United States
                      Environmental Protection
                      Agency
Environmental Criteria and
Assessment Office
Research Triangle Park NC 27711
                      Research and Development
EPA/600/S8-83/021F  Aug. 1985
&ER&           Project  Summary
                      Health  Assessment  Document for
                      Inorganic  Arsenic
                        Inorganic arsenic, predominantly the
                      tri- and pentavalent forms, is emitted
                      to the environment principally through
                      primary smelting activity, biocide use,
                      and glass manufacturing. Ambient air
                      monitoring data indicate a  concentra-
                      tion equal to or less than 0.1 /tg/m* for
                      most locations. Major routes of absorp-
                      tion of inorganic arsenic in the general
                      population are inhalation  and  inges-
                      tion.  Inhaled  inorganic  arsenic
                      deposited in the lungs is eventually ab-
                      sorbed.  Most ingested soluble   in-
                      organic arsenic is  absorbed, whereas
                      insoluble forms pass through  the gas-
                      trointestinal tract  with  negligible  ab-
                      sorption. Inorganic arsenic metabolism
                      in man is complicated by biotransfor-
                      mation processes  which include  the
                      methylation and oxidation reduction in-
                      terconversion of  inorganic  arsenic.
                      Long-term  accumulation of inorganic
                      arsenic does  not  generally occur in
                      physiologically active compartments in
                      the body; renal clearance appears to be
                      the major route of excretion of absorb-
                      ed inorganic arsenic. Acute symptoms
                      of inorganic arsenic poisoning include
                      severe gastrointestinal damage, facial
                      edema,  cardiovascular  reactions,
                      peripheral  nervous  system  distur-
                      bances, and hematopoietic system ef-
                      fects.  General  population concerns
                      arising  from  longterm  exposures  to
                      moderate levels of inorganic arsenic in-
                      clude  respiratory  tract cancer, skin
                      cancer,  noncancerous  skin  lesions,
                      peripheral  neuropathological   effects
                      and  cardiovascular effects. There  ap-
                      pears to be a nutritional requirement
                      for low levels of inorganic arsenic in
                      certain  experimental   animals;
                      however, this requirement has not yet
                      been established in man.
                        This Project Summary was  devel-
                      oped by EPA's Environmental Criteria
                      and Assessment  Office,  Research
Triangle Park, NC, to announce key
findings of the research project that is
fully documented in a separate report
of the same title (see Project Report
ordering information at back).

Introduction
  As  a toxic agent,  inorganic  arsenic
possesses several  unique properties. The
element exists in various chemical states;
e.g., tri- and pentavalent inorganic arsenic
and methylated organic  arsenic, with each
having  differing toxicological potential.  In
man,  experimental animals,  and  other
organisms, arsenic undergoes a variety  of
transformations, the full significance and
mechanisms of which are, as yet, not well
understood. Furthermore, there appears to
be a nutritional requirement for low levels
of arsenic in certain experimental animals,
and this may also be the case for man. All
of these factors complicate the analyses of
the toxicological  effects and  the risk for
human  health associated  with environ-
mental  exposure to arsenic compounds.
The following sections summarize these
factors which  are presented in depth in the
document text.

Chemical/Physical Aspects
of Arsenic
  Arsenic is encountered as a component
of sulfidic ores of metals such as copper,
cobalt,  and nickel; the  smelting of these
ores is  associated with arsenic release  to
the environment. Arsenic trioxide, ASjOa, a
lexicologically significant form, is a smelter
product arising  from air roasting  of the
sulfidic ores. It is only sparingly soluble in
water and other solvents which do not pro-
mote chemical transformation. This arsenic
compound dissolves in acidic or alkaline
aqueous media to yield either the free acid
or salts, soluble in a number of solvents.
The oxide readily sublimes (135°C), a factor
important in choosing analytical methods

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for measuring levels of the compound. The
pentavalent arsenic pentoxide, As206, may
be prepared by nitric acid oxidation of the
trioxide or the element itself. This form has
high solubility in water (63 g/100 g water),
forming the strongly oxidizing arsenic acid,
H3As04 (E° =  0.56V).
  Stability of the  valency forms of arsenic
in solution depends on  the nature of the
medium.  Oxygenated media and higher pH
favor the pentavalent form,  while reducing
and/or acidic media favor the trivalent state.
  The  acids  of  both  valency forms  of
arsenic readily form alkali and alkaline metal
salts, with the former being more soluble
than the latter. Organic ester derivatives of
arsenic are quite  labile to hydrolysis, and
this  chemical  behavior  has biochemical/
toxicological implications in the postulated
role of  arsenate ion in interfering with phos-
phorylation reactions.
  Arsine  (arsenic trihydride, AsH3)  is the
most poisonous of the arsenicals, being a
strong  hemolytic  agent; it can  be formed
under  certain  restricted  conditions, e.g.,
reduction of the  oxy compounds in  the
presence of a strong hydrogen source.
  Monomethyl  and dimethyl arsenic arise
by both environmental and in vivo  trans-
formation processes.
  In high-temperature processes, arsenic is
released as a vapor which is then adsorbed
or condensed onto small particles.  Such
adherence to particles of 1-2 /im or less may
result  in  enhanced health  risk  from  the
agent since particles in this size range are
inhaled and deposited in the deepest part of
the respiratory tract.
  Arsenic compounds tend  to form insolu-
ble complexes with soils and sediments. In
the  case of soils, the  interaction occurs
with amorphous aluminum or iron oxides.

The Environmental
Cycling of Arsenic
  Primary smelting, biocide use, and glass
manufacturing are major sources of arsenic
in the  environment. Of  an  estimated total
release of approximately 10,000 short tons
annually  in the United  States, smelter ac-
tivity  accounts  for 50  percent; use of
biocide (pesticide, fungicide, herbicide), 32
percent;  and glass production contributes
about  7.0 percent; various other sources
release the remainder.
  The  atmosphere  is a major conduit for
arsenic  emitted  from  anthropogenic
sources via wet and dry precipitation pro-
cesses to the other environmental media.
Dry  and wet arsenic falling on soils may be
followed by movement through soils either
into groundwater or surface water. Passage
of  arsenic into  surface waters  may  be
followed by its transfer to sediments. Such
cycling is made complex by chemical and
biological  transformations,  which have
been reported as occurring in  the  various
environmental compartments.
  Trivalent arsenic in the atmosphere or in
aerated surface waters can undergo oxida-
tion to  the pentavalent state,  while pen-
tavalent arsenic in media which are below
pH 7.0 and contain oxidizable material can
be reduced to the trivalent form.
  Biological  transformations  of  arsenic
have been  documented as  occurring via
both sedimentary bacteria and suspended
marine algae.  Reduction and mythylation of
inorganic arsenic occur only to a limited ex-
tent in soils, one report noting a conversion
of only 1-2 percent over a period of months.
  The  annual environmental  burden  of
arsenic indicates that approximately 90 per-
cent of  arsenic is deposited  on land, with
the atmosphere accounting for eight per-
cent and the smallest quantity deposited in
waters.

Levels of Arsenic
in Various Media
  Available data  on  levels  of  arsenic in
various media with which man interacts are
generally presented as total arsenic, with
limited information available for identifying
specific chemical forms of arsenic.


Levels of Arsenic in Ambient Air
  Based on  the  comprehensive data for
U.S. air levels of arsenic obtained by the
U.S.  EPA's  National Air Sampling Net-
work,  air levels  of  arsenic in  the  U.S.
generally do not exceed 0.1 /*g/m3.
  Generally,  airborne arsenic  adheres to
particulate matter. Although the immediate
areas around smelters may  contain some
arsenic in the vapor form, available  data in-
dicate rapid adherence to particulate matter
when sampling 2-3 km from these emission
sites.
  The specific chemical form(s) of airborne
arsenic  is still unclear. Generally, in most
urban/suburban   areas,  arsenic  occurs
mainly in the form of a mixture  of inorganic
arsenic  in the tri- and pentavalent states.
Only in areas where methylated arsenic is
used agriculturally, or where biotic trans-
formation  can   occur,  has  methylated
arsenic  been found in air samples.

Levels of Arsenic
in Drinking Water
  The National  Interim Primary Drinking
Water Regulations, promulgated under the
Safe Drinking Water Act, set the Maximum
Contaminant Level (MCL) for arsenic  in
U.S.  public water supplies at 50
general,  arsenic is  not found in drinkin
water at levels exceeding this MCL. W*
waters in the western U.S.  and  Alask;
however, may have much higher levels ov
ing to geochemical enrichment.  In Lar
County,  Oregon,  recent  analyses  repo
levels up to 2.2 ppm (2.2 mg/liter), whi
the highest figure in Alaska was 10 ppm (1
mg/liter), representing both natural  an
mining residue contributions.
  It is reasonable to assume that the chii
chemical form of  arsenic in most publ
water supplies would be the pentavalent ir
organic form,  owing to both aeration an
chlorination.   Similarly,  well waters  i
Alaska and the western U.S. are reporte
to  mainly  contain  pentavalent  inorgan
arsenic.

Arsenic in  Food
  The most recent data base for the arson
content  of foods is the 1975-1976  surve
carried out by  the U.S. Food and Drug Ac
ministration.  Shellfish  and  other  marir
foods have the highest levels  on a foe
category basis. Overall, the total dietary it
take of arsenic in 1975-1976 was appro:
imately  50 fig  (elemental  arsenic), repn
senting   an  increase  from the precedin
years. Whether this increase represents
trend or  merely reflects analytical variatic
in sampling from year to year is still to t
determined.
  The chemical forms of  arsenic in fooc
are varied and complex. Crustaceans ar
other marine life store arsenic in compk
organoarsenical forms which, based on n
cent reports, are assimilated by man ar
generally excreted  intact. Toxicologicall
these forms are comparatively inert.

Arsenic in  Soils
   Background  soil  arsenic  levels ranc
from  less than 1 ppm to over 40 ppm, tf
latter reflecting agricultural  practices  <
well as air fallout.  Soil arsenic  is  usual
bound to clay surfaces, and its mobility is
function of soil pH,  phosphate levels, ire
and aluminum content, and soil type. Tl
mobile fraction, usually in the pentavale
form, is  of concern in terms  of moveme
to  plants  and  water.  Little  reducth
methylation occurs in most soils.

Other  Sources of Arsenic
   Limited data on arsenic content of toba
co suggest that more recent values rant
from  around 1.5 ppm or less, while in tl
past  (1945),  values up to 40 ppm we
measured.  This decrease  reflects reduct
use of arsenical biocides in tobacco produ
tion.

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Aggregate Exposure Levels to
Arsenic in the U.S.  Population
   Among individuals of the general popula-
tion  (not  occupational^   exposed   to
arsenic), the main routes of exposure  to
arsenic are typically  via ingestion  of food
and water, with lesser exposures occurring
via inhalation. Representative intake figures
are presented in Table 1. Intake by inhala-
tion is augmented among smokers in pro-
portion to the level of smoking.
   Assuming a  daily  ventilation rate of 20
m3,  and a national  population inhalation
average of 0.006 /*g/m3/As, the total daily
inhalation exposure for arsenic can be pro-
jected to be approximately 0.12 fig.  Assum-
ing 30  percent absorption,  approximately
0.03 /tg of arsenic would be absorbed on a
daily average.
   Contribution of tobacco-borne arsenic to
the respiratory burden would depend upon
the rate of cigarette  smoking. Assuming a
mass of 1 gram/cigarette and an  average
tobacco value of 1.5 ppm,  this yields 1.5 fig
arsenic/cigarette. With  20 percent of this
amount in mainstream smoke, the inhaled
amount for each pack of cigarettes would
be approximately 6 /*g arsenic, and of this
amount, 40 percent would be deposited in
the respiratory tract.  Assuming  an  absorp-
tion of 75 percent of the deposited fraction,
approximately 2 g/pack of cigarettes would
be absorbed. This represents a factor of 10
to  100  times greater than  intake  for
nonsmokers in given ambient air settings.
The rates  of absorption for trivalent and
pentavalent arsenic in the respiratory tract
are assumed to be equivalent.
   Since drinking water arsenic is mainly in
a  soluble form (arsenate or arsenite), vir-
tually all of it is absorbed in the Gl tract.
Thus, assuming an average daily consump-
tion of two liters  of water containing  at
most 10  ing As/liter as an  outside high
figure,  it  can be  estimated  that the total
arsenic  absorbed  from  drinking  water
would be approximately 20 fig/day. Most
individuals would,  in reality, take in much
less than  this amount, while those in the
Western  U.S.  with  well  water  supplies
much  higher in  arsenic  content  would
assimilate proportionately more.
   Food arsenic values taken from the 1976
FDA survey indicate a daily total dietary in-
take  of approximately  50  /*g elemental
arsenic. The major portion (80 percent)  of
food arsenic would be absorbed, resulting
in a net daily food arsenic absorption of 40
lig total.
  Thus, a  nonsmoker would have a total
daily absorption from all  exposure media of
approximately 60 HQ arsenic/day or  less. Of
this, the  diet would be  the major con-
Table 1.    Routes of Daily Human Arsenic Intake

              Route/Level                   Rate
           Total Intake
                                                                   Absorbed Amount
Ambient air/ 0.006 ng/m3 (a)
Drinking water/ < 10 ng/ liter
Food/SO ng daily (elemental As)
Cigarettes/ 6 ng in mainstream smoke/ pack le)
Total: < 60 fig nonsmokers
20m3
2 liters
Vi pack
1 pack
2 pack
0. 12 pg
50 M
3/i9
6119
12 W
0.036 ft
40 it
0.9 n
1.8 p
2.7 f.
p!c!
g(1)
gtt)
 {a]National Average for 1981.
 lbl'Assumes 30 percent respiratory absorption.
 M Assumes total absorption.
 ldl'Assumes 80 percent absorption.
 MAssumes 20 percent of cigarette content in inhaled smoke.
 w Assumes 30 percent absorption of inhaled amount.
tributor, assuming  levels in water much
below 10 /tg/liter. For cigarette smokers, 2
jig/arsenic/pack of cigarettes smoked daily
would have to be added.
   If aggregate intake is viewed not in terms
of total arsenic intake but in terms of tox-
icologically  significant forms of the  ele-
ment, then much of the dietary fraction, for
reasons  given  earlier,  such as  complex
organoarsenicals being present, becomes
relatively less important than the forms in
water and air as well as in cigarette smoke.
Arsenic forms in such media include pen-
tavalent arsenic in  most water supplies,
variable mixtures of  tri- and pentavalent
arsenic in  ambient air,  and probably an
arsenic oxide in cigarette smoke. From this
viewpoint,  utilizing the  examples  already
given above, nonsmokers would absorb 20
fig or less daily of lexicologically significant
arsenic. Heavy smokers  having  otherwise
very  low  air and water exposure, con-
ceivably could receive their major exposure
via cigarettes.


Significant Human Health
Effects Associated With
Ambient Exposure Acute
Exposure Effects
   Serious acute effects and late sequelae
from  exposure to arsenic will appear after
single or short-term  respiratory or oral  ex-
posures  to  large  amounts  of arsenic.
Available  data  indicate  that  inorganic
trivalent compounds of arsenic are general-
ly more acutely  toxic than inorganic pen-
tavalent  compounds,  which in turn  are
more  toxic than  organic  arsenic com-
pounds.  Serious effects will also appear
after  long-term exposure to respiratory or
oral doses of arsenic.
  The acute symptoms following oral ex-
posure consist of gastrointestinal disturb-
ances, which may be so severe that secon-
dary cardiovascular effects and shock may
result and  cause death. Also, direct toxic
effects on the liver, blood-forming organs,
the  central  and  pheripheral   nervous
systems, and the  cardiovascular system
may appear. Some symptoms,  especially
those from the  nervous system, may ap-
pear a long time after exposure has ceased
and  may not be reversible,  whereas the
other effects seem to be reversible. Infants
and young children especially are suscepti-
ble with regard to effects on the central ner-
vous  system. A Japanese study on  milk
poisoned with  arsenic showed  that  per-
sisting damage,  especially mental retarda-
tion  and epilepsy, is  a  late sequela  in
children  of short-term  oral  exposure  to
large  doses of inorganic  arsenic. Among
adults, the central nervous system is not  as
susceptible, but peripheral neuropathy has
been a common finding.
   Both  in  adults and children, acute oral
exposure has resulted in dermal changes,
especially  hyperpigmentation and  kera-
tosis, as a late sequela.
   Acute inhalation exposures have  also
resulted in irritation of the upper respiratory
tract, even leading to nasal perforations.
   Direct dermal exposure to arsenic  may
lead  to  dermal changes;  allergic reactions
may also be involved.
Chronic Exposure Effects
  Both carcinogenic and non-carcinogenic
effects are associated with long-term ex-
posures, which do not cause any obvious
immediate  effects.  Chronic  effects ger-
mane to the  general population can  be
ranked as follows:
  1.  Respiratory tract cancer
  2.  Skin cancer
  3.  Non-cancerous skin lesions
  4.  Peripheral neuropathological effects
  5.  Cardiovascular changes

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  Cancer of the  respiratory system  is
clearly associated with exposure to ar-
senic via inhalation. This association has
been especially  noted among smelter
workers where there is a consistency of
findings  across different  studies  in dif-
ferent countries,  high relative risk, and
dose-response by length and intensity of
exposure. Excess risk of lung cancer has
also been found among arsenical pesti-
cide manufacturing workers. Based on
this information, the Carcinogen Assess-
ment Group (CAG) of the U.S. Environ-
mental Protection Agency has concluded
that there  is  sufficient  evidence  that
inorganic arsenic compounds are lung
carcinogens in humans.
  Cancer of the skin was found to  have a
dose-related effect  in a  population  in
Taiwan who  had lifetime exposure  to
arsenic in well water.  Cancer of the skin
has also been found among people treated
with  large  doses  of  arsenite  for  skin
disorders. The CAG has concluded that
there is sufficient evidence that inorganic
arsenic compounds are skin carcinogens
in humans.
  Hyperkeratosis  and  hyperpigmentation,
sometimes   with  precancerous  changes,
have been a  common finding in persons  in-
gesting arsenic. These skin lesions,  as well
as the manifest cancer, develop on skin sur-
faces usually  unexposed  to  sunlight.  In
studies in the United States, an association
between skin lesions or skin cancer has not
been  demonstrated. These studies  have
been limited, however,  by sample sizes too
small to be able to detect the dose response
seen in studies outside the U.S.
  The effects on  the  peripheral nervous
system range from sensory disturbances to
motor weakness and even paralysis. The
more severe signs have  been  noted  in
subacute  poisonings,  but  more  subtle
changes after long-term low-level exposure
have  been  found  by  using  electromy-
ography  or  measuring nerve  conduction
velocity.  These subclinical  effects are slow
in recovery and may persist for years after
cessation of  exposure.   In  a  study  in
Canada,  electromyographic   (EMG)
changes  were noted when water concen-
trations of arsenic exceeded 0.05 mg/l.
  Cardiovascular effects have  been noted
especially in  Taiwan,  where Blackfoot
disease (peripheral vasculopathy) occurred
after long-term exposure to arsenic in well
water. However,  the presence of  ergota-
mine-like compounds raises the possibility
of  vascular effects from  these agents.
Peripheral  vascular  changes  were  also
found among German vintners who  were
exposed  both occupationally,  by spraying
arsenic-containing pesticides,  and orally.
by  drinking wine with  elevated arsenic
levels. Studies on occupationally exposed
persons have been inconclusive in showing
that arsenic causes an increase in mortality
from cardiac disease.

Dose-Effect/Dose-Response
Relationships
  The general  question of how to define
and employ a  dose factor in attempts at
quantitative assessments  of human health
risk for any toxicant is highly dependent
upon:  1) the available information on  the
body's ability to metabolize the agent, and
2) the assessment of the  relative utility of
various internal indices of exposure.
  The time period over which a given total
intake occurs is highly important. For ex-
ample, intake of one gram of arsenic over a
period of years would be quite different
pathophysiologically from assimilating this
amount at one time, the latter probably
having  a  lethal   outcome.  This  time-
dependent behavior is related in part to the
relative ability of  the body to detoxify in-
organic arsenic by methylation as a func-
tion of both dose  and time.
  In cases of acute and subacute exposure,
indicators of internal exposure such  as
blood or urine arsenic levels are probably
appropriate for  assessing the intensity of
exposure.
  With chronic, low-level exposure, how-
ever, the available data would indicate that
the total amount assimilated is probably
more  important than an indicator concen-
tration without knowledge of the total ex-
posure period. An added problem is  the
background level of arsenic found in these
indicators due to dietary habits.  For exam-
ple, in acute exposures, levels in blood or
urine   would  be   greatly elevated  over
background values while  low-level chronic
exposures would only result in moderate in-
creases over background.
  In regard to hair arsenic levels as an in-
dicator of internal  arsenic  exposure, no
reliable methods exist for distinguishing ex-
ternal contamination  levels from those ac-
cumulated via absorption and  metabolic
distribution. Hair  arsenic levels  cannot,
therefore,  be  employed  as reliable  in-
dicators  of either current  or  cumulative
long-term exposures for individual subjects,
but rather may provide only a rough overall
indication of group exposure situations.
  Given  the above  considerations and
limitations  concerning the use  of blood,
urinary, or hair arsenic concentrations as in-
ternal indices of cumulative, long-term low-
level arsenic exposures of concern here, the
dose-effect/dose-response  relationships
summarized below are done so mainly in
terms of external arsenic exposure levels v
either inhalation or ingestion.
  It  is difficult to define a precise acul
lethal dose of arsenic for  man, becaus
such exposure situations rarely allow a<
curate determination  of  the  effectiv
amounts.  However,  for trivalent arsenii
the figure is believed to range from 70 1
180 milligrams.
  For subacute exposure, it appears thi
for  children,  about one gram assimilate
over a period of 3-4 weeks will induce deal
with severe effects in survivors,  while f<
adults, that dose will occasion significar
clinical effects. In one poisoning episodi
intake of approximately 50 milligrams over
period as  short as two weeks resulted i
clinically demonstrable effects in adults.
  From available  data,  the  Carcinoge
Assessment Group (CAG)  has estimate
carcinogenic  unit  risks for both air  an
water  exposures to  arsenic.  The  quar
titative aspect of  carcinogen  risk asses:
ment is included here because it may be c
use   in  setting  regulatory  priorities
evaluating the adequacy  of  technology
based  controls, and  other aspects of th
regulatory  decision-making  process
However,  the  imprecision  of  present
available technology  for estimating canct
risks to humans at low levels of exposui
should be recognized. At best, the line;
extrapolation  model used provides a roug
but plausible estimate of the upper limit c
risk—that is, with this model it is not like
that the true risk would be much more tha
the  estimated risk, but it could be cor
siderably   lower.  The  risk  estimate
presented below  should not be regardec
therefore, as accurate representations <
true cancer risks even when the exposure
involved   are  accurately  defined.   Th
estimates  presented may, however, be fai
tored into regulatory decisions to the exter
that the  concept of  upper-risk limits
found to be useful.
  The air estimates were based on dal
obtained in five separate studies involvin
three independently exposed worker pop
ulations. Both linear and quadratic absc
lute risk  and relative risk models wer
fitted to the data. It was found that for th
models that fit the data at the p = 0.01 c
better level,  the  corresponding unit  ris
estimates ranged from 1.05x10~4to1.3
x 10~2. Linear models were found to f
better than quadratic models, and absc
lute risk models  better than relative ris
models.  Restricting their  unit  risk  esi
imates to those obtained  from  linee
absolute risk models gave a range of 1.2
x 10"3to 7.6 x 10"3. A weighted average c
the  five estimates in this range  gave
composite estimate of 4.3 x 10~3.

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  The unit risk estimates for water were
based on an extensive drinking water study
which was conducted in a rural area of
Taiwan. An association between arsenic in
well water and skin cancer was observed in
the  study  population.   Using the  male
population, who appeared  to be more
susceptible, the CAG estimated that the
unit risk associated with drinking water
contaminated with 1 yug/l of arsenic was
4.3 x 10'4
  To compare the air and water unit risks,
the CAG converted the exposure units in
both cases to mg/kg/day absorbed doses,
which resulted in unit risk estimates of 50.1
and 15.0, respectively.
  The potency  of  arsenic  compared to
other carcinogens was evaluated by noting
that an arsenic  potency  of 2.25  x  10*3
(mMol/kg/day)"' lies in the first quartile of
the 52 suspect carcinogens that have been
evaluated by the CAG.
  The U.S. EPA is presently examining in-
formation from studies on both patient and
general populations which have been  ex-
posed to arsenic via medicinals or drinking
water, respectively, in order to determine
whether  quantitative dose-response rela-
tionships  can  be  established for  non-
cancerous skin lesions.
  While  the  qualitative  evidence   for
peripheral  neurological  effects  and  car-
diovascular  changes in  arsenic-exposed
populations is well established, the data are
insufficient  for  determining   quantitative
dose-response relationships at the present
time.

Populations at Special  Risk to
Health Effects of Arsenic
  From a Japanese study, which reported
on the poisoning of  children  exposed to
arsenic  in  infant milk  formula,  young
children may be considered at risk for acute
exposure  to arsenic. From   the  clinical
reports published at  the time of the mass
poisoning, as well as those from follow-up
studies, a number of signs of central ner-
vous  system involvement were noted at
both  the time of the episode  and much
later,  with the follow-up studies showing
behavioral problems,  abnormal brain wave
patterns, marked cognitive deficits,  and
severe hearing loss.
  Because  children  consume more water
per unit body weight than do adults, the
daily intake of arsenic via drinking water per
kilogram body weight would be greater in
children.  This  might have  implications
regarding  chronic   exposure  effects  in
children. However, it should be noted that
serious health effects due to chronic ex-
posure of arsenic in drinking water have not
been  found  at a  greater  frequency  in
children than adults.
  Individuals residing in the vicinity of cer-
tain arsenic-emitting sources, e.g., certain
types of smelters, may be at risk for in-
creased arsenic intake because  of  both
direct exposure to arsenic in air and indirect
exposure via  arsenic secondarily deposited
from air onto soil or other human exposure
media. The relative contribution from such
indirect exposures to increased risk would
be difficult to define, however.
  A  less defined group at risk would be
cigarette smokers due  to some arsenic in
tobacco, but it is not  clear just  what the
quantitative increase in risk would be.
                                                                                   ^U.S.GOVERNMENTPRINTINGOFFia 1985/559-111/20661

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     This Project Summary  was prepared by staff of Environmental Criteria and
      Assessment Office, U.S. Environmental Protection Agency, Research Triangle
      Park, NC 27711.
     Donna J. Sivulka is the EPA Project Officer (see below).
     The complete report, entitled "Health Assessment Document  for Inorganic
      Arsenic," (Order No. PB 84-190 891; Cost: $23.50, subject to change) will be
      available only from:
            National Technical Information Service
            5285 Port Royal Road
            Springfield. VA 22161
            Telephone: 703-487-4650
     The EPA Project Officer can be contacted at:
            Environmental Criteria and Assessment Office
            U.S. Environmental Protection Agency
            Research Triangle Park, NC27711
United States
Environmental Protection
Agency
Center for Environmental Research
Information
Cincinnati OH 45268
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Official Business
Penalty for Private Use $300

EPA/600/S8-83/021F
          0000329    PS
          U  S  ENVIR PROTECTION  AGENCY
          CHICAGO

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