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MONITORING
John Lexus M. Calma
What is Biological Monitoring?
Blood
- Full blood count and haemoglobin - lead,
benzene, alcohol, work in the tropics
- Serum (deep frozen) - baseline antibody
levels in pathogen exposure
- Liver function tests - alcohol, hepatotoxic
chemicals
- Renal function tests - kidney toxins
- Toxin levels - e.g. lead
- Metabolite levels - e.g. ALA.
Types of Biological Monitoring
Urine
- Cells (exfoliate cytology) - bladder cancer
- Level of toxin e.g. mercury
- Level of metabolite eg TCA (tricarboxylic acid)
- Protein (especially kidney damage)
- Bile (jaundice)
- Sugar (diabetes) - relevant to shift work,
public service vehicle (PSV) driving
Breath
- Dichloromethane and carbon monoxide
exposure
Types of Biological Monitoring
Skin
- Appearance
- Prick testing
Vision
- Acuity tests e.g. lorry drivers, pilots etc.
- Colour blindness tests e.g. civil aviation,
railways, microscopy.
X-rays
- Chest x-rays are useful for conditions such as
infection
- Pneumoconiosis chest x-rays
Types of Biological Monitoring
Neurological Tests
- Mental function
- Nerve transmission
- Handwriting tests (detects early tremors)
Audiometry
- The lowest intensity of hearing
• Flow monitoring