EPA-540/1-86-017
                     environmental Protection
                     Agency
    jf Emergency and
Remedial Response
Washington DC 20460
Off'ce of Research and Development
Office of Health and Environmental
Assessment
Environmental Criteria and
Assessment Office
Cincinnati OH 45268
                     Superfund
vvEPA
                      HEALTH EFFECTS ASSESSMENT
                      FOR  HEXACHLOROBENZENE

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                                           EPA/540/1-86-017
                                           September 1984
       HEALTH EFFECTS  ASSESSMENT
          FOR HEXACHLOROBENZENE
    U.S. Environmental  Protection Agency
     Office of Research and  Development
Office of Health and Environmental Assessment
Environmental Criteria  and Assessment Office
            Cincinnati, OH  45268
    U.S. Environmental  Protection Agency
  Office of  Emergency and Remedial Response
Office of Solid Waste  and  Emergency Response
            Washington, DC  20460

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                                  DISCLAIMER

    This  report  has  been  funded  wholly  or  In  part  by  the  United  States
Environmental  Protection  Agency under  Contract  No.  68-03-3112  to  Syracuse
Research Corporation.  It has been  subject  to  the Agency's peer and adminis-
trative review, and  H has  been  approved  for  publication as an EPA document.
Mention of  trade  names or  commercial  products  does  not  constitute  endorse-
ment or recommendation for use.
                                      11

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                                   PREFACE


    This report  summarizes  and  evaluates Information relevant  to  a  prelimi-
nary  Interim assessment  of  adverse  health  effects associated  with  hexa-
chlorobenzene.   All estimates of acceptable  Intakes  and  carcinogenic potency
presented 1n this  document  should be considered  as preliminary and reflect
limited  resources  allocated  to  this  project.    Pertinent  toxlcologlc  and
environmental data were located through  on-Hne  literature searches  of  the
Chemical Abstracts, TOXLINE,  CANCERLINE  and  the CHEMFATE/DATALOG  data bases.
The  basic  literature  searched  supporting  this   document  1s  current up  to
September,  1984.   Secondary  sources  of  Information have  also been  relied
upon  1n the preparation  of  this  report  and represent large-scale  health
assessment   efforts  that  entail  extensive  peer  and  Agency  revlev.   The
following Office of  Health  and  Environmental Assessment  (OHEA)  sources  have
been extensively utilized:


    U.S. EPA.    1980a.   Ambient  Water   Quality   Criteria  Document  for
    Chlorinated  Benzenes.    Environmental   Criteria   and   Assessment
    Office,  Cincinnati, OH.   EPA 440/5-80-028.   NTIS PB  81-117392.

    U.S. EPA.    1982.   Health  and  Environmental  Effects  Profile  for
    Hexachlorobenzene.   Prepared  by  the  Environmental  Criteria  and
    Assessment   Office,  Cincinnati,  OH,  OHEA  for  the  Office  of  Solid
    Waste and Emergency Response, Washington, DC.

    U.S. EPA.  1983a.   Review of Toxlcologlc Data In Support  of Evalua-
    tion for Carcinogenic  Potential  of  Hexachlorobenzene.   Prepared by
    the  Carcinogen  Assessment   Group,   OHEA,  Washington,  DC  for  the
    Office  of Solid Waste and Emergency  Response,  Washington,  DC.

    U.S. EPA.   1984.    Health Assessment Document  for  Chlorinated Ben-
    zenes.    Environmental  Criteria and  Assessment  Office,  Cincinnati,
    OH.  EPA 600/8-84-015F.   NTIS PB 85-150332.


    The Intent 1n  these assessments  1s  to  suggest acceptable  exposure levels
whenever sufficient data were available.  Values  were not  derived or larger
uncertainty  factors  were employed  when  the  variable data  were  limited  In
scope  tending  to generate conservative  {I.e.,  protective)  estimates.  Never-
theless, the Interim  values presented reflect the  relative degree of hazard
associated  with exposure or  risk to the  chemlcal(s) addressed.

    Whenever possible,  two  categories of  values have been  estimated  for  sys-
temic  toxicants  (toxicants  for  which  cancer  Is not the  endpolnt of concern).
The  first,  the  AIS  or acceptable  Intake  subchronlc,  1s  an  estimate of  an
exposure level  that  would  not be expected  to   cause  adverse effects  when
exposure occurs  during a limited  time  Interval   (I.e.,   for an  Interval  that
does  not  constitute  a  significant  portion of  the  llfespan).  This  type  of
exposure estimate  has  not  been extensively used  or rigorously defined,  as
previous  risk  assessment  efforts  have  been  primarily  directed  towards
exposures from  toxicants  1n ambient  air or water  where  lifetime  exposure 1s
                                      111

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assumed.   Animal  data  used for  AIS estimates  generally  Include  exposures
with durations  of  30-90 days.  Subchronlc  human data are  rarely  available.
Reported exposures are  usually  from  chronic  occupational  exposure  situations
or from reports of acute accidental exposure.

    The AIC,  acceptable  Intake  chronic, 1s  similar 1n  concept to  the  ADI
(acceptable  dally  Intake).   It  1s  an  estimate  of  an  exposure level  that
would  not  be expected  to  cause adverse effects  when exposure  occurs  for  a
significant portion  of  the Hfespan  [see U.S.  EPA  (1980b)  for  a  discussion
of  this concept].   The  AIC  1s   route specific  and  estimates  acceptable
exposure for  a given  route with  the  Implicit  assumption  that exposure  by
other routes 1s Insignificant.

    Composite  scores  (CSs)  for  noncardnogens  have also been  calculated
where data  permitted.   These  values  are used for  ranking  reportable quanti-
ties; the methodology for their  development  Is explained  1n U.S.  EPA (1983b).

    For compounds for which there  1s  sufficient  evidence  of carc1nogen1dty,
AIS  and AIC values  are not derived.   For   a  discussion  of risk  assessment
methodology for  carcinogens refer to  U.S.   EPA  (1980b).   Since cancer  1s  a
process that  1s  not  characterized by  a threshold,  any exposure contributes
an Increment of risk.   Consequently,  derivation of  AIS and AIC  values would
be Inappropriate.  For  carcinogens,   q-j*s  have been  computed  based  on  oral
and Inhalation data 1f available.
                                      1v

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                                   ABSTRACT
    In  order  to  place the  risk assessment  evaluation  1n  proper  context,
refer  to  the preface  of  this  document.   The  preface outlines  limitations
applicable to all documents of  this  series as  well  as the appropriate Inter-
pretation and use of the quantitative estimates presented.

    Hexachlorobenzene  has  been  shown  to  be  carcinogenic  1n  rats, mice  and
hamsters following oral exposure.   Data  for  humans are not available.   U.S.
EPA  (1980a)  derived  a q-j*  of   1.688  (mg/kg/day)'1  based  on  the  Incidence
of  hepatomas  In  male  Syrian  Golden  hamsters.   This assessment  has  been
extensively  peer-reviewed.   More  recently  the  U.S.   EPA (1984) computed  a
q-j*   of   1.7  (mg/kg/day)'1  based   on   the   Incidence   of   hepatocellular
carcinomas  1n  female  rats.   Data  were   not  available which  addressed  the
potential  carcinogenic activity  of  hexachlorobenzene following  Inhalation
exposure.

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                               ACKNOWLEDGEMENTS
    The  Initial  draft  of  this  report  was  prepared  by Syracuse  Research
Corporation  under  Contract No.  68-03-3112  for EPA's  Environmental  Criteria
and  Assessment  Office,  Cincinnati,  OH.   Dr.  Christopher  DeRosa and  Karen
Blackburn were the Technical Project Monitors  and  Helen Ball  was',the Project
Officer.  The final documents  In  this  series  were  prepared for the Office of
Emergency and Remedial Response, Washington, DC.

    Scientists from  the  following U.S. EPA offices  provided  review comments
for this document series:

         Environmental Criteria and Assessment Office, Cincinnati, OH
         Carcinogen Assessment Group
         Office of A1r Quality Planning and Standards
         Office of Solid Waste
         Office of Toxic Substances
         Office of Drinking Water

Editorial review for the document series was provided by:

    Judith Olsen and Erma Durden
    Environmental Criteria and Assessment Office
    Cincinnati,  OH

Technical support services for the document series  was provided by:

    Bette Zwayer, Pat Daunt, Karen Mann and Jacky Bohanon
    Environmental Criteria and Assessment Office
    Cincinnati,  OH
                                      v1

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                              TABLE  OF  CONTENTS

1.
2.


3.










4.




5.
6.





7.

ENVIRONMENTAL CHEMISTRY AND FATE 	
ABSORPTION FACTORS IN HUMANS AND EXPERIMENTAL ANIMALS . . . ,
2.1. ORAL 	
2.2. INHALATION 	
TOXICITY IN HUMANS AND EXPERIMENTAL ANIMALS 	
3.1. SUBCHRONIC 	
3.1.1. Oral 	
3.1.2. Inhalation 	
3.2. CHRONIC 	
3.2.1. Oral 	
3.2.2. Inhalation 	
3.3. TERATOGENICITY AND OTHER REPRODUCTIVE EFFECTS 	
3.3.1. Oral 	
3.3.2. Inhalation 	 ,
3.4. TOXICANT INTERACTIONS 	
CARCINOGENICITY 	 ,
4.1. HUMAN DATA 	 ,
4.2. BIOASSAYS 	
4.3. OTHER RELEVANT DATA 	 ,
4.4. WEIGHT OF EVIDENCE . . . 	 	 	
REGULATORY STANDARDS AND CRITERIA 	 ,
RISK ASSESSMENT 	 	
6.1. ACCEPTABLE INTAKE SUBCHRONIC (AIS) 	 ,
6.2. ACCEPTABLE INTAKE CHRONIC (AIC) 	 ,
6.3. CARCINOGENIC POTENCY (q-|*) 	 ,
6.3.1. Oral 	 	
6.3.2. Inhalation 	 ,
REFERENCES 	
Page
1
3
. . . 3
, , 4
5
. . . 5
, . . 5
, , 8
8
. . . 8
10
11
. . . 11
14
. . . 14
, . , 16
. . . 16
. . . 16
. . . 19
20
21
. . . 23
. . . 23
. . . 23
23
. . . 23
, , , 23
. . . 24
APPENDIX: Summary Table for Hexachlorobenzene	   33

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                               LIST OF TABLES



No.                               Title                                Page
3-1
4-1
5-1
Subchronlc Oral Tox1c1ty of Hexachlorobenzene to Laboratory
Animals 	
Liver and Kidney Tumors 1n Sprague-Dawley Rats Given Hexa-
chlorobenzene 1n the Diet for up to 2 years 	
Current Regulatory Standards and Criteria for
Hexachlorobenzene 	
6
18
77

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                             LIST  OF  ABBREVIATIONS
ADI                     Acceptable dally Intake
AIC                     Acceptable Intake chronic
AIS                     Acceptable Intake subchronlc
BCF                     Bloconcentratlon factor
bw                      Body weight
CAS                     Chemical Abstract Service
CS                      Composite score
GI                      Gastrointestinal
LDso                    Median lethal dose
LDH                     Lactate dehydrogenase
LOAEL                   Lowest-observed-adverse-effect level
NOEL                    No-observed-effect level
PCT                     PorphyMa cutanea tarda
ppb                     Parts per billion
ppm                     Parts per million
SGOT                    Serum glutamlc oxalacetlc transamlnase
SGPT                    Serum glutamlc pyruvlc transamlnase
TLV                     Threshold limit value
TWA                     Time-weighted average
w/w                     Weight per weight
                                      1x

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                     1.   ENVIRONMENTAL CHEMISTRY  AND FATE



    The relevant physical  and  chemical  properties and environmental  fate  of

hexachlorobenzene (CAS No.  118-74-1)  are given as follows:
    Chemical  class:
    aromatic

    Molecular weight:
    Vapor pressure
    at 20°C:

    Water solubility
    at 25°C:

    Log octanol/water
    water partition
    coefficient:

    Soil mobility:
    BCF:
    Half-lives
    1n water:
    Half-life
    1n soil:
halogenated monocycllc


284.79


1.089xlO~s mm Hg


6


5.23
very slow and the mobility
decreases with Increase
1n soil organic content

22,000 1n whole body of
fathead minnow (Plmephales
promelas)

7800 In rainbow trout
(Salmo galrdnerl)

0.3-3.0 days In rivers
30-300 days In lakes
and groundwater

3-6 years
(Callahan et al.,
1979)

(Callahan et al.,
1979)

(Callahan et al.,
1979)

(Velth et al.,
1979)
(U.S. EPA, 1984)
(U.S. EPA, 1980a)
                                                         (U.S.  EPA,  1980a)
(Zoeteman et al.,
1980)
(U.S. ,EPA, 1984)
    No estimate of  the  half-life for hexachlorobenzene 1n  the  atmosphere  1s

available  1n  the  literature.   Based  on the available  Information  (Callahan

et al.,  1979;  Singh et  al., 1981), significant photodlssodatlon and  oxida-

tion of  hexachlorobenzene 1n the atmosphere are unlikely.   The  likely  mecha-

nisms for  the  removal of significant  amounts  of  hexachlorobenzene  from  the
                                      -1-

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atmosphere are  ralnout  and  dry deposition  (U.S.  EPA,  1982).  The  detection
of hexachlorobenzene, an  anthropogenic  compound,  1n remote areas  (U.S.  EPA,
1984) suggests  that  H  may have a  long  lifetime  In order to participate  1n
such long-distance transport from source  areas  to  the remote  areas.
                                      -2-

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           2.  ABSORPTION  FACTORS  IN HUMANS AND EXPERIMENTAL ANIMALS
2.1.   ORAL
    Summaries of  studies  of absorption  of  hexachlorobenzene  following  oral
administration were  found In  U.S.  EPA  (1980a,  1982,  1984).   In  many  cases
details  of  protocol   were   lacking  and  therefore,  such  studies  are  not
reported here.
    According  to  the  U.S.  EPA   (1980a),  Intestinal  absorption  of  hexa-
chlorobenzene from  aqueous  suspension was  poor  In  both  rabbits  (Parke  and
Williams, 1960)  and rats  (Koss and Koransky,  1975).   Administration  of  hexa-
chlorobenzene 1n  cottonseed  oil  (Albro and  Thomas,  1974) or  olive oil  (Koss
and Koransky, 1975)  markedly Increased absorption from the  Intestine.   Koss
and Koransky  (1975)   showed  that  Intestinal   absorption of  hexachlorobenzene
In  rats  Increased from -6%  to -80%  when the vehicle was changed  from  water
to  oil.   Zablk  and Schemmel (1980)  fed  hexachlorobenzene (32 mg/kg/day)  to
female  rats  by  h1gh-fa-t  (45.3%  w/w)  or  high-carbohydrate  (67.7%. w/w,  per-
centage  fat presumed  low  but not  specified)  diets.   The  nutritional  adequacy
of  the  diets was  not  mentioned and no  control  groups  were  maintained.
Administering hexachlorobenzene  1n the high-fat diet  reportedly  resulted  1n
greater  accumulation  of  hexachlorobenzene  In  (unspecified)  tissues  and
decreased  passage  of  hexachlorobenzene through the  GI tract  than  did admin-
istration  1n  the  high-carbohydrate diet.  The U.S.  EPA (1984) suggested that
the high-fat  diet enhanced  GI absorption.    It  was  further  suggested  (U.S.
EPA,  1980a)  that dietary  hexachlorobenzene   selectively partitions  Into  the
I1p1d  portion of  the  diet  and  that  absorption  of  hexachlorobenzene  from
Uplds  1s far more rapid and complete  than from an aqueous medium.
                                      -3-

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    Ingebrlgtsen et  al.  (1981)  administered 10  mg  [14C]  hexachlorobenzene
1n  peanut  oil  by  gavage  to  male, blle-duct-cannulated  Wlstar  rats.   By  4
days after  treatment,  24.8% of  the  radioactivity had been  recovered  1n the
feces.   These  authors  concluded  that -75%  of  the  administered  hexachloro-
benzene had  been  absorbed.  It  should  be mentioned that this study  did not
evaluate  absorption  of  metabolites  of  hexachlorobenzene  resulting  from
metabolism  1n  the  gut,  nor was  the phenomenon  of GI  excretion  evaluated.
Subsequently,  Ingebrlgtsen and  Nafstad  (1983)  administered 0.4  mg  [14C]
hexachlorobenzene 1n  peanut oil/kg bw to male Wlstar  rats  and  observed peak
levels  of  radioactivity  1n the liver at  4 hours  and 1n  adipose  tissue at 24
hours  post-treatment.   These  authors  Indicated  that  absorption  of  hexa-
chlorobenzene from  the GI  tract, when oil was  used as the vehicle,  was rapid
and fairly complete.
2.2.   INHALATION
    Pertinent  data  regarding  the  absorption of  hexachlorobenzene  following
Inhalation exposure could not be located  1n the available literature.
                                      -4-

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               3.  TOXICITY  IN HUMANS AND EXPERIMENTAL ANIMALS
3.1.   SUBCHRONIC
3.1.1.   Oral.    Reports  of  subchronlc   oral  exposure  of  humans  to  hexa-
chlorobenzene that would be  useful  1n  risk assessment were  not  found 1n the
available literature.
    Delchmann (1981)  summarized  many  short-term studies of  oral  exposure  of
laboratory  rodents   to  hexachlorobenzene.   The  primary  purpose  of  these
studies was to elucidate the metabolism  of  hexachlorobenzene and Us  role  In
porphyrla.  Frequently,  therefore,  only  single  dosage levels were  given,  or
a  sufficiently   wide   spectrum  of  toxic  manifestations  was  not  reported;
therefore, these  studies  were  not  useful  In  risk assessment.   Summaries  of
data  from more  relevant  subchronlc oral exposure  studies  are  presented  1n
Table 3-1.
    Grant et al.  (1974)  fed  diets containing  10-160  ppm hexachlorobenzene  to
rats  of   either  sex   for  9-10  months.   They  demonstrated  that  female  rats
appeared  to  be  more  sensitive  to  hexachlorobenzene, 1n  that  at  levels  of
either  80  or   160  ppm,  only  females   suffered  reduced  weight  gains  and
porphyrla.  Males fed  diets  containing 40  or  60 ppm hexachlorobenzene showed
hepatic  enzyme  Induction and  Increased  cytochrome  P-450.   No  effects  were
reported  1n  rats  on  diets  containing  10 ppm hexachlorobenzene.   Kulper-
Goodman et al. (1977)  also reported greater sensitivity  In  female rats; they
reported  40% mortality 1n females (but not  males)  on diets  containing 32 ppm
hexachlorobenzene.  No effects were observed  In rats on  diets containing 0.5
ppm (0.025 mg/kg/day).  This dietary level  was  considered  a  NOEL for  rats  1n
this study.
                                      -5-

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                             TABLE  3-1

Subchronlc Oral  Toxlclty of Hexachlorobenzene to Laboratory Animals
Species/Strain Sex/Number Dose
Rat/Sprague- H, F/NR 10 ppm diet
Dawley
20 pom diet
40 or 60 ppm diet
80 or 160 ppm diet
i
Mlat/COBS M/70, F/70 0 or 0.5 ppm diet
2 or 8 ppm diet
32 ppm diet
Rat/Wlstar F/36/group 0.5 mg/kg 2 times
weekly
2.0, 8.0 or 32 mg/kg
2 times weekly
NIce/BALB/c M/NR 167 ppm diet
Dose* Duration
(mg/kg/day)
O.S 9-10 months
1.0
2.0 or 3.0
4.0 or 8.0
0.0 or 0.025 15 weeks
0.1 or 0.4
1.6
0.007 29 weeks
0.03. 0.1
or 0.5
21.7 3-6 weeks
Effects Reference
None Grant et al.,
1974
Pharmacologlc action of pento-
barbltal and zoxazolamlne
shortened In both sexes
Hales only: hepatic aniline
hydroxylase. N-demethylase
activity, cytochrome P-450
Increased
Dose-related Increase In relative
liver weights and hepatic content
of hexachlorobenzene females:
reduced weight gains, acquired
porphyrla
None Kul per -Goodman
et al.. 1977
Multiple sites of alopecia,
scabbing; ataxla with hind leg
paresis; hepatomegaly
Females only: 40X mortality
None Boger et al..
1979
Hepatocellular enlargement,
proliferated smooth endoplasmlc
retlculum. Increased glycogen
deposits, enlarged mltochondlra
Impaired host resistance; IgA Loose et al.,
reduced; decreased resistance to 1978a,b
                                                         S.  typhosa endotoxln, £. berqhel
                                                         challenge

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                                                                      TABLE  3-1  (cont.)
Species/Strain
Rat/Sprague-
Dawley



Dog/beagle,
6.3-10.3 kg
(mean 8.3 kg)

Plg/NR


Plg/NR

Sex/Number Dose
F/10/group 0 ppm diet


60, 80, 100, 120
or 140 ppm diet
N, F/NR 1 or 10 mg/dog/day
100 mg/dog/day
1000 mg/dog/day
NR/NR 0.05 mg/kg/day
0.5 or 5 mg/kg/day
50 mg/kg/day
F/NR 1 ppm diet
20 ppm diet
Dose*
(mg/kg/day)
0


3.0. 4.0,
5.0, 6.0
or 7.0
0.12 or 1.2
12 «
120
0.05
0.5 or 5
50
0.025
0.5
Duration
weaning
through two
successive
litters
(-194 days)

up to 12
months

90 days


throughout
gestation and
nursing
(-5-6 months)

Effects Reference
None Kltchln
et al.. 1982


F-|a: Increasing dose-related
mortality of offspring; depressed
growth of offspring.
F1b: 15-20X reduction In body
burden of hexachlorobenzene
Nodular hyperplasla of gastric Gralla et al.,
tissue 1977
Anorexia, body weight loss,
neutrophllla, anemia, hypocalcemla
Mortality, amyloldosls, vasculltls
None den Tonkelaar
et al.. 1978
•Hlstopathologlc liver changes*
Porphyrla, hepatomegaly, mortality
None Hansen et al..
1978
Neutrophllla, gastric Irritation.
fatty replacement of Brunner's
gland, pancreatic perlductal
flbrosls, hexachlorobenzene
accumulation In fat
*Dosages In mg/kg/day  In  rats  were calculated assuming dietary  Intake  equivalent  to 5X of body  weight/day;  mg/kg/day In .mice by assuming a dietary Intake
 equivalent to 13% of body weight/day; In dogs and  pigs  from data given  In  the  secondary  sources.

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    Beagle dogs appeared to be quite  sensitive  to  hexachlorobenzene.   Gralla
et  al.  (1977) exposed  male and  female  beagle dogs  to 1,  10,  100 or  1000
mg/dog/day for  up to  12 months.   Assuming a  mean body  weight  of 8.3  kg,
these dosages  correspond to 0.12,  1.2,  12  or  120 mg  hexachlorobenzene/kg/
day.  All  exposed  dogs exhibited  nodular  hyperplasla  of  gastric  lymphold
tissue.   Dosages  >12  mg/kg/day  produced  anorexia,   body weight  loss,  neutro-
phH1a,  anemia,  hypocalcemla  and hypoglycemla.  At 120 mg/kg/day,  mortality
occurred.   A dosage of 0.12 mg/kg/day was designated a LOAEL 1n this study.
    Oelchmann  (1981)  cited  a  study by den Tonkelaar  et al.  (1978)  1n which
"hlstopathologlcal liver  changes" were  observed  1n pigs   exposed  to  dosages
of  0.5-5  mg  hexachlorobenzene/kg/day  for 90  days.  Apparently,  no  effects
were  observed  at a dosage  of  0.05 mg/kg/day,  which  defined a NOEL  1n  this
study.   Hansen  et  al.  (1978)  observed  neutrophlUa,  gastric  Irritation,
fatty replacement of Brunner's  glands,  pancreatic  perlductal flbrosls  and
hexachlorobenzene  accumulation  In  the  fat  of  pigs  at   a dosage  of  0.5
mg/kg/day for -5-6 months.
3.1.2.   Inhalation.   Pertinent   data  concerning   subchronlc  Inhalation  of
hexachlorobenzene In  laboratory  animals  or  man could not  be  located  1n the
available literature.   Reports of occupational  exposure to hexachlorobenzene
will be discussed 1n Section 3.2.2.
3.2.   CHRONIC
3.2.1.   Oral.    Accidental   1ngest1on   of  hexachlorobenzene   In   humans
occurred 1n Turkey as a result of hexachlorobenzene-treated seed  grain being
ground Into flour and made  Into  bread.   More than  600 patients were observed
during  a  5-year  period  during   which   time  a  total  of  -3000 people  were
affected  (Cam,   1959,  1960;   Cam  and  Nlgogosyan,  1963).   The  resultant
syndrome, known as PCT,  1s  a manifestation of  disturbed porphyrin metabolism
and  caused   blistering   and  epldermolysls  of  exposed  parts  of  the  body,

                                      -8-

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particularly the  face and  hands.   Exposure  to  direct  sunlight  exacerbated
the  syndrome;  consequently,  more  cases  were  examined  during  the  summer.
Symptoms subsided  after  20-30 days  of no  exposure.   Relapses were  common,
either as  a  result of reexposure  to  contaminated  bread or as the  result  of
redistribution of  hexachlorobenzene  following  mobilization  from  body  fat.
Other  symptoms  Included  hyperplgmentation,   hypertrlchosls  or alopecia  (1n
some cases, permanent), cornea! opacities,  deformation  of  the digits,  weight
loss  and  a  characteristic  port  wine color  of  the  urine,  Indicative  of
porphyria.
    A  disorder called "pembe yara" or  "pink sore" was  described  1n  infants
of  mothers who either  had  PCT  or had eaten hexachlorobenzene-contaminated
bread  (Cam, 1959,  1960).   At least 95% of  these children  died within  a year
of  birth,  and 1n  many  villages no  children between  the  ages of  2-5  years
survived during  the  period  1955-1960.   It  was  estimated that PCT and pink
sore  occurred  1n   individuals who  had consumed 50-200  mg hexachlorobenzene/
day  for  a  "relatively   long  period  of  time"  before  skin  symptoms  were
manifested.
    Delchmann  (1981)  reported a  20-year  follow-up study  by CMpps  et  al.
(1978),  who  reported  that  affected  individuals  exhibited  the  following
symptoms;  hyperplgmentation,  hirsutism,  scarring of  hands  and face,  hepato-
megaly,  asdtes,   jaundice,  recent episodes  of  red urine,  weakness,  pares-
thesia,  enlarged thyroid and painless arthritis.
    Burns  and Miller  (1975)  conducted an  ep1dem1ologic  study of  86 residents
living  or  working  or  both in an  area exposed to the production,  transporta-
tion  and  disposal of  hexachlorobenzene  and  other  chlorinated  hydrocarbon
wastes  1n  Louisiana.   Levels  of  hexachlorobenzene 1n  plasma were measured
and  attempts  were  made  to correlate  them  with  demographic characteristics,
occupational hazards, food sample analyses and house dust analyses.

                                      -9-

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    Significantly greater  (p<0.05)  hexachlorobenzene  levels  1n plasma  were
found 1n male  subjects  (4.71  ppb)  compared with female  subjects  (2.79  ppb);
no  effects  were  associated  with  race or  exposure  through  consumption  of
homegrown vegetables  or  animal food  products.   Hexachlorobenzene  levels  1n
the plasma appeared  to  be  correlated  with concentrations  1n  house  dust:  68%
of the samples from  homes of exposed  workers  contained an  average  of 380 ppb
hexachlorobenzene, compared  with  20  ppb  1n  dusts  from  houses  of  control
subjects.
    Few  reports  have  been  located  1n the  available  literature  concerning
chronic  oral  exposure of laboratory  animals  to hexachlorobenzene.   Koss  et
al. (1978) reported  "changes 1n the histology of  the  Hver and spleen"  asso-
ciated with exposure  of  rats  to 50 mg  hexachlorobenzene/kg every  other  day.
Exposure was  for 53  weeks.   Cabral  et  al.   (1977) exposed  male and  female
Syrian golden  hamsters  to  50,  100  or 200 ppm hexachlorobenzene 1n  the  diet
(lifetime exposure)   1n  order   to  Investigate the  cardnogenldty  of  hexa-
chlorobenzene.  This  study  will be reviewed  1n  more   detail  1n  Section  4.2.
Dose  levels  employed In these  studies  were  too large to  be  useful  1n  risk
assessment.
3.2.2.   Inhalation.   Few reports  were located 1n  the available  literature
concerning  repeated   occupational  exposure to  hexachlorobenzene.    Burns  et
al. (1974) found  hexachlorobenzene  levels  1n  blood  ranging from 0-310 ppb 1n
20  spraymen  exposed  to  hexachlorobenzene.   These  Individuals exhibited  no
signs of PCT;  no correlations  were observed  between  blood concentrations  of
hexachlorobenzene and urinary  porphyMn  excretion, SGOT,  SGPT or  serum LDH
concentrations.   Currier  et  al.   (1980)  performed a  medical  survey of  50
employees exposed to  hexachlorobenzene  1n a  chlorinated  solvents  plant  In
Louisiana.   During  various  times  of  this   study,   TWA   air  concentrations
                                     -10-

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ranged from <1-13 ppb.  Wipe  samples  1n  a  control  area,  laboratory areas and
clerical  work  areas  ranged  from  0.03-1.24 yg/100  cm2.  Physical  examina-
tions and  laboratory analyses  (hematologlc  parameters,  blood chemistries and
uMnalyses) did  not  reveal  evidence  of  PCT.   A  positive  correlation  was
found between  blood concentrations  of  hexachlorobenzene  and  the  number  of
years worked 1n the plant.
    Studies on  the chronic  toxldty  of  Inhalation exposure  of  hexachloro-
benzene  to experimental  animals  could  not  be  located  1n  the  available
literature.
3.3.   TERATOGENICITY  AND OTHER REPRODUCTIVE EFFECTS
3.3.1.   Oral.   A  condition known as  "pink  sore"  was described  (Cam,  1959,
1960) as  occurring 1n  children  of mothers  affected  by  the PCT  epidemic  In
Turkey discussed  1n  Section 3.2.1.   At  least  95% of affected children  died
within  1  year  of  birth.    It  was  estimated that  the mothers with  affected
children had consumed  50-200  mg  hexachlorobenzene/day for  a  "relatively  long
period of  time."    The  presence of  hexachlorobenzene  1n  the mothers'  milk
suggested  that pink sore  was  a manifestation of toxldty  due  to lactatlonal
rather than placental  transfer of hexachlorobenzene.
    The effects  of hexachlorobenzene  on fetotoxldty 1n  laboratory animals
have been  studied by a  number  of Investigators.  Grant  et  al.  (1977) exposed
groups  of  20  female  and  10 male  weanling  Sprague-Dawley  rats   to  diets
containing 0,  10, 20,  40, 80,  160,  320 or  640  ppm  hexachlorobenzene.  At 100
days  of  age,   the  FQ   generation was  mated  to  produce  the F,   generation.
The  F,    offspring  were  weaned  at  21  days,  and  the  F»  rats  were  again
mated after  an  additional  14-day  rest period  to produce  the  F,.  genera-
tion.   The F,.  rats   were  allowed  to  mature  to  100  days  and then  were
mated.  This sequence  was followed until production of the  F..  generation.
                                     -11-

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    The two highest doses  (320 and  640  ppm hexachlorobenzene)  resulted 1n 20
and 50%  mortality,  respectively, of  F_ dams  before first whelping.   Addi-
tionally, the  fertility  Index In rats  1n  these two highest dose  groups  was
reduced,   and  average  litter  size  was   decreased  1n  the F,.  ,  F~  and  F^.
generations.  In these Utters  from dams exposed to the  two  highest dietary
concentrations of hexachlorobenzene,  there  was an Increase 1n  the number of
stillbirths, and all pups  born alive  were  dead within  5 days.   From dams  fed
diets  containing 160 ppm hexachlorobenzene, 55% of  the pups  survived  to  day
5, but survival  to  weaning at 21 days  was  "greatly  reduced."   The number of
live births and  survival  to weaning were normal  1n  Utters from dams exposed
to diets  containing 80  ppm  hexachlorobenzene for  the first  2 generations.
Subsequent  generations  suffered  an  Increased  Incidence  of  stillbirths,
reduced survival and reduced  birth  weights  and weaning weights of  offspring.
Utters  from  dams  exposed   to  diets  containing  40  ppm  hexachlorobenzene
experienced  only a significantly  Increased  liver weight  at weaning  (21
days); no  other  abnormalities were reported.   No terata were  found in off-
spring from dams exposed  to any  dietary level  of hexachlorobenzene.  Litters
from  rats  fed diets containing  <20  ppm hexachlorobenzene seemed  normal  in
all  respects.   Therefore,  20   ppm  in the   diet,  corresponding   to  1   mg
hexachlorobenzene mg/kg  bw/day  (assuming rats consume  food equivalent to 5%
of their bw/day), was a NOEL for reproductive effects 1n this  study.
    KHchin et al.  (1982)  exposed groups of 10 female  Sprague-Dawley rats to
diets  containing 0, 60,  80, 100,  120  or 140 ppm hexachlorobenzene.  After 96
days  of  treatment,  females were  mated  to  untreated males to  produce  an  F,
generation  and  were remated  12  days after  weaning of the F,   generation.
                                     -12-

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.Fertility  and  fecundity -were  not  affected  by  treatment.   No  terata  were
reported,  but  21-day  survival  1n  both generations  was  reduced,  with  LD5Q
estimates of  100  and  140  ppm hexachlorobenzene 1n the maternal diets for the
f,  and F,.  generations, respectively.
    Reduced  survival  at weaning was  attributed by Mendoza  et  al. (1978) to
hexachlorobenzene  transmission  to  nursing  pups by milk.   These  authors fed
five  Wlstar  rats  diets  containing 80  ppm  hexachlorobenzene  from  2  weeks
before  mating  until  whelping.   A  reciprocal  exchange  of   Utters  was  made
with  Utters  from dams not  previously  treated with hexachlorobenzene.   Pups
from  control  dams nursed  on hexachlorobenzene-treated  dams showed signifi-
cantly  Increased  liver  weights,  compared to pups from treated dams nursed on
control  dams.   Mendoza et al.  (1978)  concluded that  hexachlorobenzene expo-
sure  by milk had greater effects on the  pups  than transplacental exposure.
    Subsequently,  Mendoza  et al.  (1979) fed  Wlstar rats  diets  containing 80
ppm  hexachlorobenzene  from  2  weeks  before  mating  until   35-36  days  after
Utters  were weaned.   They  reported  no marked differences  1n  the external
appearance,  body  weight,  Hver  weight,  gestatlonal  survival   or  neonatal
survival  of  Utters  from treated rats,  compared  to the Utters of controls.
Additionally,  there  were  no differences In  the number of  Utters,  average
number  of pups/litter, average number  of  pups at  birth  or gestation Index,
compared  to  Utters from control rats.
    Lactatlonal  transfer  of  hexachlorobenzene 1n rhesus monkeys was Investi-
gated  by Bailey et  al.  (1980), who  treated  three  nursing  dams  for  60 days
(presumably  starting  at parturition) with  64 mg hexachlorobenzene/kg bw/day
by  gavage.   Analyses  of   the  milk  from these dams  revealed concentrations
ranging  from 7.51-186  ppm.   Hypoact1v1ty and lethargy, progressing to ataxla
and death,  occurred  1n one  Infant  by day 29.   A  second  nursing Infant died
                                     -13-

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by  day  38.   Necropsies  revealed  congested  lungs   1n  one  Infant,  and  a
subdural'hematoma  and  bilateral hemorrhaglc pneumonia  In  the other.   Blood
levels  (0.42-49.44 ppm  hexachlorobenzene)  and  tissue levels -(unreported)  1n
Infants  were  higher  than those  (0.41-16.16  ppm hexachlorobenzene  In  blood)
1n dams.   Infants  developed  clinical  signs (unspecified) of  toxldty,  while
dams remained asymptomatic.
    Khera  (1974) studied the  teratogenldty of  hexachlorobenzene  by treating
groups  of  7-16  Wlstar  rats by  gavage  with 0,   10, 20,  40,  60,  80  or  120  mg
hexachlorobenzene 1n corn oil  or  2% aqueous gum tragacanth/kg bw/day  during
days  6-21  of  gestation.   Maternal toxldty  (manifestations  unspecified)  and
reduced  fetal weights resulted  from the two highest  dosages.  A  significant
Increase 1n  the Incidence  of unilateral  or  bilateral 14th  Mb was observed
1n  Utters  from dams exposed  to the  two  highest  dosages of  hexachloroben-
zene.   In this study, 60 mg/kg/day seemed to be a NOEL for  teratogenldty.
3.3.2.   Inhalation.   Reports  of  effects  on  reproduction  or  teratogenldty
In  humans  or animals associated  wHh  Inhalation exposure to  hexachloroben-
zene could not be located 1n the available literature.
3.4.   TOXICANT INTERACTIONS
    Hayes  (1975)  stated that  porphyMa 1s  probably the  most  frequent  and
serious  cause  of  photosens1t1zat1on 1n man.  Some people  previously exposed
to hexachlorobenzene experience a  latent,  acute form of porphyMa,  which  1s
often  manifested  as cutaneous  photosensHlzatlon.    Acute  attacks  may  be
Initiated  by consumption of alcohol or  exposure  to barbiturates,  which Hayes
(1975)  Interpreted  as  evidence for  synerglsm  of action between  hexachloro-
benzene  and these compounds.
    More recently,  Teschke et  al.  (1983)  exposed female  Wlstar  rats  to  50
ppm  hexachlorobenzene  1n the  diet  to  evaluate  the  effects  of porphyMa  on
hepatic  alcohol-metabolizing  enzymes.   Exposure  for  60  days  resulted  1n

                                     -14-

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porphyria,  as   evidenced   by   Increased   hepatic  6-am1nolevul1n1c   acid
synthase  activity  and   Increased   urinary   excretion   of   s-am1nolevul1n1c
add,  porphoblllnogen  and  total  porphyMns.   Hepatic  mlcrosomal  ethanol-
oxldlzlng system activities  were Increased 213%,  compared  to  the  activities
1n  nonhexachlorobenzene-exposed  controls.   Hepatic  alcohol   dehydrogenase
activities  remained  virtually unchanged.   Considering  earlier  reports  that
link  alcohol  consumption  with   porphyria,  Teschke  et  al.   (1983)  suggested
that high levels of  Hver acetaldehyde, the result  of  oxidation of ethanol,
may  trigger episodes  of  porphyria and  potentiate  the action  of hexachloro-
benzene.
    Chadwlck et  al.  (1977)  demonstrated  that rats  exposed to  7.5  mg  hexa-
chlorobenzene/kg/day orally  for  7 days  had Increased ability  to  metabolize
and  eliminate  Undane.   Body elimination of Undane  Increased  about 3-fold.
Concentrations of  Undane 1n body  fat of  treated animals were  nearly  half
those  In  non-hexachlorobenzene-exposed  controls following  a single oral  dose
of Undane.
    Kluwe et  al.  (1982)  exposed  male Sprague-Dawley  rats to  30  mg  hexa-
chlorobenzene/kg  by gavage  every  72  hours  for  seven administrations  (20
days).   Following  treatment,  rats  were  given  0,  0.03,  0.25  or  2.00  ma
carbon  tetrachlorlde by 1ntraper1toneal  Injection.  Carbon  tetrachloMde-
Induced  growth  retardation,  renal  tubular  function  Impairment and hepato-
cellular   necrosis   were   quantitatively   greater  1n   hexachlorobenzene-
pretreated  rats than In  non-pretreated  rats.   Body weight  gain was evaluated
over  a  48-hour  period;  renal   function  was  evaluated by relative  kidney
weight,  blood  urea  nitrogen  and various  urlnalysls parameters;  and hepato-
cellular  function was evaluated  by relative Hver  weight,  serum enzymes and
hlstochemlcal  evaluation.
                                     -15-

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                             4.  CARCINOGENICITY
4.1.   HUMAN DATA
    Pertinent  data  regarding  the  cardnogenldty  of  hexachlorobenzene  1n
humans could not be  located In  the available literature.
4.2.   BIOASSAYS
    Several studies  of  the  cardnogenldty  of  hexachlorobenzene  administered
orally to  laboratory animals have  been located 1n  the available  literature.
Smith and  Cabral  (1980) exposed female MRC  Wlstar  and  Agus rats  to  100  ppm
hexachlorobenzene 1n their  diets  for  75  and 95 weeks,  respectively.   There
was an Increased Incidence  of  Hver  cell  tumors  in  both  strains  of rats,  but
the  statistical  significance  was  not  evaluated.   Among  hexachlorobenzene-
exposed MRC Wlstar rats, 4/6 developed  liver cell tumors,  compared to 0/4 of
the  control  group;   14/14   treated  Agus  rats  developed  liver  cell  tumors,
compared to 0/12 of  the control rats (U.S; EPA, 1983a).
    More recently, Lambrecht  et al.  (1983a,b)  fed  groups of 94 male  and 94
female Sprague-Dawley rats  diets  containing 0, 75  or 150  ppm  hexachToroben-
zene.   Interim sacrifices   for  hlstopathologlcal  examination were  performed
on  four rats of  each  sex/group at 10  Intervals up  to 64  weeks of  treatment.
The  remaining  58 rats/group  were allowed  to  continue  to natural death  or
until 2 years  of treatment.  The  number  at risk  was considered to be those
surviving  at  least  12  months,  as  this was  the   earliest time  to  tumor
observed.
    Based on an  average (weighted) food consumption of  22.6 and  16.5 g/rat/
day  In  males and females,  respectively,  with  average  adult body weight  of
400 and 265  g  the low-dose was converted to 4-5 mg/kg/day and the high-dose
to  8-9.5  mg/kg/day.    The   Incidence  of  tumors  observed  1n  this  study  are
                                     -16-

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presented 1n Table 4-1.   The  most striking observations were  the high Inci-
dences  and  dose-related  Incidences   of  hepatocellular  carcinoma 1n  female
rats and renal  cell  adenoma 1n male rats.
    In  an  earlier study,  Lambrecht   et  al.  (1982)  exposed  rats  to  dietary
concentrations  of 0,  200  or  400 ppm  hexachlorobenzene  for 90  days.   Further
details  of  the  protocol  and  statistical  analysis  are  lacking  (U.S.  EPA,
1983a), but the  authors  associated treatment with an  Increased  Incidence of
liver  neoplasma, generalized  lymphatic  leukemlas   and  a variety of  renal
lesions.
    U.S. EPA (1979)  exposed  Swiss mice  of either sex  to  dietary concentra-
tions of 300,  200,  100,  50 or 0  ppm  hexachlorobenzene  for 15,  101,  106,  120
or 120 weeks,  respectively.  An  Increased  Incidence  of  liver  cell tumors  was
observed at  dietary  concentrations >100  ppm hexachlorobenzene.   Liver  cell
tumor  Incidences were  1/16  for  males, 1/26  for females;  7/44  for  males,
14/41  females;  3/29  for  males,  3/30  for  females  1n groups  exposed  to  300.,
200 or  100  ppm hexachlorobenzene, respectively.  Liver  cell tumors  were  not
observed In mice exposed  to  0 or  50  ppm  hexachlorobenzene.   No other tumors
were reported as having an Increased  Incidence 1n either sex.
    Cabral  et  al. (1977) fed  diets  containing 0, 50,  100 or  200  ppm hexa-
chlorobenzene  to Syrian  golden  hamsters  for  life.   These diets reportedly
(U.S.  EPA,   1982) contained  4,  8  or   16 mg/kg/day  hexachlorobenzene  and
resulted 1n  Increased rates  of  alveolar  adenomas of  the  thyroid,  hepatomas
of  the  liver and hemangloendothellomas  of both  the  liver  and  spleen In  male
and  female  hamsters.   The Incidence  of total  tumor-bearing  animals  appeared
to be dose-related: 10% of the  control  group,  56% of the low-dose group,  75%
of  the  middle-dose  group and  92% of  the  high-dose  group  developed  tumors.
                                     -17-

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                                                      TABLE 4-1



        Liver and Kidney Tumors In Sprague-Dawley Rats Given Hexachlorobenzene 1n the Diet for up to 2 years*
oo
Exposure
Level
0
Percentage
75 ppm
Percentage
150 ppm
Percentage
Hepatocellular
Hepatoma Carcinoma
M F H F
0/54 0/52 0/54 0/52
00 00
10/52 26/56 3/52 36/56
19 46 6 64
11/56 35/55 4/56 48/55
20 64 7 87
Renal Cell Renal Cell
Adenoma Carcinoma
M F M
7/54 1/52 0/54
13 2 0
41/52 7/56 0/52
79 13 0
42/56 15/54 0/56
75 28 0
F
1/52
2
2/46
4
2/54
4
     *Source:  Lambrecht  et  al.,  1983a,b

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Tumor  Incidence  data were  highly significant.   Probability  values for  the
Incidence  of  hepatomas   1n  male  hamsters  were  7.5xlO~7,  2.45xlO~ls  and
1.3xlO"19  for  low-, middle- and  high-dose groups,  respectively.   In  males
fed  the middle  and high  concentrations  of  hexachlorobenzene,  probability
values  were  4.5xlO~3  and  4.0xlO~«,  respectively,  for  the  Incidence  of
hepatic  hemang1oendothel1omas.    Probability   values  for  the  Incidence  of
hepatomas  1n  females  fed  low,  middle  and  high  dosages  were  7.5xlO~7,
2.0xlO~8  and  3.05xlO~19,  respectively.   The  probability  value  for  the
Incidence of hepatic hemang1oendothel1omas 1n  middle group females  was  0.026.
4.3.   OTHER RELEVANT DATA
    Very few data concerning the  mutagenldty  of  hexachlorobenzene have been
located  1n  the  available literature.   According  to  the  U.S.  EPA  (1984),
mutagenldty  has been  observed  1n  Saccharomyces  cerevlslae  at  a  minimum
concentration  of  100  ppm.   Lawlor   et  al.  (1979)  tested  the  mutagenlc
activity of  hexachlorobenzene 1n  Salmonella typhlmuMum  strains  TA98,  TA100,
TA1535,  TA1537   and  TA1538,  with   and  without  activation  by   Aroclor
1254-lnduced rat  hepatic  mlcrosomes.   Hexachlorobenzene was  associated with
no  detectable  mutagenldty 1n  any of the strains  tested,  with  or  without
metabolic activation.  Dosage levels  were unspecified.
    In  a dominant  lethal  assay, male  rats were treated  with  0,  70 or  221 mg
hexachlorobenzene/kg  by   gavage  for   5   consecutive  days.   A  dose-related
depression  of  male  reproductive function  occurred,  but  dominant  lethal muta-
tions  were  not observed  (Simon  et al.,  1979).  Khera  (1974)  also  reported a
lack  of dominant lethal  mutations 1n  Wlstar  rats  following  gavage  adminis-
tration of 0,  20, 40 or 60 mg hexachlorobenzene/kg for  10 consecutive days.
                                     -19-

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4.4.   WEIGHT OF EVIDENCE
    Reports  of  cardnogenicity of hexachlorobenzene  1n  humans could  not  be
located  1n  the available  literature.   Smith  and Cabral  (1980)  demonstrated
an  Increased  incidence of  liver  cell  tumors  1n  female  MRC Wlstar  and  Agus
rats  exposed  to dietary  levels  of  100  ppm hexachlorobenzene  for  75 or  95
weeks.   Liver  neoplasms were  observed  1n  rats  exposed  to 200  or 400  ppm
hexachlorobenzene for  90 days  (Lambrecht et al., 1982) and  liver  and  kidney
tumors were  noted  in  rats  exposed to  75  or  150 ppm 1n the  diet  for  up  to 2
years  (Lambrecht  et al.,  1983a,b).   At dietary  levels of  >100 ppm for  106
weeks, Swiss mice  showed an increased incidence of liver cell  tumors (U.S.
EPA,   1979).    Finally,   Cabral   et   al.   (1977)   demonstrated   significant
Increases in the incidences of alveolar  adenoma  of  the thyroid,  hepatomas  of
the  liver  and  hemangioendothellomas  of  both  the liver and  spleen  in  Syrian
golden hamsters  exposed  to hexachlorobenzene.  These  animal  studies  provide
sufficient  evidence  that hexachlorobenzene 1s  an animal carcinogen.   Thus,
according to the  criteria  for  evaluating  the  overall  weight  of  evidence  of
cardnogeniclty to humans proposed by  the  Carcinogen Assessment  Group  of  the
U.S.  EPA  (Federal  Register, 1984),  hexachlorobenzene  is most appropriately
classified as a Group 82 (Probable Human Carcinogen) chemical.
                                     -20-

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                    5.  REGULATORY STANDARDS AND CRITERIA

    As of  March,  1984, neither  OSHA nor  the  AC6IH has  set  TLVs  for  hexa-
chlorobenzene 1n  the  workroom.   The government of  Turkey discontinued  the
use of  hexachlorobenzene-treated  wheat  seed  1n 1959  {Cam,  1959)  after  Us
link with  the  outbreak of PCT  discussed 1n Section 3.2.   CommeMcal  United
States production of  hexachlorobenzene  was discontinued In 1976  (U.S.   EPA,
1980a).  The Louisiana State Department  of  Agriculture  has  set  the tolerated
level   of  hexachlorobenzene  1n  meat  fat at 0.3  mg/kg  (U.S. EPA,  1976).   In
Australia, the  NHMRC  has  set the  limit for hexachlorobenzene  1n  cow's  milk
at  0.3  mg/kg (Miller   and  Fox,  1973).   WHO has set  the tolerated  level  of
hexachlorobenzene 1n  cow's  milk  at  20  vg/kg  (Bakken  and Se1p,  1976).   The
New South  Wales  Department  of  Health (Australia) has  decided  that the level
of hexachlorobenzene 1n eggs shall not  exceed  0.1  mg/kg (Slyall,  1973).   The
value  of  0.6 v9/kg/day 1n  food was  suggested  as  the  upper limit  for  hexa-
chlorobenzene 1n  food  for  human consumption (FAO,  1974).   The  FAO recommen-
dations for  residues  1n foodstuffs  were 0.5  mg/kg 1n  fat  for  milk and  eggs
and 1  mg/kg  1n  fat  for  meat  and  poultry.   These data  are   summarized  1n
Table 5-1.
    Based  on  a  q *   of   1.688  (mg/kg/day)"1  for  humans,   the  resulting
water  concentration associated  with  an  Increased carcinogenic  potency  1s 7.2
ng/8. (U.S. EPA, 1980a).
                                     -21-

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                                  TABLE 5-1

        Current  Regulatory Standards and Criteria for Hexachlorobenzene
      Criterion
   Value
     Reference
Louisiana State Dept.  of
Agriculture: Permissible
level 1n meat fat

NHMRC (Australia): Limit
1n cow's milk

WHO: Limit In cow's milk

New South Wales Dept.  Health
(Australia): Limit 1n  eggs

FAO/WHO: Limit In food,
         fat of milk,  eggs
         fat of meat,  poultry

Concentrations 1n ambient
water associated with
Increased carcinogenic potency
0.3 mg/kg



0.3 mg/kg


20 yg/kg

0.1 mg/kg
0.6 jig/kg/day
0.5 mg/kg
1.0 mg/kg

7.2 ng/8.
U.S. EPA, 1976



Miller and Fox, 1973


Bakken and Selp, 1976

S1yal1, 1973


FAO, 1974



U.S. EPA, 1980a
                                     -22-

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                             6.  RISK ASSESSMENT
6.1.   ACCEPTABLE INTAKE SUBCHRONIC (AIS)
    Hexachlorobenzene is a  chemical  associated with several  types  of  malig-
nancies in at  least  three animal  species  and for which data  are  sufficient
for derivation  of  a  q,*.  It  is  inappropriate,  therefore, to derive  an  AIS
for this chemical.
6.2.   ACCEPTABLE INTAKE CHRONIC (AIC)
    Hexachlorobenzene is a  chemical  associated with several  types  of  malig-
nancies in at  least  three animal  species  and for which data  are  sufficient
for derivation  of  a  q,*.  It  1s  Inappropriate,  therefore, to derive  an  AIC
for this chemical.
6.3.   CARCINOGENIC POTENCY (q^)
6.3.1.   Oral.    The  U.S.  EPA   (1980a)  based  calculation  of  a  q^  on  the
Incidence of  hepatomas   in  male Syrian  golden hamsters exposed  by diet  to
hexachlorobenzene  (Cabral  et  a!.,  1977).   The q *  derived  from  these  data
is  1.688  (mg/kg/day)"1.   More  recently,   the  U.S.   EPA  (1984)  derived  a
q *  of  1.7  (mg/kg/day)"1  from  data   regarding  the  Incidence  of  hepato-
cellular  carcinoma in  female   rats  (Lambrecht et  al.,  1983a,b)  fed  diets
containing hexachlorobenzene  for  up to  2  years.   A complete discussion  of
the computation of  the q * is  reported  in  U.S. EPA (1984).
6.3.2.   Inhalation.    Since  no studies  of  the carcinogenicity   of   hexa-
chlorobenzene to humans  or  animals  exposed by Inhalation  have been  found  1n
the available literature, no q,* can  be  calculated for  inhalation exposure.
                                     -23-

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                                7.   REFERENCES







Albro,  P.W.  and  R.  Thomas.   1974.   Intestinal  absorption  of  hexachloro-



benzene and  hexachlorocyclohexane  Isomers In  rats.   Bull. Environ.  Contam.



Toxlcol.  12: 289-294.  (Cited 1n U.S.  EPA,  1980a)







Bailey, J.,  V.  Knauf, W.  Mueller  and W. Hobson.   1980.   Transfer of  hexa-



chlorobenzene  and  polychlorlnated   blphenyls   to   nursing   Infant   rhesus



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EPA, 1984}







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Boger,  A.,  6.  Koss,  W.   Koransky,  R.  Naumann  and  H.  Frenzel.   1979.   Rat



liver  alterations  after  chronic  treatment with hexachlorobenzene.   Vlrchows



Arch.  [Path Anat.]  382(2): 127-137.  (Cited  In U.S.  EPA,  1984)







Burns,  J.E.  and  F.M.  Miller.   1975.   Hexachlorobenzene   contamination:  Its



effects  1n  a  Louisiana  population.   Arch.   Environ.  Health.   30:  44-48.



(CHed 1n U.S.  EPA, 1980a)







Burns,  J.E.,  F.M. Miller,  E.D.  Jones  and  R.A.  Albert.   1974.   Hexachloro-



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Environ. Health.   29:  192-194.  (Cited 1n U.S.  EPA,  1984)
                                     -24-

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Cabral, J.R.P., P.  Shubik,  T. Mollner and  F.  RaHano.  1977.   Carcinogenic
activity of  hexachlorobenzene  1n  hamsters.   Nature (London).  269:  510-511.
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Callahan, M.A., M.W.  SUmak, N.W.  Gabel,  et  al.   1979.   Water  Related  En-
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Cam,  C.   1959.   Cutaneous  porphyMa related  to Intoxication.  D1r1m.   34:
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Cam,  C.   1960.   Une  nouvelle   dermatose   epldemlque  des   enfants.    Ann.
Dermatol. SyphlUger.   87:  393.   (Fre.)  (Cited 1n U.S. EPA,  1984)

Cam,  C.  and G. Nlgogosyan.   1963.   Acquired  toxic  porphyrla cutanea  tarda
due  to  hexachlorobenzene.  J. Am. Med. Assoc.   183:  88.   (Cited  1n U.S.  EPA,
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Chadwlck, R.W., C.J.  Chadwlck,  J.J.  Freal  and C.C.  Bryden.   1977.   Compara-
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organo-chloMne pesticides.  Xenob1ot1ca.   7:  235.  (Cited 1n U.S.  EPA,  1984)

Crlpps,  D.J.,   H.A.  Peters  and  A.  Golman.    1978.   J.  Invest.   Dermatol.
71(4):  277.  CUn.  Res.  26(3): 489A.  (CHed 1n Delchmann, 1981)
                                     -25-

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Currier, fLF., C.D.  McCHmans  and &. Barna-Lloyd.   1980.   Hexachlorobenzene
blood  levels  and the  health  status of  men employed  1n  the manufacture  of
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Delchmann,   W.B.    1981.   Halogenated   cyclic   hydrocarbons.    In.:   Patty's
Industrial   Hygiene and Toxicology,   Vol.  28 3rd  ed.,  G.D.  Clayton and  E.E.
Clayton, Ed.  John  WHey and  Sons, Inc.,  NY.  p.  3626-3645.

den  Tonkelaar, E.M.,  H.G. Verschuuren,  J.  Bankovska,  et  al.    1978.   Hexa-
chlorobenzene  toxldty  1n  pigs.   Toxlcol.   Appl.   Pharmacol.    43:   1370.
(Cited 1n U.S. EPA,  1980a; Delchmann, 1981)

FAO  (Food  and Agriculture  Organization).   1974.   1973 evaluations of  some
pesticide residues  1n  food.  FAO/A6P/1973/M/9/1;  WHO  Pestle. Residue  Ser.  3.
WHO, Rome,  Italy,  p.  291,  (Cited In U.S.  EPA,  1980a)

Federal  Register.  1984.   Environmental  Protection Agency.  Proposed  guide-
lines for carcinogenic risk assessment.   49  FR 46294-46299.

Gralla,  E.J., R.W. Flelschman,  Y.K.  Luthra, et al.   1977.   Toxic  effects  of
hexachlorobenzene after  dally   administration  to beagle dogs  for one  year.
Toxlcol.  Appl.   Pharmacol.   40(2):  227-239.    (Cited  In  U.S.  EPA,  1984;
Delchmann,  1981)
                                     -26-

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Grant, D.L., F. Iverson, 6.U. Hatlna and D.C. VUleneuve.   1974.   Effects  of
hexachlorobenzene  on  Hver  porphyrln  levels  and mlcrosomal enzymes  1n  rats.
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1981}

Grant, D.L., W.E.J.  Phillips  and  G.U.  Hatlna.  1977.  Effect  of  hexachloro-
benzene  on  reproduction 1n  the rat.   Arch.  Environ.  Contam. Toxlcol.   5:
207-216.  (Cited 1n U.S. EPA, 1980a, 1982,  1984)

Hansen,  L.G.,  S.B.  Dorn,  S.M.  Sundlof and R.S. Vogel.   1978.   No title pro-
vided.   J. Agrlc.  Food Chem.  26(6): 1369.   (Cited 1n Delchmann, 1981)

Hayes,  W.J.  Jr.   1975.  Toxicology  of Pesticides.   Williams and  W1lk1ns,
Baltimore.  (Cited 1n Delchmann, 1981)

Ingebrlgtsen,  K.  and  I.  Nafstad.   1983.   Distribution  and  elimination  of
14C-hexachlorobenzene  after  single oral  exposure  1n  the  male   rat.   Acta
Pharmacol. Toxlcol.  52(4):  254-260.

Ingebrlgtsen,  K.,  J.U.  Skaare,  I.  Nafstad and M.  Foerde.   1981.   Studies  on
the  excretion  and metabolites  of  hexachlorobenzene In the rat.  Xenob1ot1ca.
11(11):  795-800.  (Cited 1n U.S. EPA, 1984)

Khera,   K.S.   1974.   TeratogenlcHy  and  dominant lethal  studies  on  hexa-
chlorobenzene  1n  rats.   Food Cosmet. Toxlcol.  12:  471-477.   (Cited 1n U.S.
EPA,  1984)
                                     -27-

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KHchln,  K.T.,   R.E.  Under,  T.M.   Scottl,  0.  Walsh,  A.D.  Curley  and  0.
Svensgaard.    1982.    Offspring  mortality  and  maternal  lung  pathology  1n
female  rats  fed hexachlorobenzene.   Toxicology.   23(1):  33-90.   (Cited  1n
U.S. EPA, 1984)

Kluwe,  W.M.,  J.B.  Hook  and J.  Bernstein.   1982.   Synerg1st1c  toxlclty  of
carbon  tetrachloMde  and several aromatic  organohallde compounds.   Toxico-
logy.  23(4): 321-336.

Koss, G.  and W. Koransky.   1975.   Studies  on the toxicology of  hexachloro-
benzene.  I. Pharmacok1net1cs.  Arch. Toxlcol.  34:  203-212.  (Cited  1n  U.S.
EPA, 1980a)

Koss, G., S.  Seubert,  A. Seubert, W. Koransky and H.  Ippen.  1978.   Studies
on  the  toxicology of  hexachlorobenzene.  III. Observations  1n a  long-term
experiment.    Arch.  Toxlcol.  (Berl.)   40(4):  285-294.   (Cited  1n U.S.  EPA,
1984)

Kulper-Goodman,   T.,  D.L. Grant,  C.A.  Moodle,  G.O.  Korsrud  and I.C.  Munro.
1977.   Subacute toxlclty of  hexachlorobenzene In  the rat.   Toxlcol.  Appl.
Pharmacol.  40(3):  529-549.   (Cited  1n U.S.  EPA,  1984)

Lambrecht, R.W., E.  Erturk,  E.E.  Grunden,  et al.  1982.   Renal  toxlclty and
tumor1gen1c1ty  of  hexachlorobenzene  (HCB)  1n  rats   (R).   Proc.  Am.  Assoc.
Cancer. Res.  23: 210.   (Cited 1n U.S. EPA,  1984)
                                     -28-

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Lambrecht,  R.W., E. Ertruk,  E.E.  Grunden,  H.A.  Peters, C.R. Morris and  G.T.
Bryan.  1983a.  Renal tumors  1n  rats  (R) chronically exposed to  hexachloro-
benzene (HCB).  Proc. Am.  Assoc. Cancer.  Res.   24:  59.  (Abstr.) (Cited  1n
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Lambrecht,  R.W., E. Ertruk,  E.E.  Grunden,  H.A.  Peters, C.R. Morris and  G.T.
Bryan.   1983b.    Hepatocasc1nogen1c1ty   of  chronically  administered  hexa-
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1984).

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(CHed 1n U.S. EPA, 1984)

Mendoza, C.E., B.T. Collins, J.B. Shields  and G.W. Laver.   1978.  Effects  of
hexachlorobenzene or  hexabromobenzene on body and organ weights  of prewean-
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                                     -29-

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Mendoza, C.E.,  J.B.  Shields  and G.W.  Laver.   1979.   Comparison of  the  por-
phyrlnogenlc activity of hexabromobenzene and  hexachlorobenzene  1n  pMmlpar-
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Singh,   H.B.,  L.J.  Salas,  A.J.  Smith  and H.  Sh1ge1sh1.   1981.   Measurements
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S1yal1, D.S.   1973.   PolychloMnated blphenyls, hexachlorobenzene  and  other
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Smith,   A.G.  and J.R.  Cabral.   1980.  Liver-cell  tumours 1n rats  fed  hexa-
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                                     -30-

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Teschke,  R.  K. Bolsen,  H.  Landmann  and  G. Goerz.   1983.   Effect  of  hexa-
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benzene.   Prepared by  the  Environmental   Criteria  and  Assessment  Office,
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Washington, DC.
                                     -31-

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U.S. EPA.   1983a.   Review of Toxlcologlc  Data  In Support of  Evaluation  for



Carcinogenic  Potential  of  Hexachlorobenzene.   Prepared  by  the  Carcinogen



Assessment  Group,  OHEA,  Washington,  DC for  the Office  of  Solid Waste  and



Emergency Response, Washington,  DC.







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minations  Based  on  Chronic  Toxldty  Data.   Prepared  by the  Environmental



Criteria and Assessment Office, Cincinnati, OH,  OHEA  for  the  Office  of Solid



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Environmental  Criteria   and   Assessment   Office,   Cincinnati,  OH.    EPA



600/8-84-015F.  NTIS PB 85-150332.







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36: 1040-1048.







Zablk,  M.E.  and  R.  Schemmel.  1980.   Influence  of diet on  hexachlorobenzene



accumulation  1n  Osborne-Mendel  rats.   J.  Environ. Pathol. Toxlcol.   4(5-6):



97-103.







Zoeteman, B.C.J.,  K.  Harmsen,  J.B.H.J.  Llnders,  C.F.H. Morra  and  W.  Slooff.



1980.  Persistent  organic pollutants  In river water and  ground  water of  The



Netherlands.  Chemosphere.  9:  231-249.
                                     -32-

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                                                      APPENDIX

                                         Summary Table for Hexachlorobenzene
     Carcinogenic
       Potency
                  Species
Experimental
Dose/Exposure
    Effect
                      Reference
CO
CO
I
Inhalation


Oral
                         rat
4-16 mg/kg/day
75 and 150 ppm
In diet
hepatocellular
carcinoma
                                                                            NO
 1.7
(mg/kg/day)"1
Lambrecht
et al., 1983a,b;
U.S. EPA, 1984
     ND  =  Not  derived

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