YENEPOYA DENTAL COLLEGE DA/DH ASSIGNMENT NAME: HANEENA SUBJECT : DENTAL HISTOLOGY SUBMITTED TO: DR.MAJI JOSE SUBMITTED ON: 16-09-2012 TOPIC : HEALTH HAZARDS OF FORMALIN HEALTH HAZARDS ASSOCIATED WITH BREATHING IN FORMALDEHYDE SOLUTIONS Formaldehyde solutions can release formaldehyde gas, which is extremely irritating and very toxic if inhaled, posing a very serious inhalation hazard. The amount of gas released depends on the concentration of formaldehyde and other ingredients present in the formulation No case reports of death from inhalation exposure to formaldehyde were located, but deaths have been observed in animal studies following exposure to concentrations that would produce intolerable irritation.. The odour of formaldehyde gas can be recognized at concentrations as low as 0.03-1.9 ppm. It causes mild to moderate irritation of the nose and throat at 0.3-3 ppm. Up to 20% of the population are more responsive and may react acutely to formaldehyde at very low concentrations (0.25 ppm). Exposure to 10 ppm causes severe irritation of the upper respiratory tract, with a burning sensation of the nose and throat. Other effects include coughing, choking and vomiting. Exposure to 50 ppm or higher may lead to inflammation of the lung (pneumonitis) or to a potentially fatal accumulation of fluid in the lungs (pulmonary edema). Symptoms of pulmonary edema (chest pain and shortness of breath) can be delayed for up to 24 or 48 hours after exposure. In a study of funeral home employees, exposure to 0.25-1.77 ppm formaldehyde produced nose irritation, sneezing, coughing, and headaches in an unspecified number of embalmers. Thirty-three volunteers exposed to 0, 0.25, 0.5, 1 or 2 ppm formaldehyde (generated from heating paraformaldehyde) for 90 minutes experienced irritation of the nose and throat at all concentrations, with severity increasing with concentration. In a study of 23 students exposed to 0.02-2.7 ppm (cited as 0.02-3.3 mg/m3) and phenol from cadavers, most experienced nose and throat irritation, headache, dizziness, and cough. Of 12 who had post-exposure testing, one showed a significant decrease in pulmonary function. The effects were attributed to the formaldehyde exposure when formaldehyde solutions comes into contact with my skin Formaldehyde solutions are considered corrosive to the skin. However, they have only caused mild to moderate skin irritation in animal studies. There is little human information on the irritancy of formaldehyde solutions, although their potential for irritation is widely accepted. Formaldehyde solutions form corrosive formic acid upon standing. Corrosive materials can cause severe burns, blistering and permanent scarring of the skin. Any skin contact may also involve inhalation exposure. Action of formaldehyde solutions on eyes Formaldehyde solutions are corrosive to the eyes. Corrosive materials can cause severe eye damage with permanently altered vision or blindness. There are several case reports of eye injury occurring when formaldehyde solutions were accidentally splashed into the eyes. Characteristically, formaldehyde eye injuries are immediately painful but can leave the eye looking normal for at least an hour or two after exposure. Over the course of the next 12 hours, very severe eye damage becomes apparent Formaldehyde gas is also irritating to the eyes. The threshold for mild eye irritation may be as low as 0.01 ppm. Although, continued exposure may result in some acclimatization. Twelve volunteers exposed for 5 minutes to formaldehyde (composition not specified), mixed with other non-irritating pollutants, could detect and react to 0.01 ppm, with 0.2 ppm causing light to medium eye irritation, and 0.6 ppm causing medium to severe irritation. Exposure to 1 ppm formaldehyde gas (generated by heating paraformaldehyde) for 6 minutes caused slight to moderate eye irritation in 27 volunteers. Thirty-three volunteers exposed to 0, 0.25, 0.5, 1 or 2 ppm formaldehyde gas (generated from heating paraformaldehyde) for 90 minutes experienced irritation of the eyes at all concentrations, with severity increasing with concentration When formaldehyde solution is accidentally swallowed : (enters the digestive system) Formaldehyde solutions are toxic if ingested, based on animal and human information. Ingestion of formalin (37-50% water solutions of formaldehyde; 015% methanol) in accidental, suicidal or homicidal cases has caused corrosive burning of the mouth, throat and digestive tract with vomiting of tissue and blood. Ingested formaldehyde is rapidly converted to formic acid, which can cause metabolic acidosis, and damage to the liver and kidneys leading to jaundice and swelling of body tissues. In severe cases, there may be convulsions, central nervous system depression and death. The fatal dose for formaldehyde in humans is estimated to be about 60-90 mL of formalin (317-475 mg/kg of formaldehyde assuming a 37% solution of formalin and a 70 kg person). The presence of methanol may contribute to the overall toxicity of ingested formalin. Ingestion is not a typical route of occupational exposure. formaldehyde solutions cause cancer Formaldehyde is carcinogenic to humans. The International Agency for Research on Cancer has concluded there is sufficient evidence that formaldehyde causes nasopharyngeal cancer in humans. There is limited evidence for cancer of the nasal cavity and paranasal sinuses and "strong but not sufficient evidence" for leukemia. There are many human population studies on the increase of respiratory cancers in people occupationally exposed to formaldehyde. These studies have been extensively reviewed elsewhere and are not reviewed here Formaldehyde does not accumulate. It is a normal intermediate metabolite and is found in all cells. It is very reactive and readily bonds to proteins and nucleic acids. It has a half-life in the blood of about 90 seconds and is rapidly metabolized to formic acid (which is excreted in the urine), converted to carbon dioxide (which is exhaled), or used to synthesize proteins and nucleic acids THANK YOU BY : HANEENA
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