13.07.2015 Views

a database of the National Library of M

a database of the National Library of M

a database of the National Library of M

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

exposure circumstance entails exposures that arecarcinogenic to humans. This category is used when<strong>the</strong>re is sufficient evidence <strong>of</strong> carcinogenicity inhumans. Exceptionally, an agent (mixture) may beplaced in this category when evidence <strong>of</strong>carcinogenicity in humans is less than sufficientbut <strong>the</strong>re is sufficient evidence <strong>of</strong> carcinogenicityin experimental animals and strong evidence inexposed humans that <strong>the</strong> agent (mixture) acts througha relevant mechanism <strong>of</strong> carcinogenicity.0.2.21.2 HUMAN OVERVIEWA) Vinyl chloride is a HUMAN CARCINOGEN inducing hepaticangiosarcoma, a rare form <strong>of</strong> liver cancer. Cancers <strong>of</strong><strong>the</strong> brain, lungs, blood and digestive systems, andmelanoma have also been associated with vinyl chloridemonomer (VCM) exposure.0.2.21.3 ANIMAL OVERVIEWA) Vinyl chloride has produced gastrointestinal, liver(including angiosarcoma), and kidney tumors and skinand appendage tumors in rats; respiratory system,liver, vascular and/or skin/appendage tumors in mice;and lymphomas and skin/appendage tumors in hamsters.0.2.22 GENOTOXICITYA) Chromosomal aberrations have been found in workersexposed to vinyl chloride. It has induced DNA damage,unscheduled DNA syn<strong>the</strong>sis, DNA inhibition, mutations,chromosome aberrations, sister chromatid exchanges,micronuclei, and oncogenic transformation in a variety<strong>of</strong> in vivo and in vitro assays.B) A specific ras mutation was found to be linked withoccupational vinyl chloride exposure.LABORATORY:A) No toxic serum or blood level has been established.TREATMENT OVERVIEW:0.4.3 INHALATION EXPOSUREA) Monitor for CNS and respiratory depression after acuteexposure.B) VCM and PVC dust may cause various respiratoryabnormalities and respiratory cancers. Workers exposedto dust should have periodic chest x-rays.C) There is no specific test to detect VCM hepatictoxicity. Periodic monitoring <strong>of</strong> liver function tests inexposed workers is recommended, although <strong>the</strong>re isdisagreement about its utility.0.4.4 EYE EXPOSUREA) DECONTAMINATION: Irrigate exposed eyes with copiousamounts <strong>of</strong> room temperature water for at least 15minutes. If irritation, pain, swelling, lacrimation, orphotophobia persist, <strong>the</strong> patient should be seen in ahealth care facility.0.4.5 DERMAL EXPOSUREA) OVERVIEW1) DECONTAMINATION: Remove contaminated clothing and washexposed area thoroughly with soap and water. Aphysician may need to examine <strong>the</strong> area if irritation orpain persists.RANGE OF TOXICITY:

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!