Literature DB >> 29628454

Mass-size distribution and concentration of metals from personal exposure to arc welding fume in pipeline construction: a case report.

Show-Yi Yang1,2, Jia-Ming Lin1, Li-Hao Young3, Ching-Wen Chang1.   

Abstract

We investigate exposure to welding fume metals in pipeline construction, which are responsible for severe respiratory problems. We analyzed air samples obtained using size-fractioning cascade impactors that were attached to the welders performing shielded metal and gas tungsten arc welding outdoors. Iron, aluminum, zinc, chromium, manganese, copper, nickel, and lead concentrations in the water-soluble (WS) and water-insoluble (WI) portions were determined separately, using inductively coupled plasma mass spectrometry. The mass-size distribution of welding fume matches a log-normal distribution with two modes. The metal concentrations in the welding fume were ranked as follows: Fe>Al>Zn>Cr>Mn>Ni>Cu>Pb. In the WS portion, the capacities of metals dissolving in water are correlated with the metal species but particle sizes. Particularly, Zn, Mn, and Pb exhibit relatively higher capacities than Cu, Cr, Al, Fe, and Ni. Exposure of the gas-exchange region of the lungs to WS metals were in the range of 4.9% to 34.6% of the corresponding metals in air by considering the particle-size selection in lungs, metal composition by particle size, and the capacities of each metal dissolving in water.

Entities:  

Keywords:  Mass-size distribution; Pipeline construction; Respirable particulate matter; Water-soluble metals; Welding fume

Mesh:

Substances:

Year:  2018        PMID: 29628454      PMCID: PMC6066430          DOI: 10.2486/indhealth.2017-0197

Source DB:  PubMed          Journal:  Ind Health        ISSN: 0019-8366            Impact factor:   2.179


Introduction

Welding fumes can cause adverse respiratory effects, which includes impaired pulmonary function, metal fume fever, cough, and an increased susceptibility to bronchitis and pneumonia in occupational cohorts1). Additionally, welding aerosols may induce lung injury depending on the inherent toxicity of the inhaled metal species1, 2). Particulates are formed during welding through nucleation, condensation, and coagulation3). In nucleation mode, the primary particles having sizes ranging from a few nanometers to 0.1 μm are formed through vapor condensation. In the accumulation mode, the accumulated particles with sizes ranging from 0.1 to 1 μm include aggregates and agglomerates that are named based on their morphological appearance. Aggregates are fused clusters of primary particles, whereas agglomerates are groups of primary particles that are adhered together by electrostatic or van der Waals forces4). The particles with sizes of 1 to 20 μm (microspatters) are obtained from a liquid ejection5). Particulate matter (PM) has been classified based on the regions of deposition in the respiratory tract. Inhaled particulate matter (IPM), thoracic particulate matter (TPM), and respiratory particulate matter (RPM) are defined by the European Committee for Standardization6), the International Standards Organization7), and the American Conference of Governmental Industrial Hygienists8). IPM is deposited anywhere in the respiratory tract, whereas TPM may be deposited only in the tracheobronchial region. Both IPM and TPM are cleared by cilia within minutes and is translocated to the gastro-intestinal tract. RPM can reach the alveolar region, which does not expel RPM often. Therefore, the fate of RPM is determined by the particular respiratory maneuver and physicochemical characteristics of the PM. When PM avoids respiratory clearance, the solubility of the PM determines the impact on the respiratory tract. The water solubility of the particles controls both the dissolution and residence time of the PM in the respiratory tract. Soluble particles dissolve into the surfactant layer of the alveoli or in the mucus layer9). For instance, Mn and Ni from the WS portion that are deposited in the lungs are absorbed easily than those in the WI portion10, 11). Moreover, the repairable and soluble Mn in particles is correlated with urinary Mn12). However, Mn-exposure over a workshift has not been correlated with the level of Mn in blood or urine, but Mn in toenail would be a valid long term cumulative biomarker13). Additionally, it has been suggested that WS metals are primary contributors that cause adverse cardiopulmonary health effects that is observed in rats14). Respirable PM increases oxidative stress and can cause inflammatory adverse effects on the respiratory system15). The chemical and physical properties of the particles, particularly their water solubility, may trigger biological effects9). Air sampling for PM and chemical analysis for metals are routinely performed as industrial hygiene activities to comply with the allowable exposure levels to welding fume. However, metal concentrations in the air do not correlate well with the levels of the corresponding metals in urine or blood in certain cases. In fact, the exposure levels occurring in lung would be relatively close to internal exposure, since the size selection of the particles in lungs and water solubility of the metals govern the dissolution in the surfactant of respiratory system. Therefore, we sample welding fume in pipeline construction in our study to characterize the mass–size distribution of PM, determine the metal species in the PM, analyze WS metals and WI metal particles based on their size, and estimate the exposure to WS metals in different lung compartments.

Subjects and Methods

Study subject

A total of 5 male welders were recruited for this field study, based on similar tasks assigned, welding techniques with shielded metal arc welding (SMAW) and gas tungsten arc welding (GTAW), and a welding duration of at least two hours. The study subjects were employed to construct a 1,900 km pipeline in an oil refinery factory in the Mailiao Industry Park, Taiwan. For avoiding personal technical variation, the study recruited welders that had at least five years of welding experience. Their tasks included butt-welding joints, as well as flange neck and fillet welding on carbon steel. The GTAW with a fillet of ER70S-G (Fe–98.04%, Mn–1.16%, Si–0.55%, Cu–0.16%, Cr–0.05% and Ni–0.04%), and the SMAW with a fillet of E7016 (Fe–98.04%, Mn–1.6%, Si–0.75%, Ni–0.3% and Cr–0.2%) were employed to weld of 20% carbon steel pipes and 80% stainless steel pipes with an anti-rust painting. Each run of welding was performed in triplicate, one layer at a time. The first layer was conducted using GTAW at 100 to 150 A, 13 to 24 V, and 5–15 cm/min; the second layer used SMAW at 100–140 A, 20–30 V, and 10–20 cm/min; and the third layer used SMAW at 130–180 A, 20–30 V, 10–20 cm/min. The combination of GTAW and SMAW is commonly used in vessel or work piece joining, especially for welding on thickness greater than 26 mm of work piece16). The welders worked outdoors where temperatures were 24.1 °C to 35.5 °C, and wind speed was 6.9 m/sec on average with a maximum of 10.5 m/sec. To avoid wind turbulence, every welders was surrounded with a 2 to 3 meter of diameter temporary wind shield. The study was approved by the Institutional Review Board of Tri-Service General Hospital in Taiwan, all participants were aware of the study aim and participated voluntarily and written informed consent was obtained from all study participants.

Air sampling

Samples were collected by using a Marple Cascade Impactor Model 298 (Andersen Samplers, Inc., Atlanta, GA, USA). The Marple Cascade Impactor has eight stages with collection bands: <0.52 μm (assuming the lower limit: 0.1 μm)17), 0.52–0.93 μm, 0.93–1.55 μm, 1.55–3.50 μm, 3.50–6.00 μm, 6.00–9.80 μm, 9.80–14.80 μm, 14.80–21.30 μm, and >21.30 μm (assuming the upper limit: 31.35 μm)18). Each stage had a 34-mm perforated Polyvinyl chloride (PVC) membrane (0.8 μm pore size; SKC Corp) mounted. The Marple Cascade Impactor was mounted on a participant’s shoulder, and ran at flow rate of 2 l/min for two hours.

Gravimetric analysis of welding fume

Each of the PVC membrane was conditioned before and after air sampling at a temperature of 21 ± 2°C and a relative humidity of 50 ± 3% for 48 h. Then, the membrane was weighted twice using a balance with a 0.01 mg resolution (Mettler-Toledo MX5 scale, Mettler-Toledo, Columbus, OH, USA). The weight difference between pre- and post-sampling was calculated for each membrane to designate the mass of the PM.

Analysis for metals in water-soluble and water-insoluble portions of welding fume

To divide welding fume into WS and WI, the Ghio method19) was followed. Each PVC membrane was placed into a 50-ml polypropylene tube with 40 ml of deionized water and agitated for 96 h. The membrane was removed, and the aqueous extract was centrifuged at 2,500 × g for 30 min, with the supernatant collected. This procedure was performed twice for each membrane. The two parts of the supernatant were pooled and then filtrated using a syringe filter holder (SWINNEX, Millipore, Billerica, MA, USA), cooperated with a mixed-cellulose ester (MCE) filter. Finally, the PVC membrane and the MCE filter were separately digested for analysis of WI metals. And the pooled supernatant was for analysis of WS metals by following the NIOSH analytical method 7301 with two modifications20): (i) the hotplate was replaced with a microwave digester (CEM Corp., NC, USA), and (ii) the digesting acid was replaced with ultra-pure nitric acid (Sigma-Aldrich Inc., St. Louis, USA). Fe, Al, Zn, Cr, Mn, Cu, Ni, and Pb were determined with an Agilent 7500ce ICP-MS (WA, USA). Recovery was checked through two consecutive spikes of a quality control standard every ten samples analysis. The recovery for analysis ranged from 90% to 110%. The recovery of sample preparation was 85.3 ± 5%, determined by spiking nickel chloride solution on three MCE filters, then extracting, filtrating, and analysis. To express the capacity of a metal for dissolving in water, the proportion of a WS metal in total metal was calculated.

Estimation of exposure to PMs and metals

The concentration of inhalable, thoracic, and respirable PM (Cp) from welding fume was estimated one at a time with the following equation (1):CWhere, Cp: concentration of the p form of PM (IPM, TPM, or RPM), Ci: concentration of the i size of PM in air, Eip: collection efficiency of the i size of PM in the p form of PM, according to particle size-selective sampling criteria8). The concentration of a metal in the IPM, TPM, or RPM (Cjp) was also estimated one at a time with the equation (2):CWhere, Cji: concentration of j metal in i size of PM in air, Furthermore, the concentration of a WS metal in the IPM, TPM, or RPM, WSCjp was estimated one at a time with the following equation (3):WSCWhere, Fji: WS proportion of the j metal in the i size of PM (%).

Data analysis

To test fitness of the mass-size distribution of welding fume to a log-normal distribution, a residual analysis was carried out with the Impactor package21). The histogram plot for the mass-size distribution of welding fume was drawn and characterized by the mass median aerodynamic diameter (MMAD) and the geometric standard deviation (GSD). One-way ANOVA and two-way ANOVA were performed using SPSS version 14.0 (IBM SPSS Statistics, Chicago, IL, USA). ANOVA was applied to test capacity of metals in various size groups for dissolving in water. Scheffe’s test was employed as a post-hoc analysis. The level for statistical significance was a p-value<0.05.

Results

Mass-size distribution of welding fume

Figure 1 illustrates the mass-size distribution of welding fume. A bimodal log-normal distribution concludes that 39.7% of the PM have a size less than 10 μm and 60.3% have a size greater than 10 μm. The MMAD for PM with size less than 10 μm is observed to be 1.5 μm with a GSD of 3.16, whereas the MMAD for PM with size greater than 10 μm is 18.8 μm with GSD of 1.43. The concentration of the welding fume is 4.45 ± 0.31 (mean ± SD) mg/m3. The length of welding employment of this current study subjects was 22.2 ± 13.9 yr.
Fig. 1.

Bimodal mass-size distribution of welding fume during pipeline construction using SMAW (shielded manual metal arc welding) and GTAW (gas tungsten arc welding). PM>10 μm accounts for 60.3% of the total fume, whereas PM<10 μm accounts for 39.7% of the total fume. The MMADs for PM >10 μm is 18.8 μm with deviation (δg) of 1.43. The MMAD for PM <10 μm is 1.5 μm with δg of 3.16.

Bimodal mass-size distribution of welding fume during pipeline construction using SMAW (shielded manual metal arc welding) and GTAW (gas tungsten arc welding). PM>10 μm accounts for 60.3% of the total fume, whereas PM<10 μm accounts for 39.7% of the total fume. The MMADs for PM >10 μm is 18.8 μm with deviation (δg) of 1.43. The MMAD for PM <10 μm is 1.5 μm with δg of 3.16.

Metal composition along with size groups of welding fume

Figure 2 illustrates the metal compositions in the nine size groups of the welding fume, which are statistically different (one-way ANOVA, n=9, p<0.05). Fe dominates every size group, especially the groups having sizes >21.3 μm, <0.52 μm, and in the range of 14.8 to 21.3 μm.
Fig. 2.

Metal composition (in percentage) categorized by the size group in welding fume, which is statistically different.

Metal composition (in percentage) categorized by the size group in welding fume, which is statistically different.

WS proportion of metals by size groups of welding fume

Table 1 depicts the WS proportion of metals in the welding fume. The WS proportion for Zn, Mn, Pb, Cu, Cr, Al, Fe, and Ni is 81.2%, 62.1%, 48.6%, 30.7%, 23.3%, 19.3%, 11.8%, and 10.2%, respectively. The WS proportion of metals significantly corresponds to the metal species, but the particle size (two-way ANOVA, p<0.001 for metal species, p=0.3 for particle size). The WS proportion of a metal denotes its capacity for dissolving in water.
Table 1.

Proportions of water-soluble metals over total mass of individual metals corresponding to the PM size groups(1)

Size groups of PM, μmProportions of water-soluble metals(1), mean ± SD, %

FeAlZnCuMnCrNiPb
<0.52 5.8 ± 2.718.4 ± 9.581.9 ± 14.036.5 ± 10.077.1 ± 8.931.2 ± 10.111.1 ± 3.636.9 ± 11.6
0.52–0.93 10.1 ± 5.418.3 ± 16.779.0 ± 17.927.5 ± 12.665.0 ± 18.322.1 ± 11.38.6 ± 2.746.3 ± 13.3
0.93–1.55 12.6 ± 7.016.3 ± 10.980.6 ± 16.828.1 ± 12.868.0 ± 19.624.6 ± 3.99.0 ± 1.752.1 ± 13.7
1.55–3.50 8.6 ± 4.320.1 ± 15.386.5 ± 12.735.8 ± 11.767.4 ± 16.622.5 ± 2.512.6 ± 9.840.8 ± 5.0
3.50–6.00 19.0 ± 12.631.2 ± 14.083.5 ± 13.533.6 ± 14.156.4 ± 12.128.8 ± 9.110.5 ± 5.462.4 ± 12.4
6.00–9.80 8.1 ± 3.022.9 ± 12.086.4 ± 15.134.0 ± 12.460.4 ± 18.719.7 ± 6.89.6 ± 3.657.3 ± 12.8
9.80–14.8012.2 ± 7.618.7 ± 10.477.1 ± 13.531.0 ± 13.173.6 ± 11.320.5 ± 3.211.8 ± 5.955.0 ± 10.8
14.80–21.30 14.3 ± 11.019.1 ± 12.184.1 ± 15.625.2 ± 15.253.0 ± 15.119.4 ± 4.511.5 ± 5.544.8 ± 11.3
>21.3015.3 ± 12.68.6 ± 6.071.9 ± 12.924.2 ± 9.937.9 ± 19.921.3 ± 8.97.2 ± 2.941.8 ± 8.7
Overall11.8 ± 8.219.3 ± 12.381.2 ± 14.730.7 ± 16.562.1 ± 12.523.3 ± 7.410.2 ± 5.148.6 ± 11.4

PM: particulate matter.

PM: particulate matter.

Estimation of exposure to PM and water-soluble metals in respiratory tract

The concentrations of IPM, TPM, and RPM are 3.80 ± 0.26 mg/m3 (85.4% of total PM), 2.02 ± 0.14 mg/m3 (45.4% of total PM), and 1.37 ± 0.88 mg/m3 (30.7% of total PM), respectively. The concentrations of Fe, Al, Zn, Cr, Mn, Ni, Cu, and Pb in air are observed to be 1.99, 0.38, 0.22, 0.15, 0.13, 0.03, 0.02, and 0.01 mg/m3, respectively, whereas the concentrations of Al, Fe, Zn, Cr, Mn, Cu, Ni, and Pb in RPM are 0.21, 0.20, 0.09, 0.08, 0.05, 0.01, 0.01, and 0.003 mg/m3, respectively. Furthermore, the concentrations of WS Fe, Zn, Al, Mn, Cr, Cu, Pb, and Ni in RPM are 0.14, 0.08, 0.04, 0.02, 0.02, 0.004, 0.002, and 0.001 mg/m3, respectively (Table 2).
Table 2.

Estimation of exposure levels of inhalable, thoracic, and respirable PM and metals

PM and metalsAir concentrations of PMand metals, ×10−3 mg/m3Levels of exposure to PM and metals, mean ± SD, ×10−3 mg/m3

Inhalable PMThoracic PMRespirable PM



TotalWSTotalWSTotalWS
PM4,450 ± 307.13,800 ± 262.2-2,020 ± 139.4-1,370 ± 87.7-
Fe 1,988.5 ± 103.41,388.0 ± 72.2413.8 ± 15.7419.6 ± 18.5244.6 ± 8.3198.8 ± 16.5137.2 ± 4.9
Al378.2 ± 13.6329.4 ± 11.968.0 ± 3.3280.6 ± 5.359.4 ± 2.9214.1 ± 10.944.2 ± 2.2
Zn 219.6 ± 4.6180.5 ± 3.8147.1 ± 3.1129.3 ± 2.7105.8 ± 2.293.6 ± 5.176.0 ± 1.6
Cr 146.4 ± 2.9125.9 ± 2.529.1 ± 0.6101.7 ± 2.022.7 ± 0.576.0 ± 4.116.4 ± 0.3
Mn134.2 ± 3.0107.1 ± 2.463.6 ± 1.465.8 ± 1.432.9 ± 0.752.3 ± 3.024.2 ± 0.5
Ni27.7 ± 0.423.5 ± 0.32.4 ± 0.018.3 ± 0.31.9 ± 0.013.6 ± 0.11.4 ± 0.0
Cu24.3 ± 0.421.2 ± 0.36.4 ± 0.117.6 ± 0.35.2 ± 0.113.8 ± 0.74.0 ± 0.1
Pb6.3 ± 0.15.3 ± 0.12.5 ± 0.04.0 ± 0.12.5 ± 0.03.0 ± 0.21.5 ± 0.0

PM: particulate matter; WS: water-soluble.

PM: particulate matter; WS: water-soluble.

Discussion

The mass-size distribution of welding fume corresponds to 39.7% of the PM having size <10 μm and 60.3% of the PM with size >10 μm. The proportion of coarse particles, which was obtained using the SMAW and GTAW techniques in the field study, is relatively high as compared to 30% of coarse particles that were obtained using flux-cored arc welding (FCAW), which was demonstrated in a laboratory experiment5). Coarse particles that were formed through liquid ejection (microspatter) are minute enough to remain airborne22, 23). Liquid ejection is caused due to boiling of the melted materials, surface evaporation, and vapor pressure gradients24). Improper arc length, high welding speed and current, and sudden temperature drop further facilitate liquid ejection25). Additionally, welding speed influences the formation of welding fume and accelerates agglomeration26). However, these factors vary depending on the welding techniques. In this study, the welding process comprises one-third of GTAW and two-thirds of SMAW. SMAW is operated entirely manually using a stick filler having a metal core. One of the most common quality issues of SMAW is spatter generation. Cleaning of the welded pipeline may result in resuspension of the microspatter particles. Besides, air sampling is performed outdoors in the breathing zone of a welder. Here, the sampling location is fixed, and the environmental conditions are controlled on the sampling experimental scale. The welder in pipeline construction site is surrounded by a wind shield that is 2–3 m in width and functions in a bent-forward posture in accordance with the welding operations. Thus, exposure to the liquid ejected from welding would be easy, and the dispersion of particles in air is likely to be restricted. Additionally, a portion of the coarse PM may be attributed to the suspended PM in the outdoor dust. Moreover, the Fe/Al ratio in the suspended PM that was sampled in Mailiao area27) is sometimes observed to be close to the ratio observed in PM having size less than 10 μm. Particles having sizes less than 520 nm are not subjected to this study because the cascade impactor function is limited. In fact, the initial welding burst can generate nanoparticles having sizes ranging from 5 to 40 nm, which would be capable of forming chain-like agglomerates having a maximum diameter value of 500 nm28). Measuring the particle size-selection in the lung compartments, the IPM and RPM concentrations are estimated using the mass–size distribution of the welding fume. The IPM and RPM concentrations are 3.80 and 1.37 mg/m3, respectively. These estimations are based on the data obtained from the 8-stage cascade impactor. Actually, there are specific samplers for sampling of IPM as well as RPM. For instance, Lehnert investigated the exposure of 215 welders to welding fume in 25 German companies using the PGP–EA sampler (IFA, German), which simultaneously accumulated both inhalable as well as respirable PM. The result depicts that the median IPM and RPM levels (interquartile range, 25–75%) are 2.48 mg/m3(1.10–6.81 mg/m3) and 1.29 mg/m3(<0.45–4.01 mg/m3)29). The metal composition in the welding fume varies with the PM size groups. Relatively large percentages of metals are observed in PM having sizes <0.52 μm, >21.3 μm, and in the range of 14.8 to 21.3 μm. The composition of metals in welding fume depends on the vapor pressure and boiling point of the metals, the welding temperature, the welding techniques, and the content of metals in welding materials and the electrode30). Fine particles contain abundant metal oxides that are formed through burst evaporation22), whereas coarse particles, which are formed through microspatter, contain metals that reflect the chemistry of the welding materials23). Fe, Mn, Cr, and Ni would stem from the welding electrode and base metals, whereas Al and Zn are likely to originate from the antirust painting of the pipeline surface and additives to the welding fillers of the electrode or the materials. The dissolving capacity of individual metals in water does not correspond significantly to the particle sizes in the welding fume, and the capacity decreases in the following order: Zn, Mn, Pb, Cu, Cr, Al, Fe, and Ni. Furthermore, the solubility of individual metals varies with the welding technique, the composition of the leaching fluid, and the leaching time17). The SMAW electrode incorporates a filler, which enhances the formation of various metal compounds, such as metal fluorides, in the welding fume31, 32); KCrF3, KMnF3, K2NaCrF6, and KFeF3, which are water soluble, are the metal compounds that may be formed as a product of SMAW or FCAW33). Moreover, Mn-solubility significantly increases with time17). The dissolved amount of metals such as Mn increases with the extraction time during the initial 24 h. The solubility for a metal in particles commonly refers to its capacity to dissolve in aqueous media, but the lung simulation solutions such as Gamble’s and Hatch’s solution have been employed to mimic the interface of the alveoli. Hatch’s solution containing ionized buffer and some proteins and enzymes was the reasonable choice in the study because the obtained metal content was higher in the extraction test17). In contrast, using deionized water as an extraction solution would sometimes underestimate the capacity of metals dissolving in body fluid. The water solubility of individual metals in the welding fume seems comparable only when the welding technique, welding material, and extraction method are well defined. The solubility of metals dissolving in a body fluid is important to estimate the uptake and subsequent translocation of these metals. Further, metals absorbed in the lungs may cause extrapulmonary system effects, and the absorption of metals depends on their water/acid solubility34). Considering the particle size-selection in different lung compartments and composition of metals depending on their particle sizes and the metals dissolving in water, the percentages of WS metals from the welding fume that are available in the gas-exchange region of the lungs range from 4.9% to 34.6% depending on the metal species. Examples of such an estimation would be 18% (24.2 µg/m3) for Mn, 11.2% (16.4 µg/m3) for Cr, and 4.9% (1.4 µg/m3) for Ni. WI particles deposited in the lungs are cleared by alveolar macrophages through phagocytosis. Some metals, such as Al, can show accumulation in the lungs with age. The deposited WI particles may be sequestered in the lungs at the alveolar space, where they can trigger inflammation35) and transform into soluble ionic forms due to slower biochemical reaction and gradually clear from the lungs36). For instance, an insoluble nickel compound such as nickel subsulfide is more likely to be carcinogenic at the site of deposition37).

Conclusion

In this study, we examined the exposure to welding fume when using SMAW and GTAW in outdoor pipeline construction. The log-normal mass-size distribution having two modes exhibited 39.7% of PM having sizes less than 10 μm, and 60.3% of PM having sizes greater than 10 μm. The mass of PM having size >10 μm was unusually high, which does not agree with the results observed in laboratory experiments. The resuspension of the particles due to cleaning processes of the welded pipeline are likely to have contributed to coarse PM along with the particles that were generated through liquid ejection. The WS metals retained in welding fumes are critical in terms of hazards stemming from various welding techniques. In this study, PM having sizes <0.52 μm and >14.8 μm were rich in metals, whereas PM having sizes ranging from 0.52 to 14.8 μm contained a relatively low amount of metals. The WS metals varied with the metal species in a decreasing order as follows: Zn, Mn, Pb, Cu, Cr, Al, Fe, and Ni. If we consider the particle size selection in lung compartments, composition of metals based on PM sizes, and metals dissolving in water, WS metals available in the gas-exchange region of the lungs amounted to <35% of the total airborne metals. Therefore, it becomes important to investigate the relation between the exposure levels of metals, instead of airborne concentrations, and concentration of metals in blood/urine, to accurately evaluate the health risk from exposure to welding fume.

Conflict of Interest

No potential conflict of interest was reported by the authors.
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