Document jBQLLVVg4q3O201xmNB0ejNz9
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Institute
A Division of The Society of The Plastics Industry, Inc.
September 8, 1989
Mr. Robert Barham, Chief Toxic Air Contaminant Identification Branch Air Resources Board Attn: Vinyl Chloride 1102 Q Street Sacramento, California 95812
Re: Draft Report on Vinvl Chloride
Dear Mr. Barham
On August 29th, the Vinyl Institute* received the preliminary draft report on vinyl chloride dated July 1989 being prepared by the California Air Resources Board (CARB). There has been, therefore, a limited amount of time for our membership to thoroughly review the documents prior to the comment deadline.
Nevertheless, after reviewing the document, there are at least two
areas of discussion that are inadequately treated in the California
Air Resources Board (CARB) document.
Therefore, most of the
comments will be spent on those two areas. They are the phar
macokinetic knowledge of vinyl chloride in the risk assessment
approach and a total inadequate treatment of the large number of
epidemiology studies in the published literature. These are very
concisely dismissed by the Department of Health Services (DHS) as
being unacceptable to be used in the risk assessment process for
regulatory purposes.
* The Vinyl Institute is an operating division of the Society
of the Plastics Industry, Inc.
Its members include Air
Products and Chemicals, Borden Chemicals & Plastics, Certain-
Teed Corporation, Dow Chemical USA, BFGoodrich Company,
Georgia Gulf Corporation, Occidental Chemical Corporation, PPG
Industries, Shintech Inc., and Vista Chemical Company.
Together, these companies account for more than 80% of the
domestic production of both vinyl chloride and polyvinyl
chloride.
Wayne Interchange Plaza II 755 Route 46 Wesf Wayne, NJ 07470 (207) 890-9299
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v t One: ^F**iications
., pharmacokinetic in the literature
Information.
There are several
not cited in the DHS document, that
w **lf5ress the incorporation of pharmacokinetics in low dose risk
%timation for chemical carcinogenesis. One such article was
published as far back as 1980 in Toxicology and Applied Pharmacol-
pqv< authored by Anderson, Hoel and Kaplan.
That document
demonstrates how to incorporate the pharmacokinetic information on
vinyl chloride into a risk assessment approach for low dose risk
estimation. There are numerous other publications on the phar
macokinetics of vinyl chloride as well. Another such document,
published in 1981 in the Archives of Toxicology authored by Bolt,
Filser and Buchter, demonstrates significant information that is
relevant when extrapolating low level carcinogenic risk estimates
from the existing data base. The DHS document fails to incorporate
any of the established pharmacokinetic information in its treatment
of theoretical risk for vinyl chloride.
A number of studies indicate that probably a reactive metabolite, not vinyl chloride per se is responsible for its toxicity. Although some inhaled vinyl chloride is excreted unchanged, depending on dose, a varying amount is metabolized. The metabolism of vinyl chloride has been the subject of numerous studies and it is currently thought that vinyl chloride is metabolized by epoxidation with subsequent production of chloroacetaldehyde. The further oxidation and conjugation with glutathione are responsible for the metabolites found in the urine. Gehring, et al. analyzed the metabolic and carcinogenic data from man and laboratory animals, and used several models to prfedict the incidence in man from the animal data. They found that all models over-predicted the risk to man unless corrections were made for the varying rates of metabolism and for the surface area differences of the different species.
Point Two: Epidemiology. There have been many published epidemio
logical investigations of occupational workers exposed to vinyl
chloride at a variety of occupational exposure levels. Vinyl
chloride may, in fact, be one of the most epidemiologically-studied
industrial chemicals in the literature. To dismiss that data and
relegate it only for comparative purposes to animal data is
unacceptable. DHS demonstrates a bias towards the utilization of
animal experiments as a priority over human evidence in their
approach to risk assessment. This results in a dramatic over
estimate of likely human risk at the low environmental levels being
addressed by the document. The DHS goes on to state that risk
extrapolations based on the human data yield results they judge to
be comparable. The practical aspect of responding to an order of
magnitude or two in risk assessment can often be dramatic,
therefore risk estimates that yield order of magnitude different
estimates of risk are extremely important.
When adequate or
substantial human evidence exists, that data should be given
preferential treatment in the risk assessment process.
A
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Many of the epidemiology studies that have been in the published
literature have been updated in the past year or two. One example
is the study Update of Vinvl Chloride Mortality authored by Dahar,
et al. which was updated as recently as 1988 and further demonstr
ated a decreasing cancer incidence rate in workers as the latency
period has been expanded substantially. The person years in this
one particular study has been expanded from only approximately
4,000 person years to over 17,000 person years, thus a substantial
increase in sensitivity of the study, as only one example. The
Chemical Manufacturers Association (CMA) Vinyl Chloride Panel-
sponsored epidemiology study was updated as recently as 1986. It
is a very comprehensive epidemiology study consisting of a cohort
of over 10,000 workers employed at 37 different plants belonging
to 17 different companies. That study identified at that time,
over 1,536 deaths.
These are only several examples of many
epidemiology studies published on vinyl chloride and DHS's approach
to dismiss human epidemiology evidence in their risk assessment is
inadequate.
Many of the human epidemiological studies point out a statistical-
ly-significant association between an increase in lung, liver and
brain cancer and exposure to vinyl chloride. For brain cancer,
three out of five studies demonstrate statistically-significant
findings, although the results were somewhat variable. Positive
findings occurred in studies with the greatest statistical power.
Most reasonable interpretation of the data is consistent with the
causal association of vinyl chloride' exposure and an excess of
brain cancer, however, the relative risk calculation for brain
cancer is much lower than that for liver cancer. Only two out of
eight studies on lung cancer yield statistically-significant
results, and because studies with the higher power were negative,
a causal association is unlikely.
It is for these reasons,
therefore, that the incidence rate on the angiosarcoma is the most
suitable end-point for analysis of risk of exposure to vinyl
chloride for a number of reasons:
1. Vinyl chloride angiosarcoma is a rare cancer in unexposed populations, thereby making the utilization of angiosarcoma as a demonstration of vinyl chloride exposure on the basis of work history truly a reasonable approach.
2. Angiosarcoma has been demonstrated to occur both in animals and humans when exposed to vinyl chloride.
3. It is therefore demonstrated unlikely that any other car cinogenic result from vinyl chloride would incur lower exposures than those lowest exposures that would induce angiosarcoma. Recent publications entitled Vinvl Chloride. An Assessment of the Risk of Occupational Exposure, was published in 1987 in the Fundamentals of Chemical Toxicology Journal. Volume 25, pages 187 to 202, 1987, authored by
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Purchase, et al. A very extensive evaluation of the available information at that time is included in this article, and a very comprehensive examination of risk assessment approaches to vinyl chloride is examined. We believe that this document demonstrates a much more studied and scientifically defensible approach to assessing risk of exposure to vinyl chloride.
In summary, there are at least twenty epidemiological studies which
involve over 45,000 workers who have occupationally been exposed
to vinyl chloride. To dismiss this body of epidemiological study
in favor of basing risk assessment on animal data is questionable
at best. In the paper by Purchase, et al., information that is
precisely the issue being addressed by DHS is present.
In
addition, an epidemiological study of populations living in the
vicinity of VCM production facilities had been conducted previous
ly. This study, Barr, et al. 1982, suggests that 100 ppb re
presented the estimated dose representing a 1x10-6 lifetime risk
in man. That value is similar to the highest estimates derived
from the animal data when taking biotransformation data into
account. The studies discussed in the paragraphs above, will be
forwarded under separate cover.
Finally, the Vinyl Institute is extremely interested in reviewing the revised draft document before it is forwarded to the Scientific Review Panel. Please add our organization to your distribution list. Materials should be forwarded to:
Meredith N. Scheck Assistant Director The Vinyl Institute
155 Route 46 West Wayne, New Jersey 07470
Thank you for your attention to this matter.
Sincerely yours,
MNS/pmb cc: Mr. Richard Forey
Substance Evaluation Section Air Resources Board P.O. Box 2815 Sacramento, California 95812
C
Meredith N. Scheck Assistant Director
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