Environmental risks cause exposure injuries. These risks happen when a job requires exposure to a dangerous condition. Prevention of these injuries includes dressing properly for the weather, assessing the worksite for electrical hazards (above and below), using the PPE for the job, wearing sunscreen and insect repellent. Some injuries in this category include hypothermia or heat exhaustion, hearing loss due to noise exposure, electrocution, insect stings, allergic reactions, and exposure to noxious substances.
Learn how to reduce the environmental risks associated with:
The drug fentanyl and its equivalents are a possible hazard to a number of responders who might come in contact with the opioids in the course of their work.
The National Institute for Occupational Safety and Health (NIOSH) indicates that responders are most likely to come across illegally-manufactured fentanyl in powder, tablet and liquid form through:
- Mucous membrane contact
- Skin exposure such as needlestick.
Any of those exposure routes can possibly quickly result in life-threatening respiratory depression.
While brief skin contact with fentanyl or its equivalents aren’t expected to result in toxic effects if visible contamination is rapidly removed, skin contact with large volumes of highly concentrated powder over an extended period of time is a potential exposure route.
NIOSH identifies four job categories where responders may come in contact with fentanyl and its equivalents:
- Pre-Hospital Patient Care
Emergency medical services (EMS) providers, including first responders, fire department and private companies, may attend to persons with suspected fentanyl overdose. Drugs may be on or near the individual.
- Law Enforcement
Officers might encounter fentanyl during day-to-day activities including traffic stops, responding to fentanyl overdose calls and detaining and searching individuals.
- Investigation and Evidence Handling
Anyone in law enforcement who conducts fentanyl investigations are at risk of potentially encountering fentanyl. This may include executing search warrants and collecting, transporting and storing evidence.
Evidence collection might aerosolize fentanyl powder. Anyone handling evidence in the chain of custody may come in contact with fentanyl unless procedures are in place to prevent exposures.
- Special Operations and Decontamination
Workers performing special operations who are expected to come into contact with a large amount of fentanyl are potentially at risk.This includes hazardous material incident response teams responding to a spill or release and law enforcement officers executing search warrants on opioid distribution sites or other tactical operations. These activities may also aerosolize
- Working dogs
Working dogs, particularly police K-9s executing detection activities are also potentially at risk of exposure to fentanyl and its equivalents. If dogs are exposed, residual powder may remain on the dog’s body. Working dogs should be removed from an area with suspected or known fentanyl.
What can you do to protect yourself against fentanyl and its equivalents?
NIOSH identifies a number of standard safe operating procedures. When you first arrive on scene, analyze the situation, assess the risks for hazards and determine if fentanyl or other drugs are expected to be present. If so:
- Do not eat, drink, smoke or use the bathroom while working in an area with suspected or known fentanyl.
- Do not touch your eyes, mouth and nose after touching any surface that might be contaminated with fentanyl
- Wash your hands with soap and water immediately after a potential exposure and after leaving a scene with suspected or known fentanyl. Do not use hand sanitizers or bleach solutions.
- Do not perform tasks or operations that might aerosolize fentanyl unless you are appropriately trained with higher levels of personal protective equipment (PPE).
- Do not perform field testing of fentanyl or its equivalents unless you are appropriately trained and have developed an incident-specific plan to perform field testing in the appropriate PPE.
The following table from NIOSH provides PPE recommendations for protection against fentanyl and its equivalents:
For more information on preventing occupational fentanyl exposure to emergency responders, visit the NIOSH website.
Hydrogen sulfide (H2S) gas: Hydrogen sulfide (also referred to as sour gas, acid gas, stink damp, rotten egg gas or sulphureted hydrogen) is a highly toxic, colourless gas with the characteristic foul odor of rotten eggs. The gas can be very pungent at first, but quickly deadens the sense of smell which can cause victims to be unaware of its presence until it’s too late. Learn more.
Toxins in heavy construction: Some people may be surprised to learn that highway workers are at an increased risk for health hazards due to their profession. Highway construction workers can be exposed to a variety of toxic substances that can enter the body through breathing, swallowing and/or absorption through the skin. Learn more.