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American Journal of Industrial Medicine 26:133-143 (1994) American Conference of Governmental Industrial Hygienists: Low Threshold of Credibility Barry I. Castleman, scO, and Grace E. Ziem, mo, orPH Key words: risk assessment, philosophic perspectives, occupational health, TLVs, conflict of in terest, corporate influence "F.T. Bodurtha reviewed with subcommittee members the importance of re porting TLV data which can be used by ACGIH as a basis for establishing threshold limit values. This is particularly important in those cases where Du Pont feels that the TLV presently is too low." Du Pont Memo, September 1, 1966 INTRODUCTION A recent article [Rappaport, 1993] on the threshold limit values (TLVs) credits the American Conference of Governmental Industrial Hygienists with reforming its practices, saying: "ACGIH-has developed formal procedures to guard against con flicts of interest." Unfortunately, ACGIH has done practically nothing to assure that conflicts of interest will be avoided by members of the TLV committee. The TLV committee has been criticized for having corporate employees, retir"ees, and consultants take the primary role of drafting the documentary bases of TLVs for chemicals made by their corporate employers and clients. Yet committee members are not required to disclose even to ACGIH the sources of income they receive from consulting; public disclosure of such income sources, which is a requirement for members of scientific advisory committees to U.S. government agencies, has been discussed within ACGIH and was bitterly resisted. The conflict of'interest "policy" consists of a mere understanding that, if a member of the committee suspects that he or she may have a conflict of interest, that should be discussed with the TLV committee chair and resolved. This ensures that, to the extent that conflicts of interest are of concern on the committee, they will be handled in such a way that there is no public disclosure of the issues involved or the manner of their resolution. ACGIH declined to explicitly prohibit committee mem bers from being involved in developing TLVs for substances produced by firms with which they have financial relationships. Address reprint requests to Dr. Castleman, 1722 Linden Avenue. Baltimore, MD 21217. Accepted for publication July 13, 1993. J 1994 Wiley-Liss, Inc. 134 ACGIH: Low Threshold of Credibility Why must so much reliance be placed on the judgment and consciences of TLV committee members who have opposed more substantial guarantees to safeguard against such conflicts of interest? If working on the TLV committee is an act of public service, and it clearly is for some committee members, why not demonstrate that by embracing modern practices of openness? The newest edition of the Documentation ofTLVs and BEIs [ACGIH, 1991 1993] reflects the most obvious and disappointing response by ACGIH to charges of corporate influence on the TLVs over the past 5 years. Removed are citations to unpublished corporate communications that were critical in setting TLVs for over 100 substances [Castleman and Ziem, 1988]. The new documentations for individual substances are revised and reference only published literature. The problem is, the TLVs that were based on the old "references" were not subjected to review in the course of this process. The new Documentation plainly indicates that, for 85% of the substances whose documentations were revised in 1991, TLVs had not been scruti nized for the preceding 5 years. In a rare case in which a committee member rec ommended that a TLV be reviewed based on the data found in revising a documen tation, the recommendation was voted down (ethylene oxide). By revising the Documentation but not the TLVs, ACGIH concealed corporate influence instead of eliminating it. TLV committee minutes and ACGIH Board of Directors minutes about TLVs are regarded as private records by ACGIH and will not be publicly disclosed by ACGIH. Minutes of the TLV committee and some subcommittee minutes have none theless been located, and offer an impressive record of corporate influence. The minutes reveal that primary responsibility for drafting documentations to serve as the bases for new TLVs for specific substances was frequently assigned to corporate employees and consultants. Though this has been noted before [Castleman and Ziem, 1988; Ziem and Castleman, 1989], Table I is the most complete record of this kind to appear in print. Table I, which is in all likelihood a less-than-complete record of these assignments, shows that more than 40 products of Dow Chemical were assigned to Dow toxicologist Theodore Torkelson. Another 20 were DuPont products assigned to DuPont employees James Morgan and Gerald Kennedy. Similar contributions were made by representatives of Bayer and Exxon. ACGIH claims that the full TLV committee approves of all TLVs and is col lectively responsible for the result. But in practice, the process depends very much on the thoroughness and impartiality of individuals preparing the documentations. A typical TLV committee meeting can cover 20-30 substances. Each member has documentations to prepare in addition to vetting those presented by the other mem bers. Even if all the documentations and all supporting references were made avail able to all committee members in advance of meetings, which has never been done, it would be an enormous job for a member to analyze everything and come prepared to critique it. How many people doing this work as unpaid volunteers can find the time and resources to locate important works omitted by others in their documenta tions? The weakness of the process in depending so much on the work of individuals on the TLV committee is reflected in the inaccuracies in the 1986 Documentation catalogued by Roach and" Rappaport [1990]. There was no checking of the reference citations by the TLV committee chairmen, ACGIH staff, or anybody else. And it does not appear that the ACGIH Board got involved in developing specific TLVs until the . 7"\ Approaches to Rlisk Assessement 135 TABLE I. TLV Chemical Assignments to Corporate Representatives* Substance Acrylamide Acrylonitrile Amitrole Asbestos Azodrin Bis-chloroethyl ether Bromacii ("Hyvar X") Bromochloromethane Bromodiphenyls . Calcium hydroxide Caprolactam Cartwn tetrabromide Carbon tetrachloride Chlorine - Chloroacetic acid Chloroacetone Chloroacetyl chloride Chlorodifluoromethane Chloroform Chloromethyl methyl ether Chloropcntafluoroethane Chloroprene 2-Chloropropionic acid o-Chlorostyrene 2 Chloro-6-trimethyl pyridine ("N-Serve") Chlorpyrifos ("Dursban") Chromates Clopidol ("Coyden") Crufomate ("Ruelene") Cyanamide Cyciopentadiene Cyclopentane Dibromochloropropane Dichloromonofluoromethane 1.2 Dichloropropane (propylene dichloride) 1.3 Dichloropropane 1,3 Dichloropropene ("Telone") Dicrotophos ("Bidrin") Dicyclopentadiene Dimethylate Dimethyl formamide Dimethyl hydrazine Dimethyl sulfate Dimethyl sulfoxide 3,5 Dinitro-o-tolamide ("Zoalene") Dioxane Dioxin Dipropylene glycol methyl ether ("Dowanol DPM") Diuron ("Karmex") Divinylbenzene Epichlorohydrin Ethanolamine ' 2-Ethoxyethanol Person assigned (company) T. Torkelson (Dow') T.T. (Dow). J. Morgan (DuPont') T.T. (Dow), G. Kimmerle (Bayer1) P. Gross (asbestos companies') M. Zavon (Ethyl) T.T. (Dow) J.M. (DuPont') T.T. (Dow') T.T. (Dow) T.T. (Dow) T.T. (Dow') T.T. (Dow) T.T. (Dow') subcommittee T.T. (Dow') T.T. (Dow') T.T. (Dow) T.T. (Dow') J.M. (DuPont') T.T. (Dow') T.T. (Dow) J.M. (DuPont') - J.M. (DuPont') T.T. (Dow') subcommittee T.T. (Dow) T.T. (Dow') T.T. (Dow') J.M. (DuPont') T.T. (Dow') T.T. (Dow') J.M. (DuPont) T.T. (Dow) J.M. (DuPont), J. Hammond (Exxon) T.T. (Dow') J.M. (DuPont') T.T. (Dow') T.T. (Dow) T.T. (Dow') M.Z. (Ethyl) T.T. (Dowb) T.T. (Dow) J.M. (DuPont') J.M. (DuPont) J.M. (DuPont') J.M. (DuPont) T.T. (Dow') T.T. (Dow') T.T. (Dow') T.T. (Dow') J.M. (DuPont') T.T. (Dow') T.T. (Dow') subcommittee T.T. (Dow') T.T. (Dow) (continued) `^ \ / 136 ACGIH: Low Threshold of Credibility r TABLE I. TLV Chemical Assignments to Corporate Representatives* (Continued) Substance Person assigned (company) 2-Ethoxyethyl acetate Ethyl chloride Ethylene chlorohydrin Ethylene diamine Ethylene dibromide (1,2 dibromoethane) Ethylene dichloride (1,2 dichloroethane) Ethylene glycol Fenamiphos ("Nemacur") Fenthion ("Baytex") Fibrous glass Formamide Gasoline Hexabromodiphenyl Hexachlorobutadiene Hexachlorocyclopentadiene Hexachloroethane Hexafluotoacetone Hexamethyl phosphoramide itHexane Hydrazine Hydrogen cyanide 2-Hydroxypropyl acrylate Iodoform Isohexane Isoparaffin Isophthalonitrile Kerosene, deodorized Ketene Liquefied petroleum gas (LPG) Malathion Methomyl ("Lannate") 2-Methoxymethanol 2-Methoxyethylacetate Methyl bromide Methyl chloride 4,4'-Methylene bis (2-chIoroaniline) ("MOCA") Methylene bis(4-cyclohexyl isocyanate) Methylene chloride 4,4' Methylene dianiline Methyl hydrazine N-methyl pyrrolidone . Metribuzin ("Sencor") Morpholine Naphtha, VM & P p-Nitrochlorobenzene Octabromodiphenyl Perchloroethylene Perchloromethyl mercaptan Perfluoroalkanes Perfluorooctanoic acid Phenyl betanaphthylamine Phenylene diamine ' Phenyl hydrazine T.T. (Dow) T.T. (Dow) T.T. (Dow) T.T. (Dow1) T.T. (Dow1) T.T. (Dow1) T.T. (Dow1) G. Kimmerle (Bayer/Mobay1) G.K. (Bayer/Mobay1) P.G. (insulation manufacturing association1) J.M., G.L. Kennedy (DuPont1) J. Hammond (Exxon1) T.T. (Dow) T.T. (Dow) T.T. (Dow) T.T. (Dow) J.M. (DuPont1) J.M. (DuPont1) J.H. (Exxon1) G.L.K. (DuPont) J.M. (DuPont1) J.M. (DuPont) T.T. (Dow) J.H. (Exxon) J.H. (Exxon) M.Z. (Ethyl) T.T. (Dow) M. Zavon (Hooker Chemical) J.H. (Exxon1) M.Z. (Hooker) J.M. (DuPont1) M.Z. (Hooker), T.T. (Dow) M.Z. (Hooker). T.T. (Dow) T.T. (Dow1) T.T. (Dow1) J.M. (DuPont1) G.L.K. (DuPont) T.T. (Dow1) T.T. (Dow1) subcommittee G.L.K. (DuPont) J.M. (DuPont) G.K. (Bayer/Mobay1) G.L.K. (DuPont) J.H. (Exxon1) G.L.K. (DuPont1) T.T. (Dow) T.T. (Dow1) G.K. (Bayer/Mobay1) J.M. (DuPont) G.L.K. (DuPont) J.M. (DuPont) G.K. (Bayer/Mobay1) G.L.K. (DuPont) (continued) Approaches to Risk Assessement 137 TABLE I. TLV Chemical Assignments to Corporate Representatives* (Continued) Substance Phosgene m-Phthalodinitrile Picloram ("Tordon") Propylene glycol methyl ether ("Dowanol PM") Stoddard solvent Styrene Sulprofos ("Bolstar") 2,4,5-T Tetrachloronaphthalene Tetramethyl thiourea Thiram Tin, organo m-Toluene diamine o-Toluidine 1,2,3 Trichlorobenzene . 1,2,4 Trichlorobenzene . 1,1,1 Trichloroethane 1,1,2 Trichloroethane Trichloroethylene 1,2,3, Trichloropropane Trichlorotrifluoroethane Tricyclohexyltin hydroxide ("Plictran," cyhexatin) Trifluorobromomethane Tris(2,3 dibromopropyl phosphate) Vinyl bromide Vinyl chloride Vinyl fluoride Vinylidene chloride Vinylidene fluoride m-Xyiene, a,a'-diamine Xylidine Person assigned (company) J.M. (DuPont*) M.Z. (Ethyl) T.T. (Dow*) T.T. (Dow*) J.H. (Exxon*) T.T. (Dow*) G.K. (Bayer/Mobay*) V.K. Rowe (Dow*) T.T. (Dow) M.Z. (Occidental Chemical) G.K. (Bayer/Mobay*) T.T. (Dow) J.M. (DuPont*) G.K. (Bayer/Mobay*) T.T. (Dow) T.T. (Dow*) T.T. (Dow*) T.T. (Dow*) T.T. (Dow*) T.T. (Dow*) J.M. (DuPont*) T.T. (Dow*) J.M. (DuPont*) T.T. (Dow) and J.M. (DuPont) T.T. (Dow) T.T. (Dow*) T.T. (Dow) T.T. (Dow*) T.T. (Dow) J.M. (DuPont) G.K. (Bayer/Mobay*) Sources: TLV committee minutes, fragmentary TLV subcommittee minutes, and TLV Committee spreadsheets, 1970-1988; Directory of Chemical Producers. 1986; Chemical Week Buyers' Guide, 1976 and other years; Synthetic Organic Chemicals, U.S. International Trade Commission, 1972-1986: and personal communications with present and former TLV committee members. "Product of the company at or before time that the TLV documentation was assigned. bProduct of the company after the time that TLV documentation was assigned. Formaldehyde Institute invoked a clause of the by-laws to contest the proposal to lower the TLV for formaldehyde in 1991. TLVs for 98 substances were criticized as insufficiently protective by the Na tional Institute for Occupational Safety and Health (NIOSH), in comments to the Occupational Safety and Health Administration (OSHA) on the "Air Contaminants" rule [Robinson et al., 1991]. By this regulation, OSHA adopted the 1987 TLVs for about 350 of the 376 substances included. The rule was adopted in the last week of the Reagan administration, in 1989, and was supported by the Chemical Manufac turers Association. OSHA's regulation was then challenged by other industrial parties and overturned in Court in 1992 [Begley and Kirschner, 1993]. TLVs and TLV assignments of 229 substances have been criticized in recent years (see Table II). Rappaport [1993] also suggested that ACGIH consider revising its definition of Approaches to Risk Assessement TABLE II. TLV Assignments and TLVs That Have Been Criticized. 1988-1991* (Continued) Substance A B CD E Crufomate ("Ruelene") Cydopentadiene Cyhexatin ("Piictran") Dibromochloropropane Dibutyl phthalate p-Dichlorobenzene Dichlorodifluoromethane DichlorodiphenyItrichloroethane (DDT) Dichloroethylene Dichloromonofluoromethane 1.2 Dichloropropane (propylene dichloride) 1.3 Dichloropropene 2.2 Dichloropropionic acid Dichlorotetrafluoroethane Dicrotophos Dicyclopentadiene Dicyclopentadienyl iron Diethyl phthalate Diglycidyl ether Dimethyl acetamide Dimethyl amine Dimethyl formamide 1.1 Dimethyl hydrazine Dimethyl sulfate Dinitolmide Di-sec-octyl phthalate Dioxane Dioxin Diphenylamine Dipropylene glycol methyl ether Disulfoton Diuron ("Karmex") Divinylbenzene Endrin Epichlorohydrin Ethanol . Ethanolamine Ethion 2-Ethoxyethano! Ethyl acetate . Ethyl acrylate Ethyl amyl ketone Ethyl bromide Ethyl chloride Ethylene diamine Ethylene dibromide Ethylene dichloride Ethylene glycol Ethylene oxide X X X X X X X X X XX XX X X X X X X X X X X XX X XX XX X X X X X X X XX X XX X X X X X X X X X XX X XX XX X (continued) 139 140 ACGIH: Low Threshold of Credibility TABLE II. TLV Assignments and TLVs That Have Been Criticized, 1980*1991* (Continued)__ Substance A BC D E Ethylenimine Ethyl ether n-Ethyi morpholine Fenamiphos ("Nemacur") Fenthion ("Baytex") Fluoride Fluorine Fonophos Formaldehyde Formamide Furfural Glutaraldehyde Grain dust Heptane Hexafluoroacetone Hexamethyl phosphoramide Hexane isomers Hydrazine Hydrogen cyanide Hydroquinone 2-Hydroxypropyl acrylate Isooctyl alcohol Isophorone Isophorone diisocyanate Isopropoxyethanol Isopropyl acetate Isopropylamine n-Isopropyl aniline Lead ' Lead chromate Magnesium oxide fume Manganese dust and compounds Manganese tetroxide Mercury Mesityl oxide Methacrylic acid Methomyl ("Lannate") 2-Methoxyethanol 4-Methoxyphenol Methyl acetylene-propadiene mixture Methyl bromide Methyl n-butyl ketone Methyl chloride Methyl chloroform Methyl 2-cyanoacrylate Methylene chloride 4t4'-Methylene bis (2-chloroaniline) Methylene bis(4-cyc!ohexyl isocyanate) Methylene bisphenyl isocyanate 4,4' Methylene dianiline Methyl hydrazine Methyl isocyanate X X X xX x X X X X X XX X X X X X X X X X X X X X XX X X X XX X X X XX XX XX X X XX X X X X XX XX X X XX XX X X X X X (continued) Approaches to Risk Assessment TABLE II. TLV Assignments and TLVs That Have Been Criticized, 1988-1991* (Continued) _____________________________ Substance ABCDE Metribuzin ("Sencor") Mineral oil mist Molybdenum (soluble) Monocrotophos Nickel, soluble or inorganic compounds Nitrapyrin p-Nitrochlorobenzene Nitroglycerin Nitromethane 2-Nitropropane Octane Ozone Paraquat Parathion Pentane 2-Pentanone (methyl propyl ketone) Perchloroethylene Perchloromethyl mercaptan Phenylene diamine Phenyl glycidyl ether Phenyl hydrazine Phenyl phosphine Phosgene Picloram ("Tordon") Piperazine dihydrochloride Propionic acid Propylene glycol methyl ether Propylene glycol monoethyl ether Propylene oxide Quartz Quinone Resorcinol Rosin core solder pyrol. products Selenium Silica, amorphous Silica, crystalline . Silicon tetrahydride Silver and compounds Styrene Sulfur dioxide Sulfuric acid mist Sulfuryl fluoride Sulprofos ("Bolstar") 2,4,5-T Tetraethyl lead Tetrahydrofuran Tetramethyl lead Tetrasodium pyrophosphate Thioglycolic acid Thiram Toluene m-Toluene diamine XX X X X X X XX X X X X X X X ,X X Xx X X X X X X X X X X X X X X X XX X X XX X X XX X X X X X X X X X X X XX X (continued) 141 142 ACGIH: Low Threshold of Credibility TABLE II. TLV Assignments and TLVs That Have Been Criticized, 1988-1991* (Continued)___________________________________________ Substance ABCD Toluene diisocyanate m- and p-Toluidine 1,2.4 Trichlorobenzene Trichloroethylene Trichlorofluoromethane Trichlorotrifluoroethane Tricyclohexyltin hydroxide Triethylamine. Trimethyl phosphite Triphenyl amine Tris (2.3) dibromopropyl phosphate Tungsten compounds Vinyl acetate Vinyl bromide Vinyl chloride Vinyl cyclohexene dioxide Vinylidene chloride Welding fumes Wood dust, softwood m-Xylcne. a.a'-diamine Xylidine Zinc chromate Zinc oxide fume Zinc stearate Zirconium compounds . XX X X XX X X X X X X X X X XX X X X X E X X X x X X X X X X *A: TLV documentation assigned to representative of manufacturer on TLV com mittee, 1970-1988 (Castieman and Ziem. 1988: Ziem and Castleman, 1989): B: TLV (1986) placed important reliance on unpublished corporate communication(s) [Castieman and Ziem, I988[; C: TLV (1986) reference articles show health effects at and below the TLVs (1986) (Roach and Rappaport, 1990]; D: Health effects at and below the TLV (1988) reported in occupational medicine journals. 1987-1989 (Ziem and Castieman, 1989]: E: TLV (1987) criticized by NIOSH as too permissive for OSHA to adopt as permissible exposure limits (Robinson et al., 1991], TLVs to temper the assertion that the TLVs protect "nearly all workers.'' This language in TLV booklets has been misconstrued for 40 years as a guarantee of safety by some of the people the booklets were intended to serve. Its only present value is to attorneys defending companies in damage suits by reading selected sentences from the preface to the TLVs, to raise a "TLV defense" for failure to warn workers that products or practices were harmful. ACGIH leadership has resisted repeated urgings to revise the booklets' preface, to make it more realistic and internally consistent. The concept of the TLV defense is older than the TLVs, even older than ACGIH, and was arguably one of the factors that contributed to the establishment of industrial hygiene as a profession in the 1930s. In 1935, a consortium of industrialists met to devise a comprehensive response to the "industrial dust problem," including claims demanding hundreds of millions of dollars in compensation for occupational lung disease. This led to the formation of the Air Hygiene Foundation in 1936, with 200 corporations and trade associations as members. One objective of the program of action devised was to set up "authoritative and approved standards for the control of Approaches to Risk Assessment 143 industrial dusts which, if complied with by industries, or by industrial companies, will act as a defense against personal injury suits" [Weidlein, 1935]. Today's TLV defense asserts that: exposures in this case were thought to be below the TLVs, the TLVs were thought to be safe for workers ("based on the best available informa tion"--TLV preface), and thus what happened was not the fault of the defendant manufacturer or company hiring contract labor. ACGIH has had 5 years to deal responsibly with criticisms of impropriety in the process for setting TLVs and has chosen to do little if anything that would inspire public trust. The organization yielded to the most recalcitrant elements on the TLV committee and on the Board of Directors in refusing to repudiate discredited proce dures and by changing as little as possible. Through the combination of intransigence and lack of resolve, ACGIH leadership has failed its members and the public once again on the TLVs. The winners in this sad affair are the business interests and lawyers that continue to use the TLVs and ACGIH's tattered credibility as a shield from liability in personal injury lawsuits. REFERENCES - ACGIH (1991-1993): "Documentation of the TLVs and BEls (6th Ed.)." Cincinnati: American Con ference of Governmental Industrial Hygienists. - Begley R. Kirschner E (March 31. 1993): OSHA exposure limits on 400 toxins are rolled back. Chem Week, p 14. ` Castleman BI. Ziem GE (1988): Corporate influence on threshold limit values. Am J lnd Med 13:531 559. E.I. du Pont de Nemours & Company (1966): Standards Section--Safety and Fire Protection Subcom mittee Minutes of the Meeting held Tuesday. August 30. 1966. at 9:00 A.M. in Room 13418. Nemours Building. Dated September 1. 1966. Rappaport SM (1993): Threshold limit values, permissible exposure limits, and feasibility: The bases for exposure limits in the United States. Am J lnd Med 23:683-694. Roach SA, Rappaport SM (1990): But they are not thresholds: A critical analysis of the documentation of threshold limit values. Am J lnd Med 17:727-753. Robinson JC, Paxman EX3. Rappaport SM (1991): Implications of OSHA's reliance on TLVs in devel oping the air contaminants standard. Am J lnd Med 19:3-13. 'Weidlein ER (1935): Plan for study of dust problems. In WG Hazard correspondence to LR Thompson, March 21, 1935, National Archives. Record Group 90. State boards of health (0875-96-49, . Pittsburgh). Courtesy D. Rosner and G. Markowitz. New York. Ziem GE, Castleman BI (1989): Threshold limit values: Historical Perspectives and current practice. J Occup Med 31:910-918.