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Emissions and health risks from the use of 3D


printers in an occupational setting

Felix L Chan, Chun-Yip Hon, Susan M Tarlo, Nikhil Rajaram & Ronald House

To cite this article: Felix L Chan, Chun-Yip Hon, Susan M Tarlo, Nikhil Rajaram & Ronald
House (2020) Emissions and health risks from the use of 3D printers in an occupational
setting, Journal of Toxicology and Environmental Health, Part A, 83:7, 279-287, DOI:
10.1080/15287394.2020.1751758

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JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH, PART A
2020, VOL. 83, NO. 7, 279–287
https://doi.org/10.1080/15287394.2020.1751758

Emissions and health risks from the use of 3D printers in an occupational setting
a,b c a,b,d,e
Felix L Chan , Chun-Yip Hon , Susan M Tarlo , Nikhil Rajarama,b, and Ronald House a,b,d,e

a
Division of Occupational Medicine, Department of Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; bDepartment of Medicine,
University of Toronto, Toronto, ON, Canada; cSchool of Occupational and Public Health, Ryerson University, Toronto, ON, Canada; dDalla Lana
School of Public Health, University of Toronto, Toronto, ON, Canada; eCentre for Research Expertise in Occupational Disease, Toronto, ON,
Canada

ABSTRACT KEYWORDS
The aim of this study was to determine concentrations of particulates and volatile organic 3D printing; indoor air
compounds (VOCs) emitted from 3D printers using polylactic acid (PLA) filaments at a university quality; occupational
workroom to assess exposure and health risks in an occupational setting. Under typical-case (one assessment; particulates;
volatile organic compounds
printer) and worst-case (three printers operating simultaneously) scenarios, particulate concentra-
(VOC)
tion (total and respirable), VOCs and formaldehyde were measured. Air samples were collected in
the printing room and adjacent hallway. Size-resolved levels of nano-diameter particles were also
collected in the printing room. Total particulate levels were higher in the worst-case scenario
(0.7 mg/m3) vs. typical-case scenario (0.3 mg/m3). Respirable particulate and formaldehyde con-
centrations were similar between the two scenarios. Size-resolved measurements showed that
most particles ranged from approximately 27 to 116 nm. Total VOC levels were approximately
6-fold higher during the worst-case scenario vs. typical situation with isopropyl alcohol being the
predominant VOC. Airborne concentrations in the hallway were generally lower than inside the
printing room. All measurements were below their respective occupational exposure limits. In
summary, emissions of particulates and VOCs increased when multiple 3D printers were operating
simultaneously. Airborne levels in the adjacent hallway were similar between the two scenarios.
Overall, data suggest a low risk of significant and persistent adverse health effects. Nevertheless,
the health effects attributed to 3D printing are not fully known and adherence to good hygiene
principles is recommended during use of this technology.

Introduction
2017; Kim et al. 2015; Stephens et al. 2013; Vance
Additive manufacturing, colloquially known as 3D et al. 2017; Yi et al. 2016). UFP concentrations during
printing, is the computer-assisted layered production printer operations were reported to range from
of three-dimensional (3D) objects. Fused deposition approximate 103 to 105 particles/cm3 for room mea-
modeling (FDM), a type of 3D printing, which surements (Afshar-Mohajer et al. 2015; Deng et al.
involves extrusion of molten filaments, is commonly 2016; Mendes et al. 2017; Stabile et al. 2017; Steinle
used by hobbyists and entry-level prototyping ser- 2016; Stephens et al. 2013; Vance et al. 2017) and
vices (Gibson 2015). Lab-controlled studies con- approximate 104 to 106 particles/cm3 for chamber
cluded that FDM-based 3D printing might expose measurements (Azimi et al. 2016; Floyd, Wang, and
its users to hazardous emissions of ultrafine (<100- Regens 2017; Kim et al. 2015; Kwon et al. 2017;
nm diameter) particles (UFPs) as well as volatile Mendes et al. 2017; Steinle 2016; Vance et al. 2017).
organic compounds (VOCs). Total VOC (TVOC) concentrations from 3D print-
Ultrafine particle emission rates from 3D printing ing were found to range from approximate 102 to
are estimated to range from approximate108 to 1012 103 µg/m3 (Azimi et al. 2016; Floyd, Wang, and
particles/min, with higher emissions from acryloni- Regens 2017; Mendes et al. 2017; Steinle 2016) with
trile butadiene styrene (ABS) filaments and lower higher exposures from ABS filaments compared to
emissions when polylactic acid (PLA) filaments are PLA filaments (Wojtyla, Klama, and Baran 2017).
used. (Azimi et al. 2016; Floyd, Wang, and Regens Emitted specific VOCs reported from general 3D

CONTACT Chun-Yip Hon cyhon@ryerson.ca School of Occupational and Public Health, Ryerson University 350 Victoria Street, DCC318 Toronto, ON
M5B 2K3, Canada
Supplemental data for this article can be accessed on the publisher’s website.
© 2020 Taylor & Francis
280 F. L. CHAN ET AL.

printing include formaldehyde (Kim et al. 2015; (<4 µm), size-resolved particulate (10–420 nm),
Mendes et al. 2017), acetaldehyde (Kim et al. 2015; VOCs including formaldehyde, and total volatile
Mendes et al. 2017; Stefaniak et al. 2017), acetone organic compounds (TVOC).
(Mendes et al. 2017; Stefaniak et al. 2017), isopropyl
alcohol (Stefaniak et al. 2017), and ethanol (Stefaniak
et al. 2017). ABS printing is specifically associated Methods
with emission of styrene (Azimi et al. 2016; Floyd, Test environment and 3D printers
Wang, and Regens 2017; Stefaniak et al. 2017),
a probable carcinogen (Banton et al. 2019; IARC The study was performed at a university 3D print-
2020), and PLA printing produces methyl methacry- ing facility. Air samples were collected from two
late (Steinle 2016), a respiratory and dermal sensiti- locations in the facility: (1) the room where 3D
zer, as well as a known respiratory irritant (TOXNET: printers were operating; and (2) the adjoining hall-
Hazardous Substances Data Bank (HSDB) [Internet]. way leading into the printing room. The printing
U.S. National Library of Medicine 2020; [cited 2018 room (2.4 × 2.4 × 2.4 m) contained three 3D
Oct 12].). Overall, exposure to UFPs, VOCs and printers and had carpeted walls and flooring.
solvents were deemed the highest risk for multiple Sampling in the printing room was performed at
types of additive manufacturing technology (Petretta a height simulating the seated position of a facility
et al. 2019). user. While sample collection was occurring, the
The vast majority of previous investigations printing room itself was devoid of foot-traffic, but
examining 3D printing emissions were conducted up to four people (i.e. users, sampling technicians,
under controlled printing conditions (i.e. chamber study personnel, and facility staff) were present
studies) while there is a paucity of studies which from time-to-time during the sampling period.
evaluated emissions from 3D printers in the work- The door connecting the printing room and hall-
place. To our knowledge, there have only been two way remained open during data collection, which
occupational exposure assessment studies and was typical practice at this facility. In the hallway
both research teams concluded that more research (1.2 × 6.1 × 3.4 m), air sampling was performed at
based in actual workplace settings is needed the approximate breathing height of 1.2 m just
(Stefaniak et al. 2019; Väisänen et al. 2019). This outside the printing room. Several individuals
is noteworthy as the dimensions and environmen- were observed traversing the hallway during sam-
tal conditions of the workspace might impact the ple collection as a classroom and meeting room
resulting airborne levels (Rao et al. 2017; Zhang was situated at the end of the hallway. The room
et al. 2019) and particle emission rates using with printers and hallway each had two air
a chamber might be an underestimate (Ding diffusers.
et al. 2019). In addition, non-industrial settings Three FDM 3D printers loaded with PLA fila-
often use desktop 3D printers that are not accom- ments were utilized in our study (MakerBot
panied with a means to vent the emissions Replicator 2, Ultimaker 2, and PrintrBot). During
(Wojtyła et al. 2019) and, therefore, emissions are air sampling, the printers were used to print rela-
likely to contaminate indoor air. Given the above, tively small objects that might be completed within
the aim of this study was to examine emissions in 3 hr; however, printing durations and print
a university printing facility using 3D printing dimensions generally varied between users.
with PLA filaments under typical-case (one printer
operating) as well as worst-case (three printers
Testing design
operating simultaneously) scenarios. In addition,
the concentrations of emissions were also deter- Our testing design consisted of three separate
mined in the hallway adjacent to the room where measurement periods over 6 hr within the
printers are situated, as many workers traverse this same day, as follows: (1) background measure-
passage and ‘second-hand’ exposure has not been ments (22 min) (only for size-resolved particulate
examined previously. Sampling was conducted for levels); (2) a “typical-case” scenario during which
total particulate (<100 µm), respirable particulate each printer was in operation in the following
JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH, PART A 281

order: MakerBot Replicator 2 (27 min), Ultimaker TVOC was analyzed as part of an open characteriza-
2 (49 min), and PrintrBot (79 min); and (3) tion package, which involves the determination
a “worst-case” scenario (97 min) during which all of many major volatile organic compounds (http://
three printers were in operation simultaneously. www.cassen.ca/services/environmental-health
/open-characterization-of-volatile-organic-com
pounds-in-air/). The resulting TVOC is semi-
Air sampling and analysis
quantitative total amount/concentration based
Total and respirable particulate concentrations were upon summation of estimated masses of VOCs
measured using NIOSH 0500 and 0600 methodol- detected using this method with a mass scanning
ogy, respectively (NIOSH Manual of Analytical range from 33 amu to 400 amu. All airborne con-
Methods (1994) NIOSH 0500 – Particulates Not taminants measured using active sampling were sent
Otherwise Regulated, Total. 1994; NIOSH Manual to an accredited lab for analyses.
of Analytical Methods (1998) NIOSH 0600 –
Particulates Not Otherwise Regulated, Respirable.
1998). Sampling for total particulates was performed
Results
as this contaminant was collected in previous emis-
sion studies (Gu et al. 2019; Väisänen et al. 2019) and Results of respirable and total particulate, formalde-
the fact that the emitted particle composition from hyde, and VOC measurements are presented in
3D printers is not well-characterized (Zhang et al. Table 1 (all units were converted to µg/m3 for stan-
2019). Therefore, the most appropriate occupational dardization purposes). For both measurement loca-
exposure limit for comparison purposes would be tions, total particulate levels were higher in the
Particulates Not Otherwise Classified, Total which worst-case scenario (700 µg/m3 in both settings)
employs NIOSH 0500 for sampling and analysis. compared to the typical-case scenario (300 µg/m3
SENSIDYNE® Gilian GilAir 3 air sampling pumps in both settings). Respirable particulate levels in the
were employed for sampling both types of particu- printing room were actually lower in the worst-case
lates. The flow rate was set at 2 L/min for total scenario (400 µg/m3) compared to typical-case sce-
particulates, and 1.7 L/min with a nylon cyclone for nario (800 µg/m3). Formaldehyde levels followed
respirable particulates. A field blank was submitted a similar trend of being lower during the worst case
for each type of analyte and the limit of detection scenario for both printing room and hallway mea-
(LOD) for both methods was 30 µg. Size-resolved surements. TVOC concentrations were higher in the
particulate concentrations were measured using worst-case scenario (1,700 µg/m3) than in the typi-
a direct-reading scanning mobility particle sizer cal-case scenario (270 µg/m3) in the printing room
(NanoScan SMPS Model 3910, TSI Inc.) with but were somewhat similar for hallway measure-
a detectable range of 10 to 420 nm and set at a one- ments during the two types of exposure conditions
min logging interval. Size-resolved particulate levels (460 and 540 µg/m3, respectively). The most com-
were measured only in the printing room. mon VOC detected in both sampling locations and
Formaldehyde concentrations were sampled uti- during both exposure scenarios was isopropyl alco-
lizing NIOSH 2016.(NIOSH Manual of Analytical hol. The top three VOCs also included acetone and
Methods (2003). NIOSH 2016 – Formaldehyde. ethanol in all locations/scenarios except in the print-
2016) The SENSIDYNE® Gilian GilAir 3 air sampling ing room during the typical-case where decamethyl
pumps were calibrated to collect samples at 1 L/min. cyclopentasiloxane replaced ethanol in the top three.
A field blank was submitted with the samples and Other VOCs detected were lower and did not show
analytical LOD was 50 ng per sample. VOC concen- a marked gradient in different locations/exposure
trations were collected in accordance with EPA TO- scenarios. As indicated in Table S1 the measured
17 (US Environmental Protection Office (1999). exposures for total particulate, respirable particulate
“Compendium Method TO-17: Determination of and the three main VOCs were well below their
Volatile Organic Compounds in Ambient Air Using permissible exposure limits. Methyl methacrylate,
Active Sampling Onto Sorbent Tube” 1999) using the a respiratory and skin sensitizer previously reported
SKC Pocket Pump 210–1000 and an Air Toxic-Tube. to be present in 3D emissions using PLA filaments,
282 F. L. CHAN ET AL.

Table 1. Respirable and total particulate, formaldehyde, and VOC concentrations in the printing room and hallway during typical
and worst-case scenarios.*.
Analysis Scenario Location Conc. (µg/m3) Occupational Exposure Limits (µg/m3)
Total particulate (<100 µm) Typical Printing Room (n = 1) 300 ACGIH TLV-TWA: 1.0 × 104
Hallway (n = 1) 300 OSHA PEL TWA: 1.5 × 104
Worst Printing Room (n = 1) 700
Hallway (n = 1) 700
Respirable particulate (<4 µm) Typical Printing Room (n = 1) 800 ACGIH TLV-TWA: 3.0 × 103
Worst Printing Room (n = 1) 400 OSHA PEL TWA: 5.0 × 103
Formaldehyde Typical Hallway (n = 2) 3.9 ACGIH TLV-TWA: 123
Printing Room (n = 2) 4.9 ACGIH TLV-STEL: 368
Worst Hallway (n = 1) 3.7 OSHA PEL TWA: 921
Printing Room (n = 1) 4.5 OSHA PEL STEL: 2.5 × 103
Isopropyl alcohol Typical Printing Room (n = 1) 190 ACGIH TLV-TWA: 4.9 × 105
Hallway (n = 1) 260 ACGIH TLV-STEL: 9.8 × 105
Worst Printing Room (n = 1) 1400 OSHA PEL TWA: 9.8 × 105
Hallway (n = 1) 240
Acetone Typical Printing Room (n = 1) 10 ACGIH TLV-TWA: 5.9 × 105
Hallway (n = 1) 85 ACGIH TLV-STEL: 1.2 × 106
Worst Printing Room (n = 1) 110 OSHA PEL TWA: 2.4 × 106
Hallway (n = 1) 63
Ethanol Typical Printing Room (n = 1) 1 ACGIH TLV-STEL: 1.9 × 106
Hallway (n = 1) 89 OSHA PEL TWA: 1.9 × 106
Worst Printing Room (n = 1) 77
Hallway (n = 1) 80
TVOC Typical Printing Room (n = 1) 270 No exposure limits
Hallway (n = 1) 540
Worst Printing Room (n = 1) 1700
Hallway (n = 1) 460
*The specific VOCs are those with the highest measured concentrations in the printing room during the worst case scenario, with all three printers
operating simultaneously
ACGIH – American Conference of Governmental Industrial Hygienists
OSHA PEL – US Occupational Health and Safety Administration – Permissible Exposure Limits
TWA – Time weighted average
STEL – Short-term exposure limit
TLV – Threshold Limit Value (ACGIH)
The occupational exposure limits (OELs) were converted from ppm to µg/m3, assuming a standard temperature of 25ºC and 760 mmHg.

was not detected in any of our measurements (mean particle diameter of 57 nm over the worst-
(Steinle 2016; Wojtyła, Śpiewak, and Baran 2020). case period), with negligible production of particles
Measurements of size-resolved (10–420 nm) par- larger than 115.5 nm (Figure 1b).
ticle concentrations indicated background levels
below approximately 3,000 particles/cm3 in all
Discussion
instances and usually below 2,000 particles/cm3
(Figure 1a). Increases in total particle concentrations Our findings demonstrated low measured levels of
were observed during the typical-case scenarios for total (700 µg/m3) and respirable (400 µg/m3) particu-
the Makerbot Replicator 2 and PrintrBot printers late during 3D printer operation compared to ACGIH
(data not shown), as well as the worst-case scenario TLV-TWA values of 10,000 µg/m3 and 3,000 µg/m3,
(Figure 1b). Mean concentrations during printer respectively (ACGIH. 2018). These results are higher
operation were 9,894 particles/cm3 for the than levels in the workplace-based study by Väisänen
Makerbot Replicator 2 printer, 2,303 particles/cm3 et al. (2019) who reported dust concentrations ranging
for the Ultimaker 2 printer, 7,050 particles/cm3 for from 20 to 120 µg/m3 (mean of 0.05 µg/m3 and SD of
the PrintrBot printer, and 9,866 particles/cm3 for the 0.01). In addition, while not directly comparable, Rao
worst-case scenario with all three printers in opera- et al. (2017) measured an average maximum PM2.5
tion. A peak particle concentration of 22,100 concentration of 900 µg/m3 emitted from ABS print-
particles/cm3 was detected at 12 min into the worst- ing in an enclosed chamber. Only traceable formalde-
case scenario. The highest concentration of particles hyde concentrations of approximately 4–5 µg/m3 (or
occurred in approximately 27.4 to 115.5 nm range approximately 3–4 ppb) were detected, which were
JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH, PART A 283

Figure 1. Sub-micron particle concentrations in four different particle diameter ranges during (a) background i.e. no printers
operating and (b) worst-case scenario with three printers operating simultaneously.

similar to those previously reported (Mendes et al. With respect to particulates, the large majority
2017). These levels were not altered by 3D printing of particles emitted by 3D printing was found to
and were markedly lower than the 8-hr maximum be in the range of approximately 27.4 to 115.5 nm
exposure limit for formaldehyde of 50 µg/m3 (or 40 range (i.e. UFPs), consistent with the findings
ppb) recommended by Health Canada’s Residential from other studies (Floyd, Wang, and Regens
Indoor Air Quality Guidelines (Health Canada 2018). 2017; Kim et al. 2015; Kwon et al. 2017; Rao
In agreement with the workplace-based study by et al. 2017; Stabile et al. 2017; Steinle 2016;
Stefaniak et al. (2017), isopropyl alcohol, acetone, Stephens et al. 2013; Vance et al. 2017; Zhou
and ethanol were the principal VOCs generated by et al. 2015). Our observations that UFP levels
PLA printing in our study. Further, compared to increased when three printers are operating simul-
Stefaniak et al. (2017), our VOC characterization taneously (i.e. worst-case scenario) is consistent
showed similar concentrations except for xylene with other investigations (Bharti and Singh 2017;
which was detected in our study (vs. less than detect- Stefaniak et al. 2019). The range of measured UFP
able in their study) and acetone concentrations in the concentrations (approximately 103 to 104 particles/
current study were approximately half that reported cm3) in our study was comparable to values for
in by Stefaniak et al. (2019). The biggest difference in PLA printing that were previously reported (Deng
VOC concentration between the two studies was et al. 2016; Mendes et al. 2017; Steinle 2016).
associated with isopropyl alcohol (IPA) where Further, all airborne concentrations in the hallway
a concentration of 110 µg/m3 was noted by us were lower than in the printing room and, there-
while Stefaniak et al. (2019) found the concentration fore, not likely to pose a health risk to any indivi-
of IPA to range from 122 µg/m3 to 40,765 µg/m3 dual who traverses the hallway.
(footnote1). These differences in VOC emissions Some factors aside from 3D printing operations
lend support to the argument that printer brand may have affected the measurements. The detected
and/or the brand of filaments influence airborne VOCs may have been associated with personal care
contaminants (Davis et al. 2019; Yi et al. 2016). products such as ethanol, decamethyl cyclopentasi-
Given that emissions are influenced by printer loxane, and dimethyl ether, hand sanitizers such as
brand and/or brand of filaments, it is recommended ethanol and isopropyl alcohol), and exhaled breath
that these be clearly indicated in future studies and such as acetone, acetaldehyde, and 2-methyl-
that a standard set of sampling protocols be estab- 1,3-butadiene rather than the printing process
lished such that the type of airborne contaminants (Mochalski et al. 2013). Of note, hairspray was used
sampled, the sampling equipment and duration of once on the printing table to assist with surface
sampling are consistent between studies. adhesiveness in the printing process. The door
284 F. L. CHAN ET AL.

connecting the hallway to the main building was left 2018). These adverse health effects are consistent
slightly open during the worst-case printing sce- with the irritant and CNS effects expected from
nario, which may have contributed to the lower a mixture of VOCs. However, such health effects
levels of formaldehyde and other VOCs, as could should clear up when the exposure ends and might
have the presence of absorptive carpeted surfaces. be prevented by adherence to good occupational
Other variables reported to affect UFP emissions hygiene principles.
include extrusion temperature (Deng et al. 2016; In terms of specific health effects, there has been
Mendes et al. 2017; Yi et al. 2016), printer malfunc- a single case report of a worker with asthma asso-
tions (Mendes et al. 2017; Yi et al. 2016; Zhou et al. ciated with the use of 3D printing (House, Rajaram,
2015), and relative humidity (American Conference and Tarlo 2017). However, his exposure was unu-
of Governmental Industrial Hygienists (ACGIH) sually intense due to the operation of 10 FDM 3D
2018). printers in a small work area. Initially the worker,
In terms of study limitations, only FDM-type a self-employed entrepreneur, used ABS filaments
printers using PLA were tested and therefore our but he subsequently reduced the number of printers
findings are principally generalizable to this type and switched to PLA filaments. He reported respira-
of 3D printing. ABS filaments were found to gen- tory irritant symptoms in his work environment and
erate higher levels of both VOCs and particles his asthma appeared to be related to the high expo-
(Davis et al. 2019; Stephens et al. 2013; Väisänen sure to irritants. The only other specific health effect
et al. 2019) However, Zhang et al. (2019) suggested reported was a case of hypersensitivity pneumonitis
that particles emitted from PLA filaments may be due to inhalation of nylon powder used for 3D
more toxic. Although background measurements printing with selective laser sintering technology
for size-resolved particles of sub-micron diameter (Johannes et al. 2016). This health effect appears to
(10–420) in the printing room were determined, be rare and would be confined to the nylon powder
background concentrations of total and respirable employed in the 3D printing process. In a study in
particulates as well as VOCs and formaldehyde which participants were exposed to 3D printing
were not measured. Further, there was a limited emissions for one hr, a variety of acute eye, skin
sample size with no replicate samples. Finally, and respiratory symptoms were noted (Gümperlein
smaller objects were printed that could be com- et al. 2018). Further, in vitro experiments demon-
pleted in a relatively short period. It should be strated that 3D printer emissions induce cell toxicity
noted that Yi et al. (2016) stated that longer prin- (Farcas et al. 2019; Zhang et al. 2019).
ter times results in more particle emissions. The long-term health outcomes due to exposure
The long-term health effects of 3D printing to ultrafine particles, including UFP from 3D print-
remain poorly understood. However, the low mea- ing are not well understood. However, due to their
sured exposure to total and respirable particulate small size, UFPs may have unique cardiovascular,
as well as VOCs in our workplace-based study, respiratory and allergic toxicity (Health Effects
which is consistent with previous experimental Institute 2013). Therefore the occurrence of any
findings, suggests that significant and persistent such health effects need to be reported to assist in
adverse health effects are not likely from the use the ongoing risk assessment associated with 3D
of PLA filaments. Exposure to a large number of printing. This is consistent with recommendations
VOCs occurs during 3D printing using PLA fila- of a recent study of the 3D-printing of biomaterials
ments and the mixture of exposures may be asso- for musculoskeletal tissue clinical applications,
ciated with irritant effects and/or central nervous which emphasized that attention needs to be given
system (CNS) effects, especially with longer dura- to new risks and to develop appropriate response
tion of exposure and worst case exposure scenar- strategies for the protection of health and safety
ios. In a survey of 46 workers in 17 3D printing (Petretta et al. 2019). While to our knowledge, occu-
companies, data demonstrated that 59% reported pational standards specifically for 3D printing
respiratory symptoms, 20% reported cutaneous remain limited, ongoing work in this direction
symptoms and 17% reported headaches at least would be useful. Further, in addition to potential
once per week in the previous year (Chan et al. adverse health effects, it bears reminding that there
JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH, PART A 285

may be other health and safety hazards such as Susan M Tarlo http://orcid.org/0000-0002-4746-5310
electrical and mechanical hazards associated with Ronald House http://orcid.org/0000-0001-9486-3947
3D printing (Petretta et al. 2019)
In summary our study indicated emissions to
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