A Small Dose of Toxics At Home An Introduction To The Health Effects of Toxic Products In The Home A Small Dose of ToxicsAtHome – 12/10/11 Home, Sweet Home! Be it ever so humble, there ’s no place like home. Home, Sweet Home! John Howard Payne A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Toxics in the Home A Small Dose of Toxicology Household products Mold & mildew Radon Indoor air Second hand smoke Lead Paint solvents A Small Dose of ToxicsAtHome – 12/10/11 Household Hazardous Waste How many pounds of household hazardous waste in your home? (i.e. paints, varnishes, motor oil, pesticides, antifreeze, fluorescent lights) A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Product Hazards Flammability Reactivity Corrosive (strong acid or base) Toxicity: human Toxicity: environmental A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Hazard and Risk Dose / Response Risk = Hazard X Exposure Individual Sensitivity A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Exposure Routes Ingestion Direct ingestion of product Hand to mouth contact Inhalation Acute inhalation of product during use Chronic inhalation of indoor air Skin/eye contact Splashing/spilling during use Violent chemical reactions Contact with treated surfaces A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Poisoning Facts Poisoning events in United States - 2000 2.2 million reported exposures 53% involved children under age 6 90% occurred in the home 475,079 treated in a health care facility 920 deaths reported in 2000 Source: National Poison Centers, 2000 data (Litovitz, 2001) A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 More Poisoning Facts Frequency by category Incidents reported 0 50000 100000 150000 200000 250000 cleaners personal care plants pesticides animal bites art, craft, office paint products automotive mushrooms A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Even More Poisoning Facts Moderate to serious outcomes 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% rust remover drain (alkaline) lighter fluid ammonia mineral spirits all cleaners herbicides laundry granules A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Common Toxicity Measures • LD50: acute ingestion (mg/kg) • LC50: acute inhalation (ppm) • Draize score: skin irritation • TLV: chronic inhalation (ppm) • Reference dose: chronic exposure (mg/kg/day) A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Oral Toxicity of Common Substances Practically non-toxic (> 15,000 mg/kg) Probable oral lethal dose for 150 lb adult > 1 quart modeling clay paraffin wax baby lotion blemish cover (e.g. Clearasil) bone meal cat litter A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Slightly toxic Slightly toxic (5,000 to 15,000 mg/kg) Probable oral lethal dose for 150 lb adult: between 1 pt & 1 qt hand dishwashing liquid window cleaner latex house paint soap deodorant (roll-on) white glue (e.g. Elmers) A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Moderately toxic Moderately toxic (500 to 5,000 mg/kg) Probable oral lethal dose for 150 lb adult: between 1 oz & 1 pt antifreeze dry cleaning fluid* (1,1,1-trichloroethane) motor fuels* (gasoline, kerosene, diesel fuel) shoe polish oil-based house paint holly berries *NOTE: aspiration probably more important than toxicity A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Very toxic Very toxic (50 to 500 mg/kg) Probable oral lethal dose for 150 lb adult: between 1 tsp & 1 oz aspirin and other analgesics lacquer thinners toluene, xylene (aromatic hydrocarbons) mothballs (camphor, naphthalene) tobacco leaves foxglove (digitalis) caffeine diazinon insecticide A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Extremely toxic Extremely toxic (5 to 50 mg/kg) Probable oral lethal dose for 150 lb adult: 7 drops to 1 tsp opium codeine oil of sassafras A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Super toxic Super toxic (< 5 mg/kg) Probable oral lethal dose for 150 lb adult: less than 7 drops nicotine botulinum toxins A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 TLVs of Common Ingredients COMPOUND ethanol acetone isopropanol gasoline Methanol turpentine xylene hexane methylene chloride paradichlorobenzene carbon monoxide malathion TLV 1000 750 400 300 200 100 100 50 50 10 10 formaldehyde chlorpyrifos diazinon 0.30 0.014 0.008 TLV – Threshold Limit Value A Small Dose of Toxicology FOUND IN vodka, gin, rum, etc. nail polish remover rubbing alcohol motor fuel Bix Stripper paint stripper paint thinner spray paint Carter’s rubber cement Bix Tuff Job paint stripper mothballs 0.74 at % 40 >50 70 100 24-50 100 bulk 90 85 100 Ortho Malathion 50+ Insect Spray Dursban Spray Diazinon Granules 50 5.3 5.0 A Small Dose of ToxicsAtHome – 12/10/11 Carcinogens Ingredient chlorothalonil benzene formaldehyde lead acetate methylene chloride p-dichlorobenzene vermiculite arsenic A Small Dose of Toxicology Product(s) % in Product Daconil Fungicide 12.5-30% gasoline >1% probably many unknown Grecian Formula hair dyes 0.36% paint strippers (many) up to 85% mothballs (many) 100% potting soils ? CCA-treated lumber 34% As2O5 A Small Dose of ToxicsAtHome – 12/10/11 Deducing Toxicity from Label Information • Stick with federally regulated information • Signal words only semi-consistent • Ignore marketing information • Be alert for inconsistencies A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Example ADVERTISING SIGNAL WORD Signal Words Signal Word EPA CPSC FDA DANGER Cat. I Ex. Haz not used WARNING Cat. II Hazardous not used CAUTION Cat. III/IV Hazardous “pay attention” No sig. wordnot used A Small Dose of Toxicology Not Hazardous A Small Dose of ToxicsAtHome – 12/10/11 Shortcomings of Label Information • All ingredients not listed (except food, drug, cosmetic, personal care) • Only pesticides have disposal and environmental information (and the disposal information is incorrect!) • Signal words linked to acute hazards only • Some labels contain marketing information that minimizes or contradicts safety warnings • People don’t read labels anyway A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Favorite Labels “Confine pets during application to prevent them from believing they are being fed.” - slug bait “Avoid use while smoking.” - hair spray “This product must not be used for dyeing eyelashes or eyebrows. To do so may cause blindness.” - hair color A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Label Contradictions “...contains no harsh chemicals which could cause drying or damage...no gloves, no caps, does not irritate your skin” “You get rid of gray gradually, naturally” …………..but there’s more A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 The Rest of the Story • Caution: contains lead acetate. [a carcinogen] • For external use only. • Keep this product out of children’s reach. • Do not use on cut or abraded skin. If skin irritation develops, discontinue use. A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 And That’s Not All! • Do not use to color mustaches, eyelashes, eyebrows or hair on parts of the body other than the scalp. • Do not get in eyes. Follow instructions carefully and wash hands thoroughly after each use.” —Grecian Formula hair dye A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Less-Toxic Alternatives • • • • Water-based products Mechanical devices Enzymes instead of solvents Biological pesticides A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Less-Toxic Alternatives Alternative Latex paint Snake, plunger Scouring powder Beneficial nematodes Weed puller, mulch A Small Dose of Toxicology Instead of Using Oil-based paint Caustic drain opener Acid toilet cleaner Insecticide for soil grubs Herbicide Toxic Ingredient Avoided Solvents Corrosive lye Corrosive hydrochloric acid Diazinon, carbaryl or other insecticide 2,4-D, dichlobenil, etc. A Small Dose of ToxicsAtHome – 12/10/11 A Small Dose of ™ Toxics At Home A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Resources from WTC • Washington Toxics Coalition (WTC) Home Safe Home consumer fact sheets • Toxics Hotline: 800-844-SAFE • Internet: www.watoxics.org Thanks to Philip Dickey from WTC for providing many of the slides and information for the chapter. A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Additional Information Web Sites • U.S. Household Products Database – National Institutes of Health, National Library of Medicine. <http://householdproducts.nlm.nih.gov/index.htm> Site has a range of information about household products including their potential health threats. • U.S. Environmental Protection Agency - Household Waste Management. <http://www.epa.gov/seahome/hwaste.html> Site has a self-directed educational program on managing household waste. A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11 Authorship Information This presentation is supplement to “A Small Dose of Toxicology” For Additional Information Contact Steven G. Gilbert, PhD, DABT E-mail: sgilbert@innd.org Web: www.asmalldoseof.org A Small Dose of Toxicology A Small Dose of ToxicsAtHome – 12/10/11