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

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MALATHION 148<br />

3. HEALTH EFFECTS<br />

organophosphate. A 2-PAM serum level of 4 µg/L is suggested as the minimum therapeutic threshold.<br />

2-PAM is considered a very safe drug with few side effects.<br />

3.12 ADEQUACY OF THE DATABASE<br />

Section 104(i)(5) of CERCLA, as amended, directs the Administrator of ATSDR (in consultation with the<br />

Administrator of EPA <strong>and</strong> agencies <strong>and</strong> programs of the Public Health Service) to assess whether<br />

adequate in<strong>for</strong>mation on the health effects of <strong>malathion</strong> is available. Where adequate in<strong>for</strong>mation is not<br />

available, ATSDR, in conjunction with the National <strong>Toxic</strong>ology Program (NTP), is required to assure the<br />

initiation of a program of research designed to determine the health effects (<strong>and</strong> techniques <strong>for</strong> developing<br />

methods to determine such health effects) of <strong>malathion</strong>.<br />

The following categories of possible data needs have been identified by a joint team of scientists from<br />

ATSDR, NTP, <strong>and</strong> EPA. They are defined as substance-specific in<strong>for</strong>mational needs that if met would<br />

reduce the uncertainties of human health assessment. This definition should not be interpreted to mean<br />

that all data needs discussed in this section must be filled. In the future, the identified data needs will be<br />

evaluated <strong>and</strong> prioritized, <strong>and</strong> a substance-specific research agenda will be proposed.<br />

3.12.1 Existing In<strong>for</strong>mation on Health Effects of Malathion<br />

The existing data on health effects of inhalation, oral, <strong>and</strong> dermal exposure of humans <strong>and</strong> animals to<br />

<strong>malathion</strong> are summarized in Figure 3-5. The purpose of this figure is to illustrate the existing<br />

in<strong>for</strong>mation concerning the health effects of <strong>malathion</strong>. Each dot in the figure indicates that one or more<br />

studies provide in<strong>for</strong>mation associated with that particular effect. The dot does not necessarily imply<br />

anything about the quality of the study or studies, nor should missing in<strong>for</strong>mation in this figure be<br />

interpreted as a “data need”. A data need, as defined in ATSDR’s Decision Guide <strong>for</strong> Identifying<br />

Substance-Specific Data Needs Related to <strong>Toxic</strong>ological Profiles (<strong>Agency</strong> <strong>for</strong> <strong>Toxic</strong> <strong>Substances</strong> <strong>and</strong><br />

Disease Registry 1989), is substance-specific in<strong>for</strong>mation necessary to conduct comprehensive public<br />

health assessments. Generally, ATSDR defines a data gap more broadly as any substance-specific<br />

in<strong>for</strong>mation missing from the scientific literature.<br />

As shown in Figure 3-5, there seems to be a fairly complete database on the effects of <strong>malathion</strong> in<br />

humans exposed by inhalation <strong>and</strong> dermal routes. However, most of this in<strong>for</strong>mation is derived from

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