"The final OSHA Benzene standard in 1910.1028 applies to all occupational exposures to benzene except some subsegments of industry where exposures are consistently under the action level (i.e., distribution and sales of fuels, sealed containers and pipelines, coke production, oil and gas drilling and production, natural gas processing, and the percentage exclusion for liquid mixtures);" [NIOSH Pocket Guide Appendix] As an organic solvent, benzene can induce narcosis and anesthesia acutely. After chronic exposure, it can cause aplastic anemia and leukemia. [ACGIH] "Exposure to benzene has been associated with development of a particular type of leukemia called acute myeloid leukemia (AML)." [ATSDR Public Health Statement: Benzene] “There is sufficient evidence in humans for the carcinogenicity of benzene. Benzene causes acute myeloid leukaemia/acute non-lymphocytic leukaemia.” [IARC Monograph Volume 100F (2012)] The WHO classification of AML includes “Acute erythroid leukemia” and “Acute monocytic leukemia.” [www.cancer.org] Significant benzene exposure increases the risk of leukemia during the 10 years following exposure. Risk is not related to exposures that occurred greater than 20 years prior to the onset of disease. [
PMID 10861761] The highest exposures (mean of 11 ppm) in petroleum refinery workers occur in disconnecting cargo loading hoses, and respiratory protection is required. [
PMID 20941467] Workers exposed to products containing <0.1% benzene are not likely to be exposed above the TLV of 0.5 ppm. [
PMID 18615290] "Our results confirmed the association between high-level benzene exposures and leukemia risks, and provided further evidence of a threshold effect and relevant exposure window." [
PMID 27058483] See "Hospital-Based Case-Control Study of MDS Subtypes and Benzene Exposure in Shanghai." [
PMID 28146040] In high-dose animal reproductive studies, benzene increases sperm abnormalities, fetal loss, and delayed ossification. [Frazier]