This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this site. Copyright 2008, The Johns Hopkins University and Michael Trush. All rights reserved. Use of these materials permitted only in accordance with license rights granted. Materials provided “AS IS”; no representations or warranties provided. User assumes all responsibility for use, and all liability related thereto, and must independently review all materials for accuracy and efficacy. May contain materials owned by others. User is responsible for obtaining permissions for use from third parties as needed. Section B: Health Effects of Acute and Chronic Benzene Exposure Benzene C o n ce n tra tio n (p p m ) 25 5 0 -1 5 0 D u ra tio n of E xp o su re 8 5 500 1 1 ,5 0 0 1 1 ,5 0 0 -3 ,0 0 0 S e ve ra l h o u rs 6 1 ,5 5 0 -3 ,1 0 0 1 ,5 7 0 - 3 1 3 0 S e ve ra l h o u rs E ffe cts O b se rve d R e fe re n ce None H e a d a ch e , la ssitu d e , w e a rin e ss S ym p to m s o f illn e ss S e rio u s sym p to m s S lig h t sym p to m s N o se rio u s e ffe cts S lig h t sym p to m s G e ra rd e , 1 9 6 3 G e ra rd e , 1 9 6 3 G e ra rd e , 1 9 6 3 G e ra rd e , 1 9 6 3 B lo o m fie ld , 1951 H a m ilto n , 1934 B ro w n in g , 1937 Various reported adverse effects in humans after short-term exposure to various concentrations of benzene vapor (Paustenbach et al., 1993) Benzene Duration Concentration of (ppm) Exposure 3,000 0.5 3,000 0.5-1 3,000-4,700 1 3,130-4,700 0.5-1 4,650 0.5 4,700 0.5 Effects Observed Reference Endurable Gerarde, 1963 Dangerous Browning, 1937 Maximum Bloomfield, 1951 concentrations Von, Oettingen, 1940 that can be inhaled 1 hour without serious disturbance Maximum Browning, 1937 concentration for this period of time Listlessness and Hamilton, 1931 confusion Confusion Greenburg, 1926 Adverse effects to benzene exposure Benzene Duration Concentration of (ppm) Exposure 6,190-9,300 Few hours 6,200-9,300 0.5-1 7,500 0.5-1 6,200-9,300 19,00020,000 Effects Observed Reference Definite symptoms of poisoning Immediate or subsequent death Dangerous to life Greenburg, 1926 Few Loss of hours consciousness Short Rapidly fatal Exposure Hamilton, 1934 Bloomfield, 1951; Gerarde, 1963 Von Oettingen,1940 Hamilton, 1931 Gerarde, 1963; Browning, 1937; Goldwater and Tewksbury, 1941; Von Oettingen,1940 Adverse effects to benzene exposure Chronic Health Effects of Benzene Exposure Pancytopenia Aplastic Anemia Myelodysplasia Leukemia (?) ppm Odor threshold 1 ppm Bone Marrow Diseases Pancytopenia : diagnosed by examining the peripheral blood; significant decreases in circulating blood cell populations due to effects in the bone marrow Aplastic anemia: absence of cells in bone marrow; bone marrow replaced by fat Myelodysplasia: Pre-leukemia state; there is a spectrum of myelodysplastic syndromes Leukemia : blood cell differentiation arrested at an immature state; immature cells continue to proliferate( divide) Relationship of benzene exposure to various hematological disorders A. Causality Proven 1. Pancytopenia: Aplastic Anemia 2. Acute Myelogenous Leukemia and Variants (Including Acute Myelomonocytic Leukemia, Acute Promyelocytic Leukemia, Erythroleukemia) B. Causality Suspected 1. Chronic Myelogenous Leukemia 2. Chronic Lymphocytic Leukemia 3. Hodgkin’s Disease 4. Paroxysmal Nocturnal Hemoglobinuria C. Association Suggested But Unproven 1. Acute Lymphoblastic Leukemia 2. Myelofibrosis and Myeloid Metaplasia 3. Lymphoma: Lymphocytic, Histiocytic 4. Thrombocythemia