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	<title>Occupational Health &#38; Safety Hub.com &#187; Mixtures</title>
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		<title>Combined Toxic Effects of Chemicals</title>
		<link>http://ohshub.com/combined-toxic-effects-of-chemicals/</link>
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		<pubDate>Thu, 21 May 2009 01:32:20 +0000</pubDate>
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				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Calculations]]></category>
		<category><![CDATA[Exposure Limit]]></category>
		<category><![CDATA[Mixtures]]></category>

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		<description><![CDATA[<p>Below is a summary of some of the very similar methods and rationale used by agencies to assess the combined toxic effects of chemicals.</p> <p>ACGIH Source: TLV&#8217;s and BEI&#8217;s Publication</p> Recommends an additive (combined) approach for two or more substances that affect the same target organ/system The ratio of the exposure concentrations are summed [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://ohshub.com/wp-content/uploads/2009/05/cumulative.jpg" alt="cumulative" title="cumulative" width="200" height="100" class="aligncenter size-full wp-image-643" />Below is a summary of some of the very similar methods and rationale used by agencies to assess the combined toxic effects of chemicals.</p>
<p><strong>ACGIH</strong><br />
Source: <a href="http://www.acgih.org/store/" target=_"blank">TLV&#8217;s and BEI&#8217;s Publication</a></p>
<ul>
<li>Recommends an additive (combined) approach for two or more substances that affect the same target organ/system</li>
<li>The ratio of the exposure concentrations are summed together</li>
<p style="text-align: center;"><img src="http://ohshub.com/wp-content/plugins/wpmathpub/phpmathpublisher/img/math_979_050cd86f4e6633896b5eaeebe8eae845.png" style="vertical-align:-21px; display: inline-block ;" alt="{C_1}/{t_1} + {C_2}/{t_2} + cdots {C_n}/{t_n}" title="{C_1}/{t_1} + {C_2}/{t_2} + cdots {C_n}/{t_n}"/></p>
<p style="text-align: center;">where: C = observed concentration, t = TLV</p>
<li>If the sum exceeds one, the TLV for the mixture is considered to have been exceeded</li>
<li>Additive formula applies to simultaneous exposures for hazardous substances with TWA&#8217;s, STEL&#8217;s, Excursion Limits, and/or Ceiling Limits.  Bases (TWA&#8217;s, STEL&#8217;s, etc.) should be kept consistent, as feasible</li>
<li>Exceptions are made when it is believed the major effects of the chemicals are not additive or possibly when the mixtures contain carcinogens</li>
<li>Synergistic effects should be carefully considered</li>
</ul>
<p><strong>OSHA</strong><br />
Source: <a href="http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&#038;p_id=9991" target=_"blank">29 CFR 1910.1000</a></p>
<ul>
<li>Recommends an additive (combined) approach for two or more substances that affect the same target organ/system</li>
<li>The ratio of the exposure concentrations are summed together</li>
<p style="text-align: center;"><img src="http://ohshub.com/wp-content/plugins/wpmathpub/phpmathpublisher/img/math_979_050cd86f4e6633896b5eaeebe8eae845.png" style="vertical-align:-21px; display: inline-block ;" alt="{C_1}/{t_1} + {C_2}/{t_2} + cdots {C_n}/{t_n}" title="{C_1}/{t_1} + {C_2}/{t_2} + cdots {C_n}/{t_n}"/></p>
<p style="text-align: center;">where: C = observed concentration, t = TLV</p>
<li>If the sum exceeds one, the TLV for the mixture is considered to have been exceeded</li>
<li>Approaches to chemicals with similar effects are not restricted</li>
</ul>
<p><strong>NIOSH</strong><br />
Source: <a href="http://www.cdc.gov/NIOSH/86114_46.html" target="_blank">NIOSH Methylene Chloride Intelligence Bulletin</a></p>
<ul>
<li>Recommends an additive (combined) approach for two or more substances that affect the same target organ/system</li>
<li>The ratio of the exposure concentrations are summed together</li>
<p style="text-align: center;"><img src="http://ohshub.com/wp-content/plugins/wpmathpub/phpmathpublisher/img/math_979_050cd86f4e6633896b5eaeebe8eae845.png" style="vertical-align:-21px; display: inline-block ;" alt="{C_1}/{t_1} + {C_2}/{t_2} + cdots {C_n}/{t_n}" title="{C_1}/{t_1} + {C_2}/{t_2} + cdots {C_n}/{t_n}"/></p>
<p style="text-align: center;">where: C = observed concentration, t = TLV</p>
<li>If the sum exceeds one, the TLV for the mixture is considered to have been exceeded</li>
<li>Specifically addressed methylene chloride in the presence of carbon monoxide due to the formation of carboxyhemoglobin</li>
</ul>
<p><strong>Other Agencies</strong></p>
<ul>
<strong><a href="http://www.atsdr.cdc.gov/interactionprofiles/IP-ga/ipga-c4.pdf" target="_blank">ATSDR</a></strong></p>
<li>Typically a semi-quantitative screening process using flow-chart methodology</li>
<li>Useful:</li>
<ol>
<li>when exposures to the components are not clearly hazardous when considered singly, but potentially<br />
hazardous due to additivity or interactions when considered together</li>
<li>when the community-specific health outcome data indicated that the site might have an adverse<br />
impact on human health, but the exposure-based assessment of each separate component did not</li>
<li>when the health outcome data were ambiguous or did not indicate an adverse impact on human<br />
health, but the exposure-based assessment identified a potential hazard from one or more of the<br />
components.</li>
</ol>
</ul>
<ul>
<strong>EPA</strong></p>
<li>Consistent with the ASTDR approach</li>
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