M E D I C H E M February 2001 2001 Membership Contributions are Due Now Medichem 2001 Board Elections – Call for Candidates In the envelope containing this Newsletter, Medichem Members will receive an invoice for the payment of the 2001 Medichem Membership Dues. They have remained unchanged at USD 50 per year. Details concerning Medichem's bank connection and possible modes of payment can be found on the invoice form. The Secretary-Treasurer is extremely grateful to those who pay their dues promptly and thus help avoid unnecessary cost and effort for reminders later in the year. I would like to thank you already now for your cooperation. For those who, because of their personal circumstances, find it difficult to pay the full membership contribution, Medichem has set aside a limited amount of funds to subsidise a scheme of reduced membership fees. An application must be made in writing to the SecretaryTreasurer. The reduction is 50 per cent. The exact rules governing the scheme can be found in the Medichem Handbook and are also available from the Secretary. This year, several Medichem Board Members arrive at the end of their terms of office: Noel Humphry, Leo Miksche, Kalle Ahlberg, Teo Popov, Hugo Rüdiger, Abed Bin Onn and Andreas Flückiger. Furthermore, there are two vacancies on the Medichem Board that can be filled. The following Board members have stated that they are willing to be a candidate for a further term of office as Board Members: Teo Popov, Hugo Rüdiger, Abed Bin Onn and Andreas Flückiger (who will however hand over the Secretariat to a successor). According to Article 5, Section 4.1 of the Medichem Constitution, every country can only be represented by one Board Member. As an exception from this rule, there can be two Board Members from one country if one of them holds an office. Members are now asked to nominate candidates for the Board if they so wish. Any member in good standing can nominate a candidate. This year, candidates for Board membership may not be from Canada, the Czech Republic, Japan, the Netherlands, Singapore, South Africa, the US nor the UK. Dr. Andreas Flückiger, Basel (Switzerland) (continued on page 2) Honorary President: Prof. Dr.med. Dr.h.c. Alfred M. Thiess Chairman: Dr. Noel F. Humphry Dow Chemical (Australia) Ltd. Kororoit Creek Road Altona, Vic. 3018 (Australia) Phone: +61-3-9226 3787 Fax: +61-3-9226 3798 ---------------------------Secretary-Treasurer: Dr. Andreas Flückiger Corporate Medical Director F.Hoffmann-La Roche Ltd. CH-4070 Basel (Switzerland) Phone:+41-61-688 37 38 Fax: +41-61-688 16 51 ---------------------------Board Members: Dr. R.W. Ahlberg (Finland) Dr. A. Bin Onn (Malaysia) Dr. L.J.N.G.M. Bloemen (Netherlands) Prof. M. Cikrt (Czech Republic) Dr. W.M. Coombs (South Africa) Dr. S. S. Guirguis (Canada) Prof. Y. Kudo (Japan) Dr. L. W. Miksche (Germany) Dr. T. Wai-Hoong Phoon (Singapore) Prof. T. Popov (Bulgaria) Dr. A. R. Reid (U.K.) Prof. H. W. Rüdiger (Austria) Dr. Leslie M. Yee (USA) Medichem Newsletter February 2001 (continued from Page 1) All candidates must be Medichem members in good standing, and in addition members in good standing of the ICOH or agree join ICOH before the election. Furthermore, the nomination shall only be valid if it is sent in along with written acceptance of the nomination from the candidate herself or himself. Nominations must be sent to the Secretary of Medichem, Dr. Andreas Flückiger, by mail or fax. They must be in possession of the Secretary no later than April 30th, 2001. Dr. Andreas Flückiger, Basel (Switzerland) PVC Softeners Suspected of Causing Allergies Softeners of PVC-plastics are suspected of increasing the risk of respiratory allergies in children. This is the finding of a recently published Norwegian study of 3000 children during two years in Oslo. Research at the Danish Institute of Working Life show that some phthalates heighten allergic reactions in mice. PVC-plastics are used in a large number of buildings, mainly in floor coverings, but also in some furniture, wall coverings and other furnishings. PVC is also found in packaging. Floor coverings can contain up to 40% of phthalates. Moisture in flooring is suspected of increasing the emission of phthalates. The Danish Institute of Working Life has now found that certain mono-phthalates, primarily DBP and DEHP, appear both in the form of gas and as particles in floor dust in Danish homes, offices, classrooms and day care nurseries. During the coming year, results from new studies will be presented. The number of Danish children with allergies has, as in most other Northwestern European countries, more than doubled in the past 25 years. "The reasons for this can be many, among them changes in the immune system due to changing eating habits", says Leif Aringer, Chief Medical Officer at the Swedish National Board of Occupational Safety and Health. The Swedish Chemicals Inspectorate has recently banned the use of phthalates in toys for children under the age of three. The Institute of Analytical Chemistry at Stockholm University is planning to undertake a study of softeners in PVC. There is still controversy among researchers as to the role of phthalates in cancer and hormone disorders. (From the Newsletter of the Joint Industrial Safety Council, Stockholm, Sweden, Dec. 2000 issue). Dr. Andreas Flückiger, Basel (Switzerland) Fire Fighters at Risk for Cancer? Research undertaken in New Zealand has identified that fire fighters are three times more likely to get testicular cancer than the average male. The study was conducted by the Pg 2 Wellington School of Medicine in conjunction with the Institute if Environmental Science and Research. Details from http://www.fpaa.com.au From: Hazmat & Enviroment Notes, November 2000, submitted by Jeff Simpson, Haztech Environmental, Ashburton, Vic. (Australia) 26th Conference of the ICOH in Singapore A modest ~2000 participants attended the 26th Conference of the ICOH which took place Aug 27th-Sept. 1st in Singapore. The main topic of the conference was the impact of globalisation on safety and health at the workplace. The degree of industrialisation is steadily decreasing in the socalled "industrialised" nations. The service sector is growing rapidly and the occupational health issues related to this sector differ from the traditional occupational diseases. "Soft factors" such as job satisfaction are important determinants of health at work. Organisations have been shrunk and the workload for those remaining has continuously increased. In Finland, 8% of the working population work 80 or more hours a week. The average European believes that each week should have an extra 20 hours to enable him to do all the things he should do. This lifestyle has adverse effects on exercise, and often nutrition is not adapted to the limited physical activity either. Workers in this sector who are not satisfied with their jobs are Medichem Newsletter February 2001 often not very productive although they show up at work every day. The term "presenteeism" has been coined for this phenomenon. In Scandinavia, it has been estimated that productivity could be increased by as much as 50% if health at work in the broadest sense was tackled effectively. Large firms with traditionally good safety and health practices at work tend to concentrate on what they consider to be their "core business". Other activities such an maintenance and cleaning are out-sourced to contractors. It was suspected and has now been confirmed that health protection of the workforce of these usually small contract firms is generally inferior to health protection that was offered for the same jobs when they were still integrated in a large company. The quality of occupational health practices has been influenced in different ways, depending on the region of the world. In the past 10 years, the general health of the workforce has improved in most OECD countries as well and China and India, but remained unchanged or even deteriorated in Latin America, Africa, the Arab countries and in most countries of the former Eastern Block. Women, children, the elderly and the handicapped are particularly vulnerable. Among the traditional health problems affecting productivity, allergies, affections of the musculoskeletal system and infectious diseases are on the increase. Whilst the terms "occupational illness" and "occupational disease" have been used almost synonymously, preference being given to one or the other depending on the country, the point was made that maybe the term "occupational disease" should be used when describing the traditional and well established health problems arising from the workplace whereas "occupational illness" would describe those affections where the causal link between the affection and workplace seemed plausible or even clear, but the ailment was not recognised by the country's legal system as a work-related health impairment. This implies that the work-related health problems that we see these days in the countries of the so-called first world often no longer correspond to those work-related health problems that are legally recognised. In most of these countries, on paper, the costs of occupational accidents by far exceed the costs of occupational illnesses. However, some countries such as the UK have taken a closer look at the situation and are convinced that the real situation is the other way around: occupational illnesses actually have a far greater impact on a nation's economy than is expressed by the figures of recognised occupational diseases. Medichem was present at the conference with a session of proffered papers on occupational health in the chemical industry and a minisymposium on "Occupational Pg 3 and environmental effects on the reproduction process". Four speakers presented papers: Rob Taalman of CEFIC's Endocrine Modulators Steering Group, Ron Miller, toxicologist of Dow Chemical, Sin-Eng Chia of the U. of Singapore and John Jackson of JacksonHocking in the UK. The mini-symposium was very well attended and feed-back from the audience was very positive. ICOH will hold its next conference in Foz do Iguaçú, Brazil from February 23-28, 2003. Dr. Andreas Flückiger, Basel (Switzerland) Manganese In the February 2000 Medichem Newsletter, a summary was given on research conducted at the Chemical Industry Institute of Toxicology (CIIT) in the US on the mechanisms of manganese neurotoxicity. In the past year, manganese has been under particular scrutiny by the occupational health authorities in a number of countries, in particular also the UK. Manganese is used in the making of steel and welding rods, but it is also of interest to those companies in the chemical industry who consider themselves to be players in the field of the health sciences. Manganese is a trace element in animal feed and fertilisers where it is used in relatively large quantities. A review of manganese toxicity seems to indicate that health-based occupational exposure limits (OELs) for this material would have to be Medichem Newsletter February 2001 lower than existing limits in many countries. In many countries, the OEL for manganese compounds (as Mn) is 0.5 mg/m³, but in some, it is still as high as 5 mg/m³. However, epidemiological studies show that men exposed to workplace levels around 1 mg/m³ (inhalable dust) suffered from neurological effects. A human no-effectlevel has never been clearly identified, but is likely to be well below 1 mg/m³, probably also at less than 0.5 mg/m³. The ACGIH have already had their manganese TLV at 0.2 mg/m³ for a number of years and this seems a reasonable order of magnitude. Blend plants in the feed industry are not exactly dustfree, and even under good conditions, exposures of 1 to 2 mg/m³ are typical. Compliance with exposure limits of 0.2 mg/m³ or possibly less should be achieved primarily by means other than personal protective equipment. One possibility to real this goal would be to make the form or manganese used less dusty. The feed industry handles other trace elements which can be hazardous to health, such as selenium and cobalt. The quantities of Co and Se used are much smaller than those of Mn, and the cost of these elements is higher than the cost of manganese. In practice, that means that making selenium and cobalt preparations inherently safer by bringing them into a low dustiness granulated form is a feasible solution. The added cost of granulation is relatively small and absorbed by the market without great difficulty. This may not be the case for manganese which is relatively inexpensive and used in much greater volumes. It will be interesting to track further developments in good occupational hygiene practice in the handling of manganese, both the possible setting of new and lower OELs but also means of ensuring compliance with these new limits. Dr. Andreas Flückiger, Basel (Switzerland) Occupational Toxicology Roundtable 2000 The historic Mohawk Mountain Hotel in Upstate New York was the impressive venue for the October 2000 Occupational Toxicology Roundtable, an informal gathering of occupational toxicology and industrial hygiene specialists coming mainly from the US but also from the European pharmaceutical industry. Although the meeting is the one of an informal group and participation is only by invitation, the Occupational Toxicology Roundtable now has a long-standing tradition and a high reputation in the industry. Topics discussed are best practises of occupational hygiene in the pharmaceutical industry, principles of setting in-house occupational exposure limits for therapeutic substances, categorisation systems for such compounds and information given in those sections of safety data sheets that relate to health hazard Pg 4 characterisation, occupational handling, toxicology and classification. Since a fair amount of professional judgement is involved in dealing with these subjects, exchanging views and opinions and benchmarking is considered indispensable. Whilst pharmaceutical production equipment is validated again and again for its GMP (good manufacturing practice, i.e. product-safety related) performance, this not so much the case for its performance in terms of industrial hygiene. A manufacturer of a particular piece of equipment can seldom say reliably what e.g. the dust leakage rate of his equipment is. However, such information would be very important to compare one piece of equipment with another and to decide what product can or needs to be produced on what sort of equipment. Standardised validation procedures need to be developed to attain this goal. Representatives of the Occupational Toxicology Roundtable are working together with the International Society of Pharmaceutical Engineers (ISPE) to develop such standards. Dr. Andreas Flückiger, Basel (Switzerland) COSHH Essentials The so-called COSHH (Control of Substances Hazardous to Health) regulations were published in the UK about a decade ago. These regulation call for a systematic approach to dealing Medichem Newsletter February 2001 with hazardous substances at all workplaces: collection of all information available on the hazards (the compounds) and the workplace where they are handled assessment of exposures to these hazards conclusion as to magnitude of the health risk present according to the formula: risk = hazard x exposure decision on managing this risk appropriately It was soon recognised that particularly small and mediumsized enterprises had great difficulties implementing the COSHH regulations. To assist these companies in putting in place the right measures to control exposures at their workplaces as often as possible without specialist advice, the UK Health and Safety Executive developed "COSHH Essentials", a guidance document that has gained a great deal of applause and has become a standard reference far beyond the UK. In a nutshell, COSHH essentials is about achieving good industrial hygiene whenever possible without specialist advice and without measuring. You determine the toxicity of the product based on its EU risk phrases and check on the safety data sheet whether skin absorption might occur. This information is then combined with quantity handled and the level of dustiness or volatility of the product. This information leads up to recommendations for the engineering controls and containment needed. Sixty control guidance sheets have been developed, each covering a particular activity, e.g. transfer, filling/emptying, weighing, mixing. "COSHH Essentials" is designed to allow small businesses to get on with implementing reasonable industrial hygiene practices without being blocked before even starting by too complex a task. COSHH Essentials – Easy Steps to Control Chemicals. 32 pages and 60 guidance sheets. ISBN 0-7176-2421-8. Price: about GBP 25. Source: HSE Books. Phone +44-1787-88 11 65, Fax: +441787-31 39 95. Dr. Andreas Flückiger, Basel (Switzerland) and Jeff Simpson, Haztech Environmental, Ashburton, Vic. (Australia) Insecticide Diazinon to be Phased Out in the US The US Environmental Protection Agency has announced plans to phase out, by the end of 2004, the home and garden use of the insecticide Diazinon, the last widely used pest-control product made from the organophosphate class of chemicals, which are linked to health risks for children. Source: USA Today, Dec. 5, 2000 (Reuters). Sent in by Jeff Simpson, Haztech Environmental, Ashburton, Vic. (Australia) Cancer Risk from Occupational Handling of Cytostatics Pg 5 Many cytostatics have a genotoxic mechanism of action. They are therefore classified as carcinogens. Individuals handling these compounds in the health sector, e.g. in hospitals, are exposed to a certain health risk. The German BIA (Institute for Occupational Safety of the Occupational Accident Liability Insurance Fund – in German: "Berufsgenossenschaften") reviewed the epidemiological and toxicological literature to determine the cancer risk from occupational exposure to six selected cytostatics. The risk was calculated for 35 years of daily handling of these antineoplastic agents. The agents evaluated were: cyclophosphamide melphalan methotrexate 5-fluoro-uracil cisplatin etoposide The database seems best for cyclophosphamide. Biological monitoring studies showed that during the preparation of 2000 mg for patient application, a nurse will typically absorb anywhere between 2 and 60 mcgr of the compound. It was calculated that these exposures (if present 5 days a week, 35 years long) lead to an excess cancer risk of 2:100,000 to 7:10,000. Figures for melphalan (Alkeran®) are less good, but the cancer risk per mg absorbed is at least 10 times higher than for cyclophosphamide. On the other hand, therapeutic doses for melphalan are lower than Medichem Newsletter February 2001 those of cyclophosphamide which may reduce the exposures of the hospital personnel to some extent. A carcinogenic risk associated with methotrexate has not been demonstrated clearly, in fact, at the doses relevant for the workplace it may even be close to nil. In any case, at comparable doses, the risk is clearly smaller than the one of cyclophosphamide exposure. In 1990, 5-fluoro-uracil (5-FU) was classified in category 3 by IARC. For once, this seems to be an IARC classification that is off "the other way", i.e. it makes the compound appear less harmful than it really is: 5FU has been shown to be an animal carcinogen and its major producers classify it (voluntarily) as a carcinogen or potential carcinogen. However, the carcinogenic potency seems to be rather low, lower than the one of cyclophosphamide. Cisplatin appears to be a more potent carcinogen than cyclophosphamide, but as for 5-FU, the data are insufficient to quantify the difference. Etoposide: This compound as been well studied in terms of causing secondary leukaemia after full therapeutic courses. The excess risk (per mcgr of compound absorbed) for hospital staff handling the material was estimated to be similar to the risk associated with cyclophosphamide, maybe slightly higher. Assessing the acceptability of the calculated risks is no longer a scientific matter. OSHA is cited as having stated that an excess risk of 1 case in 1000 working lives is "clearly significant". In making this statement, OSHA quotes a Supreme Court decision in which an acceptable (cancer) risk at the workplace would be located somewhere between 1 in 1000 and 1 in a billion (109). In the Netherlands, an agreement between employers and workers representatives was reached. According to this agreement, the excess risk for the whole working life, calculated by means of linear extrapolation, should as a target be lower than 4 in 100,000, but should never exceed 4 in 1000. If individuals were exposed during their whole workinglives at TRK level (German technically-based occupational exposure guidance levels for industrial carcinogens), it is estimated that excess cancer incidences would be in the range of several cases per 1000 or even per 100. Further details (in German): Arbeitsmedizin, Sozialmedizin, Umweltmedizin, 36 (2001), 41-45. Dr. Andreas Flückiger, Basel (Switzerland) Pg 6 make up 48% of the labor force and men 52%. In 1998, the respective shares were 45 and 55%. In 1950, about one in three women participated in the labor force. By 1998, nearly 3 of every 5 women of working age were in the labor force. Among women over the age of 16, the labor force participation rate was 34% in 1950 compared with 60% in 1998. Changes in labor force participation varied by age group. The biggest increase in labor force participation was among those age 25-34 – from a level of 34% in 1950 to 76% in 1998. Also, in 1950, women between 16 and 24 years of age had the highest labor force participation rate (44%); in 1998 women age 35-44 had the highest rate (77%), followed closely by those age 25-34 and those 45-54 (both 76%). The only age group to experience a decline in labor force participation between 1950 and 1998 were those age 65 and over. For more information, consult the BLS website http:// www.bls.gov/ Dr. Andreas Flückiger, Basel (Switzerland) Women's Share in US Labour Force to Grow Further According to US Bureau of Labor Statistics (BLS), overall labor force participation rates will continue to rise among women and edge down among men between 1998 and 2008. As a result, women's labor force growth should be faster than men's. As more women are added to the workforce, their share will approach that of men. In 2008, women will Trichloroethylene to be Phased Out as Cold Dry Cleaning Agent in Australia In Australia, tichloroethylene has been classified as a category 2 carcinogen (likely to cause cancer in humans) and a class 3 mutagen (possible genetic damage to humans) since March 2000. Medichem Newsletter February 2001 For this reason, the National Industrial Chemical Notification and Assessment Council is following up the adoption of the recommendations to phase out trichloroethylene as a cold cleaning solvent by the end of 2002. Trichloroethylene can still be used for hot vapour degreasing and cleaning provided the vapour degreasing equipment meets the performance standards to contain and minimise emissions. www.nohsc.gov.au/ nicnas Sent in by Jeff Simpson, Haztech Environmental, Ashburton, Vic. (Australia) More Deaths in the US at the Beginning of Each Month A peculiar phenomenon has been observed in the US for quite some time: the fact that the number of deaths tended to decrease in the course of each month. On the average of the years 1973 to 1988, it was found that for each 100 deaths during the last week of a month, 114 persons died in the first week of the following month. An investigation showed that among the causes of death at the beginning of the month, drug abuse, alcohol consumption, homicide and suicide were particularly more common than towards the end of the month. The authors conclude that this observed phenomenon may be linked to poverty. At the end of each month, salaries are paid, but also welfare payments are made. It is assumed that toward the end of the month, certain groups in the population run out of money and when checks are received, more money is spent on alcohol and drugs, leading to a higher death rate. Source: Deutsches Aerzteblatt, 97 (22), 2000, based on Phillips, D.P. et al: An increase in the number of deaths in the United States in the first week of the month. N Eng J Med 1999; 341: 9398. Sent in by Prof. Dr. Dr. Alfred M. Thiess, Ludwigshafen-Oggersheim (Germany) Maternal Smoking Increases PCB Burden in Newborns Polychlorinated biphenyls (PCBs) and hexachlorobenzene (HCB) are environmental contaminants that can be found in traces almost everywhere. They are considered to be teratogenic and carcinogenic. In particular, simultaneous administration of these compounds and tobaccospecific carcinogens shows tumour-promoting affects in animal experiments. Whilst it was recently demonstrated that certain tobacco-specific carcinogens cross the placental barrier, nothing was known as to the antenatal PCB and HCB burdens. Serum samples of eighty newborns were collected before the first feeding. The serum samples were analysed for PCB cogeners 28, 52, 101, 138, 153 and 180 as well as for HCB. For the statistical evaluation of the results, three groups were formed: smoking mothers, non-smoking mothers Pg 7 passively exposed to tobacco smoke and non-smoking families. The children of smoking mothers showed the highest PCB and HCB levels and the lowest levels were found in the children of the non-smoking families. The differences were statistically significant (p <0.01) for HCB, for PCB 138 and for the sum of PCBs 138, 153 and 180. Epidemiological studies on an association of maternal smoking and childhood cancer have so far shown ambiguous results. From: Lackmann, G.M. et al: Parental smoking and neonatal serum levels of PCBs and HCB. Pediatr Res 2000; 47: 598-601. Dr. Andreas Flückiger, Basel (Switzerland) Skin Absorption of Vaporous Solvents The dermal absorption rates of vaporous 1,1,1-trichloroethane (111tri), trichloroethene (tri), tetrachloroethene (tetra), hexane (hex), toluene (tol) and m-xylene (xyl) were determined in human volunteers. The absorption data were used for the validation of two published models for the prediction of non-steady-state skin absorption. Five volunteers were dermally exposed on an area of about 1000 cm2 (forearm and hand) for 20 or 30 minutes. An inhalation exposure with a known dose rate served as a reference. Using the solvent concentrations in exhaled air, measured after both inhalation and dermal exposure, the maximum absorption rate into Medichem Newsletter February 2001 the blood, and the average absorption rates into the skin throughout the exposure, were determined using the linear system dynamics model. The absorption rates into the skin, normalised for exposure concentration, amounted to 0.021 cm/h (111tri), 0.049 cm/h (tri), 0.054 cm/h (tetra), 0.013 cm/h (hex), 0.14 cm/h (tol) and 0.12 cm/h (xyl). The maximum absorption rates into the blood ranged from 0.005 nmol/h for 111tri and hex to 0.05 nmol/h for tol. The ratios between predicted and experimental values of the absorption rates into the skin ranged, for the model of Cleek and Bunge, from 0.3 (hex) to 1.1 (tri and tetra), and for the model of Wilschut and Ten Berge, from 1.1 (hex) to 4.7 (xyl). The linear system dynamics model allowed to calculate not only the total amount absorbed by the skin but also the maximum absorption rate into the blood. The steady-state absorption rate, usually described by permeability constants, will be below the absorption rate into the skin and above the absorption rate into the blood. The skin absorption rates predicted by the models showed good agreement with the experimental values. A comparison of the estimated whole-body skin uptake with the inhalatory uptake from the same atmosphere revealed that the dermal uptake contributed from 0.1% (hex) to 1% (tol and xyl) to the total uptake. (Kezic, S. et al: Skin absorption of some vaporous solvents in volunteers. Int Arch Occup Env Health 2000, 73 (6), 415-22. Dr. Andreas Flückiger, Basel (Switzerland) Welcome to New Members Prof. Margarita Koleva, Dept. of Hygiene, Ecology and Occupational Health, Sofia, (Bulgaria) Prof. Zhivka Halkova, National Centre of Hygiene, Medical Ecology and Nutrition, Sofia (Bulgaria) Dr. Javier Cristián Amherd, BASF, Rosario, Santa Fé (Argentina) Ms. Tania Antill, Sasol, Johannesburg (South Africa) Dr. Claude Witz, Givaudan and Firmenich Ltd., Geneva (Switzerland) Dr. André Veneman, Akzo Nobel, Arnhem (The Netherlands) Forthcoming Events June 10-13, 2001, Göteborg Exposure Assessment in Epidemiology and Practice Co-organised by the ICOH SC on Industrial Hygiene. Info: X2001, Department of Occupational Medicine, St. Sigfridsgatan 85, S-412 66 Göteborg (Sweden). Fax: +4631-40 97 28. e-mail: [email protected] June 11-13, 2001, Toulouse (France) Dust, Fumes and Mists in the Workplace Organised by ISSA, Chemistry Section. Topics: Biological effects of and assessment and reduction of exposure to Pg 8 particulate pollutants, Ultrafine particles, specific dusts. Info: INRS, Colloque AISS Puossières 2001, 30 rue Olivier Noyer, F-75680 Paris Cedex 14 (France). Fax: +33-140 44 30 99. e-mail: [email protected] Sept. 4-6, 2001, Prague XXIX Medichem Info: Congress Secretariat Agentura Carolina, Medichem 2001, PO Box 45, Albertov 7/3A, CZ-128 01 Praha, Fax: +420-2 2491 8681. Internet: www.carolina.cz/medichem 2001/index.htm The second announcement and the registration papers are currently in print and will be sent out to all members very shortly. November 3-5, 2001, Brussels (Belgium) World Occupational Exposure Values Symposium Presented by IOHA & ACGIH. Info: ACGIH Worldwide, 1330 Kemper Meadow Dr., Cincinnati, OH 45240 (USA). Fax: +1-513-742-3355. e-mail: [email protected]. Internet: http://www.woev.org
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