In April 2013, the Dutch Health Council has published an advise to classify theophylline, prescribed for asthma and other respiratory diseases, and anti-inflammatories triamcinolone and triamcinolone acetonide as “presumed harmful to the unborn child (reproduction toxic category 1B) in occupational exposure. Wether these substances also have adverse effects on fertility remains unsure because the current state of knowledge is inadequate.
Occupational exposure to these substances particularly occurs in pharmacies and pharmaceutical industry.
Compared to non-carcinogens, additional regulation exists for the use of carcinogens. The emphasis is on replacing the substance, or when this is unfeasible, on improved registration and monitoring of occupational exposure. These obligations apply to all CMRs (Carcinogenic, Mutagenic and Reproductive Toxic).
Monitoring the exposure to Sevoflurane on an outpatient operating room of a regional hospital.
For carcinogenic and reprotoxic substances, additional rules exist compared to regular substances. The emphasis lays on replacement. When replacement is not possible, registration and monitoring of the occupational exposure need a high level of attention. These obligations apply to all CMR substances (Carcinigenic, Mutagenic, and Reprotoxic).
Some of the CMR substances to which exposure may occur regularly: asbestos, benzene, dioxins, ethanol, methanol, PAH.
The government anually publishes a complete list of CMR substances and processes in the ‘Staatscourant’. The list of 2012 can be downloaded below.
Caesar Consult can help you properly with identification, measurements, and elimination of exposure to the substances and health related risks. Please feel free to contact us.