— was 100 ug/m3. There is a new WCB recommenda- tion to lower the permissable concentration to an average level of 20 ug/m3. There were 105 air samples with measurable chromium levels, the average chromium concentra- tion in these was about 4ug/m3. The WCB permiss- able concentration is an average exposure of 50 ‘ug/m3 (for hexavalent chromium). Grinding of tungsten carbide tips (both wet and dry grinding) and welding of stellite tips were the tasks most likely to lead to cobalt exposure. For chromium, the tasks contributing most to exposure were knife grinding, welding stellite, and brazing of saw steel. ; Coolant from tungsten carbide wet grinders often had very high cobalt levels; coolant from stellite wet grinders had much lower cobalt concentra- tions. 2. HEALTH EFFECTS The good news is that we did not find any work- ers with obvious, current hard metal lung disease or cobalt asthma. Also, we did not find an increase in the one symptom that is most often caused by hard metal disease: namely, becoming short of breath when doing light work like walking up a slight hill. However, we did find that the saw filers in these eight mills, compared to other industrial workers, were about twice likely to report bringing up phlegm, about three times as likely to report cough- ing, phlegm, and wheezing that was worse at work. Also, saw filers doing stellite welding had about 5 times more nasal symptoms than expected. In addition, saw filers doing tungsten carbide wet grinding performed lower on breathing tests than other saw filers and than other industrial workers. The type of breathing test most affected was the type that would become reduced in hard metal lung disease. These saw filers (that is, the ones doing tungsten carbide wet grinding) were about 5 times more likely to have breathing test results in the ‘abnormal’ range than other saw filers. There was also some additional evidence that the number of years a filer had done this kind of work was also an important risk factor for having an abnormal breathing test. SO WHAT DOES ALL THIS MEAN? 1. Cobalt and chromium exposures do occur in B.C. sawmills and there are certain jobs where these exposures are more likely. The exposure in the mills we studied were ‘low’. 2 2. The nasal symptoms reported by filers doing Stellite welding were probably associated with chromium exposure (but other substances in the fume may also be contributing). ‘ 3. The cobalt exposure from tungsten carbide wet grinding may be leading to early lung damage of the type found in hard metal lung disease. Unfortunately, we do not know for sure if the eathi ities will develop into hard M a e Researchers suggest mills consider annual moni- toring of personal exposure for those who do specif- ic grinding and welding work. —— metal disease or not. We hope that further control of cobalt exposure will reduce the risk of this potentially serious disease. After completion of the study, we learned of a saw filer from a small northern sawmill who had died of hard metal lung disease in 1988. This unfor- tunate circumstance demonstrates that the risk for this disease is real among saw filers. Our study results also point in the same direction. WHAT DO WE RECOMMEND? As the completion of the study, we returned to each mill and made several recommendations regarding exposure control. these included enclos- ing or venting of wet tungsten carbide and knife grinding machines. In addition, for tungsten carbide wet grinding, we suggested that more frequent changing of the coolant may minimize cobalt expo- sures, however, without further study, we cannot recommend a specific change schedule. We also suggested that mills consider annual monitoring of personal exposure to cobalt in air for workers doing tungsten carbide grinding (any type) and stellite welding, and for chromium in air for knife grinders and workers doing stellite welding. (As a side issue, we also found that many mills were still using lead based babbitt and cadmium containing solder. We suggested consideration of substitutions for these products.) From the health testing point of view, we recom- mended that all saw filers in the study obtain chest xrays (as this is often useful in the diagnosis of hard metal lung disease) and that further testing be con- ducted that will allow us to find out if it would be appropriate to recommend regular health screening of all saw filers in the province. We also recommended to the Workers’ Compensation Board that the permissable concen- tration level for cobalt be reduced even further below the new proposed level of 20 ug/m3. Unfortunately, our report was not available to the WCB in time for our results to be considered in the newest proposed exposure levels. SHOULD ALL SAW FILERS BE TESTED? We do not know the answer to this question yet. Certainly, any saw filer who has worked with tungsten carbide and who has chest symptoms, especially symptoms of breathlessness, should take this article to his or her family doctor and ask for lung testing. The testing should include breathing tests and a chest xray to look for possible hard metal lung disease. If the symptoms are more those of asthma (coughing, wheezing, especially at the end of the day or at night), than the possibility of work-related asthma should be ruled out. Our colleagues in Washington State have recently proposed that all workers maintaining tungsten car- bide tools be monitored regularly for the develop- ment of hard metal lung disease. We agree that this may be useful, however, neither research group knows for sure exactly what tests would be useful on a routine basis. This is something we hope to study in the next few years: In the meantime, saw filers, especially those doing stellite welding or tungsten carbide grinding should make every effort to protect themselves from mist and fume expo- sures. e Study’s authors say the WCB should reduce permissable concentration levels for cobalt, which can effect filers. * breathing test abnormaliti | LUMBERWORKER/SEPTEMBER, 1993/9