Per- and polyfluoroalkyl substances (PFAS) are a group of synthetically-made chemicals with diverse functional properties that have become ubiquitous in our environment because of their widespread use. PFAS exposure has been associated with adverse health effects, and it is therefore vital to know how exposure may occur. Many studies have focused on environmental exposure from drinking water, but there is a paucity of data on inhalation exposure, especially in occupational settings.
In this study, through a comprehensive literature search, measured airborne (i.e., aerosols, volatiles, and dust) inhalation exposure and area levels were compiled for various occupations to compare reported levels of PFAS exposure. Airborne PFAS levels measured in various occupations such as ski waxing, textile manufacturing, firefighting, and floor waxing were analyzed and compared.
Results of this review demonstrate that workers experience varying levels of PFAS exposure contingent on the workplace and industry and the work tasks performed within the workplace. Out of all occupations, ski waxing exhibited the highest total PFAS airborne concentrations when compared to all other reported occupational and residential exposures.
Further research is recommended to estimate the risk of PFAS exposures in the occupations reviewed and to identify other potential occupations at risk of PFAS exposure. In addition, informed recommendations to implement safety measures ought to be developed to protect workers from adverse health effects.

BACKGROUND: Ski waxes are applied onto the skis to improve the performance. They contain different chemical substances, e.g. perfluoro-n-alkanes. Due to evaporation and sublimation processes as well as mechanically generated dust, vapours, fumes, and particulates can contaminate the workroom atmosphere. The number of professional ski waxers is increasing, but occupational exposure assessments among professional ski waxers are lacking.
OBJECTIVE: The aim was to assess exposure to airborne chemical contaminants among professional ski waxers. It was also a goal to construct a ventilation system designed for ski waxing work operations.
METHODS: Forty-five professional ski waxers were included. Personal measurements of the inhalable and the respirable aerosol mass fractions were executed in 36 different waxing cabins using Conical Inhalable Sampler cassettes equipped with 37-mm PVC filters (5 µm) and Casella respirable cyclones equipped with 37-mm PVC filters (0.8 µm), respectively. Volatile organic components were collected using Anasorb CSC charcoal tubes. To examine time trends in exposure patterns, stationary real-time measurements of the aerosol mass fractions were conducted using a direct-reading Respicon® sampler.
RESULTS: Mean aerosol particle mass concentrations of 3.1 mg·m(-3) (range: 0.2-12.0) and 6.2 mg·m(-3) (range: 0.4-26.2) were measured in the respirable and inhalable aerosol mass fractions, respectively. Real-time aerosol sampling showed large variations in particle concentrations, with peak exposures of ~10 and 30 mg·m(-3) in the respirable and the inhalable aerosol particle mass fractions, respectively. The custom-made ventilation system reduced the concentration of all aerosol mass fractions by more than 90%.