“…Some reports describing serious adverse effects of occupational exposure to ENMs have been published: These include several cases of rescue workers present at the World Trade Center in New York City after the tragic events of 9/11 (Aldrich et al, 2010; Gupta, 2011; NIOSH, 2011; Romano, 2011; Zeig-Owens et al, 2011), reports of occupational exposures to mixtures containing nanoparticles in factories in China and India (Jaakkola et al, 2011; Song et al, 2009), a case-report regarding a worker who inhaled an estimated gram of nickel nanoparticles over an approximate 90-minute period, and who died from adult respiratory distress syndrome (Phillips et al, 2010), the development of unusual pulmonary disease in workers exposed to silica nanoparticles (Song et al, 2011), and the development of toxic epidermal necrolysis-like dermatitis in a chemist exposed to high levels of intermediate or final products of dendrimers while performing dendrimer synthesis (Toyama et al, 2009). Finally, a recent occupational survey showed an association with mortality due to chronic obstructive pulmonary disease and to ischemic heart disease in a cohort of workers exposed to metalworking fluids containing a substantial amount of incidental nanoparticles (Eisen et al, 2011).…”