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The user of any TEF scheme should not consider such a methodology as definitively precise analysis for<br />

PCDD/PCDF related adverse health effects. A TEF scheme is an instrument that is useful for estimating<br />

health risks but it contains uncertainties shared by all risk assessment methodologies. Furthermore, as<br />

research results become available, changes in our understanding of the basis of PCDD/PCDF related<br />

health effects may result in changes to the TEF scheme (see e.g. US EPA, 1989; Maronpot et al.,<br />

1993; DeVito and Birnbaum, 1995).<br />

References<br />

CAPCOA (1993) Air Toxics "Hot Spots" Program, Revised 1992 Risk Assessment Guidelines.<br />

(Prepared by the Toxics Committee of the California Air Pollution Control Officers Association in<br />

consultation with the Office of Environmental Health Hazard Assessment and the Air Resources Board,<br />

October 1993<br />

CDHS (1986) Technical Support Document. Report on Chlorinated Dioxins and Dibenzofurans. Part<br />

B. Health Effects of Chlorinated Dioxins and Dibenzofurans. (California Department of Health<br />

Services, Berkeley, CA, February 1986).<br />

Couture, LA, Elwell, MR, and Birnbaum, LS (1988) Dioxin-like Effects Observed in Male Rats<br />

following Exposure to Octachlorodibenzo-p-Dioxin (OCDD) during a 13-Week Study. Toxicol. Appl.<br />

Pharmacol., 93:31-46.<br />

DeVito, MJ and Birnbaum, LS (1995) The Importance of Pharmacokinetics in Determining the<br />

Relative Potency of 2,3,7,8,-Tetrachlorodibenzo-p-dioxin and 2,3,7,8,-Tetrachlorodimenzofuran.<br />

Fundam. Appl. Toxicol. 24:145-148.<br />

DTSC (1992) A Toxicity Equivalency Factor Procedure for Estimating 2,3,7,8-Tetrachlorodibenzop-dioxin<br />

Equivalents in Mixtures of Polychlorinated Dibenzo-p-dioxins and Polychlorinated<br />

Dibenzofurans. In: Supplemental Guidance for Human Health Multimedia Risk Assessments of<br />

Hazardous Waste Sites and Permitted Facilities. (California Department of Toxic Substances Control,<br />

Interim Final, Chapter 9, Sacramento, CA, July 1992).<br />

Harnly, M, Stephens, R, McLaughlin, C, Marcotte, J, Petreas, M, and Goldman, L (1995)<br />

Polychlorinated Dibenzo-p-dioxin and Dibenzofuran Contamination at Metal Recovery Facilities, Open<br />

Burn Sites, and a Railroad Car Incineration Facility. Environ. Sci. Technol. 29:677-684.<br />

Maronpot, RR, Foley, JF, Takahashi, K, Goldsworthy, T, Clark, G, Tritscher, Portier, C, and Lucier,<br />

G (1993) Dose Response for TCDD Promotion of Hepatocarcinogenesis is Rats Initiated with DEN:<br />

Histologic, Biochemical, and Cell Proliferation Endpoints. Environ. Health Perspect. 101:634-642.<br />

571

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