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         TG No. l@4                                                          August 1987

         those which produce HDI's irritant effects. Sensitive Individuals may exhibit
         &-decrease in forced expiratory volume in I second (FEV,) on pulmonary
         function testing after being exposed during the work shift, as compared to
         preshift values. A longitudinal study of workers exposed to an analogous
         compound, toluene diisocyanate. suggests that low level, chronic exposures may
         result in an Increased decrement in pulmonary function, compared to the
         general population. NDI may be generated and released during thermal
         decomposition of CARC.

            c. Heavy metals.

                (1) Lead exposure usually occurs as a result of aerosolization of
         lead-based paint, grinding or sanding of painted areas, or welding of
         unprepared surfaces resulting in the production of lead fumes. Lead has been
         associated with interference of the heme synthesis pathway, resulting in
         anemia. Additionally, lead exposure may be associated wi 'th abdominal cramping
         (colic), kidney disease, peripheral nervous system disease, and
         neuropsychiatric disturbances. Lead can cause adverse reproductive effects in
         men and women. Short-term, high exposures to lead can result in acute
         encephalopathy progressing to seizures, coma, and death.

                 (2) Chromium VI, a component in some paint pigments, is similar to
         lead In that processes such as aerosolization, grinding, or burning of
         chromium VI-based paint can increase the risk for exposure. Chromium VI has
         been associated with penetrating lesions of the skin and nasal septum,
         dermatitis, and inflammation of the larynx and liver. Chromium VI, as
         chromate, is a carcinogen producing primarily bronchiogenic carcinomas in
         exposed workers.
n injuries of
         the hand. Paint Injected into the hand may initially appear innocuous, but
         may progress to ischemia or chemical or thermal burns. Solvents may be
         injected in sufficient quantities to cause systemic symptoms. All personnel
         with injection injuries will be referred for surgical consultation to
         minimize the possibility of infection, gangrene, and disability.

         7-3. MEDICAL SURVEILLAN@@ .

            a. Medical surveillance to detect adverse health effects should be
         determined by the installation medical authority (IMA) based on the specific
         hazards to which personnel are exposed. The Health Hazard Information Module
         of the Occupational Health Management Information System (OHMIS) and MSDSs
         should be used to determine these hazards. See AR 40-5, TB MED 503 and TB MED
         505.






                                               7-2
Box ID = BX000000
Unit = VII CORPS       
Parent Organization = ARCENT          
Folder Title = PORT OPERATIONS CARC PAINTING POLICY                                                            
Subject = ARMY REGULATION 11-34 (RESPIRATORY PROTECTION PROGRAM
Document Number =        103
Image file name = 00000130.tif

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