A joiner cuts old boards all day in a shed with the door shut. The air is grey. Nothing hurts. Twenty years on, the lungs that breathed that air are scarred, and the shed is long gone. A substance does its harm by getting into the body, and most of the harm that takes years gets in this way.
Breathed in→Swallowed→Through the skin→Through a cut
There are four ways in. Breathed in, through the nose and mouth to the lungs. Swallowed, usually from hands that touched it and then touched food. Through the skin, which some liquids pass straight through. And through a cut, a splinter or a needle, straight into the blood. Breathing is the route that carries most of the harm.
Paint is sprayed in a closed garage with no fan. Tap the route most of it takes into the painter.
Tap the part of the picture that answers it.
Breathed in→Swallowed→Through the skin→Through a cut
Breathed in
Right. Spray paint is a mist, and a mist is breathed. The lungs have the surface of a tennis court, and whatever reaches them goes into the blood.
Swallowed
Not yet. A little mist settles on lips and hands and gets swallowed later, but it is a small share. The mist in the air goes into the lungs with every breath.
Through the skin
Not yet. Some of the solvent lands on skin and some passes through it, but that is slow. The route that moves most of it is the one taking a breath every few seconds.
Through a cut
Not yet. Only if the painter has an open cut and the paint reaches it. Nothing in spraying pushes paint into the blood directly.
Less in the aira fan, a safer substance
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Less timeshare the job
How much harm depends on the dose, and the dose is simple: how much is in the air, times how long you breathe it. Britain sets limits for many substances as an average over an eight-hour day. That gives two levers. Lower the level, with a fan or a safer substance. Or shorten the time.
Move the control to set how long a worker spends in the dust. Picture dust at 2 units in the air, and a day's limit set for an eight-hour shift, so the line sits at 16. Made-up round numbers.
Dose breathed in2 units
A day's limit16 units
1 hour in the dust1 hour at 2 units in the air: a dose of 2. A small dose, well under the day's limit.
Dose breathed in4 units
A day's limit16 units
2 hours in the dust2 hours at 2 units in the air: a dose of 4. A small dose, well under the day's limit.
Dose breathed in8 units
A day's limit16 units
4 hours in the dust4 hours at 2 units in the air: a dose of 8. Half the day's limit.
Dose breathed in16 units
A day's limit16 units
8 hours in the dust8 hours at 2 units in the air: a dose of 16. Exactly the day's limit, which is set for an eight-hour shift.
Dose breathed in24 units
A day's limit16 units
12 hours in the dust12 hours at 2 units in the air: a dose of 24. Over the day's limit: a twelve-hour shift at a level that was safe for eight is not safe.
The limit was set for eight hours. The shift is twelve. What happens to the dose?
It goes over the limit by half, 24 against 16, though the air never got any dustier.
Right. The level did not change; the time did. A limit set for eight hours is quietly broken by a long shift, which is why the time lever matters as much as the fan.
It doubles.
Not yet. Twelve hours is one and a half times eight, not twice. The dose is 24 against the limit's 16: over by half.
Nothing. The limit is about the air, and the air is the same.
Not yet. The limit is about the dose, and the dose is the air times the hours. The same air for half as long again is half as much again in the lungs.
Move the control.
banned 1999Asbestos in old buildings
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20 to 50 yearsDecades later
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about 5,000Deaths each year
The worst case is asbestos, a fireproof mineral built into millions of buildings until it was banned in Britain in 1999. Its fibres, breathed in, cause cancers that appear decades later, often 20 to 50 years on. Around 5,000 people a year still die from it in Britain. The cause was in the air before many of them were born.
For every worker killed in an accident in Britain in a year, about how many people die from asbestos they breathed in decades ago?
Pick one. Nothing is scored.
126Killed in an accident
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about 5,000Died from asbestos
Britain, latest year for each.
About 40.People guess low because the accident is the death they can picture, and the asbestos death has no scene: it happens in a hospital bed forty years after the job. Five thousand against 126 is about forty to one, and both numbers are from the same country in the same year.
Each card is a substance meeting a worker. Which way in?
One card at a time. Tap the pile it belongs to.
Card 1 of 5
Welding fume rising past a welder's face.
A sandwich eaten with hands that just handled lead flashing.
Solvent used to clean oily hands at the end of the day.
A used needle that pricks a nurse's finger.
Flour dust in a bakery with no extraction.
Welding fume rising past a welder's face. → Breathed in
Not yet. Breathed in. Fume is a cloud of tiny metal particles, and a face in it breathes them down to the lungs with every breath.
A sandwich eaten with hands that just handled lead flashing. → Swallowed
Not yet. Swallowed. Nothing was breathed; the lead went from the metal to the hands to the bread to the mouth. Washing hands is the whole control.
Solvent used to clean oily hands at the end of the day. → Skin or cut
Not yet. Through the skin. Some solvents pass straight through skin into the blood, and the hands are in it for minutes, every day.
A used needle that pricks a nurse's finger. → Skin or cut
Not yet. Through a cut: the needle puts whatever it carries straight into the blood, past every defence the skin and lungs have.
Flour dust in a bakery with no extraction. → Breathed in
Not yet. Breathed in. Flour dust is one of the commonest causes of work-caused asthma, and it reaches the lungs the same way any dust does.
Breathed in→Swallowed→Through the skin→Through a cut
Right. If it is a dust, a fume or a mist, it is breathed. If it went from hands to mouth, it is swallowed. If it soaked through, or was pushed through, it is the skin or a cut. Naming the route is what tells you which control to reach for.
Petrol
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Bare handsevery evening
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Which answer?
A garage mechanic washes oily hands in petrol every evening. Which route is that, and which answer would the ladder of controls reach for first?
Through the skin. Swap the petrol for a proper hand cleaner, so the hazard itself is gone.
Right. Petrol passes through skin and does damage on the way. Gloves would be gear, the bottom rung; a cleaner made for hands removes the hazard, which is the top.
Through the skin. Give the mechanic thick gloves to wash in.
Not yet. Gloves are the bottom rung of the ladder, and gloves for washing hands are not a thing anyone will wear. The higher answer is a liquid that does not need them.
Breathed in. Fit a fan over the sink.
Not yet. Petrol vapour is breathed too, and a fan helps with that. But the hands are in the liquid, and the skin route is the one doing most of the harm here.
Lesson complete
A substance harms by getting in: breathed, swallowed, through skin or a cut; the dose is level times time.