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eported. Cause-specific expected deaths were calculated based on both U.S. age and calendar<br />

specific white male mortality and mortality rates for other rubber workers from the same city; however,<br />

most results reported in this study used expected deaths calculated using U.S. white male mortality<br />

rates. An excess risk of lung cancer mortality was observed when either U.S. mortality rates (9<br />

observed, 5.9 expected) or Akron rubber industry mortality rates (9 observed, 4.7 expected) were<br />

used to calculate expected lung cancer deaths. Workers employed for 5-15 years and followed for at<br />

least 15 years demonstrated a significantly increased risk of lung cancer (4 observed, 0.8 expected, p <<br />

0.01). Cohort members could potentially have been exposed to other chemicals used in the same area<br />

(butadiene, styrene, vinyl pyridine). Also, smoking controls were not included. However, US EPA<br />

(1983) commented that the possibility that the excess risk of lung cancer demonstrated in this study was<br />

due to acrylonitrile exposure could not be dismissed.<br />

Chen et al. (1987) examined cancer incidence and mortality in a cohort of 1083 male employees at a<br />

E.I. du Pont de Nemours and Co., Inc. textile plant in Waynesboro, VA who were potentially exposed<br />

to acrylonitrile in the period 1944-1970. Worker exposure levels were assessed by an Exposure<br />

Classification Committee consisting of seven DuPont employees with long-term experience in the<br />

acrylonitrile exposure area; plant environmental monitoring data was not available for the 1944-1970<br />

period. High, moderate and low exposure categories were established. Expected numbers of deaths<br />

were calculated from both U.S. and DuPont mortality rates; however, the authors only listed the results<br />

of cancer incidence and mortality calculations using the DuPont “control” data set as the source of the<br />

expected numbers of cancer cases and mortality. No significant increase in incidence was noted for<br />

either all types of cancer (37 observed, 36.5 expected) or lung cancer (5 observed, 6.9 expected).<br />

However, a significant increase in the incidence of prostate cancer (5 observed, 1.9 expected) was<br />

noted; of these, 4 occurred in the 1975-1983 period (0.9 expected).<br />

US EPA (1983) also reviewed several unpublished studies of cancer mortality and/or morbidity<br />

potentially caused by acrylonitrile (Kiesselbach et al., 1980; Zack, 1980; Gaffey and Strauss, 1981;<br />

Herman, 1981; Stallard, 1982). These studies indicated no cancer increase in workers potentially<br />

exposed to acrylonitrile. However, US EPA concluded that due to design and methodological<br />

deficiencies including short followup, small cohort size and young cohort age, “none of these studies can<br />

be cited as adequate evidence that acrylonitrile is not carcinogenic”.<br />

Animal Studies<br />

Maltoni et al. (1977) (reviewed by US EPA, 1983) exposed male and female Sprague-Dawley rats<br />

(30/sex/exposure group) to 0, 5, 10, 20 or 40 ppm acrylonitrile by inhalation for 4 hours/day, 5<br />

days/week for 12 months. The animals were then maintained for the remainder of their lifetime. Slight<br />

increases in the incidence of the following tumor types were noted: mammary gland tumors in males and<br />

females, nonglandular forestomach tumors in males and skin tumors in females. Tumor incidence data<br />

are listed in Table 1.<br />

42

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