Occupational health risk assessment of BTEX in municipal solid waste landfill based on external and internal exposure.

Benzene, toluene, ethylbenzene, and xylenes (BTEX) released from landfills have received increased attention because of their health risks. In this study, individual external and internal exposures of BTEX in a municipal solid waste (MSW) landfill were simultaneously studied for the first time. Eight workers from the landfill (as the case group) and eight control subjects were enrolled in the study. In total, 88 air samples and 232 urine samples (194 samples from the case group and 38 samples from the control group) were obtained from 2018 to 2019. According to the results of external exposure monitoring, benzene was the predominant component of BTEX, and the exposure level was higher in winter than in other seasons. Carcinogenic (RiskT) and noncarcinogenic (HIT) risks were calculated based on a dose-response model. The RiskT (1.64 × 10-8-1.09 × 10-6) might exceeded the limit, whereas HIT (9.84 × 10-4-1.40 × 10-2) was within their thresholds. Benzene was the major contributor to both RiskT and HIT. Internal exposures were evaluated by measuring urinary metabolites of BTEX. Levels of urinary BTEX metabolites for case group were higher than those for control group. A remarkable increase in urinary metabolites was observed from the urine samples of the case group after their shift compared with those before their shift. t,t-MA, the metabolite of benzene, was found to exceed the biomonitoring guidance limits of both China and the United States of America. Landfills can be considered as a potential BTEX exposure source for landfill employees. Minimizing occupational exposures and appropriate personal protective equipment are needed in reducing BTEX exposures.