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$ IN V c i o c *1 'C * M O M ll
OATt December 14, 1982
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Dept, of Medicine & Environmental Health
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G.J. Levinskas. G2WF f4RSf)Q,j
R.T. Berendt, E2ND T.M. Bistline, E2ND G. Roush, Jr., M.D, G2WG
m -1. DRfi tQ k TB & TMB, 12/13/82 -
TO D.R. Bishop, A3NB
Dr. Roush and I had discussed the earlier and the present draft of your statement. He asked me to convey our comments to you.
A copy of the draft is being returned with some suggested changes and comments. A few of these are highlighted and discussed below. The numbers correspond to the circled numbers noted on your last draft.
p.l (1) Mention should be made of chlorophenols, since those also have contributed to our knowledge of dioxin.
p.2 (2) TCDD is highly toxic to all animal species studied so far, despite the wide range in toxicity. Data is lacking for all isomers. The di- and octa-dioxins may be quite harmless, but hexaisomers probably are poisons in the statutory sense.
p.3 (3) No such examples come readily to mind.
p.4 (4) Somehow, the concept that one part per billion may be fatal or harmful has to be overcome since this leads to the implication that one part per billion in the soil also is fatal or harmful. The attached insert is an attempt to address this.
alw attachment
George J. Levinskas
IN-10M (REV. 2/78)
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To avoid confusion, some comments should be made about terms used by medical scientists. It is well recognized that the dose, i.e., the amount of aspirin needed to relieve pain varies between adults and children. Most adults take two aspirin tablets. Children are usually given one-half tablet up to the adult dose, depending on their age or weight. These differences can be standardized by expressing them as a dosage, i.e., the amount of aspirin per unit of body weight. Since the average aspirin tablet contains about one onehundredth of an ounce of aspirin, a 150-pound adult taking two tablets gets a dosage of 13 hundred thousandths of an ounce per pound of body weight. Simi larly, a 40-pound youngster given one-half tablet gets approximately the same amount per pound of body weight.
In animal feeding studies, standardized dosages are calculated to permit com parisons between different animal species. While parts per trillion in the diet refers to the ratio of the weight of TCDD to the weight of the animals' feed, it can be converted to a dosage. For example, a 16 parts per billion diet would be achieved by mixing 16 ounces (one pound) of TCDD with 1 trillion ounces (31,250,000) tons of food. Animals given that diet would be getting 16 parts TCDD for every billion parts of food they ate. If desired, the dosage, i.e., the amount of TCDD eaten per unit of body weight could be calculated from the weight of the animal, the amount of feed consumed, and the concentra tion of the test substance in the diet.
Dosages are used in a similar manner to express lethality. For TCDD, the dosage lethal to guinea pigs is about 16 billionths of an ounce per pound of body weight. While the ratio of TCDD to the body weight of the guinea pig is one to one billion, it is incorrect and misleading to refer to the lethal dose as one part per billion. The example of aspirin can be used to illustrate this.
The average tablet has about 85% aspirin. Another way to express this is to say that the tablets have 850 million parts per billion of aspirin. It would be meaningless to say someone should take 850 million parts per billion of aspirin. It is equally meaningless to say one part per billion of TCDD is lethal to guinea pigs, or that low parts per trillion causes cancer in rodents, without specifying additional information.
GJL 12/14/82
^Monsanto
iNAMK-ioc*TioN-fhoniD R Bishop " A3NB DATE December 13, 1982
U R JE C T
REFERENCE
TO
R. T. Berendt - E2ND T. M. Bistline - E2ND
G. Roush - G2WG
Please review the attached draft fact sheet and let me have your comments/approval by December 16.
Dr. Roush has asked me to review our lay statement with his Biohazards Committee on December 17 so 1 really need your input.
Please disregard the earlier draft which, as you'll note, has undergone substantial changes.
DRB:ec Attachment
>an R. Bishop
C 0 6 J 4 3
Introduction
DIOXIN FACT SHEET
As a major U.S. chemical company with world-class research expertise, Monsanto is frequently sought out by government officials, members of the news media and the general public for its views and scientific information on a wide range of chemical issues. One such issue, currently the center of public controversy and concern, focuses on a class of chemical impurities commonly referred to as "dioxins."
Monsanto scientists have had considerable experience dealing with the^m ost-^toxie of-*the dioxin impurities because of -te tendency to form as an unwanted contaminant^ in the: / manufacture of the defoliant, Agent Orange^ Monsanto was one of the companies that made/this-produet for the U.S. government during the Vietnam War. In recent years, a-number of company scientists have become well informed about^the environmental, toxicological and human health effects of dioxin. We are further familiar with the substantial amount of scientific information that has been generated by independent researchers on this subject.
In preparing this information, it is not Monsanto's intention to "defend" dioxin or to minimize its potential for legitimate health concerns. Rather we seek to provide the kind of factual scientific perspective that is often lacking in political, courtroom and public discussions of this subject.
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Background The word "dioxin" actually refers to a family of
chemical impurities unintentionally formed as contaminants during the manufacture of certain pesticides and industrial chemicals- They have no commercial value. It is theoretically possible to form 75 different dioxin compounds depending on the number of chlorine atoms present and their arrangement in the molecule.
The toxicity of individual dioxins varies considerably across a broad spectrum of animal species. jjgest are not considered hazardous. One dioxin, however, has been found to be extremely toxic in tests with some laboratory animals, and, thus, has triggered human health concerns. It is this
particular compound, 2 ,3,7,8 tetrachlorodibenzo-para-dioxin
(commonly called "TCDD"), that is the subject of this paper. For purposes of brevity, the abbreviation, TCDD, is used throughout this discussion.
This dioxin is the focus of widespread controversy associated with its presence in the Vietnam war defoliant, Agent Orange, and its occurrence during the production of other products including hexachlorophene.
TCDD from this latter source has sparked renewed public health worries in Missouri. In 1971, waste oil containing TCDD from a now defunct pharmaceutical plant was sprayed on the ground to control dust in several horse arenas and possibly on some roads as well. It has recently come to light that contaminated soil from these arenas was later removed and some
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of it used as fill dirt at residential sites, thus-creating
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additional environmental contamination and the possibility of
increased! human exposure.
Animal Data
The "acute toxicity" of TCDD -- that is the amount that
will cause immediate poisoning -- differs considerably from one
animal specie to another. In the guinea pig, the laboratory
> % animal.found to be the most sensitive, a single oral dose of
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may prove fatal. On the strength of this finding, TCDD is
commonly characterized as the most toxic synthetic substance
known to man. However, other test animals, such as rabbits,
dogs and hamsters, can tolerate doses ranging from 100 to more
than seven thousand times more than that which can kill a guinea
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pig. )lt should be pointed out that a number of other Commercially available substances are, in fact, more toxic to
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some of these other test animals than is TCDD.
Studies have also shown that exposure to TCDD can cause a number of serious long-term effects in animals. It has / j
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increased the incidence of cancer m mice and rats red, doses -m i A ____ i r---
------- - -------- . ' the low parts-per-trillion range. It has caused birth defects,'
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such as cleft palate, in mice and hamsters, but showed no such T c w effects in monkeys. TCDD has caused fetal damage in mice and
rats. It has not been found mutagenic (capable of causing
hereditary changes) in tests involving cells of mice, monkeys or
people, but did show these properties in tests on bacterial
Different studies have suggested contradictory results. Additional work, designed to sort out this discrepancy, is continuing.
A severe acne-form skin condition, known as chioracne, .is the hallmark (or visible indication) of both acute and chronic toxic exposure to TCDD in humans. Chloracne manifests itself shortly after exposure (usually within 2 to 3 weeks) and, in its milder forms, is characterized by a cluster of blackheads over the cheekbones, around the earlobes, on the face, chest and back. In more severe cases, pusj/ pockets, large cysts and scarring can occur. In some industrial workers, chloracne has persisted for up to 30 years, but mild cases usually clear up shortly after exposure ceases.
In some workers, with or shortly after the onset of chloracne, other clinical effects occurred. These included temporary liver and kidney disorders, severe pain in the muscles of upper, and lower extremities, fatigue and nervousness. In all cases, these conditions began to subside with cessation of exposure and eventually cleared up altogether.
In short, a considerable amount of health information has been gathered from medical studies on groups of people known to have been exposed to TCDD. Following is a summary of findings from perhaps the two most significant studies done to date:
Seveso, Italy -- More than 37,000 people potentially were exposed to several pounds of TCDD from a July 1976 chemical plant explosion. Studies of those people, including one done by
the World Health Organization, found chloracne to be the most prominent, immediate health effect. Some cases of peripheral nerve impairment and mild liver disorder were reported initially, but these effects cleared with time. No increases in spontaneous abortion, birth defects or other long-term illnesses have been documented. Studies are continuing.
Nitro, W. Va. -- 418 Monsanto Co. employees were exposed to dioxin from a March 1949 plant accident and/or through the , ongoing manufacture of 2,4,5-T herbicide. They were examined,by Raymond A. Suskind, M.D., of the University of Cincinnati. On Nov. 10, 1982, he reported finding no link between TCDD exposure and cancer, cardiovascular disease or reproductive abnormalities. He did find chloracne and a loss of skin elasticity around chloracne-affected areas.
In summary, the preponderance of medical evidence indicates that chloracne will manifest itself in humans exposed to toxic levels of TCDD. In the absence of chloracne, the medical literature suggests, there is not likely to be any other adverse effect.
Sources and Levels Chemical plant operations are not the sole source of
dioxins. Research has recently established that most combustion processes, like power plants, municipal trash incinerators, automobile engines, and even wood-burning fireplaces, create measurable amounts of dioxins, including TCDD.
The U.S. Environmental Protection Agency currently
regulates only TCDD. It allows herbicides, such as 2,4,5-T, to
contain up to 0.1 parts-per-million of this contaminant. Using
evolving technology, the chemical industry now produces
herbicides typically containing only one-tenth this amount.
The U.S. Food and Drug Administration has established 25
parts-per-trillion (ppt) as the maximum amount of TCDD permitted
in fish for human consumption. The Canadian government's . ^
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standard is 201 pPPpt. ,
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Environmental Behavior
Normally, TCDD is not soluble in water and, thus, does
not contaminate drinking water supplies. It has a high boiling
point (about 500F) which makes environmental exposure through
inhalation highly unlikely. The most likely route of human
exposure is through direct skin contact with contaminated soil.
Obviously, ingestion is also a possibility, particularly with
children who are prone to putting their fingers in their mouths.
Sunlight is capable of degrading TCDD relatively quickly
on plant and soil surfaces. The length of time required for
TCDD to break down into harmless substances/in soil varies from
several months to many years depending on the soil type, the
amount of bacteria present in the soil and the depth of
contamination. It tends to bind itself to soil particles,
minimizing its ability to'move about in the environment.
Three studies have been done to determine whether TCDD
is transferred from the soil to plant life. Two of these found
no evidence that TCDD translocates from soil to plants,
including-food crops growing in contaminated soil. The other
study suggested that It may translocate. More work needs to be
done to resolve this question. \ J / y /,
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January,' 1983 For more information, contact: D. R. Bishop Director, Environmental Communications Monsanto Company 800 N. Lindbergh Blvd. St. Louis, MO 63167 (314) 694-2891
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