Safe handling of carcinogens
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The safe handling of carcinogens is the handling of cancer causing substances in a safe and responsible manner.
Carcinogen A carcinogen is any substance, radionuclide, or radiation that promotes carcinogenesis (the formation of cancer). This may be due to the ability to damage the genome or to the disruption of cellular metabolic processes. Several radioactive subs ...
s are defined as 'a substance or agent that can cause cells to become cancerous by altering their genetic structure so that they multiply continuously and become
malignant Malignancy () is the tendency of a medical condition to become progressively worse. Malignancy is most familiar as a characterization of cancer. A ''malignant'' tumor contrasts with a non-cancerous ''benign'' tumor in that a malignancy is not s ...
'. The
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
breaks down the three types of carcinogens that can cause cancer in humans. The first type of carcinogen is the physical type which can be ultraviolet and ionizing radiation. The second type of carcinogens is defined as asbestos, tobacco smoke, alcohol,
aflatoxin Aflatoxins are various poisonous carcinogens and mutagens that are produced by certain molds, particularly ''Aspergillus'' species. The fungi grow in soil, decaying vegetation and various staple foodstuffs and commodities such as hay, sweetcorn ...
, and
arsenic Arsenic is a chemical element with the symbol As and atomic number 33. Arsenic occurs in many minerals, usually in combination with sulfur and metals, but also as a pure elemental crystal. Arsenic is a metalloid. It has various allotropes, ...
. The third type of carcinogen is biological which highlights infections that can be caused from viruses, bacteria, or parasites. There are many risk factors when it comes to the human body and carcinogens, which is why it is so important that the proper approach is used when attempting to reduce expose to cancer causing carcinogens.


Routes of exposure

The main routes of exposure to carcinogens come from direct contact through the methods of inhalation, contact,
injection Injection or injected may refer to: Science and technology * Injective function, a mathematical function mapping distinct arguments to distinct values * Injection (medicine), insertion of liquid into the body with a syringe * Injection, in broadca ...
, absorption or
ingestion Ingestion is the consumption of a substance by an organism. In animals, it normally is accomplished by taking in a substance through the mouth into the gastrointestinal tract, such as through eating or drinking. In single-celled organisms in ...
. Each of these exposure routes and severity of damage can vary depending on the potential carcinogen in question. As many carcinogens have a chronic effect and symptoms may only appear after repeated long term exposure, making symptoms and exposure hard to monitor.


Methods to control exposure

The World Health Organization determines that approximately 30 to 50% of current known cancers can be prevented if the proper prevention methods are utilized. Prevention can be brought about in different ways, with each having different effectiveness levels. Many employers have standard operating procedures that are in place to ensure carcinogens are handled properly with the correct level of protection for the individual handling the carcinogen. Prevention can be accomplished by:


Equipment design

Standard containment devices such as
fume hoods A fume hood (sometimes called a fume cupboard or fume closet) is a type of local ventilation device that is designed to limit exposure to hazardous or toxic fumes, vapors or dusts. Description A fume hood is typically a large piece of equipmen ...
,
glove box A glovebox (or glove box) is a sealed container that is designed to allow one to manipulate objects where a separate atmosphere is desired. Built into the sides of the glovebox are gloves arranged in such a way that the user can place their hand ...
es, use of high efficiency particulate air (HEPA) filters, ventilated containment or weighing, or placing the carcinogenic substance in a sealed weighed container (Tare Method). The employment of these methods and equipment can help reduce the unnecessary exposure to the carcinogens. Special care must be taken when using single exposure carcinogens such as
polycyclic aromatic hydrocarbons A polycyclic aromatic hydrocarbon (PAH) is a class of organic compounds that is composed of multiple aromatic rings. The simplest representative is naphthalene, having two aromatic rings and the three-ring compounds anthracene and phenanthrene. ...
. All surfaces where carcinogens are used must be of a suitable material, e.g.: stainless steel, plastic trays or absorbent plastic backed paper. Correct signs must be placed outside of the work stating 'No eating, drinking or smoking' and 'Danger carcinogen in use. Authorized personnel only'.


Elimination

Ideally carcinogenic substances should be avoided by substitution with less hazardous substances. Alternate form of carcinogenic substances may also be used to minimize the risk of exposure. In the case of carcinogens which pose a danger through inhalation, pastes or pellets can be used to avoid the possibility of airborne dust. Volatile liquids can also potentially be substituted with paste forms to avoid excessive formation of vapors.


Personal protective equipment

The correct
personal protective equipment Personal protective equipment (PPE) is protective clothing, helmets, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection. The hazards addressed by protective equipment include physical, e ...
must be worn when handling carcinogens. Ensure
safety goggles Safety is the state of being "safe", the condition of being protected from harm or other danger. Safety can also refer to the control of recognized hazards in order to achieve an acceptable level of risk. Meanings There are two slightly dif ...
, impermeable gloves (of an appropriate material), respirator (if appropriate), face shield, impermeable apron, closed toed shoes, long sleeved lab coat are worn. Disposable aprons and lab coats are preferable to reduce risks of repeated exposure.{{Cite web , date=2023 , title=Personal Protective Equipment , url=https://www.osha.gov/sites/default/files/publications/osha3151.pdf , access-date=2023-04-10


Accident procedures

A quick response to an accident or spill can greatly reduce exposure to a carcinogenic substance. If a spill or accident occurs ensure that the contaminated materials are disposed of in the correct hazardous waste bin(ensure stained clothing is removed immediately), a correct spill kit is used on the spill, in the case of a liquid spill, ensure that the spill is cleaned as soon as possible to prevent the formation of aerosols, have employees tested for exposure to carcinogens, refer to
MSDS A safety data sheet (SDS), material safety data sheet (MSDS), or product safety data sheet (PSDS) is a document that lists information relating to occupational safety and health for the use of various substances and products. SDSs are a widel ...
for specific treatment or dangers. Prepare spill kits and emergency plans prior to beginning use of the carcinogenic substances and in the case of a large spill vacate the area and call for assistance.


Storage

The correct storage of
carcinogens A carcinogen is any substance, radionuclide, or radiation that promotes carcinogenesis (the formation of cancer). This may be due to the ability to damage the genome or to the disruption of cellular metabolic processes. Several radioactive subs ...
is important in reducing exposure. Limit access to carcinogens, keep containers and amounts used as small as possible, double containers and chemical resistant trays. Store in a designated area with the appropriate hazard signs and ventilation if required. The carcinogens should be stored in a separate area to
flammable solids Dangerous goods, abbreviated DG, are substances that when transported are a risk to health, safety, property or the environment. Certain dangerous goods that pose risks even when not being transported are known as hazardous materials ( syllabi ...
and corrosive liquids as to avoid any damage to containers and possible leaking of carcinogenic compounds. Refer to the
MSDS A safety data sheet (SDS), material safety data sheet (MSDS), or product safety data sheet (PSDS) is a document that lists information relating to occupational safety and health for the use of various substances and products. SDSs are a widel ...
or the company specific standard operating procedures for the best solution to storing any carcinogen.


Decontamination

After use of a carcinogen or if exposure to a carcinogen has occurred, ensure the correct decontamination procedure is executed. Personnel must wash hands and arms with
soap Soap is a salt of a fatty acid used in a variety of cleansing and lubricating products. In a domestic setting, soaps are surfactants usually used for washing, bathing, and other types of housekeeping. In industrial settings, soaps are use ...
and
water Water (chemical formula ) is an Inorganic compound, inorganic, transparent, tasteless, odorless, and Color of water, nearly colorless chemical substance, which is the main constituent of Earth's hydrosphere and the fluids of all known living ...
, immediately after handling. If exposure occurs, contact emergency health services and use safety shower/eye wash station. Decontamination of area procedures vary depending on the material being handled. Toxicity of some materials can be neutralized with other agents (refer to the
MSDS A safety data sheet (SDS), material safety data sheet (MSDS), or product safety data sheet (PSDS) is a document that lists information relating to occupational safety and health for the use of various substances and products. SDSs are a widel ...
for appropriate action). All surfaces should be wiped down with an appropriate cleaning agent. All waste materials and contaminated PPE must be disposed of in hazardous waste bins. All equipment used must be decontaminated before removing them from the designated area.


References

Hazardous materials