Environment and Breast Cancer: Science Review
Major use
We assigned each chemical into one of the following groups based on its major
sources and uses: industrial chemicals, chlorinated solvents, products of combustion,
pesticides, dyes, radiation and drinking water disinfection, pharmaceuticals, hormones, natural
products, and research chemicals.
Industrial chemical
Found in consumer products
"Likely" indicates that the chemical is contained in consumer
products or traces of the chemical are present in products, including food and water, resulting
in likely exposure for the general population. For some chemicals marked as "likely," consumer
product uses have been discontinued, and this will be indicated in the "Use in Consumer
Products" field.
Likely
Food additive in US
Chemicals are classified as "Listed" or "Not listed" in the Everything
Added to Food in the United States database developed by the US Food and Drug
Administration.(22)
Not listed
California Proposition 65
Chemicals are labeled "Listed" or "Not listed" based on the Proposition 65 list of chemicals updated on May 27, 2005. Listed chemicals are "chemicals known by the State of
California to cause cancer or reproductive toxicity"(19).
Listed
Air pollutant
Chemicals classified as "Likely" air pollutants are those likely to be found in
indoor or outdoor air, including products of combustion and industrial chemicals that may offgas
from consumer products, leading to human exposure.
Not likely
Current High Production Volume chemical
Chemicals are classified "Yes" or "No," based on
2002 production volume information submitted to the US EPA: "Yes" for >1 million pounds
produced; "No" for < 1 million pounds produced. Some past production volumes are
referenced, where appropriate, in the HPV comment column (20). In addition, Scorecard.org is
referenced and noted in the HPV comment column when it was inconsistent with current
production volume information obtained from US EPA (21).
Yes
Production volume information
Production volume information is from the US EPA database
on non-confidential production volume information submitted by companies for chemicals
under the 1986-2002 Inventory Update Rule (IUR) using the most updated (2002) values (20).
The Inventory Update Rule requires the submission of basic production data every four years
on chemical substances manufactured (including imported) for commercial purposes in
amounts of 25,000 pounds or more at a single site. Out of over 80,000 chemicals on the TSCA
Chemical Substances Inventory, reports are required for approximately 9,000 substances. For
those substances with annual volumes of 300,000 lbs or more per site, reporters also submit
chemical processing and use information.
> 1 billion
General population exposure
This field includes information describing pathways of exposure
for the general population obtained from a variety of sources including: IARC Monographs (9),
NTP 11th ROC on Carcinogens (4), NTP Study Reports and Abstracts (3), Hazardous Substance
Database (10), and other sources located through use of the Google search engine.
The general population may have some exposure to vinyl chloride, particularly through direct or indirect contact with polymer products (IARC 1979 vol.: 19 p.377). Potentially exposed to vinyl chloride through inhalation of contaminated air, ingestion of contaminated drinking water and foods, or dermal contact with consumer products. However, the exposure levels for the majority of the population are very low (11th ROC).
Use in consumer products
Summaries of chemical use in consumer products were developed
from information found in US EPA SRD (11), NLM HPD (12), and Scorecard (12). Major uses
were taken from IARC Monographs (9), NTP 11th ROC (4), NTP Study Reports (3), HSDB (10),
and PAN Pesticides Database (13). If a chemical could not be found in these sources, we
searched ToxNet (14), PubChem (15), and The Merck Index (16), and conducted searches by both
name and CAS No. using Google.
No consumer products listed in SRD, HPD, or Scorecard. Used almost exclusively by the plastics industry to produce polyvinyl chloride (PVC) and copolymers. PVC is a plastic resin used in many consumer and industrial products, including automotive parts and accessories, furniture, medical supplies, containers, wrapping film, battery cell separators, electrical insulation, water distribution systems, flooring, windows, videodiscs, irrigation systems, and credit cards. Previously was used as a refrigerant, as an extraction solvent, and in aerosol propellants, including hairsprays, but these uses were banned in 1974 (11th ROC).
Occupational exposure to women
We extracted the total number of potentially exposed workers and the
number of potentially exposed female workers from the National Occupational Exposure
Survey (NOES) 1981-1983; we listed specific industry classifications if >5,000 women were
potentially exposed in that industry. Note: NOES does not include farm workers.
NOES 1981-1983-Total exposed: 81,314 Females exposed: 28,398 Occupational fields: janitors and cleaners, hand packers and packagers. Exposure involves workers in the production, polymerization and processing industries (IARC 1979 vol.: 19 p.377). Occupational exposure occurs through inhalation or dermal contact during production or use of vinyl chloride (11th ROC).
US EPA cancer classification
The US EPA Weight of Evidence Characterization of the
chemical’s carcinogenic potential is listed: Group A: Carcinogenic to humans; Group B:
Probably carcinogenic to humans. Group C: Possibly carcinogenic to humans. Group D: Not
classifiable as to human carcinogenicity. Group E: Evidence of non-carcinogenicity for
humans. NA: Not evaluated by US EPA (17).
A: Carcinogenic to Humans
US EPA Weight of Evidence narrative
US EPA narrative statement of overall weight of
evidence for carcinogenicity (animal, human, and other supportive data).
Under the Proposed Guidelines for Carcinogen Risk Assessment (U.S. EPA, 1996), it is concluded that VC is a known human carcinogen by the inhalation route of exposure, based on human epidemiological data, and by analogy the oral route because of positive animal bioassay data as well as pharmacokinetic data allowing dose extrapolation across routes. VC is also considered highly likely to be carcinogenic by the dermal route because it is well absorbed and acts systemically.
US EPA slope factor basis
Lists target organs used for estimating carcinogenic potency of the
chemical (17).
Oral: Total of liver angiosarcoma, hepatocellular carcinoma, and neoplastic nodules-female rat; Inhalation: Liver angiosarcomas, angiomas, hepatomas, and neoplastic nodules-female rat
NIOSH Pocket Guide - potential carcinogen?
This field indicates whether NIOSH identifies the chemical as a potential
carcinogen for workers (yes/no) (24).
yes
OSHA-Is medical surveillance required?
This field indicates whether medical surveillance is
required for exposed workers and whether required surveillance includes breast exams or
mammography (25).
yes, but no mammography
Other governmental risk assessment documents
For 11
chemicals that are of particular interest because of recent regulatory attention, we identified and
summarized risk assessment materials developed by a wide range of agencies and groups. We
specifically searched for documents by the following organizations: California EPA Office of
Health Hazard Assessment, Health Canada, IARC, International Program on Chemical Safety
(IPCS), World Health Organization, RIVM (Dutch chemical standards agency), Toxicology
Excellence for Risk Assessment ITER database and Peer Consultation documents, and by
searching PubMed, ToxLine, the National Library of Medicine, and Google for documents
related to “risk assessment” and the CAS No. or chemical name.
see California EPA hot spots TSD for mamm tumors - mamm tumors at lower doses than other sites