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The ototoxic effect of the exposure to styrene is evaluated, also in the presence of simultaneous exposure to noise, using otoacoustic emissions as biomarkers of mild cochlear damage. Transient-evoked and distortion product otoacoustic emissions were recorded and analyzed in a sample of workers (15 subjects) exposed to styrene and noise in a fiberglass manufacturing facility and in a control group of 13 non-exposed subjects. Individual exposure monitoring of the airborne styrene concentrations was performed, as well as biological monitoring, based on the urinary concentration of two styrene metabolites, the Mandelic and Phenylglyoxylic acids. Noise exposure was evaluated using wearable phonometers, and hearing loss with pure tone audiometry. Due to their different job tasks, one group of workers was exposed to high noise and low styrene levels, another group to higher styrene levels, close to the limit of 20 ppm, and to low noise levels. A significant negative correlation was found between the otoacoustic emission levels and the concentration of the styrene urinary metabolites. Otoacoustic emissions, and particularly distortion products, were able to discriminate the exposed workers from the controls, providing also a rough estimate of the slope of the dose-response relation between otoacoustic levels and styrene exposure.

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Graphical abstract

It has been amply demonstrated that exposure to fine particulate matter, containing polycyclic aromatic hydrocarbons (PAHs), may have adverse effects on human health, affecting especially the respiratory and cardiovascular systems. Among population, school-age children and elders present particular susceptibilities and unique exposures to environmental factors. The study presented in this paper belongs to the Project EXPAH, founded by the European (EU) LIFE+ instrument, and consists of the personal monitoring of five elementary school children and four elders during the spring and the summer/autumn of the year 2012 in the city of Rome, Italy. The average exposure, expressed as the sum of eight high-molecular-weight PAHs, resulted equal to 0.70 ng/m(3) (SD = 0.37) for children and 0.59 ng/m(3) (SD = 0.23) for the elderly people. The mean levels of gravimetric PM2.5 were equal to 23 μg/m(3) (SD = 10) and 15 μg/m(3) (SD = 4) for children and elders, respectively. During spring and summer seasons, personal BaPeq resulted well below the EU Air Quality reference value of 1 ng/m(3). The personal monitoring average values were in the same order of magnitude with available indoor and outdoor environmental data in Rome during the same periods, for both PAHs and PM2.5. The results suggest that, during non-heating seasons, the personal exposure to PAHs in the city of Rome can be mainly ascribed to the urban background, especially traffic emissions and road dust resuspension; secondhand cigarette smoke can be also considered another possible source of PAHs personal exposure.