent 5% example, machine sanding should generate more
to 30% of the wood on a mass basis (DECOS, dust than hand sanding because a larger area can
1992). Softwoods and hardwoods generally differ be sanded during the same period of time.
both in cellular structure and chemical composition.
Gymnosperms usually have longer fibers, slightly Particle Size-Selective Sampling
less polyoses, slightly more lignin, a higher nonpolar A wide range of mass median aerodynamic
(e.g., terpene), and lower polar (e.g., tannin) content diameters (MMAD) for wood dust have been
than angiosperms, but there is considerable varia- reported, but the majority were generally greater
bility between species (IARC, 1995). Examples of than 10 µm (Hinds, 1988; Hounam and Williams,
biologically active compounds include terpenes, 1974; Vaughan et al., 1990). Darcy (1984) found
lignans, and stilbenes, which are primarily found in bimodal distributions with a very large diameter
softwoods; tannins, flavinoids, and quinones, which mode (20–30 µm) and a small diameter mode (1–2
are primarily found in hardwoods; and phenols, µm). Generally, larger particles were generated by
which are found in both (IARC, 1995; Hausen, 1981; rough cutting operations and smaller ones by
Woods and Calnan, 1976). Various inorganic sanding dry wood, although there appears to be
compounds have also been found in wood. great variability in particle sizes within operations as
well (Vaughan et al., 1990). Based on the size
Major Sources of Occupational Exposure distribution of wood dust, there is potential for it to
Exposure to wood dust occurs among persons be deposited throughout the respiratory system, but
employed in a variety of industries. In the European the majority will deposit in the head airways (prim-
Union alone, Kauppinen et al. (2000) estimated that arily in the nose with nose-breathing) with high
over 2.6 million workers were exposed to wood dust. efficiency. Because some of the most important
In general, these industries may be separated into health effects have also been observed in the upper
primary wood industries, such as logging, lumber airways (i.e., upper respiratory symptoms and sino-
mills, and pulp mills, where relatively fresh wood is
ACGIH® © 2012 Wood dusts – 5
nasal cancer), the TLV recommendations are made samplers and found that the seven-hole sampler
based on the inhalable particulate matter (IPM). collected significantly less particulate.
Although a number of studies have measured Davies et al. (1999) measured inhalable, thor-
inhalable wood dust concentrations in industry acic, and total dust exposure in British Columbia
(Hounam and Williams, 1974; Al Zuhair et al., 1981; lumber mill workers using the GSP and seven-hole
Halpin et al., 1994a; Norrish et al., 1992; Pisaniello (SHS) inhalable samplers, the PEM thoracic
et al., 1991; Scheeper et al., 1995; Vinzents and sampler, and the 37-mm closed-face cassette total
Laursen, 1993), most studies that have evaluated dust sampler. The following were the estimated
the health effects of wood dust have used so-called intersampler measurement ratios: GSP/37-mm
“total dust” sampling with closed-face 37-mm cas- sampler = 4.2; GSP/SHS = 1.7; PEM/37-mm = 1.6.
settes (U.S. NIOSH, 1994). Most of the mass is con- The authors noted significant variability at low
tributed by particles larger than 10 µm, and historical ambient dust concentrations. The authors postulated
data should be evaluated with great caution. that the GSP sampler might be susceptible to pro-
Several studies have used side-by-side sam- jectile particles not normally aspirated (as well as
pling of wood dust to provide a rough approximation variability in ambient wind speed and loss due to
for conversion. Vinzents and Laursen (1993) re- electrostatic effects), and the PEM might be un-
ported a ratio of 1.6 for the Institute of Occupational suited to the higher concentrations of particles found
Medicine (IOM) (inhalable particulate) to 37-mm in occupational settings. Tatum et al. (2001) com-
closed face (total dust) sampling, based on 40 side- pared the performance of three different personal
by-side samples collected in 32 large Danish wood inhalable dust samplers and a personal total dust
factories. Vinzents and colleagues (1995) reported a sampler in a range of facilities found in the wood
ratio of 1.9 for IOM-to-37-mm closed-face sampling products industry in the United States (sawmill,
for Norwegian wood industries. Kim and Lee (1996) plywood mill, oriented strandboard mill, paper mill
reported a high correlation (Pearson r = 0.91) wood yard, and two furniture manufacturing plants).
between the 37-mm closed-face cassette and the Reportedly, the conical inhalable dust sampler and
IOM sampler for side-by-side wood dust concen- the closed-face filter cassette total dust sampler may
trations. The concentrations measured by the IOM be more precise (i.e., lower coefficients of variation)
sampler were significantly higher; the authors than the IOM and multi-orifice (7-hole) inhalable dust
offered the following formula for a conversion samplers. As with Davies et al. (1999), the authors
between the two data sets: postulated that these two inhalable dust samplers
may tend to collect projectile particles which would
Log(IOM) = 0.745 + 0.496 log (total dust)
normally be too large to aspirate. In addition, the
The ratio of the IOM to the 37-mm cassette was authors reported that the relative performance of the
approximately 2.5 for sanding and cutting opera- inhalable samplers might vary by particle-size
tions. Perrault et al. (1996) conducted side-by-side distribution in the individual workplace when com-
stationary sampling using a 37-mm closed-face pared to the total dust sampler.
cassette and an IPM sampler and observed an Harper and Muller (2002) collected 16 side-by-
IPM:total dust ratio of 2.8 to 3.7. In another analysis side personal samples using the IOM sampler and
of 66 personal side-by-side samples, a ratio of 1.2 37-mm closed-face cassette (CFC) in three wood
(with a correlation coefficient of 0.90) was observed. products industries. The IOM/CFC ratios ranged
Both studies involved the manufacturing of furniture. from 1.19 to 19, with a median 3.35.
Martin and Zalk (1998) reported on side-by-side Schlunssen et al. (2001) compared inhalable
personal sampling conducted with the IOM samplers versus total dust monitoring in a cross-sectional
and the traditional 37-mm closed-face cassettes in a study in the Danish furniture industry using con-
wood shop. While the authors observed IOM:total ventional and passive monitors. The passive dust
dust ratios of 1.8 to 4.1 for the seven samples with monitor conversion models for equivalent concen-
total dust measurements greater than 0.5 mg/m3, trations of total dust and inhalable dust were not
ratios of 2.1 to 71 were observed for the 10 samples significantly different between the current study and
between 0.048 and 0.45 mg/m3 total dust. The the original models based on earlier data collections.
authors proposed that large particles of wood They also found that inhalable dust exposure was
projected into the large sample-port opening of the about 50% higher than total dust.
IOM sampler might be responsible for the wide Harper et al. (2004) performed another side-by-
variations at low dust concentrations. Davies and side comparison of three size-fractionating wood
colleagues (1999) also observed a ratio of IOM:total dust samplers (CFC, IOM, Button) using an indepen-
dust ratio of 4.2, based on the results of 34 samples dent microscopic standard to compare size distrib-
collected using the GSP inhalable and 37-mm ution estimates of the three samplers. They were
closed cassette samplers. Much greater variations in found to differ both in their inclusion of ultra-large
the ratio were observed at low concentrations in this particles and in their distribution of other particle size
study. The authors also collected 36 side-by-side fractions.
samples using the SKC Inc. seven-hole and GSP The studies cited above found IPM:total dust
ratios ranging from 1.2 to 4.2 for total dust concen-
6 – Wood dusts ACGIH® © 2012
trations in the range useful for setting a TLV for of airborne particulates in lumber mills as well as
wood dust. Werner and colleagues (1996) sug- potential exposure to wood chemicals.
gested 2.5 as a working inhalable-to-total-dust con-
version factor, based on the results of studies con- Absorption, Distribution, Metabolism, and
ducted in different industries with different expo- Excretion
sures. This would seem to be a reasonable approxi-
mation for wood. Therefore, a ratio of 2.5 will be No studies available.
used in this document for interpreting studies with
exposure measurements based on total dust sam- Human Studies
pling. However, the reader should recognize that the The reviewed studies were presented to estab-
variability may be higher when the total dust concen- lish the methodology of exposure measurement (i.e.,
trations are less than 0.5 mg/m3 and lower when the total dust versus inhalable) and the association with
mass is primarily due to relatively small particles possible human health effects. In addition, a distinc-
(i.e., < 20 µm) as noted by Tatum et al. (2001) and tion is made between those studies performed
Davies et al. (1999). among sawmill workers with possible confounding
Other Sampling Issues exposures discussed previously, compared with
other wood dust exposed workers. Finally, a distinc-
Recent work in wood dust exposure has focused tion is also made between known allergenic wood
on the measurement of endotoxin and 1Æ3-β-D- dusts (such as Western red cedar) and other wood
glucan as possible significant occupational expo- dust exposures.
sures, particularly in the softwood sawmill industry.
Monoterpene exposures have also been evaluated, Dermatitis
and a separate ACGIH TLV Documentation is Wood dusts can cause allergic contact derma-
available for Turpentine and Selected Monoterpenes titis as a result of Type 1 and Type IV hypersens-
(α-pinene, β-pinene, Δ3-carene) (ACGIH, 2003). itivity, as well as irritant dermatitis. The sensitizers in
Douwes et al. (2000) evaluated worker exposure to the hardwoods were reportedly the benzo- and
airborne dust, endotoxin, and 1Æ3-β-D-glucan in naphtha-quinones. Although relatively rare, the
two New Zealand sawmills. The authors reported majority of reported cases of allergic contact
that the measurement of dust exposure is a poor dermatitis were occupationally related; these
proxy for 1Æ3-β-D-glucan and endotoxin exposures workers often reported respiratory and mucosal
in these workers. However, these authors did not symptoms (e.g., conjunctivitis, rhinitis, and asthma),
measure inhalable wood dust, but rather total dust. in addition to dermatitis (Estlander et al., 2001;
Alwis et al. (1999a) noted that high exposures to Flechsig and Nedo, 1990; Schlunssen et al., 2002b;
endotoxins were found in the inhalable fraction Dutkiewicz et al., 2001) (Table 1).
(correlation coefficient 0.58; p < 0.05) compared to
the respirable fraction (correlation coefficient 0.41; Respiratory Disease
NS). Dennekamp et al. (1999) found a significant Dozens of studies have examined the risk of
correlation between inhalable dust and inhalable respiratory disease among workers exposed to
endotoxin levels (correlation coefficient 0.69; p < wood dust. This review will be restricted to studies
0.0001) among softwood lumber mill workers in where wood dust was the predominant exposure
British Columbia. and where there was no or very low exposure to
Of note, the significant determinants of personal exogenous chemicals such as formaldehyde,
wood dust exposure were found to be local exhaust isocyanates, and other manufactured chemicals with
ventilation (p < 0.001), job title (p < 0.001), use of known respiratory effects. In addition, only studies
hand-held tools (p < 0.001), cleaning method (p < where levels of wood dust exposure were reported
0.011), use of compressed air (p < 0.045), and will be described in detail. For a discussion of other
green or dry wood processed (p < 0.001), with an R2 studies, a number of reviews have been published
(ANCOVA) overall of 0.68. In the same model, the (Hausen, 1981; Woods and Calnan, 1976; Flechsig
type of wood processed (soft or hardwood) was not and Nedo, 1990; Bardana, 1992; Chan-Yeung,
found to be significantly related to personal wood 1993; Goldsmith and Shy, 1988b; Tatken and
dust exposure (Alwis et al., 1999b). Similar results Browning, 1987; Schlunssen et al., 2002a). The
were found by Dennekamp et al. (1999). studies will be presented in chronological order.
Demers et al. (2000) sampled inhalable Studies that deal only with allergenic species (such
particles, monoterpenes (α- and β-pinenes and Δ3- as Western red cedar) or with allergenic responses
carene), and resin acids (abietic and primaric acids) will be reviewed in the next section.
in softwood lumber mills of British Columbia. The Andersen and colleagues (1977) compared the
monoterpene exposures were much lower than respiratory health of 68 Danish furniture workers to
those observed in similar studies in Sweden and 66 unexposed controls. The furniture workers were
Finland. The authors stated that these results primarily exposed to teak, oak, chipboard, and
highlight the importance of considering the content palisander, with additional exposure to some

ACGIH® © 2012 Wood dusts – 7


mahogany, jakaranda, beech, ramin, motiné, the less dusty factory (mean = 3.3 mg/m3) or the
Masonite, and pine. The level of exposure was controls. No dose-response relationship was
assessed, based on 68 personal total dust samples. observed within the factories.
Mucociliary clearance was significantly slower in the Wilhelmsson and Drettner (1984) conducted a
exposed group. The occurrence of mucostasis in cross-sectional survey of 676 workers (93% partici-
exposed subjects was related to the concentration of pation) from 50 Swedish furniture factories. The
wood dust, with mucostasis in 11% of subjects prevalence of nasal hypersecretion, nasal obstruc-
exposed at 2.2 mg/m3 and in 63% exposed at 25.5 tion, and colds was significantly higher (p < 0.05)
mg/m3. An increased prevalence of sinusitis, among workers whose self-reported exposure was
prolonged colds, asthma, sneezing, and nasal heavy or moderate (n = 484) compared to those with
obstruction was also reported among the exposed light or no exposure (n = 192). Further examinations
group, but no differences in lung function were were performed on 61 workers exposed to fine wood
observed. dust from turning, machining, or sanding. Fifty-four
Whitehead and colleagues (1981a, b) performed percent of these workers had decreased mucociliary
a cross-sectional survey of workers from 10 wood- clearance (> 20 minutes). Fifty-nine workers com-
working companies in Vermont to determine the pleted pulmonary function testing and had a mean
relationship between wood dust exposure and FVC that was approximately 550 ml lower than
changes in pulmonary function. A total of 1157 expected (p < 0.001). The workers were primarily
woodworkers participated (74% of eligible); workers exposed to dust from birch, beech, oak, mahogany,
with exposures other than to wood dust were ex- and teak; the mean wood dust exposure was 2
cluded from the analyses. Rock maple was the mg/m3 total dust (range, 0.30–5.06), based on 28
predominant hardwood, with smaller amounts of ash personal samples from the factories that employed
and oak; the softwood was white pine. Approx- the workers who underwent examinations.
imately 100 stationary dust samples were collected; Holness and colleagues (1985) compared nasal
average levels in different departments ranged from cytology, lung function, and the prevalence of
0.2 to 4.5 mg/m3 total dust. Workers were divided symptoms among 50 workers employed in four
into three groups, based on cumulative exposure: Canadian cabinetmaking shops to 49 hospital
low (< 2 mg/m3-years), medium (2–9.9 mg/m3- workers. The cabinet workers were exposed to dust
years), and high (10+ mg/m3-years). Low pulmonary from a variety of woods including birch, oak, cherry,
function was defined as below the lowest fifth walnut, cedar, poplar, fir, pine, spruce, chipboard,
percentile of the normal comparison population. particleboard, and plywood. Mean levels of exposure
Those in the medium or high hardwood dust expo- were reported as 1.83 mg/m3 total dust, 0.29 mg/m3
sure categories were two to three times more likely respirable dust, and 0.06 ppm formaldehyde (Sass-
to have a low ratio of FEV1: FVC and low maximal Kortsak et al., 1986). The prevalence of eye irritation
mid-expiratory flow rate (MMF) compared to workers and rhinitis was significantly higher among wood
in the low exposure categories. Low pulmonary flow workers. The cabinet-makers also tended to have
rates were also two to four times more likely to occur more irritated columnar cells and fewer ciliated cells
in those exposed to high levels of pine dust. In a in the nasal tract than the control group. A significant
later article using the same data, Whitehead (1982) cross-shift drop in FEV1 and FVC was observed
determined average cumulative dust exposure for among exposed workers, while no change was
workers in the high-exposure class was 27.4 mg- observed among controls. Thirty-one percent of
yrs/m3. Exposures above this level were associated exposed workers had a 5% or greater drop in FEV1
with an excess prevalence of decreased pulmonary or FVC compared to 13% of controls. The cross-shift
function. Based on the assumption that personal drops did not appear to be related to the level of
samples would on average be three to four times exposure. However, a significant relationship was
higher than area samples and given a 40-year found between cumulative exposure to both total
maximum work lifetime, Whitehead (1982) and respirable dust and to both FEV1 and FEV75 as
recommended that the average personal exposures measured at baseline (p < 0.01). The relationship
should not exceed 2 mg/m3 total dust. with decreased FVC was marginally significant (p <
Al Zuhair and colleagues (1981) compared the 0.10). Based on the data provided, a 10% drop in
lung function of 113 workers employed at two FEV1 would be predicted, based on 58.8 mg/m3-
English furniture factories to 47 power station work- years of exposure.
ers. The furniture workers were primarily exposed to Goldsmith and Shy (1988a) conducted a cross-
limba, beech, and ash and to some mahogany, oak, sectional study of the respiratory health of North
and ramin. Lung function was measured pre- and Carolina furniture workers with internal comparison.
post-shift on Monday and Thursday, and 193 inhal- The study population consisted of 94 furniture
able personal dust samples were collected. Small workers, of which 55 were exposed to oak, maple,
(approximately 100 ml), but statistically significant (p walnut, mahogany, andiroba, poplar, and fiberboard
< 0.001), cross-shift drops in FEV1 and FVC were dust. With the exception of the carving area, which
observed among workers from the dustier factory had a concentration of 5 mg/m3, mean exposure was
(mean = 5.7 mg/m3), but not among workers from described as approximately 2 mg/m3 total dust or
8 – Wood dusts ACGIH® © 2012
less. After adjusting for age, sex, and smoking, mahogany, jutelong). Their results were compared
wood dust exposed workers had a significantly to 103 unexposed teachers and nine other school
increased risk of work-related sneezing (odds ratio workers who were similar in regards to sex, age,
[OR], 4.1) and work-related eye irritation (OR, 4.0). height, and smoking. Shops were classified as good
Lung function was measured pre- and post-shift. or poor, based on work environment factors (general
The pre-shift results were examined in relationship and local exhaust ventilation, housekeeping) and
to months of wood dust exposure, and only peak type of woodworking machines present. The wood-
flow rate was significantly associated. In the cross- work teachers had a significantly higher prevalence
shift analysis, employment in wood dust-exposed of chronic bronchitis, dry cough, dyspnea, phlegm,
jobs had a borderline association with decreased nasal obstruction, nasal irritation, eye irritation, and
FEV1 and forced expiratory flow at 50% of volume many other symptoms, which persisted after adjust-
(FEF50%). ment for smoking, sex, and atopy. The prevalence of
Pisaniello and colleagues (1991) performed a bronchial irritation, chronic bronchitis, dry cough,
survey of dust exposure and respiratory symptoms dyspnea, nasal irritation, sneezing, burning throat,
among 168 men employed in 15 Australian furniture and throat irritation were higher among teachers
factories with no exposure to solvents. The preva- working in poor shops than in good shops. A signifi-
lence of respiratory symptoms was compared to 46 cant association between bronchial irritation, nasal
hospital workers. For the analysis, workers were obstruction, and throat irritation and exposure to
divided into two groups, either predominantly ex- Scandinavian woods was observed while only
posed to hardwoods (Tasmanian oak, teak, nyatoh) sneezing was associated with exposure to exotic
or reconstituted softwood boards. The mean levels woods. Although the primary exposure was to wood
of personal inhalable dust exposure were 3.8 mg/m3 dust, most of the teachers also taught other indus-
for hardwood workers and 3.3 mg/m3 for softwood trial arts classes to a lesser extent and may have
workers. Formaldehyde was also measured for also been exposed to solvents and other potential
some reconstituted softwood workers with a mean respiratory irritants.
concentration of 0.06 ppm. A significantly increased Ahman and colleagues (1996) further studied 39
prevalence of nasal obstruction, runny nose, sneez- woodwork teachers employed full time for at least
ing, and multiple nasal symptoms was observed three years and compared their results to 32
among all furniture workers combined and hardwood unexposed school workers. The mean levels of
workers, but only runny nose was significantly wood dust exposure were 0.57 mg/m3 total dust
elevated among the softwood board workers. When (range, 0.18–1.12) and 0.10 mg/m3 respirable dust
dust was classified as none (controls), low (< 2 (range, 0.02–0.21), based on personal sampling.
mg/m3), medium (2–5 mg/m3), and high (> 5 mg/m3), The mean terpene concentration was 0.68 mg/m3,
evidence for a dose-response was observed for based on area sampling. Participants were exam-
runny nose, sneezing, and multiple nasal symptoms ined on Monday morning and Thursday afternoon,
among all furniture workers combined (statistical and the prevalence of nasal obstruction, itchy nose,
tests were not performed). No association with lower and nasal irritation increased significantly over the
respiratory symptoms was observed. week among the exposed, but not the controls.
Norrish and colleagues (1992) performed a Mucociliary clearance slowed significantly (p < 0.001)
cross-sectional study of 41 New Zealand furniture over the week among the exposed, but not the
workers compared to 38 office workers. The furniture controls. The level of wood dust exposure was
workers were exposed to rimu, kauri, tawa, fiber- correlated with nasal obstruction (p < 0.05), runny
board, and California redwood. Inhalable wood dust nose (p < 0.01), and itchy nose (p < 0.01), while no
levels ranged from 1.0 to 25.4 mg/m3 (median 3.6 significant association was observed with terpene
mg/m3), with 32% of samples exceeding 5 mg/m3. exposure.
The median formaldehyde exposure was 0.06 Liou and colleagues (1996) examined pulmo-
mg/m3 (range 0.01 to 0.27 mg/m3) based on area nary function and the prevalence of respiratory
sampling. Significantly higher prevalence rates for symptoms among 82 workers from 12 Taiwanese
nasal obstruction, nasal discharge, sneezing, persis- wood milling operations and compared them to 262
tent cough, and breathlessness were reported office workers. The milling workers were exposed to
among the furniture workers compared to the office a mix of incense machilus, sandalwood, Taiwan
workers. Upper respiratory and eye symptoms were incense cedar, and various hardwood species.
reported more commonly in association with Seven stationary total dust samples were collected
exposure to dust from rimu. using a six-stage cascade impactor; the respirable
Ahman and colleagues (1995) performed a fraction ranged from 2.4% to 50.2%. The six
cross-sectional survey of respiratory symptoms and samples collected for grinding and screening had a
exposures among 130 Swedish woodwork teachers mean of 12 mg/m3 (range, 4.4–22.4 mg/m3), while
(94% participation), primarily exposed to Scand- the single sample collected for a sawyer had a
inavian wood (pine, birch, juniper, alder, lime) and concentration of 2.9 mg/m3. Exposure was classified
reconstituted wood (plywood and chipboard), with as none (control group), low (sawyers), and high
occasional exposures to exotic woods (teak, (grinding and screening) in order to examine dose-
ACGIH® © 2012 Wood dusts – 9
response relationships. For nonsmokers, the preva- No significant differences in the prevalence of
lence of chronic phlegm and chronic bronchitis symptoms were reported. However, wood dust-
among high exposure workers was significantly exposed workers had slightly lower FEV1 and FVC
higher than in the controls. FEV1, MMF, peak than unexposed workers. This difference was
expiratory flow rate (PEFR), and FEF25% were found statistically significant after adjustment for smoking
to be significantly lower in the exposed workers than and other potential confounders.
in the controls, and significant trends by level of Halpin and colleagues (1994a) compared
exposure were observed for FVC, FEV1, MMF, respiratory symptoms and lung function of 103
PEFR, FEF25%, and FEF50% among both smokers Welsh sawmill workers, who were exposed to
and nonsmokers. After adjusting for age, sex, spruce, Douglas fir, and pine, to 58 workers from a
height, and smoking status, all parameters of nearby metal products factory. The mean exposure
pulmonary function were significantly lower in the to inhalable particles in the “low” exposed areas was
exposed population than in the controls and a 0.7 mg/m3, while the mean exposure in the “high”
significant association with level of exposure was exposed areas was 3.0 mg/m3. Controls were also
also observed. exposed to dust (mean 2.5 mg/m3), but not to wood
Several population-based studies have also dust. Workers in the high dust areas were over twice
observed an excess risk of respiratory disease as likely to report work-related breathlessness and
among wood workers. An excess incidence of nasal, eye, and flu-like symptoms compared to
chronic lung disease, defined as either doctor- workers in low dust areas and controls. Chronic
diagnosed chronic bronchitis or emphysema or bronchitis and symptomatic bronchial reactivity were
episodes of respiratory symptoms lasting three or twice as prevalent among both low and high wood
more months, was observed among 868 Dutch men dust-exposed workers compared to controls. No
followed for 25 years who reported employment as significant differences in FEV1 or FVC were noted
wood and paper workers (relative risk [RR], 1.72; among the groups. Exposure to molds was noted in
95% confidence interval [CI], 1.10–3.62, after many areas of the mill, with visible mold more
adjustment for age, time period, and smoking) commonly reported in the low dust areas. Symptoms
(Heederik et al., 1990). Exposure to wood dust in the consistent with extrinsic allergic alveolitis were
same population was assessed using a job observed in two workers (4.4%) in the high exposure
exposure matrix (Post et al., 1994). After adjustment group and in none of the low exposure group. Of
for age and smoking, smaller excesses of both note, Baur et al. (2000) and Halpin et al. (1994b)
chronic lung disease incidence (RR, 1.31; 95% CI, reported individual cases of extrinsic allergic
0.85–2.02) and mortality (RR, 1.37; 95% CI, 0.97– alveolitis in wood workers (a parquet floor layer
2.93) were observed. An excess of respiratory exposed to cabreuva [Myrocarpus fastigiatus] and a
disease was also observed in a Norwegian study of sawmill worker exposed predominantly to spruce
1512 people (Bakke et al., 1991). After adjustment and Douglas fir, respectively) with IgG binding
for age, sex, and smoking, wood dust exposure was against wood dust and multiple fungi. Halpin et al.
associated with a nonsignificant excess of both (1994b) reviewed the literature with respect to
obstructive lung disease, defined as physician- reported cases of extrinsic allergic alveolitis and
diagnosed asthma or emphysema (OR, 1.8; 95% CI, wood dust exposure. Although fungi serve a clear
0.8–3.5), and spirometric airflow limitation, defined etiologic role in this disease, Halpin and colleagues
as FEV1 < 80% or FEV1/FVC < 70% of predicted opined that wood dust itself might be an important
(OR, 1.5; 95% CI, 0.7–4.6). A significant excess of etiology.
obstructive lung disease mortality was observed Hessel and colleagues (1995) compared respir-
(RR, 1.45; 95% CI, 1.09–1.92), after adjustment for atory symptoms and lung function of 94 Alberta saw-
age and smoking, among 11,541 men who were mill workers, who were exposed primarily to pine
employed in wood-related occupations in a follow-up and spruce, to a control population of 165 oil field
of Cancer Prevention II survey participants (Demers workers. Workplace exposure levels were measured
et al., 1998). However, the relative risk among those as particles less than 10 µm (PM10) and levels were
men who reported regular exposure to wood dust between 0.1 and 2.2 mg/m3, with a mean of 1.4
was no higher than among those who did not. mg/m3. The sawmill workers had significantly lower
average values for FEV1 and FEV1/FVC after adjust-
SawMill Workers and Respiratory Disease ing for age, height, and smoking. Sawmill workers
WOOD DUST EXPOSURE were 2.5 times as likely as the oil field workers to
report asthma (CI, 0.76–8.32) and had a higher
As part of a study of a large Canadian pulp and prevalence of shortness of breath (OR, 2.8; 95% CI,
paper mill, Chan-Yeung and colleagues (1980) 1.5–5.5) and wheeze with chest tightness (OR, 2.6;
compared the lung function of 319 sawmill workers 95% CI, 1.2–5.6). The risk of asthma and bronchitis
exposed to Douglas fir, Western hemlock, fir, and increased with duration of employment.
spruce to 496 unexposed log pond and office
workers. Seventy-one personal total dust samples
were collected (mean, 0.5; range, < 0.1–2.7 mg/m3).

10 – Wood dusts ACGIH® © 2012


Wood Dust, Endotoxin, and Other Exposures Further investigation by Mandryk et al. (2000)
compared the exposure levels and effects of
Mandryk and colleagues (1999) conducted a personal exposure on cross-shift lung function and
cross-sectional study of respiratory symptoms, lung work-related symptoms among two groups of
function, and exposure to wood dust and related Australian hardwood sawmill workers from three
biohazards among workers from four sawmills, one green mills and two dry mills compared to controls.
chipping mill, and five joineries in Australia. The Measurement of wood dust biohazards (e.g., endo-
sawmills and chipping mill all processed eucalyptus,
toxins, 1Æ3-β-D-glucan, gram-negative bacteria,
a hardwood, while the joineries processed a mixture
and fungi), lung function, and reported symptoms
of hard and softwoods, including radiata pine,
were made. The geometric mean of the inhalable
Western red cedar (one joinery), meranti, oak, and
dust was 1.53 mg/m3 for the green mills and 1.71
jarrah. The mean exposures in the sawmills were 4.8
mg/m3 for the dry mills; however, there was wide
mg/m3 inhalable dust, 0.4 mg/m3 respirable dust,
variation, with 70% and 50% of the inhalable dust
13.0 ng/m3 endotoxin, and 3.3 ng/m3 1Æ3-β-D- exposures greater than the Australian occupational
glucan. The mean exposures in the chipping mill exposure limit of 1 mg/m3 TWA for the green and dry
were 3.2 mg/m3 inhalable dust, 0.3 mg/m3 respirable mills, respectively. The endotoxin and glucan expo-
dust, 3.5 ng/m3 endotoxin, and 4.6 ng/m3 1Æ3-β-D- sures were consistently higher for the green mills;
glucan. The mean exposures in the joineries were there were significant and high correlations between
7.6 mg/m3 inhalable dust, 0.7 mg/m3 respirable dust, all of the biohazards measured. The prevalence of
4.7 ng/m3 endotoxin, and 0.6 ng/m3 1Æ3-β-D- symptoms reported, adjusted for age and smoking,
glucan. Workers from sawmills and chipping mill (n = were significantly higher among the green mill
105) and joinery workers (n = 63) were grouped for workers than the dry mill workers or controls, partic-
analysis. Both groups had significantly lower FVC ularly cough, phlegm, chronic bronchitis, eye and
and FEV1; increased prevalence of regular cough throat irritation, and flu-like symptoms; dry mill
and phlegm; and greater cross-shift drops in FVC, workers reported significantly more nasal discharge
FEV1, FEV1/FVC, FEF25–75, and PEFR than and headache. With regards to lung function, green
maintenance workers (n = 30) from the same sites. mill workers were slightly lower than dry mill, while
In dose-response analyses, decreased lung function all wood dust-exposed workers compared to controls
was most consistently associated with duration of had significantly lower mean percentage predicted
exposure and inhalable dust levels, but it was also lung function. Although the majority of the endotoxin
associated with respirable dust and endotoxin levels. and glucan levels were below 10 ng/m3, they were
The same researchers reported on exposure to significantly correlated with work-related symptoms
the same biohazards in wood dust among the above and lung function. The green mill workers had a high
listed worker groups in addition to two logging sites and statistically significant correlation between inhal-
as a cross-sectional study with maintenance staff able dust exposure and cross-shift decrement in
controls (Alwis et al., 1999a). There were highly FEF25–75 (r = 0.95; p < 0.0001); significant associa-
significant associations between mean personal tions with lung function were also noted for respir-
inhalable endotoxin exposures and gram negative able as well as inhalable wood dust levels.
bacterial levels (p < 0.0001) and between mean
personal inhalable 1Æ3-β-D-glucan and fungi levels Asthma
(p = 0.0003). The prevalence of reported cough, Asthma has been attributed to the dust from
phlegm, chronic bronchitis, nasal symptoms, many different tree species, based on case reports
frequent headaches, and eye and throat irritation or epidemiologic studies, as discussed in several
was significantly higher among wood exposed reviews (Flechsig and Nedo, 1990; Schlunssen et
workers (195) compared with controls (34). A dose– al., 2002b; Bardana, 1992; Chan-Yeung, 1993).
response relationship was found between personal Some North American softwoods and hardwoods, as
exposures and work-related symptoms (adjusted for well as many exotic species, have been identified as
age and smoking) among all the wood workers allergenic (see Table 1). The proportion of all occu-
except the loggers. Of interest, there were high pational asthma due to wood dust has been reported
reports of chest tightness (37% joinery workers, 21% to be 6% in the United Kingdom (Meredith et al.,
saw and chip mill workers), and among those 1991) and 11% in Quebec, Canada (Provencher et
reporting chest tightness, 33% joinery and 52% chip al., 1997). The proportion of occupational asthma
and saw mill workers reported symptoms recurred cases may be higher in regions where allergenic
on their first day back from the weekend or vacation. tree species are common, such as in British
The authors postulated that some of the symptoms Columbia, Canada where 47% of cases have been
and illness reported in wood exposed workers were reported to be associated with wood dust, primarily
due to exposure to these biohazards, suggestive of Western red cedar (Contreras et al., 1994). While
organic dust disorders reported among workers many case reports and epidemiologic studies on
exposed to swine confinement, poultry, and asthma associated with wood dust have been
contaminated humidifiers (Alwis et al., 1999a). published, only Western red cedar has been studied

ACGIH® © 2012 Wood dusts – 11


extensively and has significant dose-response controls. Workers with > 1.42 mg/m3 exposure had
information available. an increased prevalence of daily cough and chest
Borm et al. (2002) performed a cross-sectional tightness and wheeze at night relative to low
study in 1997 of 982 workers during the shift in an exposed workers (< 0.74 mg/m3). Pine-exposed
Indonesian woodworking plant using mostly meranti workers were more likely to be associated with
wood. Personal sampling divided the workers into reported wheezing and decrease in cross-shift FEV1,
three exposure groups: < 2.0 mg/m3; 2–5 mg/m3; while beech-exposed workers reported an increased
and > 5 mg/m3 inhalable. A questionnaire, lung frequency of throat symptoms. As part of the larger
function (flow volume and forced oscillation) tests, study, Schlunnsen and colleagues (2002a) per-
and nasal lavage were used to assess upper respir- formed nasal rhinometry on 161 wood workers and
atory tract inflammation. Some reported symptoms 19 controls. Exposure to inhalable dust among the
(e.g., wheezing) showed a positive dose-response, furniture workers ranged from 0.17 to 3.44 mg/m3
particularly among the women workers. Male (mean, 1.17). Increased mucosal swelling was
workers showed a significant association between observed after four and seven hours of work and
increasing years of exposure and decreasing lung was correlated with wood dust exposure levels. Self-
function; women workers, less exposed historically rated nasal obstruction was not correlated with
and currently, did not show this association. No obstruction as measured with nasal rhinometry but
consistent differences in nasal inflammation were was increased post-work shift for exposed workers.
found for the workers relative to exposure level, Many other tree species, including hardwoods
pulmonary function, or reported symptoms. (ash and oak), softwoods (California redwood, white
Bohadana et al. (2000) evaluated 114 male cedar), and many tropical woods, have been identi-
woodworkers (predominantly oak and beech) from fied as causing asthma (Table 1). These identifica-
five furniture factories in France compared to 13 tions were based on epidemiologic studies and case
unexposed male controls and 200 historic controls reports of occupational asthma where wood dust
(from the early 1990s) in a cross-sectional study. was identified as the causative agent, based further
Personal dust sampling with calculation of cumul- on evidence that wood dust exposure preceded the
ative dust exposure, as well as methacholine onset of asthma and one or more of the following:
challenge was performed. Geometric mean total 1. A laboratory or workplace challenge using dust
dust exposures depended on job and local exhaust from that tree species
ventilation: 3.5 ± 2.47 mg/m3 nonsanding and 7.86 ± 2. An immediate wheal and flare reaction on skin
2.01 mg/m3 sanding with ventilation versus 2.43 ± testing using aqueous extracts from the tree
2.80 mg/m3 nonsanding and 4.48 ± 3.47 mg/m3 species
sanding without ventilation. The median cumulative 3. The presence of specific IgE antibodies demon-
exposure to dust was 110 years × mg/m3 (range, strated using the RAST (radioallergosorbent)
70–160 years × mg/m3). Increased exposure was test or precipitating antibodies to the tree
not associated with decrease in FEV1 or FVC. species detected in the sera of affected patients.
However, increasing cumulative exposure was
significantly associated with reported sore throat and
Sawmill Workers and Asthma
with positive methacholine challenge test. The WOOD DUST EXPOSURE
authors concluded that workers exposed to oak and
beech were at increased risk for sore throat and Chan-Yeung and colleagues (1973) examined
bronchial hyper-responsiveness (Bohadana et al., 22 woodworkers with respiratory symptoms and
2000). Longitudinal studies on the same worker previous exposure to Western red cedar dust.
population are ongoing. Eighteen of the 22 subjects reacted to inhaled
Schlunssen et al. (2002b) conducted a cross- provocation with Western red cedar extract. Re-
sectional study of 2303 woodworkers from 54 sponses included immediate, delayed, and dual
furniture factories and 576 controls from nonwood- asthmatic responses. Ashley et al. (1978) and Chan-
exposed factories using questionnaire and lung Yeung and colleagues (1978) compared cedar sawmill
function (including a sub-sample of 1508 persons workers to other sawmill workers exposed to noncedar
performing pre-/post-shift) with personal dust monit- wood dust and found increased cough, phlegm,
oring; acoustic rhinometry, skin-prick testing, bron- wheeze, breathlessness, rhinitis, and conjunctivitis in
chial responsiveness, and two weeks of peak flow the cedar mill workers, but no differences in pulmo-
monitoring were performed on a subpopulation. The nary function were found between the two groups of
geometric mean exposures were 0.93 mg/m3 inhal- sawmill workers. Unfortunately, no unexposed controls
able (geometric standard deviation [GSD], 2.10) were included in this study.
(0.60 mg/m3 total dust [GSD, 1.96]). No association Brooks and colleagues (1981) compared the
was found between dust concentrations and lung questionnaire and spirometry results from 74
function. Workers with > 1 mg/m3 exposure to wood Western red cedar shake mill workers to 22 control
dust had an increased frequency of morning and subjects. Lung function was measured pre- and
daily cough and throat symptoms compared to post-shift for three consecutive days. Mean wood
dust levels were 4.7 mg/m3 total dust. Occupational
12 – Wood dusts ACGIH® © 2012
asthma, defined as a 10% or greater drop in FEV1 a decline in FVC of 21 ml/year (p < 0.05), while the
from Monday pre-shift to any subsequent test during medium exposed group experienced a decline of 16
the next three work shifts and a positive clinical ml/year (p < 0.05), and the low-exposed group
history, was observed in 14% of the cedar workers experienced a decline of 11 ml/year relative to
and in none of the control subjects. Chronic bron- control subjects. Although the sawmill workers
chitis, defined as chronic cough or phlegm on most experienced annual declines in FEV1 compared to
days, was observed in 34% of the cedar workers the control subjects, a consistent dose-response
and in 16% of the controls. The prevalence of pattern was not observed. While the 1 mg/m3 TLV is
asthma was related to level of exposure, ranging not meant to protect against asthma for 10 of the
from no asthma among splitters (0.5 mg/m3), 5% wood dusts, there is qualitative evidence for asthma,
prevalence among splitters (3.6 mg/m3), 11% preva- and for those 10 the hygienists should consider
lence among packers (4.8 mg/m3), to 24% preva- reduction of exposures to 0.5 mg/m3.
lence among sawyers (6.8 mg/m3).
Vedal and colleagues (1986) studied 93% of all Wood Dust, Endotoxin, and Other Exposures
employees in one cedar sawmill (n = 652 tested) Cormier et al. (2000) performed a cross-
and collected 104 total dust measurements, which sectional study in 17 sawmills (predominantly pine)
were used to assign estimates of personal wood in Eastern Canada, measuring respirable dust,
dust exposure for 334 workers based on job title. bacteria, endotoxins, and molds. A total of 1205
Estimated wood dust levels were 0.45 mg/m3, and sawmill workers participated in the respiratory health
301 were exposed, on average, to less than 1 questionnaire, lung function testing, skin-prick tests,
mg/m3, 20 were exposed to between 1 and 2 mg/m3, and venous blood for specific serum IgG against
and 13 were exposed at levels over 2 mg/m3 (with a molds. Nonworker controls (4 cases: 1 control)
maximum value of 6 mg/m3). Occupational asthma underwent questionnaire and serum testing.
was defined as the presence of four or five symptom Respirable dust levels ranged from 0.039 to 5.147
complexes consistent with asthma with a temporal mg/m3. When adjusted for age, height, and weight,
relation to work, and no asthma prior to employment all workers had reportedly normal lung function with
at the sawmill. The prevalence of occupational no effect of length of employment; respiratory
asthma was 6% in the low, 5% in the medium, and symptoms were reportedly associated predominantly
15% in the high exposure groups. Vedal et al. (1988) with smoking, and the prevalence of asthma was
also studied bronchial hyper-responsiveness in reportedly similar to that of the general Canadian
sawmill workers where Western red cedar was population (7%). Workers in pine sawmills had a
primarily cut. Eighteen percent of the workers greater prevalence of positive skin-prick tests to
showed bronchial hyper-responsiveness. In general, pine; however, this was not associated with
those with bronchial hyper-responsiveness also had abnormal lung function. Significantly more workers
lower levels of pulmonary function than those had highly positive antibody scores to molds (p =
without bronchial hyper-responsiveness. 0.001) compared to controls, although this response
Chan-Yeung and Desjardins (1992) evaluated was not associated with abnormal lung function. The
four workers from the same sawmill reported by authors acknowledged the possibility of the healthy
Vedal who developed occupational asthma after the worker effect and indicated that a possible increased
initial survey. Three of these four workers developed risk for asthma and other allergic lung diseases
asthma symptoms after being transferred from low existed among these wood-exposed workers, based
exposure (outside) jobs to high exposure (inside) on the antigen results.
jobs. The mean total dust exposure levels for Williams (2005) reviewed and critiqued case
outside jobs ranged from 0.01 to 0.27 mg/m3 (with reports and small case series proposing specific
no samples measuring over 2.5 mg/m3). For inside sensitization to specific wood dusts as the cause for
jobs, the mean total dust exposure levels ranged occupational asthma based on specific inhalational
from 0.18 to 0.57 mg/m3 (with up to 4% of samples challenge tests. Once asthmatic, he argues, an
over 2.5 mg/m3). individual may react to a specific challenge with
Noertjojo and colleagues (1996) conducted a wood dust based on a nonspecific asthmatic hyper-
longitudinal study of 243 Western red cedar sawmill reactivity to any dust. However, the use of nonwood
workers compared to 140 office workers. None of dust-exposed controls in many of these challenges,
the participants had been previously diagnosed as and the clinical sequence of events for these case
asthmatic by a physician, but they had participated reports are most consistent with a true allergic
in at least two cross-sectional surveys conducted by sensitization, though for some dusts this may be
Chan-Yeung et al. (1978) and Vedal et al. (1986). quite rare.
Exposure was estimated, based on 916 personal
total dust samples. Lifetime average exposures Cancer
(geometric mean) were classified as low (0.13 Cancer-associated exposure to wood dust has
mg/m3), medium (0.30 mg/m3), and high (0.61 been extensively reviewed in the International
mg/m3). After adjustment for age, height, race, and Agency for Research on Cancer (IARC, 1995)
smoking, high-exposed sawmill workers experienced
ACGIH® © 2012 Wood dusts – 13
Monograph on wood dust, as well as by other Dose-response was examined using a job-exposure
authors (Blot et al., 1997; Mohtashamipur et al., matrix developed for the study. There was no
1989a, b; Nylander and Dement, 1993; Huff, 2001). excess among the men in the lowest exposure
This review will be restricted to key epidemiologic category, a smaller but significant excess was
studies and those with results for sino-nasal cancer observed in the moderate exposure category (OR,
that report levels of wood dust exposure or estimate 3.1), and a large excess was observed among men
dose-response relationships and to studies that in the highest exposure category (OR, 46) after
identify tree species. While some studies have adjustment for study, sex, and age. Further adjust-
observed an association between wood dust and ment for smoking did not alter the relationship. Very
cancers other than sino-nasal (e.g., lip, lung, few women had been employed in wood related
nasopharyngeal, pleural, gastric, colorectal, and occupations. Little evidence of a relationship with
cervical cancers, Hodgkin’s disease and multiple squamous cell carcinomas was observed; an
myeloma, and even possibly neuroblastoma in the increased risk of squamous cell carcinoma was
offspring), the results have been less consistent, the found only among those who worked for 30 or more
relative risks observed have not been as high, and years in occupations with fresh wood dust exposure.
there have been confounding issues such as Workers were exposed to a mixture of both hard-
tobacco use and socioeconomic class (IARC, 1995; woods and softwoods.
Mohtashamipur et al., 1989a; Huff, 2001; Andersen Several other case-control studies have also
et al., 1999; Innos et al., 2000; De Roos et al., observed a dose-response relationship using semi-
2001). quantitative estimates of wood dust exposure based
An excess of sino-nasal cancer among wood- on job title and industry (Hayes et al., 1986; Leclerc
workers was first recognized in the 1960s in England et al., 1994). Because of the long latency of sino-
(Acheson et al., 1968; Macbeth, 1991). Workers in nasal cancer, it is largely assumed that the effective
the furniture manufacturing and cabinetmaking period of exposure for most studies was 20 to 30
industries were found to have a 10- to 20-fold years prior to diagnosis, which is equivalent to the
increased risk of nasal cancer (Hadfield, 1970) and 1950s and 1960s for most studies. Unfortunately,
a 100- to 500-fold increased risk of nasal adeno- there are very few exposure measurements from
carcinoma (Acheson, 1976; Rang and Acheson, that period.
1981). Subsequently, many case-control studies No studies have thus far examined the risk of
conducted in different countries have confirmed the sino-nasal cancer in relationship to quantitative
initial findings, with extremely high relative risks estimates of wood dust exposure. Analyses of both
being observed in European studies. For example, a cancer mortality (Acheson et al., 1984) and inci-
Dutch study (Hayes et al., 1986) observed a 140- dence (Rang and Acheson, 1981) among a cohort of
fold excess risk for furniture and cabinetmakers, a 5108 High-Wycombe furniture workers found an
French study (Luce et al., 1992) observed a 35-fold association between “dustiness” and the risk of sino-
excess among cabinet makers, and an Italian study nasal cancer. No sino-nasal adenocarcinomas were
(Battista et al., 1983) observed a 90-fold excess observed among men in the “less dusty” jobs, while
among woodworkers and cabinetmakers. However, one was observed (0.01 expected) among “dusty”
the only U.S. study to look at sino-nasal adenocarci- jobs (polishers, veneerers, and maintenance
noma observed a more modest but significant risk workers), and seven were observed among the “very
among furniture workers (OR, 5.7) (Battista et al., dusty” jobs (cabinet and chair makers, sanders,
1983). Smaller, but consistently elevated risks were wood machinists). Sampling conducted in the High-
still observed when the risk among workers em- Wycombe furniture industry in 1983 observed mean
ployed in all wood-related jobs was considered inhalable dust concentrations in different factories
together or when all sino-nasal cancers (regardless ranging from 2.1 to 8.1 mg/m3 with the highest expo-
of histology) were considered together. Although the sures across the factories among hand sanders
highest risks have been observed among workers in (mean = 6.9 mg/m3) and machine sanders (mean =
the wood furniture industry, excesses have also 5.7 mg/m3) (Jones and Smith, 1986). A comparison
been observed in other wood-related industries, with inhalable dust sampling results from the same
such as sawmills, cabinetmaking, and carpentry factories conducted in 1976/1977 indicated that
(Andersen et al., 1999; Acheson et al., 1968; exposures were significantly higher in the earlier
Demers et al., 1995a). period. An exposure survey of five factories in the
The pooled data from 12 studies conducted in same area published in 1974 reported an overall
seven different countries were used to examine the mean dust level of 5.9 mg/m3 (Hounam and
relationship between wood dust and sino-nasal Williams, 1974). The type of sampler was not
cancer in detail (Demers et al., 1995a). The com- reported but assumed to be for total dust; however,
bined data set included 680 male cases, 2349 male it is possible that inhalable samplers were used.
controls, 250 female cases, and 787 female con- While some case-control studies have identified
trols. An elevated risk of adenocarcinoma among tree species anecdotally, only one large case-control
men was associated with employment in wood- study has examined the risk of sino-nasal cancer
related occupations (OR, 13.5; 95% CI, 9.0–20.0). associated with hardwoods and softwoods sepa-
14 – Wood dusts ACGIH® © 2012
rately (Leclerc et al., 1994). Based on interviews with Zheng et al., 1992, 1993)..When a pooled analysis of
study participants, all 80 male adenocarcinoma the data from four cohorts of U.S. woodworkers and
cases had been exposed to hardwood dusts, either the British furniture workers was performed, the
alone (n = 7) or in combination with soft, tropical, or sino-nasal cancer mortality excess appeared to be
composite woods, but none had been exposed to restricted to the British cohort (Demers et al.,
softwoods, tropical woods, or composite woods 1995b). However, the U.S. studies had relatively low
alone. Of the 17 male squamous cell cases who had power for detecting a two- or three-fold excess risk
been exposed to wood dust, 3 had been exposed to as might be expected, based on the case-control
hardwood only, 3 to softwood only, and the studies, and had little exposure data available. One
remainder to a mixture of woods. Of the 76 exposed cohort study of a Canadian softwood saw-mill
controls, 15 had been exposed to hardwoods alone, observed an excess of sino-nasal cancer (standard-
15 to softwoods alone, 2 to composite woods alone, ized incidence ratio [SIR], 1.9; 7 observed versus
and 1 to tropical woods alone. One smaller Nordic 3.6 expected) that was not related to chlorophenol
case-control study (Hernberg et al.,1983) also fungicide exposure (Hertzman et al., 1997).
reported results based on type of tree and observed However, no analysis in relation to wood dust
an excess among workers exposed primarily to exposure was presented.
softwoods (OR = 3.3, pine and spruce, but also birch Teschke et al. (1997) reported on surveillance of
and aspen), hardwood (OR = 2.0), and mixed wood incident nasal cancers in British Columbia from 1990
(OR = 12.0), but the results were not reported for to 1992 using a case-control methodology with
specific histologic types. Tree species was assumed follow up interview to investigate occupational expo-
based on industry and regional practices. sure history. As opposed to earlier investigations in
Information regarding the species of tree was British Columbia and nearby Washington State,
primarily available from sino-nasal adenocarcinoma there was no association with occupations exposed
case series. Acheson and colleagues (1972) to wood or wood dust and an increased risk of nasal
reported that 24 cases in the British furniture cancer. The authors suggested that this might reflect
industry had been exposed to oak, mahogany, the decrease of occupational wood dust exposure in
beech, birch, and walnut. Leroux-Robert (1974) British Columbia to < 1 mg/m3.
reported that 26 French cases had used European Several studies have compared the nasal hist-
hardwoods and 22 had used oak, either mainly or ology of workers who were exposed to wood dust to
exclusively. Luboinski and Marandas (1975) unexposed controls. Boysen and Solberg (1982)
reported that 21 French cases had been exposed to collected nasal biopsies from 103 workers from five
oak, chestnut, cherry, walnut, beech, poplar, and Norwegian furniture factories and 54 controls. Meta-
mahogany. Andersen and colleagues (1977) plastic squamous epithelium were observed in 40%
reported that 12 Danish cases had primarily used of the furniture workers and 17% of controls while
beech, oak, and walnut and, periodically, mahogany dysplasia were observed in 12% and 2%, respect-
and teak. Engzell and colleagues (1978) reported ively. Boysen and colleagues (1986) also collected
that 19 Swedish cases employed as joiners and nasal biopsies from 44 men who had only been
cabinetmakers had been exposed to oak, beech, exposed to softwoods. Four wood workers who had
mahogany, and birch and never exclusively to been exposed for 20 or more years had dysplasia
softwoods. Finally, Kleinsasser and Schroeder versus zero in the controls. Wilhelmsson and Lundh
(1989) reported that 77 German cases had been (1984) collected nasal biopsies from 45 Swedish
exposed to oak and beech, and never exclusively to furniture workers and 17 controls. Meta-plastic
softwoods or tropical woods. One Norwegian study cuboidal epithelium was significantly more frequent
(Voss et al., 1985) reported on seven patients with and columnar epithelium was significantly less
sino-nasal squamous cell carcinoma who had only frequent, while no difference in the prevalence of
been exposed to pine and spruce. metaplastic squamous epithelium was observed.
In general, the relative risks observed in North
American studies have been considerably lower Genotoxicity
than those observed in European studies. In the Nelson et al. (1992) and others have shown
pooled analysis of 12 case-control studies, the dose dependent genotoxicity in animals from
excess of sino-nasal adenocarcinoma among wood hardwood dust exposure, per se, as measured by in
dust-exposed workers was limited to the eight vivo induction of micronuclei in rat nasal epithelium
European studies and one U.S. study (Brinton et al., (IARC, 1995; Blot et al., 1997; Mohtashamipur et al.,
1984) with the remaining two U.S. studies and one 1989a, b; Nylander and Dement, 1993; Huff, 2001).
Chinese study having no exposed cases (Demers et Some studies have examined genetic and related
al., 1995a). Other U.S. and Canadian studies have effects among humans exposed to wood dust. Spitz
examined the risk for all types of sino-nasal cancer et al. (1995) found a significantly increased odds
together and observed excess risks, but these have ratio (OR, 2.8) for reported wood dust exposure
ranged from 1.5 to 4.4 (Brinton et al., 1977; Elwood, among 165 cases of lung cancer versus 239
1981; Finkelstein, 1989; Roush et al., 1980; controls associated with the risk of mutagen
Vaughan and Davis, 1991; Viren and Imbus, 1989;
ACGIH® © 2012 Wood dusts – 15
3
sensitivity (based on an in vitro assay quantitating 1998: proposed: TLV–TWA, 5 mg/m , inhalable
mutagen induced chromatid breaks), despite particulate; SEN—Hardwoods and Softwoods
controlling for smoking and mutagen sensitivity. (nonallergenic); Certain hardwoods (beech, birch,
Stratified analysis revealed a greater than multi- mahogany, oak, and walnut); Softwoods
(nonallergenic); and Hardwoods and Softwoods
plicative interaction between wood dust and both (mixture)
smoking and mutagen sensitivity. Kurttio and TLV–TWA, 0.5 mg/m3, inhalable particulate; SEN—
colleagues (1993) examined the prevalence of Western red cedar; Carcinogenicity: A1, Confirmed
chromosomal aberrations among 13 nonsmoking Human Carcinogen—Certain hardwoods (beech,
male plywood workers compared to 15 nonsmoking, birch, mahogany, oak, and walnut); and Hardwoods
age-matched controls. Significantly (p < 0.01) more and Softwoods (mixture); A4, Not Classifiable as a
chromatid breaks were observed among the Human Carcinogen—Softwoods (nonallergenic);
exposed. Jiang and colleagues (1994) studied the and Western red cedar
3
micronucleus frequency in the peripheral lympho- 1999: proposed: TLV–TWA, 5 mg/m , inhalable
particulate—Hardwoods and Softwoods
cytes of 298 match factory workers exposed to (nonallergenic)
poplar and linden dust compared to 45 waiters. TLV–TWA, 5 mg/m3, inhalable particulate; SEN—
Exposed workers had significantly (p < 0.01) more Beech, Birch, Mahogany, Oak, Teak, and Walnut;
micronuclei than the controls, although no evidence and Softwoods and other Hardwoods (allergenic)
3
of a dose-response was apparent. In additional TLV–TWA, 0.5 mg/m , inhalable particulate; SEN—
studies by Jiang et al. (1997), 83 workers in a wood Western red cedar; A1, Confirmed Human
processing factory with birchen dust (1.26 ± 0.41 Carcinogen—Beech and Oak; A2, Suspected
mg/m3) had significantly higher micronucleus Human Carcinogen—Birch, Mahogany, Teak, and
Walnut; A4, Not Classifiable as a Human
frequency in peripheral blood lymphocytes (p < 0.01)
Carcinogen—Softwoods and Other Hardwoods
compared to controls. Of note, the micronucleus (allergenic); and Western red cedar
tests in mice using steamed or baked birchen dust 2001: proposed: TLV–TWA, 2 mg/m3, inhalable
significantly lowered the inducing effect in the particulate; A4, Not Classifiable as a Human
micronucleus test. Palus and colleagues (1998b) Carcinogen—Nonallergenic and Noncarcinogenic
examined the prevalence of DNA single-strand Wood Dust
breaks in peripheral lymphocytes of 24 wooden TLV–TWA, 0.5 mg/m3, inhalable particulate; SEN;
furniture workers and 28 controls. Significantly (p < A4, Not Classifiable as a Human Carcinogen—
0.05) more DNA single-strand breaks were observed Western red cedar
3
TLV–TWA, 1 mg/m , inhalable particulate; SEN; A4,
among the exposed. Additional studies by Palus et
Not Classifiable as a Human Carcinogen—Other
al. (1998a) evaluated the effect of cigarette smoking Respiratory Allergenic Wood Dust
on single strand breaks and DNA repair versus 3
TLV–TWA, 1 mg/m , inhalable particulate—
occupational exposure among wood furniture Confirmed or Suspected Carcinogenic Wood Dust;
workers. Occupational exposure had a significant A1, Confirmed Human Carcinogen—Beech and
effect on DNA repair in nonstimulated lymphocytes Oak; A2, Suspected Human Carcinogen—Birch,
regardless of smoking status compared with controls Mahogany, Teak, and Walnut
(p < 0.05). Furthermore, Palus et al. (1999) found 2003: proposed: Wood dusts
similar results for occupational wood exposure Nonallergenic species
compared to controls in DNA damage detected by 3
TLV–TWA, 1 mg/m , inhalable particulate matter
the comet assay in white blood cells, regardless of Allergenic species
smoking (p < 0.005). 3
TLV–TWA, 0.5 mg/m , inhalable particulate matter;
Recently, researchers using in vivo and in vitro SEN
assays have argued that the carcinogenicity of wood
Carcinogenicity
dust is entirely attributable to contamination by other
known carcinogen used in wood treatment and A1, Confirmed Human Carcinogen: Oak and Beech
A2, Suspected Human Carcinogen: Birch,
preservation (Huff, 2001; Klein et al., 2001; Wolf et Mahogany, Teak, and Walnut
al., 1998; Kuper et al., 1997). However, this A4, Not Classifiable as a Human Carcinogen: All
research is not considered relevant to the discussion other wood dust species
of the carcinogenicity of wood dust exposure. 2005–present: Wood Dusts
Western Red Cedar
TLV® Chronology 3
TLV–TWA, 0.5 mg/m , inhalable particulate matter;
1972: TLV–TWA, 5 mg/m3, Nonallergenic SEN; A4
3
1981–1996: TLV–TWA, 1 mg/m , Certain hardwoods (e.g., All Other Species
beech, oak)
3
TLV–TWA, 5 mg/m , TLV–STEL, 10 mg/m ,
3 TLV–TWA, 1 mg/m3, inhalable particulate matter
Softwoods Carcinogenicity
1996–2005: TLV–TWA, 1 mg/m3, Certain hardwoods (e.g., A1, Confirmed Human Carcinogen: Oak and Beech
beech, oak); A1, Confirmed Human Carcinogen A2, Suspected Human Carcinogen: Birch,
TLV–TWA, 5 mg/m3, TLV–STEL, 10 mg/m3, Mahogany, Teak, and Walnut
Softwoods

16 – Wood dusts ACGIH® © 2012


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