Environmental risks of breakdown nanoplastics from synthetic football fields

The widespread use of synthetic turf in sports has raised health concerns due to potential risks from nanoplastic inhalation or ingestion. Our research focused on detecting nanoplastics in drainage water from a synthetic football field and evaluating the toxicity of these materials after mechanical fragmentation. We collected and analysed drainage water samples for polymer content and subjected high-density polyethylene (HDPE) straws and ethylene propylene diene monomer (EPDM) granules used on synthetic football fields, to mechanical breakdown to create nanoplastics. The results indicated the presence of trace amounts of EPDM in the water samples. Furthermore, the toxicological assessment revealed that the broken-down nanoplastics and leachate from the surface of EPDM rubber granules exhibited high toxicity to Daphnia magna, while nanoplastics from the inner material exhibited no significant toxicity. The findings highlight the urgent need for future research to identify these specific toxic agents from the surface of EPDM granules.

Nature's therapeutic power: a study on the psychophysiological effects of touching ornamental grass in Chinese women

The health of city residents is at risk due to the high rate of urbanization and the extensive use of electronics. In the context of urbanization, individuals have become increasingly disconnected from nature, resulting in elevated stress levels among adults. The goal of this study was to investigate the physical and psychological benefits of spending time in nature. The benefits of touching real grass and artificial turf (the control activity) outdoors with the palm of the hand for five minutes were measured. Blood pressure and electroencephalography (EEG) as well as State-trait Anxiety Inventory (STAI) scores, and the semantic differential scale (SDM) were used to investigate psychophysiological responses. Touching real grass was associated with significant changes in brainwave rhythms and a reduction in both systolic and diastolic blood pressure compared to touching artificial turf. In addition, SDM scores revealed that touching real grass increased relaxation, comfort, and a sense of naturalness while decreasing anxiety levels. Compared to the control group, the experimental group had higher mean scores in both meditation and attentiveness. Our findings indicate that contact with real grass may reduce physiological and psychological stress in adults.

Tyre granulate on the loose; How much escapes the turf? A systematic literature review

Tyre granulate used as infill for artificial turf is hailed by some as a good example of reuse, while others see it as a baleful means to dispose of discarded tyres. Because the particles are applied loosely to the surface, they will inevitably disperse into the environment. The possible environmental and health impacts of the particles are a source of societal concern. In response to this, policies to limit particle losses are being developed at the European level. To make informed decisions, data on the quantity of tyre granulate released into the environment are required. So far, however, there are no systematic reviews on or estimates of these losses. The aim of the present study was to identify the various pathways through which infill leaves a football turf and, subsequently, to estimate the quantity of infill leaving the turf by each of these pathways. Data on the pathways including the associated volumes were collected in a systematic literature review following the PRISMA method. The quality of the evidence reported in the retrieved literature was assessed using the GRADE method. The resulting pathways and corresponding quantities were captured in a mass balance. This study estimates that, without mitigation measures, approximately 950 kg/year (min. 570 kg/year, max. 2280 kg/year) of infill leaves the surface of an average artificial football turf via known pathways. Clearing snow can result in an additional loss of 830 kg/year (min. 200 kg/year, max. 2760 kg/year) of infill material. To mitigate the dispersion of infill, one could focus on snow removal, brushing and granulate picked up by players. Mitigation measures for these pathways are well-established and relatively easy to implement and maintain. Although the amount of granulate picked up from the turf by players is relatively small, the measure will promote environmental awareness among the players.

Assessing extraction-analysis methodology to detect fluorotelomer alcohols (FTOH), a class of perfluoroalkyl and polyfluoroalkyl substances (PFAS), in artificial turf fibers and crumb rubber infill

Background

Despite widespread global use of artificial turf fields, there is a paucity of research assessing the presence of potentially harmful chemicals within the field components.

Objective

This pilot study aimed to assess the capacity of an adapted extraction-analysis method to identify and quantitate FTOHs, a class of perfluoroalkyl and polyfluoroalkyl substances (PFAS), in artificial turf fiber and crumb rubber infill samples.

Methods

FTOHs in artificial turf fibers and crumb rubber infill were extracted using 80:20 methanol:methyl tert-butyl ether, reconstituted in methanol, and analyzed by gas chromatography-mass spectroscopy (GC-MS) operated in scanning ion mode (SIM).

Results

8:2 FTOH was detected in artificial turf fiber and crumb rubber infill samples at concentrations of 1.0 and 0.71 ng/μL, respectively. This translates to 300ng 8:2 FTOH/g artificial turf fiber and 110ng 8:2 FTOH/g crumb rubber. By contrast, 4:2 FTOH and 6:2 FTOH were not found to be present in detectable levels.

Conclusion

Our extraction method with subsequent GC-MS analysis proved useful in detecting FTOHs in artificial turf field samples. 8:2 FTOH may be present in artificial turf fibers and crumb rubber infill. This pilot investigation supports the need for further research into the presence of this class of PFAS in artificial turf field components.

Artificial turf and crumb rubber infill: An international policy review concerning the current state of regulations

BACKGROUND

Although artificial turf fields are utilized widely around the world, sufficient research has not yet been conducted to assess the potential human and environmental health risks posed by the chemicals contained in the fields' fibers, backing, and often-used crumb rubber infill. Consequently, there is wide variation in governmental policies.

OBJECTIVE

Review the notable policies concerning artificial turf and crumb rubber infill in the European Union, United Kingdom, United States of America, Canada, China, Qatar, and the Global Stockholm Convention of the United Nations.

METHODS

Information was collected that included published papers, technical and policy reports, and grey literature. These were then analyzed by a collaborative group familiar with the environmental policies in their respective countries to extract the pertinent legislative or regulatory information. The group members were primarily identified through their involvement in publications pertinent to artificial turf and crumb rubber infill health research and included environmental health professors, active researchers, and governmental agency officials. Most information on direct policies was taken directly from reports provided to the public by various governmental agencies responsible for their countries' regulations, often available within the respective agency's online archives.

RESULTS

There are significant differences in the regulatory approaches adopted by the investigated countries with regards to artificial turf and its crumb rubber infill. Some regions, such as the European Union, have taken substantial steps to limit the fields' chemical components to which the public and environment are exposed. Other regions and countries have done far less to address the issue. Most policies relate directly to (i) the fields themselves, (ii) the microplastic components of crumb rubber infill, or (iii) the concentrations of harmful polycyclic aromatic hydrocarbons (PAHs), perfluoroalkyl and polyfluoroalkyl substances (PFAS), and heavy metals.

CONCLUSION

While nearly every country acknowledges the potential health risks posed by heavy metals, microplastics, PAHs, and PFAS chemicals, very few have actually implemented artificial turf and crumb rubber infill regulations and/or established adequate surveillance measures to protect those regularly exposed to the fields.

Health impacts of artificial turf: Toxicity studies, challenges, and future directions

Many communities around the country are undergoing contentious battles over the installation of artificial turf. Opponents are concerned about exposure to hazardous chemicals leaching from the crumb rubber cushioning fill made of recycled tires, the plastic carpet, and other synthetic components. Numerous studies have shown that chemicals identified in artificial turf, including polycyclic aromatic hydrocarbons (PAHs), phthalates, and per- and polyfluoroalkyl substances (PFAS), are known carcinogens, neurotoxicants, mutagens, and endocrine disruptors. However, few studies have looked directly at health outcomes of exposure to these chemicals in the context of artificial turf. Ecotoxicology studies in invertebrates exposed to crumb rubber have identified risks to organisms whose habitats have been contaminated by artificial turf. Chicken eggs injected with crumb rubber leachate also showed impaired development and endocrine disruption. The only human epidemiology studies conducted related to artificial turf have been highly limited in design, focusing on cancer incidence. In addition, government agencies have begun their own risk assessment studies to aid community decisions. Additional studies in in vitro and in vivo translational models, ecotoxicological systems, and human epidemiology are strongly needed to consider exposure from both field use and runoff, components other than crumb rubber, sensitive windows of development, and additional physiological endpoints. Identification of potential health effects from exposures due to spending time at artificial turf fields and adjacent environments that may be contaminated by runoff will aid in risk assessment and community decision making on the use of artificial turf.

Hazardous chemicals in outdoor and indoor surfaces: artificial turf and laminate flooring

BACKGROUND

Synthetic materials, increasingly used for indoor and outdoor surfaces including homes and playgrounds, may contain toxic chemicals. Infants have a higher potential of exposure to chemicals in these materials, which may pose a risk to their health.

OBJECTIVE

To understand potential risks related to outdoor surface coverings, based on a review of the literature and regulations, and to assess levels of hazardous chemicals in surface coverings in Israel.

METHODS

We reviewed the literature and regulations on artificial turf. We tested 46 samples of surfaces for trace metals in synthetic playground surfaces; trace metals, phthalates, and di(2-ethylhexyl) terephthalate (DEHT) in synthetic grass, and phthalates, DEHT and formaldehyde in laminate flooring.

RESULTS

Twelve studies reporting high levels of polycyclic aromatic hydrocarbons (PAH), and varying levels of trace metals in synthetic playground surfaces were identified, as well as five international regulations on lead with maximum acceptable concentrations in the range 40-500 mg/kg. Surface tests showed that 20 out of 30 samples of synthetic playground surfaces exceeded relevant standards for trace metals, of which five had cadmium levels ≥30 mg/kg and four had chromium levels ≥510 mg/kg. In synthetic grass, three out of eight samples exceeded relevant standards, with lead levels ≥1200 mg/kg. In Laminate flooring (n = 8) formaldehyde levels were in the range of 0.7-1.2 mg/m² formaldehyde, and five samples contained ~5% DEHT.

SIGNIFICANCE

The literature on chemicals in surfaces is limited, but indicates some exceedance of regulatory limits. Trace metals in synthetic playground surfaces and synthetic grass, not regulated in Israel, exceeded relevant international standards in 72% of samples. Laminate flooring, regulated for formaldehyde, did not exceed the 3.5 mg/m² standard, but contained DEHT, a replacement for ortho-substituted phthalates. The results of this preliminary study show that flooring surfaces may be a source of children's exposure to toxic chemicals.

IMPACT STATEMENT

Synthetic surfaces are increasingly being used in, for example, children's playgrounds and sports fields. Exceedances of regulatory limits from other jurisdictions, of heavy metal levels in most outdoor surfaces sampled in Israel indicates the potential for children's exposure. Domestic regulations should be implemented to reduce the risk to children from exposure to these surfaces.

A review of potentially harmful chemicals in crumb rubber used in synthetic football pitches

Recycling end-of-life tires (ELTs) reduces waste and provides a low-cost source of energy and materials such as crumb rubber, used as infill in artificial turf football pitches. However, some concerns were raised and remain about its safety. The potentially toxic human exposure to chemicals such as polycyclic aromatic hydrocarbons (PAHs), metals and others (volatile organic compounds (VOCs), plasticizers, antioxidants and additives) existing in ELTs (and in the resulting crumb rubber) is being studied, with no definitive conclusions. The literature existing so far suggests the possibility of their release from synthetic turf infill into the environment as water leachates and to the air surrounding the pitches, but there is the need of further research, also to assess the contribution of other materials present in synthetic turf. The database available comprised crumb rubber infill studies from pitches in 6 countries (USA, Norway, Netherlands, Portugal, Italy, Spain) and revealed a myriad of hazardous chemicals, with benzo[a]pyrene (n.d.-4.31 ± 3.95 mg/kg) and zinc (n.d.-14150 ± 1344 mg/kg) often exceeding the established limits. A dependence on indoor/outdoor conditions and the age of the source material was evaluated, often showing significative differences. From this standpoint, this review is intended to add knowledge about the presence of contaminants in this recycled material, aiming to ensure the safety of end-users and the environment.

Effects of synthetic turf and shock pad on impact attenuation related biomechanics during drop landing

Adding a shock pad as an underlayment to synthetic turf aims to improve attenuation of impact forces. The purpose of this research was to investigate effects of an infilled synthetic turf with three different shock pads on impact attenuation related biomechanics of lower extremity during the drop landing. Twelve active and healthy recreational male athletes performed 60 cm drop landing with a controlled landing technique on five surface conditions: a baseline surface (force platform), an infilled synthetic turf surface, turf plus foam shock pad, turf plus a low-density shock pad, and turf plus a high-density shock pad. Furthermore, a mechanical impact test was conducted (ASTM F355). Turf plus foam shock pad, turf plus low-density shock pad, and turf plus high-density shock pad all resulted in significantly lower 1st vertical peak ground reaction force (13.3%, 13.3%, and 12.7% reductions, respectively) and loading rate (20.4%, 25.4%, and 21.1% reductions, respectively) compared to baseline surface. Significantly greater trunk extension moment was found on turf plus low-density shock pad compared to turf surface (21.2%) and turf plus foam shock pad (12.0%). These results suggest that synthetic turf plus shock pad surfaces provide improved impact attenuation compared to baseline surface in the early landing phase.

Polycyclic aromatic hydrocarbons in consumer goods made from recycled rubber material: A review

Vast amounts of rubber waste are produced every year, where end-of-life tires (ELT) mount up the largest share with several million tonnes in the EU each year. This points up the necessity for reusing end-of-life rubber material. The recycled material shows nearly the same advantages like the origin materials. In consequence, the recycled material is predestined for the use in sport facilities, which explains that around half of the recycled ELTs are used to produce artificial turf, sports flooring and injury-prevention pavements on playgrounds. Since tires contain potentially toxic components, there is worry concerning the release of such chemical substances stemming from these products. As tires contain highly aromatic oils and carbon black, the presence of polycyclic aromatic hydrocarbons (PAH) and their carcinogenic properties are discussed controversially. This review issues a comprehensive overview of PAH release and a conclusive assessment on human health risk. Analytical studies dealing with the PAH content of consumer goods made from recycled rubber material and associated risk assessments are reviewed. In conclusion PAHs can be detected in consumer goods made from recycled rubber and are released into the environment. They reach humans via leaching (soil, ground water, rivers), oral intake, dermal exposure and inhalation. Thereby, dermal contact or inhalation is the primary route of exposure, whereas oral intake and environmental pollution are regarded as secondary risks. The amount of PAHs that could potentially harm humans is in the magnitude of urban pollution. Risk assessment studies reviewed in this article show no serious risk potential.

Physiological responses, fatigue and perception of female soccer players in small-sided games with different pitch size and sport surfaces

The aim of this research was to evaluate the influence of game surface and pitch size on the physiological responses, jump performance and perceptions of sub-elite female soccer players playing four-a-side games. Sixteen sub-elite female soccer players were divided into four groups of four players each. Three small-sided games (SSGs; pitch size: 400 m², 600 m² and 800 m²) were played on three surfaces (dirt [DT], artificial turf [AT] and natural grass [NG]). Players' heart rate (HR) was monitored during each game. Before and after each SSG, participants performed two counter-movement jumps (CMJs) and answered a questionnaire based on visual analogue scales (VASs) to indicate their perception of the effort required on each surface. DT obtained lower outputs for most variables. In the SSG 600 mean HR was higher on NG than AT (+3.31 %HR_max; p = 0.029), but players' overall satisfaction with both surfaces was similar (p>0.05). The SSG 400 received the lowest ratings for most variables, whereas the SSG 600 resulted in higher mean HR than SSG 800 [NG (+9.14 b.p.m.; p = 0.001); AT (+7.32 b.p.m.; p = 0.014)]. No surface differences in CMJ performance were found. In conclusion, a higher internal load can be achieved on NG, whereas DT is not recommended for playing soccer. Moreover, the internal load on players in SSGs can be controlled by manipulating pitch size, but over-large pitches may entail a reduction in the physiological profile of female soccer players.

The effects of artificial surface temperature on mechanical properties and player kinematics during landing and acceleration

BACKGROUND

Artificial turf is considered a feasible global alternative to natural turf by many sports governing bodies. Consequently, its ability to provide a safe and consistent playing surface regardless of climate becomes essential. The aims of this study were to determine the effects of artificial surface temperature on: (1) mechanical properties of the turf and (2) the kinematics of a turf-sport related movement.

METHODS

Two identical artificial turf pitches were tested: one with a cold surface temperature (1.8°C-2.4°C) and one with a warm surface temperature (14.5°C-15.2°C). Mechanical testing was performed to measure the surface properties. Four amateur soccer players performed a hurdle jump to sprint acceleration movement, with data (contact time, step length and hip, knee and ankle kinematics) collected using CODASport (200 Hz).

RESULTS

The temperature difference had a significant influence on the mechanical properties of the artificial turf, including force absorption, energy restitution, rotational resistance, and the height where the head injury criterion was met. Both step length (p = 0.008) and contact time (p = 0.002) of the initial step after the landing were significantly longer on the warm surface. In addition, significant range of motion and joint angular velocity differences were found.

CONCLUSION

These findings highlight different demands placed on players due to the surface temperature and suggest a need for coaches, practitioners, and sports governing bodies to be aware of these differences.

Skin friction related behaviour of artificial turf systems

The occurrence of skin friction related injuries is an issue for artificial turf sports pitches and remains a barrier to their acceptance. The purpose of this study was to evaluate the current industry standard Securisport® Sports Surface Tester that measures skin surface related frictional behaviour of artificial turf. Little research has been published about the device and its efficacy, despite its widespread use as a standard FIFA test instrument. To achieve a range of frictional behaviours, several "third generation" (3G) carpet and infill combinations were investigated; friction time profiles throughout the Securisport rotations were assessed in combination with independent measurements of skin roughness before and after friction testing via 3D surface scanning. The results indicated that carpets without infill had greatest friction (coefficients of friction 0.97-1.20) while those completely filled with sand or rubber had similar and lower values independent of carpet type (coefficient of friction (COF) ≈0.57). Surface roughness of a silicone skin (s-skin) decreased after friction testing, with the largest change on sand infilled surfaces, indicating an "abrasive" polishing effect. The combined data show that the s-skin is damaged in a surface-specific manner, thus the Securisport COF values appear to be a poor measure of the potential for skin abrasion. It is proposed that the change in s-skin roughness improves assessment of the potential for skin damage when players slide on artificial turf.

Understanding the effects of decompaction maintenance on the infill state and play performance of third-generation artificial grass pitches

Third generation artificial grass pitches have been observed to get harder over time. The maintenance technique of rubber infill decompaction is intended to help slow, or reverse, this process. At present, little is understood about either the science of the infill compaction process or the efficacy of decompaction maintenance. The objective of this study was to measure the changes in rubber infill net bulk density, force reduction (impact absorption) and vertical ball rebound under various levels of compactive effort in controlled laboratory-based testing. The assessments were repeated after the systems had been raked to simulate the decompaction maintenance techniques. These tests defined the limits of compaction (loose to maximally compacted) in terms of the change in rubber infill net bulk density, force reduction and vertical ball rebound. Site testing was also undertaken at four third generation pitches immediately pre and post decompaction, to determine the measurable effects in the less well controlled field environment. Rubber infill net bulk density was found to increase as compactive effort increased, resulting in increased hardness. Decompacting the surface was found to approximately fully reverse these effects. In comparison, the site measurements demonstrated similar but notably smaller magnitudes of change following the decompaction process suggesting that the field state pre and post decompaction did not reach the extremes obtained in the laboratory. The findings suggest that rubber infill net bulk density is an important parameter influencing the hardness of artificial grass and that decompactions can be an effective method to reverse compaction related hardness changes.

Spatial and temporal analysis of surface hardness across a third-generation artificial turf pitch over a year

Despite the potentially negative effects on play performance and safety, little is currently known about the spatial and temporal variability in the properties of artificial turf pitches. The primary purpose of this study was to quantify the spatial and temporal variations in surface hardness across a 5-year-old third-generation artificial turf pitch over full year cycle. The secondary purpose was to investigate the key variables that contributed to these variations in surface hardness using a correlation approach. Surface hardness (2.25 kg Clegg impact hammer, average of drops 2-5), ground temperature and infill depth were measured at 91 locations across the third-generation artificial turf pitch in 13-monthly test sessions from August 2011 to August 2012 inclusive. For each month, rainfall in the 24 h prior to testing and pitch usage statistics were also obtained. Shockpad thickness was obtained from measurements taken when the carpet was replaced in 2007. Spatial and temporal variations were assessed using robust statistical measures while Spearman correlation was used to assess the contributions of the secondary variables to surface hardness variability. The results indicated that spatial variation in surface hardness exceeded temporal variation; the former demonstrated a median absolute deviation of 12 ± 1 G across the pitch in any test session while the median absolute deviation for the latter was only 4 ± 2 G across the 13 test sessions. Spatial variation in surface hardness was moderately correlated with shockpad thickness and weakly correlated with infill depth (both negative). These results reinforce the importance of monitoring spatial and temporal variations in play performance variables for third-generation surfaces as well as providing support for the role of maintenance in minimising the spatial variation.

Bioaccessibility and Risk of Exposure to Metals and SVOCs in Artificial Turf Field Fill Materials and Fibers

To reduce maintenance costs, municipalities and schools are starting to replace natural grass fields with a new generation synthetic turf. Unlike Astro-Turf, which was first introduced in the 1960s, synthetic field turf provides more cushioning to athletes. Part of this cushioning comes from materials like crumb rubber infill, which is manufactured from recycled tires and may contain a variety of chemicals. The goal of this study was to evaluate potential exposures from playing on artificial turf fields and associated risks to trace metals, semi-volatile organic compounds (SVOCs), and polycyclic aromatic hydrocarbons (PAHs) by examining typical artificial turf fibers (n = 8), different types of infill (n = 8), and samples from actual fields (n = 7). Three artificial biofluids were prepared, which included: lung, sweat, and digestive fluids. Artificial biofluids were hypothesized to yield a more representative estimation of dose than the levels obtained from total extraction methods. PAHs were routinely below the limit of detection across all three biofluids, precluding completion of a meaningful risk assessment. No SVOCs were identified at quantifiable levels in any extracts based on a match of their mass spectrum to compounds that are regulated in soil. The metals were measurable but at concentrations for which human health risk was estimated to be low. The study demonstrated that for the products and fields we tested, exposure to infill and artificial turf was generally considered de minimus, with the possible exception of lead for some fields and materials.

Psychosensorial assessment of skin damage caused by a sliding on artificial turf: the development and validation of a skin damage area and severity index

OBJECTIVES

Injury prevention is an important reason for the development of performance standards in football. Currently, there is no objective method available to classify sliding induced skin injuries, which includes the perceived sliding friendliness of football pitches. The purpose of this study was to develop a non-invasive method for quantification of the observed sliding induced skin damage and evaluate whether there is a correlation between the subjective perceived skin irritation and sliding friendliness.

STUDY DESIGN

Randomized controlled trial.

METHODS

Previously obtained clinical images of sliding induced skin lesions where rated by a dermatologist on the degree of abrasion, erythema and type of exudation. To test the practical feasibility of a proposed Skin Damage and Severity Index (SDASI) to characterize sliding induced skin lesions, a randomized user trial with nine amateur football players was performed. The sliding friendliness of three different grades of infill materials was tested.

RESULTS

The Skin Damage and Severity Index correlates both with the perceived skin irritation (r=-0.53, P=0.02) and sliding friendliness (r=-0.58, P=0.01). Statistical analysis of the individual clinical scores showed that perception of skin irritation and sliding friendliness correlate very well with the degree of erythema and abrasion. However, these scores are independent of the size of the lesion and type of exudation. There was no statistical significant difference found between the three evaluated types of infill and their sliding performance.

CONCLUSIONS

This study demonstrated that the Skin Damage and Severity Index, which is a tool for quantification of a sliding induced skin lesion, correlates very well with the perceived skin irritation and the sliding friendliness.

Health risk assessment of lead ingestion exposure by particle sizes in crumb rubber on artificial turf considering bioavailability

OBJECTIVES

The purpose of this study was to assess the risk of ingestion exposure of lead by particle sizes of crumb rubber in artificial turf filling material with consideration of bioavailability.

METHODS

This study estimated the ingestion exposure by particle sizes (more than 250 um or less than 250 um) focusing on recyclable ethylene propylene diene monomer crumb rubber being used as artificial turf filling. Analysis on crumb rubber was conducted using body ingestion exposure estimate method in which total content test method, acid extraction method and digestion extraction method are reflected. Bioavailability which is a calibrating factor was reflected in ingestion exposure estimate method and applied in exposure assessment and risk assessment. Two methods using acid extraction and digestion extraction concentration were compared and evaluated.

RESULTS

As a result of the ingestion exposure of crumb rubber material, the average lead exposure amount to the digestion extraction result among crumb rubber was calculated to be 1.56×10(-4) mg/kg-day for low grade elementary school students and 4.87×10(-5) mg/kg-day for middle and high school students in 250 um or less particle size, and that to the acid extraction result was higher than the digestion extraction result. Results of digestion extraction and acid extraction showed that the hazard quotient was estimated by about over 2 times more in particle size of lower than 250 um than in higher than 250 um. There was a case of an elementary school student in which the hazard quotient exceeded 0.1.

CONCLUSIONS

Results of this study confirm that the exposure of lead ingestion and risk level increases as the particle size of crumb rubber gets smaller.