Exposure to formaldehyde in anatomy: An occupational health hazard?

The adverse effects of formaldehyde have been discussed very emotionally in public. Anatomists, technicians in histology and embalming laboratories, as well as medical students during their dissection course are all exposed to formaldehyde, which in many situations crosses the threshold for irritation of the eyes and upper respiratory tract. There is no doubt about the acute toxic effects and the occurrence of contact dermatitis caused by formaldehyde. Studies in rats and mice using high concentrations over an extremely long period (which would not be tolerated by humans) resulted in squamous carcinoma of the nose. Epidemiologic studies on the mortality of medical personnel exposed to formaldehyde do not provide sufficient evidence of cancerogenicity. A number of recommendations will be given for defining the exact concentration in a dissecting room or laboratory and for ways of reducing formaldehyde concentrations and thus minimizing adverse health hazards. These data could initiate a discussion among anatomists, and with technicians and students, based on a sound scientific background rather than on emotion.

[1]  J. Ward,et al.  Absence of mutagenicity in the urine of autopsy service workers exposed to formaldehyde: factors influencing mutagenicity testing of urine , 1985, International archives of occupational and environmental health.

[2]  C. Skisak Formaldehyde vapor exposures in anatomy laboratories. , 1983, American Industrial Hygiene Association journal.

[3]  J A Swenberg,et al.  Carcinogenicity of formaldehyde in rats and mice after long-term inhalation exposure. , 1983, Cancer research.

[4]  S. Wolff,et al.  Increase of sister chromatid exchanges and perturbations of cell division kinetics in human lymphocytes by benzene metabolites. , 1980, Cancer research.

[5]  P. Burge,et al.  Occupational asthma due to formaldehyde. , 1985, Thorax.

[6]  J. Fraumeni,et al.  Mortality patterns among embalmers , 1983, International journal of cancer.

[7]  C. Barrow,et al.  Nasal cavity deposition, histopathology, and cell proliferation after single or repeated formaldehyde exposures in B6C3F1 mice and F-344 rats. , 1983, Toxicology and applied pharmacology.

[8]  R. Levine,et al.  The mortality of Ontario undertakers and a review of formaldehyde-related mortality studies. , 1984, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[9]  R. P. Clark Formaldehyde in pathology departments. , 1983, Journal of clinical pathology.

[10]  D. Oakes,et al.  Mortality study of British pathologists 1974-80. , 1984, British journal of industrial medicine.

[11]  H. Imbus Clinical evaluation of patients with complaints related to formaldehyde exposure. , 1985, The Journal of allergy and clinical immunology.

[12]  J. Harrington,et al.  Chromosome aberrations and sister-chromatid exchange frequencies in pathology staff occupationally exposed to formaldehyde. , 1984, Mutation research.

[13]  G. Marsh Proportional mortality patterns among chemical plant workers exposed to formaldehyde. , 1982, British journal of industrial medicine.

[14]  L. Elliott,et al.  Inhalation exposure to formaldehyde: an overview of its toxicology, epidemiology, monitoring, and control. , 1984, American Industrial Hygiene Association journal.

[15]  L. Cameron,et al.  An analysis of potential carcinogenic risk from formaldehyde. , 1984, Regulatory toxicology and pharmacology : RTP.

[16]  E. Schor,et al.  Environmental hazard: gross anatomy. , 1984, The New England journal of medicine.

[17]  E. D. Acheson,et al.  FORMALDEHYDE IN THE BRITISH CHEMICAL INDUSTRY An Occupational Cohort Study , 1984, The Lancet.

[18]  J. Perkins,et al.  Formaldehyde exposure in a gross anatomy laboratory. , 1985, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[19]  A. Blair,et al.  Brain cancer and other causes of death in anatomists. , 1986, Journal of the National Cancer Institute.

[20]  O. M. Jensen CANCER RISK FROM FORMALDEHYDE , 1980, The Lancet.

[21]  R. Spear,et al.  Sister-chromatid exchanges in lymphocytes of anatomy students exposed to formaldehyde-embalming solution. , 1986, Mutation research.

[22]  R. Albert,et al.  Carcinogenicity of formaldehyde and hydrogen chloride in rats. , 1985, Toxicology and applied pharmacology.

[23]  R. Hayes,et al.  Cancer of the nasal cavity and paranasal sinuses, and formaldehyde exposure , 1986, International journal of cancer.

[24]  H S Shannon,et al.  Mortality study of pathologists and medical laboratory technicians. , 1975, British medical journal.

[25]  K. Kilburn,et al.  Neurobehavioral and respiratory symptoms of formaldehyde and xylene exposure in histology technicians. , 1985, Archives of environmental health.

[26]  H. Heck,et al.  Formaldehyde (CH2O) concentrations in the blood of humans and Fischer-344 rats exposed to CH2O under controlled conditions. , 1985, American Industrial Hygiene Association journal.

[27]  O. M. Jensen,et al.  LUNG CANCER RISK FROM FORMALDEHYDE , 1982, The Lancet.

[28]  T. Starr,et al.  More precise localization of nasal tumors associated with chronic exposure of F-344 rats to formaldehyde gas. , 1986, Toxicology and applied pharmacology.