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toxicological profile for malathion - Agency for Toxic Substances and ...

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MALATHION 136<br />

3. HEALTH EFFECTS<br />

are significant differences in the responses between children <strong>and</strong> adults. A case report of aplastic anemia<br />

in a 12-year-old child following inhalation of <strong>malathion</strong> fumes after fumigation of a home was described<br />

by Reeves et al. (1981), but this case seems to be unique <strong>and</strong> there is no evidence that <strong>malathion</strong> was the<br />

causal agent. A population-based case-control study in Cali<strong>for</strong>nia found no significant association<br />

between the use of household pesticides during pregnancy <strong>and</strong> the risk of pediatric brain tumors (Pogoda<br />

<strong>and</strong> Preston-Martin 1997).<br />

It is not known whether or not children are more susceptible than adults to <strong>malathion</strong> toxicity. However,<br />

as previously mentioned, young animals are more susceptible to <strong>malathion</strong> than older animals. The single<br />

oral LD50 of 95% pure <strong>malathion</strong> in newborn male Wistar rats was 124.1 mg/kg, whereas in preweaning<br />

(14–16 days old) <strong>and</strong> adult (3–4 months) rats, LD50 values were 386.8 <strong>and</strong> 925.4 mg/kg, respectively (Lu<br />

et al. 1965). This difference was also observed <strong>for</strong> 4-day cumulative LD50 values (Lu et al. 1965).<br />

Similar findings were reported by Brodeur <strong>and</strong> DuBois (1967) <strong>and</strong> by Mendoza (1976) <strong>and</strong> Mendoza <strong>and</strong><br />

Shields (1976, 1977) who also observed that the decrease in susceptibility more or less paralleled<br />

increases in the activities of esterases in various tissues. For example, using acetylthiocholine as<br />

substrate, a single dose of 8,000 mg/kg of <strong>malathion</strong> inhibited brain esterase by 85% in 18-day-old pups,<br />

while in 1-day-old pups, the same degree of inhibition was achieved with a dose of only 500 mg/kg<br />

(Mendoza <strong>and</strong> Shields 1977). More recent in vitro studies of Mortensen et al. (1998) showed that<br />

acetylcholinesterase activity in the rat brain increases during postnatal development <strong>and</strong> reaches a<br />

maximum at about 40 days of age, but the Km, substrate <strong>profile</strong>s, <strong>and</strong> in vitro sensitivities to selected<br />

organophosphates were not different in young versus adult animals.<br />

There is limited in<strong>for</strong>mation regarding developmental effects of <strong>malathion</strong> in humans. A study of<br />

children born to women exposed to <strong>malathion</strong> via aerial spraying found some positive (<strong>and</strong> significant)<br />

associations <strong>for</strong> some anomalies, but the anomalies that occurred more frequently than expected did not<br />

represent a biologically consistent pattern (Grether et al. 1987). No significant association was found<br />

between low birth weight <strong>and</strong> increasing exposure to <strong>malathion</strong>. An additional study involving the same<br />

type of exposure found a statistically significant association between incidence of gastrointestinal<br />

anomalies in offspring <strong>and</strong> exposure to <strong>malathion</strong> during the second trimester of pregnancy (OR=4.14;<br />

CI=1.01, 16.6) (Thomas et al. 1992). No significant associations were observed <strong>for</strong> intrauterine growth<br />

retardation or other congenital defects reportable by the Cali<strong>for</strong>nia Birth Defects Monitoring Program.<br />

García et al. (1998) compared paternal pesticide exposures between offspring with congenital<br />

mal<strong>for</strong>mations <strong>and</strong> controls. In a subgroup of 14 individuals exposed to <strong>malathion</strong>, regression analysis<br />

showed no significant associations with outcomes after adjusting <strong>for</strong> confounding factors. A case of a

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