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Handbook of Solvents - George Wypych - ChemTech - Ventech!

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20.9 Toxicity <strong>of</strong> environmental solvent exposure for brain, lung and heart 1411<br />

list 1990) Thus here we had an example <strong>of</strong> a probable environmental exposure to TCE with<br />

a superimposed occupational one. 4<br />

TCE leakage had produced these same effects in Joplin, MO neighbors <strong>of</strong> a company<br />

manufacturing ball bearings and cleaning with this solvent. The companies decision to<br />

clean and reuse TCE rather than dump it ameliorated the effects. 4 In San Gabriel and San<br />

Fernando Valleys in California similar observations confirm adverse effects from TCE contamination<br />

<strong>of</strong> groundwater and air. Clearly the observations were replicated and each time<br />

TCE was associated with reasonable timing and proximity. More than half <strong>of</strong> the federal<br />

superfund sites in the US are contaminated with TCE suggesting 800 potential replications.<br />

29 Experience with several patients have shown me that the effects <strong>of</strong> dichloroethylene<br />

and <strong>of</strong> 1,1,1-trichloroethane are indistinguishable from those <strong>of</strong> TCE.<br />

Toluene is the most toxic and best studied <strong>of</strong> the aromatic ring compound solvents.<br />

Both acute and chronic effects were observed by 1961 from inhaling “huffing” toluene 30,31<br />

or lacquer thinner, 32 especially in children sniffing airplane glue. 30 Chronic impairment was<br />

shown shoemakers 33 and rotogravure printing workers 34 using neurobehavioral testing. Toluene<br />

exposed experimental animals, mainly rats and mice showed enhanced motor activity,<br />

abnormal movements, altered sleep patterns and electroencephalograph (EEG) changes<br />

from an integrative brain loop, the hippocampus. 2 Occupational exposures produced memory<br />

disturbances, poorer performance on block design assembly, embedded figures, visual<br />

memory and eye-hand coordination. CT scans showed some generalized brain swelling 34<br />

that correlated with impaired psychological functions. 35 Women working in electronic assembly<br />

had environmental air levels <strong>of</strong> toluene <strong>of</strong> 88 ppm compared to 13 ppm for controls<br />

and comparable differences in blood levels. These workers were less apt at placing pegs in a<br />

grooved board, at trail making, digit symbol, visual retention and reproduction and verbal<br />

memory. 36 They were tested during the day after being away from exposure for at least 16<br />

hours.<br />

Protracted sniffing <strong>of</strong> solvents alone or in glue has produced intention tremor and<br />

titubating gait 30 consistent with cerebellar degeneration which continued after 5 years with<br />

ataxia, EEG slowing and cerebral atrophy. 31 Polyneuropathy was observed in 2 glue sniffers<br />

in Japan whose exposures were to n-hexane and toluene. 37 Many such descriptions 2 outweigh<br />

one epidemiological study that found no differences in performance when comparing<br />

12 glue sniffing boys, ages 11 to 15, mean 13.8 years and 21 controls, ages 11 to 15, mean<br />

12.6 years. Four non-standard tests and the Benton visual retention and design reproduction<br />

test were used but the exposed group was 1.2 years older and should have outperformed<br />

younger controls whose skills were less developed. 38<br />

Some published data are difficult to interpret. For example, 26 men were exposed in<br />

tanks and holds <strong>of</strong> two merchant vessels being painted (solvents) and sprayed with malathion<br />

20% and pyrethrin 1.5%, with piperonyl butoxide in toluene. They showed losses <strong>of</strong><br />

concentration, unawareness <strong>of</strong> danger and unconsciousness at toluene levels estimated as<br />

10,000 to 12,000 ppm and up to 30,000 ppm below waist level. 39 Additive effects <strong>of</strong> the<br />

neurotoxic insecticides were not discussed.<br />

Effects <strong>of</strong> toluene in 52 men and paint solvents in 44 men were contrasted with unexposed<br />

men. Painters had impaired reading scores, trails B, visual search, block design,<br />

grooved pegboard, simple reaction time and verbal memory. 40 Toluene exposed men had<br />

only abnormal reading scores reduced significantly, although scores on all tests were lower.

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