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Proceedings of the International Conference on
Occupational & Environmental Exposures of Skin to Chemicals:
Science & Policy
Hilton Crystal City     September 8-11, 2002
 

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Workshop Discussions

Summary of questions appropriate for discussion in the Workshop Session“Controlling Exposure and Prevention”

1. Is this outline of Opportunities for Effective Action a useful guide for the discussion in this Workshop Session? What are some of the most significant ways in which it can be improved?

2. From the Opportunity for Effective Action by Individuals/Employers/Supervisors/Insurers/Site Owners maintaining a safe and healthful site:

a. Are there sources of general information to orient individuals to the range of control options and the hierarchy of controls? List at I.E.2.a.i …

b. Are there lists of tools appropriate for non-experts to identify exposure sources, for example, to identify contamination of environmental surfaces using colorimetric indicators? List at I.E.2.b.i …

c. Are there sources of information on “best practices” in engineering controls? List at I.E.2.c.i …


d. Are there guidelines for recommending personal protective equipment? List at I.E.2.d.i …

e. Are there guidelines for maintaining reusable personal protective equipment, including decontamination? List at I.E.2.e.i …

f. Are there guidelines for recommending methods to decontaminate skin? List at I.E.2.f.i …

3. From the Opportunity for Manufacturers/Distributors to take effective actions to maintain product stewardship:

Are there checklists or other tools to guide identification of all chemicals, contaminants and reaction products in a manufactured product (may be industry or process-specific)? List at II.A.2.a.i …

4. From the Opportunity for Clinicians to take effective action to evaluate and promote the health of individuals or populations: (No separate questions have been identified, yet.)

5. From the Opportunity for National or International Bodies to take effective action by outlining technical requirements or recommendations:

a. Substitution – Are there guidelines for deciding whether less hazardous substitute materials are available? List at IV.E.2.a.i …

b. Engineering Controls – Are there guidelines to aid in designing and evaluating engineering controls? List at IV.E.2.b.i …

c. Administrative Controls – Are there guidelines for designing, evaluating and implementing administrative controls? List at IV.E.2.c.i …

d. Personal Protective Equipment – Are there guidelines for implementing an effective PPE program? List at IV.E.2.d.i …

e. Are the current exposure monitoring methods so cumbersome and expensive to use and so difficult to interpret that routine dermal exposure measurements should not be customarily recommended as part of an exposure control program?

f. Are multi-coated protective gloves the best opportunity for significant near-term improvements in controlling dermal exposures in most situations? Is more research needed? If so, what type of research will have the most impact?

g. Is contamination of the inside of protective gloves, especially during donning and doffing, often even more significant that glove permeation in leading to dermal exposure? Is more research needed? If so, what type of research will have the most impact?

6. What types of education and training should each of the types of potential actors have in order to be reasonably competent in carrying out their Opportunity for Effective Action?

7. Within the scope of this Workshop Session, what is the relative importance of:

a. doing a better job of applying existing data using existing decision-making procedures,

b. obtaining new data using accepted data-gathering protocols,

c. developing better data-gathering protocols and

d. developing better decision-making procedures
in order to improve the outputs from each step of an Opportunity for Effective Action?

8. What research is likely to have the most impact on improving the ability of various actors to take effective actions?

 
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Workshop Discussion Paper version of 20 August 2002