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Fibre Design
→Dust
Generation
→Health
Effects and Disease
→Association
between Fibre Dust and Disease
→RCF
Experiments
→Comparative
data
→The
Ideal Fibre
→Design
of Saffil Alumina Fibre
→Summary
Introduction
This document is in two parts: the first analyses the key results
of the many experimental studies carried out over the years into
the health risk factors associated with a variety of mineral fibres;
the second part describes their impact on the design of 'Saffil'
alumina fibre to minimise biological activity, and the validity
of the design principles following an extensive toxicological test
programme.
Fibre Types
Mineral fibres are a diverse group of materials with a very wide
range of applications. As insulating materials they are present
in most homes and commercial buildings and contribute significantly
to energy saving on a global basis.
They also frequently occur in composite materials
and many aspects of our society would find it difficult if not impossible
to function without these materials. Applications include brake
and clutch linings, floor coverings, building boards, media for
filtration of liquids, and advanced composite materials such as
reinforced metals.
Mainly because of their experience with asbestos,
which is a heterogeneous sub-group of naturally occurring mineral
fibres, many people suspect that all fibres are potentially hazardous.
One of the most frequently asked questions is whether
manmade mineral fibres (MMMFs) pose a comparable health hazard to
asbestos. This is an indication of a lack of knowledge of the important
differences in size and composition between the asbestos minerals
and most MMMFs.
By examining the current fibre knowledge base it is
possible to build up a balanced view of the factors which determine
the real health risks and thereby to assess any risk from MMMFs.
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Dust Generation
Most MMMFs are produced in the form of wool. This is effectively
a long staple fibre (where the fibre length is measured in centimetres)
with a range of fibre diameters. Those fibres used in insulation,
and produced in large tonnages have a spread of diameter below about
10 um, with a median diameter ranging from 3 to 4 um. This diameter
range is critical in optimising their insulation properties.
To generate dust from these fibrous materials, it
is necessary to fragment them into smaller lengths before they can
become airborne. This is an important characteristic. When fibre
is left relatively undisturbed as, for example, glass fibre insulation
in an attic, then the potential to generate dust is very low. When
the fibre has been disturbed in some way and fragments are released,
it is the fibre's diameter which primarily determines the length
of time the fibre will remain in the air.
Both mathematical and practical considerations show
that the rate of deposition, or falling speed, is proportional to
the square of the diameter. For example, if you take 1 um fibres
and 3 um fibres of identical length, the 1 um fibre will remain
suspended in air approximately nine times as long as the 3 um fibre.
This means that when dust is generated from a fibre with a range
of diameters, then the coarser the fibre the lower the equilibrium
dust level. Finer fibres produce more dust under most working conditions.
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Health
Effects and Disease
The health effects potentially associated with exposure to inorganic
fibres are:
Lung fibrosis
This is a build up of scar tissue following prolonged or repeated
damage to the sensitive gas exchange tissue within the lungs. Two
distinct forms are commonly recognised:
a) Asbestosis (honeycomb lung)
b) Silicosis (nodular fibrosis)
The two are distinguished by the different patterns
they produce on X-ray images, but both have similar medical effects
in that they reduce the ability of the lung to oxygenate blood efficiently.
In extreme cases the disease can result in breathlessness
and fatigue on even mild exertion and enlargement of the heart as
it attempts to pump blood more rapidly to compensate for the low
oxygen levels. Although fibrosis is rarely fatal in itself, the
severe form is associated with heart failure consequent on the increased
load placed on this organ. Less severely affected individuals may
suffer varying degrees of breathlessness and those with the mildest
form may be unaware of its existence unless diagnosed by a doctor,
following a chest X-ray.
Lung cancer
This can be sub-divided into two major forms:
a) Bronchial carcinoma (the tumour commonly associated
with smoking)
b) Malignant mesothelioma (a tumour of the lining of the lung and
abdominal cavity).
Both have been associated with asbestos exposure but
bronchial carcinoma shows a very strong association with smoking.
Asbestos workers who smoke may be at significantly higher risk than
either non-smoking asbestos workers or smokers who do not work with
asbestos.
Malignant mesothelioma is characterised by a very
long latent period (time between first exposure and appearance of
the tumour) but shows no association to smoking.
Skin effects
Since the early part of the century asbestos has been know to cause
'warts' or corns. However, there is little literature on the subject.
The most familiar skin effect is the transient skin
irritation experienced when handling many types of synthetic mineral
fibres. This irritation is caused by physical penetration of the
outer layers of skin by fibres. Medically speaking, the irritation
is of limited significance because it does not persist after exposure
ceases.
Nevertheless, it may be an important problems for
workers in the industry because they suffer discomfort, may become
irritable and unable to continue to work. Skin irritation is generally
associated with handling the bulk fibre rather than dust although
exposure to dust has occasionally been associated with irritation
to the upper respiratory tract (coughing) and there are isolated
reports of eye irritation.
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Association
between Fibre Dust and Disease
Irritation
The irritant properties of fibres have been investigated in limited
studies with volunteers and it is evident that the irritation increases
in proportion to the diameter. The stiffness of the fibres may also
be a factor. Stiff fibres with large diameters are more able to
penetrate skin and are thus more irritant than thinner, more flexible
fibres. The potential for irritation is largely lost at diameters
less than 5 um. There is no reason to suppose that the mechanism
and therefore size distribution of importance differs for irritation
of the upper respiratory tract or the eye.
Long term effect
Fibrosis and lung cancer are the most important effects to avoid
and considerable effort has been put into modelling these reactions
in order to explore their mechanisms. It is important to recognise
that fibres can express their potential for carcinogenesis or fibrogenesis
only by inhalation (except possibly in very exceptional cases, such
as injection). This has significant implications for the evaluation
of fibrous dusts.
To express any long term toxic potential, it is necessary
for a dust particle to penetrate into the deepest spaces of the
lung where it may be retained for a period of time. A 'respirable'
particle is defined as one capable of this penetration and deposition.
An 'inhalable' particle is defined as one with the
ability to enter the respiratory tract but not necessarily be capable
of penetrating the series of defence mechanisms designed to exclude
dust particles, which are always present in the air, from penetrating
to the deepest lung spaces.
The lung can be considered to consist of a cascade
of branching airways, lined with a thick mucus layer which is constantly
moving upwards from the deep lung to the large bronchi and larynx.
The air flow physics are such that most particles are trapped in
this surface layer, and within a few hours are generally cleared
to the throat where they are usually subsequently swallowed.
Beyond these airways is an area of very small sacs
with thin walls (the alveolar region). The region is well supplied
with blood contained in very fine capillaries and this is where
inhaled air gives up its oxygen and collects carbon dioxide.
The ability of a particle to penetrate to the alveoli
is dependent on size. However, once a particle has penetrated to
the alveolar spaces it may be either deposited or remain suspended
and eventually exhaled. Thus, the fate of any particle of inhaled
dust can be to be deposited within the airways as it is inhaled,
or if small enough there is a chance that it may be retained in
the deep lung.
Particle size
The relative proportion of particles falling into each of these
compartments is size dependent and the fate of each individual particle
is governed both by its size and by a probability factor, weighted
to each of the compartments.
Because particles have a range of different sizes
and shapes and may be composed of materials of differing densities
a unifying system of description of particle size takes these into
account. Thus particles are usually expressed in terms of their
aerodynamic equivalent diameter (AED) which is the diameter of sphere
of unit density with the same aerodynamic characteristics as the
particle in question.
Particles greater than 10 um AED will not penetrate
to the alveolar region in man. Particles less than 10 um AED have
a probability of progressing to the deep lung, but the probability
is low for particles of 5 to 10 um AED, which are mainly deposited
in the ciliated airways.
The exact relationship between percentage penetration
and the AEDs is complex, varying for nose or mouth breathing and
exercise rate. Nevertheless, it is generally true that the maximum
probability for deposition in the deep lung is for particles in
the region of 1 to 2 um AED, where up to one fifth of the relevant
particles may be deposited. For most minerals, this corresponds
to an actual diameter of about 1 um.
Fibre diameter
For fibres, the most important characteristic in determining the
AED is the fibre diameter, with length playing a much less important
role. For most MMMF, 10 um AED corresponds approximately to a 3
um diameter fibre. This has been recognised in the World Health
Organisation (WHO) definition of a 'respirable' fibre. These fibres
are defined as those which fulfil all of the three characteristics
shown in Table 1.
As for particles, not all 'respirable' fibres will
be deposited in the lungs if inhaled. There is a substantial difference
between fibres close to the 'respirable' limit and those of a finer
diameter which have a much higher probability of alveolar deposition.
To continue with the example of a comparison of 3
um and 1 um fibres, then from a dusty atmosphere containing equal
number of these fibres, at least ten times more of the 1 um fibre
will penetrate to the alveolar spaces than would be the case for
the 3 um fibre. Once deposited, the potential for disease induction
is also dependent on the physical as well as the chemical composition
of the fibres.
Long fibres are much more active than short fibres
in producing fibrosis. There is also a contribution of surface chemistry.
Although this latter is not fully understood, materials which are
strongly fibrogenic in fibrous form also produce fibrosis as particulates.
For the carcinogenic effects of fibres it is possible
that different mechanisms may operate for the two tumour types seen.
Very strong association between the occurrence of lung cancer, asbestos
exposure and cigarette smoking has been mentioned. The association
is frequently used as an example of synergy. That is, the risks
of cigarette smoking and asbestos exposure are multiplied, not added.
WHO definition of a respirable fibre
Length: Greater than
5 um
Diameter: Less than 3 um
Length/diameter ratio: Greater than
3
The mechanism by which fibres may induce tumours of
this type is not known, but there is substantial epidemiological
evidence that at doses where no asbestosis is seen there is a much
reduced risk. As most man-made mineral fibres do not include progressive
fibrosis they are, at worst, much less carcinogenic than asbestos
(and probably not carcinogenic at all).
Thus, while there is still scientific debate about
the properties of fibres which are important in relation to induction
of these tumours, there is substantial human evidence that controlling
asbestos exposure to levels where fibrosis is not seen reduces the
incidence of the tumour to levels seen in the general population.
Most scientists also accept that the tumour is associated
with exposure to asbestos fibres less than 1 um in diameter and
(probably) more than 10 um long. There is little evidence that surface
chemistry is implicated except insofar as it affects fibrosis and
durability.
Mesothelioma has proved somewhat easier to model in
animals and the properties associated with its induction are therefore
better understood. Systematic investigation has revealed that fibre
size is more important than chemistry in determining the capacity
to induce this type of tumour.
A length of more than 10 um (and probably more than
20 um) is essential for carcinogenic potential to be expressed and
the material must have a 'fine' diameter. All investigators agree
that this diameter is less than 2 um and most would place the diameter
much lower, with figures less than 0.5 um commonly quoted.
Durability
Durability is also a factor in all the longer term responses.
Fibre durability reflects its ability to resist dissolution
in the surprisingly aggressive environment of the lung. The parameters
governing this are poorly understood. Animal experiments have demonstrated
that fibres which dissolve over a period of several months may not
be toxic in the long term.
These observations are mainly derived from a single
dose of fibre and it is unclear whether repeated doses of the soluble
fibre might induce some of the long term effects described, although
there is limited evidence that they might. Nevertheless, a non-durable
fibre must give an additional margin of safety as, by definition,
the amount of fibre present at any one time will be less than with
a similar exposure to a durable material.
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RCF Experiments
Recent industry experiments with vitreous refractory ceramic fibres
(RCFs) in rats have shown that both fibrosis and tumour induction
may be associated with 'experimental' exposures to these materials.
The results should be viewed with caution.
The experiments were conducted to a very high standard,
using the latest techniques and protocols. They involve the administration
of size selected fibre which was highly 'respirable' by a nose-only
exposure route to maximise deposition.
The test material was prepared by a complex process
of chopping, milling and water elutriation to separate fibres of
mean diameter approximately 1 um to maximise the biological activity.
The fibrosis lung tumours and small incidence of mesothelioma
seen in these studies confirm the theoretical predictions relating
to fibre size and establish a dose response and a clear, 'no-effect'
level. Recent work suggests that this response may have been enhanced
by the presence in the test sample of an excess of non-fibrous particles.
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Comparative
data
Comparison with other MMMFs has shown that commonly used insulation
grade glass fibre produces a low (and possible zero) response, whereas
mineral wool showed some potential for inducing lung tumours. These
results, together with those of injection studies (where a large
quantity of material is applied by this non-physiological route
direct to the target tissue) have raised more general questions
on the biological effects of MMMF.
Inevitably, comparisons have also been made with asbestos.
These comparisons are difficult to justify, given the complexity
of factors involved. Consideration of aerosol physics (and experience
of attempts to generate intense clouds of MMMF for experimental
purposes) indicate there is an intrinsic difference in dustiness
between materials and in particular between the bulk of synthetic
fibres and asbestos. Further, the asbestos fracture behaviour results
in splitting lengthwise to produce finer fibres, with the result
that the hazard may increase. All glassy MMMFs break transversely
to give shorter fibres (and reduced risk).
The result is that for most MMMFs exposures will be
lower that those encountered with asbestos.
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The Ideal
Fibre
An ideal fibre with respect to biological activity
would balance the following criteria with functional performance
requirements:
- No sub-micron fibres present, to avoid the mesothelioma
risk
- No fibres less than 3 um diameter, to minimise
the respirable fraction
- No fibres more than 5 um diameter, to reduce the
irritant potential
- No fibres more than 10 um long, to avoid mesothelioma
- A non-fibrogenic chemical composition in particle
form
- Soluble in lung fluid
Design
of Saffil Alumina Fibre
Saffil inorganic fibres were designed to minimise
the potential for biological activity. They are produced using controlled
extrusion and drawing of a viscous aqueous solution to give, after
heat treatment, a median diameter of around 3 microns with a narrow
spread of individual diameters. Individual fibres are parellel-sided
unlike many melt-spun vitreous fibres which taper down their length
to finer diameters.
Typically, sub-micron fibres are controlled to less
than 1% by number (this implies much less than 0.1% by mass). As
produced, fibre length is measured in centimetres. For Saffil to
perform its technical function fibre length needs to be longer than
10 um. This property is essentially not controllable at manufacture
although the properties of Saffil are such that long fibres are
unlikely to be respirable since the small effect of length on AED
becomes important when diameters are within such a narrow range.
The expectation therefore is that Saffil fibres have
little or no biological activity. This has been confirmed with a
series of toxicological tests both in vivo and in vitro.
Saffil has shown no potential for fibrosis in an in-vitro
macrophage test or in a short-term intra-peritoneal injection in-vivo
test, both sensitive models. For mesothelioma, in vitro tests have
shown the fibres to be inactive and this has been confirmed by intra-pleural
injection tests in animals, a test which is frequently claimed to
be over sensitive.
A lifetime inhalation study on Saffil fibres confirmed
that they have a low respirable potential and are inert when deposited
in the lung. Finally, a feeding study in which the fibre was administered
in up to 2.5% of the diet of rats for the lifetime confirmed that
there were no adverse effects of this material when eaten.
The RCF studies provide further confirmation of the
validity of the 'Saffil' fibre design specification with respect
to the importance of minimising the level of fine diameter fires,
especially those fibres with a diameter of less than 1 um.
It should be stressed, however, that it would not
be possible to produce from bulk Saffil fibres a dust fraction similar
to that produced from RCF. Clearly therefore, extrapolation of results
from other materials to cover Saffil fibres is inappropriate.
Thus all the predictions, both theoretical and practical, point
to Saffil being a fibre with minimal biological activity and free
of those problems normally associated with asbestos.
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Summary
Experience with asbestos has led to a mistaken belief
that all mineral fibres are hazardous.
Man made mineral fibres (MMMF) are a diverse group
of materials of widely varying composition and properties. Evaluation
of their potential hazard must take this into account.
Fibre size and fragility (the ability to generate
fibrous dust) are important criteria in determining the biological
activity of fibres. Fine diameter fibres produce more fibre dust
than coarse fibres in most circumstances.
Coarse mineral fibres (more than 5 um in diameter)
are irritant to the skin, eyes and throat.
An ideal 'safe' fibre is one which is non-respirable.
The fibre should also be non-fibrogenic in particulate form, and
soluble in lung fluid. To avoid irritation, the fibre should also
be less than 5 um in diameter.
Diseases associated with exposure to respirable mineral
fibres (mainly asbestos) include lung fibrosis (asbestosis), lung
cancer and mesothelioma. For most minerals, respirable fibres are
less than 3 um in diameter, but only a small proportion of fibres
close to this limit is retained in the lungs. For mineral fibres,
maximum deposition (about 20% of those inhaled) in the deep lung
occurs for fibres about 1 um in diameter.
Fibrosis is associated with long respirable fibres
rather than short ones and also depends on fibre chemistry. Materials
which give strongly fibrogenic fibres also cause fibrosis as particulates.
Lung cancer is associated with fibrosis. All evidence
from asbestos indicates that controlling fibrosis eliminates lung
cancer.
Mesothemolia is strongly dependant on fibre size.
Most scientists accept that fibres must be less than 1 um in diameter
and more than 10 um long, to give a significant risk of mesothelioma.
Solubility of fibres in the lung is also important.
Fibres which persist for only a short time (months) in the lung
have a much reduced or non-existent cancer risk.
Key Points
Saffil inorganic fibres were designed to fulfil as
many of these criteria as possible. The median diameter of Saffil
is about 3 um and typically, there are less than 1% by number sub-micron
fibres. They are made from non-fibrogenic material. Although only
poorly soluble in lung fluid, dust from Saffil fibres has a low
probability of deposition in the lung. Only a small proportion of
the fibre is more than 5 um in diameter.
'Saffil' should not be compared with other refractory
mineral fibres or natural fibres with very different physical properties.
A series of biological tests with Saffil fibres all
gave negative results. All the predictions, both theoretical and
practical, point to Saffil being a fibre with minimal biological
activity and free of those problem normally associated with asbestos.
The contents of this note are given in good faith but without warranty
and the user must satisfy himself that the product is entirely suitable
for his purpose. Freedom from patent rights must not be assumed.
For further information and assistance regarding the
safe handling of Saffil fibre products, please contact Saffil Ltd
at the address below or alternatively your local office.
Saffil Ltd
Pilkington-Sullivan Site
Tanhouse Lane
Widnes
Cheshire
WA8 0RY
United Kingdom
Tel: +44 (0)151 422 6700 Fax: +44 (0)151 422 6701
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