Human Health Effects of Trichloroethylene: Key Findings and Scientific Issues

Abstract

Background

Background: In support of the Integrated Risk Information System (IRIS), the U.S. Environmental Protection Agency (EPA) completed a toxicological review of trichloroethylene (TCE) in September 2011, which was the result of an effort spanning > 20 years.

Objective

We summarized the key findings and scientific issues regarding the human health effects of TCE in the U.S. EPA’s toxicological review.

Methods

In this assessment we synthesized and characterized thousands of epidemiologic, experimental animal, and mechanistic studies, and addressed several key scientific issues through modelling of TCE toxicokinetics, meta-analyses of epidemiologic studies, and analyses of mechanistic data.

Discussion

Toxicokinetic modelling aided in characterizing the toxicological role of the complex metabolism and multiple metabolites of TCE. Meta-analyses of the epidemiologic data strongly supported the conclusions that TCE causes kidney cancer in humans and that TCE may also cause liver cancer and non-Hodgkin lymphoma. Mechanistic analyses support a key role for mutagenicity in TCE-induced kidney carcinogenicity.

Recent evidence from studies in both humans and experimental animals point to the involvement of TCE exposure in autoimmune disease and hypersensitivity.

Recent avian and in vitro mechanistic studies provided biological plausibility that TCE plays a role in developmental cardiac toxicity, the subject of substantial debate due to mixed results from epidemiologic and rodent studies.

Conclusion

TCE is carcinogenic to humans by all routes of exposure and poses a potential human health hazard for noncancer toxicity to the central nervous system, kidney, liver, immune system, male reproductive system, and the developing embryo/fetus.

Read full study below

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Persons working with or working in areas using trichloroethylene in Baldonnel have suffered the following illnesses. 

Untimely deaths are marked thus *

      • Brain Tumour*
      • Colorectal Cancer*
      • Crohn’s Disease*
      • Lung Cancer*
      • Multiple Sclerosis
      • Non-Hodgkin’s Lymphoma*
      • Oesophageal Cancer*
      • Pancreatic Cancer*
      • Parkinson’s Disease
      • Renal Cancer*

Organic solvents and Multiple Sclerosis susceptibility

Abstract

Photo of dichloromethane (DCM) as stored by Irish Air Corps in 2015. DCM was banned in the EU in 2012.
Objective

We hypothesize that different sources of lung irritation may contribute to elicit an immune reaction in the lungs and subsequently lead to multiple sclerosis (MS) in people with a genetic susceptibility to the disease. We aimed to investigate the influence of exposure to organic solvents on MS risk, and a potential interaction between organic solvents and MS risk human leukocyte antigen (HLA) genes.

Methods

Using a Swedish population-based case-control study (2,042 incident cases of MS and 2,947 controls), participants with different genotypes, smoking habits, and exposures to organic solvents were compared regarding occurrence of MS, by calculating odds ratios with 95% confidence intervals using logistic regression. A potential interaction between exposure to organic solvents and MS risk HLA genes was evaluated by calculating the attributable proportion due to interaction.

Results

Overall, exposure to organic solvents increased the risk of MS (odds ratio 1.5, 95% confidence interval 1.2–1.8, p = 0.0004). Among both ever and never smokers, an interaction between organic solvents, carriage of HLA-DRB1*15, and absence of HLA-A*02 was observed with regard to MS risk, similar to the previously reported gene-environment interaction involving the same MS risk HLA genes and smoke exposure.

Conclusion

The mechanism linking both smoking and exposure to organic solvents to MS risk may involve lung inflammation with a proinflammatory profile. Their interaction with MS risk HLA genes argues for an action of these environmental factors on adaptive immunity, perhaps through activation of autoaggressive cells resident in the lungs subsequently attacking the CNS.

Read full study below

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Anecdotal evidence has been emerging for some time of potential illness clusters at Casement Aerodrome to which Multiple Sclerosis has now been added. We are calling for these potential clusters to be investigated by competent authorities.

Suspected illness clusters currently include.

Illnesses linked to dichloromethane aka DCM aka methylene chloride

CAS number: 75-09-2

Diseases linked to this toxicant grouped by strength of evidence.

Photo of DCM-based paint stripper as used by the Irish Air Corps in 2015. An EU ban on the use of DCM-based paint strippers came into force three years earlier on the 6th of June 2012.

Strong Evidence

  • Arrhythmias*
  • Myocardial infarction (heart attack)*

Good Evidence

  • Brain cancer – adult*
  • Fetotoxicity (miscarriage / spontaneous abortion, stillbirth)*
  • Reduced fertility – male (infertility and subfertility)*

Limited Evidence

  • Breast cancer*
  • Hepatocellular cancer (liver cancer)
  • Lung cancer*
  • Pancreatic cancer*
  • Peripheral neuropathy*
  • Prostate cancer*

Illnesses marked thus * have been suffered by Irish Air Corps personnel or their offspring.

Baldonnel Bingo – Dichloromethane Edition

Baldonnel Bingo – Where only the good die young!

Who will be the champion ? ARF, Avionics, BFTS, ERF or MTS?

All the below illnesses are known* to be caused by dichloromethane (DCM) also known as methylene chloride.

DCM was banned after a vote in the European Parliament in January 2009. The ban came into place in 2011 but the Irish Air Corps were still happy to let unsuspecting personnel use DCM without PPE or training in 2015 & likely beyond.

The Irish Air Corps finally issued PPE to all personnel using chemicals in 2017 a full 20 years after being told to do so by state body Forbairt.

Click on image to download a 30 player PDF or organise a game online here

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References*

Klaassen CD, Ed. Casarett and Doull’s Toxicology: The Basic Science of Poisons, 6th Edition. New York: McGraw-Hill 2001.
LaDou J, Ed. Occupational and Environmental Medicine, 3rd Edition. New York: Lange Medical/McGraw-Hill Company, 2004.
Leikin JB, Davis A, Klodd DA, Thunder T, Kelafant GA, Paquette DL, Rothe MJ, Rubin R. Selected topics related to occupational exposures. Part V. Occupational cardiovascular disease. Disease-a-Month. 2000 Apr;46(4):311-322.
Lynge E, Anttila A, Hemminki K. Organic solvents and cancer. Cancer Causes and Control. 1997 May;8(3):406-19.
Rom WM. Environmental and Occupational Medicine, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins Publishers, 1998.
Severe Optic Neuropathy Caused by Dichloromethane Inhalation
Atsushi Kobayashi, Akira Ando, Nobuko Tagami, Masahiko Kitagawa, Emi Kawai, Masako Akioka, Eiko Arai, Toshio Nakatani, Satoshi Nakano, Yoshie Matsui, and Miyo Matsumura Published Online:8 Dec 2008https://doi.org/10.1089/jop.2007.0100
Environmental and Chemical Toxins and Psychiatric Illness By James S. Brown. Publisher: American Psychiatric Association Publishing (27 Feb. 2002) Language: English ISBN-10: 0880489545

Irish Air Corps Health & Safety officer ordered evidence of Carbon Monoxide risks destroyed.

In 1995 the Irish Air Corps commissioned an independent third party organisation to carry out air quality testing in the Engine Repair Flight building. ERF comprised the Engine Overhaul facility, the Non Destructive Testing workshop and the Machine shop. Avionics Squadron was located in the same physical building as the ERF and the open attic spaces meant  chemical vapours & fumes from either unit were free to flow in either direction.

The Avionics / ERF building was also less than 20m downwind from the 3m high Spray Paint Shop exhaust stack which exhausted benzene, hexamethylene diisocyanate, toluene and xylene.

Ambient Air Monitoring for Health & Safety at Work Report from the 2nd of August 1995 found that #Dichloromethane (also known as Methylene chloride) was found in some areas to be 175ppm. At the time The most stringent health and safety limits for #DCM were 50 ppm (TWA for 8 hours) and 126 ppm (STEL for 15 minutes).

Personnel, including other ranks employed in the Formation Safety Office, were never informed of these results. Avionics / ERF personnel were left in situ for a further 12 years before the workshops were finally condemned & demolished and needlessly exposed to #DCM and other chemicals.

Significantly Dichloromethane metabolises as Carbon Monoxide once inhaled but is lethal in many other different ways.  We have at least 10 untimely deaths of men who worked in this building alone, their average age of death was 49.3 years and the youngest was only 32.

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So we have one state body warning the general public about the dangers of Carbon Monoxide, while another state body hid evidence of a known carbon monoxide threat from personnel working in a heavily contaminated facility.

Delay – Deny – Die

Whistle blower who raised concerns over alleged chemical exposures seeks Air Corps inquiry

A whistleblower who has raised concerns over alleged chemical exposures in the Air Corps says the force used five of the same chemicals at the centre of a cancer scandal involving tech giants Samsung.

The whistleblower has compiled a list of 70 deaths of former Air Corps staff that he believes should prompt an investigation into chemical exposures at the force’s headquarters in Casement Aerodrome.

South Korean company Samsung last week apologised for the sickness and deaths suffered by some of its workers after they were linked to chemical exposures in its facilities. Dozens of employees have experienced grave illnesses such as leukaemia and brain tumours.

Samsung and a group representing ailing workers agreed compensation terms after a highly publicised standoff that had been ongoing for more than a decade. The president of its device solutions division said the company failed to “sufficiently manage health threats” at its plants

SHARPS (Supporters for the Health And Rights of People in the Semiconductor industry) is a group campaigning on behalf of those who worked in Samsung facilities and subsequently suffered illnesses.

Its website has listed case studies and chemicals used by Samsung, including trichloroethylene, a known carcinogenic used by the Irish Air Corps until 2007.

This newspaper has previously revealed the details of an internal Air Corps memo that said it is possible staff may have ingested Triklone N, a vapour degreaser that contains trichloroethylene,  over a 27-year-period.

The memo said staff could have suffered other exposures because there was no record that protective measures were in place to mitigate the impact of the toxic solvent.

The summary of an internal Air Corps report, compiled in 2014, asks: “Can the Defence Forces be found not to have done everything reasonably practicable?”

Read full article on Irish Examiner website below…

University of Limerick students exposed to Irish Air Corp toxic chemicals over decades

The University of Limerick sent 3 engineering students a year, from about 1990 to 2008, for work experience at the Irish Air Corps at Casement Aerodrome, Baldonnel.

During their work experience all the UL students were  exposed to a range of CMR chemicals in an unprotected manner and at levels known by the Air Corps to be over airborne health and safety limits.

To date the University of Limerick have refused to alert their former students to the fact that they were overexposed to toxic chemicals including Trichloroethylene, Trichloroethane, Dichloromethane, Hexamethylene Diisocyanate, Toluene, Xylene, Benzene, Hexavalent Chromium and many more.

Like their military counterparts that served during the same time period some of the UL students have been injured by their time serving in the Irish Air Corps. They all need to be informed of their exposure so that those suffering can receive appropriate medical help.

The actions of the University of Limerick on this issue to date have been shameful.

http://www.thejournal.ie/college-guide-ul-4181613-Aug2018/