There is some concern that irradiation of food may have adverse effects and leave unwanted residues.. Food additives have been classified by Kermode into five broad groups: In Table 1 a
Trang 1Almost daily one reads reports in the press about new
dangers found or suspected in foods, medicines and other
products Public awareness of possible perils in everyday
products has increased greatly Smoking, asbestos, toxic and
hazardous wastes (once called industrial wastes) are widely
discussed
Problems resulting from technological advances are
being uncovered at an alarming rate While it is possible to
predict, with some accuracy, benefits to be expected from
improvements and new approaches in applied science,
seldom have serious efforts been made to determine adverse
effects resulting from these The general public is
increas-ingly aware of potential hazards from new products and
processes and the trend in industrialized countries is toward
greater control and regulation of hazardous undertakings
The question as to the more effective approach, gentle
per-suasion to gain voluntary compliance or strong legislation
for strict regulation, has not been satisfactorily answered
Probably there never will be agreement
In the United States, the Office of Technology Assessment
was dissolved The stated reason was that this Office did
long-term studies which were not immediately useful to a
legisla-tor In remarks at the Conference on Technical Expertise and
Public Decisions at Princeton University, the then Chairman
of the House Science Committee said that it was more
desir-able to depend on the views of those most interested in the
topic—the lobbyists
The relationship among the air, water, and soil is not
a static one Effects of a pollutant may be demonstrated
progressively in the various compartments into which
the environment is divided A substance may be initially
present, without apparent ill effects, in one compartment
Later, the same substance, or a demonstrable derivative,
may appear in a different part of the environment in a most
undesirable way An excellent example is the high mercury
level found in fish Initially, it was felt that disposal into the
marine environment would conveniently remove a
bother-some waste However, by previously unsuspected paths the
metal found its way into the systems of game and food fish
Food, thus, has become a secondary distributor of pollutant
material
Chemical pollutants may be divided into four categories:
1) Natural chemicals in excess
2) Naturally occurring toxins
3) Mixtures of air and water pollutants which produce adverse effects but with only partially defined or undefined components
The first group includes chemicals such as nitrates and nitrites Nitrates, for example, can cause methemoglobinemia
in infants by reduction of the capacity of the blood to carry oxygen An intermediate reduction is involved A famous case in New York involved accidental introduction of sodium nitrite into oatmeal and the resulting problems of “Eleven Blue Men.” The victims, all heavy users of alcohol, apparently tried instinctively to compensate for low salt in the body Through an accident, sodium nitrite instead of sodium chloride, was placed
in salt shakers in a public eating place The eleven victims all became cyanotic, with the characteristic blue color giving the name to the episode Nitrites may also react with secondary amines to form nitrosamines, some of the which have been shown to be carcinogenic, teratogenic, and mutagenic, all in microgram doses Oxides of nitrogen, thought to be significant
in smog production, can also form nitrosamines
The second group, natural fungal and plant toxins, usu-ally are introduced into the human ecosystem through acci-dent or carelessness Conditions of harvesting, storage, and processing have been shown to be of possible importance
An excellent example of the third group has already been mentioned Mercury was discharged to the receiving water
as an apparent ultimate solution to a waste disposal problem The two components of the system, mercury and water, were assumed to be non-reactive Unfortunately, the two-component system was, in fact, a multicomponent system and no endeavor was made to determine the complete mechanism The prob-lem was further complicated by the introduction of edible fish into the chain
Minimata Disease is named for the city in which it occurred Inorganic mercury was discharged in the effluent
of a local industrial plant Through action of marine organ-isms, the mercury was converted to lipid-soluble methyl mercury, which was taken up in the food chain to fish, the staple of the local diet 43 deaths and about 700 serious ill-nesses were acknowledged by local authorities in the 1950s Some unofficial estimates have put the death toll as high
as 800 In 1989 two former company officials were given prison sentences for the 1950s pollution Lawsuits resulting from the pollution were finally settled in 1996
Trang 2In Japan in 1968 about 1800 people developed a malady
similar to chloracne after ingesting rice oil contaminated
with a chlorinated biphenyl Known as Yusho or Rice Oil
Disease, the rice oil used in cooking had been contaminated
by a PCB which had leaked from a faulty heat exchanger
In 1978 an outbreak similar to Yusho Disease occurred in
Taiwan and is known as the Yu-Cheng Incident The cause
was the same, a faulty heat exchanger
The last group, synthetic chemicals, includes pesticides
and fertilizers used in agriculture, food additives, compounds
containing heavy metals, plasticizers, fuel additives,
house-hold chemicals, industrial chemicals, therapeutic and
pro-phylactic drugs, and drugs of abuse Food additives may be
intentional or accidental Anti-oxidants and dyes are added
routinely to many foods However, almost any of the
afore-mentioned may be accidentally introduced into food, often
with most unpleasant results There is much controversy
concerning synthetic agriculture chemicals Advantages and
disadvantages are numerous and no definite decision has
been reached concerning continued use of many substances
NTA (Nitrilotriacetic Acid) as a substitute for phosphates in
detergents, is another excellent example of conflicting use
The problem is far from restricted to simple direct
physi-ological effects
Food additives may be classified as to function They
find use as coloring material, flavor enhancers, shelf life
extenders, and in protection of food nutritional value While
valuable, color additives are not always essential However,
many of the foods now enjoyed by modern western society
would not be possible, in their present form, without food
additives
It is estimated by the World Health Organization that
about one fifth of the food produced in the world is lost by
spoilage Preservation, or retardation of spoilage, can be
accomplished by addition of chemical preservatives, or by
physical means such as freezing, drying, souring,
ferment-ing, curing or ionizing radiation There is some concern
that irradiation of food may have adverse effects and leave
unwanted residues Little is known about possible chemical
chain reactions
Food additives have been classified by Kermode into
five broad groups:
In Table 1 are displayed food additives declared by the
United States Food and Drug Administration to be
“gener-ally recognized as safe.” Not included in Table 1 is a large
group of natural flavors and oils To be on the list an additive
must have been in use before 1958 and meet specifications
for safety Materials introduced after 1958 must be tested
individually in order to quality for inclusion of the FDA list
Examples of materials formerly listed but now removed are
cyclamate sweetners and saccharin A ban on cyclamates
ordered by the US government after tests revealed devel-opment of bladder cancer in laboratory rats fed on a diet containing cyclamates Further testing, after the ban, found cancer development in the same test species at dosage rates one sixth as large as those which brought about the ban
TABLE 1 Additives listed by the U.S Food and Drug Administration as
“generally recognized as safe.” (Courtesy, Scientific American )
ANTICAKING AGENTS Aluminum calcium silicate Calcium silicate
Magnesium silicate Sodium aluminosilicate Sodium calcium aluminosilicate Tricalcium silicate
CHEMICAL PRESERVATIVES Ascorbic acid
Ascorbyl palmitate Benzoic acid Butylated hydroxyanisole Butylated hydroxytoluene Calcium ascorbate Calcium propionate Calcium sorbate Caprylic acid Dilauryl thiodipropionate Erythorbic acid Gum guaiac Methylparaben Potassium bisulfite Potassium metabisulfite Potassium sorbate Propionic acid Propyl gallate Propylparaben Sodium ascorbate Sodium benzoate Sodium bisulfite Sodium metabisulfite Sodium proponate Sodium sorbate Sodium sulfite Sorbic acid Stannous chloride Sulfur dioxide
Trang 3Thiodipropionic acid
Tocopherols
EMULSIFYING AGENTS
Cholic acid
Desoxycholic acid
Diacetyl tartaric acid esters of mono- and diglycerides
Glycocholic acid
Mono- and diglycerides
Monosodium phosphate
derivatives of above
Propylene glycol
Ox bile extract
Taurocholic acid
NUTRIENTS AND DIETARY SUPPLEMENTS
Alanine
Arginine
Ascorbic acid
Aspartic acid
Biotin
Calcium carbonate
Calcium citrate
Calcium glycerophosphate
Calcium oxide
Calcium pantothenate
Calcium phosphate
Calcium pyrophosphate
Calcium sulfate
Carotene
Choline bitartrate
Choline chloride
Chopper gluconate
Cuprous iodide
Cysteine
Cystine
Ferric phosphate
Ferric pyrophosphate
Ferric sodium pyrophosphate
Ferrous gluconate
Ferrous lactate
Ferrous sulfate
Glycine
Histidine
Inositol Iron, reduced Isoleucine Leucine Linoleic acid Lysine Magnesium oxide Magnesium phosphate Magnesium sulfate Manganese chloride Manganese citrate Manganese gluconate Manganese glycerophosphate Manganese hypophosphite Manganese sulfate Manganous oxide Mannitol Methionine Methionine hydroxy analogue Niacin
Niacinamide d-pantothenyl alcohol Phenylalanine Potassium chloride Potassium glycerophosphate Potassium iodide
Proline Pyridoxine hydrochloride Riboflavin
Riboflavin-5-phosphate Serine
Sodium pantothenate Sodium phosphate Sorbitol Thiamine hydrochloride Thiamine mononitrate Threonine
Tocopherols Tocopherol acetate Tryptophane Tyrosine Valine
(continued)
TABLE 1 (continued) Additives listed by the U.S Food and Drug Administration as “generally recognized as safe.” (Courtesy, Scientific American )
Trang 4Vitamin A
Vitamin A acetate
Vitamin A palmitate
Vitamin B12
Vitamin D2
Vitamin D3
Zinc sulfate
Zinc gluconate
Zinc chloride
Zinc oxide
Zinc stearate
SEQUESTRANTS
Calcium acetate
Calcium chloride
Calcium citrate
Calcium diacetate
Calcium gluconate
Calcium hexametaphosphate
Calcium phosphate monobasic
Calcium phytate
Citric acid
Dipotassium phosphate
Disodium phosphate
Isopropyl citrate
Monoisopropyl citrate
Potassium citrate
Sodium acid phosphate
Sodium citrate
Sodium diacetate
Sodium gluconate
Sodium hexametaphosphate
Sodium metaphosphate
Sodium phosphate
Sodium potassium tartrate
Sodium pyrophosphate
Sodium pyrophosphate, tetra
Sodium thiosulfate
Sodium tripolyphosphate
Stearyl citrate
Tartaric acid
STABILIZERS
Acacia (gum arabic)
Agar-agar Ammonium alginate Calcium alginate Carob bean gum Chrondrus extract Ghatti gum Guar gum Potassium alginate Sodium alginate Sterculoia (or karaya) gum Tragacanth
MISCELLANEOUS ADDITIVES Acetic acid
Adipic acid Aluminum ammonium sulfate Aluminum potassium sulfate Aluminum sodium sulfate Aluminum sulfate Ammonium bicarbonate Ammonium carbonate Ammonium hydroxide Ammonium phosphate Ammonium sulfate Beeswax Bentonite Butane Caffeine Calcium carbonate Calcium chloride Calcium citrate Calcium gluconate Calcium hydroxide Calcium lactate Calcium oxide Calcium phosphate Caramel
Carbon dioxide Carnauba wax Citric acid Dextrans Ethyl formate Glutamic acid
(continued)
TABLE 1 (continued) Additives listed by the U.S Food and Drug Administration as “generally recognized as safe.” (Courtesy, Scientific American )
Trang 5Glutamic acid hydrochloride
Glycerin
Glyceryl monostearate
Helium
Hydrochloric acid
Hydrogen peroxide
Lactic acid
Lecithin
Magnesium carbonate
Magnesium hydroxide
Magnesium oxide
Magnesium stearate
Malic acid
Methylcellulose
Monoammonium glutamate
Monopotassium glutamate
Nitrogen
Nitrous oxide
Papain
Phosphoric acid
Potassium acid tartrate
Potassium bicarbonate
Potassium carbonate
Potassium citrate
Potassium hydroxide
Potassium sulfate
Propane
Propylene glycol
Rennet
Silica aerogel
Sodium acetate
Sodium acid pyrophosphate
Sodium aluminum phosphate
Sodium bicarbonate
Sodium carbonate
Sodium citrate
Sodium carboxymethylcellulose
Sodium caseinate
Sodium citrate
Sodium hydroxide Sodium pectinate Sodium phosphate Sodium potassium tartrate Sodium sesquicarbonate Sodium tripolyphosphate Succinic acid
Sulfuric acid Tartaric acid Triacetin Triethyl citrate SYNTHETIC FLAVORING SUBSTANCES Acetaldehyde
Acetoin Aconitic acid Anethole Benzaldehyde
N-butyric acid d- or l-carvone
Cinnamaldehyde Citral
Decanal Diacetyl Ethyl acetate Ethyl butyrate Ethyl vanillin Eugenol Geraniol Geranyl acetate Glycerol tributyrate Limonene Linalool Linalyl acetate 1-malic acid Methyl anthranilate 3-Methyl-3-phenyl glycidic acid ethyl ester
Piperonal Vanillin
TABLE 1 (continued) Additives listed by the U.S Food and Drug Administration as “generally recognized as safe.” (Courtesy, Scientific American )
Trang 6The Delaney Amendment, dealing with food additives,
has been in place since 1958 A substance which produced
cancer in laboratory animals could not be used as a food
additive It was overhauled significantly in 1996 More foods
are now covered However, states cannot set standards which
are more strict than the federal rules The standard for
pes-ticides in raw and processed food is based on the amount
which may be expected to produce cancer in one person in
a million
It is estimated that there are as many as 1400 natural and
synthetic flavors available today Increased use of flavoring
has paralleled the introduction of new food processing and
distribution techniques
Flavor enhancers are closely related to flavors The best
known of these is monosodium glutamate (MSG) There is
evidence linking excessive intake of MSG to Kwok’s
dis-ease, sometimes known as “Chinese restaurant syndrome.”
Symptoms include a tightening of the neck and face
mus-cles, at times accompanied by nausea, headache, and
gid-diness Some countries have placed limits on the amount of
MSG in foods and require that the presence of this substance
be prominently noted
Color additives are utilized primarily for the purpose of
giving an appetizing appearance to food Synthetic dyestuffs
are used much more often than natural materials It can be
expected that the synthetic dyes will be produced in a high
state of purity In general, small amounts of dye will suffice
to give the desired food color A material that gives a color
that is durable is needed by the food processor Regulations
governing the colors that may be added to foods vary
mark-edly from country to country and this causes some
difficul-ties for food processors engaged in international operations
Some commonly used preservatives are benzoic acid,
sodium benzoate, sorbic acid, monosodium phosphate,
sodium propionate, and sulfur dioxide Of special interest is
the use of sulfur dioxide for inhibition of mold and
discol-oration in wine Sulfur dioxide is, of course, a prominent air
pollutant There is anxiety that the acceptable daily intake
of sulfur dioxide will be exceeded in countries where wine
intake is heavy Experimental evidence indicates that sulfur
dioxide inhibits the growth rate, probably due to destruction
of Vitamin B 1 by sulfite
Antioxidants, added to prevent rancidity in fatty foods,
can be put in the classification of preservatives A second
use for antioxidants is developing with the growing
prac-tice of display of food in transparent containers and
wrap-ping Attendant exposure to light causes discoloration, not
necessarily detrimental to nutritional value in itself, but
detracting from attractiveness The most commonly used
anti-oxidants are butylated hydroxyanisole, butylated
hydroxy-toluene, propyl, octyl and dodecyl gallates, and tocopherols
Antioxidant effect of a substance can often be increased by
addition of a second material, producing a synergistic
reac-tion and allowing more effective product control
Texture agents include emulsifiers, stabilizers, and
thick-eners These are the largest single class in terms of total
quan-tity consumed in food Use of these agents has contributed
greatly to the development of the new convenience foods
The miscellaneous group includes acids, alkalies, buf-fers, neutralizing agents, glazers, release agents, anti-caking materials, clarifying agents, and foaming agents All
of these substances are primarily manufacturing and pro-cessing aids Indeed, without many of these materials the range of modern foods would be much more limited Testing of food additives as with most other chemicals,
is not usually done with human subjects Exposure studies of both limited duration and long term are made on mice, rats, dogs, and other laboratory animals When deviation from normal response is noted, the largest dosage that does not produce the change is used as the base for acceptable intake for humans Normally, this dosage is reduced by a factor of about 100 in most countries The allowable, or accept-able, dosage is expressed as milligrams of the substance per kilogram of receptor body weight It must be emphasized that extrapolation from animals to humans is always a dif-ficult undertaking
International guidelines have been issued by the World Health Organization and the Joint Expert Committee on Food Additives of the Food and Agriculture Organization The Codex Alimentarius Commission of the Food and Agriculture Organization has published six principles con-cerning the use of food additives
1) The use of an additive is justified only when it has the purpose of maintaining a food’s nutritional quality, enhancing keeping quality or stability, making the food attractive, providing aid in pro-cessing, packing, transporting or storing food or providing essential components for food in special diets An additive is not justified if the proposed level of use constitutes a hazard to the consum-er’s health, if the additive causes a substantial reduction in the nutritive value of the food, if it disguises faulty quality or the use of processing and handling techniques which are not allowed, it deceives the customer or if the desired effect can
be achieved by other manufacturing processes that are economically and technologically satisfactory 2) The amount of additive should not exceed the level reasonably required to attain the desired effect under good manufacturing conditions
3) Additives should conform to an approved standard
of purity
4) All additives in use, or proposed, should be sub-jected to adequate toxicological evaluation and permitted additives should be kept under observa-tion for deleterious effects
5) Approval of additives should be limited to spe-cific foods or spespe-cific purposes and under spespe-cific conditions
6) Use of additives in foods consumed mainly by special groups within the community should be determined by the food intake of that group
Toxicity is the general term applied to adverse biologi-cal effects in man resulting from pollutants Effects may
Trang 7range from lessened health levels to death Chronic toxicity
is of major interest here Included under effects of chornic
toxicity are carcinogenicity, teratogenicity, and
mutagenic-ity It has been suggested that some behavioral disorders are
seated in the effect of toxic substances This area has not
been extensively investigated
One or more of these types of toxicity may be induced by
pollutants in the environment Pollutants may cause adverse
effects alone or may interact synergistically with ordinarily
harmless substances to give unexpected results The
mecha-nism of smog formation is an excellent example, although
Man is but indirectly affected
It has been estimated that, over the expected life span of
one malformed child, the total costs for care are in the
neigh-borhood of a million dollars This figure, which does not
include loss of earnings, is a high price for society to pay
Widespread, long-term genetic effects due to
environ-mental pollution cannot be accurately predicted but the cost
is certainly great Such cost estimates have not, until recently,
been applied in matching benefits to cost in evaluation of a
potentially hazardous substance Hazards from a particular
substance need not be accepted when another substance of
equal worth is available Mandatory testing is usually looked
upon as an unnecessarily bothersome expense by producers
of synthetic substances In fairness, however, it must be said
that some chemicals, in use for years, have been
unexpect-edly indicated as potential hazards and the economic loss has
been heavy Cyclamates are a good example It is of interest
to speculate if such a situation could have been avoided The
basic question concerns the adequacy of existing legislation
and difficulty of implementing regulations
It has become increasingly clear that many diseases
formerly regarded as spontaneous are caused by
environmen-tal pollutants These diseases include cancer, birth defects,
and mutations The problem is compounded by greatly
increased exposure of the population to new synthetic
chem-icals and their degradation products Environmental effects
of these substances are not usually adequately evaluated
There is now overwhelming evidence that many human
cancers are due to carcinogenic substances in the
environ-ment These are, then, preventable Studies of
epidemio-logical factors have indicated strongly local environmental
factors are of significance in cancer incidence
There is a demonstrable link between cigarette
smok-ing and lung cancer and other cancers have been shown to
be related to smoking Cigarette, pipe and cigar smoking
have become socially unacceptable Ayers has described the
cigarette as a private air pollution source There is strong
evidence that effects of smoking are experienced by persons
in the vicinity of the smoker Environmental tobacco smoke
can be defined as a mixture of sidestream smoke from the
cigarette and mainstream smoke exhaled by the smoker
Smoking in schools, public buildings and businesses is now
widely banned
In 1604 James I described smoking as “A custom
loath-some to the eye, hateful to the nose, harmful to the brain,
dangerous to the lungs.” The first major paper suggesting
a link between smoking and lung cancer was published
in 1939 In 1950 Wynder and Graham reported that, in a group of 650 men with ling cancer, 95% had smoked for at least 25 years Doll and Bradford, in a 1951 report of inter-views with 1357 patients with lung cancer, found that 99.5% were smokers There was a marked decrease of cigratte smok-ing after the 1963 Report of the Surgeon General of the US Public Health Service In the same year, an internal document
of a major tobacco company stated that the company was in the business of selling nicotine, an addictive drug effective in release of stress mechanisms The British government banned television advertising of cigarettes in 1965 The first health warnings appeared on American cigarette packs in 1966 and
on British packs in 1971 A 1984 review article in the Journal
of Epidemiology confirmed the link between smoking and
cervical cancer A 1990 study related lung cancer in nonsmok-ers to passive childhood smoking A former Prime Minister accepted a contract in 1992 with a tobacco company as an adviser on strategy for selling cigarettes in Eastern Europe and Developing Nations In 1993 the US Environmental Protection Agency classified environmental tobacco smoke as a Class A carcinogen The State of Texas, in a 1996 suit against a ciga-rette maker, quotes a company executive as saying “We don’t smoke the—, we just sell it We reserve that for the young, the black, the poor and the stupid.” President Clinton, the first US President to engage in open conflict with the tobacco industry, declared tobacco to be an addictive drug
While Legal Aid to fund claims against tobacco com-panies by former smokers was refused in the UK in 1996, lawsuits against tobacco companies in the United States have been filed by individuals and as class actions 22 states have sued tobacco companies to regain vast sums of public money expended on care for smoking related maladies Previously confidential documents from company files and information supplied by whisle-blowers have shown that the companies were aware of adverse health effects of smoking as early as the 1930s
The tobacco industry, faced with decreasing usage at home, resorted to a creative marketing approach It was decided that a new market must be developed One large tobacco company targeted black people and young, blue-collar females There was a strong public outcry when this was reported in the news media and the company withdrew the campaign It was a public relations disaster
There is increased effort to market American cigarettes
in the Third World American tobacco products enjoy a good reputation as to taste and are popular overseas Officials in some developing countries have accused the US of follow-ing a double standard with regard to addictive drugs at home while promoting cigarette use abroad
Cancer of the oral cavity in Asia is linked with chewing
of tobacco leaves and betel nuts High incidence of gastric cancer in Chile, Iceland, and Japan has been associated epi-demiologically with a diet high in fish It has been suggested that nitrosamines, formed by reaction between nitrites and secondary amines of the fish, may be a significant factor Nitrites are employed as a preservative of fish Dietary con-tamination with aflatoxin is thought to be a causitive effect
of liver cancer in the Bantu Aflatoxin is a fungal carcinogen
Trang 8Ingestion of azoglucoside carcinogens with Cycad plants is
probably the chief cause of liver cancer in Guam Cancer of
the esophagus in Zambians may be related to high
nitrosa-mine content of Kachasu spirits
There is well documented evidence of occupationally
related cancers These include bladder cancer in the rubber
and aniline dye industries, lung cancer in uranium workers,
nasal sinus cancer in wood workers, skin cancer in shale oil
workers, and lung cancer in asbestos workers
The question of asbestos assumed great importance in
the 1980s Once widely used in building, it was found to be
a serious health hazard It is now felt that no exposure to
airborne particles is safe
The Environmental Protection Agency estimates that
30,000,000 tons were used between 1900 and 1980 Asbestos
abatement has become big business One estimate places the
value as high as $200 billion per year Asbestos has been used
in more than 3000 products over the years These include
duct work, exterior shingles, floor and ceiling tiles, plaster,
pipe lagging, cement, drywalls, theater curtains, brake
lin-ings, clutch facings and baby powder
Asbestos occurs naturally as chrysotile, crocidolite,
amosite, anthophyllite, actinolite tremolite The thin, tiny
fibers are not dangerous until disturbed Then particles of a
certain size can lodge in the lungs When the substance can
be crumbled under hand pressure—friable—it is considered
extremely dangerous Building renovation and demolition
can release particles into the air Water damage can loosen
the binding matrix
In the 1930s asbestos inhalation was linked to
asbesto-sis and lung cancer It was later shown that mesothelioma,
cancer of the lining of the lung, is caused by asbestos
Gastrointestinal and larynx cancers have also been
asso-ciated with asbestos In the 1970s the Department of
Health, Education and Welfare estimated that 8 1/2 to
11 million workers have been exposed occupationally in
the last 40 years Asbestos related illnesses can take 20
to 40 years to develop World War II shipyard workers
and prewar insulation workers comprise the majority of
afflicted persons In one study a premature death rate of
48% was found among insulation workers of the 1940s
Custodial personnel are also thought to be at high risk
Studies have found that wives of asbestos workers may
well be in danger It is thought that fibers on the husbands’
clothes are the reason
Asbestos fibers suspended in water are not thought to
pose a hazard However, steam pipe explosions have put
fibers into the air, causing whole blocks to be evacuated and
necessitating expensive cleanup operations
Some claims that chrysotile, the asbestos form most
com-monly used in the US, may pose less danger than other
vari-eties This position has not yet been validated scientifically
The variety of asbestos versus fiber size as more important in
causing disease is the current debate topic Some European
nations and Canada make distinctions among asbestos
vari-eties but, in the US, the EPA and OSHA treat all forms the
same for rule making purpose The UK and Scandinavia
follow closely the US approach
Considerable uncertainty exists in risk assessment for nonoccupational and environmental settings
Action on asbestos abatement began in the schools Since the period for appearance of asbestos related diseases can be as long as 20 to 40 years, it was felt that school-age children were at particular risk In 1982 the EPA Asbestos-in-Schools required all public and private schools to inspect for friable asbestos and report to parents and employees if any were found The rule did not require abatement In 1984 the Asbestos Hazard Abatement Act gave funds to assist in abatement The Asbestos Hazard Emergency Response Act (AHERA) of 1986 established rules and regulations concern-ing identification, evaluation and control of asbestos contain-ing materials in schools It further required schools to identify friable and nonfriable asbestos found and submit manage-ment plans to state governors Provisions were included for periodic reinspections, even though inspections were already made as a result of the notification rule of 1982 Of great importance was that portion of the Act dealing with removal situations and certification of workers In the early days of removal, when guidelines were not yet available, there were too many “rip and skip” operators who performed such work without regard for proper procedures or air quality monitor-ing In many cases there was probably more asbestos in the air after the operation than there was before
It is felt that asbestos abatement in private homes will not be covered by formal regulations However, it is esti-mated that about 75,000 commercial and industrial buildings contain friable asbestos
There are four basic abatement approaches
2) Encapsulation, in which friable asbestos is bound
in a matrix
3) Isolation of the asbestos containing area
All of these means have a place in dealing with the asbestos problem and it is necessary to seek advice of a qual-ified professional before undertaking any action It should
be noted that, in the early days of abatement efforts, some education departments allowed only removal Encapsulation was forbidden In retrospect, this inflexible position might
be criticized
The National Institute of Building Sciences (NIBS) has taken the position that there is no single correct answer for all situations
Environmental carcinogens can be classed into two categories, potent and weak Potent carcinogens, such as nitrosamines and aflatoxins, can induce cancers in animals
in very low concentrations Isolation of these substances in food has given rise to endeavors to relate food distribution patterns with local cancer incidence
Weak carcinogens, such as atmospheric pollutants, some pesticides, and food additives, have effects much more difficult to evaluate and thus may pose as great a threat as the potent carcinogens because they are less likely to be recognized as a significant epidemiological factor Often,
Trang 9evaluation must be by indirect means A causal relationship
has been demonstrated to exist between urban air pollution
and lung cancer Lung cancer mortality patterns differ in
various sections of the United States and Great Britain It
has been clearly shown that increased mortality due to lung
cancer is related to increased urbanization A survey in the
late 1950s found lung cancer rates in the United States to be
39 per one hundred thousand in rural areas and 52 per one
hundred thousand in urban areas Similar data were
gath-ered in Great Britain and the added effect of smoking was
evaluated The conclusion of significance of urban air
pol-lution is inescapable
The first demonstration that environmental pollutants
can cause genetic damage came with the discovery that
high energy radiation induces mutations Later, the
devel-opment of the nuclear industry focused increased attention
on the dangers of unwanted genetic change Associated with
possible genetic damage in this industry was the danger of
radiation induced carcinoma Accordingly, safeguards were
developed and limits were set on radiation levels These
were functions of exposure time Limits were changed
peri-odically in the light of fresh evidence It is of interest to
note that changes were usually downward Radiation from
X-Ray machines and fluoroscopes was treated in the same
way A widely available hazard was the fluoroscope for
fit-ting of shoes It is impossible to determine possible genetic
damage from this source but it was probably considerable
Such installations have all but disappeared Medical and
dental radiation sources are firmly regulated There was
sus-picion that some chemicals might induce mutations but only
about thirty years ago was the mutagenic effect of mustard
gas on fruit flies shown There is concern in some circles
that strongly mutagenic chemicals, their effects not yet
rec-ognized, may already be in wide use
A mutation can be a chemical transformation of a single
gene or a rearrangement of a chromosome The former, called
a gene or point mutation, can cause an alteration in function
The latter may be microscopically visible and is known as
chromosome aberration In studies of human subjects the
aforementioned changes are not always easily determined
When genetic function of a cell is changed while
repro-ductive capacity is unaltered the genetic change is
transmit-ted to descendant cells Mutations in germ cells are most
serious in long-term effects because changes are transmitted
to future generations
Mutagenic effects are of many types These range from
lethal effects to changes so slight as to remain unnoticed It
is thought that many inherited diseases are based in
muta-genic effects At this time there is no known way to
ade-quately evaluate long-term mutagenic effects It is a cause
for serious concern for future generations Genetic effects
over a long term are statistical rather than discrete As
natu-ral selection has had its effect over a long period, so will
externally induced mutations make their effect felt over a
long period Dominant mutations appear in the next
genera-tion while recessive mutagenera-tions require contribugenera-tions from
both parents This characteristic may not appear for many
generations
Most mutations are harmful or neutral Many mutants which in the past would have produced death or lessened fertility now remain This is due to higher standards of health care The former equilibrium, in which old mutations disap-peared about as rapidly as new mutants apdisap-peared, has been upset in favor of new mutants Natural selection does not apply as strongly as before It has been suggested that medi-cal problems of the future will be more and more due to genetic origin One estimate places our present health burden
as being 25% of genetic nature
If a mutation causes a gene to have a sterilizing or lethal effect, only one generation is involved Less severe effects, however, may involve many generations The less severe the effect, the more people will be exposed Mild mutational effects, affecting many people, will have a greater public health impact than one severe, or fatal, case Unfortunately, many of these milder effects may be difficult to detect Many chemical mutagens in the environment pose threats which have not yet been adequately evaluated Mammalians test systems are available but extrapolation from smaller ani-mals to man is indeed difficult and liable to error
Trimethylphosphate, until recently, was added to gaso-line for control of surface ignition and spark plug fouling This substance has been implicated in chromosome damage
in rats The dosage in rats at which damage occurred was at subtoxic level However, extrapolation of dosage levels to man is difficult and man’s exposure to the substance in the environment is almost impossible to estimate
Congenital malformations are those abnormalities which can be recognized at birth or shortly thereafter The study
of these abnormalities, which can cause serious disability
or death, is known as teratology A broader definition can include microscopial, biochemical, and functional abnor-malities of prenatal origin It is estimated that about 3%
of live births involve congenital malformations, but this is only an estimate Lack of adequate data at the national level makes such figures rather rough and probably inaccurate Three categories of human teratogens have been identi-fied These are: (1) viral infections, (2) ionizing radiation, and (3) chemicals Thalidomide is the best known of the third category Experimental evidence of teratogenicity of some compounds had been in existence for many years but requirements of three generation reproductive tests in ani-mals were established only after the sensational thalidomide disaster of 1962 Some questions concerning the validity of such tests have been raised
Pollutant materials to which humans are exposed must
be examined for toxicity These examinations must also include specific tests for carcinogenicity, mutagenicity, and teratogenicity These effects have been studied in the past
by separate disciplines and there has been inadequate inter-change of results and ideas It is to be hoped that the emerg-ing profession of environmental scientist will aid in breakemerg-ing down these historical and somewhat artifical barriers among disciplines
There is need for more sensitive and reliable methods
of testing effects of single chemicals, degradation products and mixtures External environmental effects must also be
Trang 10included as system parameters in evaluation of pollutant
effects It is possible that human tests may become necessary,
but moral and legal considerations pose serious questions
Agents under test must be administered at subtoxic,
toxic, and chronic levels Effects of possibly significant but
normally non-toxic agents on the system containing the toxic
agent under investigation must also be evaluated
Testing procedures must be realistic and reflect the
path-ways of human exposure However, the exception to this
rule is in sensitivity Evaluation of carcinogenic effect may
require administration to test animals by different means
Normal ingestion in humans might be by inhalation while
adequate dosage in rats might require addition of the
sub-stance in question to daily food This is particularly true
when dealing with weak environmental carcinogens
Metabolic compatibility between a test species and
humans is important for extrapolations of test results There
is seldom a one to one correspondence and most
authori-ties feel that at least two test species should be examined
There is much testing data on rodents, pigs, and subhuman
primates Thus, further utilization of these animals is
indi-cated In special cases, however, a less common species may
be necessary in order to gain the desired data
It is necessary to test levels much higher than human
exposure for carcinogenic, teratogenic, and mutagenic
sub-stances It must be noted that, even when large numbers of
mice are tested, the number is still small compared to the
millions of humans that might be exposed in the everyday
environment Not all humans exposed would respond, in any
event, to the dangerous substance As an example, meclizine,
an antihistamine used for treatment of morning sickness, has
been found to be teratogenic in the rat but not so in a relatively
small number of women tested The question as to effects on
a larger population is unanswered For thalidomide, humans
are found to be 60 times more sensitive than mice, 100 times
more sensitive than rats, 200 times more sensitive than dogs,
and 700 times more sensitive than hamsters It is obvious,
therefore, that predictions as to teratogenic doses of
thalido-mide on the basis of animal testing would mean very high
and dangerous exposure levels
Complicating the testing picture is the increased effect of
substances when a second, supposedly innocuous, substance
greatly increases the undesirable end effect Such reactions
were the basis of the Delaney Amendment of 1968 to the Food,
Drug, and Cosmetic Act (US) The Amendment required that
no additive be considered safe if found, under appropriate
testing conditions, to induce cancer in man or animal
Recent advances in molecular biology have made it
pos-sible to give weight to a broad range of evidence, including
details as how toxic agents affect human cells and on genetic
material which controls cell reproduction The relatively
new concept of virtual risk may find application It should
be noted, however, that use of cost/benefit may not be
desir-able and should be treated with caution, if not suspicion At
times this concept has been used to evade existing
environ-mental regulations Elected officials are finding that efforts
to weaken public health and pollution control legislation are
unpopular
Often, non-carcinogenic alternatives are available as replacements for questionable materials There is consider-able controversy about the pesticide DDT Some authorities question the continued utility of DDT for control of cotton insects due to development of resistant strains This contro-versy will not soon die down Cyclamates, banned in recent years, were an intentional food additive and of no value nutritionally Only after their widespread use for a number
of years was there shown a carcinogenic danger
The argument of economic loss to special interest groups
is of no validity In view of the uncertainty of long-term effects of carcinogenic materials, zero tolerance levels must
be imposed for these substances
It is important that chemicals, and their derivatives, suspected or implicated as toxic, carcinogenic, teratogenic, and mutagenic be detected and monitored in the environ-ment Epidemiological studies may show effects but it is necessary to quantitively establish occurrence of these sub-stances It has been possible to demonstrate the relationship between cigarette smoking and lung cancer although some special interest groups seriously disputed this However,
in this case were two dissimilar populations, smokers and non-smokers In the case of exposure of the general popu-lation to a suspect substance, evaluation and epidemiologi-cal treatment of data are more difficult Apart from rubella virus, no known teratogens, such as ionizing radiation, mercury, etc have been positively identified epidemiologi-cally in the highly industrialized countries This indicates the great need for better and more comprehensive gather-ing of data relatgather-ing to birth defects It is to be hoped that environmental effects should be segregated from natural and spontaneous mutation effects It would be necessary to monitor special indicator traits Such traits would have to
be chosen with great care and followed for a considerable period
Recently it has been suggested that mutation rates could be monitored by means of data on spontaneous abor-tions Teratogens may cause chromasome aberrations but these act after fertilization and would be against a normal background
The question of data on occupational hazards, long the major field of endeavor of the industrial hygienist, must be raised in connection with legislation thought to be inade-quate and outdated The correctness of much of the informa-tion on which maximum allowable concentrainforma-tions are based
is in doubt at this time Probably a critical reexamination will soon come about as a result of increased environmental awareness
Present toxicological techniques are not sufficiently sensitive to monitor adequately many weak carcinogens Compounding the problem is the difficulty of recognizing effects of many substances in the general population Special situations as to sample population at times help to simplify the problem, such as cigarette smoking But there is cer-tainly a great area in which problems are strongly suspected
to exist but statistical validation is not possible at this time Yet tolerance and allowable concentration limits must be set There is a most fruitful area for research here