While there is no documentation for the persistent rumor, based upon Upton Sinclair's novel "The Jungle", that sawdust was used as a filler in sausage, cellulose derived from sawdust was and is used for sausage casings. Sawdust-derived cellulose has also been used as a filler in bread. When cereals were scarce, sawdust was sometimes an ingredient in Kommissbrot. Auschwitz concentration camp survivor, Dr. Miklós Nyiszli, reports in "Auschwitz: A Doctor's Eyewitness Account" that the subaltern medical staff, who served Dr. Josef Mengele, subsisted on "bread made from wild chestnuts sprinkled with sawdust." Airborne sawdust and sawdust accumulations present a number of health and safety hazards. Wood dust becomes a potential health problem when, for example, the wood particles, from processes such as sanding, become airborne and are inhaled. Wood dust is a known human carcinogen. Certain woods and their dust contain toxins that can produce severe allergic reactions. Breathing airborne wood dust may cause allergic respiratory symptoms, mucosal and non-allergic respiratory symptoms, and cancer. In the US, lists of carcinogenic factors are published by the American Conference of Governmental Industrial Hygienists (ACGIH), the Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH). All these organisations recognize wood dust as carcinogenic in relation to the nasal cavities and paranasal sinuses. People can be exposed to wood dust in the workplace by breathing it in, skin contact, or eye contact. The Occupational Safety and Health Administration (OSHA) has set the legal limit (permissible exposure limit) for wood dust exposure in the workplace as 15 mg/m3 total exposure and 5 mg/m3 respiratory exposure over an 8-hour workday. The National Institute for Occupational Safety and Health (NIOSH) has set a recommended exposure limit (REL) of 1 mg/m3 over an 8-hour workday. Wood flour is finely pulverized wood that has a consistency fairly equal to sand or sawdust, but can vary considerably, with particles ranging in dimensions from a fine powder to roughly that of a grain of rice. Most wood flour manufacturers are able to create batches of wood flour that have the same consistency throughout. All high quality wood flour is made from hardwoods because of its durability and strength. Very low grade wood flour is occasionally made from sapless softwoods such as pine or fir.