Saint-Louis: Manganese-containing welding fumes cause neurological problems at estimated levels under federal safety limits, according to research from Washington University School of Medicine in St. Louis. The findings suggest that current allowable limits for manganese exposure are not adequately protecting welders from the dangers of the job. Welders exposed to airborne manganese at estimated levels below federal occupational safety standards exhibit neurological problems similar to Parkinson’s disease, according to new research at Washington University School of Medicine in St. Louis. Further, the more they are exposed to manganese-containing welding fumes, the faster the workers’ signs and symptoms worsen.
The findings, published Dec. 28 in Neurology, suggest that current
safety standards may not adequately protect welders from the dangers of
“We found that chronic exposure to manganese-containing welding fumes
is associated with progressive neurological symptoms such as slow
movement and difficulty speaking,” said Brad A. Racette, MD,
a professor of neurology and the study’s senior author. “The more
exposure you have to welding fumes, the more quickly those symptoms
progress over time.”
At high levels, manganese – a key component of important industrial
processes such as welding and steelmaking – can cause manganism, a
severe neurologic disorder with symptoms similar to Parkinson’s disease,
including slowness, clumsiness, tremors, mood changes, and difficulty
walking and speaking. The risk of manganism drove the Occupational
Safety and Health Administration (OSHA) decades ago to set standards
limiting the amount of manganese in the air at workplaces. While these
safety standards are widely believed to have eliminated manganism as an
occupational hazard, researchers who study the effects of manganese
exposure have long suspected that there may still be some health effects
at levels much lower than what is allowable per OSHA standards.
“Many researchers view what’s allowable as too high a level of
manganese, but until now there really weren’t data to prove it,” said
Racette, who also is executive vice chairman in the Department of Neurology.
“This is the first study that shows clinically relevant health effects
that are occurring at estimated exposures that are an order of magnitude
lower than the OSHA limit.”
Racette and colleagues studied 886 welders at three worksites in the
Midwest – two shipyards and one heavy-machinery fabrication shop. Each
welder filled out a detailed job history questionnaire, which the
researchers used to calculate each participant’s exposure by combining
the estimated manganese exposure for specific job titles with the amount
of time spent in each job.
Each participant also underwent at least two standardized clinical
evaluations of motor function spaced a year or more apart and using the
Unified Parkinson’s Disease Rating Scale. The evaluations were performed
by trained neurologists looking for signs of neurological damage such
as muscle stiffness, gait instability, reduced facial expressions and
A score of 6 or lower was considered normal on the evaluation scale,
and those with scores of 15 or higher were placed in the parkinsonism
category. Parkinsonism is a set of neurological signs and symptoms
similar to what is seen in Parkinson’s disease. At their first
evaluation, the welders had an average score of 8.8, and 15 percent of
the welders fell into the parkinsonism category.
Moreover, participants’ scores increased over time, and the welders
exposed to the highest levels of manganese showed the biggest changes in
their scores, an indication that their neurological problems were
worsening faster than those of workers exposed to less manganese.
The scores for workers at the same sites who were not exposed to
welding fumes did not change over time, suggesting that welding fumes,
not aging, were responsible for the increasing scores.
Racette’s team did not directly measure the participants’ quality of
life, but previous studies by his team have shown that higher
parkinsonism scores in welders are associated with more difficulty with
activities of daily life such as eating, mobility and writing.
“This is not something we can ignore,” Racette said. “I think a
qualified neurologist would look at these clinical signs and say,
‘There’s something wrong here.’ This would be having an effect on
The most worrisome aspect of the study, Racette said, is that the
neurological signs showed up in people with an estimated exposure of
only 0.14 milligrams of manganese per cubic meter of air, far below the
safety standard set by OSHA at 5 milligrams per cubic meter.
In 2013, the American Conference of Governmental Industrial
Hygienists recommended a limit of 0.02 milligrams of manganese per cubic
meter. Some companies already are attempting to keep their workers’
exposures below that level by improving ventilation, mandating personal
protective equipment and using low-manganese welding wire. However, only
OSHA’s standards are enforceable by law.
“We can make the workplace safer for welders,” Racette said.
“Reducing OSHA’s allowable levels of manganese would probably make a big
difference in terms of safety and help workers avoid such risks.”