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Cancer incidence among pulp and paper workers exposed to organic chlorinated compounds formed during chlorine pulp bleaching.

The risk of cancer of 152 male workers exposed to organic chlorine compounds formed during chlorine pulp bleaching was assessed in a retrospective cohort study. The men had worked continuously for at least one year in selected job categories between 1 January 1945 and 31 December 1961. The cohort was followed for death and cancer incidence until 31 December 1987 with the use of the data of the National Population Register and the Finnish Cancer Registry. There were 12 observed cancers against 8.1 expected [standardized incidence ratio (SIR) 1.5, 95% confidence interval (95% CI) 0.8-2.6]. Among the stock preparation workers (N = 53), a significantly elevated risk of lung cancer was found (6 observed, 1.0 expected, SIR 6.3, 95% CI 2.3-14) that was especially prominent after a latency (time since first employment) of at least 15 years and in the age group of 35 to 59 years. Although all of the cases involved smokers, a part of the increased incidence may be associated with the workplace exposure to organic chlorinated compounds.

Adult

Identification of chlorinated compounds in the spent chlorination liquor from differently treated sulphite pulps with special emphasis on mutagenic compounds.

About 80 compounds present in the spent chlorination liquor from the bleaching of sulphite pulp have been identified. A comparison has been made between these compounds and those identified in kraft bleaching effluent, with special emphasis on mutagens. The influence of oxygen delignification, before chlorination and alkali treatment of the spent bleach liquor, on the composition of the liquors has also been investigated.

Aldehydes

Evaluation of chlorine compounds for surface disinfection by laboratory and in-use testing.

The disinfecting properties of chloramine and compounds containing chlorinated trisodium phosphate and potassium bromide or sodium dichlorisocyanurate and detergents were studied by laboratory and in-use tests and compared with a phenolic disinfectant containing detergents. In a modified Kelsey test all the preparations were effective in the recommended dilutions in clean conditions. The effectiveness of the chlorine-bromine disinfectant substantially decreased in the presence of organic material. The in-use testing was performed in infectious disease and intensive care wards. Chloramine was so disliked that the in-use test could not be carried out. In the infectious disease ward the total bacterial colony counts of the floors (disinfected once a day) were twice as high as those of the intensive care ward (disinfected 3 times a day) during the use of the phenolic and chlorine-bromine disinfectants. The frequent cleaning routine seemed thus to have an effect on the microbial contamination of the floors. The same difference was found in the contamination of the other non-vertical surfaces although they were disinfected only once a day in both wards. In both wards the total bacterial colony counts of all non-vertical surfaces were lower during the use of halogen compounds than during the use of the phenolic disinfectant. The staff, however, complained of the irritation of the skin and the mucous membranes when using chlorine disinfectants.

Chloramines

The effect of organic chlorine compounds and their metabolites present in human milk on newborn mice.

The effect of pesticides and their metabolites (DDE, DDT, DDD, alpha, beta and gamma-HCH and PCBs) isolated from human milk on the blood and liver morphology of the mouse were studied. Mouse neonates were fed an extract of the organochlorine compounds in linseed oil for a period of 6 weeks. The lowest dose used in the experiment equalled that which a human infant can receive with its mother's milk, calculated per gram of body weight. Doses 10 and 100 times higher were also used. At the end of the experiment, tissue samples for electron microscopy and blood samples for haemotological examination were taken. Haematological examinations, in mice receiving pesticides, revealed a significant rise in the number of Heinz bodies in erythrocytes and an increased number of lymphocytes. These changes were related to the concentrations of the organic chlorine compounds that the animals were given. Electronmicroscopy demonstrated that organochlorine pesticides at doses equal to that might be received by infants caused proliferation of the smooth endoplasmic reticulum in hepatocytes without any clear damage to other subcellular structures. Doses 10 and 100 times higher resulted in more extensive proliferation of the smooth endoplasmic reticulum, reduction of the rough elements of the endoplasmic reticulum and damage to mitochondria. The latest changes were associated with an increased number of prominent Kupffer cells and the appearance of immigratory cells with traits characteristic of lymphocytes and monocytes.

Administration, Oral

The Ca(2+)-transport-ATPase of human erythrocytes as an in vitro toxicity test system--acute effects of some chlorinated compounds.

Investigations to determine the inhibitory activity on the Ca(2+)-transport-ATPase of human erythrocyte membranes were performed with various compounds of toxicological significance, mostly chlorinated and mainly used as biocides, such as phenol, 4-chlorophenol, 2,4-dichlorophenol, 2,6-dichlorophenol, 3,4-dichlorophenol, 2,3,4-trichlorophenol, 2,3,4,5-tetrachlorophenol, pentachlorophenol (PCP), captan, folpet, captafol, (+)-camphene, toxaphene, dichlorodiphenyltrichloroethane (DDT), lindane, endrin, dieldrin, alpha-endosulfan, beta-endosulfan, paraquat, diallate, 2,4-dichlorophenoxyacetic acid (2,4-D) and 2,4,5-trichlorophenoxyacetic acid (2,4,5-T). Some of the compounds investigated display an inhibitory effect on the Ca(2+)-transport-ATPase at very low concentrations. The in vitro results obtained in this enzyme assay can be correlated directly with the results of other in vitro assays and with the results of in vivo investigations in different species in which an inhibitory effect on various biological functions is observed. Therefore, an inhibitory effect on the Ca(2+)-transport-ATPase indicates a toxic effect of these compounds to cell functions. Since the inhibitory effect of these compounds can be measured rapidly and the enzyme is easy to handle, it might be a useful tool to screen the toxic effects of various compounds on cell function. The aim of the authors was to investigate the usefulness of this screening test system for the characterization of the cellular toxicity of various compounds.

Calcium-Transporting ATPases

[Residues of organic chlorine compounds in Hessian milk products from 1978 to 1982].

According to representative investigations of chlorinated hydrocarbons and of organic environmental chemicals the load in Hessian milk and milk products has regressed since 1978. With the exception of alpha-HCH all actually investigated residues are definitely at under 10% of the permitted levels. The very low base levels of all the other compounds are definitely due to environmental influences, since agriculture hardly contributes to the residues of these compounds in the ecosphere.

Animals

Removal of purgeable organic chlorine compounds by activated carbon adsorption.

The increasing demand for drinking water in the city of Cologne could no longer be met solely by ground water resources. A group of wells was placed in a meander of the Rhine River south of Cologne in order to draw bank-infiltrated ground water from the river. Geohydrological conditions at that location assure that the pumped raw water is mainly bank-infiltrated water from the Rhine River. The relatively long underground passage, of about 600 m, provides significant pretreatment of the river water.

Adsorption

[Toxic pathology of the hepatocyte in histiotype culture. II--Effects of an organic chlorine compound: lindane. Effect of a foreign metabolizable substance and toxic effect].

Lindane or HCH is gamma-hexachlorocyclohexane, still used as an agricultural insecticide. Tests were carried out using primary cultures of chicken embryo hepatocytes at the 11th day of incubation, for a fixed period of 40 hours, using different concentrations of the substance. From 0.5 to 10 mumol/l, acid phosphatase fell significantly, without any other consequences being observed. From 25 to 50 mumol/l, there was a tendency to hypertrophy of the mitochondria, to hyperplasia of the granular and smooth endoplasmic reticulum, and of the Golgi system. Growth was unchanged and acid phosphatase decreased. From 75 to 125 mumol/l, these changes were accompanied by signs of cellular damage and there was marked autophagia. Growth was reduced and acid phosphatase greatly decreased. From 150 to 175 mumol/l, the lesions were markedly polymorphous and some indicative of impending cytolysis, in particular spiral tearing of the hyaloplasm. Growth was markedly impaired, whilst there was a paradoxal increase in acid phosphatase. In increasing concentration, L first had the effect of a metabolisable foreign substance, of the "phenobarbital" type, then a definite toxic action. Sensitivity of the individual hepatocytes differed.

Animals

Reactions of aqueous chlorine and chlorine dioxide with model food compounds.

Chlorine and chlorine dioxide (ClO2), common disinfecting and bleaching chemicals used in the food industry, are potent oxidizing and chlorinating agents. Unfortunately, little is known about the nature of the reactions of chlorine with organic food constituents. This presentation reviews published information concerning the reactions of chlorine gas (Cl2[g]), aqueous chlorine, and ClO2 with model food compounds, the fate of chlorine during the chlorination of specific food products, and the potential toxicity of the reaction products. Fatty acids and their methyl esters react with chlorine with the degree of incorporation corresponding to their degree of unsaturation. Aqueous chlorine oxidizes and chlorinates lipids and amino acids much more readily than ClO2. Several amino acids are highly susceptible to oxidation and chlorination by chlorine compounds. Reactions of chlorine and ClO2 with several food products, including flour and shrimp, have also been characterized. In one model system, 99% of Cl2(g) either reacted with components of flour or was consumed by oxidation/chlorination reactions. The lipids extracted from the chlorinated flour contained significant amounts of chlorine. Exposure of shrimp to hypochlorous acid (HOCl) solution resulted in significant incorporation of chlorine into the edible portion. Although significant quantities of chlorine can be incorporated into specific model compounds and food products, the health risks associated with exposure to chlorinated organic products are unknown. Preliminary studies using the Ames Salmonella/microsome mutagenicity assay indicate that the reaction products from mixtures of aqueous chlorine and various lipids or tryptophan are nonmutagenic. Nevertheless, additional studies are warranted, so that the toxicological significance of these reaction products can be understood more fully.

Amino Acids