DATt: UNITED STATES ENVIRONMENTAL PROTECTION AGENCY 2 8 1S8Q SUBJECT. SurgesjLed^o A^^erse Response Level (SNARL) for Tetrachloroethylene y t*c&l y • £<**+~^*+* Victor J-^Kimin, Deputy Assistant FROM: Administrator for Drinking Water (WH-550) Regional Administrators TO: The Office of Drinking Water (ODW), has completed a SNARL for tetrachloroethylene. We develop SNARLs upon request and when sufficient toxicological data are available for contaminants found in drinking water where no standard exists. SNARLs are not regulations, but are advisory guidance which should be interpreted on a case-by-case basis as applied. In developing this SNARL,, the Criteria and Standards Division, ODW, reviewed the current literature on the health effects of tetrachloroethylene. Both data from animal tests and some studies from high level exposure in humans were used as basis for extrapolating to levels in drinking water that would result in negligible risks to the general human population. When considering toxicity that does not include the risk of cancer, we generally use a child weighing 10 kg (22 pounds) and drinking one liter of water per day as the basis for calculations of short exposure (acute) toxicity and longer exposure (chronic) toxicity. These levels are derived using safety factors from classical toxicology and a logic similar to that used by the National Academy of Sciences in "Drinking Water and Health." When considering the possible cancer risk, where it is assumed that there is some risk at any level of exposure, and that the risk increases as the lifetime exposure increases, we use the 70 kg (154 pounds) adult living 70 years who drinks two liters of water as the base, and calculate the excess cancer risk above the normal background according to a mathematical model developed by the National Academy of Sciences in "Drinking Water and Health," and based on animal tests conducted by the National Cancer Institute. The drinking water levels that we have calculated providing a margin of safety from likely toxic effects in humans {assuming that 100% of the exposure is from drinking water) ------- were related to the length of time that water is being consumed, and range from short-term emergency levels to long-term chronic exposure. We have separately computed the potential additional cancer risk. The computed drinking water guidance levels for effects excluding cancer risks are as follows: Time Concentration 1 day 2.3 mg/1 10 days 175 ug/1 Chronic (long-term) 20 ug/1 The computed excess lifetime cancer risks from the HAS model at various exposures assuming the 70 kg adult drinking •two liters of water per day for 70 years at the indicated concen- tration are as follows: Concentration Excess Risk 3.5 ug/1 one in 1,000,000 35 ug/1 one in 100,000 20 ug/1 approximately six in 1,000,000 The development of a SNARL for tetrachloroethylene does not condone its presence in drinking water, but rather provides useful information to assist in setting control priorities in cases where it is found as a contaminant. The applicable treatment technologies include aeration and granular activated carbon. Human exposure to contaminants in drinking water such as tetrachloroethylene should be reduced to the extent feasible, to avoid the unnecessary risks from their presence as adulterants. Attachments cc: Regional Water Supply Representatives Lowell Van Den Berg Alan Levin ------- FEB c 1980 SNARL for Tetrachloroethylene Office of Drinking Water — U.S. Environmental Protection Agency Washington, D.C. 20460 THE OFFICE OF DRINKING WATER "SNARLS" PROGRAM The Office of Drinking Water provides advice on health effects upon request, concerning unregulated contaminants found in drinking' water supplies. This information suggests the level of a contaminant in drinking water at which adverse health effects would not be anticipated with a margin of safety; it is called a ""SNARL (suggested no adverse response level). Normally values are provided for one-day, 10-day and longer-term exposure periods where available data exists. A SNARL does not condone the presence of a contaminant in drinking water, but rather provides useful information to assist in the setting of control priorities in cases when they have been found. In the absence of a formal drinking water standard .for tetrachloroethylene, the Office of Drinking Water has estimated a suggested no adverse response level (SNARL) following the state-of-the-art concepts in toxicology for non-carcinogenic risk for short and long term exposures. For carcinogenic risk, a range of risk estimates is p-rovided for life-time exposures using a model and computations from the NAS Report (1979) entitled "Toxicity of selected drinking water contami- nants." However, SNARLS are given on a case-by-case basis in emergency situations such as spills and accidents. The SNARL calculations for short-term and chronic exposures ignore the possible carcinogenic risk that may result from those exposures. In addition, SNARLS usually do not consider the health risk resulting from possible synergistic effect of other chemicals in drinking water, food and air. SNARLs are not legally enforceable standards; they are not issued as an official regulation, and they may or may not lead ultimately to the issuance of a national standard or Maximum Contamination Level (MCL). The- latter must take into account occurrence, relative source contribution factors, treatment technology, monitoring capability, and costs, in addition to health effects. It is quite conceivable that the concentration set for SNARL purposes might differ from an eventual MCL. The SNARLs raay also change as additional information becomes available. In short SNARLs are offered as advice to assist those that are dealing with specific contamination situations to protect public health. ------- General Information a_n_jd He a 1th Effects Substantial quantities of tetrachloroethy 1ene are produced (7CC million pounds in the U.S. in 1973). Tetra- chloroethylene (perchloroethylene) is used as a dry cleaning and degreasing solvent, heat-transfer medium, and in the manufacture of fluorocarbons. This chemical is sliohtly soluble in water (0.01% by volume). Little work has been done to delineate the uptake, distri- bution, metabolis-tn and excretion patterns following oral exposures to tetrachloroethylene. For our purposes, an assumption is being made that 30% is absorbed via respi- ration and almost 100% via the gastrointestinal tract, as has been shown for trichloroethylene. Only a small fraction of tetrachloroethylene is metabolized to trichloroacetic acid and/or trichloroethanol. The urinary half-life of tetrachloroethylene is markedly longer (144 hours) than that of trichloroethylene indicating some level of bioaccuraulation. Tetrachloroethylene, like other halogenated hydrocarbons at high doses, has been reported to produce liver and .kidney .damage and central nervous system disturbances in mammals, including humans. In addition, tetrachloroethylene has been demonstrated to lower the DNA and RNA content of several organ systems of rats. High concentrations of this chemical result in growth inhibition and mortality as demonstrated in animal inhalation studies. Investigations of chronic toxicity of tetrachloroethylene in animals have all involve-.l inhalation exposure, with the exception of an assessment of carcinogenesis which involved oral dosing (NCI, 1977). The National Cancer Institute has reported tetrachloroethy1ene-induced hepatoce1lular carcinomas in male and female mice, but not in male or female rats. Schwetz e_t a_l. (1975) reported that tetrachloroethylene was not teratogenic to rats and Swiss Webster mice after in- halation exposures of 300 ppm for seven hours per day on days six-15 of gestation. Careful examination of their data, however, indicate that there were a number of modest but statistically significant deviations of adverse health effect parameters from control animals, including increased body maternal weights, decreased body weight of mouse fetuses, increased fetal resorptions and increased incidence of split ------- sternebrae, subcutaneous edema and delayed ossification of skull bones in mouse fetuses. Shuraacher et al. (1962) exposed three week old mice for eight hours/day, three days each to 200, 400, 800 and 1600 ppm perchloroethylene. The exposures produced significant mortality and growth inhibition i n survivors• Tetrachlorgethy'qne SNARL Tetrachloroethylene is a carcinogen in mice, and also causes non-carcinogenic bioeffects at high doses. One-day, 10-day and chronic SNARL values based on non-carcinogenic bioeffects are computed incorporating appropriate factors of safety. Estimates of concentrations projected to increase the lifetime cancer risk by one in 100,000 and one in a 1,000,000 are also provided using the HAS model. The non-carcinogenic SNARL recommendations are made considering the child and other sensitive members of the population. A one-day SNARL of 2.3 mg/1 can be calculated using a study by Kylin (1963). In this study mice were exposed to 200 ppta tetrachloroethylene in air for a period of four hours. Histological examinations of the liver demonstrated fatty infiltration but not cellular necrosis. Even though the exposure levels ranged from 200 to 1600 ppm tetrachloro- ethylene, the no-adverse-effect level was not established. Using the method by Olsen and Gehring (1976) whereby the lung/whole body ratios for humans and animals are assuned to be roughly equivalent, the total exposure of 200 ppni (1358 mg/m ) for four hours via inhalation, could be used to determine the one-day SNARL: .(1358 rag/m )(4 m3/day) (0.30 ) (J__)_ « 2.3 mg/1 (1 l/day)(100 uncertainty factor)(7) Where: 1/7 = child/adult body weight ratio 0.30 - absorption factor 1 I/day • child's daily water consumption 100 uncertainty factor because of animal experiment 1358 mg/m = (200 ppm)(6.79 conversion factor) 4m « according -to Olsen and Gehring whereby the lung-whole body ratios for humans (adults) and rats (adults) are assigned to be roughly equivalent An uncertainty factor of 100 was chosen rather than 1,000 even though the SNARL is based upon an animal experiment in which the no-observed-effect level was not identified. It ------- was felt that the i.-.dex of toxicity, namely fatty infil- tration of the liver, is a delicate disorder in itself which is reversible and not life-threatening after a short exposure/ therefore an additional margin of safety was not warranted. The National Academy of Sciences (NAS, ,1979) has computed a one-day SNARL of 172 mg/1 and 24.5 mg/]j for the seven-day SNARL. Calculations used by the NAS to determine a one-day SNARL were based on hepatotoxicity at a dose level of 490 rag/kg body weight given intraperitoneally to the animals. The calculations were made for a 70 kg man and the drinking water was considered to be the sole source of exposure. The seven-day NAS SNARL was calculated by dividing the one-day SNARL value by the appropriate number of days. The NAS chose to work with data in animals given intra- peritoneal injections. The Office of Drinking Water selected an inhalation study in animals for extrapolation of its SNARL and calculated the SNARL for the 10 kg child. Animal studies and a human case history suggest that, in this case, children appear to be a sensitive population which needs to be protected from the adverse health effects. The Office of Drinking Water 10-day SNARL was calculated using an inhalation study by Savolainen, et al. (1977) in which inhalation exposures of adult male rats to 200 ppn of tetrachloroethylene six hours daily for five days caused diminished brain RNA content. The 10-day SNARL of 175 ug/1 was thus determined: (1353 mg/m ) (6 m3)(0.30)(1)(1) « 175 4ig/l (1 l/day)(1000) (7)(2) Where: 1358 mg/m = (200 ppm)(6.79 conversion factor) 6m = according to Olsen and Gehring whereby the lung-whole body ratio for humans (adults) and rats (adults) are assumed to be roughly equivalent 0.30 * absorption factor 1 I/day « Child's daily consumption of drinking water 1000 = uncertainty factor due to animal experi- ment with no-observed-effect level identified 1/7 .» child/adult body weight ratio 1/2 = factor to provide for equivalent toxicity on day 10 as noted on day five As a matter of interest "Medical World News" contained a report of a six week old baby with jaundice and an enlarged liver; the baby was breast fed by a mother who was frequently ------- exposed tr t e t r £ ch Icr ce thy le ne in a dry clear.ing establishment (Anonymous, 1978). The mother's milk contained -perchloroethylene levels up to one mg %. The child's symptoms vanished when breast feeding was discontinued. Lon ge r-Term SNARL: A longer-term SNARL of 20 ug/1 (rounded from the compu- tation) can be estimated from a study by Navrotskii et a 1. (1971). The authors reported increased urinary urobilinogen and pathological changes in the parenchyma of the liver and kidneys of rabbits after inhalation exposure to 100 mg/m perchloroethylene for three to four hours/day for seven to 11 months. The calculations for a longer-term SNARL are: (100 mg/m3)(4 m3/day ) ( 0 . 30 ) ( 1 ) - 0.017 mg/1 (1 I/day) (1000 uncertainty factor)(7) Where: 100 mg/m « observed effect level 4m = according to Olsen and Gehring whereby the lung-whole body ratio for humans (adults) and rats (adults) are assumed to be roughly equivalent 0.30 = absorption factor 1 I/day = child's consumption of drinking water 1/7 = child/adult body weight ratio 1000 « uncertainty factor due to animal study where health effect was observed Since tetrachloroethylene is considered a carcinogen, at least for mice, and using the risk etimates generated by the National Academy of Sciences (NAS), it is possible to identify that range of tetrachloroethylene concentrations that would increase fhe risk of one excess cancer per 10 or 10 people exposed over a lifetime. From the NAS model it is estimated that consuming 2 I/day over a lifetime having a tetra ch l.or oethy lene concentration of 3.5 ug/1 or 35 ug/1 would increase the risk by one excess cancer/million exposed or one excess cancer/100,000 exposed, respectively. This is the range of risks where raany EPA regulatory values for other carcinogens have been. These risk extrapolations were based on an assumption that there is no threshold effect level for carcinogens. The state-of-the-art at the present time is such that no experimental tools can accurately define the absolute numbers of excess cancer deaths attributable to tetrachloroethylene in drinking water. Due to biological variability and the number of assumptions required, each of the risk estimating procedures leads to a different value. There is wide variation between these estimates and also in their interpretation. For this ------- reason we report the results of the NAS risk computations, which is a conservative approach, as a range of values from one in 100,000 to one in 1,000,000 incremental risk (risk above background) for a carcinogen. The NAS risk estimates are based on the multistage model concept. "At low dose, the raultistage model is often mathematically equivalent to •the linear or single hit model. Therefore, its use for extrapolation is consistent with the conservative linear risk estimation. If the precj.se mechanism of carcinogenesis is represented by a threshold or log-normal dose response relationship, the multistage model may considerably over estimate the risk at low dose levels. However, this possibility cannot be reasonably quantified" (NAS-1979). In summary, the one-day, ten-day and longer-term SNARL values for tetrachloroethylene are 2300 ug/1, 175 ug/1 and 20 ug/1, respectively, if drinking water is the only source of exposure. The concentrations resulting in a lifetime risk of 10 and 10 are 3.5 ug/1 and 35 ug/1, respectively, if the contaminated drinking water was consumed over a lifetime. The longer-term SNARL of 20 ug/1 tetrachloro- ethylene in drinking water may result in excess cancer risk of approximately six in one million, if the exposure was for a lifetime (70 years). ------- |