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due to the small numbers of workers involved in the human studies and because of the possibility that other workplace carcinogens may have been confounders. However, CDHS also noted that though not conclusive, these studies provide substantial suggestive evidence of ethylene oxide's carcinogenicity in humans. The animal studies listed above demonstrate the ability of ethylene oxide to induce tumors in multiple species (rats and mice) at multiple sites (brain gliomas, mononuclear cell leukemias, peritoneal mesotheliomas in rats; alveolar/bronchiolar adenomas/carcinomas, malignant lymphomas, mammary gland adenosarcomas or adenosquamous carcinomas and uterine adenomas/adenosarcomas in mice. CDHS developed a cancer unit risk for ethylene oxide based on data from the most sensitive sex, site and species, the female rat mononuclear cell leukemia data from Snellings et al. (1984). Methodology The data used to calculate cancer risk from the female rat mononuclear cell leukemia observed in the Bushy Run Research Center study (Snellings et al., 1984a) are given in Table 7 (US EPA, 1985). The table differs from Table 2 presented above. The denominators in Table 7.1 include only those animals whose tissues were examined, that were alive at the time the first leukemia was detected and were thus at risk for the tumor. There is an extra tumor in the 100 ppm group numerator because it was found in one of the rats removed for quality control at 18 months and was therefore excluded from Table 2. CDHS confirmed the EPA numbers by analysis of Table A-73 in the Appendices of the Bushy Run study (Snellings et al., 1981). Denominators obtained by approaches other than that used by the EPA do not differ significantly from their approach. Table 7: Incidence of mononuclear cell leukemia in female rats among survivors to first tumor (Adapted from US EPA, 1985 (Table 9-33, p. 9-150)). Ethylene oxide exposure (ppm) Number with leukemia/corrected number exposed Equivalent human lifetime dose (mg/kg/day) 0 22/186 (1-1.8%) 0 10 14/71 (19.7%) 0.28 33 24/72 (33.3%) 0.75 100 28/73 (38.4%) 2.11 Using the computer software Global 82 (Crump and Howe, 1982), a linearized multistage procedure was fit to the female leukemia dose-response data. Doses were first converted to human equivalents (Tyler and McKelvey, 1980; US EPA, 1985). The female rat leukemia data yielded a maximum likelihood estimate (MLE) for q 1 , (the linear or slope term, which relates the probability of cancer to the dose of carcinogen administered in the equation for the multistage procedure) of 0.20 (mg/kg-day) -1 . 303
An Upper 95% Confidence Limit (UCL) on q 1 of 0.29 (mg/kg/day) -1 was also obtained from the data. (The values for q presented here are the same values EPA obtained using the same data). Assuming that the percentage of ethylene oxide absorbed by inhalation is similar for rats and humans and using an average human body weight of 60 kg and an average air intake of 18 m 3 per day (California Department of Health Services 1985), a dose of 1 mg/kg/day ethylene oxide is equivalent to 3300 µg/m 3 . Applying those units, the MLE and 95% UCL for the cancer unit risk are 6.1 × 10 -5 and 8.8 × 10 -5 (µg/m 3 ) -1 , respectively. V. REFERENCES Crump K, Howe R 1982. GLOBAL82: A computer program to extrapolate quantal animal toxicity data to low dose. KS Crump and Company, Ruston, LA. Divine B and Amanollahi K. 1986. Ethylene oxide and cancer. JAMA 256:1726-1727. Dunkelberg H. 1982. Carcinogenicity of ethylene oxide and 1,2-propylene oxide upon intragastric administration to rats. Br J Cancer 46:924-933. Ehrenberg L and Hallstrom T. Haematologic studies on persons occupationally exposed to ethylene oxide. 1967. In: International Atomic Energy Agency Report SM 92/96, pp. 327-334. Garman R, Snellings W and Maronpot R. 1985. Brain tumors in F344 rats associated with chronic inhalation exposure to ethylene oxide. Neurotoxicology 6:117-137. Garman R, Snellings W and Maronpot R. 1986. Frequency, size and location of brain tumors in F-344 rats chronically exposed to ethylene oxide. Food Chem Toxicol 24:145-153. Hogstedt C, Malmvist N and Wadman B. 1979. Leukemia in workers exposed to ethylene oxide. JAMA 241:1132-1133. Hogstedt C, Rohlen 0, Berndtsson B, Axelson 0 and Ehrenberg L. 1979. A cohort study of mortality and cancer incidence in ethylene oxide production workers. Br J Ind Med 36:276-280. Hogstedt C, Aringer L and Gustavsson A. 1986. Epidemiologic support for ethylene oxide as a cancercausing agent. JAMA 255:1575-1578. International Agency for Research on Cancer (IARC). 1976. Ethylene Oxide. In: Cadmium, Nickel, Some Epoxides, Miscellaneous Industrial Chemicals and General Considerations of Volatile Anesthetics. IARC Monographs on the Evaluation of Carcinogenic Risk of Chemicals to Man. Vol. 11. IARC, Lyon, France, pp. 157-167. International Agency for Research on Cancer (IARC). 1976. Styrene, polystyrene and styrenebutadiene copolymers. In: Some Monomers, Plastics and Synthetic Elastomers, and Acrolein. Vol. 19. IARC, Lyon, France, pp. 231-283. 304
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Air Toxics Hot Spots Program Risk A
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Prepared by: John D. Budroe, Ph.D.
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This document is one of five docume
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TABLE OF CONTENTS PREFACE i INTRODU
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N-Nitrosodimethylamine 401 N-Nitros
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Hot Spots Unit Risk and Cancer Pote
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Additional ATES and PETS documents
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data. If several data sets (dose an
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US EPA Calculation of Carcinogenic
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exposure to a concentration of 1 µ
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incidences for each of the dose lev
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computes the surface area of a sphe
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Comparison of Hot Spots Cancer Unit
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Gold, L., de Veciana, M., Backman,
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Animal Studies Rats Woutersen et al
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ased on sufficient evidence of carc
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ACETAMIDE CAS No: 60-35-5 I. PHYSIC
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Methodology Expedited Proposition 6
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cancer mortality. However, US EPA (
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Table 2. Lung adenoma incidence in
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Table 3 (continued). Acrylamide-ind
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Robinson M, Bull RJ, Knutsen GL, Sh
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Also, a trend was observed correlat
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eported. Cause-specific expected de
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Bio/Dynamics Inc. conducted a study
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examination. Interim sacrifices wer
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Table 8. Tumor incidence in male an
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Gaffey WR and Strauss ME. 1981. A m
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(technical grade; 98% pure) by gava
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International Agency for Research o
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still alive in the low-dose control
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ANILINE CAS No: 62-53-3 I. PHYSICAL
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fibrosarcomas, stromal sarcomas, ca
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ARSENIC (INORGANIC) CAS No: 7440-38
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elationship between arsenic exposur
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al. (1988) did not induce lung tumo
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A risk assessment was also conducte
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Chen C, Chuang Y, You S, Lin T and
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Schrauzer G, White D, McGinness J,
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Table 1: Summary of epidemiologic s
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had at least one animal demonstrati
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mesothelioma, recommended lifetime
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National Institute for Occupational
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BENZENE CAS No: 71-43-2 I. PHYSICAL
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Animal Studies Available experiment
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Table 3: Summary of NTP bioassay re
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Table 4: Summary of benzene low-dos
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Maltoni C, Conti B and Cotti G. 198
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a benign tumor of the kidney. No ba
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al. (1968) found no tumors in lifet
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following relationship, where C(t 1
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Miakawa M. and Yoshida O. 1975. Pro
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human population and that BPDE-DNA
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demonstrated the tumor initiating a
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Table 4: Bronchoalveolar tumors fro
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Table 5: IARC groupings of PAHs, mi
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Table 6 (continued): IARC Group 3 P
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Potency Equivalency Factors (PEF) f
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This was rounded to a PEF of 0.1. 1
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experiment (Takayama et al., 1985)
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Deutsch-Wenzel RP, Brune H, Grimmer
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Krewski D, Thorslund T and Withey J
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U.S. Environmental Protection Agenc
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Sorahan et al. (1983) studied cance
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Lijinsky W. 1986. Chronic bioassay
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the drinking water (Schroeder and M
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Table II. Effective dose, upper-bou
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BIS(2-CHLOROETHYL)ETHER CAS No: 111
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IV. DERIVATION OF CANCER POTENCY Ba
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BIS(CHLOROMETHYL)ETHER CAS No: 542-
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Table 1. Bis(chloromethyl)ether-ind
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Drew RT, Laskin S, Kuschner M and N
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ates for the 1968 U.S. male populat
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Table 1: Incidence of primary tumor
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National Institute of Occupational
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was less than 0.05 when controlling
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up period. The final cohort include
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If the cadmium-exposed workers incl
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on personnel records (20%); (3) eva
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were exposed to a continuous (23.5
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procedure (NLIN), the parameters we
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International Agency for Research o
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Two reports were published on cance
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Mendel rats, respectively), and sub
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Eschenbrenner A and Miller E. 1946.
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III. CARCINOGENIC EFFECTS Human Stu
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cancers, were less than expected. T
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and no cases of cancer (although cl
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There was a statistically significa
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NTP (1982a) also conducted an carci
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Several pathologists have independe
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hepatocellular adenoma/carcinoma tu
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carcinogenic potency may decline in
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Cochrane W, Singh J and Miles W. 19
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North Atlantic Treaty Organization,
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CHLORINATED PARAFFINS (average chai
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ased on dose-response data for beni
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chloroform in drinking water with k
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Overall, the present epidemiologica
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female dogs received toothpaste bas
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Calculated q 1 * values from the ab
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Hogan MD, Chi Py, Hoel DG and Mitch
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Table 1. Study design summary for N
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V. REFERENCES California Environmen
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toluidine. Followup of this subcoho
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feeding studies on by NCI (1979) us
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CHROMIUM (HEXAVALENT) CAS No: 18540
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expected rate may be inflated becau
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Oral Borneff et al. (1968) exposed
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CREOSOTE (COAL TAR-DERIVED) CAS No:
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from an inhalation exposure study (
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Table 1. Study design summary for N
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Table 1. Experimental design for ca
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Hazardous Substance Data Bank (HSDB
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Table 1: Tumor induction in Fischer
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Table 1. Experimental design of 2,4
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Additional analysis of these data b
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Jackson RJ, Greene CJ, Thomas JT, M
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Table 1. Tumor incidence in rats ex
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Girard R, Tolot F, Martin P and Bou
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exposed more than 16 years before t
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interpretation of dose extrapolatio
Page 261 and 262: 1, 1-DICHLOROETHANE CAS No: 75-34-3
Page 263 and 264: Table 1b. Study design for carcinog
Page 265 and 266: National Cancer Institute (NCI) 197
Page 267 and 268: mice, hepatocellular carcinoma inci
Page 269 and 270: V. REFERENCES California Department
Page 271 and 272: DAB/day by gavage for the life of t
Page 273 and 274: 2,4-DINITROTOLUENE CAS No: 121-14-2
Page 275 and 276: Ellis et al.(1979) (also reported b
Page 277 and 278: Final Statement of Reasons for OAL,
Page 279 and 280: to the small sample size and short
Page 281 and 282: In an inhalation study, Torkelson e
Page 283 and 284: V. REFERENCES American Conference o
Page 285 and 286: EPICHLOROHYDRIN CAS No: 106-89-8 I.
Page 287 and 288: espiratory tumors were noted in the
Page 289 and 290: Table 4. Epichlorohydrin-induced fo
Page 291 and 292: Konishi Y, Kawabata A, Denda A, Ike
Page 293 and 294: exposed to arsenicals for 20 months
Page 295 and 296: espectively (all statistically sign
Page 297 and 298: ETHYLENE DICHLORIDE CAS No: 107-06-
Page 299 and 300: Several factors have been suggested
Page 301 and 302: U.S. Environmental Protection Agenc
Page 303 and 304: myelogenous leukemias (4 and 8 year
Page 305 and 306: statistically significant. CDHS not
Page 307 and 308: combined with the incidence in the
Page 309 and 310: incidence of primary brain tumors.
Page 311: Table 6 (continued): Organ/Sex Mali
Page 315 and 316: ETHYLENE THIOUREA (ETU) CAS No: 96-
Page 317 and 318: male and female rats. Tumor inciden
Page 319 and 320: FORMALDEHYDE CAS No: 50-00-0 I. PHY
Page 321 and 322: presented an extension of a previou
Page 323 and 324: Methodology In developing a spectru
Page 325 and 326: Casanova M, Morgan KT, Steinhagen W
Page 327 and 328: Tobe M, Kaneko T, Uchida Y, Kamata
Page 329 and 330: Table 1. Hexachlorobenzene-induced
Page 331 and 332: 50 pups (F 1 ) of each sex were ran
Page 333 and 334: Ertürk E, Lambrecht RW, Peters HA,
Page 335 and 336: Table 1. Liver hepatoma incidence i
Page 337 and 338: 1988). An airborne unit risk factor
Page 339 and 340: HYDRAZINE CAS No: 302-01-2 I. PHYSI
Page 341 and 342: Methodology Inhalation A linearized
Page 343 and 344: LEAD AND LEAD COMPOUNDS (INORGANIC)
Page 345 and 346: and other occupational carcinogens
Page 347 and 348: y inhalation is similar for rats an
Page 349 and 350: Goyer RA. 1992. Nephrotoxicity and
Page 351 and 352: LINDANE (g-Hexachlorocyclohexane) C
Page 353 and 354: Using these relationships, a human
Page 355 and 356: METHYL TERT-BUTYL ETHER (MTBE) CAS
Page 357 and 358: Tumor incidences according to the r
Page 359 and 360: kidney changes indicative of chroni
Page 361 and 362: Interspecies scaling for oral doses
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Table 4 (continued): Dose Response
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Experimental Pathology Laboratories
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Animal Studies Male and female HaM/
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Gold L, Sawyer C, Magaw R, Backman
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Using the statistical tests (one-ta
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Table 1: Methylene chloride-induced
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Significant treatment-related incre
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National Toxicology Program (NTP) 1
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noted; however, the study duration
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Crump KS, Howe RB, Van Landingham C
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Table 1. Michler’s ketone-induced
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NICKEL AND NICKEL COMPOUNDS CAS No:
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the high exposure group was 14.0. A
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male and 121 female rats, was expos
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2.1 - 2.6 × 10 -4 (µg/m 3 ) -1 .
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The increased incidence of bladder
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A linearized multistage procedure w
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N-NITROSO-N-METHYLETHYLAMINE CAS No
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propylamine in drinking water at 0.
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N-NITROSODIETHYLAMINE CAS No: 55-18
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Table 2. Treatment groups, concentr
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California Department of Health Ser
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animals and the second generation t
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ationale for selection of the OEHHA
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A unit risk value based upon air co
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N-NITROSODIPHENYLAMINE CAS No: 86-3
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Methodology Dosage estimates of NDP
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Crump KS, Howe RB. 1984. The multis
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Table 1. P-Nitrosodiphenylamine-ind
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N-NITROSOMORPHOLINE CAS No: 59-89-2
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N-NITROSOPIPERIDINE CAS No: 100-75-
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Table 3. N-Nitrosopiperidine-induce
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Crump KS, Howe RB, Van Landingham C
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testicular tumors were noted in the
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PARTICULATE MATTER FROM DIESEL-FUEL
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etired railroad workers who had had
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employment (χ 2 test for trend: p
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elevated smoking-adjusted risk esti
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Table 1 (continued): Reference Miln
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Table 1 (continued): Reference Damb
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Table 1 (continued): Reference Burn
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Table 1 (continued): Reference Raff
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Table 1 (continued): Epidemiologica
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Table 1 (continued): Epidemiologica
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Table 1 (continued): Reference Wegm
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Animal Studies Section 6.1 (Animal
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The variability, or heterogeneity,
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estimate for those studies for whic
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Figure 1: Estimates of Relative Ris
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q 1 * = Excess relative risk × CA
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Table 3: Number of Workers in the E
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u nexposed workers at zero concentr
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for each µg/m 3 of diesel exhaust
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Table 4: Values from Unit Risk for
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their findings that a reasonable es
Page 479 and 480:
Garshick E, Schenker M, Woskie S an
Page 481 and 482:
Lewis T, Green, FH MW, Burg J and L
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Rothman K. 1986. Modern epidemiolog
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PENTACHLOROPHENOL CAS No: 87-86-5 I
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The default lifespan for mice is 10
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documented. An excess risk from ski
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B6C3F 1 mice and F344/N rats were e
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This model, rather than a time depe
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POLYCHLORINATED BIPHENYLS (PCBs) CA
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several benign adenomatous lesions
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Ito et al. (1973) exposed groups of
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could not be characterized by chlor
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exposure (all pathways and mixtures
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National Toxicology Program 1993. T
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Table 1. Potassium bromate-induced
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1,3-PROPANE SULTONE CAS No: 1120-71
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Page 513 and 514:
PROPYLENE OXIDE CAS No: 75-56-9 I.
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oxide. In the NTP carcinogenicity s
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1,1,2,2-TETRACHLOROETHANE CAS No: 7
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assumed a body weight of 70 kg and
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total); an untreated control group
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TOLUENE DIISOCYANATE CAS No: 26471-
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Animal Studies The National Toxicol
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Mortillaro PT and Schiavon M. 1982.
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male or female rats. Increases in h
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TRICHLOROETHYLENE CAS No: 79-01-6 I
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A mortality analysis of a cohort of
Page 535 and 536:
elative to that of the controls whi
Page 537 and 538:
applied or metabolized. The range o
Page 539 and 540:
Katz RM and Jowett D. 1981. Female
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10,000 ppm 2,4,6-trichlorophenol in
Page 543 and 544:
Page 545 and 546:
Bionetics Research Laboratories. 19
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control; females: 6/10 exposed, 0/1
Page 549 and 550:
over controls (p < 0.04). Other tum
Page 551 and 552:
was increased (100/314 exposed vs.
Page 553 and 554:
Table 3. Cancer potency estimates f
Page 555 and 556:
Crouch E. 1983. Uncertainties in in
Page 557 and 558:
VINYL CHLORIDE CAS No: 75-01-4 I. P
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Table 1 (continued): A Summary of E
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al., 1983). Histopathology of all o
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Table 3: Tumor incidences in 100 pp
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experiment, animals were exposed to
Page 567 and 568:
Experiment BT1 Most previous risk a
Page 569 and 570:
No statistical analyses of mortalit
Page 571 and 572:
Table 11 gives unit risk estimates
Page 573 and 574:
Bertazzi PA, Villa A, Foa V, Saia B
Page 575 and 576:
Nicholson WJ, Hammond EC, Seidman H
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immunotoxicity, reproductive toxici
Page 579 and 580:
scheme. TEFs for two major noncance
Page 581 and 582:
NATO/CCMS (1988a) Pilot Study on In
Page 583 and 584:
Table 2 Toxicity Equivalency Factor
Page 585 and 586:
Table 4 A Comparison of CTEF- and I
Page 587 and 588:
Office of Environmental Health Haza
Page 589 and 590:
Group 4: The agent is probably not
Page 591 and 592:
TECHNICAL SUPPORT DOCUMENT FOR DESC
Page 593 and 594:
US EPA IRIS Inhalation Unit Risk an
Page 595 and 596:
TECHNICAL SUPPORT DOCUMENT FOR DESC
Page 597 and 598:
as appropriate, and revise IRIS fil
Page 599 and 600:
Chemical Exposure Route Study Type
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Page 603 and 604:
Page 605 and 606:
Methyl tert-butyl ether p. 5: Added
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