Document 6wEEMry3qO8VkG31bGdENq1Rd

Brain Tumors In Chemical Workers Presentation before Johns Hopkins' Sixth Annual Symposium on Olagnosis and Treatment of Neoplastic Disorders April 10, 1980 Victor Alexander, M.Q., M,S.P.H. Medical Officer Occupational Safety and Health Administration U.S. Department of Labor AP00020233 Experimental Brain Carcinogens 2- Acetylamlnofluorene Acrylonitrile 1-Aryl-3,3-Oialkyltrlazenes Azoethane (prenatal) Azoxyethane (prenatal) ` Azoxymethant Butylnltrosourea Cycasln l,2-01ethylhydrazine Oiethylnltrosamine (prenatal) Diethyl Sulfate (prenatal) Dimethyl Sulfate (prenatal) Elalomycln Ethyl methanesulphonate Ethylnitrosobiuret (prenatal) Ethylnltrosourea (prenatal) 1-Methyl-2-Benzyl-Hydrazine (prenatal) Methyl methanesulphonate Methylnitrosourea (prenatal) Methylnitrosourethane (Intraplacental) Procarbazine (prenatal) Propane Sultone Propylene Jmlne Pyrrollzidine Alkaloids Vinyl Chloride -I- (Vasque2, 1945) (Maltonl et al., 1977) (Druckrey, 1973) (Zulch and Mennel, 1973) (Zulch and Mennel, 1973) (Qruckrey, 1973) (Taklzawa and Nishlhara, 1971) (Hlrono et al1968) (Druckrey, 1973) (Druckrey, 1973) (Druckrey et al., 1970) (Druckrey et al., 1970) (Schoental, 1969) (Swann and Magee, 1969) (Zulch and Mennel, 1973) (Ivankovic, 1973) (Druckrey, 1973) (Magee, 1973} (Alexandrov, 1969) (Napalkov, 1973) (Ivankovic, 1973) (U1land et al., 1971) (Ulland et al., 1971) . (Schoental and Cavanagh, 1972) (Maltonl, 1976) AP00020234 Epidemiological Studies: Clues to Human 8ra1n Cancer etiology Aluminum Workers Anti-Convulsant use Autoworkers-Pattern Makers Farm/Rural Residents Geographic Clustering-^ Kentucky) (Rhone Valley) Halomethanes in Drinking Water Lead Smelter Workers Machinists Petrochemical Workers Rubber Workers Toxoplasmosis Vinyl Chloride Workers (Milham, 1976) (Clauiresen, 1974) (Robinson et al., 1980) (Choi et al., 1970) (8rooks, 1972) (TrouilUs et al., 1975) (Cantor et al., 1978) (Cooper, 1976) (DeCoufle, 1978) {Thomas et al., 1980) (Mancuso et al., 1963) (Schuman et al., 1967) (Tabershaw and Gaffey, 1974) -2- AP00020235 9ZOZOOOdV -t C9Z6T "l* J3U9MXfn uiD^i siq?i.] mjp v0:icrijauj^|OJ 3,\ ui fo^joA *.uw r^v. twer uohovuok 'IOK woipi/UMUXlod vi pet) e>i)Yi v**i>5 ypno.vuo.s; t yiwp pvi: tuJtu\f>;diu3 |ci|iu) U?ojaii [e.oaiu; :u4tuui mpiipn-uopj ; yirap pin (^/\> p;jo|i)? i<ut \ o) ^yiiioi/.r,' irniui uMuikj |rAju| iu^iumu uc^e; xpms . 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O.VOftv 1S9*!V>--I 1*V1 Table 4 Observed and Expected Deaths Anong Deceased National Pattern Makers' League Members by Predominant Work Detween 1940-1960** Cause 8th Revision! I CPA | Predominantly Wood Obs. Exp. PMR Predominantly Metal Obs. Exp. PMR All malignant neoplasms Oigestive System Esophagus Stomach Co Ion Rectum Gall Bladder Other Digestive System Nose. Nasal Sinuses lung Skin Urinary Bladder Kidney Lymphatic and Hematopoietic System Hodgkin's Disease Other Lymphomas Multiple Myeloma Leukemia Other Lymphatic and Hematopoietic Other Malignant Neoplasms Brain Tumors, Both Malignant and Unspecified Diseases of Circulatory System Diseases of Respiratory System All Accidents and Violence All Other Causes (140-209) (150-159) (150) (151) (153) (154) (156) (152,155,157-159) (160) 062) (171-172) (168) ` 069) (200-209) (201) (200-202) (203) (204-207) 205 63 4 5 30 9 2 13 0 48 S 11 5 24 0 7 3 14 180.9 49.5 4.0 0.1 18.4 5.3 1.5 12.2 0.3 56.3 2.S 7.3 3.9 16.1 0.9 4.7 2.5 7.0 113 127 100 62 163 170 133 107 0 85 200 151 128 149 0 149 120 200* (208-209) 0 0.9 0 49 45.0 109 (191-192,238) (390-158) (460-519) (800-999) (7) 520 # A V4 33 86 (.0) 524.2 . 71.6 38.3 91.0 175 99 87 86 95 73 71.7 25 19.3 1 1.6 4 3.1 13 7.1 1 2.0 3 . 0.5 3 4.9 0 0.1 23 23.2 0 1.0 3 2.7 3 1.6 7 6.4 0 0.4 2 1.9 1 1.0 1 2.7 102 130 62 129 163 50 500 61 0 99 0 111 168 109 0 10S 100 37 3 0.3 1000 12 17.4 69 (5) 201 27 10 `35 (1-7) 194.8 26.4 17.4 35.7 294 103 102 57 98 All Causes T5 T5S TOtf 3T& 346 "TO * p*0.05 ** 5 members could not be classified [Table from Robinson et al., 1980] VO t o Ooo <o. TlMt 5, -- WwUWy ter Selected Cmcoi Silts hi Ion 0CAW Mmteri by Rki and Mvstrbl Ceteyary. Ml (> Mmlw. ICD| M Cr1fms * (| pmh Oto^twe erqftns ( pett f1 >S9l tospvjto, jyskn |tftO-tft3| 1731 C*tMewnwf wm (IBSIASI IHm ft (Mhd n*rves lyt' |CM|I9I. uti tywpthiec IlMumum mvx (TOO 7091 MO 1M 19 47 31 S3 til 3 i at >'jo a tt Its ret *0 7 713 14(1 Ml 1 H 0 9 71 1 3 7 4 WMI4 Mht - tednftW Cafer t nra < PM II 9 tS3 0 w 111 93 1 ?4| 9 IS 6 1 1>l W7t 1 31| III in -- 14 7 1 941 3 4 ft _ 77 7 103 ft 77 _ 14 7 4 SS 77 44 M3 1 71 *0 = (NitHWt# #M** ff -- iftcito emm based tn pmpwimute wrta*u to US *j |S.lrtmlr siomteaUt toeODMrrtl -to* c*cte*cd J ( PMft 131 0 17 ft 1 07 14 -- IS 1 34 77 _ 71 13 S 9 0 4 7 4 c PM 70 77 3 1 Oft 06 -- 71 -- 17 _ 30 - niMl * urci*fKtts o i pew vM^VOry ? c PM 34 77 ft 1 73 30 ?i ; 1 3ft 749 140: 77 19 b 1 3* 7 S 7 4 7 3 M ft ftft 0 91 1 14 - 19 - 7 ft J 1 II 4 4 ft ft 04 Tftbte 9. - Mort*f tor Selected Cancer Sites to WMe Mete OCAW Mimbm topum al Pbt A by leftftb ftl IMw MwwbmMft. Site ffttb fltWilM. cot Stamxh pM) 9>4m ft central rmveus system (lit. 1971 < it ram < ^ lftt| * E| tmn 3 14 Oft- iMeth U WemftwiM WII IMl (ft 177) 1 PM t 77 S IS 3J7t 0 s Observed deaths fE = Erpctled OemM basedd* moyert--*e nartoM) to VI5 wWe metes JSliMhtjAy bgndicjnt * Ifm 0.06 (met -Nl CMCBtotvd 7ft leers 0 S I37| 0 E PMft s is 3 re: 4 l.l [Tables fro* Thomas et al., 1980] i AP00020240 Texas Petrochemical Plant PMR Mortality Study Causes of Death: 08/27/49 - 01/01/79 No. Per cent Cancer -[All Types) ni 24,0 Oral Cancer 1 0.9 Digestive 34 30.6 Respiratory 27 24.3 Genital $ 5.4 Urinary 5.4 Bone, Skin Breast 5 4.5 Lymphatic 13 11.7 Neoplasms Brain JQ 9.0 Hlsc. & Unspecified 9 3.0 1975 Texas 2.39 25.7 26.69 11.6 3.99 10.26 9.9 2.16 9.9 Cardiac Respiratory Digestive Liver Gen1to-Urinary Trauma Cerebro-fascular Miscellaneous Unknown 180 39.5 lo 21.9 5 1.09 . 9 1.9 6 1.3 64 14.0 27 5.9 8 1.7 ) 35 7.69 J 455 1975 Galveston Count 20.4 (City) 3.9 ' 26.5 25.2 10.2 4.59 6. S3 12.73 2.62 1975 Galveston City 36.6 2.5 1.4 2.2 1.7 8.8 13.0 -8 - AP00020241 Brain Cancer Bibliography Alexandrov* V.A. (1969) [Transplacental Blastomogenic Action of N-Nitroso Methylurea on Rat Offspring] Vop. Onkoh 15, 55-61. 8rooks W.H. (1972) Geographic Clustering of 3rain Tumors in Kentucky, Cancer, 30, 923-926. Syren, D., Engholm, G., Englund, A. and Westerholm, P. (1976) Mortality and Cancer Morbidity in a Group of Swedish VCM and PVC Production Workers, Environ. Hlth. Persp., 1, 167-170, Cantor, K.P., Hoover, R., Mason, T.J. and McCabe, L.J. (1978} Associations of Cancer Mortality With Halomethanes in Orinking Water, J. Natl. Cancer Inst., 61, 979-985. Choi, N>W. Schuman, L.M. and Sullen, W.H. (1970) Epidemiology of Primary Central Nervous System Neoplasms* Amer. J. Epi., 91, 238-259. Clemmesen, J. (1974) Are Anticonvulsants Oncogenic?, Lancet, j[ 705-707. Clemmesen, J. and Hjalgrim-Oensen, S. (1977) On the Absence of Carcino genicity to Man of Phenobarbital, Acta Path. Micro. Scan. (Suppl.), 261, 38-50. Cooper, W.C, (1976) Cancer Mortality Patterns in the Lead Industry, Ann. N.Y. Acad. Sci., 271, 250-259. . Creagan, E.T. and Fraumenl, J.F. (1973) Deaths from Brain Tumors In Eastern Kentucky, 1950-69, 0. Natl. Cancer Inst., 51, 1717-1718. DeCoufie, P. (1978) Further Analysis of Cancer Mortality Patterns Among Workers Exposed to Cutting Oil Mists, J. Natl. Cancer Inst., 61^ 1025-1030. Oruckrey, H. (1973) Specific Carcinogenic and Teratogenic Effects of 'Indirect1 Alkylating Methyl and Ethyl Compounds, and their Dependency on Stages of Ontogenlc Developments, Xenobiotica, 2* 271-303. Oruckrey, H., Kruse, H., Preussmann, R., Ivankovic, S. and Landschutr, C. (1970) Cancerogene alkyllerende Substanzen m. Alkyl-halogen1de,-sulfate,sulfonate und ringgespannte Heterocyclen, Z. Krebsforsch., 74, 241. Fan, K.J., Kovl, J. and Earle, K.M. (1977) The Ethnic Distribution of Primary Central Nervous System Tumors: AFiP, 1958 to 1970, J. Neuropath. Exp. Neurol., 36, 41-49. Gold, E., Gordis, L., Tonascia, J. and Szklo, M. (1978) Increased Risk of 3rain Tumors in Children Exposed to Barbiturates, J. Natl. Cancer Inst., 61. 1031-1034. -9- AP00020242 Hirono, I., laqueur, Q.l. and Spatz, M. (1968) Tumor Induction in Fischer and Osborne-Mendel Rats by a Single Administraton of Cycasin, J. Natl. Cancer Inst., 40, 1003-1010. IARC (1974) IARC Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man. 4, Some Aromatic Amines. Hydrazine "and fteUtec Substances. N-Nitroso compounds and Miscellaneous AJkviatina Aaents. Lyon, pp'. 571-561.------------ ------------ ------------------------------ ---------- ------- IARC (1979) IARC Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Humans. 19. Some Monomers. Plastics and Synthetic Elasto mers. and Acrolein. Lyon, pp. /3-U5. ' Infante. P.F. (1976) Oncogenic and Mutagenic Risks in Communities with Polyvinyl Chloride Production Facilities, Ann. N.Y. Acad. Sci., 271. 49-57. Ivankovic, S. (1973) Experimental Prenatal Carcinogenesis, in Transplacental Carcinogenesis, Tomatis, L. Mohr, U. and Davis, W., eds., IARC," Lyon, pp. 92-99. Koestner, A., Swenberg, O.A. and VJechsler, W. (1972) Experimental Tumors of the Nervous System Induced by Resorptive N-Nitrosourea Compounds, Progr. Exp. Tumor Res. (Karger, Basel), ^17, 9-30. Lawley, P.D. (1976) Carcinogenesis by Alkylating Agents, i-n Chemical Carcinogens. Searle, C.E., ed., ACS Monograph i/3, Washington, pp. &3-245. Magee, P.N. (1973) Mechanisms of Transplacental Carcinogenesis by Nitroso Compounds, in Transplacental Carcinogenesis. Tomatis, L., Mohr, U. and Davis, W., eds., IARC, Lyon, pp." 143-i48^ Magee, P.N., Montesano, R. and Preussmann, R. (1976) N-Nitroso Compounds and Related Carcinogens, in Chemical Carcinogens, Searle, C.E., ed., ACS Monograph 173, Washington, pp. 491-6267 -- Maltoni, c. (1976) Predictive Value of Carcinogenesis Bioassays, Ann. N.Y. Acad. Sci., 271, 431-443. Maltoni, C., Ciliberti, A. and DiHaio, V. (1977) Carcinogenicity Bioassays on Rats of Acrylonitrile Administered by Inhalation and by Ingestion. Med. Lav., 68, 401-411. Mancuso, T.F., Ciocco, A. and El-Attar, A.A. (1968) An Epidemiological Approach to the Rubber Industry, 0. Occup. Med., 10, 213-232. McMichael, A.3., Spirtas, R. and Kupper* l.L. (1974) An Epidemiologic Study of Mortality Within a Cohort of Rubber Workers, 1964-72, 0. Occup. Med., 16, 458-464. - 10 - APO6626243 Mllham, $. (1976) Cancer Mortality Patterns Associated with Exposure to Metals, Ann, N.Y. Acad, Sci., 271, 2*3-249. Monson, R.R. and Fine, 1.0. (1978) Cancer Mortality and Morbidity Among Rubber Workers, J. Natl. Cancer Inst., 61, 1047-1053. Monson, R.R. and Peters, J.M. (1974) Proportional Mortality Among Vinyl- Chloride Workers, Lancet, 397-398, Napalkov, N.P, (1973) Some fieneral Considerations on the Problem of Transpla cental Carcinogenesis, in Transplacental Carcinooenesis. Tomatis, l., Mohr, u. and Oavis, w., eds., IAf(C,~~iyon, pp.l-13. Percy, A.K., Elveback, L.R., Okazaki, H. and Kurland, L.T. (1972) Neoplasms of the Central Nervous System, Neurology* 22,, 40-48. Robinson, C.F., Waxwetler, R.J. and McCammon, C.S. (1980) Proportionate Mortality Study of Members of the Pattern Makers' League of North America, National Institute for Occupational Safety and Health, U.S. Dept. H.E.W., Cincinnati, Ohio (unpublished). Schoental, R. (1969) Carcinogenic Action of Elaiomycin In Rats, Nature, 221, -765-766. Schoental, R. and Cavanagh, J.8. (1972) Brain and Spinal Cord Tumors in Rats Treated with Pyrroli2ldine Alkaloids, 0, Natl. CancerTnstr; 49, 655-671. Schuman, L.M., Choi, N.W. and Sullen, W.H. (1967) Relationship of Central Nervous System Neoplasms to Toxoplasma Gondii Infection, Amer. J. Pub. Hlth., 57, 848-856. Swann, P.F. and Magee, p.N. (1969) Induction of Rat Kidney Tumours by Ethyl Methanesulphonate and Nervous Tissue Tumours by Methyl Methanesulphonate and Ethyl Methanesulphonate, Nature, 223. 947-949. Swenberg, J.A. (1977) Chemical and Virus-Induced Brain Tumors, Natl. Cancer Inst. Monogr., 46, 3-10. Tabershaw, I.R. and Gaffey, W.R. (1974) Mortality Study of Workers in the Manufacture of Vinyl Chloride and Its Polymers, 4. Occup. Med., 16, 509-5X8. Tafclzawa, S. and Nishihara, H. (1971) Induction of Tumors in the Brain, Kidney, and Other Extra-Mammary Gland Organs 8y a Continuous Oral Admini stration of N-Nltrosobutylurea in Wistar/Furth Rats, Gann, 62, 495-503, Thomas, T.L., OeCoufle, P. and Moure-Eraso, R. (1980) Mortality Among Workers Employed in Petroleum Refining and Petrochemical Plants, J. Occup. Med., 22, 97-103. - 11 - AP00020244 Trouillas, P., Menaud, 6., OeThe, G., Atmard, G. and Oevic, M, (1975) Etude Epidemiclogique Oes Tumeurs Primitives Ou Nevraxe Dans La Region Rhone-Alpes, Rev. Neurol. (Paris), 131. 691-708. Ill land, 8., Finkelstein, M., Meisburger, E.K., Rice, J.M. and Weisburger, J.H. (1971) Carcinogenicity of Industrial Chemicals Propylene Imine and Propane Sultone, Nature, 230. 460-461. Vasquez, L. (1945) Gliomas in a Rat Fed with 2-Acetyl-Aminofluorene. Nature, 156, 296-297. Waxwefler, R.J., Stringer, W., Wagoner, J.K. and Jones, J. (1976) Neoplas tic Risk Among Workers Exposed to Vinyl Chloride, Ann. N.V. Acad. Set., 271, 40-48. Zimmerman, H.M. (1969) Brain Tumors: Their Incidence and Classification in Man and Their Experimental Production, Ann. N.Y. Acad. Set., 159, 337-359. Zutch, K.J. and Mennel, H.D. (1973) Recent Results in New Models of Transpla cental Carcinogenesis in Rats, in Transplacental Carcinogenesis. Tomatls, L.f Mohr, U. and Davis, w., eds., iarc, Lyon, pp. 29-44. - 12 - AP00020245