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MHY 11:24 FR CDC/OSH-OD 97704885767 TO 912022058313 P.04/08 MAY-04-88 10:10 From:CHAMBLEE IC 7704887422 T-704 P.04/08 Jab-200 272 Exposure of Casino Employees to ETS Trout et al agement were notified in advance of Indoor Air. 1,20 The total mass of col.³ This method has been shown to the NIOSH site visit. The sudy pop- respirable particulate was collected be a specific and sensitive method ulation consisted of dealers and su- according to NIOSH Method 0600 for cotinine measurements. The pervisors: there were 279 dealers and using pre-weighed polyvinyl chio- limit of detection (LOD) was 0.050 supervisors, including both smokers ride (PVC) filters installed in Dorr- ng/mL. The mean of two determina- and non-smokers, scheduled to work Oliver (Milford, CT) nylon cyclones tions is reported as the final result for the second shift (generally the busi- (which collect particulates less than all individual samples. est shift of the day) during the two ten microns in diamcter). 1.21 Sam- Urine cotinine analyses were made days of the evaluation (Thursday and pling was conducted at a flow rate of by using a similar LC tandem mass Friday nights). Dealers and supervi- 1.7 liters per minute (L/min) for spectrometric procedure with the sors were chosen as the study popu- approximately eight hours. Nine area same LOD. However. for these sam- lation because these were the only samples were collected at the center ples, a preliminary hydrolysis of the employees for whom adequate work tables in various gaming pits (loca- cotinine glucuronides was carried schedule information was available. tions in the casino gaming area are out. Thus the urine cotinine results During the evening prior to the eval- referred to as pits). Instantaneous are the total (free cotinine + cotinine uation, NIOSH investigators were measurements of CO2 concentrations glucuronide) levels in the sample. present in the casino cafeteria to were obtained using a Gas Tech The mean of two determinations is distribute information sheets describ- Model RI-411A Portable (direct reported as the final result for all ing the HHE and to talk to employ- reading) CO₂ monitor (Gas Tech individual samples. Both serum and ees. Although the goal was to contact Inc., Newark, CA). CO₂ measure- urine cotinine values are reported in and explain the HHE to each of the ments were obtained at various Inter- units of ng/mL. 23-25 Four samples of 279 employees who were non- vals and locations throughout the both serum and urine from each smokers, the actual number of non- building. night of testing were split and sent to smokers in the population and the actual number contacted is unknown. Medical the laboratory as additional samples not identified as duplicates. Analysis Each non-smoking dealer and super- The medical evaluation included a of these samples indicated an overall visor contacted was asked to partici- self-administered questionnaire and method coefficient of variation of pate in the HHE on one of the two biologic monitoring for exposure to 2% for both the serum and urine nights (either Thursday or Friday cigarette smoke. After giving in- assays in this study. night). Management presence at the formed consent and confirming that For the two sample I tests and time of employee recruitment and they did not currently use tobacco correlations, serum and urine cotin- employee concern over management products. employees filled out a ine levels were log-transformed be- disapproval of the evaluation was questionnaire that included questions cause of the skewness in their distri- likely an important factor negatively on work history. whacco use history. butions. Statistical analyses were affecting employee participation. and exposure to ETS. Participants performed using Epi Info. Version Participants were not paid. were asked to estimate the amount of 6²⁶ and SAS.²⁷ A P value ≤ 0.05 Environmental time (hours/minutes) that they were was considered statistically signifi- exposed to ETS on the day of the cant. Personal breathing zone (PBZ) evaluation and for the four previous and general area (stationary) air sam- days. The work practices and activi- Results ples for nicotine vapor were col- ties of all participants were observed lected by drawing air through by NIOSH personnel during the Environmental XAD-4 sorbent tubes (SKC® #226- course of the evaluation. Eighteen PBZ samples for nicotine 93: SKC Inc., Eighty Four. PA) with Pre- and post-shift blood and urine and ten area samples each for nica battery-powered SKC Pocker specimens were collected from each tine vapor and respirable dust were Pumps at air flow rates of 150 participant. All samples were blind- collected. PBZ nicotine exposures milliliters per minute (mL/min) for coded and sent to the National Cen- for the Thursday evening monitoring personal samples and 200 mL/min ter for Environmental Health, Divi- ranged from 6-12 µg/m³ (geometric for area samples. Sampling was con- sion of Environmental Health mean. 8 µg/m³), expressed as time- ducted for approximately eight Laboratory Sciences. Serum cotinine weighted averages (TWAs). The hours. The analyses for nicotine were was determined for each serum sam- highest PBZ sample concentration conducted in the NIOSH laboratory ple in duplicate by high-performance (12 µg/m³) was from a dealer work- using a modified version of Ameri- liquid chromatography/atmospheric ing a poker game. Area TWA air can Society for Testing and Materi- pressure chemical ionization tandem concentrations (range. 6-12 µg/m:³ als (ASTM) method D5075-90a. mass spectrometry (LC APCI MS/ geometric mean, 8 µg/m³) were sim- Standard Test Method for Nicotine in MS) according to a standard proto- ilar to the PBZ sample concentra-

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    "ocrText": "MHY 11:24 FR CDC/OSH-OD\n97704885767 TO 912022058313\nP.04/08\nMAY-04-88 10:10 From:CHAMBLEE IC\n7704887422\nT-704 P.04/08 Jab-200\n272\nExposure of Casino Employees to ETS Trout et al\nagement were notified in advance of\nIndoor Air. 1,20 The total mass of\ncol.³ This method has been shown to\nthe NIOSH site visit. The sudy pop-\nrespirable particulate was collected\nbe a specific and sensitive method\nulation consisted of dealers and su-\naccording to NIOSH Method 0600\nfor cotinine measurements. The\npervisors: there were 279 dealers and\nusing pre-weighed polyvinyl chio-\nlimit of detection (LOD) was 0.050\nsupervisors, including both smokers\nride (PVC) filters installed in Dorr-\nng/mL. The mean of two determina-\nand non-smokers, scheduled to work\nOliver (Milford, CT) nylon cyclones\ntions is reported as the final result for\nthe second shift (generally the busi-\n(which collect particulates less than\nall individual samples.\nest shift of the day) during the two\nten microns in diamcter). 1.21 Sam-\nUrine cotinine analyses were made\ndays of the evaluation (Thursday and\npling was conducted at a flow rate of\nby using a similar LC tandem mass\nFriday nights). Dealers and supervi-\n1.7 liters per minute (L/min) for\nspectrometric procedure with the\nsors were chosen as the study popu-\napproximately eight hours. Nine area\nsame LOD. However. for these sam-\nlation because these were the only\nsamples were collected at the center\nples, a preliminary hydrolysis of the\nemployees for whom adequate work\ntables in various gaming pits (loca-\ncotinine glucuronides was carried\nschedule information was available.\ntions in the casino gaming area are\nout. Thus the urine cotinine results\nDuring the evening prior to the eval-\nreferred to as pits). Instantaneous\nare the total (free cotinine + cotinine\nuation, NIOSH investigators were\nmeasurements of CO2 concentrations\nglucuronide) levels in the sample.\npresent in the casino cafeteria to\nwere obtained using a Gas Tech\nThe mean of two determinations is\ndistribute information sheets describ-\nModel RI-411A Portable (direct\nreported as the final result for all\ning the HHE and to talk to employ-\nreading) CO₂ monitor (Gas Tech\nindividual samples. Both serum and\nees. Although the goal was to contact\nInc., Newark, CA). CO₂ measure-\nurine cotinine values are reported in\nand explain the HHE to each of the\nments were obtained at various Inter-\nunits of ng/mL. 23-25 Four samples of\n279 employees who were non-\nvals and locations throughout the\nboth serum and urine from each\nsmokers, the actual number of non-\nbuilding.\nnight of testing were split and sent to\nsmokers in the population and the\nactual number contacted is unknown.\nMedical\nthe laboratory as additional samples\nnot identified as duplicates. Analysis\nEach non-smoking dealer and super-\nThe medical evaluation included a\nof these samples indicated an overall\nvisor contacted was asked to partici-\nself-administered questionnaire and\nmethod coefficient of variation of\npate in the HHE on one of the two\nbiologic monitoring for exposure to\n2% for both the serum and urine\nnights (either Thursday or Friday\ncigarette smoke. After giving in-\nassays in this study.\nnight). Management presence at the\nformed consent and confirming that\nFor the two sample I tests and\ntime of employee recruitment and\nthey did not currently use tobacco\ncorrelations, serum and urine cotin-\nemployee concern over management\nproducts. employees filled out a\nine levels were log-transformed be-\ndisapproval of the evaluation was\nquestionnaire that included questions\ncause of the skewness in their distri-\nlikely an important factor negatively\non work history. whacco use history.\nbutions. Statistical analyses were\naffecting employee participation.\nand exposure to ETS. Participants\nperformed using Epi Info. Version\nParticipants were not paid.\nwere asked to estimate the amount of\n6²⁶ and SAS.²⁷ A P value ≤ 0.05\nEnvironmental\ntime (hours/minutes) that they were\nwas considered statistically signifi-\nexposed to ETS on the day of the\ncant.\nPersonal breathing zone (PBZ)\nevaluation and for the four previous\nand general area (stationary) air sam-\ndays. The work practices and activi-\nResults\nples for nicotine vapor were col-\nties of all participants were observed\nlected by drawing air through\nby NIOSH personnel during the\nEnvironmental\nXAD-4 sorbent tubes (SKC® #226-\ncourse of the evaluation.\nEighteen PBZ samples for nicotine\n93: SKC Inc., Eighty Four. PA) with\nPre- and post-shift blood and urine\nand ten area samples each for nica\nbattery-powered SKC Pocker\nspecimens were collected from each\ntine vapor and respirable dust were\nPumps at air flow rates of 150\nparticipant. All samples were blind-\ncollected. PBZ nicotine exposures\nmilliliters per minute (mL/min) for\ncoded and sent to the National Cen-\nfor the Thursday evening monitoring\npersonal samples and 200 mL/min\nter for Environmental Health, Divi-\nranged from 6-12 µg/m³ (geometric\nfor area samples. Sampling was con-\nsion of Environmental Health\nmean. 8 µg/m³), expressed as time-\nducted for approximately eight\nLaboratory Sciences. Serum cotinine\nweighted averages (TWAs). The\nhours. The analyses for nicotine were\nwas determined for each serum sam-\nhighest PBZ sample concentration\nconducted in the NIOSH laboratory\nple in duplicate by high-performance\n(12 µg/m³) was from a dealer work-\nusing a modified version of Ameri-\nliquid chromatography/atmospheric\ning a poker game. Area TWA air\ncan Society for Testing and Materi-\npressure chemical ionization tandem\nconcentrations (range. 6-12 µg/m:³\nals (ASTM) method D5075-90a.\nmass spectrometry (LC APCI MS/\ngeometric mean, 8 µg/m³) were sim-\nStandard Test Method for Nicotine in\nMS) according to a standard proto-\nilar to the PBZ sample concentra-"
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