Diesel Engine Exhaust and Cancer in Mining

"In 2012 diesel engine exhaust (DEE) was classified as a human carcinogen by the International Agency for Research on Cancer (IARC) and is one of the most common workplace carcinogens internationally. We estimate that approximately 2.4% of lung cancers (n=560) and a suspected 2.7% of bladder cancers (n=200) are attributable to occupational exposure to DEE annually in Canada. High levels of exposure to DEE in mining results in a disproportionate number of cancers in this sector (approximately 220 lung and 20 suspected bladder cancers annually). These could be prevented by reducing the number of workers exposed and level of exposure. KEYWORDS Bladder cancer, Diesel engine exhaust, Economic burden, Lung cancer, Mining, Occupational cancer, Prevention, Regulation INTRODUCTION Diesel engine exhaust is a complex mixture of gases and particulates containing known and suspected carcinogens such as benzene, polycyclic aromatic hydrocarbons (PAHs), and metals. Approximately 900,000 Canadians are exposed to diesel engine exhaust at work, making it the most prevalent occupational lung carcinogen in Canada (CAREX Canada). Diesel engine exhaust is recognized as one of the most common workplace carcinogens in the world, but its classification as a human carcinogen by the International Agency for Research on Cancer (IARC) was relatively recent. In 2012, after decades of mounting evidence, diesel engine exhaust was upgraded from a probable (IARC Group 2A) to a definite human carcinogen (IARC Group 1) (IARC, 2014). The IARC evaluation was based on strong evidence in humans for an increased risk of lung cancer, as well as strong evidence in animal studies. The key human evidence considered by IARC was from epidemiologic studies of workers in truck transportation, rail transportation, and mining industries, where the use of diesel engines is widespread. These studies provided strong sufficient evidence for an increased risk of lung cancer, as well as limited evidence for bladder cancer. The human studies used particulate matter, generally measured as elemental carbon (EC) or total carbon, as a surrogate for diesel engine exhaust to assess the risk associated with level of exposure. The animal studies reviewed by IARC showed sufficient evidence for cancer with exposure to whole diesel exhaust and the particulate matter fraction of diesel exhaust, but not for the gas phase components."